Title
a. Authorize Chief Executive Officer (CEO) for Natividad or his designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement with Richard Moore M.D., Inc. to provide general and critical care surgery services at NMC extending the term by twenty-four months (October 1, 2022 to September 30, 2024) for a revised full agreement term of October 1, 2018 to September 30, 2024, and adding $300,000 for a revised not to exceed amount of $800,000 in the aggregate; and
b. Authorize the CEO for Natividad to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($50,000) of the original contract amount.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize Chief Executive Officer (CEO) for Natividad or his designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement with Richard Moore M.D., Inc. to provide general and critical care surgery services at NMC extending the term by twenty-four months (October 1, 2022 to September 30, 2024) for a revised full agreement term of October 1, 2018 to September 30, 2024, and adding $300,000 for a revised not to exceed amount of $800,000 in the aggregate; and
b. Authorize the CEO for Natividad to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($50,000) of the original contract amount.
SUMMARY/DISCUSSION:
Natividad received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires acute critical care surgeons to be available in-house with a 15 minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to maintain a core team of quality surgeons made up of employed and independent contract physicians to provide daily call coverage in the Emergency Department and follow-up care to patients in the Intensive Care Unit.
Natividad has an agreement with Richard Moore M.D., a board certified and fellowship trained trauma and critical care surgeon to provide general and critical care surgery services as part of the comprehensive trauma services required for a Level II Trauma Center. NMC wishes to amend the agreement to extend the term so that Dr. Moore can continue to provide services without interruption. Natividad has obtained an independent opinion of fair market value supporting the payment terms of this agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost of this amendment is $300,000. The total not to exceed amount of this Agreement is $800,000 for the period October 1, 2018 to September 30, 2024. The actual cost is contingent upon Dr. Moore’s level of participation, in the call panel which may fluctuate based on his availability. Natividad has agreements with multiple providers to ensure sufficient coverage of this service for which the total expenditure will not exceed $1,300,000 annually and is included in the Fiscal Year 2022/2023 Adopted Budget. There is no impact to the General Fund
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement are required for a Level II Trauma Center and provide NMC with the additional support it needs in order to provide reliable and high-quality patient care which improves the health and quality of life for patients and their families.
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Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2553
Attachments:
Second Amendment
First Amendment
Agreement