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Home My WebLink AboutMINUTES - 02062007 - C.55 I SE Contra E- L TO: BOARD OF SUPERVISORS ��=-�;t"�'=°�' FROM: LORI GENTLES, Assistant County Administrator- Costa;%u;p° tai: z Director of Human Resources Count DATE: February 6, 2007 �° y SUBJECT: P300 20209 — Health Services Department , SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: Adopt Position Adjustment Resolution #20209 to ADD four full-time Exempt Medical Staff Physicians (VPW9) positions for Brentwood, Antioch and Pittsburg ambulatory care clinics. FISCAL IMPACT: The Health Services Department has estimated an annual cost of$969,284.80 to add four full-time positions. There is no net County cost associated with this request as the positions will be funded by Federally Qualified Health Care (FQHC) revenue. BACKGROUND: The Health Services Department is requesting to add four full-time Exempt Medical Staff Physicians for Brentwood, Antioch, and Pittsburg ambulatory care clinics. This request will provide physician services for ambulatory care clinics and ensure clinic based family practice coverage during vacation, holiday, sick coverage, evenings and weekends in Brentwood, Antioch and Pittsburg. Currently, family practice clinic visits are subject to cancellation due to inadequate staffing. CONSEQUENCE OF NEGATIVE ACTION: Should this request not be granted, the east County family practice clinics will not have sufficient staff coverage during vacation, holiday, sick coverage, evenings and weekends. CONTINUED ON ATTACHMENT: X YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON JCf3yt?�p✓j'l/1 Ap APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE UNANIMOUS(ABSENT BOARD OF SUPERVISORS ON THE DATE SHOWN. ) AYES: NOES: ABSENT: ABSTAIN: Contact: Shelley Pighin-75250 Cabb Calloway-51738 Cc: Health Services ATTESTED Human Resources JOHN B.CULLEN,CLERK O BOARD FSUPER (ISO BY: DEPUTY __.. RECEIVED DEC O 12006 POSITION ADJUSTMENT REQUEST W NO. OFFICE OF COUNT`.! ADMINISTRATOR DATE 11/20/06 a DEPARTMENT NO./ COPERS DEPARTMENT:Health Services/Hospital&Clinics BUDGET UNIT NO. 0540 ORG NO. 6462 AGENCY NO.A-18 ACTION REQUESTED: ADD Four(4)40/40 Exempt Medical Staff Physician positions (VPW9). PROPOSED EFFECTIVE DATE: CLASSIFICATION QUESTIONNAIRE ATTACHED:YES NO X Cost is within dept budget: Yes X No coi TOTAL ONE TIME COSTS(non-salary)ASSOCIATED WITH REQUEST: $ -0- ESTIMATED TOTAL COST ADJUSTMENT(salary/benefits/one-time): n ` TOTAL ANNUAL COST $969,284.80 NET COUNTY COST $ -0- TOTAL THIS FY $484,642.40 N.C.C.THIS FY $ -0 SOURCE OF FUNDING TO OFFSET ADJUSTMENT: 100%Funding Offset From FQHC(Federally QualirA 1160): Care) tV DEPARTMENT MUST INITIATE NECESSARY ADJUSTMENT AND SUBMIT CAO. USE ADDITIONAL SHEET FOR FURTHER EXPLANATIONS OR COMM S^` (for)William.B.Walker,M.D.,Health Services Director REVIEWED BY CAO AND RELEASED TO HUMAN 7UR-CES'DEPARTMENT DEPUTY CO41NI -A-15MINISTRATOR DATE HUMAN RESOURCES DEPARTMENT RECOMMENDATION: DATE - �� ADD four (4) full-time Exempt Medical Staff Physicians (VPW9-Represented) positions at salary level 1 P2-2220 for Brentwood, Antioch, and Pittsburg ambulatory care clinics. Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basis/Exempt salary schedule. Effective: X Day following Board Action (date) (for) DIRECTOR OF HUMAN RESOURCES COUNTY ADMINISTRATOR RECOMMENDATION DATE: v1k prove Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources Other: f 7 4C ,�:• _�,�� j r4) COUNTY ADMINISTRATOR ( BOARD OF SUPERVISO ACTION: John Cul n,Clerk&ihe Board of Supervisors/County Administrator Adjustme t PRQVE DISAPPROVED DATE: BY: APPROV4L qF THIS JUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION. Adjust class(es)/position(s)as follows: IF REQUEST IS TO ADD PROJECT POSITIONS/CLASSES,PLEASE COMPLETE OTHER SIDE TO: BOARD OF SUPERVISORS Www Costa Contra - w a FROM: LORI GENTLES, Assistant County o. J � ��" Administrator-Director of Human Resource; .;,— cosT'`i COIJIZ� � County DATE: February 6, 2007 SUBJECT: P300 20190 — Health Services Department ' J SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: Adopt Position Adjustment Resolution #20190 to ESTABLISH (4) classifications for the Mental Health Division; Mental Health Vocational Counselor I (VQWF-Represented), Mental Health Vocational Counselor II (VQVC-Represented) Mental Health Vocational Services Coordinator (VQ H Q-U n represented), Dual Diagnosis Program Specialist (VQWG-Represented), ALLOCATE classifications to the salary schedule; CANCEL Mental Health Vocational Counselor I-Project (VQWG-Represented) position #12725 ADD one (1) Mental Health Vocational Counselor I (VQWF-Represented) position CONTINUED ON ATTACHMENT:_X_YES SIGNATURE: ---RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOAFD N t (�� v APPROVE AS RECOMMENDED_ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE —,XUNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED t tA-'J JOHN CULLEN,CLERK HE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATO Contact Person: CC: BY: DEPUTY BOARD ORDER page2 P300#20190 TRANSITION employees and their positions into the Merit System as follows: Position Position Classification New Classification Number Hours 12374 40 Mental Health Vocational Mental Health Counselor I-Project Vocational Counselor 1 12375 40 Mental Health Vocational Mental-Health Counselor II-Project Vocational Counselor II 12376 40 Mental Health Vocational Mental Health Counselor ll-Project Vocational Counselor 11 12377 40 Mental Health Vocational Mental Health Counselor l[-Project Vocational Counselor II 12378 40 Mental Health Vocational Mental Health Services Coordinator- Vocational Services Project Coordinator 9837 40 Dual Diagnosis Program Dual Diagnosis Specialist-Project Program Specialist 9838 40 Dual Diagnosis Program Dual Diagnosis Sp ecialist-Project Program Specialist 9839 40 Dual Diagnosis Program Dual Diagnosis Specialist-Project Program Specialist FISCAL IMPACT: There is no cost associated with this request. Additionally, as these positions are unique to this program, should the funding be dissolved, the positions would be eliminated and would not effect any staff. BACKGROUND: The Health Services Department is requesting to Establish 4 classifications for the Mental Health Division; Cancel a vacant Mental Health Counselor I Project position, and Add one Mental Health Vocational Counselor I position. In July 2004, project classifications were establish to provide vocational services to mental health clients as a collaborative project between the Mental Health Division, the State Department of Rehabilitation, and Mental Health Consumer Concerns. Health Services has determined that vocational services are an integral service provided by the Mental Health Division and funding from the State Department of Rehabilitation is anticipated to continue+.. An additional project classification called Dual Diagnosis Program Specialist was established to provide services to clients with both substance abuse and mental health troubles. However, due to budget reductions, these positions were reassigned to vocational services to assist with providing vocational services to dual diagnosis clients. Overall, the Mental Health Vocational Counselor I, Mental Health Vocational Counselor II and Mental Health Vocational Services Coordinator is responsible for assisting mental health consumers in obtaining and retaining employment and career advancement leading to self-sufficiency, coordinating vocational services and reporting client data to the Department of Rehabilitation. The Dual Diagnosis Program Specialist is responsible for assisting in the treatment, counseling, case management, outreach and program support services of chemically dependent or substance abusing mentally disabled clients. CONSEQUENCE OF NEGATIVE ACTION: The ability to provide vocational support for mental health clients directly corresponds to the BOARD ORDER page3 P300#20190 ability to successfully support clients in the community and prevent the need for long-term institutional care. Failure to provide these integral services.would increase overall treatment costs. tfC1..rCv Lv POSITION ADJUSTMENT REQEUST . �`V 8 2006 ,. No. DATE OFRCE OF COUNTY !ADMINSTF1.6 n DEPARTMENT/ COPERS DEPARTMENT: Hlth Svcs/Mental Health BUDGET UNIT NO. 0467 ORG NO. 5973 AGENCY NO. A-18 Action Requested: See attached. Proposed Effective Date: Classification Questionnaire attached: Yes ❑ No ✓ J Cost within Department's budget: Yes ✓ No ❑ Total One-Time Costs (non-salary) associated with request: $ 0 Estimated total cost adjustment (salary/benefits/one time): c tt . , Total annual cost $ 0 Net County Cost $ 0 c" Total this FY $ 0 N.C.C. this FY $ 0 -- SOURCE OF FUNDING TO OFFSET ADJUSTMENT Department must initiate necessary adjustment and submit to CAO. cn Use additional sheet for further explanations or comments. : r.' MLL 14 • ... sy 4(for) epartment Head REVIEWED BY CAO AND RELEASED TO HUMAN RECOURCES DEPARTMENT _._ Deputy Cau Ac mirnstrator I�afe HUMAN RESOURCES DEPARTMENT RECOMMENDATION DATE aZ- 07 SEE ATTACHED Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt salary schedule. Effective: NJ Day following Board Action. ❑ (Date) (for) Director of Human Resources COUNTY ADMINISTRATOR RECOMMENDATION DATE: f j 72-f/ f' u,"Approve Recommendation of Director of Human Resources ❑ Disapprove Recommendation of Director of Human Resources ❑ Other: : � (frog) County A8rinistrator BOARD OF SU ERVISORS ACTION: John Cullen, Clerk of"the Board of Supervisors and,County APPROVED X' DISAPPROVED❑ Adjustmen Administrator Date: ' - BY: `� �.� POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION. Adjust class(es)/position(s) as follows: If Request is to Add Project Positions/Classes, please complete other side Attachment to P300 #20190 Human Resources Department Recommendation: Establish (4) classifications for the Mental Health Division: Mental Health Vocational Counselor I (VQWF-represented), Mental Health Vocational Counselor II (VQVC- represented), Mental Health Vocational Services Coordinator (VQ HQ-unrepresented), Dual Diagnosis Program Specialist (VQWG-represented); Allocate classifications to the salary schedule. Cancel one (1) Mental Health Vocational Counselor I-Project (VQWG-unrepresented) position #12725 Add one (1) Mental Health Vocational Counselor I (VQWF-represented) position Transition employees and their positions into the Merit System as follow: Transition position #12374 from Mental Health Vocational Counselor I-Project (VQW6- represented) to Mental Health Vocational Counselor I Transition positions #12375, #12376, #12377 from Mental Health Vocational Counselor II-Project (VQV2-represented) to Mental Health Vocational Counselor II Transition position #12378 from Mental Health Vocational Services Coordinator-Project (VQH3-unrepresented) to Mental Health Vocational Services Coordinator Transition positions #9837, #9838, #9839 from Dual Diagnosis Specialist-Project (VQW5-represented) to Dual Diagnosis Specialist