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 Gordon Mak, MD for Pulmonary and Critical Care Services, extending the term by two months through September 30, 2022, and increasing the amount payable by $81,470 to an amount not to exceed $1,081,470
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Gordon Mak, MD, to provide pulmonary and critical care services, extending the term by two months through September 30, 2022, and increasing the amount by $81,470 to an amount not to exceed $1,081,470.
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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population and access to services to its general population. Dr. Mak has been providing pulmonary and critical care services at San Mateo Medical Center (SMMC) since 2007.
DISCUSSION:
Dr. Mak and other pulmonologists currently meet the County’s need for this service due to the aging of its patient population and the current COVID-19 pandemic. In addition, Dr. Mak serves in the role of Medical Director of Pulmonary. Dr. Mak’s current contract expires on July 31, 2022.
Under this amendment, Dr. Mak has agreed to continue to provide pulmonary medical 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 $81,470, to an amount not to exceed $1,081,470, to cover the cost of pulmonary and critical care services during the two-month extension of the contract.
Under County Administrative Memorandum B-1, agreements with physicians are exempt from the Request for Proposals process.
The amendment 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 fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that Dr. Mak will timely and accurately complete billing records 100% of the time.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of time Dr. Mak will timely and accurately complete billing records |
100% |
100% |
FISCAL IMPACT:
The term of the amended agreement is August 1, 2020, through September 30, 2022. The amendment increases the contract amount by $81,470 to an amount not to exceed $1,081,470 for the 26-month term. Funds in the amount of $81,470 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.