Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional Services Agreement (A-15373) with The Regents of the University of California, on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) to provide pediatric hospitalist services, extending the term by twenty-four months (July 1, 2024 to June 30, 2026) for a revised full agreement term of July 1, 2021 to June 30, 2026, with no change to the previously approved total not to exceed amount of $433,520 in the aggregate; and
b. Authorize the CEO for NMC or his 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 exceed 10% ($23,352) of the original contract amount and increase the total contract amount above $456,872.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional Services Agreement (A-15373) with The Regents of the University of California, on behalf of the University of California, San Francisco, School of Medicine, Department of Pediatrics (UCSF) to provide pediatric hospitalist services, extending the term by twenty-four months (July 1, 2024 to June 30, 2026) for a revised full agreement term of July 1, 2021 to June 30, 2026, with no change to the previously approved total not to exceed amount of $433,520 in the aggregate; and
b. Authorize the CEO for NMC or his 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 exceed 10% ($23,352) of the original contract amount and increase the total contract amount above $456,872.
SUMMARY/DISCUSSION:
NMC operates a twelve-bed pediatric unit and an eighteen-bed maternal infant unit providing medical care for newborns, children and adolescents, as well as hospital-based services for the pediatric population (age 0-21) through NMC’s emergency medicine, trauma programs, general surgery and outpatient specialty clinics.
NMC would like to amend its agreement with UCSF, for which Dr. Christopher Carpenter, a board-certified pediatric hospitalist participates in the call panel and provides pediatric patient care from time to time as needed to ensure sufficient coverage of the pediatric department. 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 Amendment as to fiscal provisions. The Agreement has also been reviewed and approved by Natividad Medical Center’s Finance Committee and Board of Trustees.
FINANCING:
There is no cost to this amendment. The total not to exceed amount for this agreement is $433,520 for the period July 1, 2021 to June 30, 2026. $50,000 is included in the Fiscal Year 2024/2025 recommended budget. The actual cost is contingent on the need for coverage and Dr. Carpenter’s availability. Funding will be provided from NMC’s Enterprise Fund 451-9600-6608.
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: Dr. Charles R. Harris., Chief Executive Officer, 783.2551
Attachments:
Fourth Amendment
Third Amendment
Second Amendment
First Amendment
Agreement