To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Decrease the Hours of One Pediatrician-Hospitalist - Exempt, Decrease the Hours of One Pediatrician-Ambulatory - Exempt, Increase the Hours of One OBGYN-Family Medicine, Advanced Obstetric - Exempt, and Increase the Hours of One Pediatrician-Ambulatory - Exempt in Health Services Department
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26334 to decrease the hours of one (1) Pediatrician-Hospitalist - Exempt (VPS0) position #7816 at salary plan and grade 1PX 1006 ($18,479.31 - $20,999.21) and its incumbent EE#82002 from 40/40 to 31/40 hours. Decrease hours for one (1) Pediatrician-Ambulatory - Exempt (VPS9) at salary plan and grade 1PX 1009 ($19,873.44 - $22,744.05) position #19717 and its incumbent EE#95532 from 40/40 to 32/40 hours. Increase the hours of one (1), Advanced Obstetric - Exempt (VPS6) at salary plan and grade 1PX 1006 ($18,479.31 -$20,999.21) position #8039 and its incumbent EE#88377 from 22/40 to 40/40 hours. Increase the hours of one (1) Pediatrician-Ambulatory - Exempt (VPS9) at salary plan and grade 1PX 1009 ($19,873.44 - $22,744.05) position #9542 and its incumbent EE#82125 from 36/40 to 40/40 hours in Health Services.
FISCAL IMPACT:
Upon approval, this request will result in an annual cost of approximately $47,224.45 with pension costs of $6,899.00 already included. (100% Hospital Enterprise Fund I)
BACKGROUND:
Incumbents in the Pediatrician-Hospitalist - Exempt, Pediatrician-Ambulatory - Exempt, and OBGYN-Family Medicine, Advanced Obstetric - Exempt classifications can request that their position hours be increased or decreased, as outlined in the Physician’s & Dentists’ Organization of Contra Costa (PDOCC) MOU. After reviewing the requests, the Medical Staffing Office agrees with adjusting the hours of positions #7816, #19717, #8039, and #9542 as these changes will not impact any patients or have a negative impact to operations.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the County will not be complying with the negotiated MOU terms previously agreed upon with the unions.