Title
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) to execute the First Amendment to the Affiliation Agreement for the Family Medicine Residency Program at NMC with The Regents of the University of California on behalf of the University of California, San Francisco (UCSF) School of Medicine to modify the terms and conditions of the Affiliation Agreement between the Regents of the University of California by and on behalf of its University of California, San Francisco School of Medicine and Natividad Medical Center (Affiliation Agreement) with no change to the term of the Affiliation Agreement November 1, 2012 through October 31, 2017.
Report
RECOMMENDATION:
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) to execute the First Amendment to the Affiliation Agreement for the Family Medicine Residency Program at NMC with The Regents of the University of California on behalf of the University of California, San Francisco (UCSF) School of Medicine to modify the terms and conditions of the Affiliation Agreement between the Regents of the University of California by and on behalf of its University of California, San Francisco School of Medicine and Natividad Medical Center (Affiliation Agreement) with no change to the term of the Affiliation Agreement November 1, 2012 through October 31, 2017.
SUMMARY/DISCUSSION:
The Natividad Family Medicine Residency Program (NMC Residency Program) has been in existence since the early 1970’s. UCSF has been the sponsoring institution since the beginning of the program. The affiliation with UCSF supports and enhances the NMC Residency Program, pursuant to the terms and conditions of the Affiliation Agreement.
NMC operates the NMC Residency Program for the express purpose of assisting in the care of underserved and medically indigent population, and training the new generation of doctors. Participation by residents in the NMC Residency Program in elective or required rotations at locations other than NMC provides additional training which residents may not otherwise receive at NMC, and furthers the express purpose of the program.
Section XV of the Affiliation Agreement currently provides that the NMC Residency Program may not assign residents to locations other than at NMC without the prior written consent of UCSF. The County and UCSF have discussed this provision of the Affiliation Agreement, and UCSF has agreed to replace the existing Section XV with a provision that expressly permits the NMC Residency Program to assign residents to rotations at offsite locations without the prior written consent of UCSF. The proposed First Amendment to the Affiliation Agreement memorializes this agreement. UCSF has already approved of and executed the First Amendment to the Affiliation Agreement, and approval of the governing board of the County is now being sought. The amendment does not otherwise revise the terms and conditions of the Affiliation Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved the First Amendment to the Affiliation Agreement as to legal form and risk provisions. County Counsel has reviewed the insurance and indemnity provisions of the Affiliation Agreement with the County Risk Manager. The Affiliation Agreement has also been reviewed and approved by Natividad Medical Center’s Board of Trustees on February 5, 2016.
FINANCING:
Included in this Affiliation Agreement, UCSF provides to NMC $30,000 per contract year to support the operating expenses of the program. There is no impact to the General Fund.
Prepared by: Steven Harrison, Director of NMC Family Practice Residency, 783-2582
Approved by: Gary R. Gray, Chief Executive Officer, 783-2504
Attachments:
First Amendment to Affiliation Agreement with UCSF
Affiliation Agreement with UCSF
Attachments on File with the Clerk of the Board