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 Sutter Bay Medical Foundation, a California nonprofit public benefit corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education to Provide Otorhinolaryngology Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Sutter Bay Medical Foundation, a California nonprofit public benefit corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education (PAMF), to provide otorhinolaryngology services, for the term of April 1, 2025 through March 31, 2026, in an amount not to exceed $742,272.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. This care includes otorhinolaryngology (ENT or "ear, nose, and throat") surgery, and the management and supervision of the service. PAMF has provided surgery services at San Mateo Medical Center (SMMC) for the past 16 years.
DISCUSSION:
The terms of the agreement require staffing up to 228 4-hour outpatient ENT clinics, 60 4-hour shifts in SMMC's operating room, 24-hour on-call coverage every day during the one-year term, up to 9 hours of medical director services per month in the specialty, and up to 440 hours over the one-year term of the agreement for supplemental clinical services. The coverage amounts are unchanged from the prior agreement except for the addition of the 440 hours of potential supplemental clinical services time, which did not exist in the prior agreement. SMMC needs flexibility to add supplemental clinical time in the specialty to meet community need. The renewed agreement adds a reconciliation clause that would empower the County to claw back funds if the enumerated hours of service above are not...
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