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: Second Amendment to the Agreement with Lousia Lu, MD to Provide Ophthalmology Services
RECOMMENDATION:
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Adopt a resolution authorizing a second amendment to the agreement with Lousia Lu, MD to continue providing expanded ophthalmology services, extend the term of the agreement through June 30, 2028, and increase the not-to-exceed amount of the agreement by $663,920, to an amount not to exceed $958,352.
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BACKGROUND:
The County and Lousia Lu, MD (“Dr. Lu”) originally entered into an agreement for Dr. Lu to provide 52 4-hour ophthalmology clinics annually for the term of February 1, 2026 through January 31, 2027, in an amount not to exceed $250,432. The parties amended the agreement on April 7, 2026, to add 44 4-hour clinics, raising the total coverage to 96 clinics annually and increasing the not-to-exceed amount to $294,432.
DISCUSSION:
This second amendment would further increase Dr. Lu’s clinic coverage from 96 4-hour clinics annually to 156 4-hour clinics, extend the term of the agreement through June 30, 2028, and increase the not-to-exceed amount of the agreement from $294,432 to $958,352 (“Second Amendment”).
The rates in the Second Amendment 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 the Second Amendment 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 anticipated that 100% of diabetic patients evaluated by Dr. Lu will receive retinopathy screenin...
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