Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC, extending the term by twenty-four months (July 1, 2018 to June 30, 2020) for a revised full agreement term of July 1, 2016 to June 30, 2020 and adding $700,000 for a revised amount not to exceed of $1,400,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) amendments to this Agreement where the total amendments do not exceed 10% ($70,000) of the original contract amount and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC, extending the term by twenty-four months (July 1, 2018 to June 30, 2020) for a revised full agreement term of July 1, 2016 to June 30, 2020 and adding $700,000 for a revised amount not to exceed of $1,400,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) amendments to this Agreement where the total amendments do not exceed 10% ($70,000) of the original contract amount and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
NMC must arrange for the professional consultation and treatment for patients who present to the emergency department in need of medical care or treatment in vascular surgery. Dr. Calzetta is a board certified vascular surgeon who provides emergency call coverage and at least two half day clinics per week in the outpatient specialty clinic.
NMC would like to amend the Agreement so that Dr. Calzetta can continue to provide the vascular surgery services critical to NMC’s operation without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form and the Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on April 26, 2018 and Board of Trustees on May 4, 2018.
FINANCING:
The cost of this Amendment is $700,000. The total not to exceed amount for this Agreement is $1,400,000 for the period July 1, 2016 to June 30, 2020 (48 months). $350,000 is included in the Fiscal Year 2018/2019 Recommended Budget and the remaining $350,000 will be budged in Fiscal Year 2019/2020. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs in order to provide reliable and high quality patient care which improves the health and quality of life for patients and their families.
__ Economic Development
Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments: First Amendment; Agreement
Attachments on file at the Clerk of the Board