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 Abhishek Gowda, MD to Provide Pain Management Medicine Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Abhishek Gowda, MD to provide pain management medicine services for the term of December 1, 2020 through November 30, 2022, in an amount not to exceed $650,000.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population, as well as access to services to its general population. Dr. Abhishek Gowda has provided pain management services at San Mateo Medical Center (SMMC) since June 2015.
DISCUSSION:
The County has a continuing need for pain management services. Dr. Gowda will continue to provide these services at SMMC’s main campus and the Daly City Clinic. In addition, he will supervise a clinic addressing behavioral and psychological issues associated with pain management.
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is going 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 by January 1, 2022, the wait time at SMMC for an epidural spinal injection will decrease from three (3) months (current) to one (1) month; by July 1, 2022, the wait will decrease to less than or equal to two (2) weeks.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Estimated |
FY 2021-22 Projected |
|
By January 1, 2022, the wait time at SMMC for an epidural spinal injection will decrease from three months (current) to one month; by July 1, 2022, the wait will decrease to less than or equal to two weeks. |
100% |
100% |
FISCAL IMPACT:
The term of the agreement is December 1, 2020 through November 30, 2022. The amount of the agreement is not to exceed $650,000 for the two-year term. Funds in the amount of $325,000 are included in the SMMC FY 2020-21 Adopted Budget. Funds in the amount of $325,000 will be included in the SMMC FY 2021-22 Recommended Budget.
This contract’s payment provisions have increased from the previous contract by 2%, based upon the 2019 Medical Group Management Association Provider Compensation and Production Report, a tool SMMC uses to benchmark physician contract compensation.
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.