HomeMy WebLinkAboutMINUTES - 08082006 - C.24 d'
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TO: BOARD OF SUPERVISORS
FROM: LORI GENTLES, Assistant County Administrator- of ,,N '� Costa
A Q
Director of Human Resources County
�osr'9 COUIi'!:'; Civ
DATE: August 8, 2006 (�
SUBJECT: P300 20087 — Health Services Department
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Adopt Position Adjustment Resolution#20087 to CANCEL one 14 hour Clinical Nurse Specialist (VWTA—
Represented) position # 8859 and ADD one full-time Utilization Review Coordinator (VWSD_ Represented)
position for Contra Costa Regional Medical Center inpatient psychiatry.
FISCAL IMPACT:
The cost of a full-time Utilization Review Coordinator with salary and benefits is $131,150 annually.
Cancellation of the Clinical Nurse Specialist position #8859 will result in an offset of $35,545, leaving a net
additional cost of:the Utilization Review Coordinator at $95,605. There is available funding in the Hospital
Division budget to cover the additional cost of the position.
BACKGROUND:
The Health Services Department is requesting to cancel one 14 hour Clinical Nurse Specialist position #8859
and add one full-time Utilization Review Coordinator position for the Contra Costa Regional Medical Center
iriptient psychiatry.
The position is needed to meet additional regulatory requirements of the Department of Mental Health and
Centers for Medicare and Medicaid. The position will coordinate assigned utilization and case management
activities for Contra Costa Regional Medical Center to include concurrent authorization and submission of data
to Mental Health for post-authorization for payment.
Duties of the Utilization Review Coordinator include reviewing requests for services, which require prior
authorization to determine if established guidelines are met; communicating with physicians and other
healthcare professionals in relation to Utilization Review, Quality Assurance and Improvement and Case
Management issues (includes gathering information, passing on information, coordinating and arranging for
care, teaching providers); serving as a member of the Utilization Management Committee and providing
utilization statistics, trends and reports; to the committee members about related issues and problems.
CONSEQUENCE OF NEGATIVE ACTION:
Should this request not be granted, Contra Costa Regional Medical Center inpatient psychiatry will be in non-
compliance with the Department of Mental Health and Centers for Medicare and Medicaid regulations which
could result in sanctions, including exclusion from Medicare funding.
CONTINUED ON ATTACHMENT: YES SIGNATURE: ,
t/ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE u
APPROVE OTHER
SIGNATURES
ACTION OF B R ONG�S} APPROVED AS RECOMMENDED .JC OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY
OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE
UNANIMOUS(ABSENT ►/1()y)C—
BOARD OF SUPERVISORS ON THE DATE SHOWN.
)
AYES: NOES:
ABSENT: ABSTAIN: _
Contact: Shelley Pighin-75250
Cabb Calloway-51738
Cc: Health Services ATTESTED ���
Human Resources JOHN B.CUL EN,CLERK OF THE BOARD OFSUPERVISORS
BY: DEPUTY
IUUN I HA COSTA COUNTY 4
RECENED A ''
JUN 3 ZO06 POSITI RIYJUSTMENT REQUEST
SCC `
4 I ,Z ffv
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.. NO.
OFFICE OF DATE
COUNTY ADMINISTRATOR _
DEPARTMENT NO 0 2 COPERS
DEPARTMENT: Health Services/Hospital&Clinics BUDGET UNIT NO(' 0540 ORG NO. 6313 AGENCY NO.A-18
ACTION REQUESTED: Add one(1)40/40 PFT Utilization Review Coordinator Position(VWSD)at salary level B5 1816 and
cancel one(1) 14 hour Clinical Nurse Specialist position(VWTA)#8859 at salary level L35 1873 as cost offset.
PROPOSED EFFECTIVE DATE:
CLASSIFICATION QUESTIONNAIRE ATTACHED: YES❑ NO 2 Cost is within dept budget: Yes 0 No❑
TOTAL ONE TIME COSTS(non-salary) ASSOCIATED WITH REQUEST: $_ _0_
ESTIMATED
-0-
ESTIMATED TOTAL COST ADJUSTMENT(salary/benefits/one-time):
TOTAL ANNUALCOST $95,605.00 NET COUNTY COST $ -0-
TOTAL THIS FY $ N.C.C.THIS FY $ -0-
SOURCE OF FUNDING TO OFFSET ADJUSTMENT: Enterprise Funds-One(6200-8120)for budget unit 0540
DEPARTMENT MUST INITIATE NECESSARY ADJUSTMENT AND SUB IT TO C.
USE ADDITIONAL SHEET FOR FURTHER EXPLANATIONS OR CO 11 E TS.
Shelley Pigh, SD`R-€ onnel Officer
(for)William.B.V�'alker,M.D.,Health Services Director
REVIEWED BY CAO AND RELEASED TO HUMAN RAS DEPARTMENT
DEPUTY couNvrY ADMINISTRATOR _DATE
HUMAN RESOURCES DEPARTMENT RECOMMENDATION: DATE July 19 , 2006
CANCEL one (1) 14 hour Clinical Nl,irse Specialist (VWTA. - Represented) position
x'8859 at salary level L35-1873 and ADD one (1) 40/40 full -time Utilization
Review Coordinator (VWSD -- UnRepresented) position at salary level 35-1816 for
Contra Costa Regional Medical Center inpatient psychiatry-
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basis/Exempt salary schedule.
Effective: EX Day following Board Action
❑ (date)
(for) DIRECTOR OF HUMAN RESOURCES
COUNTY ADMINISTRATOR RECOMMENDATION DATE:7 - 20-06
fpprove Recommendation of Director of Human Resources
isapprove Recommendation of Director of Human Resources
❑Other:
(for) COUNTY ADMINISTRATOR
BOARD OF SUPERVISORS ACTION: John Cullen,Clerk of the Board of Supervisors/County Administrator
Adjustmen APPROVED 24 DISAPPROVED ❑ -r
DATE: S� 1 t 2X_-Q'0 BY:
APPROVAL F THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RE 0LUTION AMENDMENT
POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING
BOARD ACTION. Adjust class(es)/position(s)as follows:
IF REQUEST IS TO ADD PROJECT POSITIONS/CLASSES,PLEASE COMPLETE OTHER SIDE