COMPLETED BOARD ORDER�"x��25
Before the Boa
0
of Supervisors in and for the
County of Monterey, State of California
Resolution No: 10 085; Budget No: 0 /10 128
Adopt Resolution to amend Personnel Policies and Practices Resolution
No. 98-394 to:
a. Add the classifications of Hospital Decision Support Manager and
Hospital Decision Support Analyst;
b. Amend the Fiscal Year FY) 2009- 0 NMC Budget Unit 9600 to add
one 1) FTE Hospital Decision Support Manager, and delete one 1)
FTE Management Analyst III; and
c. Direct the Auditor-Controller's Offi e and the County Administrative
Office to incorporate this budgetary hange in the FY 2010-11 adopted
budget.
Upon motion of Supervisor Parker, s conded by Supervisor Armenta, and carried by those
members present, effective April 13, 20 0, the Board hereby:
a. Adopted Resolution No. 10-085 to amend Personnel Policies and Practices Resolution No.
98-394 to add the classifications of Hospital Decision Support Manager and Hospital
Decision Support Analyst; and
Add Classifications:
Classification Title: Hospital Decision Support Mana ger
Hourly, Bi-Weekly and Monthly P Rates
Class WG EEO W/C* BU FLSA MoCo
Step 1 Step 2 Step 3 Step 4 Step Step 6 Step 7 Code * Cat* Code* OT*
$37.713 $39.782 $41.964 $44.266 $46.61 94 $49.029 $51.480
$3,017.06 $3,182.55 $3,357.12 $3,541.26 $3,735 51 $3,922.29 $4,118.40 14A80 3 P 9043 X E N
$6,537 $6,896 $7,274 $7,673 $8,0 4 $8,498 $8,923
Classification Title: Hospital Decision Support Anal yst
Hourly, Bi-Weekly and Monthly P Rates
Class WG EEO W/C* BU FLSA MoCo
Step 1 Step 2 Step 3 Step 4 Step Step 6 Step 7 Code * Cat* Code* OT*
$31.428 $33.152 $34.970 $36.888 $38.9 12 $40.857 $42.900
$2,514.21 $2,652.12 $2,797.60 $2,951.05 $3,112 93 $3,268.57 $3,432.00 14C36 3 P 9043 X E N
$5,447 $5,746 $6,061 $6,394 $6,74 5 $7,082 $7,436
10-001
*provided for information purposes only
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COMPLETED BOARD ORDER�"x��25
b. Amended the FY 2009-10 NMC Budget Unit 9600 to add one 1) FTE Hospital Decision
Support Manager, and delete one 1) FTE Management Analyst III; and
Add Class Code
1.0 FTE Hospital Decision Support Manager 14A80
Delete Class Code
1.0 FTE Management Analyst III 14C31
c. Directed the Auditor-Controller's Office and the County Administrative Office to amend the
FY 2009-10 Budget and incorporate approved changes in the FY 2010-11 Adopted Budget.
PASSED AND ADOPTED this 13th day of April, 2010, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in
the minutes thereof of Minute Book 75 for the meeting on April 13, 2010.
Dated: April 14, 2010 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
By A- I
Deputy
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SIGNED BOARD REPORTX��"x��MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: April 13, 2010- Consent AGENDA NO.:
SUBJECT: a.
Adopt Resolution to amend Personnel Policies and Practices Resolution
No. 98-394 to add the classifications of Hospital Decision Support
Manager and Hosp
tal Decision Support Analyst; and
b.
10 NMC Budget Unit 9600 to add one 1) FTE
upport Manager, and delete one 1) FTE Management
c. Direct the Auditor- ontroller's Office and the County Administrative
Office to incorpora a this budgetary change in the FY 2010-11 Adopted
Budget.
Hospital Decision
Analyst III; and
Amend the FY 200
DEPARTMENT: Natividad Medical
enter
RECOMMENDATION:
It is recommended that effective April 13 2010 the Board of Supervisors take the following
action:
a. Adopt Resolution to amend Perso el Policies and Practices Resolution No. 98-394 to add
the classifications of Hospital De ision Support Manager and Hospital Decision Support
Analyst; and
Add New Classifications
Hospital Decision Support Managj
Hospital Decision Support Analy8
Class Code Sal
er 14A80 $6,537 $8,923/month
t 14C36 $5,447 $7,436/month
b. Amend the FY 2009-10 NMC Budget Unit 9600 to add one 1) FTE Hospital Decision
Support Manager, and delete one 1) FTE Management Analyst III; and
Add i Class Code
1.0 FTE Hospital Decision Support Manager 14A80
Delete Class Code
1.0 FTE Management Analyst III
14C31
c. Direct the Auditor-Controller's Office and the County Administrative Office to incorporate
this budgetary change in the FY 2p 10-11 Adopted Budget.
SUMMARY:
Natividad Medical Center's Finance Department has a need for professional staff to research,
design, deliver and evaluate productivity revenue, costs, operational efficiency, process
improvement, and service-level reports. irhe work would require the incumbents to envision,
design and manage the continuous improvement of financial, operational, and productivity data
capture, analysis, interpretation and reporting, necessitating a thorough knowledge of statistical
analysis and reporting, performance mea ures, performance improvement techniques, and the
frequent use of discretion, initiative and i dependent judgment. This action creates two
classifications in response to this express d need.
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SIGNED BOARD REPORTX��"x��DISCUSSION:
NMC's Chief Financial Officer has expressed a need for Decision Support professionals in his
department to provide hospital management with research and analysis of financial reports, annual
capital and operating budgets, variances, costs, revenue, labor performance and productivity,
clinical operations, and financial feasibilit assessments in order to guide decision making,
business development and strategic planniig.
No management classification exists that
such as developing effective relationships
identifying productivity challenges, settin;
Such staff would also make recommendat
operational procedures to Department Dir
adequately reflects the most senior-level responsibilities,
with Hospital Administrators for the purpose of
goals and implementing strategies for improvement.
ons on best practices for strategic planning and
ctors and Administrators at NMC.
NMC is also recommending the creation f a lower level Decision Support Analyst position to
better serve the needs of the department. his position will be responsible for the development,
management, and maintenance of system and processes used to produce routine and ad-hoc
management reports related to financial, perational, clinical, and physician issues. This class will
be distinguished from the Finance Manag r series in that the latter is responsible and accountable
for the quality and technical accuracy oft e department fiscal programs, including financial
planning, budgeting, cost management, maximizing revenues, fiscal compliance, reporting and
auditing.
A study of comparable hospital systems c
employed to provide hospital executive st
improvement of processes and productivii
nfirmed that Decision Support professionals are often
aff with the data needed to ensure continuing
Y.
For these reasons, it is recommended that
your Board approve this action.
OTHER AGENCY INVOLVEMENT:
None.
FINANCING:
The recommended wage ranges are in ked'
by the Board of Supervisors. This action
and benefits costs, which reflects the addl
position from a Management Analyst III
is within Natividad Medical Center's Rec
require any additional General Fund subs
ping with NMC's compensation philosophy, as approved
equates to an annualized increase of $25,807 in salary
tional costs associated with the conversion of this
o a Decision Support Manager. The requested increase
ommended Budget for FY 2009-10. This action will not
dy.
ApproKd by:
Janine f ouAea, NMC Huma fi Rksources Administrator Harry Weis, CEO
Natividad Medical Center
March 9, 2010
cc: Mike Miller, Auditor-Controller
Keith Honda, Assistant County Administrative Officer
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