Legislation Details

File #: A 26-431    Name: GHR Healthcare, LLC Amendment No. 1
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 10/2/2026 In control: Board of Supervisors
On agenda: 10/20/2026 Final action:
Title: Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement with GHR Healthcare, LLC for interim leadership, consulting services, and subject matter expert support, with no changes to the term of October 1, 2025 through September 30, 2027, and adding $200,000 for a revised total agreement amount not to exceed $400,000.
Attachments: 1. Board Report, 2. GHR Healthcare, LLC Amendment No. 1, 3. GHR Healthcare, LLC Agreement
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Title

Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement with GHR Healthcare, LLC for interim leadership, consulting services, and subject matter expert support, with no changes to the term of October 1, 2025 through September 30, 2027, and adding $200,000 for a revised total agreement amount not to exceed $400,000.

Report

RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute amendment No. 1 to the agreement with GHR Healthcare, LLC for interim leadership, consulting services, and subject matter expert support, with no changes to the term of October 1, 2025 through September 30, 2027, and adding $200,000 for a revised total agreement amount not to exceed $400,000.

SUMMARY:

Interim Director/Lead - Case Management

The Interim Director/Lead will provide operational leadership and oversight of Case Management services, ensuring the department maintains regulatory compliance, effective utilization management, timely discharge planning, and appropriate coordination of patient care. Responsibilities include staff oversight, work flow management, collaboration with physicians and multidisciplinary teams, payer and utilization review processes, discharge planning, performance monitoring, and addressing operational barriers.

The Interim Director/Lead will also establish clear expectations for staff performance, monitor departmental productivity and quality metrics, identify gaps, and implement corrective actions when needed. The role will provide leadership during the interim period while maintaining continuity of services and supporting staff through operational changes.

Staff-Level Case Management Services

Case Management staff will provide daily assessment and coordination of patient care needs, including utilization review, discharge planning, paye...

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