File #: RES 23-192    Name: Amend PPPR Physician Extra Shift Pay
Type: BoS Resolution Status: Natividad Medical Center - Consent
File created: 10/11/2023 In control: Board of Supervisors
On agenda: 11/28/2023 Final action:
Title: Adopt Resolution to: a. Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: Extra Shift Pay for Physicians - Natividad Medical Center, as indicated in Attachment A; b. Direct the Human Resources Department and Auditor-Controller Office to implement the changes in the Advantage Human Resources Management (HRM) system.
Attachments: 1. Board Report, 2. Attachment A - Redline Version, 3. Attachment B - Clean Version, 4. Resolution, 5. Completed Board Order Item No. 31, 6. Completed Resolution Item No. 31
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Title
Adopt Resolution to:
a. Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: Extra Shift Pay for Physicians - Natividad Medical Center, as indicated in Attachment A;
b. Direct the Human Resources Department and Auditor-Controller Office to implement the changes in the Advantage Human Resources Management (HRM) system.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors adopting a Resolution to:
a) Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: Extra Shift Pay for Physicians - Natividad Medical Center, as indicated in Attachment A.
b) Direct the Human Resources Department and Auditor-Controller Office to implement the changes in the Advantage Human Resources Management (HRM) system.


SUMMARY:
Natividad Medical Center (NMC) recommends an amendment to the Monterey County Personnel Policies and Practices Resolution No. 98-394 (PPPR), as indicated in Attachment A, to appropriately compensate physicians in various specialties for shifts worked in excess of the "Regular Assignment" required by the employment agreement (contract).

DISCUSSION:
Hospital operations may require that employed physicians be scheduled for extra shifts when necessary, in order to meet coverage needs and ensure immediate response to patient care. Physicians in Unit U at NMC that are scheduled for extra shifts beyond what is listed in their employment agreement (contract) are currently paid Extra Shift Pay as indicated in the Monterey County Personnel Policies and Practices Resolution No. 98-394 (PPPR), Section A.12.7 Extra Shift Pay for Physicians - Natividad Medical Center. The method and amount of such payment is dependent upon the physician's specialty and based on a third-party Fair Market Value (FMV) analysis that NMC has consistently used to determine salaries for U Unit physicians.

At this time, NMC has the authority to pay Unit U physicians for working extra shifts beyon...

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