HomeMy WebLinkAboutMINUTES - 06092015 - D.3RECOMMENDATION(S):
ADOPT Resolution No. 2015/197 approving the Side Letter between Contra Costa County and the Physician and
Dentists Organization of Contra Costa, adding Emergency Department Backfill Duty Pay and Use of Locum Tenens
language to the current Memorandum of Understanding (October 1, 2008 – October 31, 2016).
FISCAL IMPACT:
The current cost for Emergency Department Physicians via contacting agencies (Locum Tenens) is $265/hour. The
hourly rate that will be paid to staff physicians in the Emergency Department to work beyond their full time obligation
to provide backfill hours will be $180/hr. This will result in a net savings of $85/hr. It is reasonable to predict that
employees will chose to work backfill at CCRMC rather than doing so at other local emergency departments as is
their current practice. If half the Physician Locum Tenens hours in the Emergency Department are converted to
backfill coverage by existing staff, savings would be $100,000-$300,000 annually.
BACKGROUND:
On June 10, 2014, the Physicians' and Dentists' Organization of
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 06/09/2015 APPROVED AS RECOMMENDED OTHER
Clerks Notes:See Addendum
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
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Glynis Hughes, (925)
335-1784
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: June 9, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Harjit Nahal, Assistant Auditor-Controller, David Goldstein, Chief Medical Officer, Lisa Lopez, Assistant HR Director
D. 3
To:Board of Supervisors
From:David Twa, County Administrator
Date:June 9, 2015
Contra
Costa
County
Subject:Emergency Department Backfill Duty Pay Side Letter
BACKGROUND: (CONT'D)
Contra Costa (PDOCC) filed a grievance regarding the use of Locum Tenens in the Emergency Department. As a
result of the grievance, the parties agreed to outline the terms whereby a Locum Tenen can be utilized as a
contracted provider. Rather than compensating a Locum Tenen to perform services in the Emergency Department,
it is more cost effective to offer the extra shifts to County Exempt Medical Staff Physicians (VPW9), who are
assigned to the Emergency Department at the rate of $180 per hour in excess of their designated monthly paid
hours (not including differentials).
The attached Side Letter, effective June 1, 2015, defines who is eligible to receive Emergency Department
Backfill Duty Pay and at what rate. The Side Letter also identifies a process for utilizing the services of Locum
Tenen contractors.
The terms of the Side Letter will be incorporated into the successor MOU between the County and PDOCC.
CONSEQUENCE OF NEGATIVE ACTION:
County will continue to pay Locum Tenens at a much higher rate instead of offering County Doctors the
opportunity to work extra shifts at $180 per hour in the Emergency Department.
CLERK'S ADDENDUM
ADOPTED Resolution No. 2015/197 approving the Side Letter between Contra Costa County and the
Physician and Dentists Organization of Contra Costa, adding Emergency Department Backfill Duty Pay and
Use of Locum Tenens language to the current Memorandum of Understanding, as amended today to have an
effective date of March 1, 2015.
ATTACHMENTS
Resolution No. 2015/197
PDOCC - Side Letter - Locum Tenens