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:
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Adopt a resolution authorizing an amendment to the agreement with Sutter Bay Medical Foundation dba Palo Alto Medical Foundation for Health Care, Research, and Education for vascular surgery services, extending the term by one month through June 30, 2022 and increasing the amount by $37,885 to an amount not to exceed $1,022,900.
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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, this 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.
On March 22, 2022, this Board approved an amendment with PAMF to extend the term of the agreement by two months and increase the amount by $75,770 to an amount not to exceed $985,015.
DISCUSSION:
Under this amendment, PAMF has agreed to continue to provide vascular surgery services for one additional month to allow time to negotiate a new agreement.
As a result, it is now necessary to increase the contract amount by $37,885, to an amount not to exceed $1,022,900, to cover the cost of vascular services during the one-month extension of the contract.
County Administrative Memorandum B-1 provides that contracts for physicians are exempt from the Request for Proposals process.
The amendment and resolution have been reviewed and approved the County Attorney 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%.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Estimated |
FY 2022-23 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 June 30, 2022. The amendment increases the contract amount by $37,885 to an amount not to exceed $1,022,900 for the 27-months term. Funds in the amount of $113,655 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.