Upon approval, this action has an annual cost of approximately $99,854 with pension costs already included. This cost will be offset entirely by Hospital Enterprise Fund I revenues.

The Health Services Department recently re-structured its Diagnostic Imaging Services Unit by establishing the classification series of Diagnostic Imaging Technologist I, II, III-A and III-B to recognize the multiple modalities and special procedures performed at the Contra Costa Regional Medical Center and Health Centers, and to address retention and recruitment issues. This multi-tiered series and practice has been an industry standard and Contra Costa may be the last to adopt it. The new classification structure created different levels each distinguished by certification requirements for the performance of diagnostic imaging procedures, such as: x-ray, fluoroscopy, mammography, computed tomography (CT Scan) or magnetic resonance imaging (MRI). In addition, it presented an internal promotional opportunity for those who achieved the required higher level certifications for special procedures.  
  
The Department is requesting to cancel a total ten (10) vacant diagnostic imaging and ultrasound positions, mostly in a permanent intermittent status, and add 10 diagnostic imaging and ultra sound technologist permanent full-time benefited positions in order to attract and retain permanent employees.

If this action is not approved, the Contra Costa Regional Medical Center will not have the appropriate staffing to provide diagnostic imaging services which will adversely impact patient care services.