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: Agreement with Jessica Marone, MD to Provide Pain Management and Musculoskeletal Medicine Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Jessica Marone, MD to provide pain management and musculoskeletal medicine services, for the term of October 1, 2025 through September 30, 2026, in an amount not to exceed $468,008, and authorizing and directing the President of the Board of Supervisors to execute the agreement on behalf of the County.
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BACKGROUND:
Jessica Marone, MD (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, SMMC has been operating with one physician short in the specialty of non-anesthesia pain management and physiatry (also sometimes referred to as musculoskeletal medicine). Dr. Jarosz was formerly SMMC's Medical Director of Physiatry and her services were needed to help coordinate and assess pain management care to help minimize the risk of opioid use and dependency among SMMC's patients. Dr. Marone fills the need for physician staffing for non-anesthesia pain management and assumes the role of Medical Director of Physiatry, following Dr. Jarosz.
DISCUSSION:
Under the proposed one-year arrangement, Dr. Marone would provide up to 312 four-hour outpatient clinic blocks, up to 24 four-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 servic...
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