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 Rabab Rafique, OD, FAAO to Provide Optometry Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Rabab Rafique, OD, FAAO to provide optometry services for the term of November 1, 2026 through October 31, 2029, in an amount not to exceed $320,320.
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BACKGROUND:
San Mateo County provides necessary medical care to medically and financially vulnerable patients, including optometry services. Among the optometrists who provide care to the County is Dr. Rafique, who has done so since 2023. Providing eye care to County patients is important to ensure that basic eye care is afforded to people who otherwise might not have access to it.
DISCUSSION:
Under the previous one-year agreement for optometry coverage, Dr. Rafique agreed to provide up to 208 four-hour optometry clinics. Under the previous agreement, Dr. Rafique was compensated at a rate of $121 per hour for clinic coverage. The proposed agreement maintains Dr. Rafique's existing annual clinic coverage, expands the term of the agreement to three years, and would increase the hourly rate for Dr. Rafique's clinic coverage to $125 per hour in agreement year one, $129 per hour in agreement year two, and $131 per hour in agreement year three.
The rates in the new contract are within fair market value according to VMG Health, a nationally recognized medical services valuation firm that relies upon multiple industry-standard provider compensation surveys and aggregates that data.
The County Attorney has reviewed and approved the resolution and agreement as to form.
The resolution contains the County's standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is a...
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