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 No. One to the Agreement with Melissa Selner, DPM for Podiatry Services
RECOMMENDATION:
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Adopt a resolution authorizing a first amendment to the agreement with Melissa Selner, DPM for podiatry services, extending the term of the agreement by three years through October 31, 2029, and increasing the amount of the agreement by $478,800, to an amount not to exceed $957,600.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since 2008, Dr. Selner has provided podiatry services for San Mateo Medical Center (SMMC). Dr. Selner’s current agreement with the County has a term of November 1, 2023 through October 31, 2026 and a maximum fiscal obligation of $478,800. SMMC’s patient population has a high demand for podiatry services, which treats foot and lower leg injuries, as well as ongoing health issues like diabetes that can affect lower extremities.
DISCUSSION:
The proposed amendment to Dr. Selner’s agreement would extend her agreement by an additional three years, for a full term of November 1, 2023 through October 31, 2029. The terms of the agreement remain the same, with clinical services compensated at an hourly rate of $166.25 per hour, or $665 per 4-hour clinic. Dr. Selner will also continue to provide coverage to 240 4-hour outpatient clinics annually.
The rates in the amended 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 approved the resolution and amendment to the agreement as to form.
The resolution contains th...
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