Title
a. Ratify and Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) to execute the Affiliation Agreement for the Family Medicine Residency Program at NMC with The Regents of the University of California on behalf of the University of California, San Francisco (UCSF) School of Medicine for the purpose of continuing the established relationship that provides support and enhancement of the residency program at NMC for the period November 1, 2012 through October 31, 2017; and
b. Accept non-standard indemnity provision, as recommended by the CEO for NMC.
Report
RECOMMENDATION:
a. It is recommended the Board of Supervisors ratify and authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) to execute the Affiliation Agreement for the Family Medicine Residency Program at NMC with The Regents of the University of California on behalf of the University of California, San Francisco (UCSF) School of Medicine for the purpose of continuing the established relationship that provides support and enhancement of the residency program at NMC for the period November 1, 2012 through October 31, 2017; and
b. Accept non-standard indemnity provision, as recommended by the CEO for NMC.
SUMMARY/DISCUSSION:
The Natividad Family Medicine Residency Program has been in existence since the early 1970's. The program graduated its first residents in 1975. UCSF has been the sponsoring institution since the beginning of the program. The affiliation with UCSF supports and enhances the residency program by providing a stable source of interested medical students a link to the school's library and the tremendous resources of its august institution, offering sources for faculty development, as well as financial support of $30,000 per contract year to support the operating expenses of the program.
NMC operates the Family Medicine Residency Program for the express purpose of assisting in the care of underserved and medically indigent population, and training the new generation of doctors, who will continue the tradition. The residents and medical students are part of NMC's commitment to teaching and hopefully improving the physician supply and distribution in Monterey County.
The Monterey County public health department (MCPHD) took over operation of the Natividad Family Medicine Clinic in July of 2004. It was renamed the Laurel Family Practice Clinic (LFPC), and it is operated as a Federally Qualified Health Center (FQHC) look-alike. Qualifying as a FQHC entitles the County to a larger reimbursement rate. This is the primary site of training for our residents and medical students.
The goals remain unchanged, to train residents and medical students in a supportive and productive environment, and to promote and expand access to primary care at NMC, the region of the central coast, and California as a whole. Approximately 30% of all residents graduate and stay to practice in a three County catchment area (Santa Cruz, Monterey, and San Benito). Graduates of the program can be found in all four of the hospitals in Monterey County, as well as in private practice and participating in safety net clinics. Fully 90% of the graduates stay in California as a whole.
The Affiliation Agreement has a start date that immediately follows the expiration date of the prior five-year agreement. The County dba NMC and UCSF have negotiated the terms and conditions of the Affiliation Agreement for over a year, without disruption to the operation of the Family Medical Residency Program. Approval by the governing boards of both the County and UCSF is now being sought. The length of negotiations resulted from significant changes in financial terms that impacted UCSF residency programs throughout the State and protracted review by the County and UCSF over the risk provisions.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Affiliation Agreement as to legal form and risk provisions. County Counsel has reviewed the insurance and indemnity provisions of the Affiliation Agreement with the County Risk Manager. The Affiliation Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
Included in this Affiliation Agreement, UCSF provides to NMC $30,000 per contract year to support the operating expenses of the program. There is no impact to the General Fund.
Prepared by: Steven Harrison, Director of NMC Family Practice Residency, 783-2582
Approved by: Harry Weis, Chief Executive Officer, 783-2553
Attachments: Affiliation Agreement
Attachments on File with the Clerk to the Board's Office