To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Add one (1) Quality Manager Program Coordinator (VRHA) and cancel one (1) Health Services Information Systems Specialist (LBTB) (vacant) in Health Services
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26336 to add one (1) Quality Manager Program Coordinator (VRHA) at salary plan and grade ZA5 1961 ($10,933.46 - $13,289.68) and cancel one (1) Health Services Information Systems Specialist (LBTB) position #18953 (vacant) at salary plan and grade ZB5 1541 ($7,213.62 - $9,666.94) in Health Services.
FISCAL IMPACT:
Upon approval, this request will result in an annual increase of approximately $69,817.52 with pension costs of $10,199.62 already included. (100% HMO Enterprise Funds)
BACKGROUND:
A Quality Management Program Coordinator (QMPC) is needed to work with all CCHP Departments and some Administration staff that report directly to the CEO as programs are expanded. CCHP is expanding its managed care footprint and expanding to the Duals and Special Needs Program (DSNP) along with a Supplemental Medicare Advantage Plan. This new expansion is a direct contract with the Center for Medicaid and Medicare (CMS) which will require more quality workflows. Furthermore, CCHP is designing a more robust Member Engagement Unit. This position will administer surveys to all members along with collecting data from town hall meetings and focus groups. Using this new data, we will create monthly Member Satisfaction Dashboard that will impact how we meet our members needs to ensure they are using the preventive services. This position will intersect with the clinical operations and review claims data to ensure we know the major disease of the membership. Also, this position will monitor the enrollment of new member groups for DSNP, commercial products, and Medi-Cal. This role will also collaborate with the Analysis & Reporting Department to create a Medical Informatics function that will perform data mining and look at the top 20 diseases of our members to develop an additional Disease Management Program for Preventive Care based on data analysis.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, Contra Costa Health Plan cannot effectively execute the DSNP Quality program which may negatively affect how we measure member engagement to show outcomes that ensure a better quality of life for our members. Also, CMS has a star program in which HMOs quality rates requirements are new to CCHP as a DSNP. Without this position it leaves CCHP leadership at a deficit for oversight of new quality programs.