File #: A 19-083    Name: Cardiopulmonary Assciates Second Amendment
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 4/9/2019 In control: Board of Supervisors
On agenda: 4/30/2019 Final action: 4/30/2019
Title: Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement with Cardiopulmonary Associates Medical Group (CPA) to provide pulmonary medicine and critical care services at NMC adding $100,000, for a revised not to exceed amount of $200,000 with no change to the agreement term of July 1, 2016 through June 30, 2020.
Attachments: 1. Board Report, 2. Cardiopulmonary Associates Second Amendment.pdf, 3. Cardiopulmonary Associates First Amendment 06302020.pdf, 4. Cardio-Pulmonary Associates Agreement 06302018.pdf, 5. 12. Completed Board Order
Related files: A 22-242
Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to the Professional Services Agreement with Cardiopulmonary Associates Medical Group (CPA) to provide pulmonary medicine and critical care services at NMC adding $100,000, for a revised not to exceed amount of $200,000 with no change to the agreement term of July 1, 2016 through June 30, 2020.
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 Services Agreement with Cardiopulmonary Associates Medical Group (CPA) to provide pulmonary medicine and critical care services at NMC adding $100,000, for a revised not to exceed amount of $200,000 with no change to the agreement term of July 1, 2016 through June 30, 2020.

SUMMARY/DISCUSSION:
NMC operates an intensive care unit (ICU) for the care and treatment of hospitalized patients facing life-threatening illness or injury. In order to ensure 24 hours a day coverage of the ICU, it requires a team of critical care physicians, known as intensivists. CPA provides two board certified pulmonary medicine and critical care physicians to cover daily rounding in the ICU as needed to cover for employed physicians who were not available (e.g., vacation; illness; continuing medical education; etc.). CPA provided more services than expected during the first twelve months of the agreement which caused them to nearly reach the agreement not to exceed amount, therefore NMC wishes to amend the agreement now to add funds so that CPA can continue to provide services as needed without interruption. CPA is paid a daily rate for services. The amount of services provided may increase or decrease dependent on the need for coverage, the daily rate does not change. NMC has obtained an independent opinion of fair market value supporting the payment terms ...

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