Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Medical Services Agreement (A-12157) with Jason Wasche D. O. to provide Hospitalist Services at NMC, extending the term of the Agreement from January 1, 2013 to December 31, 2014 for a total amount not to exceed $350,000 (no change from the previously approved amount) in the aggregate (for the period July 1, 2011 to December 31, 2014); and
b. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) additional amendments to this agreement where the total amendments do not exceed ten percent (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 the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Medical Services Agreement (A-12157) with Jason Wasche D. O. to provide Hospitalist Services at NMC, extending the term of the Agreement from January 1, 2013 to December 31, 2014 for a total amount not to exceed $350,000 (no change from the previously approved amount) in the aggregate (for the period July 1, 2011 to December 31, 2014); and
b) Authorize the Purchasing Manager for NMC to execute to sign up to three (3) additional 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:
NMC operates two medical surgical units (35 beds) and one intensive care unit (10 beds) that provide 24 hours, 7 days a week direct patient care to acutely ill hospitalized patients. In order to efficiently staff these units and 24/7 patient care, it requires a total of six full time equivalent (FTE) hospitalists and critical care providers made up of full-time employee and part-time independent contractor physicians.
On July 1, 2011, NMC entered into an agreement with Jason Wasche D. O. to provide hospitalist services on the medical surgical unit, as amended on January 1, 2012 to increase the maximum liability of the agreement due to the need to cover for an unexpected absence of another hospitalist. NMC wishes to enter into a Second Amendment to extend the term an additional twenty four (24) months, for the period January 1, 2013 to December 31, 2014, in order to continue utilize his services without interruption, but not increase the aggregate amount of the agreement.
The scope of services and payment terms of this Amended/Agreement remain the same. Dr. Wasche is paid according to the terms of this agreement for the actual professional services provided. The quantity of services may increase due to patient volume and the need for coverage, but does not increase the rate of pay and will not exceed the aggregate maximum liability amount. NMC has obtained an independent opinion of fair market value supporting the payment terms. The maximum liability of the Agreement has not been reached; therefore, no additional funds are being added in this Amendment.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment/Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment/Agreement as to fiscal provisions. The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The total cost for this Amendment/Agreement is $350,000 for the period July 1, 2011 to December 31, 2014. $147,839 was disbursed in Fiscal Year 2011/2012; $100,000 is included in the Fiscal Year 2012/2013 Adopted Budget and the remaining $102,161 will be included in subsequent fiscal years. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
Attachments:
Second, First Amendment, Agreement
Attachments on File with the Clerk of the Board