File #: A 19-052    Name: Advanced Gastroenterology Second Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 3/15/2019 In control: Advance Reports Over 50 Pages
On agenda: 3/15/2019 Final action:
Title: 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 with Advanced Gastroenterology of Monterey County to provide gastroenterology services at NMC, extending the term by twelve months (April 1, 2019 to March 31, 2020) for a revised full agreement term of April 1, 2015 to March 31, 2020, and adding $450,000, for a revised not to exceed amount of $2,250,000.
Attachments: 1. Board Report, 2. Advanced Gastroenterology of Monterey County Second Amendment.pdf, 3. Advanced Gastroenterology of Monterey County First Amendment 03312019.pdf, 4. Advanced Gastroenterology of Monterey County Agreement.pdf
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Title

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 with Advanced Gastroenterology of Monterey County to provide gastroenterology services at NMC, extending the term by twelve months (April 1, 2019 to March 31, 2020) for a revised full agreement term of April 1, 2015 to March 31, 2020, and adding $450,000, for a revised not to exceed amount of $2,250,000.

 

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 Second Amendment to the Professional and Call Coverage Services Agreement with Advanced Gastroenterology of Monterey County to provide gastroenterology services at NMC, extending the term by twelve months (April 1, 2019 to March 31, 2020) for a revised full agreement term of April 1, 2015 to March 31, 2020, and adding $450,000, for a revised not to exceed amount of $2,250,000.

 

SUMMARY/DISCUSSION:

NMC must arrange for care and treatment of patients who present to the emergency department or hospital clinics in need of medical care.  NMC has an agreement with Advanced Gastroenterology of Monterey County, for which Mumtaz Tabbaa M.D., a board certified gastroenterologist, provides gastroenterology call coverage in the emergency department and outpatient services in the specialty clinic.  NMC wishes to amend the current agreement to continue the same 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 Agreement as to legal form.  Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions.  The Agreement has also been reviewed and approved by Natividad Medical Center’s Finance Committee and Board of Trustees.

 

FINANCING:

The cost of this amendment is $450,000.  The total not to exceed amount of the Agreement is $2,250,000 for the period April 1, 2015 to March 31, 2020 (60 months).   $450,000 is included in the Fiscal Year 2018/2019 Adopted Budget.  There is no impact to the General Fund.

 

BOARD OF SUPERVISORS STRATEGIC INITIATIVES:

The services rendered in this agreement provide NMC with the additional support it needs in order to provide reliable and high quality patient care which improves the health and quality of life for patients and their families.

 

__ Economic Development

     Administration

Health and Human Services

__ Infrastructure

__ Public Safety

 

Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506

Approved by: Gary Gray, Chief Executive Officer, 783.2553

 

Attachments: Agreement; First-Second Amendment

 

Attachments on File at the Clerk of the Board