File #: RES 20-104    Name: Amend PPPR - Unit U Special Pays
Type: BoS Resolution Status: Passed - Natividad Medical Center
File created: 6/2/2020 In control: Board of Supervisors
On agenda: 6/23/2020 Final action: 6/23/2020
Title: Adopt Resolution to: Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: On Call Pay for Physicians, and delete Section A.12.6: Family Practitioner Premium Pay, as indicated in the attached resolution.
Attachments: 1. Board Report, 2. Attachment A - Amend PPPR A.12.7, 3. RESOLUTION Amend PPPR A.12, 4. Item No. 23 Completed Board Order and Resolution
Title
Adopt Resolution to:
Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: On Call Pay for Physicians, and delete Section A.12.6: Family Practitioner Premium Pay, as indicated in the attached resolution.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:

Adopt Resolution to:

Amend the Personnel Policies and Practices Resolution No. 98-394 to revise Section A.12.7: On Call Pay for Physicians, and delete Section A.12.6: Family Practitioner Premium Pay, as indicated in the attached resolution.

SUMMARY:
Natividad Medical Center recommends an amendment to the Monterey County Personnel Policies and Practices Resolution No. 98-394 (PPPR), Section A.12.7: On Call Pay for Physicians, as indicated in Attachment A to appropriately compensate physicians for shifts worked in excess of the "Regular Assignment" required by the employment agreement (contract). In addition, Natividad recommends deleting Section A.12.6: Family Practitioner Premium Pay, as it is obsolete and no longer in use.

DISCUSSION:
Hospital operations require that physicians be scheduled for call shifts in order to meet coverage and ensure immediate response to patient care needs. Physicians in the U Unit at NMC that are scheduled for additional call shifts beyond what is listed in their employment agreement are currently paid On Call Pay as indicated in the Monterey County Personnel Policies and Practices Resolution No. 98-394 (PPPR), Section A.12.7. When a physician is scheduled a "Call Shift" s/he is required to hold his/herself available either on- or off-site for immediate response. 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 Natividad has consistently used to determine salary for U Unit physicians. "On-site," or restricted call, is defined as a shift in which the physician is required to be physically present at the hospital with ...

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