Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with The Regents of the University of California, a public corporation, on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) to provide pediatric cardiology services extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2025 to December 31, 2027, and adding $200,000 for a revised total agreement amount not to exceed $400,000 in the aggregate; and
b. Authorize the CEO for NMC or a designee to sign up to three (3) future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($20,000) of the original contract amount and do not increase the total contract amount above $420,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with The Regents of the University of California, a public corporation, on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) to provide pediatric cardiology services extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of January 1, 2025 to December 31, 2027, and adding $200,000 for a revised total agreement amount not to exceed $400,000 in the aggregate; and
b. Authorize the CEO for NMC or a designee to sign up to three (3) future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($20,000) of the original contract amount and do not increase the total contract amount above $420,000.
SUMMARY:
Natividad operates the D’Arrigo Family Specialty Services Outpatient Clinic, offering over 15 different specialty care services, including pediatric cardiology. NMC has an agreement with UCSF, for which J. Emilio Quezada Liuti, M.D., a board-certified pediatric cardiologist, provides outpatient specialty care at least one day per week, thus allowing Monterey County children and their families to remain closer to home for specialized pediatric care.
DISCUSSION
NMC wishes to amend the agreement with UCSF and to add additional funds and to extend the term by 24 months from the date of expiration so that Dr. Quezada Liuti, M.D., can continue to provide the same services without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this Amendment as to legal form, and the Auditor-Controller has reviewed and approved this Amendment as to payment provisions. The Amendment has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees.
FINANCING:
The cost of this Amendment is $200,000. The total not to exceed amount of this Agreement is $400,000 for the period January 1, 2025 to December 31, 2027 (36 Months). $75,000 is included in the Fiscal Year 2025/2026 Adopted Budget, the remaining balance will be budgeted in the subsequent fiscal years. Funding will be provided from NMC’s Enterprise Fund 451-9600-6608.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS SECTION:
The services rendered in this agreement provide Natividad with the additional support it needs to provide reliable and high-quality patient care which improves the health and quality of life for Monterey County residents and their families.
_X Well-Being and Quality of Life
__ Sustainable Infrastructure for Present and Future
_ Safe and Resilient Communities
__Diverse and Thriving Economy
__ Administrative
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Charles R. Harris, Chief Executive Officer, 783-2551
Attachments:
Board Report
First Amendment
Original Agreement
Attachments on file with the Clerk of the Board