Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment No. One to the Agreement with Jessica Marone, MD to Provide Pain Management and Musculoskeletal Medicine Services
RECOMMENDATION:
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Adopt a resolution authorizing a first amendment to the agreement with Jessica Marone, MD to provide pain management and musculoskeletal services, extending the term of the agreement from October 1, 2025 through November 30, 2027, and increasing the amount by $468,008, for a new amount not to exceed $936,016.
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BACKGROUND:
Dr. Marone is a non-anesthesia pain management specialist who graduated from the Shirley Ryan Ability Laboratory in Chicago, entered into a pain fellowship at the University of California, San Francisco, and performed her residency at San Mateo Medical Center (SMMC). Since Dr. Jarosz’s departure in 2023, Dr. Marone stepped in to fill SMMC’s need for a physician in the specialty of non-anesthesia pain management and physiatry (also sometimes referred to as musculoskeletal medicine).
DISCUSSION:
The proposed amendment would extend Dr. Marone’s contract through November 30, 2027, and increase the not-to-exceed amount of her contract from $468,008 to $936,016. Dr. Marone provides up to 312 4-hour outpatient clinic blocks, up to 24 4-hour surgery blocks for epidurals and deep joint injections in support of the operating room, up to 208 hours of supplemental clinical non-anesthesia pain management services, and up to 10 hours per month of administrative services as SMMC’s Medical Director of Physiatry. The cost increase is entirely attributable to the extension through November 30, 2027. There is no change in the amount of services provided or any change in the agreement’s compensation method or formula.
The rates in the contract are within fair mark...
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