File #: A 12-043    Name: GARREN FIRST AMENDMENT
Type: BoS Agreement Status: Passed
File created: 4/26/2012 In control: Board of Supervisors
On agenda: 6/19/2012 Final action: 6/19/2012
Title: Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement with Ronald Garren MD to provide Internal Medicine services at NMC, extending the Agreement to June 30, 2013, for an amount not to exceed $200,000 in the aggregate.
Attachments: 1. GARREN FIRST AMENDMENT, 2. Completed Board Order
Title
 
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement with Ronald Garren MD to provide Internal Medicine services at NMC, extending the Agreement to June 30, 2013, for an amount not to exceed $200,000 in the aggregate.
 
Body
 
RECOMMENDATION:
 
It is recommended that the Board of Supervisors:
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the First Amendment to the Professional Services Agreement with Ronald Garren MD to provide Internal Medicine services at NMC, extending the Agreement to June 30, 2013, for an amount not to exceed $200,000 in the aggregate.
 
 
SUMMARY/DISCUSSION:
 
NMC operates two medical surgical units (35 beds) and one intensive care unit (10 beds) that provide 24 hours, 7 days a week direct patient care to acutely ill hospitalized patients.  In order to efficiently staff these units and 24/7 patient care, it requires a total of six full time equivalent (FTE) hospitalists and critical care providers made up of full-time employee and part-time independent contractor physicians.
 
Ronald Garren MD is licensed to practice medicine in the state of California and currently has an agreement with NMC to provide internal medicine services on the medical surgical and intensive care units.  NMC wishes to renew its agreement with Dr. Garren in order to continue to provide medical services to hospitalized patients on these units without interruption.
 
NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement. The maximum liability of this agreement was not reached in FY 2011-12, therefore no additional funds are being added in this Amendment.  
 
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 Amendment/Agreement as to fiscal provisions.  The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
 
FINANCING:  
 
The total cost of this Amendment/Agreement is not to exceed $200,000 in the aggregate, $100,000 was distributed in Fiscal Year 2011-2012, the remaining $100,000 is included in the Fiscal Year 2012-13 recommended budget.  There is no impact to the General Fund.
 
 
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
 
 
Attachments:
First Amendment; Agreement