Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement with Aimee S. Paik M.D. to provide dermatology services at NMC extending the term by twenty-four months for a revised term of April 1, 2013 to June 30, 2018, and adding $170,000 for a revised total not to exceed amount of $420,000; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) further amendments to this Agreement where the total amendments do not extend the term by more than twelve (12) months, and where the future amendments do not exceed 10% ($10,000) 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 Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement with Aimee S. Paik M.D. to provide dermatology services at NMC extending the term by twenty-four months for a revised term of April 1, 2013 to June 30, 2018, and adding $170,000 for a revised total not to exceed amount of $420,000; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) further amendments to this Agreement where the total amendments do not extend the term by more than twelve (12) months, and where the future amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Natividad Medical Center operates the D’Arrigo Family Specialty Services Outpatient Clinic offering over fifteen different specialty care services including dermatology. NMC has an agreement with Aimee S. Paik M.D. to provide dermatology services in the specialty clinic one day per week.
NMC wishes to amend the agreement with Dr. Paik to extend the term an additional twenty four (24) months in order to continue to provide dermatology services without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on April 28, 2016 and Board of Trustees on May 6, 2016.
FINANCING:
The cost of for this Amendment is $170,000. The total not to exceed amount is $470,000 for the period April 1, 2013 to June 30, 2018. Dr. Paik is paid a daily rate for clinic services, the amount of services may increase depending on patient volumes, but the rate of pay remains the same. $18,784 was disbursed in Fiscal Year 2012/2013 (3 months); $81,072 was disbursed in Fiscal Year 2013/2014; $57,144 was disbursed in Fiscal Year 2014/2015; and $47,762 has been disbursed in Fiscal Year 2015/2016. $85,000 is included in Fiscal Year 2016/2017 Adopted Budget and $85,000 will be budgeted in Fiscal Year 2017/2018. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray, D.O., Chief Executive Officer, 783.2553
Attachments:
First-Second Amendment; Agreement
Attachments on file at the Clerk of the Board