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 Fred Lui, MD for Nephrology Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Fred Lui, MD to provide nephrology services through his practice group for the term of November 1, 2026 through October 31, 2029 in an amount not to exceed $1,221,913.
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BACKGROUND:
Nephrology is the specialty of internal medicine that focuses on the diagnosis and treatment of kidney diseases. Because the kidney performs many critical functions, nephrologists maintain expertise in primary kidney disorders and the management of the systemic consequences of kidney dysfunction. Fred Lui, MD (“Dr. Lui”) and his group of nephrologists have provided specialty care to San Mateo Medical Center (SMMC) patients since 2005.
DISCUSSION:
The County’s need for nephrology services increases with the aging of the population. SMMC will continue to meet community need for nephrology services through the agreement with Dr. Lui and his group. Dr. Lui and his group will provide the same amount of coverage as under his preceding November 1, 2023 through October 31, 2026 agreement: two four-hour nephrology clinics per week, 24/7/365 on-call coverage, up to an additional eight hours of supplemental clinical services per week as clinical needs require, and ten hours of medical director services per month. The new agreement is for a term of November 1, 2026 through October 31, 2029, in an amount not-to-exceed $1,221,913 (“Agreement”).
The rates in the new 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.
The County Attorney has reviewed and appro...
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