File #: A 21-242    Name: Dr. Emily Todd Amendment No 1
Type: BoS Agreement Status: Health Department - Consent
File created: 5/18/2021 In control: Board of Supervisors
On agenda: 6/8/2021 Final action:
Title: Ratify execution of Amendment 1 by Director of the Health Department, authorizing an increased hourly pay rate of $251.93 for Emily Todd, M.D., in excess of maximum approved rates set out in Personnel Policies and Practices Resolution (PPPR) No. 98-394, Appendix A Salary Tables and Appendix B Classifications, for the term of March 13, 2021 to May 3, 2021.
Attachments: 1. Board Report, 2. Amendment No 1, 3. Employment Agreement, 4. Completed Baord Order Item 42
Title
Ratify execution of Amendment 1 by Director of the Health Department, authorizing an increased hourly pay rate of $251.93 for Emily Todd, M.D., in excess of maximum approved rates set out in Personnel Policies and Practices Resolution (PPPR) No. 98-394, Appendix A Salary Tables and Appendix B Classifications, for the term of March 13, 2021 to May 3, 2021.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Ratify execution of Amendment 1 by Director of the Health Department, authorizing an increased hourly pay rate of $251.93 for Emily Todd, M.D., in excess of maximum approved rates set out in Personnel Policies and Practices Resolution (PPPR) No. 98-394, Appendix A Salary Tables and Appendix B Classifications, for the term of March 13, 2021 to May 3, 2021.

SUMMARY/DISCUSSION:
Health Department Behavioral Health Bureau is seeking approval for an increased pay rate of $251.93, for Dr. Emily Todd of the Contract Physician classification (Unit U). The current maximum approved rate is $240.385, as set out in PPPR No. 98-394. Effective, May 3, 2021, Dr. Todd and the County mutually terminated the employment agreement, which is why authority for the increased rate is only sought through May 3, 2021.

This higher rate is requested to compensate Dr. Todd's additional responsibility as the lead Psychiatrist at the Natividad Medical Center Mental Health Unit. The additional compensation for providing extra weekend and night shift coverage, resulted in an inadvertent increase of Dr. Todd's total hourly rate, exceeding the maximum amount.

Early this year, two in-patient Psychiatrists resigned (one being the lead worker). This left the unit with uncovered shifts and no lead worker to oversee/manage the Unit. Dr. Todd was selected and agreed to provide supervision for the Unit and provide coverage for the shifts.

In-Patient psychiatry is a difficult position to fill. The application pool is limited and Hospital Credentialing can take up to...

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