To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: ADOPT Position Adjustment Resolution No. 26276 to adjust the hours of two RN positions in the Contra Costa Health Services Department.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26276 to:
• Increase the hours of one (1) Registered Nurse (VWXG) position #13857 at salary plan and grade L32-1880 ($12,003.551 - $14,990.791) and its incumbent EE#84570 from 32/40 to 40/40 (6390 - Brentwood Healthcare Services).
• Decrease the hours of one (1) Registered Nurse position #8484 at salary plan and grade L32-1880 ($12,003.551 - $14,990.791) and its incumbent EE#71931 from 30/40 to 24/40 (5797 - Ph Clinic Staffing Pool).
FISCAL IMPACT:
Upon approval, this request will result in cost savings of $43,335.38 with pension costs of $6,330.85 already included within the Public Health Clinical Staffing Unit budget (Org. 5797) (100% funded by Medi-Cal).
This request will also result in an annual increase of approximately $57,780.50 with pension costs of $8,441.13 already included to the Brentwood Healthcare Services Program (Org. 6390) (100% funded by Hospital Enterprise Fund I).
BACKGROUND:
Per California Nurses Association (C.N.A) MOU, section 6.5- Position Hours Adjustment, incumbents have the ability to 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.
After reviewing each request and considering the anticipated needs of the department, management are agreement with adjusting the hours of these positions.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the County will not be complying with the negotiated MOU terms previously agreed upon with the unions.