Agenda

Return

C. 39

To:	Board of Supervisors
From:	Kathy Gallagher, Employment & Human Services Director
Date:	November 7, 2017

Contra

Costa

County

Subject:

Reassign three Social Services Employment Placement Counselor and two Social Worker represented positions from Department 0504 to 0501 in EHSD

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/07/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Holly Trieu (925) 608-5024
cc:	Holly Trieu

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 7, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 22186 to reassign two (2) Social Worker (X0VC) (represented) positions, numbers 4366 and 4065, and the incumbents; one (1) vacant Social Worker (X0VC) (represented) position number 15850; and three (3) Social Service Employment Placement Counselor (X7WB) (represented) positions, numbers 15838, 15840, and 15841 and the incumbents, from Department Unit 0504 (Workforce Services) to Department Unit 0501 (Administrative Services) in the Employment and Human Services Department.

FISCAL IMPACT:

Upon approval, this action will have an approximate annual salary and benefit cost of $645,231 (with estimated annual pension costs of $225,831) in Department 0501 (Administrative Services Bureau). This cost will be completely offset by revenue from the Whole Person Care (WPC) Pilot Program funds awarded by the California Department of Health Care Services (DHCS) to the Contra Costa County Health Services (CCHS) Department. In addition, this action will reduce an approximate annual salary and benefit cost of $645,231 in Department 0504 (Workforce Services Bureau), which is needed to offset State and Federal funding reductions. The reassigned positions will be funded 100% with State revenue.

BACKGROUND:

In July, 2016 Contra Costa County Health Services (CCHS) Department submitted an application to the California Department of Health Care Services (DHCS) for implementation of a Whole Person Care (WPC) Pilot Program in Contra Costa County (County). In October, 2016, DHCS approved the application and awarded CCHS $40,000,000 annually over five years to implement a WPC Pilot Program along with eighteen other county health care systems.

The overall goal of the WPC program is to increase coordination of health, behavioral health, and social services for Medi-Cal recipients who are at high risk of utilizing high acuity medical services across multiple delivery systems. The program will provide integrated physical health, behavioral health, and social services in a patient-centered manner in order to improve the health and well-being of this vulnerable population.

Team-based case management and care coordination are two of the major aspects of the service delivery model for this program. CCHS has asked the EHSD to assist in case management and care coordination of social services for this vulnerable population. EHSD added 11 positions at the August 1, 2017 Board meeting to meet the initial needs of the program. An additional 6 positions are needed in order to provide social service case management and care coordination. EHSD social work staff will be co-located with Health Services staff at the WPC work site and will be physically embedded within the project’s interdisciplinary work teams. Under an interdepartmental agreement, CCHS will transfer funds to EHSD from its WPC revenue to cover all the costs of EHSD staff assigned to the project. To meet the partnership goals between EHSD and CCHS, EHSD is requesting to move three Social Services Employment Placement Counselor positions and three Social Worker positions from Workforce Services Bureau to the Administrative Services Bureau Whole Person Care Community Connect program. The proposed action will also support EHSD's need to move unfunded Workforce Services Bureau positions to funded program areas within the Department.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, EHSD will not be able to provide the requisite staff needed to participate in this program and may jeopardize CCHS' ability to meet the WPC Pilot Program social service case management and care coordination requirements.