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: Amendment to the Agreement with Andrew J. Maxwell, MD, Inc. to Provide Pediatric Cardiology Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to extend the agreement with Andrew J. Maxwell, MD, Inc. and to increase the amount of the agreement by $30,000 to an amount not to exceed $200,560.
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BACKGROUND:
Dr. Maxwell entered into a contract with San Mateo Medical Center (SMMC) effective September 1, 2023, through August 31, 2024, to provide pediatric cardiology services in an amount not to exceed $170,560.
DISCUSSION:
SMMC decided that it will not renew Dr. Maxwell's agreement. SMMC believes that going forward pediatric cardiology services are best provided by specialists in a hospital setting that is fully equipped to provide such services, which SMMC is not. SMMC believes that there would be less risk of a potential data breach if all services were provided within the four walls of a single institution with greater control over data security, rather than relying on a contractor like Dr. Maxwell to provide additional mobile equipment for services and interpretation. SMMC therefore believes that transferring pediatric cardiology patients to hospitals specialized in such services would be in the best interests of patients.
However, SMMC and Dr. Maxwell desire to extend Dr. Maxwell's agreement through October 31, 2024, to ensure that making the transition to transferring pediatric cardiology services occurs thoughtfully and safely. The Board of Supervisors' approval is being requested because the parties estimate that approximately $30,000 will be needed to bridge Dr. Maxwell's services through the extended term. Doing so would increase the agreement's "not to exceed" amount abov...
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