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 David Jegge, MD for General Surgery Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with David Jegge, MD, extending the term by one month through July 31, 2022, and increasing the amount by $29,982 to an amount not to exceed $1,109,982.
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BACKGROUND:
For the past 17 years, David Jegge, MD, has provided general surgery services at San Mateo Medical Center (SMMC).
In July 2019, SMMC and David Jegge, MD, entered into an agreement to provide general surgery services for the term of July 1, 2019, through June 30, 2022, in an amount not to exceed $1,080,000.
DISCUSSION:
Under this amendment, Dr. Jegge has agreed to continue to provide general surgery services for an additional month to allow for sufficient time to negotiate a new agreement.
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 the County Attorney as to form.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that 100% of general surgery services provided will adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California Code of Regulations.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Estimated |
FY 2022-23 Projected |
|
Percentage of general surgery services provided that adhere to the infection control standards as defined by the Joint Commission and Title XXII of the State of California, Code of Regulations |
100% |
100% |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2019, through July 31, 2022. The amendment increases the contract amount by $29,982 to an amount not to exceed $1,109,982 for the 37-month-term. Funds in the amount of $29,982 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.