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File #: A 25-460    Name: ECMO PRN LLC emergency short term Agreement 09/09/2025
Type: BoS Agreement Status: Passed
File created: 11/12/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: a. Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of an agreement with ECMO PRN, dated September 9, 2025, for one-time extracorporeal membrane oxygenation (ECMO) services and ECMO interfacility transportation services; and b. Approve Chief Executive Officer’s recommendation to accept non-standard insurance and limitation of liability provisions in the agreements; and c. Authorize the Auditor-Controller to process payment to ECMO for specified outstanding invoices in the amount of $1,500 for ECMO services and ECMO interfacility transportation services.
Attachments: 1. Board Report, 2. ECMO PRN LLC emergency short term agreement
Title
a. Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of an agreement with ECMO PRN, dated September 9, 2025, for one-time extracorporeal membrane oxygenation (ECMO) services and ECMO interfacility transportation services; and
b. Approve Chief Executive Officer’s recommendation to accept non-standard insurance and limitation of liability provisions in the agreements; and
c. Authorize the Auditor-Controller to process payment to ECMO for specified outstanding invoices in the amount of $1,500 for ECMO services and ECMO interfacility transportation services.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of an agreement with ECMO PRN, dated September 9, 2025, for one-time extracorporeal membrane oxygenation (ECMO) services and ECMO interfacility transportation services; and
b. Approve Chief Executive Officer’s recommendation to accept non-standard insurance and limitation of liability provisions in the agreements; and
c. Authorize the Auditor-Controller to process payment to ECMO for specified outstanding invoices in the amount of $1,500 for ECMO services and ECMO interfacility transportation services.

SUMMARY:

This agreement allows us to place critically ill patients on extracorporeal membrane oxygenation (ECMO) machines and transport them to centers that can support these machines. NMC does not provide ongoing ECMO care at its facility. AMR, the County-wide ambulance provider, does not provide ECMO interfacility transportation services for Monterey County hospitals. As a result, NMC must contract for ECMO services before, during and after transport of the patient to an ECMO receiving hospital for ongoing ECMO care.

DISCUSSION:

Patients who are candidates for ECMO may not survive without it and so bringing this life-saving technology will benefit our patients, their families and our m...

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