HomeMy WebLinkAboutMINUTES - 12132011 - C.31RECOMMENDATION(S):
ADOPT Position Resolution No. 21028 increasing the hours of three (3) vacant permanent
part-time Family Nurse Practitioner (VWSB) positions #8750 (2/40), #7477 (4/40) and
#8550 (4/40) to permanent full-time at salary level L35 1873 ($8,147.67 - $9,903.54) in the
Health Services Department. (Represented)
In the past six months, the Department has experienced a number of resignations from
primary care physicians and this loss can be supplemented by Family Nurse Practitioners
who can provide primary care to individuals and families in Family Practice clinics and
case management to complex, high-risk patients in Specialty clinics. Under medical
direction, nurse practitioners identify health status of patients by performing physical
examinations and initiate appropriate diagnostic and screening tests, provide pre-natal and
post-partum follow-up for mother and child, manage chronic illnesses including diabetes,
congestive heart failure, arthritis, hypertension and obstructive pulmonary diseases.
The Department is challenged in filling these three vacancies given the minimum number of
position hours. Therefore, it is necessary to increase the position hours in order to recruit
and retain nurse practitioners.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/13/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Jo-Anne Linares (925)
957-5246
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: December 13, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C. 31
To:Board of Supervisors
From:Ted Cwiek, Human Resources Director
Date:December 13, 2011
Contra
Costa
County
Subject:Increase the hours of three vacant Family Nurse Practitioner positions in the Health Services Department
RECOMMENDATION(S): (CONT'D)
The positions are assigned to the Ambulatory Health Centers, which generate funds from
Medi-Cal/FQHC.
FISCAL IMPACT:
Upon approval, this action will result in an annual cost of approximately $513,711.00,
including $115,993.00 in pension costs, and will be fully funded via FQHC revenues.
BACKGROUND:
The Health Services Department is requesting to increase the hours of three (3) vacant
permanent part-time Family Nurse Practitioner (VWSB) positions #8750 (2/40), #7477
(4/40) and #8550 (4/40) to permanent full-time at salary level L35 1873 ($8,147.67 -
$9,903.54) in the Health Services Department.
In the past six months, the Department has experienced a number of resignations from
primary care physicians and this loss can be supplemented by Family Nurse Practitioners
who can provide primary care to individuals and families in Family Practice clinics and
case management to complex, high-risk patients in Specialty clinics. Under medical
direction, nurse practitioners identify health status of patients by performing physical
examinations and initiate appropriate diagnostic and screening tests, provide pre-natal
and post-partum follow-up for mother and child, manage chronic illnesses including
diabetes, congestive heart failure, arthritis, hypertension and obstructive pulmonary
diseases.
The Department is challenged in filling these three vacancies given the minimum
position hours. Therefore, it is necessary to increase the position hours in order to recruit
and retain nurse practitioners.
The positions are assigned to Family Practice and Specialty Clinics at the Health Centers,
which generate funds from Medi-Cal/FQHC.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the Department will not have adequate staffing to provide
primary care in Family Practice clinics and case management in Specialty clinics, which
negatively impacts direct patient care services.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
P-300 #21028