HomeMy WebLinkAboutMINUTES - 04091985 - 2.3 p� •.2
.'TO: BOARD OF SUPERVISORS
FROM: � Contra
Phil Batcheloi, County Administrator COSta
y Mark Finucane, Health Services Director County
April 5, 1985
SUBJECT: HEALTH SERVICES' FINANCES
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS;
1. Accept the following report from the County Administrator
and Health Services Director.
2. Approve the elimination of the six ( 6 ) positions identified
on the attached P 300.
FINANCIAL IMPACT:
In order to ensure that the Health Services ' budget remains
balanced for the remainder of the current fiscal year, and in
light of a review of both the Department' s expenditures to date
and revenue projections, the Health Services Director has taken
the following actions:
1. No position in the Health Services Department may be
filled without the specific written authorization of
the Health Services Director.
2. No travel or training is authorized for any staff in
the Department unless deemed essential.
3 . Repair of the hospital roof has been halted for the
balance of the fiscal year.
4. The Department has imposed a significant expenditure
reduction program, including efforts to contain the use
of temporary salaries and overtime.
5. All services and supplies accounts and contracts have
been reviewed for potential savings. Wherever
possible, purchases have been deferred until the
1985-86 fiscal year.
6. The Health Services Director is terminating five
temporary employees, but has requested authority to
retain the positions. Future filling of these
positions will be reviewed as a part of the 1985-86
budget.
CONTINUED ON ATTACHMENT:—X -YES SIGNATURE:
_p_ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
X APPROVE OTHER
SIGNATURE(S) 0 L ,7JZ Z_. 4�^
ACTION OF BOARD ON pri 1 9, 198b APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
County Administrator
CC: Health Services Director ATTESTED lk2A� ZZ 6 Z.2
Auditor-Controller l
Director of Personnel � PHIL ATCHELOR, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY DEPUTY
Page 2
7. Six ( 6 ) vacant permanent full-time positions, five of
which are Management, are being recommended for
elimination by the Board.
It is our belief that these actions will assist in ensuring
that the Department' s budget remains balanced.
REASON FOR RECOMMENDATION:
In preparation for the Third Quarter budget review, which will be
presented to the Board later this month, the expenditures and
revenues for the Health Services Department have been reviewed.
It has been determined that the actions outlined above, including
action by the Board in canceling these positions, is necessary in
order to ensure that the Department' s budget remains balanced.
However, it must be understood that the situation in the
Department is very fluid and may be subject to wide variations,
particularly with changes in the hospital census. Expenditures
and revenues are being monitored very closely by both the
Department and the County Administrator' s Office. Any change in
financial situation will be reported to the Board and corrective
action will be taken.
BACKGROUND:
As we have earlier reported to the Board, expenditures in the
Health Services Department increased significantly during January
and February, 1985. The increases occurred in virtually all
divisions, but the hospital and outpatient clinics experienced
the largest increases. This is attributed primarily to the very
strong census. It is important to emphasize that the actions
taken thus far stem primarily from expenditure increases. The
Department' s revenue position appears to be on target. Except
for outpatient Medicare, all bills are current. The Health
Services Department' s cash position is improved over last fiscal
year. While the census is currently high, it can drop
unexpectedly.
It is emphasized that the Department has performed well for the
first three quarters of the fiscal year under very difficult
circumstances. The staff has performed well, and even more will
be asked of them during the last quarter of this fiscal year.
The staff of the Health Services Department should be commended
by the Board for their professionalism and commitment under these
difficult conditions.
As the Department' s administrative structure and delivery system
are refined, a number of positions will be deleted or added to
ensure that the Department is administered effectively. We will,
therefore, continue to make reports similar to this one to the
Board at regular intervals as additional information becomes
available and as additional changes in the Department' s
organization require Board action.
-A� POSITION ADJUSTMENT REQUEST No.
Date: 4/4/85
Dept. No./ PERSONNEL CE Copers
Department Health Services Budget Unit No. 0540 Or . No. v ous Agency No. 54
— PSR � 42i! —
Action Requested: Cancel the six (6) positions on the attached list.
Proposed Effective Date: 4/17/85
Explain why adjustment is needed: _ Budget reductions.
V assification Questionnaire attached: Yes [] No
Estimated cost of adjustment: $
Cost is within department's budget: Yes Q No
If not within budget, use reverse side to explain how costs are to be funded.
Department must initiate necessary appropriation adjustment. Web Beadle
Use additional sheets for further explanations or comments. De artment Personnel Officer
for Department Head
Personnel Department. Recommendation
Date:
Cancel Assistant Director of Nursing positions 586 and 589, Salary Level C5 1907
(3057-3716) ; Health Services Administrator-C position #797, Salary Level T5 1193
(2991-3644) ; Health Services Planner/Evaluator #783, Salary Level TB 1193 (1613-2224) ;
Health Care Counsellor III #772, �Salary Level C5 1389 (1822-2214) ; Secretary position
#39, Salary Level T8 943 (1569-1912).
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the
Basic/Exempt Salary Schedule, as described above.
Effective: p day following Board action.
Date for Director Personnel
County Administrator. Recommendation
Date: �—8S
rove Recommendation of Director of Personnel
o Disapprove Recommendation of Director of Personnel
0 Other:
or County Administrator
Board of Supervisors Action APR 91985 Phil Batchelor, Clerk of the Board off` _
Adjustment APPROVED/ on Supervi rs and County Administrator `
Date: APR 9 05
By.
APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT.
fU'IA'71 c 100
ATTACHMENT A
In addition to the permanent positions being cancelled, I have
also specifically eliminated approximately $19,600 in anticipated
FY 84-85 expenditures for 5 hospital assignments recently vacated
or currently filled by temporary employees. These reductions are
in addition to the general freeze I have imposed on hiring.
These assignments include:
1 Full-time Respiratory Therapist @ $2,117/mo
1 Full-time Pharmacist @ 2,534/mo
1 Part-time Radiology Technician @ 833/mo
1 Full-time Clerk @ 1,637/mo
1 Part-time Clerk @ 720/mo
TOTAL @ $7,9+1/mo
ATTACHMENT TO P-300
Classification Position Number
Assistant Director of Nursing 0586
Assistant Director of Nursing 0589.
Health Services Administrator "C" 0797
Health Services Planner/Evaluator 0783
Health Care Counsellor III 0772 ' -
Secretary 0039