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 Committee on October 24, 2019 and the Board of Trustees on November 1, 2019.
FINANCING:
The cost of this Amendment is $100,000. The total not to exceed amount of the Agreement is $400,000 for the full term of the Agreement. $100,000 is included in the Fiscal Year 2019-20 Adopted Budget. The remaining amount will be budgeted for subsequent fiscal years.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs 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, Director of Physician Services, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments: Agreement; First-Second Amendment
Attachments on File at the Clerk of the Board