HomeMy WebLinkAboutMINUTES - 01202015 - D.5RECOMMENDATION(S):
ADOPT Resolution No. 2015/34 approving the Side Letter between Contra Costa County and the Physician and
Dentists Organization of Contra Costa, adding Hospitalist/Critical Care differentials to the current Memorandum of
Understanding (October 1, 2008 – October 31, 2016).
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.
On December 16, 2014, the Board of Supervisors retroactively authorized Emergency Room pay for the doctors
assigned to the Hospitalist program from July 1, 2014 though December 31, 2014 to allow time for the County to
complete negotiations with PDOCC to settle the grievance related to the Hospitalist/Critical Care program.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 01/20/2015 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: January 20, 2015
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: David Goldstein, Chief Medical Officer, Harjit S. Nahal, Assistant Auditor-Controller, Gail Strohl, Chief Executive Officer/CCCERA, Human Resources
Transactions
D.5
To:Board of Supervisors
From:David Twa, County Administrator
Date:January 20, 2015
Contra
Costa
County
Subject:ADOPT Side Letter to amend MOU with Physician and Dentists Organization of Contra Costa (PDOCC)
BACKGROUND: (CONT'D)
>
The attached Side Letter, effective January 1, 2015, defines Medical and Surgical Hospitalist/Critical Care duties
as hospital based medical care, critical care, and peri operative surgical care, that are performed on adult patients
at the CCRMC. Physicians performing these duties shall be paid for the following differentials:
For work performed Monday through Friday, between 7:00 a.m. and 5:00 p.m., a differential of $10.00 per
hour.
For work performed Friday, between 5:00 p.m. and 7:00 p.m., a differential of $14.00 per hour.
For work performed Monday through Thursday: 5:00 p.m. to 11:00 p.m., a differential of $14 per hour; and
between 11:00 p.m. and 7:00 a.m. (i.e. begins at 11:00 p.m. on Thursday and ends at 7:00 a.m. on Friday), a
differential of $42.00 per hour.
For work performed on a Friday, Saturday, Sunday or holiday, between the hours of 7:00 p.m. through 7:00
a.m., a differential of $56.00 per hour (i.e. begins at 7:00 p.m. on the Sunday or holiday and ends on
Monday or the day after the holiday at 7:00 a.m.)
For work performed on a Saturday, Sunday or holiday, between the hours of 7:00 a.m. and 7:00 p.m., a
differential of $28.00 per hour.
Physicians performing Medical & Surgical Hospitalist/Critical Care duties are eligible for:
Weekend Rounds: Weekend Rounds as defined in Section 6.3.A of the MOU;
Call Back Differential: Call Back Differential as defined in Section 6.3.E of the MOU;
On Call: On Call Pay as defined in Section 6.3.F of the MOU;
Administrative Hours as set forth in Section 6.5.B of the MOU.
The terms of the Side Letter will be incorporated into the successor MOU between the County and PDOCC.
CONSEQUENCE OF NEGATIVE ACTION:
Doctors currently performing Hospitalist/critical care duties will not be paid emergency room pay for their time
worked.
ATTACHMENTS
Resolution No. 2015/34
Side Letter with PDOCC dated January 14, 2015