Title
a. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute an Agreement with Vigilant Neuromonitoring LLC for intraoperative neurophysiological monitoring services at Natividad for an amount not to exceed $200,000 for the term October 1, 2021 through September 30, 2023.
b. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than ten percent (10%) of the original cost of the agreement per each amendment.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute an Agreement with Vigilant Neuromonitoring LLC for intraoperative neurophysiological monitoring services at Natividad for an amount not to exceed $200,000 for the term October 1, 2021 through September 30, 2023.
b. Authorize the Interim Chief Executive Officer for Natividad or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than ten percent (10%) of the original cost of the agreement per each amendment.
SUMMARY/DISCUSSION:
Vigilant Neuromonitoring will provide 24 hours per day, 7 day a week intraoperative neurophysiological monitoring (IOM) on an as needed basis to patients undergoing orthopedic, ENT, vascular, neurosurgical and spinal procedures. IOM allows technicians to observe, in real time, a patient’s neurophysiology during a surgical procedure. This monitoring provides information to the surgeon and staff as to the integrity of the patient’s nervous system during surgery. Oversight is provided with the transfer of live data through HIPAA compliant connections during the procedure. The technicians apply electrodes (surface and subdermal) on the patient to achieve appropriate signals. Once the signals are received, the technician monitors the patient’s nervous system via computer during the procedure. This provides the surgeon valuable information regarding the integrity of the nervous system as they proceed through the case. Natividad would like to enter into an Agreement with Vigilant to provide neuromonitoring services, thus reducing the risk of injury to patients during delicate surgeries.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Agreement as to legal form, and the Auditor-Controller has reviewed and approved as to payment provisions. The Agreement has also been reviewed and approved by Natividad’s Finance Committee and Board of Trustees.
FINANCING:
The cost for this Agreement is $200,000 of which $100,000 is included in the Fiscal Year 2021/2022 Adopted Budget. Amounts for remaining years of the Agreement will be included in those budgets as appropriate. There is no impact to the General Fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement 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.
__ Economic Development
Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Wally Sayles, Surgical Services Director, 772-7789
Approved by: Dr. Charles Harris, Interim Chief Executive Officer, 783-2553
Attachments:
Agreement