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File #: 20-676    Version: 1 Name:
Type: Resolution Status: Passed
File created: 8/13/2020 Departments: HEALTH
On agenda: 9/15/2020 Final action: 9/15/2020
Title: Adopt a resolution authorizing an agreement with David Shields, MD to provide gastroenterology services for the term of September 1, 2020 through August 31, 2021, in an amount not to exceed $450,000.
Attachments: 1. 20200915_r_David Shields, MD, 2. 20200915_a_David Shields, MD
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 David Shields, MD to Provide Gastroenterology Services

RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with David Shields, MD to provide gastroenterology services for the term of September 1, 2020 through August 31, 2021, in an amount not to exceed $450,000.

body
BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population.

DISCUSSION:
Dr. Shields has agreed to continue providing gastroenterology (GI) services. However, Dr. Shields has agreed to provide more services than his previous agreement and will now provide a minimum of 6 half day clinic blocks per week, performing endoscopic retrograde cholangio pancreatography procedures. Dr. Shields will also provide 8 periods of weekday call, 1 period of weekend call per month, and 2 periods of holiday weekend call per year, while continuing to be medical director.

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 prolonged negotiations.

The resolution contains the County's standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).

It is anticipated that the current GI waitlist for SMMC will be reduced by 10%.

PERFORMANCE MEASURE:
Measure
FY 2019-20
Actual
FY 2020-21 Estimated
Percent reduction in the current GI waitlist.
NA*
10%
*New Measure

FISCAL IMPACT:
The term of the agreement is September 1, 2020 through August 31, 2021. The amount of the agreement is not to exceed $450,000 for the on...

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