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 Ronald Greenwald, MD for Neurosurgery Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Ronald Greenwald, MD for neurosurgery services from August 1, 2022 through July 31, 2025 in an amount not to exceed $1,650,718.
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BACKGROUND:
Neurosurgery services are provided under the general direction of the Chief of Surgery at San Mateo Medical Center (SMMC) and include evaluation and treatment of the brain, spinal cord, and peripheral nervous system disease. Dr. Greenwald has been providing professional neurosurgery services at SMMC since 1991.
DISCUSSION:
Under this agreement, Dr. Greenwald has agreed to continue to provide neurosurgery services. In prior contracts, Dr. Greenwald has been compensated for his on-call hours at a flat rate that was far below fair market value. That compensation has been increased to better reflect the Medical Group Management Association (MGMA) Provider Compensation and Production Report rates. MGMA is a tool SMMC uses to benchmark physician contract compensation, and MGMA rates for on-call were not previously used to negotiate Dr. Greenwald's previous contracts. SMMC has also moved to eliminate per service agreements that result in unpredictable expenses and moved to a monthly stipend model, to compensate for a variety of duties that were previously separately compensated.
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 fiscal obligations by a maximum of $25,000 (in ...
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