Title
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Fifth Amendment to the Professional Services Agreement (A-14569) with Victoria Chew, M.D. to provide family medicine services, extending the term of the agreement by twelve months through December 31, 2028, for a revised full agreement term of November 1, 2018 through December 31, 2028, and adding $100,000 for a revised amount not to exceed $700,000 in the aggregate; provided, however, that the Fifth Amendment shall become effective upon execution by all parties; 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% ($10,000) of the original contract amount and do not increase the total contract amount above $710,000.
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 Fifth Amendment to the Professional Services Agreement (A-14569) with Victoria Chew, M.D. to provide family medicine services, extending the term of the agreement by twelve months through December 31, 2028, for a revised full agreement term of November 1, 2018 through December 31, 2028, and adding $100,000 for a revised amount not to exceed $700,000 in the aggregate; provided, however, that the Fifth Amendment shall become effective upon execution by all parties; 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% ($10,000) of the original contract amount and do not increase the total contract amount above $710,000.
SUMMARY :
Natividad Medical Center operates Family Medicine Residency Program affiliated with the University of California’s San Francisco Medical School with a total of thirty residents that practice in multiple settings including the inpatient labor and delivery unit. It is necessary for the Residency Program to maintain a core team of qualified family medicine physicians made up of employed and independent contractor physicians for patient care and the supervision of its residents.
DISCUSSION:
Natividad Medical Center has an agreement with Dr. Chew to provide family medicine and supervision of resident services for the Residency Program from time to time as needed. Natividad Medical Center wishes to amend the agreement before the term date to add additional funds and to extend the term by twelve months from the date of expiration so that Dr. Chew can continue to provide the same services without interruption. Due to unanticipated service demands, Dr. Chew has provided significantly more coverage than originally projected under her current agreement, necessitating a request for additional funds prior to the agreement’s term date to ensure continuity of care and resident supervision. 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 $700,000 for the period of November 1, 2018 through December 31, 2028. Actual costs are contingent upon Dr. Chew's level of participation in the panel, which fluctuates based on patient volume and provider availability. Natividad Medical Center maintains agreements with multiple providers to ensure sufficient family medicine coverage. Annual expenditures under this Agreement are not expected to exceed $75,000 and are included in the Fiscal Year 2026-27 Adopted Budget. The remaining balance will be budgeted in subsequent fiscal years. 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:
Board Report
Fifth Amendment
Fourth Amendment
Third Amendment
Second Amendment
First Amendment
Original Agreement