REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 22, 2024
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Employment Contract for a Physician Assistant for the Department of Public Health
End
RECOMMENDATION(S)
Recommendation
1. Approve Employment Contract with Charles Sims, Physician Assistant, to provide primary care and HIV medical services with the Clinic Operations Division at the rate of $67.17 per hour, for the period of November 1, 2024, through October 31, 2027.
2. Authorize the Director of Public Health to execute amendments to extend the term of the contract, for a maximum of three successive one-year periods, on behalf of the County, subject to County Counsel review.
3. Direct the Director of the Department of Public Health to transmit all amendments to the Employment Contract with Charles Sims to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item will not result in the use of Discretionary General Funding (Net County Cost). The $67.17 per hour cost of this contract for Physician Assistant (PA) services is fully reimbursed through the Ryan White Part C Early Intervention Services grant, and Medi-Cal, and Medicare programs. Adequate appropriation and revenue have been included in the 2024-25 Department of Public Health (DPH) budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DPH provides comprehensive medical services to the uninsured and underinsured population throughout the County. The PA position provides care to patients under the supervision of a physician, in DPH’s four Federally Qualified Health Centers throughout the County.
Under the recommended contract, the PA will continue to provide full-time primary care and HIV medical services to patients. The PA has been providing medical services for DPH since 2008, where he has established extensive patient relationships. DPH recommends a three-year employment contract with Charles Sims, as a contract Public Health PA for the cost of $67.17 per hour, effective November 1, 2024, through October 31, 2027. Authorization is requested for the Director of Public Health to execute amendments to extend the term of the contracts for a maximum of three successive one-year periods
Under the terms of the contract, either party may terminate the contract at any time, without cause, upon 14 days prior written notice to the other party. The County may terminate the contract immediately for just cause.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Scott Runyan, Principle Assistant County Counsel, 387-5455) on October 7, 2024; Human Resources (Gina King, Assistant Director, 387-5560) on September 27, 2024; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on September 20, 2024; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on September 20, 2024.