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Committee forwards three staffing contracts, prepares for summer nurse coverage and shift-based urgent care
Summary
The committee voted to send a registered nurse contract, a medical assistant contract and an amendment to an Emergis staffing agreement to the full board; discussion covered hiring three RNs, shift scheduling for urgent care, and how additional providers arrive under master service agreements.
The Dahl Memorial Clinic Planning Committee voted to forward three staffing items to the full board: an individual registered nurse contract, a medical-assistant (MA/CMA) contract for seasonal coverage, and an amendment to the clinic's Emergis Healthcare Staffing master services agreement.
Committee members approved motions to move each contract to the board. The RN contract was described as mirroring an existing employee’s terms; the committee heard that Shauna Thomas, a current nurse, will not be available this summer while attending nurse-practitioner school and expects to return after her program.
Clinic Director Wall described the summer staffing plan: the clinic will contract three registered nurses for the season. One RN will be dedicated to primary care, another to emergency services, and a third will be a floater. Wall said the clinic is changing its urgent-care staffing model from an on-call system to shift work to reduce staff exhaustion and better handle expected increased service demand in summer months. "We're going to shift to work," Wall said, adding that last August the clinic recorded 99 urgent-care calls in the month and staff exhaustion was evident.
The committee discussed contract structure. Wall explained the clinic has master services agreements with Wilderness (for mid-level practitioners) and a master agreement with Emergis (a staffing/recruiting agency). Individual providers can be added under those master agreements via rate sheets; Emergis will provide two nurses this summer, Wall said. Several members sought clarity on how payment works if the service is unused; Wall said Emergis is paid on recruitment and is not paid unless the company places staff.
On the MA contract, committee members asked about compensation language. The contract references a compensation rate of "$3.75 per workday" for scheduled days, a rate that staff said matches an existing seasonal MA contract. Committee members also noted one contract line showing an FTCA period ending 12/31/2025; staff corrected that to 2026 during discussion.
Each staffing item was approved by the committee for forwarding to the full board; no recorded objections were announced at the committee level.
All three items will be on the board agenda for final approval; the clinic will proceed with recruiting and scheduling under the master services agreements if the board approves.
