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 CEP America - California, a California General Partnership dba Vituity for Emergency and Correctional Health Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to extend the County’s current agreement with CEP America - California, a California General Partnership dba Vituity by three months and increase the authorized total cost of the agreement by $675,000 to an amount not to exceed $8,021,700.
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BACKGROUND:
CEP America - California, a California Genera Partnership dba Vituity (Vituity), provides professional medical services in the form of physicians, midlevel practitioners, and scribes who staff San Mateo Medical Center’s Emergency Department and Correctional Health Services in the County’s jails.
The County of San Mateo and Vituity entered into an agreement for emergency and correctional health services for the term of January 1, 2020, through December 31, 2022, in an amount not to exceed $7,177,374.
In April 2021, the parties amended the agreement to increase the maximum amount payable under this agreement by $157,626 to an amount not to exceed $7,335,000 and add Exhibit D to the agreement for navigator services.
In September 2021, the parties amended the agreement to increase the maximum amount payable under this agreement by $11,700 to an amount not to exceed $7,346,700 and add Exhibit A1 to the agreement for Covid-19 and flu response services.
DISCUSSION:
The current agreement with Vituity expires on December 31, 2022. While negotiations are continuing with Vituity regarding its continued services, an extension of three months through March 31, 2023, and an increase of $675,000 in the maximum amount payable under this agreement would provide additional time for those negotiations to be completed.
County Attorney has reviewed and approved the resolution and agreement 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 patients leaving the emergency department are seen by a provider 98% of the time, on a quarterly basis.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of time patients leaving the emergency department are seen by a provider on a quarterly basis |
98% |
98% |
FISCAL IMPACT:
The term of the amended agreement is January 1, 2020, through March 31, 2023. The amendment increases the not to exceed amount by $675,000 to an amount not to exceed $8,021,700for the 25-month term. Funds in the amount of $675,000 are included in the SMMC FY 2022-23 Adopted 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.