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 provide daily call coverage in the Emergency Department and follow-up care to patients in the Intensive Care Unit and Specialty Clinic.
Natividad would like to amend the agreement with Monterey Spine and Joint PC, so that its board certified neurosurgeons can continue to provide neurosurgical services as part of the comprehensive trauma services required for the Level II Trauma Center without interruption. Monterey Spine and Joint is paid a daily rate for coverage services, which may increase due to availability and the need for coverage, but the rate of pay remains the same. Natividad 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 Amendment as to legal 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 and Board of Trustees.
FINANCING:
The cost of this amendment is $250,000. The total not to exceed amount is $750,000 for the period October 1, 2019 to September 30, 2022 (36 months). The actual cost is contingent upon the groups participation in the call panel which may fluctuate based on availability. Natividad has agreements with multiple providers to ensure sufficient coverage of the neurosurgery services where the total expenditure will not exceed $1,300,000 annually which is included in Fiscal Year 2021/2022 adopted budget. The remaining balance will be budgeted in subsequent fiscal years. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement are required for a Level II Trauma Center and provide Natividad 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.
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Prepared by: Jeanne-Ann Balza, Director of Physician Services, 783.2506
Approved by: Charles R. Harris M.D., Interim Chief Executive Officer, 783.2553
Attachments:
First Amendment
Agreement
Attachments on file at the Clerk of the Board