File #: A 13-209    Name: CENTRAL COAST NEPHROLOGY FIRST AMENDMENT
Type: BoS Agreement Status: Passed
File created: 8/6/2013 In control: Board of Supervisors
On agenda: 8/27/2013 Final action: 8/27/2013
Title: a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement (A-11849) with Central Coast Nephrology to provide nephrology services at NMC, extending the Agreement to June 30, 2015 and adding $300,000 for a revised total Agreement amount not to exceed $550,000 in the aggregate; and b. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
Attachments: 1. CENTRAL COAST NEPHROLOGY FIRST AMENDMENT, 2. Completed Board Order
Title      
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement (A-11849) with Central Coast Nephrology to provide nephrology services at NMC, extending the Agreement to June 30, 2015 and adding $300,000 for a revised total Agreement amount not to exceed $550,000 in the aggregate; and
b. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
  1. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement (A-11849) with Central Coast Nephrology to provide nephrology services at NMC, extending the Agreement to June 30, 2015 and adding $300,000 for a revised total Agreement amount not to exceed $550,000 in the aggregate; and
  2. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
 
SUMMARY/DISCUSSION:
NMC currently has an agreement with Central Coast Nephrology to provide specialty medical director services, emergency department call coverage and two days of clinic per month in the outpatient specialty clinic.  NMC wishes to renew the agreement with Central Coast Nephrology to continue to provide nephrology services to patients without interruption.
 
Central Coast Nephrology is according to the terms of the agreement for medical director services, emergency department call coverage and clinic services.  The amount of services provided may increase due to patient volume, but will not exceed the maximum liability of the agreement or increase the rate of pay for services.  NMC 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 Agreement as to legal form and risk provisions.  Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions.  The Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
 
FINANCING:
The total cost for this Agreement is $550,000; $105,934 was disbursed in Fiscal Year 2011/2012 (10 months); $132,692 was disbursed in Fiscal Year 2012/2013; $160,000 is included in the Fiscal Year 2013/2014 Adopted Budget and the remaining $151,374 will be budgeted in subsequent fiscal years.  There is no impact to the General Fund.
 
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
 
Attachments:   First Amendment, Agreement
 
Original on File at the Clerk of the Board