Title
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Second Amendment to the Professional Services Agreement (A-15977) with Claire Hartung MD, Inc. to provide hospitalist services extending the term of the agreement by twenty-four months (October 1, 2026 to September 30, 2028) for a revised full agreement term August 26, 2022 to September 30, 2028 and adding $100,000 for a revised amount not to exceed $500,000 in the aggregate; and
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or their designee to sign up to three (3) amendments to these agreements where the total amendments do not significantly change the scope of work, do not exceed 10% ($30,000) of the original contract amount and do not increase the total contract amount above $530,000.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Second Amendment to the Professional Services Agreement (A-15977) with Claire Hartung MD, Inc. to provide hospitalist services extending the term of the agreement by twenty-four months (October 1, 2026 to September 30, 2028) for a revised full agreement term August 26, 2022 to September 30, 2028 and adding $100,000 for a revised amount not to exceed $500,000 in the aggregate; and
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or their designee to sign up to three (3) amendments to these agreements where the total amendments do not significantly change the scope of work, do not exceed 10% ($30,000) of the original contract amount and do not increase the total contract amount above $530,000.
SUMMARY :
Natividad Medical Center operates medical surgical units and an acute rehabilitation unit that provide direct patient care to hospitalized patients 24 hours a day, 7 days a week. In order to ensure sufficient staffing of these critical units with at least four physicians during the day and one physician at night who are immediately available to provide patient care, it requires a team of employee and independent contractor physicians, known as hospitalists.
DISCUSSION:
Natividad Medical Center wishes to amend its agreement with Claire Hartung MD Inc., for a which Dr. Claire Hartung, a board-certified family medicine physician provides hospitalist services. Dr. Hartung also provides patient care and the supervision of residents in the labor and delivery unit for the family medicine residency program from time to time as needed. Natividad Medical Center has obtained an independent opinion of fair market value supporting the payment terms.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
County Counsel has reviewed and approved this Amendment as to legal form. 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 and Board of Trustees.
FINANCING:
The cost of this Amendment is $100,000. The total not to exceed amount of the Agreement is $500,000 for the period August 26, 2022 to September 30, 2028. The actual cost is contingent upon Dr. Hartung’s level of participation in the panel which fluctuates based on patient volumes and her availability. Natividad Medical Center has agreements with multiple providers to ensure sufficient coverage of the hospitalist services where the total expenditure will not exceed $722,688 annually which is included in Fiscal Year 2026/2027 Adopted Budget Funding will be provided from Natividad Medical Center’s Enterprise Fund 451-9600-6608.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:
The services rendered in this agreement provide Natividad Medical Center with the additional support it needs to delivery reliable and high-quality patient care which improves the health and quality of life for patients and their families.
Mark a check to the related Board of Supervisors Strategic Plan Goals Include one or two sentences referencing the Ordinance, Code, Board Order/Resolution, etc. in relation to this selection:
__X__ Well-Being and Quality of Life
____ Sustainable Infrastructure for the Present and Future
____ Safe and Resilient Communities
____ Diverse and Thriving Economy
____ Dynamic Organization and Employer of Choice
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Nancy Buscher, Interim Chief Executive Officer, 783.2551
Attachments:
Second Amendment
First Amendment
Agreement