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TO: BOARD OF SUPERVISORS SF L
Contra
FROM: LORI GENTLES, Assistant County
Administrator- Director of Human Resources === s '• Costa
DATE: June 12, 2007
County
SUBJECT: P300 20346 — Health Services Department
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Adopt Position Adjustment Resolution #20346 to add two (2) permanent full-time (40/40) Exempt Medical Staff
Resident Physician I (VP71) positions and one (1) permanent full-time (40/40) Exempt Medical Staff Resident
Physician II (VP72) position at the Contra Costa Regional Medical Center.
FISCAL IMPACT:
The Health Services Department has estimated an annual cost of$245, 401.74 for this request which is offset
by Direct Medical Education Funding, Indirect Medical Education Funding, and Federally Qualified Health
Center funds.
BACKGROUND:
This request is in accordance with the new work hour rules limiting the amount of time a Resident can work
weekly implemented by the Residency Review Committee. Also, Contra Costa Regional Medical Center has
signed an agreement with the.National Resident Matching Program expanding their obligation of positions for
the program from ten to thirteen. Thus creating a legal and operational requirement to provide three additional
positions.
CONSEQUENCE OF NEGATIVE ACTION:
Should this request not be granted, the County will be out of compliance with the Residency Review
Committee and National Resident Matching Program agreements.
CONTINUED ON ATTACHMENT: x YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
.� APPROVE OTHER
SIGNATURE(S):
ACTION OF B ON J V I?j ��� APPROVED AS RECOMMENDED X 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
` BOARD OF SUPERVISORS ON THE DATE SHOWN.
x UNANIMOUS(ABSENT I \ )
AYES: NOES:
ABSENT: ABSTAIN:
Contact: Shelley Pighin-75250
Malinda Brown-51715 I J90]Cc: Health Services ATTESTED U (3— `
Human Resources JOHN B.CULLEN,CLERK O THE BOAR OFSUPERVISORS
AND COUNTY ADMINISTRATOR
i
BY: C DEPUTY
POSITION ADJUSTMENT REQUEST NO.
DATE
Department No./
Department Health Services/Hospital & Health Centers Budget Unit No. 0540 Org No. 6464 Agency No.A-18
Action Requested
Add two (2) PFT (40/40) Exempt Medical Staff Resident Physician I (VP71) positions and one (1) PFT(40/40) Exempt Medical
Staff II (VP72) position to the Contra Costa Regional Medical Center
Proposed Effective Date: 6/12/2007
Classification Questionnaire attached: Yes ❑ No ❑✓ / Cost is within Department's budget: Yes ❑ No ✓❑
Total One-Time Costs (non-salary) associated with request: $ 0.00
Estimated total cost adjustment(salary/benefits/one time):
Total annual cost $ 245,401.74 Net County Cost $ 0.00
Total this FY $ 245,401.74 N.C.C.this FY $ 0.00
SOURCE OF FUNDING TO OFFSET ADJUSTMENT FQHC (50%) Direct/indirect Medical Education Funding (50%)
Department must initiate necessary adjustment and submit to CAO.
Use additional sheet for further explanations or comments.
_ I/ (for) Department`H.eab
REVIEWED BY CAO AND RELEASED TO HUMAN-RE-SOURCES DEPARTME +
$r" Deputy County Administrator Date
HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE
ADD-Two (2) permanent full-time (40/40) Exempt Medical Staff Resident Physician I (VP71)
positions at salary level 1R5 1285 ($3665.45) and one (1) Exempt Medical Staff Resident
Physician II (VP72) position at salary level 1R5 1440 ($4273.45) [Represented]
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt salary schedule.
Effective: ❑ Day following Board Action. _
❑ (Date)
for Director of Human Resources
COUNTY ADMINISTRATOR RECOMMENDATION DATE z�l
Approve Recommendation of Director of Human Resources
Disapprove Recommendation of Director of Human Resources
❑ Other:
(for) County Administrator
BOARD OF SUPERVISORS ACTION: John/Pullen, Clerk of the Board of Supervisors
Adjustmen APPROVED DISAPPROVED [] "and County Admi 'strator
DATEBY
APPROVAL OF THIS A 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:
P300(M347)Rev 3/15/01