Title
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 7 to the Agreement (A-10748) with Jennifer D'Attilio for Speech Therapy Services at NMC, extending the Agreement to June 30, 2014 and adding $204,000 for a revised total Agreement amount not to exceed $1,433,000 in the aggregate.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 7 to the Agreement (A-10748) with Jennifer D'Attilio for Speech Therapy Services at NMC, extending the Agreement to June 30, 2014 and adding $204,000 for a revised total Agreement amount not to exceed $1,433,000 in the aggregate.
SUMMARY/DISCUSSION:
Jennifer D'Attilio Speech Pathology Services, LLC has been providing Speech Language Pathology Services at NMC since July 1, 2006. This request is to cover contract service costs of $204,000 for the Fiscal Year 2013-2014. This includes a $10.00 adjustment to the current weekend rate for Speech Language Pathology Services. As it is very difficult to recruit qualified Speech Therapists in the Salinas area, NMC needs to continue this contracted service through Fiscal Year 2013-2014. The Joint Commission and California Title 22 require hospitals to make Speech Therapy Services available.
The services that Jennifer D'Attilio Speech Pathology Services, LLC provides include assessment and treatment for both adult and pediatric patients and treatment for Inpatient Neonatal Intensive Care Unit (NICU) and outpatient children with suspected feeding, swallowing or cognitive deficits and/or language disabilities. The adult services include inpatient and outpatient evaluation of dysphasia, aphasia post stroke, traumatic brain injury and treatment for deficits from surgery, Alzheimer's, Parkinson's disease and trauma.
The service includes five (5) Speech Language Pathologists working as part of the NMC team of physicians, nurses and therapy staff to provide services and education to our patients seven (7) days a week on an as needed basis. Literature shows that patients receiving speech and language services have faster recovery and increased functioning in overall communication, language and feeding skills.
History within the same time period shows how this service continues to grow in actual volume:
July 2010 - December 2010 = 1,012 Actual Volume
July 2011 - December 2011 = 1,452 Actual Volume
July 2012 - December 2012 = 1,463 Actual Volume
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment No. 7 as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment No. 7 as to fiscal provisions. The Amendment No. 7 has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The cost for this Amendment No. 7 is $204,000 and is included in the Fiscal Year 2013/2014 Recommended Budget. There is no impact to the General Fund.
Prepared by: Christina Esposto, NMC Physical/Occupational Therapy Manager, 772-7802
Approved by: Harry Weis, Chief Executive Officer, 783-2553
Attachments: Amendment No. 7, Spend Sheet, Original Agreement, Amendments 1, 2, 3, 4, 5, and 6
Attachments on file with the Clerk to the Board's Office