2021-194-Resolution No. 2021-027 Recorded 5/13/2021REVIEWED
LEGAL COUNSEL
Recorded in Deschutes County CJ2021-1 QA
Nancy Blankenship, County Clerk
commissioners' Journal 05/13/2021 10:16:07 AM
C\y`'Sf..S
2021-194
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,
OREGON
A Resolution Decreasing FTE
within the 2020-21
Deschutes County Budget
E3
RESOLUTION NO. 2021-027
WHEREAS, On May 3rd, 2021, the Board of County Commissioners discussed the
conversion of a vacant .50 Psychiatric Nurse Practitioner FTE to a .50 Psychiatrist FTE within the
Health Services Fund, and the decrease of a separate 1.0 Psychiatrist FTE position to a .80
Psychiatrist FTE as of June 1", 2021, to cover the conversion cost, and
WHEREAS, the net result of this conversion would be a decrease in legal FTE of .20, and
WHEREAS, Deschutes County Policy HR-1 requires that a creation of or increase in FTE
outside the adopted budget be approved by the Board of County Commissioners; now therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
DESCHUTES COUNTY, OREGON, as follows:
Section 1. That the following FTE be decreased and changed:
Job Class
Type
Duration if Limited Duration
FTE
Psychiatric Nurse Practitioner (1618)
Regular Duration
Position change to Psychiatrist
Psychiatrist (1707) Regular Duration Decrease from 1.0 FTE to .80 (0.20)
FTE as of June 1, 2021
Total HE (0.20)
Page 1 OF 2-Resolution no. 2021-027
Section 2. That the Human Resources Director make the appropriate entries in the
Deschutes County FTE Authorized Positions Roster to reflect the above FTE changes.
DATED this day of May, 2021.
ATTEST:
Recording Secret rr
BOARD OF COUNTY COMMISSIONERS OF
DESCHUTES COUNTY, OREGON
ANTHONY DEBONE, Chair
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PHIL CHANG, Vic hair
PATTI ADAIR, Commissioner
Page 2 OF 2-Resolution no. 2021-027
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oj Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners BOCC Monday Meeting of May 3, 2021
DATE: April 28, 2021
FROM: Janice Garceau, Health Services,
TITLE OF AGENDA ITEM:
Consideration of Request to Convert Psychiatric Nurse Practitioner Position to Psychiatrist
RECOMMENDATION & ACTION REQUESTED:
Staff request approval to convert existing Psychiatric Nurse Position to Psychiatrist
position.
BACKGROUND AND POLICY IMPLICATIONS:
Deschutes County Health Services (DCHS) requests permission to convert an existing, vacant
0.50 full-time equivalent (FTE) Psychiatric Nurse Practitioner (position 1618) to a 0.50 FTE
Psychiatrist. To cover the cost, DCHS will use resources made available by the reduction of
an existing 1.0 FTE Psychiatrist (position 1707) to 0.8 FTE as of June 1, 2021.
This will allow DCHS to hire a child psychiatrist for 20 hours per week, effective June 1, 2021,
to provide comprehensive care for complicated and high -risk children, including children with
eating disorders, co -morbid addiction disorders, and developmental and intellectual disabilities.
The addition of this psychiatrist position, along with our contracted psychiatrist, will allow
DCHS to provide top-notch, in -person child psychiatric coverage for our Child & Family
services at Courtney as well as our Intensive Youth Services Program.
Child Psychiatry is a highly valuable specialty which is often difficult to fill, particularly for public
agencies that are not able to match lucrative compensation available in private practice.
FISCAL IMPLICATIONS:
The cost differential to hire a 0.5 FTE Psychiatrist in lieu of a 0.2 FTE Psychiatrist (step 2) and
0.5 FTE Psychiatric Nurse Practitioner in FY 2022 is $8,422. The additional position cost will
be covered in FY 2022 through generated Certified Community Behavioral Health Clinic
prospective payment (CCBHC PPS).
ATTENDANCE: Will Berry, Medical Director; Janice Garceau, Behavioral Health Director
E S C06,
2
® Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners BOCC Wednesday Meeting of May 12, 2021
DATE: May 6, 2021
FROM: Dan Emerson, Finance,
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Resolution No. 2021-027 Decreasing FTE Within the
2020-21 Deschutes County Budget
RECOMMENDATION & ACTION REQUESTED:
Staff recommends approval of Resolution No. 2021-027 Decreasing .20 FTE within the
Health Services Fund and converting a vacant regular duration .50 Psychiatric Nurse
Practitioner FTE to a regular duration .50 Psychiatrist FTE within Health Services.
BACKGROUND AND POLICY IMPLICATIONS:
Health Services would like to convert a vacant .50 Psychiatric Nurse Practitioner FTE to a .50
Psychiatrist FTE. One of the ways Health Services will be covering the cost differential of the
two positions is to decrease a separate 1.0 Psychiatrist position to a .80 Psychiatrist position
effective June 1, 2021, resulting in a net decrease of. 20 FTE in the Health Services Fund.
FISCAL IMPLICATIONS: The conversion of the position will be covered by a decrease in .20
Psychiatrist FTE and $8,422 in Certified Community Behavioral Health Clinic Prospective
Payment (CCBHC-PPS) fund in FY 2021-2022.
ATTENDANCE: Dan Emerson, Budget Manager.