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File #: 23-238    Version: 1 Name:
Type: Resolution Status: Passed
File created: 3/10/2023 Departments: HEALTH
On agenda: 4/11/2023 Final action:
Title: Adopt a resolution authorizing an agreement with Howard Belfer, MD to provide neurology services for the term of May 1, 2023, through April 30, 2024, in an amount not to exceed $250,000.
Attachments: 1. 20230411_r_Howard Belfer, MD, 2. 20230411_a_Howard Belfer, MD
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 Howard Belfer, MD to Provide Neurology Services

RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Howard Belfer, MD to provide neurology services for the term of May 1, 2023, through April 30, 2024, in an amount not to exceed $250,000.

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BACKGROUND:
San Mateo County is responsible for providing necessary medical care to its medically indigent population. For more than 21 years, Dr. Belfer has provided neurology services for San Mateo Medical Center (SMMC). Neurology is a non-surgical specialty that addresses many of the root causes of neurological disorders, nerve damage, and pain.

DISCUSSION:
Under this agreement, Dr. Belfer would provide a minimum of 72 four-hour clinics, half of SMMC's neurology on-call coverage, and 36 four-hour reading blocks dedicated to performing and reviewing electroencephalograms (EEGs) and electromyograms (EMGs) as well as supplemental neurology services.

County Administrative Memorandum B-1 provides that contracts for physician services are exempt from the Request for Proposals process.

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 85% of patients who complete a Patient Satisfaction Survey would recommend Dr. Belfer as a provider. It is also anticipated that 100% of prescription refills and referral reviews will be completed within a week of receipt.

PERFORMANCE MEASURE:
Measure
FY 2022-23 Estimated
FY 2023-24 Projected
Percentage of patients who complete a Patient Satisfaction Survey that recommend Dr. Belfer as a provider
85...

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