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: Agreement with Hubert B. Shih, M.D. to Provide Plastic Surgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Hubert B. Shih, M.D. to provide plastic surgery services, for the term of December 1, 2025 through November 30, 2028 in an amount not to exceed $2,880,288.
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BACKGROUND:
Since 2018 San Mateo County has contracted with Dr. Shih to provide outpatient and emergent plastic surgery services at San Mateo Medical Center ("SMMC") to meet community need. Over the past three years, Dr. Shih's contract for plastic surgery coverage at SMMC evolved in response to his colleague, Dr. Kenton Fong, stepping back to pursue private business ventures. Dr. Shih's previous agreement was amended to expand Dr. Shih's services to prevent coverage gaps. The proposed agreement would continue Dr. Shih's expanded coverage as the sole physician who meets community needs for plastic surgery services. Plastic surgery is routinely utilized by health systems to help patients heal from traumatic injuries, complicated surgeries, and burns. Dr. Shih is currently the County's sole provider of independently contracted plastic surgery services.
DISCUSSION:
Under the previous contract - after an amendment to fill hours created by Dr. Fong's departure - Dr. Shih agreed to provide 96 four-hour outpatient clinic blocks annually at a rate of $294 per hour, 192 four-hour operating room coverage blocks annually at $294 per hour, up to 342 hours of supplemental clinical services (which included surgery) annually at $294 per hour, 10 hours of medical director coverage monthly at $269 per hour, and 338 24-hour unrestricted on-call shifts annually at $48.52 per hour. The "not to exceed" amount of the prior amen...
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