HomeMy WebLinkAboutMINUTES - 06162015 - C.41RECOMMENDATION(S):
ADOPT Position Adjustment Resolution No. 21685 two (2) Community Health Worker II (VKVB) positions at salary
level QT5-1043 ($36,422-$44,271); two (2) Registered Nurse-Experienced Level (VWXD) positions at salary level
L3H-0400 ($87,667-$97,712); one (1) Public Health Program Specialist I (VBSD) position at salary level ZA5-1602
($63,349-$77,001); three (3) Public Health Nurse (VVXA) position at salary level QT2-1832 ($83,457-$112,241) in
the Health Services Department. (Represented).
FISCAL IMPACT:
Upon approval, this action has an annual cost of approximately $1,133,741.00, which includes $247,681.09 in
pension costs. The cost will be funded by CCHP member ACA premiums and MAA/TCM revenue.
BACKGROUND:
Health Services is currently working across the multiple divisions in our health delivery system to determine and
secure the staffing needs necessary to launch the high acuity health home at the West Counth Health Center (WCHC)
by July, 2015. The staffing requirements are substantial to support the high-touch and high-acuity care that this health
home will need to be
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 06/16/2015 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
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Arlene J. Lozada
(925)957-5269
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 16, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc:
C. 41
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:June 16, 2015
Contra
Costa
County
Subject:Add eight permanent positions in the Health Services Department
BACKGROUND: (CONT'D)
successful. All divisions are committed to provide coordinated services including primary care in an
interdisciplinary and integrated model with a high degree of access for patients enrolled including daily clinic
accessibility for any patient in the cohort.
We propose to develop a high acuity health home model for our super utilizer population at WCHC. The team
will be interdisciplinary with a coordinated case management model that works to address both the medical and
non-medical needs of the patients enrolled. The intervention team will coordinate and integrate multidisciplinary
continuity services to address the complex, diverse and unmet needs that are not effectively addressed in high-cost
acute care settings. The program design will follow some of the best practices and models developed around the
nation with regard to caring for the patients with complex care. Most of these models rely on robust
interdisciplinary team with coordinated case management services at the core to prioritize the diversity and acuity
of services needed to care for this medically and socially complex population. We are borrowing from these
models to design a specific and relevant model for our unique patients and system. The model is designed to
address the complex and numerous physical, mental and social health needs amongst a specified high-risk,
high-need, high-cost population. These interventions will provide appropriate medical, mental and social health
needs therefore reducing cost, (both inappropriate and overall cost).
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, staffing needs to launch the high acuity health home at West County Health Center
by July 2015 will not be realized
CHILDREN'S IMPACT STATEMENT:
No Applicable.
ATTACHMENTS
P-300 #21685