Title
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fourth Amendment to the Professional Services Agreement (A 15519) with Lucile Salter Packard Children’s Hospital at Stanford (LPCH) to provide maternal fetal medicine services and medical director services of the Child Advocacy Center (CAC) extending the term by twenty-four months (October 1, 2026 to September 30, 2028) for a revised full agreement term September 1, 2021 through September 30, 2028, and adding $600,000 for a revised amount not to exceed $1,876,880 in the aggregate; and
b. Authorize the Interim CEO for NMC or his designee to sign up to three (3) amendments to this agreement where the amendments do not significantly change the scope of work, do not exceed ($34,848) of the original contract amount and do not increase the total contract amount above $1,911,576.
Body
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fourth Amendment to the Professional Services Agreement (A 15519) with Lucile Salter Packard Children’s Hospital at Stanford (LPCH) to provide maternal fetal medicine services and medical director services of the Child Advocacy Center (CAC) extending the term by twenty-four months (October 1, 2026 to September 30, 2028) for a revised full agreement term September 1, 2021 through September 30, 2028, and adding $600,000 for a revised amount not to exceed $1,876,880 in the aggregate; and
b. Authorize the Interim CEO for NMC or his designee to sign up to three (3) amendments to this agreement where the amendments do not significantly change the scope of work, do not exceed ($34,848) of the original contract amount and do not increase the total contract amount above $1,911,576.
SUMMARY:
NMC offers comprehensive maternal care services including antepartum, intrapartum and postpartum care to women in Monterey County. To help reduce maternal mortality and morbidity, the American College of Obstetricians and Gynecologist established maternal levels of care and recommends Level III maternal centers have board certified maternal fetal medicine (MFM) physicians available for consultation and management of highly complex, critically ill, or unstable maternal patients.
The County operates the Sally P. Archer Child Advocacy Center and Bates-Eldredge Child Sexual Abuse Clinic (CAC) located at NMC in the Barnet J. Segal Outpatient Center where Physicians perform medical-legal examinations to evaluate cases of suspected or actual child abuse to provide documented evidence to assist in the prosecution of criminal cases. NMC must arrange for a qualified medical director for general administration of the day-to-day operations, development of the services, review of policies and supervision of the ancillary services in the CAC.
DISCUSSION:
NMC would like to amend its agreement with LPCH to provide highly specialized physicians for the provision of these critical maternal fetal medicine and child advocacy services without interruption. 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 Amendment as to legal form, and the Auditor-Controller has reviewed and approved as to payment provisions. The Amendment has also been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost for this amendment is $550,000. The total not to exceed amount of this agreement is $1,276,880. $280,000 is included in the Fiscal Year 2026/2027 Adopted Budget. The remaining amount will be budgeted in subsequent fiscal years. Funding will be provided from NMC'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.
__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, 758-2506
Approved by: Nancy Buscher, Interim Chief Executive Officer, 783-2551
Attachments:
Fourth Amendment
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on File at the Clerk of the Board