Title
a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-17371) with RGTACS Inc Professional Corporation, a California professional corporation dba RGTACS INC., to provide general and acute care surgical services, extending the term by 2 years (June 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2024 to June 30, 2028, but with no change to the Board approved not to exceed amount of $500,000; and
b.Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.
Report
RECOMMENDATION:
It is reccomended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-17371) with RGTACS Inc Professional Corporation, a California professional corporation dba RGTACS INC., to provide general and acute care surgical services, extending the term by 2 years (June 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2024 to June 30, 2028, but with no change to the Board approved not to exceed amount of $500,000; and
b.Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.
SUMMARY:
NMC received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires critical care surgeons to be available in-house with a 15-minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to maintain a core team of quality surgeons made up of employed and independent contract physicians to provide daily call coverage in the Emergency Department and follow-up care to patients in the Intensive Care Unit.
DISCUSSION:
NMC would like to amend its agreement with RGTACS, Inc., for which Dr. Ginwalla, a board-certified fellowship trained trauma surgeon provides general and critical care surgical services as part of the comprehensive trauma services required for a Level II Trauma Center. Dr. Ginwalla will participate in the on-call panel and will be paid a daily rate for the coverage services, which may increase due to availability and the need for coverage, but the rate of pay for services remains the same. NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by NMC’s Finance Committee and Board of Trustees.
FINANCING:
There is no cost for this Amendment. The total not to exceed amount of this Agreement is $500,000. The actual cost is contingent upon Dr. Ginwalla’s participation in the call panel which may fluctuate based on availability. NMC has agreements with multiple providers to ensure sufficient coverage of the trauma services where the total expenditure will not exceed $1,800,000 annually which is included in Fiscal Year 2025/2026 Adopted Budget. The remaining balance 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 are required for a Level II Trauma Center and provide NMC with the additional support it needs in order to provide exceptional facilities and health programs to create safe and healthy communities where all can thrive.
__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
____ Administrative
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2551
Attachments:
Second Amendment
First Amendment
Assignment & Assumption Agreement
Agreement