Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Agreement with Lucile Salter Packard Children’s Hospital at Stanford (LPCH) to provide maternal fetal medicine (MFM) services and medical director services of the Child Advocacy Center (CAC) extending the term by twelve months (September 1, 2023 to August 31, 2024) for a full revised agreement term September 1, 2021 through August 31, 2024, and adding $300,000 for a revised amount not to exceed $726,880 in the aggregate,; and
b. Authorize the Chief Executive Officer for Natividad or his designee to sign up to three (3) amendments to this agreement where the amendments do not significantly change the scope of work, do not exceed 10% ($34,848) of the original contract amount and do not increase the total contract amount above $761,728.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Agreement with Lucile Salter Packard Children’s Hospital at Stanford (LPCH) to provide maternal fetal medicine services and medical director services of the Child Advocacy Center (CAC) extending the term by twelve months (September 1, 2023 to August 31, 2024) for a full revised agreement term September 1, 2021 through August 31, 2024, and adding $300,000 for a revised amount not to exceed $726,880 in the aggregate,; and
b. Authorize the Chief Executive Officer for Natividad or his designee to sign up to three (3) amendments to this agreement where the amendments do not significantly change the scope of work, do not exceed 10% ($34,848) of the original contract amount and do not increase the total contract amount above $761,728.
SUMMARY/DISCUSSION:
NMC offers comprehensive maternal care services including antepartum, intrapartum and postpartum care to women in Monterey County. To help reduce maternal mortality and morbidity, the American College of Obstetricians and Gynecologist established maternal levels of care and recommends Level III maternal centers have board certified maternal fetal medicine (MFM) physicians available for consultation and management of highly complex, critically ill, or unstable maternal patients.
The County operates the Sally P. Archer Child Advocacy Center and Bates-Eldredge Child Sexual Abuse Clinic (CAC) located at NMC in the Barnet J. Segal Outpatient Center where Physicians perform medical-legal examinations to evaluate cases of suspected or actual child abuse to provide documented evidence to assist in the prosecution of criminal cases. NMC must arrange for a qualified medical director for general administration of the day-to-day operations, development of the services, review of policies and supervision of the ancillary services in the CAC.
NMC would like to amend its agreement with LPCH to provide the same services without interruption. Natividad 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 as to payment provisions. The Amendment has also been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost for this amendment is $300,000. The total not to exceed amount of this agreement is $726,880. $213,440 is included in the Fiscal Year 2023/2024 Adopted Budget. The remaining amount will be budgeted in subsequent fiscal years. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide Natividad 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.
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Administration
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__ Public Safety
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 758-2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783-2551
Attachments:
Second
First Amendment
Agreement