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File #: 25-545    Version: 1 Name:
Type: Resolution Status: Agenda Ready
File created: 5/7/2025 Departments: HEALTH
On agenda: 6/10/2025 Final action:
Title: Adopt a resolution authorizing an amendment to the agreement with Ronald Greenwald, MD for neurosurgery services, extending the term by three months from August 1, 2022 through July 31, 2025 to the term August 1, 2022 through October 31, 2025, and increasing the not-to-exceed amount by $150,000 to an amount not to exceed $1,800,718.
Attachments: 1. 20250610_r_Ronald Greenwald, MD.pdf, 2. 20250610_a_Ronald Greenwald, MD.pdf
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 Ronald Greenwald, MD for Neurosurgery Services

RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Ronald Greenwald, MD for neurosurgery services, extending the term by three months from August 1, 2022 through July 31, 2025 to the term August 1, 2022 through October 31, 2025, and increasing the not-to-exceed amount by $150,000 to an amount not to exceed $1,800,718.

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BACKGROUND:
Dr. Greenwald has provided neurosurgery services since 1991 at San Mateo Medical Center (SMMC). On August 2, 2022, the County entered into its most recent contract with Dr. Greenwald to provide those services in an amount not to exceed $1,650,718.

DISCUSSION:
Under this amendment, Dr. Greenwald has agreed to continue to provide neurosurgery services for an additional three months to allow for additional time to negotiate a new agreement.

County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.

The rates in Dr. Greenwald's agreement are within fair market value, according to VMG Health, a nationally recognized medical services valuation firm that relies upon multiple industry-standard provider compensation surveys and aggregates that data.

County Attorney has reviewed and approved the resolution and amendment to the agreement 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. Greenwald will see inpatient post-ops in person within 24 hours 100% of the time, except for 23-hour observation patients.

PERFORMANCE MEASURE:
Measure
FY 2024-25 Estimated
FY 20...

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