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 Stanley Hui, MD to Provide Gastroenterology Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Stanley Hui, MD to provide gastroenterology services for the term of July 1, 2019 through June 30, 2020, in an amount not to exceed $220,000.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. This includes services for gastroenterology (GI) disorders and the management and supervision of those services. Dr. Hui has served as a gastroenterologist at San Mateo Medical Center (SMMC) for over 30 years as part of the San Mateo Multispecialty Physician Group (SMMP).
DISCUSSION:
Dr. Hui will continue to provide GI services as an individual provider and provide a minimum of six days of services per month.
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. This agreement is coming to your Board late due to protracted negotiations.
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 basic GI services to SMMC patients. It is anticipated that the current waitlist for GI studies will be reduced by 10 percent.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Estimated |
|
Percent reduction in the current waitlist for GI studies. |
N/A* |
10% |
*New Measure
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2020. The amount of the agreement is not to exceed $220,000 for the one-year term. Funds in the amount of $220,000 are included in the SMMC FY 2019-20 Approved Recommended Budget.
The payment provisions and level of service in this contract are essentially the same as the services that Dr. Hui provided under the contract between the County and SMMP.
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 is covered by the County’s General Fund contribution to SMMC and is within the existing annual appropriation.