Agenda

Return

C.15

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	December 6, 2022

Contra

Costa

County

Subject:

Restructure the Cardiopulmonary Support Services unit in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/06/2022

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:	Jo-Anne Linares, (925) 957-5240
cc:	Samir Shah Jaspreet Benepal Faye Ny Jo-Anne Linares Sylvia Wong Tam

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: December 6, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 25929 to establish the classifications of Respiratory Care Services Manager (VIGB) at salary plan and grade ZA5-1012 with five steps ($9,470 - $11,512) and add one (1) position; Respiratory Care Services Supervisor (VIHB) at salary plan and grade ZA5-1011 with five steps ($8,610 - $10,466) and add two (2) positions; Cardiology Services Manager (VIHC) at salary plan and grade ZA5-1013 with five steps ($9,299 - $11,304) and add one (1) position; Abolish the classification of Assistant Chief Cardiopulmonary Support Services (VIHA) at salary plan and grade ZA5-1819 ($8,616 - $10,473) and cancel one (1) vacant position #9594; Abolish the classification of Chief, Cardiopulmonary Support Services (VIGA) at salary plan and grade ZA5-1732 ($7,905 - $9,608) and cancel one (1) vacant position #7932; and cancel two (2) vacant Public Health Program Specialist I (VBSD) positions #9591 and #16126 at salary plan and grade ZA5-1602 ($6,950 - $8,448), and cancel one (1) vacant Ambulatory Care Clinical Coordinator (VAHB) position #15676 at salary plan and grade K65-1453 ($6,135 - $7,457) in the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, the cancellation of vacant positions and termination of contract agency staff will fully offset the cost and result in an annual cost savings of approximately $54,641 to the Hospital Enterprise Fund I.

BACKGROUND:

The Health Services Department is requesting to re-organize the Cardiopulmonary Support Services within Contra Costa Regional Medical Center. Currently, the unit is a hybrid of therapeutic interventions and diagnostic services for both cardiac and pulmonary functions including the administration of medical gases, aerosolized pharmacological agents and bland aerosol, chest percussion and postural draining, incentive spirometry, airway care, non-invasive positive pressure ventilation, echocardiography (cardiac sonography), cardiac stress tests, electrocardiography (EKG), electroencephalography (EEG), evoked potentials, obstructive sleep apnea, blood gas drawing and analysis, spirometry, lung volume, and bronchoscopy assisting. The unit has been managed by an Assistant Chief Cardiopulmonary Services and a registry supervisory staff.

It is necessary to re-structure the cardiopulmonary services into two separate units as these are highly specialized and critical service functions which require permanent management and daily supervision to ensure optimum patient care services. The Cardiology Services Manager, the Respiratory Care Services Manager, and Respiratory Care Services Supervisors will focus on planning and organizing the day-to-day operations, supervising staff, and coordinating the service functions of each unit.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the cardiology and respiratory services of CCRMC will not have permanent management staff to focus on the service levels and operations of each specialized functions.