Title
a. Amend the Fiscal Year (FY) 2013-14 Natividad Medical Center Budget (Unit 9600) to Add the Following Positions for the Level II Trauma Program: 1.0 Nursing Services Division Manager, 1.0 FTE Administrative Services Assistant, 5.0 FTE Nurse Practitioner III, 38.8 FTE Staff Nurse II, 1.0 FTE Staff Nurse III, 3.0 FTE Case Management Nurse, 5.6 FTE Surgical Technician, 1.4 FTE Central Sterile Technician, 2.8 FTE Hospital Environmental Services Aide, 1.2 FTE Clinical Laboratory Assistant, 7.0 FTE Radiologic Technologist, 1.0 FTE Office Assistant III, and 1.0 Medical Unit Clerk; and
b. Authorize the County Administrative Office to Incorporate the Approved Position Changes in the FY 2013-14 Adopted Budget for Natividad Medical Center (Unit 9600).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a) Amend the Fiscal Year (FY) 2013-14 Natividad Medical Center Budget (Unit 9600) to Add the Following Positions for the Level II Trauma Program: 1.0 Nursing Services Division Manager, 1.0 FTE Administrative Services Assistant, 5.0 FTE Nurse Practitioner III, 38.8 FTE Staff Nurse II, 1.0 FTE Staff Nurse III, 3.0 FTE Case Management Nurse, 5.6 FTE Surgical Technician, 1.4 FTE Central Sterile Technician, 2.8 FTE Hospital Environmental Services Aide, 1.2 FTE Clinical Laboratory Assistant, 7.0 FTE Radiologic Technologist, 1.0 FTE Office Assistant III, and 1.0 Medical Unit Clerk; and
b) Authorize the County Administrative Office to Incorporate the Approved Position Changes in the FY 2013-14 Adopted Budget for Natividad Medical Center (Unit 9600).
SUMMARY:
Natividad Medical Center recommends the addition of allocations in specific job classifications as listed below to appropriately staff the new Level II Trauma Program service line, and to recruit and compensate qualified incumbents into these critical positions.
New/Revised)
Add Classification Class Code Total of:
Add 1.0 FTE Nursing Services Division Manager 52A88 4.0
Add 1.0 FTE Administrative Services Assistant 14C70 1.0
Add 5.0 FTE Nurse Practitioner III 52A98 10.0
Add 38.8 FTE Staff Nurse II 52A19 250.6
Add 1.0 FTE Staff Nurse III 52A20 25.8
Add 3.0 FTE Case Management Nurse 52A33 6.5
Add 7.0 FTE Healthcare Technician 50U22 29.9
Add 2.8 FTE Hospital Environmental Services Aide 70A10 47.4
Add 1.2 FTE Clinical Laboratory Assistant 50D12 11.2
Add 7.0 FTE Radiologic Technologist 50R21 16.8
Add 1.0 FTE Office Assistant III 80E22 12.5
Add 1.0 FTE Medical Unit Clerk 80K21 19.1
DISCUSSION:
Natividad Medical Center recommends the addition of allocations in specific job classifications as listed above to appropriately staff the new Level II Trauma Program service line, and to recruit and compensate qualified incumbents into these critical positions. A newly implemented Level II Trauma Program will impact multiple hospital departments and create a need for additional staffing in order for NMC to provide quality service and care to trauma patients. NMC must recruit qualified candidates into the multiple positions listed above in order to staff all departments within the hospital that will be impacted by the receipt of trauma patients.
The plan for staffing the positions in the Trauma Program is phased over a one year period (see Attachment A) beginning as early as March 1, 2014. NMC is adding all FTEs to the budget at this time to allow the hospital to fill positions as needed based on the staffing plan as well as program volume and staffing needs that arise. The costs associated with the added positions was calculated based on midpoint of the salary range for each position and the estimated amount of time NMC anticipates having an incumbent filling the position during FY 2013/2014 (i.e., recruit and hire new RN with start date of March 1, 2014 - salary and benefits costs calculated for March-June 2014).
OTHER AGENCY INVOLVEMENT:
None.
FINANCING:
The total of the above action is approximately $1,279,475 in salary and benefits costs for positions to be filled by June 30, 2014 as indicated in Attachment A. These costs will be absorbed into the Natividad Medical Center - Unit 9600 Budget for FY 2013/2014. The annualized total estimated costs for the 69.8 FTEs is $8.8M. The Trauma program will be the primary source for funding those expenses. The Trauma program anticipates revenues of approximately $40.5M and total expenses of $26.9M. The capital needs for the Trauma program is $2.0M.
This action will not require any additional General Fund subsidy.
Prepared by: Janine Bouyea, NMC HR Administrator, 831-783-2701
Approved by: Harry Weis, NMC Chief Executive Officer, 831-783-2553
Attachments:
Attachment A - Level II Trauma Program - Phased Staffing Plan