Title
a. Authorize the Chief Executive Officer (CEO) for Natividad or his designee to execute the Third Amendment to the Professional Services Agreements with Nathaniel Uchtmann, M.D. to provide pediatric and adult hospitalist physician services, extending the term by twelve months (July 1, 2023 to June 30, 2024) for a revised full agreement term of July 1, 2019 to June 30, 2024, and adding $200,000 for a revised not to exceed amount of $300,000 in the aggregate; and
b.Authorize the CEO for Natividad or his designee to sign up to three (3) amendments to these agreements where the total amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad or his designee to execute the Third Amendment to the Professional Services Agreements with Nathaniel Uchtmann, M.D. to provide pediatric and adult hospitalist physician services, extending the term by twelve months (July 1, 2023 to June 30, 2024) for a revised full agreement term of July 1, 2019 to June 30, 2024, and adding $200,000 for a revised not to exceed amount of $300,000 in the aggregate; and
b. Authorize the CEO for Natividad or his designee to sign up to three (3) amendments to these agreements where the total amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Natividad operates medical surgical units and an acute rehabilitation unit that provide direct patient care to hospitalized patients 24 hours a day, 7 days a week. In order to ensure sufficient staffing of these critical units, it requires a team of internal medicine and family medicine physicians, known as hospitalist who are immediately available to provide patient care. Natividad would like to amend its existing agreement with Dr. Uchtmann to add the provision of adult hospitalist services. Natividad has obtained an independent opinion of fair market value supporting the payment terms.
OTHER AGENCY INVOLVEMENT:
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 Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost of this amendment is $200,000. The total not to exceed amount of this agreement is $300,000 for the period July 1, 2019 to June 30, 2024. The actual cost is contingent Dr. Uchtmann’s level of service which fluctuates based on patient volumes and his availability. $100,000 is included in the Fiscal Year 2022/2023 Adopted Budget. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide Natividad with the additional support it needs in order to provide reliable and high-quality patient care which improves the health and quality of life for patients and their families.
__ Economic Development
Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Dr. Charles R. Harris, Chief Executive Officer, 783.2553
Attachments:
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on file at the Clerk of the Board