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File #: A 25-326    Name: Access TeleCare California PC Fourth Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 7/25/2025 In control: Board of Supervisors
On agenda: 8/26/2025 Final action:
Title: Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-15737) with Access TeleCare California, P.C. to provide tele-neurology services, adding $400,000 for a revised not to exceed amount of $1,680,000 but with no change to the Board approved agreement term April 1, 2022 to March 31, 2026.
Attachments: 1. Board Report, 2. Access TeleCare PC Amendment No. 4, 3. Access TeleCare California, P.C._Amendment No. 3, 4. Access TeleCare California, P.C._Amendment No. 2, 5. Access TeleCare California, P.C._Amendment No. 1, 6. CA Tele-Physicians PC Agreement
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Title
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-15737) with Access TeleCare California, P.C. to provide tele-neurology services, adding $400,000 for a revised not to exceed amount of $1,680,000 but with no change to the Board approved agreement term April 1, 2022 to March 31, 2026.

Body
RECOMMENDATION:
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-15737) with Access TeleCare California, P.C. to provide tele-neurology services, adding $400,000 for a revised not to exceed amount of $1,680,000, but with no change to the Board approved agreement term April 1, 2022 to March 31, 2026.

SUMMARY/DISCUSSION:
NMC must arrange for the provision of professional consultation and treatment of patients who present to the emergency department and who are admitted to the hospital in need of medical care the specialty of neurology. Access TeleCare to provides 24/7 neurology consultative services for patients via specialized electronic telemedicine equipment. Services include indirect physical exams, history taking, diagnostic protocols, image analysis and recommendations for therapeutic interventions and/or diagnostic tests for any neurologic emergency. Due to high patient volumes, NMC wishes to amend the agreement with Access TeleCare and add funds so that they can continue to provide services without interruption. NMC has obtained an independent opinion of fair market value for the payment terms of this agreement.

OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad’s Finance Committee and Board ...

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