Title
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Medical Director Services Agreement with The Regents of the University of California on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) for an amount not to exceed $873,188 for the period November 1, 2026 to October 31, 2027; and
b. Authorize the Interim Chief Executive Officer (CEO) or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($87,319) of the original contract amount and do not increase the total contract amount above $960,507.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Medical Director Services Agreement with The Regents of the University of California on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) for an amount not to exceed $873,188 for the period November 1, 2026 to October 31, 2027; and
b. Authorize the Interim Chief Executive Officer (CEO) or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($87,319) of the original contract amount and do not increase the total contract amount above $960,507.
SUMMARY:
Natividad Medical Center operates a Level III NICU with specialized neonatology services to provide stabilization, intensive care, and ongoing management for critically ill and high-risk newborns. The High-Risk Infant Follow-Up (HRIF) program is a required component of Level III NICU operations and ensures that infants at risk for developmental delays receive timely evaluation and coordinated follow-up care.
DISCUSSION:
This agreement with the Regents of the University of California, on behalf of UCSF, will provide 24/7 neonatologist coverage, medical direction, and clinical leadership essential to maintaining patient safety, regulatory compliance, and high-quality clinical outcomes. The services provided in this agreement are critical to meeting State program requirements, supporting long-term infant health, and sustaining NMC’s capacity to care for the region’s most vulnerable newborns.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
The Office of County Counsel has reviewed and approved this agreement as to legal form, and the Auditor-Controller has reviewed and approved as to fiscal provisions. The agreement has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees.
FINANCING:
The cost of this agreement is $873,188 for the period of November 1, 2026 through October 31, 2026. $582,125 is included in the Fiscal Year 2026/2027 Adopted Budget. The remaining amount will be included in future fiscal years as appropriate. Funding will be provided from Natividad’s Enterprise Fund 451-9600-6608. This action has no impact on the General Fund.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:
Partnering with the Regents of the University of California on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics will enhance the breadth of services now being provided at Natividad Medical Center for children in Monterey and neighboring counties, thus allowing more children and their families to remain closer to home for acute pediatric care.
Mark a check to the related Board of Supervisors Strategic Plan Goals:
__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
Attachment(s):
Agreement
Attachments on file with the Clerk of the Board