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C. 17
To: Board of Supervisors
From: Dianne Dinsmore, Human Resources Director
Date: October  25, 2016
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Introduce Ordinance No. 2016-20 to amend Ordinance Code 33-5.313

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   10/25/2016
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: Dorette McCollumn (925) 957-5240
cc: Dorette McCollumn    
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:     October  25, 2016
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

INTRODUCE Ordinance No. 2016-20 amending the County Ordinance Code to change the appointing authority of the exempt classification of Medical Director and to remove the exempt classifications of Ambulatory Care Chief Executive Officer, Contra Costa Health Plan Medical Director, and Mental Health Medical Director from the list of classifications excluded from the Merit System, WAIVE reading, and FIX November 1, 2016, for adoption.  

FISCAL IMPACT:

There are no cost associated with this action.

BACKGROUND:

Contra Costa Health Services system of care has grown and continues to expand its services to accommodate the increase in the number of patients served throughout Contra Costa County. Further, expanded services are necessary in order to meet guidelines and regulations set forth by federal, state, and accreditation agencies. These services require effective and efficient medical care oversight and warrant the addition of two (2) positions within the Health Services Senior Management Executive Team.   
  
The Medical Director-Exempt classification will be utilized in various areas of the health care system including Contra Costa Regional Medical Center and Health Centers, Contra Costa Health Plan, Behavioral Health, Emergency Medical Services, and Public Health. The primary responsibility is to plan, organize, implement and direct the professional medical standards, comprehensiveness and efficiency of the medical care component in the health care system. The Department has determined that the classifications of Contra Costa Health Plan Medical Director, Mental Health Medical Director and Ambulatory Care Chief Executive Officer, and their vacant positions no longer meet its operational needs. If the Board approves this action, the Department will return at a future meeting date to abolish these exempt classifications, cancel their respective vacant position, and add Medical Director - Exempt positions to meet medical care oversight needs in the aforementioned Health Services divisions.  
  

CONSEQUENCE OF NEGATIVE ACTION:

Failure to obtain Board approval will hinder the Department's efforts to efficiently and effectively manage the expanded health services system of care, which may adversely impact patient care services.   
  

CHILDREN'S IMPACT STATEMENT:

No impact.

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