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 to Agreement with Hubert B. Shih, MD to Provide Plastic Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Hubert B. Shih, MD to provide plastic surgery services for the term of December 1, 2022 through November 30, 2025, increasing the amount of clinical coverage, authorizing the assumption of medical director services, and increasing the "not to exceed amount" by $107,823, from $1,826,590 to an amount not to exceed $1,934,413.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population, which includes plastic surgery in cases of trauma. Dr. Shih has been providing plastic surgery services at San Mateo Medical Center (SMMC) since 2018. When the County entered into its initial agreement with Dr. Shih, he agreed to provide a minimum of 144 4-hour outpatient and surgery clinics per year and provide on-call coverage 183 days per year. On December 20, 2023, SMMC and Dr. Shih entered into an amendment to the agreement with no fiscal impact, adding clarifying language regarding Dr. Shih's coverage expectations. The County and Dr. Shih then entered into a subsequent amendment to the agreement on June 25, 2024, where Dr. Shih agreed to expand his services in exchange for an increase in his hourly rate for on-call coverage from $41.67 per hour to $48.52 per hour while maintaining his services for clinic coverage and surgery at the existing contract rates (which are unchanged at $294 per hour). Dr. Shih increased his outpatient (ambulatory) clinic coverage from 48 4-hour clinics to 72 clinics annually, from 96 4-hour surgery blocks to 168 4-hour surgery blocks annually, and from 183 on-call sh...
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