County of Monterey - File #: A 15-189

• File #: A 15-189
• Name: Nangare Second Amendment
• Type: BoS Agreement
• Status: Passed
• File created: 6/8/2015
• In control: Board of Supervisors
• On agenda: 6/23/2015
• Final action: 6/23/2015
• Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement with Trupti Nitin Nangare M.D. to provide hospitalist services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $100,000, for revised not to exceed amount of $200,000 for the full term of the Agreement July 1, 2011 to June 30, 2017; and b. Authorize the Deputy Purchasing Agent 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.

Date	Action By	Action	Result
6/23/2015	Board of Supervisors	approved

Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement with Trupti Nitin Nangare M.D. to provide hospitalist services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $100,000, for revised not to exceed amount of $200,000 for the full term of the Agreement July 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent 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 the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement with Trupti Nitin Nangare M.D. to provide hospitalist services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $100,000, for revised not to exceed amount of $200,000 for the full term of the Agreement July 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent 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:
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.

NMC entered into an Agreement with Trupti Nitin Nangare to provide hospitalist services on July 1, 2012. The Agreement was amended July 1, 2013 to extend the term and a...