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
Michael del Rosario, Director, Correctional Health Services
Subject: Agreement with CEP America - California, a California General Partnership dba Vituity for Emergency and Correctional Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with CEP America - California, a California General Partnership dba Vituity to provide emergency and correctional health services, for the term of May 1, 2026 through April 30, 2029, in an amount not to exceed $8,712,408.
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BACKGROUND:
CEP America - California, a California General Partnership dba Vituity (Vituity) provides physicians, advanced practice practitioners (also commonly known as "midlevel practitioners"), and scribes to San Mateo Medical Center's (SMMC's) Emergency Department (ED) and the Correctional Health Services Division (CHS) in the County's jail.
SMMC has one of the busiest EDs in San Mateo County. In 2025, SMMC's ED cared for 38,459 patients. The County also provided medical care to 2,472 individuals in custody of the Sheriff's Office Corrections Division. ED coverage is legally required for SMMC to maintain supplemental basic emergency services under Cal. Code Regs ?? 70413, 70415 and to facilitate compliance with the Emergency Medical Treatment and Active Labor Act. CHS helps prevent avoidable inmate transfers to SMMC's ED. It is therefore necessary for the County to enter into an arrangement for ED and CHS medical services coverage.
SMMC recognizes Vituity's commitment to SMMC and San Mateo County, which includes the organization's history of providing high quality services that helped the County navigate a public health crisis during the COVID-19 pandemic, along with continuously improving and maintaining high quality of car...
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