File #: A 14-218    Name: Amend. #4 Lucile Salter Packard
Type: BoS Agreement Status: Passed
File created: 8/26/2014 In control: Board of Supervisors
On agenda: 9/23/2014 Final action: 9/23/2014
Title: a. Approve and Authorize the Director of Health to sign Amendment No. 4 to the Physician Services Agreement with Lucile Salter Packard Children's Hospital at Stanford University for perinatology services, extending the term two (2) additional years to September 30, 2016, and increasing the amount by $240,000, for a revised total contract amount not to exceed $960,000; and b. Authorize the Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not exceed 10% of the annual amount and do not significantly change the scope of work.
Sponsors: Ray Bullick
Attachments: 1. LPCH Amend4 (BOS).pdf, 2. LPCH Perinatology A-3 (BOS).pdf, 3. LPCH Perinatology A-2 (BOS).pdf, 4. LPCH Perinatology A-1 (BOS).pdf, 5. LPCH Perinatology Agr (2008-2011).pdf, 6. Completed Board Order
Title
a. Approve and Authorize the Director of Health to sign Amendment No. 4 to the Physician Services Agreement with Lucile Salter Packard Children's Hospital at Stanford University for perinatology services, extending the term two (2) additional years to September 30, 2016, and increasing the amount by $240,000, for a revised total contract amount not to exceed $960,000; and
b. Authorize the Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not exceed 10% of the annual amount and do not significantly change the scope of work.  
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a.  Approve and Authorize the Director of Health to sign Amendment No. 4 to the Physician Services Agreement with Lucile Salter Packard Children's Hospital at Stanford University for perinatology services, extending the term two (2) additional years to September 30, 2016, and increasing the amount by $240,000, for a revised total contract amount not to exceed $960,000; and
b. Authorize the Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not exceed 10% of the annual amount and do not significantly change the scope of work.  
 
SUMMARY/DISCUSSION:
The County of Monterey entered into a Physician Services Agreement with Lucile Salter Packard Children's Hospital at Stanford University ("LPCH") effective October 1, 2008 for the purpose of providing perinatology specialty care medical services for high risk obstetrical patients.  Since 2011, the Agreement has been revised annually through Amendments No. 1, No. 2 and No. 3 to extend the term and increase the amount by $120,000 annually for the delivery of physician services.  Amendment No. 4 extends the term of the Agreement two additional years to September 30, 2016 and increases the amount by $240,000.  The high quality specialty services LPCH provides in clinic, helps alleviate the patient from having to drive out of county for these services and has improved clinical care and outcomes with the patient population.
 
This amendment supports the Monterey County Health Department 2011-2015 Strategic Plan initiatives: 2) Enhance community health and safety by emphasizing prevention; and 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services.  It also supports one or more of the ten essential public health services, specifically: 3) Inform, educate and empower people about health issues; and 7) Link people to needed personal health services and assure the provision of health care when otherwise unavailable.  
 
OTHER AGENCY INVOLVEMENT:
County Counsel and the Auditor-Controller have approved Amendment No. 4 as to Legal Form and Fiscal Provisions.  A copy of Amendment No. 4 to the Physician Services Agreement is on file with the Clerk of the Board.  
 
FINANCING:
This Amendment is funded by Fee for Service revenues and included in the Fiscal Year 2014-15 recommended budget.  There is no increase in General Fund Contribution.
 
Prepared By:      Sheena Morales, Management Analyst, 1393                  
Approved By:  Ray Bullick, Director of Health, 4526
 
Attachments:   
Amendment No. 4 to the Physician Services Agreement is on file with the Clerk of the Board
Amendment No. 3 to the Physician Services Agreement is on file with the Clerk of the Board
Amendment No. 2 to the Physician Services Agreement is on file with the Clerk of the Board
Amendment No. 1to the Physician Services Agreement is on file with the Clerk of the Board
Physician Services Agreement is on file with the Clerk of the Board