Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Hubert B. Shih, MD for Specialty Plastic Surgery Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Hubert B. Shih, MD to provide specialty plastic surgery services, for the term of September 1, 2019 through August 31, 2020, in an amount not to exceed $260,000.
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BACKGROUND:
Specialty plastic surgery services are provided under the general direction of the Chief of Surgery at San Mateo Medical Center (SMMC). Such care includes professional plastic surgery services, specifically in the area of non-cosmetic post traumatic, post-cancer, and hand-reconstructive care.
DISCUSSION:
Dr. Shih has contracted with the County since September 2018 to provide plastic surgery clinic and operative services, on an as needed basis, scheduled in advance and in writing, in consultation with the SMMC Chief of Surgery.
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 County residents with access to non-cosmetic plastic surgery services. It is anticipated that all plastic surgery services provided under this agreement will adhere to the infection control standards, as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations, to reduce the risk of infections 100% of the time.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Estimated |
FY 2019-20 Projected |
|
Percentage of plastic surgery services provided under this agreement that will adhere to the infection control standards, as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations, to reduce the risk of infections |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is September 1, 2019 through August 31, 2020. The amount of the agreement is not to exceed $260,000 for the one-year term. Funds in the amount of $216,666 will be included in the SMMC FY 2019-20 Recommended Budget. Funds in the amount of $43,334 will be included in the SMMC FY 2020-21 Recommended Budget. This contract is for the same amount as the prior contract, and the payment provisions have not changed.
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.