File #: 13-0703    Name: CS Increase Staffing
Type: General Agenda Item Status: Passed
File created: 6/21/2013 In control: Board of Supervisors
On agenda: 7/9/2013 Final action: 7/9/2013
Title: a. Amend Health Department Clinic Services Budget 4000-HEA007 to add 1.0 FTE Senior Departmental Information Systems Coordinator, 9.0 FTE Medical Assistants, 1.0 FTE Physician Assistant II, 1.0 FTE Contract Physician, and 1.0 FTE Senior Account Clerk; and b. Reallocate 1.0 FTE Accountant II to 1.0 FTE Accountant III; and c. Authorize the County Administrative Office to incorporate approved position changes in the FY 2013-14 Adopted Budget; and d. Authorize the Auditor Controller to incorporate approved appropriation and estimated revenue modifications in the Adopted FY 2013-14 Budget 4000-HEA007. (REVISED VIA SUPPLEMENTAL)
Sponsors: Ray Bullick
Attachments: 1. Attachment A 7 9 13.pdf, 2. Completed Board Order
Title
a. Amend Health Department Clinic Services Budget 4000-HEA007 to add 1.0 FTE Senior Departmental Information Systems Coordinator, 9.0 FTE Medical Assistants, 1.0 FTE Physician Assistant II, 1.0 FTE Contract Physician, and 1.0 FTE Senior Account Clerk; and
b. Reallocate 1.0 FTE Accountant II to 1.0 FTE Accountant III; and
c. Authorize the County Administrative Office to incorporate approved position changes in the FY 2013-14 Adopted Budget; and
d. Authorize the Auditor Controller to incorporate approved appropriation and estimated revenue modifications in the Adopted FY 2013-14 Budget 4000-HEA007. (REVISED VIA SUPPLEMENTAL)

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Amend Health Department Clinic Services Budget 4000-HEA007 to add 1.0 FTE Senior Departmental Information Systems Coordinator, 9.0 FTE Medical Assistants, 1.0 FTE Physician Assistant II, 1.0 FTE Contract Physician, and 1.0 FTE Senior Account Clerk; and
b. Reallocate 1.0 FTE Accountant II to 1.0 FTE Accountant III; and
c. Authorize the County Administrative Office to incorporate approved position changes in the FY 2013-14 Adopted Budget; and
d. Authorize the Auditor Controller to incorporate approved appropriation and estimated revenue modifications in the Adopted FY 2013-14 Budget 4000-HEA007.

SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau has identified the need to increase staffing to support the operations of the primary care clinics in FY 2013-14 due to implementation of the Affordable Care Act. The Bureau will be adding two satellite clinics, Rancho Cielo and Bienestar. Bienestar will provide an integrated medical and behavioral health home to indigent, seriously mentally ill adults in Monterey County, while limited non-emergent primary medical care services will be provided to youth on the Rancho Cielo campus one day per month. These satellite additions will require provider and support staffing. In addition to...

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