Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-15243) with CEP America-Psychiatry, PC, a California professional corporation dba Vituity to provide psychiatry services, extending the term by thirty-six (36) months (June 1, 2024 to May 31, 2027) for a revised full agreement term June 1, 2021 to May 31, 2027 and adding $10,400,000 for a revised amount not to exceed $18,636,050 in the aggregate; and
b. Authorize the CEO for NMC or his 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 cause an increase of more than 10% ($823,605) of the original contract amount and do not increase the total contract amount above $19,459,655.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-15243) with CEP America-Psychiatry, PC, a California professional corporation dba Vituity to provide psychiatry services, extending the term by thirty-six (36) months (June 1, 2024 to May 31, 2027) for a revised full agreement term June 1, 2021 to May 31, 2027 and adding $10,400,000 for a revised amount not to exceed $18,636,050 in the aggregate; and
b. Authorize the CEO for NMC or his 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 cause an increase of more than 10% ($823,605) of the original contract amount and do not increase the total contract amount above $19,459,655.
SUMMARY/DISCUSSION:
NMC must arrange for the care and treatment of patients in the 18 bed mental health unit (MHU) as well as hospitalized patients and patients who present to the emergency department in need of behavioral health services. NMC wishes to amend its agreement with Vituity, a comprehensive acute care psychiatric provider group, to provide 24/7 dedicated physician staffing, oversight and leadership of the MHU, tele-psychiatry services, psychiatric evaluations for bariatric services and consult liaison services for medical and surgical inpatients. 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. Auditor-Controller has reviewed and approved this agreement as to fiscal provisions. The agreement has been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost of this amendment is $10,400,000. The total not to exceed amount of this Agreement is $18,636,050 for the period June 1, 2021 to May 31, 2027. $3,466,667 is included in the Fiscal Year 2024/2025 recommended budget. The remaining amount will be budged in subsequent fiscal years. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC 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.
__ Economic Development
Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2551
Attachments:
First Amendment
Agreement
Attachments on file at the Clerk of the Board