|
|
|
|
COUNTY OF SAN MATEO
Inter-Departmental Correspondence
|
San Mateo Medical Center
|
|
|
DATE:
|
August 25, 2008
|
BOARD MEETING DATE:
|
September 9, 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
|
|
|
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. Change the clinical staff structure of Willow Clinic to operate more efficiently in response to the expansion of services.
2. 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 primary care in the south county. To accomplish this goal, positions within Ambulatory Services will be restructured to provide one (1) full-time Staff Nurse position 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:
1. Add / Delete Positions:
Action A: Delete two (2) FTE Medical Services Assistant II (F079) positions.
Add one FTE Staff Nurse (F016) position.
Explanation: We request the deletion of the two Medical Services Assistant II positions and the creation of one FTE Staff Nurse (F016) positions. This position is necessary in the development and implementation of the proposed new healthcare programs in primary care.
|
|
|
FISCAL IMPACT:
|
This add and delete action represents a monthly salary and benefits cost of $1,092.00 or an annual cost of $13,104.00.
|