Title
a. Authorize and direct the Purchasing Manager for Natividad Medical Center (NMC) to execute the Professional Services Agreement with Monterey Spine & Joint to provide neurosurgery services at NMC for an amount not to exceed $1,250,000 for the period October 1, 2014 to September 30, 2015; and
b. Authorize the Purchasing Manager for NMC to sign up to three (3) amendments to this Agreement where the total amendments do not exceed 10% 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 and direct the Purchasing Manager for Natividad Medical Center (NMC) to execute the Professional Services Agreement with Monterey Spine & Joint to provide neurosurgery services at NMC for an amount not to exceed $1,250,000 for the period October 1, 2014 to September 30, 2015; and
b. Authorize the Purchasing Manager for NMC to sign up to three (3) amendments to this Agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Natividad Medical Center (NMC) was recommended for future designation as the Level II Trauma Center for Monterey County. The American College of Surgeons requires neurosurgeons provide dedicated call coverage with a 30 minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to develop and sustain a core team of quality neurosurgeons 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 and Specialty Clinic.
NMC wishes to enter into an Agreement with Monterey Spine & Joint, a professional medical corporation with board certified neurosurgeons, to provide neurosurgery call coverage in the emergency department, services in the outpatient specialty clinic and medical director services at NMC as part of the comprehensive trauma services required for the Level II Trauma Center activation.
Monterey Spine & Joint is paid a daily rate for coverage services. 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 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 on September 12, 2014. The Agreement was not reviewed by the NMC Finance Committee.
FINANCING:
The maximum not to exceed amount of this Agreement is $1,250,000 for the period October 1, 2014 to September 30, 2015, the actual cost is contingent upon Monterey Spine & Joint's level of participation in the call panel which may fluctuate based on physician availability. NMC has agreements with multiple providers to cover this service; the total amount of these agreements may equal more than $1,300,000; however the actual expenditure will not exceed the $1,300,000 annually which is included in the Fiscal Year 2014/2015 Adopted Budget. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Kelly O'Keefe, Interim Chief Executive Officer, 783.2553
Attachments: Agreement
Attachments on file at the Clerk of the Board