TL;DR (generated · confidence: high)

The Bureau of Human Resources requests conversion of 1.0 FTE Medical Assistant position in Occupational Health from Limited-Term Employee (LTE) to regular status. The position is currently filled and paid through existing budgets (prior APRA funding, then IA rates and Health Fund Admin). No cost increase is anticipated. The Medical Assistant oversees pre-hire physicals, administers vaccines and lab testing, manages the naloxone program, supports critical incident response, and aids occupational health software implementation. Without this conversion, occupational health services would be undermanned, creating OSHA compliance risks and reduced service equity for remote and shift-work employees.

Key points (each cites a PDF page):

Request to convert 1.0 FTE Medical Assistant in Occupational Health from LTE to regular status. (p. 469)
Position has been filled and paid for over past years through APRA funding, then through existing IA rates and Health Fund Admin budgets; no additional cost projected. (p. 469)
Medical Assistant oversees Pre-hire Physical Evaluation program and serves as liaison to vendor. (p. 469)
Position administers vaccines and lab testing (lead screenings, bloodborne pathogen exposure tests, hepatitis shots, influenza, COVID-19) and manages State Vaccine Registry compliance. (p. 469)
Medical Assistant coordinates City naloxone program for non-first responders, manages supply requests, tracks incidents, and provides staff education. (p. 469)
Position serves as Certified Mental Health First Aid Instructor and supports CityStrong wellness program. (p. 469)
Without conversion, City risks OSHA non-compliance, longer vaccine/service wait times, reduced employee health equity, and diminished support for remote and swing/night shift workers. (p. 469)
Position is critical to implementation of ARPA-funded Mental Health First Aid and Occupational Health Software programs and associated equity impact reporting. (p. 470)

💰 $0 · 👥 1.0 FTE · 📋 Pre-hire Physical Evaluation program · OSHA vaccine and lab testing programs · City naloxone program · CityStrong wellness program · Mental Health First Aid · Occupational Health Software · 🏛️ Bureau of Human Resources · Occupational Health

23,739

Source: PDF pp. 469-470 · raw: 469 · 470

Breadcrumb: 3 city ops › City-Ops-DPs_0 › Package Details › 23,739

23,739 - HR-Convert Medical Assistant in Occ Health from LTE to Regular Service Area City Operations DCA Sara Morrissey Bureau Name Bureau of Human Resources Director Sara Morrissey Funding Type Name Non-GF Addition Status: Recommended Package Desc Expense Recommended Total This request is for 1.0 FTE to convert the LTE position in Occupational Health (Medical Assistant) to Personnel $0 regular. Converting this position to regular will not increase any costs as this position has been filled $0 and paid for over the past few years through APRA, and then through existing Occupation Health IA rates and Health Fund Admin budgets. This position is currently responsible for:

Overseeing the Pre-hire Physical Evaluation program and being the liaison between the City and the vendor who provides this service (assistance with scheduling, interfacing with hiring bureau, managing results, program updates, relays changes to stakeholders, etc.)
Is one of two people who provides occupational health services for all staff which includes implementing both voluntary and OSHA required vaccine and lab testing programs (lead screenings, post bloodborne pathogen exposure lab tests, hepatitis shots, seasonal influenza, COVID-19, etc.) by scheduling clinics and individual appointments, administering vaccine, drawing blood, tracking compliance, addressing records requests, entering data to employee health record and State Vaccine Registry)
Coordinates the City naloxone program for non-first responder including managing naloxone supply requests, tracks incidents, responds to inquiries and staff education needs.
Contributes to City wide critical incident response plans including Public Health Emergency/POD Program support, and Atypical Event Response Guidance.
Supports CityStrong wellness program staffing engagement, support, resource awareness events, and health screenings.
Certified Mental Health First Aid Instructor training employees in how to effectively respond to those experiencing a mental health crisis.
Project management and general support for Occupational Health Software launch (configuration, testing, training, being one of two super-user administrators).
Smart Sheet designer and resource who is assisting with Continuous Quality Improvement and managing our interim record tracking while we are between software applications to stay compliant with OSHA requirements and allow us to continue to provide and document occupational health services. Service Impacts Without this position, the City runs the risk of being non-compliant with mandated OSHA safety programs as employees experience longer waits for vaccines, trainings, lab tests and medical certifications. Vaccine non-compliance will get worse without Occupational Health Software being implemented as planned and with only one person available to provide vaccine and lab services. Employee/patient experience will worsen as response time to emails, requests for services, and availability of a single health provider to deliver healthcare are impacted. Equity of service provision will worsen for bureaus and staff at remote locations and on swing/night shifts with only one provider of services available. Health promotion work with CityStrong will become limited in scope and location as well with only one person providing this support unassisted. Pre-hire program management and liaison work will have to be reassigned. Equity Impacts

This decision package impacts the ability of Occupational Health and Well-being to meet it’s current equity improvement plan to provide greater health, wellness, and OSHA safety services to those most impacted by the COVID-19 pandemic and those who work at remote worksites and/or on swing/night shifts, especially front-line essential workers that may be out of compliance with OSHA required health services, screenings, trainings, and vaccinations. These target groups include lower- income, persons of color, women, and other minorities. Specifically, the ARPA grant funded Mental Health First Aid and Occupational Health Software programs both rely on this position for implementation, services, trainings, data collection, and equity impact reporting to both meet the grant requirements, improve access to healthcare, and to strengthen OSHA compliance among the impacted target groups.

Parent: Package Details · PDF: pp. 469-470