COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

July 16, 2008

BOARD MEETING DATE:

August 5, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, MD, Chief Executive Officer of the San Mateo Medical Center

SUBJECT:

San Mateo Medical Center (SMMC) Ambulatory Services Salary Ordinance Changes

 

RECOMMENDATION:

Approve the attached salary ordinance authorizing the addition and deletion of various positions at San Mateo Medical Center in order to accomplish the following objectives:

    1. Expand pediatric services by providing 3,000 pediatric visits at Fair Oaks Children’s Clinic.

    2. Change the clinical staff structure of Willow Clinic to operate more efficiently in response to the expansion of services.

    3. Maintain a neutral or favorable impact on cost and position count.

 

VISION ALIGNMENT:

Commitment: Responsive, effective and collaborative government.

Goal(s) 20: Government decisions are based on careful consideration of future impact, rather than temporary relief or immediate gain.

 

BACKGROUND:

The 2008-2009 budget for SMMC Ambulatory Services includes targeted growth in both volume and revenue through productivity improvements, general efficiency, and specific redesign initiatives. This effort includes expansion of health care services for children in the south county. To accomplish this goal, positions within Ambulatory Services needed to be restructured to provide one (1) full-time pediatrician to the Fair Oaks Children’s Clinic and two (2) Medical Service Assistant II positions at Willow Clinic.

 

DISCUSSION:

Below is a summary of the requested salary ordinance changes to implement the personnel changes for Ambulatory Services, followed by detailed explanation of each change:

Add / Delete Positions:

    Action A: Delete two (2) 0.5 FTE Staff Physicians - Unclassified (B157)

    Position #’s:  08065 and 08066

    Add one (1) FTE Physician Series (F122S)

    Explanation: There is a need for a full time Staff Physician/Pediatrician position and the combination of these two vacant, half time positions will create such a position. This will allow us to expand our pediatric services within the community as well as increase revenue. Currently we are experiencing 14,541 visits and plan to increase by 3,000 for a new total of 17,541.

    Action B: Delete one (1) Staff Nurse (F016)

    Add two (2) FTE Medical Services Assistant II (F079) positions.

    Explanation: This is the deletion of one Staff Nurse position and addition of two Medical Services Assistant II positions. Both the Staff Nurse and Medical Services Assistant II are within the Patient Care Series (F009S) but have different salary ranges. Although, this would add a position to the unit, this will ultimately result in a salary and benefits savings and improve patient care services.

FISCAL IMPACT:

The add and delete actions represent a monthly salary and benefits savings of $1,092.00 or an annual savings of $13,104.00. There is no change in the total number of authorized positions.