Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Professional and Call Coverage Services Agreement with Jonathan Pryor, MD to provide general surgery and surgical critical care services at NMC for an amount not to exceed $500,000 for the period April 1, 2016 to March 31, 2018; 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 extend the term by more than twelve (12) months, do not exceed 10% of the original contract amount ($50,000) 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 Professional and Call Coverage Services Agreement with Jonathan Pryor, MD to provide general surgery and surgical critical care services at NMC for an amount not to exceed $500,000 for the period April 1, 2016 to March 31, 2018; 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 extend the term by more than twelve (12) months, do not exceed 10% of the original contract amount ($50,000) and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Since its designation as the Level II Trauma Center for Monterey County in January 2015, Natividad Medical Center has treated over 1,300 trauma patients. The American College of Surgeons requires acute critical care surgeons to be available in-house with a 15 minute response time for Level II Trauma Centers. In order to provide twenty-four hours per day, seven days per week care, it is necessary to maintain a core team of surgeons made-up of employed and independent contract physicians to provide daily call coverage in the Emergency Department and follow-up care to patients in the Intensive Care Unit.
NMC wishes to enter into this agreement with Jonathan Pryor MD, a board certified surgeon, to provide trauma, acute care surgery and surgical critical care as well as inpatient and outpatient procedures at NMC as part of the comprehensive trauma services required for the Level II Trauma Center activation. The addition of Dr. Pryor to the trauma call panel ensures access to quality patient care providers for sufficient coverage of the trauma service. Dr. Pryor will be paid a daily rate for coverage services. 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 Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions. The Agreement has also been reviewed and approved by Natividad Medical Center’s Finance Committee on January 28, 2016 and Board of Trustees on February 5, 2016.
FINANCING:
The total not to exceed amount of this Agreement is $500,000 for the period April 1, 2016 to March 31, 2018. The actual cost is contingent upon Dr. Pryor’s level of participation in the call panel, which may fluctuate based on his availability. NMC has agreements with multiple providers to ensure sufficient coverage of this service for which the total expenditure will not exceed $1,300,000 annually and is included in the Fiscal Year 2015/2016 Adopted Budget. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments:
Agreement
Attachments on file at the Clerk of the Board