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 the Agreement with CEP America - California, a California General Partnership d/b/a/ Vituity for Emergency and Correctional Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the County's agreement with CEP America - California, a California General Partnership dba Vituity to extend the term of the agreement by three months through June 30, 2026, and increase the amount of the agreement by $690,790, to an amount not to exceed $8,935,126.
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BACKGROUND:
Vituity provides physicians, midlevel practitioners (also known as "advanced practice practitioners"), and scribes to provide professional medical and medical administrative services in San Mateo Medical Center (SMMC)'s emergency department and Correctional Health Services (CHS) at the County Jail. The County's initial agreement with Vituity encompassed a term of April 1, 2023 through March 31, 2026 in an amount not to exceed $8,219,336. On May 1, 2023, the parties amended the agreement to add flexibility to the scheduling of physician services at CHS and to expand the scope of services provided by Vituity's Medical Director for Emergency Medicine. On September 3, 2025, the parties entered into a second amendment to the agreement, adding $25,000 to the "not to exceed" amount to provide for additional Epic "Super User" support services, thereby increasing the "not to exceed" amount from $8,219,336 to $8,244,336.
DISCUSSION:
The proposed amendment would extend Vituity's contract for emergency department and CHS coverage by three months and proportionately increase the "not to exceed" amount by $690,790 to ensure that the agreement's coverage and medical administrative services continue unabated for an extended t...
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