§ 6.08.455. Occasional Physician Services.  


Latest version.
  • A.

    Beginning on the effective date, a Physician employed as a Clinic Physician, MD (Item No. 5469) or Clinic Physician, MD (Per Session) (Item No. 5468) shall be compensated at the rates shown in the following table. A Physician shall not be compensated as a Clinic Physician, MD (Per Session) (Item No. 5468) at the session rate without prior approval of the department head. In no event shall the aggregate compensation of a Physician provided for in this subsection A exceed the annual compensation limit shown in the following table during any one calendar year.

    Effective Date Clinic Physician, MD (Item No. 5469) Rate for First 90 minutes of Assigned Shift Clinic Physician, MD (Item No. 5469) Rate for Each Additional Hour of Assigned Shift Clinic Physician, MD (Item No. 5468) per Session Rate Annual Compensation Limit
    April 1, 2018 $210 $108 $474 $68,939
    October 1, 2018 $214 $110 $483 $70,318
    October 1, 2019 $219 $113 $495 $72,076
    October 1, 2020 $224 $116 $507 $73,878

     

    B.

    Beginning on the effective date, a Physician employed as a Consulting Specialist, MD (Item No. 5471) shall be compensated at the hourly rates shown in the following table, unless the Department Head has specifically authorized compensation on a per-session basis, in which case the Physician shall be compensated as a Consulting Specialist, MD (Per Session) (Item No. 5472) at the session rate shown in the following table. In no event shall the aggregate compensation of a Physician provided for in this subsection B exceed the annual compensation limit shown in the following table during any one calendar year.

    Effective Date Hourly Rate for First Hour of Assigned Shift Hourly Rate for the Second, Third and Fourth Hours of Assigned Shift Hourly Rate for Fifth Hour of Assigned Shift Hourly Rate for Each Consecutive Additional Hour of Assigned Shift Session Rate for Item Nos. 5467 and 5472 Only Annual Compensation Limit
    April 1, 2018 $210 $108 $210 $108 $528 $99,749
    October 1, 2018 $214 $110 $214 $110 $539 $101,744
    October 1, 2019 $219 $113 $219 $113 $552 $104,288
    October 1, 2020 $224 $116 $224 $116 $566 $106,895

     

    C.

    Except as provided in subsections A and B of this section, any person employed on a temporary, hourly basis in the class of Physician, MD, Emergency Room (Item No. 5422) who is not on any other County item (except resident Physician or as approved in accordance with Section 6.08.470A) and who is assigned to work in a work area designated as an emergency room by the Director of Health Services shall be compensated at the rate of $86.52 per hour for all hours worked as a temporary, hourly Physician. Also, any person employed on a regular Physician item, or on an item approved in accordance with Section 6.08.470A, who performs overtime work in such an emergency room shall be compensated at the rate of $86.52 per hour for all overtime hours worked as a temporary, hourly Physician. If the Director of Health Services finds that there is a shortage of emergency room physicians which threatens the public health or safety, with the approval of the Chief Executive Officer, the Director of Health Services may adjust the foregoing emergency room rate, or establish variable rates, as justified by the nature of the shortage by a percentage not to exceed 50 percent during the period of the emergency room physician shortage. Effective October 1, 2015, the rate will change pursuant to the following schedule:

    Effective Date Hourly Rate
    04/01/2018 $104.39
    10/01/2018 $106.47
    10/01/2019 $109.13
    10/01/2020 $111.85

     

    D.

    Whenever it is medically required for a Physician who is not being paid under any other provision of this plan to be employed at a county hospital to perform an emergency operation or provide emergency care to a patient, the Physician shall be compensated at a rate equivalent to the relative value scale for such services. For purposes of this provision, "relative value scale" means the Official Minimum Medical Fee Schedule for Service Rendered under the California Workers' Compensation Laws, October 1, 1966, with a unit value of $6.50.

    E.

    Prior Approval. Upon the request of the department head, compensation may be made to a Physician pursuant to this Section 6.08.455 with the prior written approval of the chief executive officer, except in the case of emergency when its use must be reported within 24 hours.

    F.

    Relief physician.

    1.

    Effective May 14, 2013, a Physician employed as a Relief Physician (Item No. 5473) shall be compensated on the indicated schedules of the effective Relief Physician Schedule:

    Specialty Code Medical Specialty Schedule
    51 Anesthesiology H18
    52 Dermatology H15
    53 Emergency Medicine H13
    54 Family Practice H04
    55 Int Med-General/Endocrinology H03
    56 Int Med-Cardiology (Invasive) H16
    57 Int Med-Cardiology (Non-Invasive) H07
    58 Int Med-Critical Care H14
    59 Int Med-Gastro (Invasive) H16
    60 Int Med-Gastro (Non-Invasive) H02
    61 Int Med-Hematology/Oncology H10
    62 Int Med-Infectious Disease H03
    63 Int Med-Nephrology H06
    64 Int Med-Pulmonary (Invasive) H08
    65 Int Med-Pulmonary (Non-Invasive) H03
    66 Int Med-Rheumatology H03
    67 Neurology H03
    68 Nuclear Medicine H12
    69 ObGyn-General H14
    70 ObGyn-Gynecologic Oncology H19
    71 ObGyn-Maternal/Fetal Medicine H17
    72 Otolaryngology H18
    73 Pathology H08
    74 Pathology-Forensic H11
    75 Pediatrics H01
    76 Pediatrics—Neonatal/Critical Care H10
    77 Physical Medicine and Rehabilitation H05
    78 Preventive Medicine H04
    79 Psychiatry H09
    80 Radiology-General/Diagnostic H20
    81 Radiology-Vasc/Int Diagnostic H22
    82 Surgery-Cardio Thoracic H22
    83 Surgery-General H18
    84 Surgery-Neurological H22
    85 Surgery-Ophthalmology H18
    86 Surgery-Orthopedics H22
    87 Surgery-Pediatric H22
    88 Surgery-Plastic H21
    89 Surgery-Urologic H18
    90 Surgery-Vascular H21

     

    2.

    Effective January 1, 2014, persons who have retired from county service are prohibited from appointment to the Relief Physician classification while concurrently receiving post-retirement benefits pursuant to the provisions of the California Public Employees' Pension Reform Act (PEPRA) of 2013.

    3.

    A Physician employed as a Relief Physician, Correctional Health (Item No. 5482) shall be compensated at the rate of $175 per hour for all hours worked in a County jail health facility. Effective October 1, 2018, the rate shall adjust pursuant to the following schedule:

    Effective Date Hourly Rate
    10/01/2018 $179
    10/01/2019 $183
    10/01/2020 $188

     

(Ord. 2018-0047 § 23, 2018; Ord. 2017-0031 § 2, 2017; Ord. 2017-0024 § 1, 2017; Ord. 2017-0006 § 1, 2017; Ord. 2015-0063 § 27, 2015; Ord. 2014-0020 § 18, 2014; Ord. 2014-0005 § 8, 2014; Ord. 2013-0037 § 9, 2013; Ord. 2013-0015 § 2, 2013; Ord. 2008-0049 § 3, 2008; Ord. 2008-0036 § 2, 2008; Ord. 2008-0025 § 12, 2008)