File #: A 13-277    Name: PRECISION ORTHOPEDICS LETTER AGREEMENT
Type: BoS Agreement Status: Passed
File created: 11/14/2013 In control: Board of Supervisors
On agenda: 12/17/2013 Final action: 12/17/2013
Title: Consider authorizing the Purchasing Manager for Natividad Medical Center (NMC) to execute the Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional one hundred twenty (120) days to April 30, 2014.
Attachments: 1. PRECISION LETTER AGREEMENT, 2. Completed Board Order
Related files: A 12-217, A 14-041, A 14-139
Title
Consider authorizing the Purchasing Manager for Natividad Medical Center (NMC) to execute the Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional one hundred twenty (120) days to April 30, 2014.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:

Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional one hundred twenty (120) days to April 30, 2014.

SUMMARY/DISCUSSION:

NMC entered into an agreement with Precision Orthopedics to provide professional services in the Specialty Clinic; inpatient/outpatient surgery and orthopedic call coverage in the emergency department on January 1, 2012 and amended January 1, 2013. The terms of the Second Amendment with Precision Orthopedics to extend the Agreement past the expiration date of December 31, 2013 are not yet settled. NMC must ensure that a written agreement or extension letter is in place whenever medical services are rendered according the Federal Stark Law. The Federal Stark Law prohibits physician self-referral, the practice of a physician referring a patient to a medical facility in which he has a financial interest, be it ownership, investment or structured compensation.

NMC wishes to execute a Letter Agreement with Precision Orthopedics to extend the term of the Agreement an additional 120 days in order to continue to provide orthopedic services at NMC without interruption. This Letter Agreement does not add funds or change the scope of services to the Agreement.

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 Amend...

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