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: Third Amendment to General Surgery Agreement with Sutter Bay Medical Foundation, a California Nonprofit Public Benefit Corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education
RECOMMENDATION:
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Adopt a resolution authorizing a third amendment to the general surgery agreement with Sutter Bay Medical Foundation, a California Nonprofit Public Benefit Corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education (PAMF), extending the agreement by 9 months through December 31, 2025, and increasing the maximum amount payable of the agreement by $710,896.50, to an amount not to exceed $4,265,392.50.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. This care includes general surgery and the management and supervision of the service. PAMF has provided surgery services at San Mateo Medical Center (SMMC) for the past 16 years. General surgery is a basic service required to maintain SMMC's hospital license under Title 22 of the California Code of Regulations. The original term of the party's current contract began July 1, 2021 through June 30, 2024 in an amount not to exceed $2,843,595. On June 25, 2024, PAMF requested an extension through December 31, 2024 so that it could collect data before commencing negotiations with the County on a renewal of the contract. This first extension increased the "not to exceed" amount to $3,317,529 without any change in compensation rate or formula. On December 20, 2024, the parties agreed to a further extension of the term through March 31, 2025, with another proportionate increase in the contract's "not to exceed" amount to $3,554,496. The purpose of th...
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