Agenda

Return

C. 47

To:	Board of Supervisors
From:	Anna Roth, Health Services
Date:	June 11, 2019

Contra

Costa

County

Subject:

Add one Director, Public Health Clinic Services and cancel one Director, Family, Maternal & Child in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/11/2019

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:

Sabrina Pearson, (925) 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 11, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 22474 to add one Director, Public Health Clinic Services (VVGS) position at salary plan and grade level ZA5-2177 ($10,601-$12,886) and cancel one vacant Director, Family, Maternal & Child Health (VCFA) position #9550 at salary plan and grade level ZA5-1912 ($8,154-9,912) in the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, this action has an annual cost increase of $13,780 with pension costs already included. The position will be funded by 75% Federal Financial Participation and 25% County General Fund.

BACKGROUND:

The Health Services Department is requesting to add one Director, Public Health Clinic Services position and cancel one vacant Director, Family Maternal and Child Health (FMCH) position. The FMCH program participates in multiple funding sources that require time survey documentation for reimbursable activities. The position "Director of PHCS" is classified as a skilled medical professional (SMP) for the Medi-Cal administrative time survey and the Title 19 survey. This allows for a reimbursement rate of 75% on specific enhanced time survey codes. This increased matching allows for a greater drawing down of federal funds to offset the impact to the county general fund. In addition to the cost savings this expands the expertise of the Director position to support the management of nursing activities. The FMCH program currently has a total 16 public health nurses and 2 nurse managers. Under the current model of an FMCH Director, the department has participated in a matrix management model where the current Director of PHCS provides consultation and expertise for the FMCH program regarding nursing responsibilities.

The new position will be responsible for Clinical and Programmatic oversight of three programs: California Children’s Services (CCS), Women, Infants and Children (WIC), and Maternal, Child and Adolescent Health (MCAH) Programs.Duties includes developing budgets and monitoring program expenditures to ensure compliance with budgets and applicable State and/or Federal regulations; allocating fiscal and personnel resources to maximize program effectiveness and establishing and maintaining communications with various public health advisory boards.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the Public Health Clinics will not have a Director with the overall responsibility for the management and administration of public health clinical programs.