Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement with CortiCare, Inc. for remote monitoring of electroencephalograms (EEG) services at NMC’s Cardiopulmonary and Neuro-diagnostic department; extending the Agreement an additional one (1) year period (April 20, 2025 through April 19, 2026) for a revised full Agreement term of April 20, 2022 through April 19, 2026, and adding $250,000 for a revised total Agreement amount not to exceed $450,000.
b. Authorize the Chief Executive Officer for NMC or his designee to execute up to (3) future amendments which do not significantly alter the scope of work and each of which does not exceed 10% ($10,000) of the original cost of the Agreement, for a revised total agreement amount not to exceed $480,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement with CortiCare, Inc. for remote monitoring of electroencephalograms (EEG) services at NMC’s Cardiopulmonary and Neuro-diagnostic department; extending the Agreement an additional one (1) year period (April 20, 2025 through April 19, 2026) for a revised full Agreement term of April 20, 2022 through April 19, 2026, and adding $250,000 for a revised total Agreement amount not to exceed $450,000.
b. Authorize the Chief Executive Officer for NMC or his designee to execute up to (3) future amendments which do not significantly alter the scope of work and each of which does not exceed 10% ($10,000) of the original cost of the Agreement, for a revised total agreement amount not to exceed $480,000.
SUMMARY/DISCUSSION:
Corticare provides a remote monitoring service for electroencephalograms (EEG). An electroencephalogram (EEG) is a test that measures electrical activity in the brain using small, metal discs (electrodes) attached to the scalp. Brain cells communicate via electrical impulses and are active all the time, even during asleep. This activity shows up as wavy lines on an EEG recording. NMC’s EEG tech will place and connect all electrodes to the patient and EEG system to initiate monitoring and observation of the patient via camera as requested by NMC physicians. This allows clinicians to access while using a secured interface ID and password to view live their patient and EEG waveform. Once study is completed, if requested as a “STAT read” the physician will have a 1-hour turnaround time for EEG interpretation. As NMC’s acuities increase and population, so does our trauma and EEG studies. Although trauma neuro and seizure cases have fluctuated over the last few years, they have increased steadily more recently. In order to meet increased demand for EEG services, NMC is requesting an amendment to revise this contract by adding $250,000 through April 2026.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this amendment No. 2 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The amendment No. 2 has also been reviewed and approved by NMC’s Finance Committee on April 12, 2024, and by its Board of Trustees on April 12, 2024.
FINANCING:
The cost for this Amendment No. 2 is $250,000 of which $60,000 which is included in the FY 2023-24 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs to be able to provide reliable and quality patient care which improves the health and quality of life for patients and their families.
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Prepared by: Rod Ramirez,
Cardiopulmonary and Neuro-diagnostic Director, (831) 772-7654
Approved by: Charles R. Harris, Chief Executive Officer, (831) 783-2553
Attachments:
CortiCare, Inc. Amendment 1
CortiCare, Inc. Agreement
Attachments on file with the Clerk of the Board