Agenda

Return

D.5

To:	Board of Supervisors
From:	David Twa, County Administrator
Date:	January 20, 2015

Contra

Costa

County

Subject:

ADOPT Side Letter to amend MOU with Physician and Dentists Organization of Contra Costa (PDOCC)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/20/2015

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Lisa Driscoll, County Finance Director (925) 335-1023
cc:	David Goldstein, Chief Medical Officer Harjit S. Nahal, Assistant Auditor-Controller Gail Strohl, Chief Executive Officer/CCCERA Human Resources Transactions

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 20, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Resolution No. 2015/34 approving the Side Letter between Contra Costa County and the Physician and Dentists Organization of Contra Costa, adding Hospitalist/Critical Care differentials to the current Memorandum of Understanding (October 1, 2008 – October 31, 2016).

FISCAL IMPACT:

The Hospitalist model is intended to be cost neutral by achieving operational efficiencies with 24-hour in-house coverage offset by elimination of on-call payments.

BACKGROUND:

In July, 2014 the Health Services Department implemented a Hospitalist/Critical Care program and began assigning doctors to the program. Although these doctors were working as hospitalists, they were paid Emergency Room Pay differentials defined in section 6.9 of the County of Contra Costa and the Physicians' and Dentists' Organization of Contra Costa (PDOCC) memorandum of understanding.

BACKGROUND: (CONT'D)

On December 16, 2014, the Board of Supervisors retroactively authorized Emergency Room pay for the doctors assigned to the Hospitalist program from July 1, 2014 though December 31, 2014 to allow time for the County to complete negotiations with PDOCC to settle the grievance related to the Hospitalist/Critical Care program.

The attached Side Letter, effective January 1, 2015, defines Medical and Surgical Hospitalist/Critical Care duties as hospital based medical care, critical care, and peri operative surgical care, that are performed on adult patients at the CCRMC. Physicians performing these duties shall be paid for the following differentials:

For work performed Monday through Friday, between 7:00 a.m. and 5:00 p.m., a differential of $10.00 per hour.
For work performed Friday, between 5:00 p.m. and 7:00 p.m., a differential of $14.00 per hour.
For work performed Monday through Thursday: 5:00 p.m. to 11:00 p.m., a differential of $14 per hour; and between 11:00 p.m. and 7:00 a.m. (i.e. begins at 11:00 p.m. on Thursday and ends at 7:00 a.m. on Friday), a differential of $42.00 per hour.
For work performed on a Friday, Saturday, Sunday or holiday, between the hours of 7:00 p.m. through 7:00 a.m., a differential of $56.00 per hour (i.e. begins at 7:00 p.m. on the Sunday or holiday and ends on Monday or the day after the holiday at 7:00 a.m.)
For work performed on a Saturday, Sunday or holiday, between the hours of 7:00 a.m. and 7:00 p.m., a differential of $28.00 per hour.

Physicians performing Medical & Surgical Hospitalist/Critical Care duties are eligible for:

Weekend Rounds: Weekend Rounds as defined in Section 6.3.A of the MOU;
Call Back Differential: Call Back Differential as defined in Section 6.3.E of the MOU;
On Call: On Call Pay as defined in Section 6.3.F of the MOU;
Administrative Hours as set forth in Section 6.5.B of the MOU.

The terms of the Side Letter will be incorporated into the successor MOU between the County and PDOCC.

CONSEQUENCE OF NEGATIVE ACTION:

Doctors currently performing Hospitalist/critical care duties will not be paid emergency room pay for their time worked.