Agenda

Return

C. 67

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	June 6, 2017

Contra

Costa

County

Subject:

Add four permanent full-time Medical Director - Exempt positions in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/06/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

John Gioia, District I Supervisor

Contact:

Jo-Anne Linares, 957-5240

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: June 6, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 22090 to add four (4) permanent full-time Medical Director - Exempt (VCA2) positions at salary plan and grade level B85-2645 ($25,913) in the Health Services Department. (Unrepresented)

FISCAL IMPACT:

Upon approval, this action has an annual cost of approximately $1,880,957 with estimated pension costs of $441,558 already included. The cost will be offset with 100% Third Party revenues.

BACKGROUND:

The Health Services Department is requesting to add four Medical Director-Exempt positions assigned to Contra Costa Regional Medical Center, Ambulatory Care Health Centers, Specialty Care, and Information Systems. Currently, there is no management layer between the Chief Medical Officer and medical providers to handle personnel or employee relations matters. These added positions will perform the duties associated within their assignments in addition to addressing personnel and employee relations. The incumbents will report directly to the Chief Medical Officer-Exempt.

BACKGROUND: (CONT'D)

The Ambulatory Care Medical Director will provide management and quality oversight of approximately 175 providers and operations in the 11 outpatient primary care sites including quality improvement portfolio, provider empanelment and patient assignment process, integration of behavioral health in system, group medical visit program, integrative medicine program, ADHD/Autism program, telephone consult clinic program, ambulatory care policy creation, regulatory oversight compliance, coordination of ambulatory services with public health, behavioral health and CCHP divisions.

The Specialty Medical Director will provide management and quality oversight for over 100 providers and operations in 32 medical and surgical specialty areas in ambulatory and hospital settings including quality improvement portfolio management, coordination of specialty care with health plan and community partners, workflows and operations of specialty referrals, operations in the GI lab, infusion, cardiopulmonary and Operating Room in conjunction with key physician leadership and nursing partnership and develop innovative ways to deliver specialty care via teleHealth and eConsultation.

The Hospital Medical Director is the administrative physician leader over hospital-based physician service lines, and has oversight of improving the patient's experience of care at CCRMC, departmental staffing decisions, compliance with patient-safety standards, inter- and intra-departmental consensus building for preferred practice concerns, and the sustainability of hospital-based physician staff.

The Informatics Medical Director (Chief Medical Informatics Officer) will evaluate the Information Technology systems within the health care units, design and application of Electronic Medical Record software and applications, convert and analyze medical and health data, ensure quality of care across multiple information systems, train physicians and other medical professionals in IT systems and applications, and computerized physician order entry, and manage and coordinate medical staff and IT staff application integration.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the Department will not have sufficient leadership staff to efficiently and effectively manage its physician-based assigned units within Contra Costa Regional Medical Center and its Health Centers, and other Health Services divisions.