HomeMy WebLinkAboutMINUTES - 09212004 - SD4 TO: BOARD OF SUPERVISORS
ContraFROM: William B. Walker, M.D., Director Costa , . , .4
Contra Costa Health Services County
DATE: September 9, 2004 ' -- -
SUBJECT: Operative Services Reduction
Recommendation:
1. As part of the Budget Hearings continued from 6/29/04, accept this report from the Labor
Management Council (LMC) regarding operative services at CCRMC.
2. Direct the Health Services Director to implement the recommended reductions from the LMC
as follows:
a. Standardize and minimize utilization of equipment, supplies, and prosthetics in the O.R.
whenever possible and consistent with quality patient care;
b. Change the regular weekday staffing pattern in the O.R. in order to decrease regularly
staffed hours per week to 136 hours, using three rooms simultaneously only twice weekly;
c. Provide opportunities for nursing staff to float from the O.R. to other areas of need and
supply appropriate cross training for those nursing staff members who may not be
scheduled completely in the O.R. under this staffing proposal.
d. Reduce nurse management hours related to non-direct patient care functions in the O.R.
by 40 hours per week;
e. Reduce one shift of Sterile Processing Technicians on Saturdays and Sundays;
f. Accept voluntary position hour reductions from members of the Operative team, and to
allow VTC} as appropriate;
g. Continue to work with the LMC in order to explore further potential reductions, including,
but not limited to, regular weekend schedules, changing patterns of scheduling, limiting
other types of surgeries, changing work duties, etc.
Fiscal Impact:
Recognize that these recommendations will reduce costs by approximately$850,000 annually.
CONTINUED ON ATTACHMENT x Yes �No SIGNATURE:
�ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
f".t,-OPROVE „i OTHER
SIGNATURE(S):
ACTION OF BOARD 9N 31, 2W4 APPROVED AS RECOMMENDED x OTHER X
VOTE OF SUPERVISORS
SEE A7'T�Gf ��
UNANIMOUS(ABSENT N= I HEREBY CERTIFY THAT THIS IS A TRUE AND
AYES: NOES: CORRECT COPY OF AN ACTION TAKEN AND
ABSENT: ABSTAIN: ENTERED ON THE.MINUTES OF THE BOARD OF
SUPERVISORP ON THEJQATE SHOWN.
ATTESTED ' X 'x: f / r
Contact Person: William Walker,M.D. Jot-v4 SWEETEN,CLERK OF THE BOARD OF °
SU fERVISORS AND COUNTY APMINISTMTOR
cc. Health Services Department Admin.
Patrick Godley,CCHS Admin. BY: J l
DEPUTY
Back-ground:
On June 14, 2004, the Board heard concerns regarding a proposal to close Room #4 at CCRMC, and
considered that option for costs reductions in the OR. During the Beilenson hearings, the Board
agreed with the Dr. Walker's suggestion that we explore, with union input, alternative options to the
closure of Room #4. On June 25, the Boardtook the following actions:
• Directed the LMC to consider operational changes, and/or personnel changes, that will reduce
expenditures in the OR. Among those possible changes, a reduction in regularly scheduled OR
staffed hours from the current 155 hours/week to between 130 to 145 hours/week may be
involved.
■ Recognized that other components of the plan may include implementation of strict scheduling
and utilization policies for the OR, regular scheduled OR time on weekends, limitations of certain
types of surgery in the OR, standardization of equipment in the OR, rescheduling and/or other
changes in physician services, and other similar changes.
• Directed the HSD and LMC to maintain the highest priority upon meeting patient care needs with
the best quality of care.
■ Recognized that the other goals of the LMC include improving OR utilization, maintaining a
quality working environment for employees, maintaining employee positions as much as
possible, streamlining staffing as much as possible, and'preserving the flexibility of the system to
change in the future.
Since June 29th, representatives from CNA, Local #1, PDOCC, the Hospital Medical Staff, Personnel
and Hospital administration have met six times to work on these issues. The LMC suggests the
recommendations above as a reasonable approach to the necessary reductions.
During the negotiations, a majority of the members of the LMC expressed their feelings and beliefs
that Operative services at CCRMC should not be the target of reductions. However, given the
direction to find reasonable reductions in Operative service, the group developed the suggested
approach with a focus upon the Board's priorities.
ADDENDUM
SD.4
September 21, 2004
On this date, the Board of Supervisors CONSIDERED accepting report and approving
recommended reductions to operating room services as proposed by the Health Services
Department Labor Management Council and the Health Services Director. The report was
presented by Dr. William Walker, Health Services Director.
The Board invited comments from the public, and the following person spoke.
Sandra Hamameh, 5034 Blum Road, (Local 1),Martinez;
After further discussions, the Board made the following recommendations:
ACCEPTED and APPROVED recommendations from the Labor Management
Council(LMC) and the Health Services Director regarding reductions to operative
Services at Contra Costa Regional Medical Center.
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