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File #: RES 25-078    Name: Adopt a Resolution to: a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 to modify Section A.12.7 Extra Shift Pay for Unit U Physicians; and b. Direct the Human Resources Department and Auditor-Controller’s Office to implement the c
Type: BoS Resolution Status: Passed
File created: 5/14/2025 In control: Board of Supervisors
On agenda: 6/3/2025 Final action: 6/3/2025
Title: Adopt a Resolution to: a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 to modify Section A.12.7 Extra Shift Pay for Unit U Physicians; and b. Direct the Human Resources Department and Auditor-Controller’s Office to implement the changes.
Attachments: 1. Board Report, 2. Attachment A - PPPR Amendment Redline, 3. Attachment B - PPPR Amendment Clean, 4. Resolution, 5. Completed Board Order Item No. 42
Title
Adopt a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 to modify Section A.12.7 Extra Shift Pay for Unit U Physicians; and
b. Direct the Human Resources Department and Auditor-Controller’s Office to implement the changes.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors consider adopting a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 to modify Section A.12.7 Extra Shift Pay for Unit U Physicians; and
b. Direct the Human Resources Department and Auditor-Controller’s Office to implement the changes.

SUMMARY/DISCUSSION:
The Human Resources Department recommends that the Board of Supervisors consider approving the amendment to the Personnel Policies and Practices Resolution (PPPR) No. 98-394 as indicated in Attachments A and B.

To ensure adequate physician coverage and maintain the highest standard of patient care, operations may require scheduling employed physicians for additional shifts. In certain instances, Unit U Physicians employed by the Health Department may be required to volunteer for extra shifts at either their primary worksite or Natividad.

As exempt employees, Unit U Physicians are ineligible for overtime compensation. However, PPPR Section A.12.7 addresses Extra Shift Pay for Unit U Physicians, providing additional compensation for those who exceed the contractual hours defined in their employment agreements.

Notably, this provision was amended on November 12, 2024, to extend Extra Shift Pay eligibility to Health Department Unit U Physicians working extra shifts at Natividad. The amendment aimed to mitigate staffing shortages by broadening the pool of eligible physicians, thereby enhancing patient care and operational efficiency. While this change successfully improved physician availability at Natividad, it did not address the increasing need for physician coverage at Health Department worksites, where rising demand for medical services conti...

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