File #: A 23-291    Name: Central Coast Nephrology Second Amendment
Type: BoS Agreement Status: Passed
File created: 6/12/2023 In control: Board of Supervisors
On agenda: 7/11/2023 Final action: 7/11/2023
Title: a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-14764) with Central Coast Nephrology to provide nephrology services, extending the term by twelve months (July 1, 2023 to June 30, 2024) for a revised full agreement term of July 1, 2020 to June 30, 2024, and adding $285,000 for a revised not to exceed amount of $1,095,000 in the aggregate; and b. Authorize the Chief Executive Officer for NMC to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% ($50,000) of the original contract amount and do not significantly change the scope of work.
Attachments: 1. Board Report, 2. Central Coast Nephrology Second Amendment, 3. Central Coast Nephrology First Amendment, 4. Central Coast Nephrology Agreement, 5. Completed Board Order Item No. 19
Related files: A 20-197, A 21-306
Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-14764) with Central Coast Nephrology to provide nephrology services, extending the term by twelve months (July 1, 2023 to June 30, 2024) for a revised full agreement term of July 1, 2020 to June 30, 2024, and adding $285,000 for a revised not to exceed amount of $1,095,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% ($50,000) of the original contract amount and do not significantly change the scope of work.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-14764) with Central Coast Nephrology to provide nephrology services, extending the term by twenty-four months (July 1, 2023 to June 30, 2024) for a revised full agreement term of July 1, 2020 to June 30, 2024, and adding $285,000 for a revised not to exceed amount of $1,095,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% ($50,000) of the original contract amount and do not significantly change the scope of work.

SUMMARY/DISCUSSION:
Natividad must arrange for care and treatment of patients who present to the emergency department or hospital clinics as well as hospitalized patients in need of medical care in the specialty of nephrology. Natividad would like to amend its Agreement with Central Coast Nephrology so that its board-certified nephrologists can continue provide, 24/7 emergency department call coverage and inpatient consults, at least two half days of clinic per week in the outpatient specialty cl...

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