File #: A 14-041    Name: PRECISION ORTHOPEDICS SECOND LETTER AGREEMENT
Type: BoS Agreement Status: Passed
File created: 4/8/2014 In control: Board of Supervisors
On agenda: 4/22/2014 Final action: 4/22/2014
Title: Approve and direct the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional sixty (60) days to June 30, 2014.
Attachments: 1. PRECISION SECOND LETTER AGREEMENT, 2. Completed Board Order
Related files: A 12-217, A 13-277, A 14-139
Title
Approve and direct the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional sixty (60) days to June 30, 2014.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and direct the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Letter Agreement to extend the Professional Services Agreement (A-12154) with Precision Orthopedics to provide orthopedic services at NMC extending the term an additional sixty (60) days to June 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; the Agreement was amended January 1, 2013 and extended with the First Letter Agreement on January 1, 2014. 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 the Second Letter Agreement with Precision Orthopedics to extend the term of the Agreement an additional 60 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 Second Letter Agreement as to legal form a...

Click here for full text