File #: A 20-173    Name: Juan Calzetta MD Third Amendment
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 5/29/2020 In control: Board of Supervisors
On agenda: 6/16/2020 Final action: 6/16/2020
Title: Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC, adding $100,000 for a revised amount not to exceed of $1,470,000 in the aggregate, with no change to the agreement term for the period July 1, 2016 to June 30, 2020.
Attachments: 1. Board Report, 2. Juan Calzetta MD Third Amendment, 3. Juan Calzetta MD Second Amendment, 4. Juan Calzetta MD First Amendment, 5. Juan Calzetta MD Agreement, 6. Item No. 18 Completed Board Order
Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC, adding $100,000 for a revised amount not to exceed of $1,470,000 in the aggregate, with no change to the agreement term for the period July 1, 2016 to June 30, 2020.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-13157) with Juan Calzetta M.D. to provide vascular surgery services at NMC adding $100,000 for a revised amount not to exceed of $1,470,000 in the aggregate, with no change to the agreement term for the period July 1, 2016 to June 30, 2020

SUMMARY/DISCUSSION:
NMC must arrange for the professional consultation and treatment for patients who present to the emergency department or outpatient clinics in need of medical care or treatment in vascular surgery. NMC has an Agreement with Dr. Calzetta to provide 24/7 emergency call coverage and a minimum of two half days per week in the outpatient specialty clinic. NMC utilizes locum tenens (temporary) physicians to cover the service when Dr. Calzetta is not available due to vacation; illness or continuing medical education.

Dr. Calzetta is paid a daily rate for services. The amount of services may increase or decrease depending on his availability. During Fiscal Year 2019/2020, Dr. Calzetta worked more than expected, therefore causing the agreement to nearly reach its maximum not to exceed amount. NMC would like to amend the Agreement and increase funds so that Dr. Calzetta can continue to provide the vascular surgery services critical to NMC's operation without interruption. NMC has obtained an independent opinion of fair market value supporting...

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