Agenda

Return

D.5

To:	Board of Supervisors
From:	David Twa, County Administrator
Date:	November 10, 2015

Contra

Costa

County

Subject:

Resolution No. 2015/371 - Physician and Dentists Organization of Contra Costa (PDOCC) Side Letter Fall Back Pay For Dentists

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/10/2015

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:	Glynis Hughes, (925) 335-1784
cc:	Harjit Nahal, Assistant Auditor-Controller Lisa Lopez, Assistant HR Director David Goldstein, Chief Medical Officer David MacDonald Glynis Hughes, Principal Labor Relations Analyst

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: November 10, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Resolution No. 2015/371 approving the Side Letter between Contra Costa County and the Physician and Dentists Organization of Contra Costa (PDOCC), adding Dentists to receive Fall Back Pay Differential as outlined in amended Sections 6.2.D, 6.3.D, and 6.7 of the current Memorandum of Understanding (October 1, 2008 – October 31, 2016). In addition, Exhibit B of the MOU is applicable to dentists.

FISCAL IMPACT:

The clinics generate FQHC reimbursement and therefore will have a net positive fiscal impact.

BACKGROUND:

A physician is eligible for Fall Back differential pay for hours a physician works in excess of his/her designated weekly or monthly position hours in an extended hours’ clinic. Extended hours clinics are clinics organized to meet peak patient demands Monday through Saturday. Dental is a Federally Qualified Health Center (FQHC) covered service and Health Services cannot keep up with demand as our waiting lists exceed 90 days.

BACKGROUND: (CONT'D)

The Dentists previously received Fall Back pay, but compensation was stopped effective July, 2015. As a result, PDOCC filed grievances stating that Dentists work extended hours’ clinics in the evening and on weekends in accordance with Section 6.2, 6.3, and 6.7 of the PDOCC MOU, and should, therefore, continue to receive the Fall Back differential. With the approval of this side letter, two grievances filed by PDOCC, will be resolved.

CONSEQUENCE OF NEGATIVE ACTION:

Dentists will not receive the Fall Back Pay Differential for working evening clinics and weekends; thereby creating the potential for more grievances to be filed by PDOCC.