File #: A 12-109    Name: STAFF CARE INC FOURTH AMENDMENT
Type: BoS Agreement Status: Passed
File created: 5/25/2012 In control: Board of Supervisors
On agenda: 6/26/2012 Final action: 6/26/2012
Title: Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Fourth Amendment to the Professional Services Agreement with Staff Care, Inc. to provide locum tenens services at NMC, extending the Agreement to June 30, 2013 and adding $250,000 for Fiscal Year 2012-13 for a revised total Agreement amount not to exceed $750,000 in the aggregate.
Attachments: 1. NMC PSA _4th Amendment_ STAFF CARE, 2. Completed Board Order
Related files: A 14-138, A 13-111
Title
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Fourth Amendment to the Professional Services Agreement with Staff Care, Inc. to provide locum tenens services at NMC, extending the Agreement to June 30, 2013 and adding $250,000 for Fiscal Year 2012-13 for a revised total Agreement amount not to exceed $750,000 in the aggregate.
 
Body
RECOMMENDATION:
 
It is recommended that the Board of Supervisors:
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Fourth Amendment to the Professional Services Agreement with Staff Care, Inc. to provide locum tenens services at NMC, extending the Agreement to June 30, 2013 and adding $250,000 for Fiscal Year 2012-13 for a revised total Agreement amount not to exceed $750,000 in the aggregate.
 
SUMMARY/DISCUSSION:
 
NMC entered into an agreement with Staff Care, Inc. on February 1, 2009 to provide locum tenens services. NMC utilizes locum tenens (temporary) physicians during periods when its employed/contracted physicians are not available (e.g., vacation; illness; continuing medical education; etc.) to provide health care services vital to NMC's continued operation.  NMC pays locum tenens companies for physician services based on an hourly/daily rate specific to each medical specialty.  Rates are all-inclusive of travel, lodging and associated expenses and have been negotiated separately with each locum tenens company.
 
In order to find highly qualified temporary physicians that match the position we are trying to cover and are available on sometimes very short notice, it is necessary that NMC contract with multiple locum tenens companies.  The use of locum physicians varies and is dependent on the need to temporarily replace an absent physician.  In Fiscal Year 2011-12, the use of locum physicians increased due to the unexpected departure of two full time physicians in Internal Medicine.  NMC wishes to amend the Professional Services Agreement with Staff Care, Inc. to extend the term of the agreement for an additional twelve (12) months and continue to utilize their resources to secure quality physicians to cover vital services at NMC.  The additional $250,000 in Fiscal Year 2012-13 is necessary on a contingency basis.
 
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 of this amended Agreement is not to exceed $750,000 and $250,000 is included in the fiscal year 2012-13 recommended budget.  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:
Amendments 1-4, Agreement