Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Total Renal Care, Inc. for acute dialysis services at NMC for an amount not to exceed $5,000,000 with an agreement term July 1, 2024, through June 30, 2029.
b. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than 10% ($500,000) of the original cost of the agreement per each amendment, for total contract liability of ($5,500,000).
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Total Renal Care, Inc. for acute dialysis services at NMC for an amount not to exceed $5,000,000 with an agreement term July 1, 2024, through June 30, 2029.
b. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than 10% ($500,000) of the original cost of the agreement per each amendment, for total contract liability of ($5,500,000).
SUMMARY/DISCUSSION:
Total Renal Care, Inc. provides comprehensive dialysis services for patients with kidney failure. These services are essential to Natividad Medical Center to meet our community’s complex medical needs and for supportive treatment as a Level II Trauma Center. The services include all inpatient areas and the Acute Rehabilitation Unit. Natividad Medical Center and Total Renal Care leadership meet quarterly via The Joint Dialysis Oversight Committee (JDOC) to review quality metrics such as timeliness, staff competency validation, and shared responsibilities in providing quality patient care. Safety, transition of care, audit reviews, and utilization metrics are also discussed. Additionally, the entities confer as needed for quality concerns outside of routine scheduled meetings.
The Total Renal Care program offers a comprehensive array of resources for patients requiring hemodialysis, peritoneal dialysis, and Continuous Renal Replacement Therapy (CRRT). The services include providing dialysis registered nurses to safely manage the patient's care and the equipment needed to filter wastes and toxins from patients whose kidneys cannot provide this vital function. Education and support for Natividad Medical Center Registered Nurses include fundamental knowledge of CRRT for critically ill patients. Transitional Smart Services is a patient and family education program that provides dialysis-related education, chronic kidney disease education, general catheter and fistulas, vascular access modalities, and dialysis care.
Total Renal Care’s dialysis program meets the quality standards required by Natividad Medical Center, and mechanisms are in place to measure and ensure compliance with Natividad Medical Center standards as required by the state of California, the Center for Medicare and Medicaid Services, and The Joint Commission.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this agreement as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The agreement has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on May 10, 2024.
FINANCING:
The cost for this agreement is $5,000,000 of which $1,000,000 which is included in the FY 2024-25 Recommended Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs to be able to provide reliable and quality patient care which improves the health and quality of life for patients and their families.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Nancy Buscher, Chief Nursing Office,783-2560
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
Total Renal Care, Inc Original Agreement
Attachments on file with the Clerk of the Board