BOARD OF COMMISSIONERS
PUBLIC HOSPITAL DISTRICT NO. 1 OF KLICKITAT COUNTY
Regular Monthly Open Public Meeting
March 25, 2015 – 6:00 PM
A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, March 25, 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, Director of Human Resources; Rod Krehbiel, MD; Gwen Cox, Director of Quality and Risk; Jeff Teal, Director of Safety and Compliance; Kasey Schneider, DNS: and Barbara Bostick, Executive Administrative Assistant & Recorder.
CALL TO ORDER, APPROVAL OF AGENDA & CONFLICT OF INTEREST DISCLOSURE
President Pond called the meeting to order at 6:00 p.m. Commissioner Carver 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.
BUSINESS FROM AUDIENCE
There was no business from the Audience.
Commissioner Daniel moved that the consent agenda be approved as follows:
• Regular Meeting Minutes from February 25, 2015; and
Accounts Payable $ 973,172.93 Payroll $ 36,226.75 Electronic Transfers: $ 849,521.83 Bad Debt: $ 144,851.52 Charity Care: $ 11,146.08
The motion was seconded by Commissioner Sigfrinius. 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 strong and effective executive leadership?" portion of the booklet. Discussion followed. A copy of the reviewed information is included in the board book.
• Medical Staff Report
Dr. Krehbiel provided an overview of the Medical Staff meeting. He noted that Kaye Gorton gave a presentation to the Medical Staff regarding discharge planning issues. He noted that the EDIE Program in the ED used to track repeat visitors to the ED seems to be helping to reduce the number of repeat visits by creating an opportunity to educate the patient and improve their care. Discussion was had regarding the importance of informing patients in the community that we accept all insurance and are accepting new patients at our clinic, as there appears to be a misconception regarding insurance coverage in the clinic. He indicated that this may be a way of improving our bad debt and charity care numbers. He reported that there was discussion regarding the Providence Rural Training Track Residency Program from Providence Hood River expressing interest in having a Resident placed at KVH. Dr. Mueller had reported to Medical Staff that there are ongoing struggles with EMR, but that there has been some progress with the creation of templates, which will make the system more functional.
• KVH Family Medicine Update Project Close out. Resolution 2015-04
Leslie Hiebert explained to the Board that KDF Architecture has presented a letter to the Board declaring that the KVH Family Medicine Project is complete with the exception of two items, one regarding HV AC units and one regarding Operations and Maintenance Manuals. KDF made recommendation to the Board to pass a resolution approving the completion of the project allowing for the possible release of the retainage. See copy of KDF letter dated March 25, 2015 in Board Book. Commissioner Quinn made a motion to approve Resolution 2015-04. Commissioner Carver seconded the motion. The motion carried unanimously.
• Mission, Vision and Values Update
Commissioner Quinn recommended taking "l"out and replacing it with "We" and using the word stewardship instead of steward. Discussion was had regarding using the abbreviated "We" version with just the initial statement of each line printed for public and a more personalized "I" version for use with training and employees. The "I" version would include the expanded description of each statement. Commissioner Carver made a motion to approve the Mission, Vision and Values statement as amended. Commissioner Quinn seconded the motion. The motion carried unanimously.
• 2014 QI Program Review and 2015 QI Program Plan and Goals
Gwen Cox, Director of Quality and Risk provided a PowerPoint presentation to the Board regarding the 2014 QI Program and the 2015 QI Program Plan and Goals. A copy of the PowerPoint presentation will be filed in the Board Book. After discussion President Pond deferred the approval of the presented Plan to allow for a more complete review of the information presented. It will be revisited at the regularly scheduled April meeting of the Board of Commissioners.
• Resolution 2015-01. Renewing an established line of credit with Columbia Bank
Jamie Eldred provided an overview of Resolution 2015-01. Commissioner Daniel made a motion to approve Resolution 2015-01 as presented. Commissioner Carver seconded the motion. The motion carried unanimously.
• Resolution 2015-02. Surplus Property. (Miscellaneous Equipment and furniture - See item lists attached to Resolution)
Commissioner Sigfrinius made a motion to approve Resolution 2015-02 Surplus Property as presented. Commissioner Carver seconded the motion. The motion carried unanimously.
• Resolution 2015-03. Surplus Property. (Home Health Hospice Building)
Leslie Hiebert reviewed the process that was taken by the Building Committee in determining their recommendation that the Home Health Hospice building be surplussed. Commissioner Carver noted that the purchaser of the building would be responsible for the cost of moving the building and setting it up at another location. The Building Committee will follow up on opportunities to sell and will bring to the Board for final determination prior to sale. Commissioner Quinn made a motion to approve Resolution 2015-03 as presented. Commissioner Carver seconded the motion. The motion carried unanimously.
• Meeting Date Changes
President Pond noted that the Board needs to have a special meeting so that they can perform their Board evaluation. It was determined that the date for the Special meeting will be April 13th at 6:00 p.m. Required notices will be posted and sent to media for notification. In addition, due to the timing of the WSHA/ A WPHD summer meeting at Lake Chelan, the regular June Board of Commissioners meeting will be rescheduled from June 25, 2015 to June 17th at 6:00 p.m. Special meeting notices will be posted and sent to media in regards to this change as well.
BOARD, MEDICAL STAFF, and ADMINISTRATIVE REPORTS
• Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; Gwen Cox, Director of Quality and Risk; Kasey Schneider, DNS; Charis Weis, Director of Human Resources; Rod Krehbiel, MD and Jeff Teal, PhD, Director of Safety and Compliance. 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 an approximately 15 minute Executive Session beginning at 8:45p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges and RCW 42.30.110 (1) (g) to evaluate the qualifications of an applicant for public employment or to review the performance of a public employee. The Board returned to public session at 9:14p.m.
COMMENTS OR ACTIONS RESULTING FROM EXECUTIVE SESSION
• Commissioner Daniel moved to approve the following individual(s) for initial appointment to Medical Staff:
Scott Chang, MD -Telemedicine Physician (Virtual Radiologic Professionals
and the following individuals for re-appointment to Medical Staff:
Jeff Teal, PhD - Courtesy Allied Health Professional (Psychology);
Richard Toothman, MD - Telemedicine Physician (Virtual Radiologic Professionals);
Steven Davis, MDTelemedicine Physician (Virtual Radiologic Professionals).
The motion was seconded by Commissioner Carver. The motion carried unanimously.
There being no further business to come before the Board of Commissioners, Commissioner Carver moved that the meeting be adjourned at 9:27 p.m. The motion was seconded by Commissioner Quinn. 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.