Agenda

Return

C. 39

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	August 1, 2017

Contra

Costa

County

Subject:

Add and cancel positions in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 08/01/2017

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:

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: August 1, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 22122 to add one (1) full-time Medical Staff Coordinator (VASC) position at salary plan and grade level 3R5 1246 ($3,975 - $4,831) and cancel vacant Clerk - Experienced Level (JWXB) position #13988 at salary plan and grade level 3RH 0750 ($2,905 - $3,605) in the Health Services Department. (Represented).

FISCAL IMPACT:

Upon approval, this action has an annual cost of approximately $21,633 and includes $5,224 in estimated pension cost. The cost will be entirely funded by Third Party revenues.

BACKGROUND:

The Health Services Department is requesting to add one full-time Medical Staff Coordinator (VASC) and cancel one vacant Clerk - Experienced Level position. The workload in the Residency Office has increased dramatically from 2010 to 2017 with an increase in the regulatory requirements for on-boarding and supporting up to forty (40) resident physicians. In addition, the scheduling work for resident family medicine clinics and supervising faculty has increased greatly, with an increase from 263 clinics per 4 week block in 2010 to over 300 clinics per week planned for 2018, an increase of approximately 15%. As well, there are additional different types of clinics scheduled by our office for residents.

Due to the diligent work of staffers, resident family medicine clinics are nearly never canceled at the last minute aside from sick call by the resident physician; of the hundreds of clinics scheduled, fewer than one per month is canceled. In the first ten months of the 2016-2017 academic year, our resident physicians staffed 70 Family Medicine clinics per week (at four clinical health centers) and had a total of approximately 21,000 patients scheduled in their Family Medicine clinics with over 17,000 completed visits.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the deliverable regulatory requirements for on-boarding, off-boarding, and supporting of resident physicians will not be achieved.