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 Crystal Chen, OD for Optometry Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Crystal Chen, OD for optometry services for the term of October 1, 2025 through October 31, 2026, increasing the amount of the agreement by $45,000, to an amount not to exceed $228,658, and increasing Dr. Chen's optometry clinic coverage by 86 additional 4-hour clinic blocks with a reserve for supplemental consultations and courtesy coverage.
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BACKGROUND:
Dr. Chen has been an independently contracted optometrist providing coverage to the County's optometry clinics since 2011. Most recently, she entered into a one-year contract to provide optometry services for the term of October 1, 2025 through October 31, 2026, in an amount not to exceed $183,658. Under that arrangement, Dr. Chen was originally scheduled to provide 345 4-hour blocks of in-clinic coverage and supplemental diabetic retinopathy screening upon consultation from the County's primary care physicians from their primary care examinations.
DISCUSSION:
San Mateo Medical Center (SMMC) is proposing to add $45,000 to the not-to-exceed amount of Dr. Chen's contract and increase her optometry clinic coverage from 345 4-hour blocks to 431 4-hour blocks for the remainder of the term. Of the added cost, $41,624 is attributable to the expansion of clinic blocks. The remainder is attributable to a reserve for additional diabetic retinopathy consultations from the County's primary care physicians and possible coverage of other optometrists' clinics should they be unavailable to provide care.
The rates in Dr. Chen's contract are within fair market value according to VMG Health, a nationally recognized...
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