COMPLETED BOARD ORDER"�|E�9�28
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No. A-10748
Authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Amendment
No. 5 to the agreement with Jennifer L. D'Attilio,
MS for Speech Therapy Services at NMC in an
amount not to exceed $764,000 in the aggregate
and $176,000 for the period July 1, 2011 to June
30, 2012
Upon motion of Supervisor Salinas, seconded by Supervisor Armenta, and carried by those
members present, the Board hereby;
Authorized the Purchasing Manager for Natividad Medical Center NMC) to
execute Amendment No. 5 to the Agreement A-10748 with Jennifer L. D'Attilio,
MS for Speech Therapy Services at NMC in an amount not to exceed $764,000 in
the aggregate and $176,000 for the period July 1, 2011 to June 30, 2012.
PASSED AND ADOPTED on this 14th day of June, 2011, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, and Potter
NOES: None
ABSENT: None
1, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in the
minutes thereof of Minute Book 75 for the meeting on June 14, 2011.
Dated: June 17, 2011 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
By
Deputy
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COMPLETED BOARD ORDER"�|E�9�Original Agreement No or PO # A- 10748)
RENEWAL AMENDMENT NO. 5
FOR PROFESSIONAL SERVICE AGREEMENT
BETWEEN Jennifer L. D'Attilio MS AND
THE NATIVIDAD MEDICAL CENTER
FOR
Speech Therapy SERVICES
The parties to Professional Service Agreement, dated July 1, 2006 between the County of Monterey, on
behalf of Natividad Medical Center NMC"), and Jennifer L. D'Atillio Contractor), hereby agree to
renew their Agreement No. A-10748) on the following amended terms and conditions:
1. Contractor will continue to provide NMC with the same scope of service as stated in the original
Agreement No. A- 10748). Additionally, services and compensation will include those on
Attachment A attached to this Amendment #5.
2. This Renewal Amendment shall become effective on July 1, 2011 and shall continue in full force
and extending the term date until June 30, 2012.
3. The total amount payable by County to Contractor under Agreement No. A-10748) shall not
exceed the total sum of $7/5},000 for the full term of the Agreement; $176,000 for fiscal year
2011-2012. 141--
4. All other terms and conditions of the Agreement shall continue in full force and effect.
5. A copy of this Amendment shall be attached to the original Agreement No. A-10748).
IN WITNESS WHEREOF, the parties hereto are in agreement with this Amendment and
Professional Service Agreement on the basis set forth in this document and have executed this
amendment on the day and year set forth herein.
CONTRACTOR
NATIVIDAD MEDICAIYCENTER
Signature
Purchasing Manager
Signature
NMC CEO
Approved as to Legal Form:
Charles J. McKee, County Counsel
B
y %
Std Saetta, epuD W
Attorneys for County and NMC
bounty 0 IAonterey
Dated i~
Dated
Dated I t \ I
u`itor- ontroller
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COMPLETED BOARD ORDER"�|E�9�AM�NBMI-EN9-A Agreement No. A-10748)
FOR PROFESSIONAL SERVICE AGREEMENT
BETWEEN JENNIFER L. D'ATTILIO, M.S., CCC AND THE NATIVIDAD MEDICAL CENTER
The following will be effective July 1, 2011 and shall continue in full force until June 30, 2010.
COMPENSATION:
Compensation for the performance of Speech Language Pathology services including expenses) by
CONTRACTOR pursuant to the agreement above, County shall pay CONTRACTOR at the rate of seventy-
five dollars $ 75.00) per hour for services provided by a licensed Speech-Language Pathologist. County
shall pay CONTRACTOR thirty-five dollars $35.00) per hour for services provided by qualified
administrative staff for services including scheduling, administrative duties related to speech pathology
services and related services. The total hours for administrative duties will not exceed 60 hours per
month.
SCOPE OF SERVICES
KEY OBJECTIVES:
1. Provide bilingual speech and language assessment and intervention
2. Participate in feeding clinic to be established in the 2011-2012 fiscal year
3. Collaborate and treat inpatient and outpatient pediatric and adult patients based on medical
necessity.
4. Participate in quality assurance program
5. Participate in mandatory in-services
6. Provision of pediatric and adult therapy materials
7. Provision of adult and pediatric tests and protocols
8. Provision of administrative duties necessary with medically based services for adults and
pediatrics
9. CONTRACTOR shall handle referrals from local agencies, pediatricians, early start agencies and
make appropriate referrals to agencies as deemed appropriate.
10. CONTRACTOR will ensure appropriate scheduling, follow-up, and case management for pediatric
and adult patients.
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SIGNED BOARD REPORT"�|E�=�MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: June 14, 2011
AGENDA NO.:
SUBJECT: Authorize the Purchasing Manager for Natividad Medical Center NMC)
to execute Amendment #5 to the Agreement # A-10748) with Jennifer L.
D'Attilio, MS for Speech Therapy Services at NMC in an amount not to
exceed $764,000 in the aggregate and $176,000 for the period July 1,
2011 to June 30, 2012.
DEPARTMENT: Natividad Medical Center
RECOMMENDATION:
It is recommended that the Board of Supervisors authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Amendment #5 to the Agreement # A-10748) with Jennifer L.
D'Attilio, MS for Speech Therapy Services at NMC in an amount not to exceed $764,000 in the
aggregate and $176,000 for the period July 1, 2011 to June 30, 2012.
SUMMARY/DISCUSSION:
Jennifer D'Attilio has been providing speech therapy services at NMC since July 1, 2006, as it is
very difficult to recruit qualified Speech Therapists in the Salinas area. The Joint Commission and
California Title 22 require hospitals to make Speech Therapy Services available. The services that
Jennifer D'Attilio's contract provide include assessment and treatment for both adult and pediatric
patients and treatment for inpatient Neonatal Intensive Care Unit NICU) and outpatient children
with suspected feeding, swallowing or cognitive deficits and/or language disabilities. The adult
services include inpatient and outpatient evaluation of dysphasia, aphasia post stroke, traumatic brain
injury and treatment for deficits resulting from surgery, Alzheimer's, Parkinson's disease and
trauma. In this past fiscal year 2010 2011 Speech Therapy saw 2,334 patients.
The contracted Speech Therapists work as part of the Natividad team of physicians, nurses and
therapy staff to provide services and education to our patients. Literatures shows that patients
receiving speech and language services have faster recovery and increased functioning in overall
communication, language and feeding skills.
NMC will evaluate in Fiscal Year 2012 the practicality of bringing Speech Therapy services in
house. This could be a potential cost savings for the hospital as well as allow for a tighter linkage
between speech therapy services and the other in-house therapies, such as physical therapy and
occupational therapy. The proposed agreement with Jennifer D'Attilio will allow for early
termination there is a 30 day without cause" clause in the agreement) if the hospital decides to
move in this direction.
OTHER AGENCY INVOLVEMENT:
The Amendment has been reviewed and approved by County Counsel, the Auditor/Controller's
office and the Natividad Medical Center Board of Trustees.
FINANCING:
The cost for this Amendment is $176,000 and is included in the 2011/2012 Fiscal Year
Recommended Budget. This action will not require any additional General Fund subsidy.
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SIGNED BOARD REPORT"�|E�=�Prepared by:
Chris Esposto, Ditor Physical Therapy 769-8698
April 5, 2011
Harry Weis
Chief Executive Officer
Attachments: Amendments #1, 2, 3, 4, 5, Original Agreement, Board Order
Attachments on file with the Clerk of the Board
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