Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Professional and Call Coverage Services Agreement with Christopher C. Carver, M.D. to provide neurosurgery services for an amount not to exceed $500,000 for the period July 1, 2019 to June 30, 2021; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($50,000) of the original contract amount.
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 Professional and Call Coverage Services Agreement with Christopher C. Carver, M.D. to provide neurosurgery services for an amount not to exceed $500,000 for the period July 1, 2019 to June 30, 2021; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($50,000) of the original contract amount.
SUMMARY/DISCUSSION:
Natividad Medical Center (NMC) received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires a neurosurgeon to be available with a 30 minute response time. The trauma center is required to have a contingency plan in place if the neurosurgeon on-call is encumbered upon the arrival of a neuro-trauma case, which can be in the form of an established transfer agreement with another trauma center and/or a published back-up schedule. Natividad would like to enter into an agreement with Dr. Carver to provide back-up call during the day and be available to provide initial evaluation and stabilization of neurosurgery patients, as well as follow-up patient care in the outpatient specialty clinic as needed to meet the patient care needs. Dr. Carver will be paid a rate for services according to the terms of the agreement. The amount of services may increase due to patient volumes and the need for coverage, but the rate of pay will remain the same. 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 on April 25, 2019 and Board of Trustees May 3, 2019.
FINANCING:
The total cost of this Agreement is $500,000 for the period July 1, 2019 to June 30, 2021. $250,000 is included in the Fiscal Year 2019/2020 Recommended 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
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments: Agreement
Attachments on file at the Clerk of the Board