RECOMMENDATION(S): (CONT'D)
FISCAL IMPACT:
Upon approval of all actions, the total increased salary and benefit costs are approximately $112,835, which includes estimated pension costs of $51,594. The department has offset most of the costs with the elimination of three exempt classifications and their respective three positions. Additionally, the Medical Director - Exempt position for mental health will allow the department to eliminate a contract for mental health medical director services, which will offset the additional costs to mental health. Increased costs for CCHP will be funded 100% by CCHP Enterprise Fund II monies.
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 Medical Director - Exempt positions within the Health Services Department that will also serve on the 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, Mental Health, Contra Costa Health Plan, 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.
With the addition of the Medical Director - Exempt positions, 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 operational needs.
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:
Not applicable.