Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Eighth Amendment to the Professional Services Agreement (A-11427) with Medical Doctor Associates (MDA) to provide locum tenens services at NMC extending the term to June 30, 2014 and adding $300,000, for a revised total Agreement amount not to exceed $1,800,000 in the aggregate (for the period February 1, 2009 to June 30, 2014); and
b. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
- Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Eighth Amendment to the Professional Services Agreement (A-11427) with Medical Doctor Associates (MDA) to provide locum tenens services at NMC extending the term to June 30, 2014 and adding $300,000, for a revised total Agreement amount not to exceed $1,800,000 in the aggregate (for the period February 1, 2009 to June 30, 2014); and
- Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
NMC entered into an agreement with MDA on February 1, 2009; as amended March 1, 2010; July 1, 2010; March 1, 2011; July 1, 2011; December 1, 2011; July 1, 2012 and May 1, 2013 to provide locum tenens services. Locum tenens (temporary) physicians are utilized during periods when its employed/contracted physicians are not available (e.g., vacation; illness; continuing medical education; etc.) to provide health care services vital to NMC's continued operation.
The Agreement was amended on May 1, 2013 to increase the maximum liability to due to an emergent need for locum tenens physicians to cover for vacant positions in critical patient care areas of the hospital, but did not change the annual rate sheet in the Agreement. NMC wishes to amend the Agreement with MDA to extend the term an additional twelve months and increase the maximum liability of the Agreement in order to continue to utilize locum tenens physicians in these patient care areas. NMC negotiated new rates for some specialties, no more than 3%. Most rates remained the same services provided by locum tenens physicians, which vary by specialty and are all-inclusive of travel, lodging and associated expenses.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment/Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment/Agreement as to fiscal provisions. The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The total cost for this Amendment/Agreement is $1,800,000 for the period February 1, 2009 to June 30, 2014. $530,706.93 was disbursed in Fiscal Year 2009/2010; $300,224.50 was disbursed in Fiscal Year 2010/2011; $284,325.75 was disbursed in Fiscal Year 2011/2012 and $384,742.82 was disbursed in Fiscal Year 2012/2013. $300,000 is included in the Fiscal Year 2013/2014 Recommended Budget. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
Attachments:
First-Eighth Amendments, Agreement
Originals on file at the Clerk of the Board