HomeMy WebLinkAboutMINUTES - 12162014 - C.41RECOMMENDATION(S):
ADOPT Resolution No. 2014/464 retroactively authorizing payment of Emergency Room pay for specified doctors
performing Hospitalist/Critical Care duties for the period of July 1, 2014 through December 31, 2014.
FISCAL IMPACT:
The Hospitalist model is intended to be cost neutral by achieving operational efficiencies with 24 hour in-house
coverage offset by elimination of on-call payments.
BACKGROUND:
In July, 2014 the Health Services Department implemented a Hospitalist/Critical Care program and began assigning
doctors to the program. Although these doctors were working as hospitalists, they were paid Emergency Room Pay
differentials defined in section 6.9 of the County of Contra Costa and the Physicians' and Dentists' Organization of
Contra Costa (PDOCC) memorandum of understanding. Section 6.9 states:
6.9 Emergency Room Pay. A physician working in the Emergency Room will be paid the following
differentials in addition to his/her regular base pay:
Monday – Thursday 7:00 a.m. - 11:00 p.m. $14 per hour
Friday 7:00 a.m. - 7:00 p.m. $14 per hour
Monday – Thursday 11:00 p.m. - 7:00 a.m. $42 per hour
Fri., Sat., Sun. 7:00 p.m. - 7:00 a.m. $56 per hour
Saturday, Sunday 7:00 a.m. - 7:00 p.m. $28 per hour
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/16/2014 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: Lisa Driscoll, County Finance
Director (925) 335-1023
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 16, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: Patrick Godley, Chief Financial Officer/Health Services, David Goldstein, Chief Medical Officer, Harjit S. Nahal, Assistant Auditor-Controller
C. 41
To:Board of Supervisors
From:David Twa, County Administrator
Date:December 16, 2014
Contra
Costa
County
Subject:Resolution No. 2014/464 Authorizing Retroactive Payment of Emergency Room Pay for Specified Doctors
performing Hospitalist/Critical Care Duties
BACKGROUND: (CONT'D)
>
Holidays will be paid as weekends. New Year’s Eve and Christmas Eve will be paid as week-ends,
beginning at 7:00 p.m.
A physician working in the Emergency Room in addition to his/her regular basic schedule, will be paid at
the hourly equivalent of his/her base pay plus the appropriate differential.
The County is currently negotiating with PDOCC to settle a grievance related to the Hospitalist/Critical Care
program. In the meantime, the Health Services Director requests that the Board of Supervisors retroactively
authorize Emergency Room pay for the doctors assigned to the Hospitalist program from July 1, 2014 though
December 31, 2014.
CONSEQUENCE OF NEGATIVE ACTION:
Doctors currently performing Hospitalist/critical care duties will not be paid emergency room pay for their time
worked.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Resolution No. 2014/464