Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Third Amendment to Agreement with Pacific Foot Podiatry Group, Inc. to Provide Podiatry Services
RECOMMENDATION:
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Adopt a resolution authorizing a third amendment to the agreement with Pacific Foot Podiatry Group, Inc. to provide podiatry services for the term of December 1, 2021 through November 30, 2024, to an amount not to exceed $1,050,000.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since February 1, 2010, Pacific Foot Care Podiatry (Pacific) has provided podiatry services at San Mateo Medical Center under contract, treating foot and ankle conditions. During that time, Pacific's principal, Dr. Richard Woo, has served as SMMC's Medical Director of Podiatry. On January 25, 2022, the Board of Supervisors originally approved a contract with Pacific for the term of March 1, 2022 through February 28, 2025, in an amount not to exceed $1,550,000. On February 3, 2022, San Mateo Medical Center (SMMC) and Pacific amended the agreement changing the term from March 1, 2022 through February 28, 2025, to December 1, 2021 through November 30, 2024, without changing the fiscal obligation. On May 1, 2022, SMMC and Pacific entered into a second amendment to the agreement, proportionately reducing the maximum payable amount of the agreement from $1,550,000 to $950,000, due to one of Pacific's podiatrists leaving the group causing a reduction in coverage. Of note, the podiatrist that left Pacific entered into a separate agreement with the County to provide podiatric services, meaning that the County did not lose coverage, nor did it realize any cost savings within that service line.
DISCUSSION:
Since that time, Pacific has provided expan...
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