HomeMy WebLinkAboutMINUTES - 05132014 - D.2RECOMMENDATION(S):
1. CONSIDER waiving the 180-day “sit out period” for Dr. Mitchell Applegate, Exempt Medical Staff Physician in
the Health Services Department;
2. FIND that the appointment of Dr. Applegate is necessary to fill a critically needed position;
3. APPROVE and AUTHORIZE the hiring of retiree Dr. Applegate as a temporary County employee for the period
of May 14, 2014 through May 31, 2015, as recommended by the Health Services Department Director.
FISCAL IMPACT:
If the request is granted, there will continue to be salary and employment tax payment for the hours provided of
approximately $79,929.60. These costs will be offset by savings due to the vacancy of the permanent position.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/13/2014 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, 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: May 13, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
D.2
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:May 13, 2014
Contra
Costa
County
Subject:Temporary Hire of County Retiree - Waiver of 180-day Sit-Out Period
BACKGROUND:
Dr. Applegate retired as of March 31, 2014. Dr. Applegate was hired as an Exempt Medical Staff Physician on July
1, 1985, with Health Services Department. He completed his training in Family Medicine here, left to do fellowship
training in critical care, and then spent approximately twenty years as the Director of Intensive Care Unit at Contra
Costa Regional Medical Center. Dr. Applegate is broadly trained and experienced in hospital based medicine,
pulmonary, critical care, perioperative and geriatric medicine. Up to his retirement, he continued to maintain an active
role providing patient care in Medical, Surgical and Intensive Units as well as Pulmonary Clinic as a teacher, a
participant for process improvement work, and a mentor.
Health Services needs to return Dr. Applegate immediately as all areas of his expertise are currently severely
understaffed and require ongoing coverage. The need is particularly acute on weekends where traditionally patient
access to these services is challenging.
Health Services has been actively recruiting to fill various clinical roles served by Dr. Applegate. Recruitment efforts
include the use of temporary physician agencies, head hunting firms, internal recruitment of our family medicine
graduates, as well as extensive advertisements in medical journals and professional organizations.
We request approval to hire Dr. Applegate as a retiree to work in the Intensive Care Unit as well as Medical and
Surgical Units at Contra Costa Regional Medical Center. In addition, he will provide pulmonary consultation, and
palliative care consultations on the weekends, which will maintain patient access and staff access to these resources.
His loss would cause a significant negative impact in our ability to provide necessary critical care services. His
twenty-five years of experience at Contra Costa Regional Medical Center will be very difficult to replace. While we
continue to recruit and train staff to manage the areas of Dr. Applegate’s expertise, the organization depends on his
skill set, training, and experience on an on-going basis.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to receive Board approval will result in significant negative impact in our ability to provide necessary critical
care services for our patients.
CHILDREN'S IMPACT STATEMENT:
N/A