File #: A 24-109    Name: Monterey Anesthesia Professionals Agreement
Type: BoS Agreement Status: Passed
File created: 3/11/2024 In control: Board of Supervisors
On agenda: 3/26/2024 Final action: 3/26/2024
Title: Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-15091) with Monterey Anesthesia Professionals (MAP) to provide anesthesia services, extending the term by three months (April 1, 2024 to June 30, 2024) for a revised full agreement term of January 1, 2021 to June 30, 2024 and adding $2,700,000 for a revised not to exceed amount of $24,900,000 in the aggregate.
Attachments: 1. Board Report, 2. Monterey Anesthesia Professionals Third Amendment, 3. Monterey Anesthesia Professionals Second Amendment, 4. Monterey Anesthesia Professionals First Amendment, 5. Monterey Anesthesia Professionals Agreement, 6. Completed Board Order Item No. 22
Title
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-15091) with Monterey Anesthesia Professionals (MAP) to provide anesthesia services, extending the term by three months (April 1, 2024 to June 30, 2024) for a revised full agreement term of January 1, 2021 to June 30, 2024 and adding $2,700,000 for a revised not to exceed amount of $24,900,000 in the aggregate.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-15091) with Monterey Anesthesia Professionals (MAP) to provide anesthesia services, extending the term by three months (April 1, 2024 to June 30, 2024) for a revised full agreement term of January 1, 2021 to June 30, 2024 and adding $2,700,000 for a revised not to exceed amount of $24,900,000 in the aggregate.

SUMMARY/DISCUSSION:
NMC must arrange for the provision of professional consultation and treatment of patients of its five operating rooms, including a physician that is in-house and immediately available 24 hours a day and a back-up physician that is available on-call 24 hours a day in accordance with American College of Surgeons (ACS) guidelines for a Level II Trauma Center; 24 hours a day anesthesia services within the hospital's labor and delivery suites; and anesthesia services such as airway management (intubations), central line insertion and acute postoperative pain management. MAP also provides a physician to serve as medical director for general administration and oversight of the anesthesia services.

NMC wishes to amend the existing agreement to add funds so that the group can continue to provide these critical anesthesia services without interruption. NMC has obtained an independent opinion ...

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