Title
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Seventh Amendment to the Professional Services Agreement (A-11427) with Medical Doctor Associates (MDA) to provide locum tenens services at NMC, adding $100,000 for the remainder of Fiscal Year 2012/2013 for a revised total Agreement amount not to exceed $1,500,000 in the aggregate (for the period February 1, 2009 to June 30, 2013).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Seventh Amendment to the Professional Services Agreement (A-11427) with Medical Doctor Associates (MDA) to provide locum tenens services at NMC, adding $100,000 for the remainder of Fiscal Year 2012/2013 for a revised total Agreement amount not to exceed $1,500,000 in the aggregate (for the period February 1, 2009 to June 30, 2013).
SUMMARY/DISCUSSION:
NMC entered into an agreement with MDA on February 1, 2009; as amended March 1, 2010; July 1, 2010; March 1, 2011; July 1, 2011; December 1, 2011; and July 1, 2012 to provide locum tenens services. Locum tenens (temporary) physicians are utilized during periods when its employed/contracted physicians are not available (e.g., vacation; illness; continuing medical education; etc.) to provide health care services vital to NMC's continued operation.
The expenditure of this agreement by fiscal year is as follows:
Fiscal Year 2009-10 |
$530,707 |
Fiscal Year 2010-11 |
$300,225 |
Fiscal Year 2011-12 |
$284,326 |
Fiscal Year 2012-13 (year to date) |
$203,087 |
The amount budgeted for Fiscal Year 2012/2013 was nearly reached due to the need for locum tenens physicians to cover for vacant positions in critical patient care areas of the hospital. NMC wishes to amend the agreement with MDA to add $100,000 for the remainder of Fiscal Year 2012/2013 in order to continue to utilize locum tenens physicians in these patient care areas. There is no increase to the previously negotiated rates for services provided by locums tenens physicians, which vary by specialty and are all-inclusive of travel, lodging and associated expenses.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment/Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment/Agreement as to fiscal provisions. The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The total cost for this Amendment/Agreement is $1,500,000 for the period February 1, 2009 to June 30, 2013. $530,707 was disbursed in Fiscal Year 2009/2010; $300,225 was disbursed in Fiscal Year 2010/2011; $284,3226 was disbursed in Fiscal Year 2011/2012 and $203,087 of the budgeted $284,743 was disbursed in the first part of Fiscal Year 2012/2013. Adding $100,000, will increase the projected spend to $384,743 for Fiscal Year 2012/2013. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
Attachments:
First-Seventh Amendment, Agreement
Originals on File at the Clerk of the Board