File #: A 19-429    Name: Kristin Bakhda CNM Second Amendment
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 11/21/2019 In control: Board of Supervisors
On agenda: 12/10/2019 Final action: 12/10/2019
Title: Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to Professional Services Agreement (A-13546) with Kristin A. Bakhda, WHNP, CNM to provide nurse midwife services, extending the term month to month with a fifteen-day notice of termination and adding $100,000 for a revised amount not to exceed $400,000 in the aggregate.
Attachments: 1. Board Report, 2. Board Report (Incorrect), 3. Kristin A Bakhda Second Amendment.pdf, 4. Kristin A. Bakhda CNM First Amendment 12312019.pdf, 5. Kristin A. Bakhda CNM Agreement 12312017.pdf, 6. Completed Board Order Item No. 46
Related files: A 17-449
Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Second Amendment to Professional Services Agreement (A-13546) with Kristin A. Bakhda, WHNP, CNM to provide nurse midwife services, extending the term month to month with a fifteen-day notice of termination and adding $100,000 for a revised amount not to exceed $400,000 in the aggregate.

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 Professional Services Agreement (A-13546) with Kristin A. Bakhda, WHNP, CNM to provide nurse midwife services, extending the term month to month with a fifteen-day notice of termination and adding $100,000 for a revised amount not to exceed $400,000 in the aggregate.

SUMMARY/DISCUSSION:
Natividad Medical Center operates a labor and delivery unit with over 2,000 deliveries per year. In January 2017, NMC added midwifery services, trained health professional who helps healthy women during labor, deliver and after the birth of their babies, to enhance the breadth of its obstetric and gynecological services becoming the first hospital in Monterey County to offer this service to its patients.

NMC has an agreement with Kristin Bakhda, a certified nurse midwife (CNM) to provide midwife services to patients in the outpatient specialty clinic and patients who are admitted to the labor and delivery unit. NMC wishes to amend the agreement so that Kristin can continue to provide at least the same services without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms.

OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center's Finance ...

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