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 Stanford Health Care, a California Nonprofit Public Benefit Corporation to Provide E-Consult Services
RECOMMENDATION:
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Adopt a resolution authorizing a first amendment to the agreement with Stanford Health Care, a California nonprofit public benefit organization, to provide e-consult services for the term of March 18, 2026 through March 17, 2028, and increase the amount of the agreement by $472,316, to an amount not to exceed $616,000.
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BACKGROUND:
Effective March 18, 2026, the County and Stanford Health Care (SHC) commenced an electronic consultation (e-consult) program and participation agreement with a limit of 540 completed e-consults each contract year and with a provision that would allow a roll-over of unused e-consults to contract year two, not to exceed 1,080 over the two-year term, in an amount not to exceed $143,684.
The e-consult program allows the County’s primary care and specialty physicians to use Stanford’s licensed AristaMD platform to send e-consults to Stanford physicians while caring for County patients within San Mateo Medical Center (SMMC) and offsite clinics. E-consults are completed when Stanford’s specialists review the patient information sent over the platform and document their response to the County’s physician in the platform. Over the past two months, 91% of the e-consults were made from County primary care physicians to Stanford dermatologists, with the remaining 9% being directed to Stanford’s neurologists. SMMC expects growing consultations in pediatric care and miscellaneous other specialties as the program matures.
SHC provides the AristaMD platform and its physicians to the County at a rate of $96 per completed e-consult, a rate deter...
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