To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Add 12 Primary Care Provider - Exempt (VPT5) in the Contra Costa Health Department.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
Add 12 Primary Care Provider - Exempt (VPT5) positions in salary plan and grade 1PX 1000 ($19,001 - $21,669) in the Contra Costa Health Department (represented)
FISCAL IMPACT:
The additional provider staff will incur a cost of $5,011,335 including $1,175,759 in retirement costs. This action will be 100% funded by revenue generated from patient billings within the Hospital Enterprise Fund I.
BACKGROUND:
The Contra Costa Health Department values the use of improvement science to create better outcomes in health and health care. The department has identified a critical need to improve primary care accesses. Modeled after the measures of the Institute for Healthcare Improvement (IHI), the department utilized the concept of the third next available appointment as a measurement of the true appointment availability.
The goal of the assessment model is to:
1) Decrease number of days to third next available appointment to zero days (same day) for Primary Care.
2) Decrease number of days to third next available appointment to two days for Specialty Care.
Currently patients wait approximately 28 or more days to see a primary care provider by appointment. As the department works towards a primary care access structure that can provide third next available appointments at zero to two days, the department's minimum expectation is to be able to offer patients a third next available appointment within 14 days of date of patient contact for service. More ideally, the department's goal is to be able to offer patients third next available appointment less than seven (7) days from patient contact for service.
Based on current demands, to reduce the next available appointment availability from 28+ days to less than 1...
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