The County of Santa Clara
California

Personnel Recommendation
100207

Approve job specification and amend Classification Plan to revise and retitle the job classification of Trauma Program Coordinator to Trauma Program Manager.

Information

Department:Employee Services AgencySponsors:
Category:Personnel

Body

FISCAL IMPLICATIONS

Please see Legislative File #100106.

CONTRACT HISTORY

Not applicable.

REASONS FOR RECOMMENDATION

The duties of the Trauma Program Coordinator under study in the Santa Clara Valley Medical Center are not accurately described by the current job specification.  The revised and retitled Trauma Program Manager classification contains the appropriate tasks, employment standards, and compensation for the duties performed by the position under study. The recommended salary is appropriate for the scope and responsibilities assigned to the Trauma Program Manager classification.

CHILD IMPACT

The recommended action will have no/neutral impact on children and youth.

SENIOR IMPACT

The recommended action will have no/neutral impact on seniors.

SUSTAINABILITY IMPLICATIONS

The recommended action will have no/neutral sustainability implications.

BACKGROUND

The Trauma Administration Division of Santa Clara Valley Medical Center (SCVMC) submitted an executive-initiated request to conduct a classification study for one Trauma Program Coordinator position. Employee Services Agency – Human Resources (ESA-HR) accepted the study.

SCVMC is a Level I adult trauma center, a Level II pediatric trauma center, and the

largest healthcare safety net provider in Santa Clara County, facilitating more than

700,000 outpatient visits, 100,000 emergency department and express care visits, and

approximately 25,000 inpatient admissions each year. SCVMC operates a 574-bed

tertiary care hospital, a specialty care center, mobile medical and dental units, and eight

(8) ambulatory care clinics, as well as two (2) additional clinics focused on patients

experiencing homelessness and infectious disease services.

The definition of the incumbent’s current classification of Trauma Program Coordinator is “Under direction, to plan, develop, coordinate, facilitate, monitor, and evaluate all functions of the Valley Medical Center Regional Trauma Center Program.”

The incumbent is a registered nurse and is responsible for the organization of services and systems necessary for a multidisciplinary approach to providing care to injured patients. The incumbent works independently and in collaboration with the Trauma Program Director and Pediatric Trauma Director and other members of the healthcare team to support quality care for trauma patients and families.

The incumbent coordinates performance improvement efforts, monitors compliance with the American College of Physicians and Surgeons guidelines, promotes injury prevention for the public, provides education and resources to health facilities and Emergency Medical Services (EMS), and coordinates site visits to maintain Santa Clara Valley Medical Centers Regional Trauma Center verification as a Level I/II trauma center. Each of these roles requires the incumbent to function as a consultant/liaison, clinical resource, manager, and educator. The incumbent has and continues to be assigned responsibilities more consistent with a manager rather than a coordinator role. Therefore, it is recommended to revise and retitle the classification under study from Trauma Program Coordinator to Trauma Program Manager.

The definition of the retitled Trauma Program Manager (TPM) classification is “Under general direction, to coordinate interdisciplinary management across the continuum of trauma care, which includes the planning and implementation of clinical protocols and practice management guidelines, monitoring care of adult and pediatric inpatients, serving as a resource for clinical practice, and working collaboratively with the Trauma Medical Director to sustain trauma volumes for the Santa Clara Valley Medical Center Regional Trauma Center Program.”

Some of the typical tasks from the recommended TPM classification specification include:

·        Manages the operational, personnel, and financial aspects of the trauma program;

·        Hires, supervises, trains, and evaluates nursing and clinical support staff responsible for program functions;

·        Develops and manages the process for approval of standard of care, policies, procedures, and protocols for the management of trauma patients and for other patients and services affected by the Trauma Program;

·        Provides for inter-facility and regional professional staff development, participates in case review, implements practice guidelines, and directs community trauma education and prevention programs;

 

It is recommended to set the employment standards as:

Sufficient education, training, and experience to demonstrate the possession and direct application of the following knowledge and abilities:

Training and Experience Note: The knowledge and abilities required to perform this function are attained through possession of a Bachelor’s Degree in Nursing;

and

Three (3) years of clinical experience in emergency and/or critical care nursing, of which one (1) year includes administrative or supervisory experience. Experience with program development and evaluation is preferred.

Special Requirements:

·        Possession of a current license as a Registered Nurse issued by the California Board of Registered Nursing;

·        Current Advanced Cardiac Life Support Certification (ACLS);

·        Critical Care (CCRN) or Emergency Nursing (CEN) certification;

·        Sixteen (16) hours per year of continuing education in Trauma Care.

 

The counties of Alameda, Contra Costa, San Francisco, San Mateo, and Santa Cruz were surveyed for classifications comparable to the Trauma Program Manager. No comparable classification was identified. Therefore, external salary data was not utilized.

An internal salary survey was conducted. The classification of Quality Improvement Manager - Inpatient Nursing is comparable in employment standards and level of functions to the proposed Trauma Program Manager classification. Therefore, it is recommended to compensate the Trauma Program Manager classification equal to the Quality Improvement Manager – Inpatient Nursing classification. This recommendation includes the longevity pay that the Trauma Program Coordinator and Quality Improvement Manager – Inpatient Nursing classifications both receive.

Effective January 27, 2020, all CEMA-represented nurses that follow Registered Nurses Professional Association (RNPA) received a three percent (3%) general wage increase and a four percent (4%) realignment. The salary indicated in the salary ordinance amendment reflects these increases.

CEMA concurs with the recommended action.

CONSEQUENCES OF NEGATIVE ACTION

The incumbent would not be appropriately classified or compensated.

STEPS FOLLOWING APPROVAL

The Clerk of the Board of Supervisors is requested to send MinuteTraq notification of completed processing to Barbara Olivares, Employee Services Agency Human Resources.

Meeting History

Feb 11, 2020 9:30 AM Video Board of Supervisors Regular Meeting
RESULT:APPROVED [UNANIMOUS]
MOVER:Mike Wasserman, Vice President
SECONDER:Susan Ellenberg, Supervisor
AYES:Mike Wasserman, Cindy Chavez, Dave Cortese, Susan Ellenberg, S. Joseph Simitian