Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC, adding $100,000 for a revised amount not to exceed of $1,470,000 in the aggregate, with no change to the agreement term for the period July 1, 2016 to June 30, 2020.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC adding $100,000 for a revised amount not to exceed of $1,470,000 in the aggregate, with no change to the agreement term for the period July 1, 2016 to June 30, 2020
SUMMARY/DISCUSSION:
NMC must arrange for the professional consultation and treatment for patients who present to the emergency department or outpatient clinics in need of medical care or treatment in vascular surgery. NMC has an Agreement with Dr. Calzetta to provide 24/7 emergency call coverage and a minimum of two half days per week in the outpatient specialty clinic. NMC utilizes locum tenens (temporary) physicians to cover the service when Dr. Calzetta is not available due to vacation; illness or continuing medical education.
Dr. Calzetta is paid a daily rate for services. The amount of services may increase or decrease depending on his availability. During Fiscal Year 2019/2020, Dr. Calzetta worked more than expected, therefore causing the agreement to nearly reach its maximum not to exceed amount. NMC would like to amend the Agreement and increase funds so that Dr. Calzetta can continue to provide the vascular surgery services critical to NMC’s operation 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 Agreement as to legal form. 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 Finance Committee and Board of Trustees.
FINANCING:
The cost of this Amendment is $100,000. The total not to exceed amount for this Agreement is $1,470,000 for the period July 1, 2016 to June 30, 2020 (48 months). $350,000 is included in the Fiscal Year 2019/2020 Adopted Budget. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC 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: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments:
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on file at the Clerk of the Board