File #: A 21-480    Name: Monterey Spine and Joint First Amendment
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 9/3/2021 In control: Board of Supervisors
On agenda: 9/28/2021 Final action: 9/28/2021
Title: a. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-14514) with Monterey Spine and Joint PC to provide neurosurgery services adding $250,000 for revised amount not to exceed $750,000 in the aggregate and extending the term by twelve months (October 1, 2021 to September 30, 2022) for a revised full term of October 1, 2019 to September 30, 2022; and b. Authorize the Interim Chief Executive Office for Natividad to sign up to three (3) future amendments to this agreement where the total 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.
Attachments: 1. Board Report, 2. Monterey Spine and Joint PC Agreement.pdf, 3. Monterey Spine Signature page.pdf, 4. 1ST_AMEND)Monterey_Spine_and_Joint_.pdf, 5. Completed Board Order Item No. 23
Related files: A 19-338
Title
a. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-14514) with Monterey Spine and Joint PC to provide neurosurgery services adding $250,000 for revised amount not to exceed $750,000 in the aggregate and extending the term by twelve months (October 1, 2021 to September 30, 2022) for a revised full term of October 1, 2019 to September 30, 2022; and
b. Authorize the Interim Chief Executive Office for Natividad to sign up to three (3) future amendments to this agreement where the total 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 Interim Chief Executive Officer for Natividad or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement (A-14514) with Monterey Spine and Joint PC to provide neurosurgery services adding $250,000 for revised amount not to exceed $750,000 in the aggregate and extending the term by twelve months (October 1, 2021 to September 30, 2022) for a revised full term of October 1, 2019 to September 30, 2022; and
b. Authorize the Interim Chief Executive Office for Natividad to sign up to three (3) future amendments to this agreement where the total 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 received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires neurosurgeons provide dedicated call coverage with a 30 minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to develop and sustain a core team of quality neurosurgeons to provid...

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