Regular Monthly Open Public Meeting

January 28, 2015 – 6:00 PM



A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, January 28, 2015 at 6:00 p.m., in KVH Conference rooms A and B. Commissioner Connie Pond was the presiding officer. A quorum was present including: Commissioners John Quinn, Mark Sigfrinius, Jim Daniel and Dennis Carver.


Also present were: Leslie Hiebert, CEO; Jamie Eldred, Controller; Charis Weis and Herb Hill, Human Resources; Mark Mueller, MD; Gwen Cox, DNS; and Barbara Bostick, Human Resources Generalist & Recorder.


President Pond called the meeting to order at 6:00 p.m. As there were numerous employees in attendance, some of whom had signed up to speak to the Board, President Pond opted to go to Business from the Audience prior to moving to the agenda approval and conflict of interest disclosure portion of the meeting.



Board President Pond opened the public comment session of the agenda, inviting business from the audience. There were several KVH Bargaining Unit employees in attendance. Employee David Gilliam spoke regarding the Bargaining Unit's position and understanding of the agreement reached during negotiations pertaining to the bargaining unit market adjustments. Employee Connie Kayser presented the Board with a petition signed by "70% +1" of the Bargaining Unit employees. Employee Tom Pettitt opted to not speak, noting that he had signed up to speak in the case that Connie Kayser was not able to. Employee Teri Buslach expressed frustration regarding market adjustments as well. Discussion was had regarding arranging a potential meeting between SEIU, the Hospital Board and Administration to attempt to work through the differences and come to agreement before moving on to arbitration.


Commissioner Daniel made a motion to approve the Agenda as presented. Commissioner Quinn seconded, the motion carried unanimously. President Pond continued by requesting disclosure from the Commissioners of any conflict of interest with items on the Agenda. All Commissioners present noted that they had no conflict of interest.




Commissioner Daniel moved that the consent agenda be approved as follows:

• Regular Meeting Minutes from December 17, 2014; and Special Meeting Minutes from January 5, 2015 and January 21, 2015; and

Accounts Payable   $
Payroll   $
Electronic Transfers:   $
Bond Payments:
Bad Debt:
Charity Care:


The motion was seconded by Commissioner Carver. The motion carried unanimously.

BOARD EDUCATION / Special Presentations

Board President Connie Pond reviewed the portion of the 20 Questions Every Washington Hospital Board Needs to be Able to Answer booklet regarding the "How does the board ensure the right issues are discussed in the right way at the right time?" portion of the booklet. A copy of the reviewed information is included in the Board Book.



Medical Staff Report

Leslie Hiebert noted that there was discussion during the Medical Staff meeting regarding Bylaws and Jeff Teal, PhD, Director of Quality and Risk provided Medical Staff with information regarding a new program to help patients with food insecurities better access to fresh vegetables. He explained that the providers would be able to write prescriptions for their patients with food insecurities, the prescriptions would work as a voucher to allow the patients to purchase fresh vegetables from local farmers markets, etc. Dr. Mueller noted that the providers are very excited about the upcoming move to the new Family Medicine location. He provided information regarding a meeting that he attended recently in Elma as part of the Rural Health Collaborative for Medical Directors. He noted that the primary focus is on quality patient handoffs, including handoffs between ED providers to the hospitalist, and then to the patient's primary care provider. He explained that the study will be funded by a grant and that the goal is for the patient to be seen by their primary care physician within seven days of discharge from the hospital.


• KVH Family Medicine Update
Leslie Hiebert, CEO noted that things are on track for the clinic move to begin on Friday, February 6th and Saturday, February 7th with the housekeepers coming in on Sunday the 8th to do a final clean up and for the staff to perform some mock patient run-throughs to make sure everything is in order before the soft opening on Monday morning, February 9th. Dean Basse Plant Manager noted also that things are in order for the scheduled opening. He said there are very few things outstanding and very minor changes left to complete. He noted that there is an issue with a fan in the lab area that is too noisy and that he is working to get the correction taken care of before the soft opening, explaining that it is more difficult to get the contractor to pay for the fix once the space is occupied.


• Premera Renewal

Charis Weis presented information regarding the benefits package renewal that Davidson Benefits Planning was able to negotiate on the Districts behalf. Commissioner Sigfrinius made a motion to authorize the CEO to execute the 2015-2016 renewal with Premera Blue Cross; Commissioner Quinn seconded the motion. The motion carried unanimously.


• Two Tier State Audit
Jamie Eldred presented information regarding the pros and cons of going from the current one year State accountability audit rotation schedule to a two year rotation. She noted that the State Auditor's office has provided a quote to do the accountability audit on a two year rotation, which would provide a cost savings, as well as reduce staff time. Jamie Eldred recommended moving to the two year audit schedule. Commissioner Sigfrinius made a motion to approve moving the District from a one year state accountability audit rotation to a two year state accountability audit rotation; Commissioner Carver seconded the motion. The motion carried unanimously.


• Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; Gwen Cox, DNS; Herb Hill, Director of Human Resources; Charis Weis, HR/Outreach; Rod Krehbiel, MD and Jeff Teal, PhD, Director of Quality and Risk. Discussion followed. Commissioner Quinn made a motion to accept the reports as presented; Commissioner Daniel seconded the motion. The motion carried unanimously.


President Pond announced that the Board of Commissioners would go into a 20 minute Executive Session beginning at 8:43 p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges and also for the purpose permitted by RCW 42.30.110 (1) (g) regarding reviewing the performance of a public employee. At 9:01 President Pond announced that the Board would need an additional approximately 10 minutes in Executive Session. The Board returned to public session at 9:10 p.m.


Commissioner Quinn moved to approve the following individual(s) for re-appointment to Medical Staff: David Guarraia, MD - Courtesy Physician - Cardiology; Kevin Wei, MDCourtesy Physician - Echocardiography. It was noted that Temporary Privileges had been approved for Faith Butler, MD (Provisional Active Physician -Family Practice Clinic); Richard Rossin, MD (Telemedicine Physician - Virtual Radiologic Professionals); William Springer, MD (Telemedicine Physician - Virtual Radiologic Professionals); Jeff Teal, PhD (Courtesy Allied Health Professional- Psychology) and Rod Krehbiel, MD (Active Physician - Emergency Medicine). The motion was seconded by Commissioner Carver. The motion carried unanimously.



There being no further business to come before the Board of Commissioners, Commissioner Daniel moved that the meeting be adjourned at 9:14 p.m. The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.


Minutes Approved and Signed by President M. Connie Pond and Secretary John Quinn.

Note: Printed copies are available at a charge of $.15 per page.