To: Board of Supervisors
From: Dr. Oril Tzvieli, Interim Health Services Director
Report Title: Decrease the hours one (1) Primary Care Provider-Exempt (VPT5) position in the Health Services Department
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26424 to decrease the hours of one (1) Primary Care Provider-Exempt (VPT5) position #20199 at salary plan and grade 1PX 1000 ($20,948.31 - $23,890.44) and its incumbent EE#92154 from 40/40 to 32/40 (6387-Family Practice Martinez) in the Health Services Department.
FISCAL IMPACT:
Upon approval, this request will result in an annual savings of approximately $92,083.31 with pension costs of $13,452.42 already included. (100% Hospital Enterprise Fund I)
BACKGROUND:
Incumbents in this classification have the ability to request that their position hours be increased or decreased, as outlined in the Memorandum of Understanding between the County and Physicians and Dentists of Contra Costa union. The incumbent of Primary Care Provider-Exempt (VPT5) position #20199 has requested to decrease their hours from 40/40 to 32/40. After reviewing the request, the Medical Staffing Office has determined that the adjustment of hours as requested by the incumbent will have no significant impact on meeting service needs.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the County will not be complying with the negotiated MOU terms previously agreed upon with the unions.