File #: A 21-567    Name: Total Renal Care Inc. Amendment No. 2
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 11/12/2021 In control: Board of Supervisors
On agenda: 12/7/2021 Final action: 12/7/2021
Title: a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-14393) with Total Renal Care, Inc. for acute dialysis services, with no change to the agreement term July 1, 2019 through June 30, 2023 and adding $2,426,223 for a revised total agreement amount not to exceed $4,775,957. b. Authorize the Interim Chief Executive Officer for NMC 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%) $134,973 of the original cost of the agreement.
Attachments: 1. Board Report.pdf, 2. Total Renal Care Amendment 2, 3. Total Renal Care Amendment 1, 4. Total Renal Care Agreement, 5. Completed Board Order Item No. 45
Related files: A 19-257, A 21-269
Title
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-14393) with Total Renal Care, Inc. for acute dialysis services, with no change to the agreement term July 1, 2019 through June 30, 2023 and adding $2,426,223 for a revised total agreement amount not to exceed $4,775,957.
b. Authorize the Interim Chief Executive Officer for NMC 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%) $134,973 of the original cost of the agreement.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-14393) with Total Renal Care, Inc. for acute dialysis services, with no change to the agreement term July 1, 2019 through June 30, 2023 and adding $2,426,223 for a revised total agreement amount not to exceed $4,775,957.
b. Authorize the Interim Chief Executive Officer for NMC 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%) $134,973 of the original cost of the agreement.

SUMMARY/DISCUSSION:

Total Renal Care, Inc. provides comprehensive dialysis services essential for patients with kidney malfunction. The services include all inpatient areas in addition to the Acute Rehabilitation Unit (ARU). NMC and Total Renal Care leadership meet quarterly via The Joint Dialysis Oversight Committee (TJDOC) to review quality metrics such as timeliness, staff competency validation, and shared responsibilities in the provision of quality patient care. Additionally, the entities confer as needed for quality concerns outside of routine scheduled meetings.

The Total Renal C...

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