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: Agreement with Bryan Gescuk, MD to Provide Rheumatology Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Bryan Gescuk, MD to provide rheumatology services for the term of October 1, 2021 through September 30, 2024, in an amount not to exceed $1,225,000.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Dr. Bryan Gescuk has provided rheumatology services for San Mateo Medical Center (SMMC) for the past 17 years and is currently the only rheumatologist providing services at SMMC.
DISCUSSION:
Under this agreement, Dr. Gescuk would continue to provide rheumatology services at SMMC, consisting of at least four and up to seven half-day clinic blocks per week, as well as call coverage. Additionally, Dr. Gescuk will be providing from four to eight hours of administrative services each week, depending upon need, including training and leading providers in the Provider Engagement Group. Dr. Gescuk is well positioned to perform these services, given his familiarity and experience with SMMC's patient population and County administrative functions through his tenure with SMMC.
County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.
The agreement and resolution have been reviewed and approved by County Counsel as to form.
The resolution contains the County's standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that Dr. Gescuk's patient documentation will be completed within 72 hours of seeing each patient, with all charts closed within 14 days thereafter, 100% of...
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