HomeMy WebLinkAboutMINUTES - 02141995 - 1.47 iA7
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THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on February 14, 1995 by the following vote:
AYES: Supetvisors Rogers , DeSaul.nier, Torlakson and Bishop
NOES: None
ABSENT: None
ABSTAIN: Supervisor Smith
S U BJ ECT:
Implementation of Productivity )
Incentive as Defined in the ) Res. No. 95/ 53
UAPD 1993-1995 MOU )
1 . On March 1 , 1994, the Board adopted Resolution 94/118 which approved
a Memorandum of Understanding between the County and the Union of
American Physicians and Dentists (UAPD) containing various terms and
conditions of employment for the contract period October 1 , 1993 through
December 31 , 1995
2. Section 5.1 (G) Salary Structure of the MOU contains provision for award
of additional pay on or after January 1 , 1995 in the amount of one percent
(1 Yo) to employees in the Unit based upon enhanced productivity criteria
which was to be developed by a joint labor/management committee.
3. The Director of Health Services has accepted a final recommendation from
the labor/management committee that the incentive criteria be in the form
of an on-going patient satisfaction survey mechanism which assesses
provider service levels and allows corrections for enhanced effectiveness
and competitiveness and has recommended that Section 5.1 (G) be
implemented effective February 1 , 1995 in consideration thereof; NOW
THEREFORE:
The Contra Costa County Board of Supervisors in its capacity as governing Board
of the County of Contra Costa, and all districts of which it is the ex-officio
governing Board, RESOLVES THAT effective February 1 , 1995, all classifications
represented in the Physicians and Dentists Unit be adjusted upward on the salary
schedule by ten (10) levels.
1 hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supe isTs on the date shown.
ATTESTED: dam—+( 1q,
PHIL BATCHELOR, erk of the Board
of pervisor nd County Administrator
By 1. J.J�a .DeautY
Orig. Dept.: Personnel (Contact Rich Heyne @ 646-4146)
cc: Employee Relations Division
Auditor-Controller
Health Services Department
95/53
Contra Costa County
C Q N T R
The Board of Supervisors HEALTH SERVICES �,#'#IN .c`. r.,;OFFICE OF THE DIRECTOR
Tom Powers,1st District Mark Finucane, Director
Jeff Smith,2nd District 95 JAN 10 AH 2: 56.
Gayle Bishop,3rd District 20 Allen Street
Sunne Wright McPeak,4th District se__L Martinez,California 94553-3191
Tom Torlakson,5th District T ,^ (510)370-5003
FAX(510)370-5098
County Administrator `
of
Phil Batchelor
County Administrator .'
't COUri'�
TO: Leslie Knight
Director of Personnel
Att: Rich Heylne
La r R.-': j
' ations Manager
FROM: Mark Finucan
Director of Health Services
DATE: January 3, 1995
SUBJECT: UAPD Productivity Award
This is to advise you that, pursuant to section 5. 1G. of the
Memorandum of Understanding between the County and the Union of
American Physicians and Dentists (UAPD) , the labor-management
committee has met and conferred in good faith and has fulfilled its
responsibility to develop a process. to measure enhanced
"productivity".
During the course of those discussions, it was clear that both the
Union and the Department feel strongly that any system that pits
one individual against another or measures individual merit, is
doomed to fail. The old "incentive pay" system already proved
that. Similarly, measuring "productivity" in the traditional sense
can have a disastrous negative consequence on our system. For
example, a physician who increases the number of patients seen on
a given day, may do a more cursory exam, resulting in the patient
returning more frequently, or to a more expensive setting, such as
the Emergency Department or surgery.
There was unanimous agreement by the committee that,the goal of the
project must be to enhance the system's competitiveness. Since the
physicians and dentists cannot control the efficiency and
effectiveness of non-provider functions, the decision was made to
do a "user" survey, measuring satisfaction with provider services
only. In consultation with the Health Plan Director, it was
determined that patient satisfaction with the provider is a
significant determinant of competitiveness. We expect to do a test
run early in 1995 and a full run in June or July, in order to
establish a base line for what may become semi-annual surveys.
Merrithew Memorial Hospital&Clinics Public Health • Mental Health • Substance Abuse Environmental Health
Contra Costa Health Plan Emergency Medical Services • Home Health Agency Geriatrics
A-345 (2/93)
1. 117
TO: Leslie Knight, Director of Personnel
Attention: Rich Heyne, Labor Relations Manager
FROM: Mark Finucane, Director of Health Services
DATE: January 3, 1995
SUBJECT: UAPD Productivity Award
Page 2
Increases or decreases , in satisfaction may then have a
corresponding impact on salaries.
When the MoU was executed, it was the intent of both parties to
have a system in place that would result in awarding the 1% by the
beginning of 1995. Although the committee worked in good faith
over several months, we underestimated the difficulty we would have
in defining the goals and guiding principles leading to the final
plan. Since we have met the spirit of section 5. 1G and will be
moving ahead with the plan, I am recommending that the 1% be
awarded across the board, effective 2/1/95. The physicians and
dentists have clearly demonstrated a commitment to the future
success of our health plan and services, and should be given
appropriate recognition. As a significant side benefit, the survey
will allow us to use the patients' perceptions as a basis for
allocation of additional limited resources to further enhance
competitiveness.
LE:mk:mdpmd
cc: Alan Elnick
Lois Ellison