County of Monterey - File #: A 19-319

• File #: A 19-319
• Name: M. Raju MD Second Amendment
• Type: BoS Agreement
• Status: Passed - Natividad Medical Center
• File created: 8/8/2019
• In control: Board of Supervisors
• On agenda: 8/27/2019
• Final action: 8/27/2019
• Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, adding $300,000 for a revised amount not to exceed $800,000 in the aggregate, but with no change to the contract term of March 1, 2016 to December 31, 2020; and b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount.
• Related files: A 21-575

Date	Action By	Action	Result
8/27/2019	Board of Supervisors	approved - natividad medical center	Pass

Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, adding $300,000 for a revised amount not to exceed $800,000 in the aggregate, but with no change to the contract term of March 1, 2016 to December 31, 2020; and
b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, adding $300,000 for a revised amount not to exceed $800,000 in the aggregate, but with no change to the contract term of March 1, 2016 to December 31, 2020; and
b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount.

SUMMARY/DISCUSSION:
Natividad Medical Center (NMC) received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires neurosurgeons provide dedicated call coverage with a 30 minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to develop and sustain a core team of quality neurosurgeons to provide daily call coverage in the Emergency Department and follow-up care to patients in the Intensive Care Unit ...