Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement (A-12925) with Stephen J. Brabeck M.D. to provide cardiology services adding $200,000 for a revised not to exceed amount of $640,000 in the aggregate with no change to the agreement term of August 1, 2015 to June 30, 2018; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) amendments to this Agreement where the total amendments do not extend the term by more than twelve (12) months, do not exceed 10% ($40,000) of the original contract amount and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement (A-12925) with Stephen J. Brabeck M.D. to provide cardiology services adding $200,000 for a revised not to exceed amount of $640,000 in the aggregate with no change to the agreement term of August 1, 2015 to June 30, 2018; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) amendments to this Agreement where the total amendments do not extend the term by more than twelve (12) months, do not exceed 10% ($40,000) of the original contract amount and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
NMC must arrange for care and treatment of patients who present to the emergency department and/or hospital clinics in need of medical care in the specialty of cardiology. NMC has an agreement with Dr. Brabeck to provide cardiology services in the outpatient clinic and clinical interpretation services to its cardiology patients at least two days a week.
NMC utilized the Board of Supervisors’ approval of three (3) future amendments to enter into a First Amendment to the Agreement on May 12, 2017. The First Amendment extended the term by twelve months and added $40,000. NMC now wishes to enter into a Second Amendment to add $200,000 so that Dr. Brabeck can continue to provide the services without interruption.
Dr. Brabeck provides outpatient clinic and clinical interpretation services to its cardiology patients at least two days a week. He is paid a daily rate for clinic services, although the amount of services provided may increase due to patient volume and the need for coverage, the rate of pay remains the same. 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 Amendment as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on May 25, 2017 and Board of Trustees on June 2, 2017.
FINANCING:
The cost of this Amendment is $200,000. The total not to exceed amount of this Agreement is $640,000. $199,272 was disbursed in Fiscal Year 2015/2016; $179,655 was disbursed in Fiscal Year 2016/2017 (9 months); $200,000 is included in the Fiscal Year 2017/2018 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 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.
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Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments: Agreement; First-Second Amendment
Attachments on file at the Clerk of the Board