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: Amendment to the Agreement with Sutter Bay Medical Foundation dba Palo Alto Medical Foundation for Vascular Surgery Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Sutter Bay Medical Foundation, a California Nonprofit Public Benefit Corporation dba Palo Alto Medical Foundation for Health Care, Research, and Education for vascular surgery services, extending the term by two months through May 31, 2022 and increasing the amount by $75,770 to an amount not to exceed $985,015.
body
BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. Since 2018 Sutter Bay Medical Foundation, a California Nonprofit Public Benefit Corporation dba Palo Alto Medical Foundation for Health Care, Research and Education (PAMF) has provided vascular surgery services for San Mateo Medical Center (SMMC).
On May 5, 2020, your Board approved an agreement with PAMF to provide SMMC with vascular surgery services for the term of April 1, 2020 through March 31, 2022 in an amount not to exceed $909,245.
DISCUSSION:
Under this amendment, PAMF has agreed to continue to provide vascular surgery services for an additional two months to allow for additional time to negotiate a new agreement.
As a result, it is now necessary to increase the contract amount by $75,770, to an amount not to exceed $985,015, to cover the cost of vascular services during the two-month extension of the contract.
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).
It is anticipated that the percentage of surgical site infection rates for vascular surgery will be less than 2.5% throughout the term of this agreement.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Projected |
FY 2023-24 Projected |
|
Percentage of surgical site infection rates for vascular surgery |
<2.5% |
<2.5% |
FISCAL IMPACT:
The term of the amended agreement is April 1, 2020 through May 31, 2022. The amendment increases the contract amount by $75,770 to an amount not to exceed $985,015 for the 26-months term. Funds in the amount of $75,770 are included in the SMMC FY 2022-23 Recommended Budget.
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.