HomeMy WebLinkAboutMINUTES - 10102006 - D.1 i
TO: BOARD OF SUPERVISORS Contra
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FROM: LORI GENTLES, Assistant County Administrator- Costa tc —�.�:_
Director of Human Resources
�. County
DATE: October 10. 2006 ,
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SUBJECT: P300 20159 — Health Services Department �, 1
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SPECIFIC REQUEST(S)OR RECOMINIENDATION{S &BACKGROUND AND JUSTIFICATION
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RECOMMENDATION:
Adopt Position Adjustment Resolution #20159 to ADD fifteen permanent full-time (10 Registered Nurse
Advanced Level (VWXE-Represented) and 5 Registered Nurse Experienced Level (VWX3-Represented)
positions for the Contra Costa Regional Medical Center Labor and Delivery Unit.
FISCAL IMPACT:
The Health Services Department calculates the estimated annual cost associated with adding these positions I
with benefits will be $2,068.088. The cost of these positions will be offset through reduction in overtime and
registry use.
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BACKGROUND:
Health Services is requesting to add fifteen permanent full-time (10 Registered Nurse Advanced Level and 5 I
Registered Nurse Experienced Level) positions for the Contra Costa Regional Medical Center Labor and
Delivery Unit.
These positions are required to handle the anticipated increase in patients due to the closure of the Labor and I
Delivery Unit at Doctors Medical Center. ;
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CONSEQUENCE OF NEGATIVE ACTION: i
Should this request not be granted. the Contra Costa Regional Medical Center Labor and Delivery Unit will not
have proper staffing levels and coverage for the increase in patient due to the closure of the Labor and
Delivery unit at Doctor's Medical Center.
CONTINUED ON ATTACHMENT: ✓ YES SIGNATURE
�✓
RECOMMENDATION OF COUNTY ADMINISTRATOR REC ATCNICON014 OF BOARD C IhIITTEE
Z/ APPROVE OTHER
SIGNATURES_ r
ACTION OF
BOAR (nr� _Lt(1 ('G ��6 APPROVED AS RECOMMENDED OTHER I
j.2A AT WC I+E �0&14107. j
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VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY
OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE i
BOARD OF SUPERVISORS ON THE DATE SHOWN.
UNANIMOUS(ABSENT
AYES: NOES:
ABSENT ABSTAIN:
Cartact. She;;ey P:gh 75250 y�
Cabb Ca` vce738IXa r �C ;
Cc: Health Services
s ATTESTED (J (%(,u_4
Human Resources JO .N B-CULLEN.CLERK G THE BOARD OFSUPERVISORS
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BY: it ,:i DEPUTY
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CONTRA COSTA CGInVTY
J RECEI'v_p s I
POSITION ADJUSTMENT REQUEST 1�
��F
SEP 2 8 2006 ' No.
Z- 0
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OFFICE OF DATE
COUNTY ADMINISTRATOR
DEPARTMENT NO.- COPERS
DEPARTMENT: Health Services Hospital & Clinics BUDGET UNIT NO. 0540ORG NO. 6340& 6301 AGENCY NO. A-18 i
ACTIO: REQUESTED: Create 10 permanent full-time Registered Nurse-Advanced Level(VNN-SE) Positions for cost center �
15
6340 & 5 Permanent full-time Registered Nurse-Experience Level(%•R:tD) Positions for cost center 6301 t,
PROPOSED EFFECTIVE DATE:
CL.ASSIFICAT:ON QUESTIONNAIRE ATTACHED: YES - NO- CoSt is xuhm ulept budget-. Yes- No= i
TOTAL ONE TIME COSTS=:on-saiar. j ASSOCIATED WITH REQUEST: S -0-
ESTIMATED
0-ESTIM TED TOTAL COST ADJUSTMENT(salarx oeazas one:in e':
TOTAL-ANNUAL COST S 2.068.088 NET COUNTY COST S -0-
TOTAL THIS FY S 1.3-8."_5 N.C.C. THIS F1' S -0-
SOURCE
0-SOURCE OF FUNDING TO OFFSET ADJUSTMENT: 100°- offset through reduction of overtime-&- reggistrn use
DEPA'R NIENT MUST INITIATE NECESSARY ADJUST\LENT AND SUBMIT TO CAO.
USE ADDITIONAL SHEET FOR FURTHER EXPLANATIONS OR COMMENTS-
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=or, 'A:: iam. B. '%V ii , b1.D.. H2a::.. Se..ice; D:r ct�r
REVIE`: ED BY CAO AND RELEASED TO HUMAN REQ _ S'DEPART`.IENT
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DEPU T l COUN Y ADMINISTRATOR DATE
HUMAN RESOURCES DEPARTMENT RECOMMENDATION: DATE i�=jeer '-
Sra
A- V nv Re o u a_.1 '1-1 est-his :ri=ro :ions and reSo,w::or._nl-a rri:.:a„2s to['-e B,?6t: xeri-..,rr ar%
E--sec i`.-2: .--' Da- f3l'1 .1.._Board A.a-Ion
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(for 'ES
COUNTY ADMINISTRATOR P,ECOMME\DATION DATE: 3 l I
Approxe Recorn 2:dat.oe o'Director of Human Resources
- Disapp.o.e Recommeadatior. of Direc.or of Human Resources
!for) COUNTY AIDMINISTRATOR
BOARD OF SUPERVISORS ACTION: john Callen.C:_--k o'the Board of Supervisors Coan.x Adm:r.iStrator I
Aziustmen: :APPROVEDX- DISAPPROVED = I
DATE: !t - ;C ;t {j BY:--
APPRO`AL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL,SALARY RESOLUTION ANI EN M NT I
POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING
BOARD ACTION. Ad;ust class'--s- posi:ion(s)as foilox%s:
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iF REQUEST IS TO ADD PROJECT POSITIONS CLASSES. PLEASE COMPLETE OTHER SIDE
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HUMAN RESOURCES DEPARTMENT RECOMMENDATION: I
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P300 #20159
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ADD fifteen permanent full-time Registered Nurse positions as follows:
Ten (10) Registered Nurse Advanced Level (VWXE-Represented) positions at I
salary level L-32-1878:
Five (5) Registered Nurse Experienced Level (VVVX3 Represented) positions at I
salary level L3H-0400 for the Contra Costa Regional Medical Center Labor and i
Delivery Unit.
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ADDENDUM �
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October 10. 2006: Agenda Item D.1
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On this day. the Board of Supervisors considered accepting an update from the Health
Services Director on the West Contra Costa Healthcare District discussions regarding I
possible closure of Doctors Medical Center San Pablo Pinole and determining actions to j
be taken- and adopting Position Adiustment Resolution No. ?0159 to add 1_5 Registered
Nurse positions: 10 Registered Nurse Advanced Level and 5 Registered Nurse
Experienced Level for the Contra Costa Regional Medical Center Labor and Deliver-,-
Unit.
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Chair Gioia introduced the item. saving there have been good. thoughtful. creative
discussions on this issue. and that he is appreciati�e of the ver-hard work of the Health I
Department staff and theUnions. He said he reels some optimism that a solution can be
reached.
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Dr. William Walker. Health Services Director. said that Doctors Hospital San Pablo is I
important to the entire community in terms of the balance of services. He said he would
like to discuss a solution that would work and said this Mould involve an infusion of
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money based upon a transfer of the property tax revenues for a period of time from the I
West Contra Costa Hospital District to Contra Costa Count.. He said this would allow
the Court%'s participation to be secured by the propert tat and would allow a sum of
phoney to be used to contribute to the State for matching tinder the mechanism of
nhtergoverrunMtally transfer state funs. He said this would create the need for an �
overriding structure to govem the process. similar to a Joint Pourers Agreement i JPA).
He said that unfortunately. the structural chanes needed would require layoffs and pink-
slips
inkdips- a process in place at Doctors Hospital "as we speak."
Dr. R"a:ker said he agrees with the numbers in the proposed business plan. but noted that I
the numbers can only be borne out in time. He also said it is essential to involve other !
partners. such as Kaiser Permanente and John Muir Mt. Diablo. whoa ill provide
financial support and perhaps also be participants in the JPA_ He said discussions with
the Bankrupts Court will also need to be pan of:the process of the mama-discussions that
.viii :heed to be he'.d in the nett few weeks.
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Chair Gioia conhmented that the issues all revolve around: i 1 i the short-term influx of i
cash: i_'i reallocations from, and the establishment of a JPA between. the Health Car.-
District
areDistrict and the Count: 031 Count- involvement in a lona-term vision: (4) the «ork-in-
progress of a structural evaluation; and (`) identifying and bringing in partners and anv j
other elernents that can add value.
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Supen-isor Piepho asked about impacts to the County Reserves and General Fund. j
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Dr. Walker responded that there is no anticipated impact: that figures have been based on j
Propert•Tat revenues. i
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October 10. 2005 I
D .
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Page ' of-41 I
Chair Gioia noted the importance of the Count.-hax-in- a majority-on any proposed �
o:erstg_"_t board. i
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Super,icor Glover. refernng to the past closure of Los Medanos Hospital, said his �
primary-concern is the impact on County services.
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Supervisor DeSaulnier said. "We have their business plan, now it's important to have I
ours ffor considerat:ons." He said it will be important to have to place a process that,
should the possibility arise that Count_:costs will go tip, would then trigger the need for
the matter to be returned to -he Board so the Board can consider the options. I
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Supers icor t i.kema asked about assurances for the intergovernmental transfers. j
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Dr. Calker respond:d that the transfers were highly likely but not guaranteed. I
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Supervisor L ilkema then asked about the possibility of a starting option where, for
example, nurses could be transferred between the Regional Medical Center and Doctors
Hospital. j
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Dr. Wal'Ker said that possibility could become part of tiie JPA that may be developed, but �
ti�at details would have to be worked out with ani-ins olved bargaining units. �
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The Chair called for public comment, and the following people spoke:
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Rev. Phil Lawson, resident of Hercules, informing the Board members of
the Interfaith communing•would like to help the Count-in responding to
their needs:
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• Richard Leung, resident of Oakland. thanking the Board for stepping up to
the plate; I
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• Dr. Desmond Carson, M.D. resident of Richmond. spoke about the
shortage of Emergency-Room Nurses. and requested the Board to act on
formation of a JPA soon:
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• Sandra Falk. Local 1. urging the Board to step in and take control of
Doctors Medical Center to insure that it stars open;
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• Suzanne Sultan. resident of Oakland. supports forming a J.P.A. and said
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the Inion looks forward to working with the Board of Supervisors;
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• Tony Thurmond, resident of Richmond, requested the Board to take an
unanimous vote.
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Ocrober 10. '006
D.1
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• Pam Aguilar, Central Labor Council. thanked the Board for supporting
DMC and urged the Board to act on a JPA;
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• Maria Alegria. -NIayor Pro Tem. Pinole. applauded the Board for taking j
control of The situation in Doctors Medical Center_: I
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• Jim Rader, resident of Oakland. ur,in,the Board to take over DMC: I
• Charlene A:-rineton, resident of Rodeo, urging the Board for an immediate I
intervention to take over the Doctors Medical Center:
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• \ancv Casazza. resident of Pinole. said she supports the comments of I
District Board Members:
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• Laurel Hodgson. resident of LafavItte. spoke of the morale at Doctors
Medical Center and the shortage of Nurses:
• Deborah Campbell. resident of Hercules. urging the Board to take over j
DMC: I
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• Kris Hunt, Contra Costa Taxpayers _association, urging the Board to be
very-cautious regarding the financial aspect of taking over Doctors
Medical Center.
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Supervisor L ilkema said she would like to add to the motion that staff seek legal advice
regarding JP� structures. and return to the Board with :-hat a proposed structure would I
look like. along.rith any other possibilities that come up.
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Chair Gioia said that. to clarif:-. the Board will be accepting the update and giying I
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direction, w$ich includes the direction to explore the principles and parameters of a JPA-
the
PA,the issue of funding including Property Taxes and intergovernmental transfers, the issue
of"community engagement," and the identification of other possible partners.
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John Cullen. Count_ administrator. said that,,yhile good progress has been made._ it
would be a mistake for the public to come away from this discussion thinking the County �
has found a solution that�yili keep the hospitals doors open. He said that there are many i
issues still to work out. I
Chair Gioia said there is also the issue of conflict of interest regarding the lacy firm of I
Foley- & Lardner. V
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Silyano Marches:. County Counsel. said that the firm tre County would like to use also
represents the District in Bankruptcy-Court.
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Chair Gioia asked ,vhv the_were selected. j
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October 10. 20005
D.1
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Dr. W alk:r responded that Foley & Lardner is the firm in the state most cognizant of
intergovernmental transfers and of relevant hospital and medical issues. �
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Chair Gioia included w atvin�_- the conflict of interest into the motion. �
B:'Ll rode of?-U::iti: none absent. the Board of SuvervitsorS took tiie toll 0-"t action:
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DIRECTED staff to provide update ev ery week and explore the principles and I
parameters of a Joint Powers Authority. the issue of funding including Property Tates i
and intergovernmental transfers. the issue of"community en2aaement." and the �
identification of other possible partners: ADOPTED Position Adiustment Resolution I
No:20159 to add :fifteen permanent full-time (10 Registered'Nurses Advanced Level
YWNE-Represented) and 5 Registered Nurse Experienced Level (\-WX"=-Represented
pos_tions for the Contra Costa Regional Medical Center Labor and Delivery Unit: and i
WAIVED conflict of interest and authorized Health Sen-ices Department to «ork with
FOICv and Lardner or. this matter.
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�P.I
S�C,clr�Fa1K
Dear Contra Costa County Board of Supervisors:
I am a resident of West County and we need your help to save our
community hospital—Doctors Medical Center. We are asking you to step in
and take control of DMC to insure that it stays open. I am sure you agree that
DMC is a critical need for West County. We can't live without it!
Name
City of Residence Date
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Inclusionary Housing Ordinance
October 10. 2006 '
Page 2
FISCAL IMPACT:
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Some costs may be borne by the Community Development Department during the pre-application l
phase. Staff anticipates some developers will opt to pay a fee in-lieu of developing the affordable
housing units. A portion of this fee may be used to cover costs of implementing the Inclusionary
Housing Ordinance.
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CEQA COMPLIANCE:
Staff completed an Initial Study and determined that adoption of the Ordinance will not have a
significant impact to the environment. Therefore a Negative Declaration has been prepared. Each
development project subject to the Ordinance will undergo a separate CEQA review.
BACKGROUND/REASONS FOR RECOMMENDATIONS:
On September 26. 2006. the Board held a public hearing on Inclusionary Housing Ordinance.
Ordinance No. 2006-43 (Ordinance). The Board fixed October 3, 2006 to adopt the Ordinance. The
Ordinance is a proposal to add Chapter 822-4 to the County Ordinance Code to require new
residential developments to include a minimum percentage of dwelling units that are affordable to
very-low. lower. and moderate income households. In residential developments of five (5) or more
units, fifteen percent (1500) of the dwelling units must be affordable. Developments of four (4) or
fewer units are not subject to the requirements of the recommended Ordinance. The recommended
Ordinance provides some alternative compliance options. including the payment of fees in-lieu of
developing affordable units ("in-lieu fee"). allowing the affordable units to be developed on a separate '
site. and allowing a developer to convey land suitable for affordable housing development to a
qualified affordable housing developer. In addition. the County may consider any other reasonable i
alternative that a developer proposes. These proposals may include pooling of resources with other
developers. or receiving credit on a future project for additional affordable units in a current project.
The recommended Ordinance also establishes rental and sale restrictions on inclusionary units that
are enforced by a recorded agreement between the County and the developer.
On September 26. 2006. the Board directed the following changes be made to the Ordinance:
I. Allow in-lieu fees to be paid on developments with up to 100 units. Projects with 100 units or more l
will not be able to pay in-lieu fees.
Adopt an in-lieu fee based on the difference between an affordable purchase price. or rent. and
the median purchase price. or rent differential. ,
Direct staff to conduct a study and determine an in-lieu fee using the development cost gap i
methodology.
4. Return to the Board of Supervisors with fee studies based on price gap and development cost gap
for consideration of Ordinance Amendments. if appropriate and desired.
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The Board requested resolution of the issue surrounding the calculation of the in-lieu fee. On
September 26. the Board determined it would set the in-lieu fee based on the difference between a i
median priced home (or rent) and the price (or rent) affordable to the targeted income group (price
gap"). The board directed staff to conduct an in-lieu fee study based on the gap between the total i
development cost and the price (or rent) affordable to the targeted income group ('development
gap"). Staff has a study based on the price gap methodology and is preparing a resolution to submit i
to the Board to adopt a fee based on this methodology. A study based on the development gap will
take several months to conduct and may not yield a significantly different fee. Conducting a second
study would allow the Board to compare both approaches and select the approach it feels is most
appropriate.
On October 3, 2006. the Board directed that additional changes be made to the ordinance to clarify
that funds from in-lieu fees be spent on affordable units. The Board further requested that the I
Ordinance clarify which developments are exempt from the requirements of the Ordinance. The i
Board also discussed mechanisms for enforcing the timely construction of inclusionary units.
Attached to this Board Order are three versions of the Inclusionary Housing Ordinance that address
the Board's concerns. ;
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