To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Position Adjustment Resolution to add, cancel positions and increase/decrease the hours of various positions in the Health Services Department.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26322 to:
Increase hours of one (1) Nurse Practitioner (VWSB) position #16576 at salary plan and grade L35 1873 ($14,343.67 - $17,913.27) and its incumbent from 32/40 to 36/40;
Increase the hours of one (1) Nurse Practitioner (VWSB) position #8750 (vacant) at salary plan and grade L35 1873 ($14,343.67 - $17,913.27) from 27/40 to 40/40;
Decrease hours of one (1) Nurse Practitioner (VWSB) position #15469 at salary plan and grade L35 1873 ($14,343.67 - $17,913.27) and its incumbent from 28/40 to 24/40;
Decrease hours of one (1) Primary Care Provider-Ex position (VPT5) position #18348 at salary plan and grade 1PX 1000 ($19,950.77 - $22,752.80) and its incumbent from 32/40 to 24/40;
Add one (1) OBGYN-Family Medicine, Advanced Obstetric - Exempt (VPS6) at salary plan and grade 1PX 1006 ($18,479.31 - $20,999.21);
and Cancel one (1) Emergency Medicine - Exempt (VPS3) position #7302 (vacant) at salary plan and grade 1PX 1003 ($23,712.77 - $26,946.33) in the Health Services Department. (Represented)
FISCAL IMPACT:
Upon approval, this request will result in an annual increase of approximately $139,112.27 with pension costs of $ $20,322.86 already included. (100% Hospital Enterprise Fund I).
BACKGROUND:
Per California Nurses Association (CNA) MOU, section 6.5 - Position Hours Adjustment, incumbents can submit requests during the months of January and/or July to have their position hours adjusted. Management reviews and evaluates these requests by considering the actual work hours of the employee over the past six (6) months and the anticipated needs of the department moving forward. After reviewing this request, the department agrees with adjusting the hours of positions #16576, 8750, 15469, as these changes will have no negative impact to operations.
Adding the position of OBGYN-Family Medicine, Advanced Obstetric - Exempt is necessary to fill staff shortages and will be offset by cancelling one (1) Emergency Medicine - Exempt position.
Incumbents in the classification of Primary Care Provider-Exempt can request that their position hours be increased or decreased, as outlined in the Physician’s & Dentists’ Organization of Contra Costa (PDOCC) MOU. As such, the incumbent of position #18348 has requested to decrease their hours from 32/40 to 24/40. The Medical Staffing Office has determined that this change will not 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 union or have proper staffing structure to provide adequate services.