Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Bradd Silver, MD to Provide Endocrinology Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Bradd Silver, MD to provide endocrinology services for the term of April 1, 2018 through March 31, 2019, in an amount not to exceed $250,000.
body
BACKGROUND:
Since July 2014, Dr. Bradd Silver has provided endocrinology services for the patients of San Mateo Medical Center (SMMC). Dr. Silver is one of two endocrinologists at SMMC.
DISCUSSION:
Dr. Silver would like to continue serving the patients of SMMC on a part-time basis, providing endocrinology services three full days per week, in addition to providing half time call services. He is experienced with SMMC’s patient population and has provided excellent services to SMMC’s diabetic and thyroid patients.
County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.
The agreement and resolution have been reviewed and approved by County Counsel 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).
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing endocrinology services to County residents. It is anticipated that patient waiting times for endocrinology services will be less than or equal to two weeks.
PERFORMANCE MEASURE:
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
Patient waiting times for endocrinology services |
≤ two weeks |
≤ two weeks |
FISCAL IMPACT:
The term of the agreement is April 1, 2018 through March 31, 2019. The amount of the agreement is not to exceed $250,000 for the one year term. Funds in the amount of $62,500 are included in the SMMC FY 2017-18 Adopted Budget. Funds in the amount of $187,500 will be included in the SMMC FY 2018-19 Recommended Budget.
The contract amount is the same as that of the previous agreement.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care are covered by the County’s General Fund contribution to SMMC, and are within the existing annual appropriation.