Regular Monthly Open Public Meeting

April 22, 2015 – 6:00 PM



A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, April 22, 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; Gwen Cox, Director of Quality and Risk; Jeff Teal, Director of Safety and Compliance; Kasey Schneider, DNS: and Barbara Bostick, Executive Administrative Assistant & Recorder.


President Pond called the meeting to order at 6:01 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.



No Business from the Audience.




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

• Regular Meeting Minutes from March 25, 2015 and Special Meeting Minutes from April 13, 2015; and

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


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

BOARD EDUCATION / Special Presentations

Gwen Cox, Director of Quality and Risk provided information to the Board regarding the State innovative plan and core measures. See copy of information in board book. Board President Connie Pond reviewed the portion of the 20 Questions Every Washington Hospital Board Needs to be Able to Answer booklet regarding the "What's the Board's role in building trust and connections with its community?" portion of the booklet. Discussion folIowed. A copy of the reviewed information is included in the board book.



Medical Staff Report

Written report included in board book. Dr. Krehbiel was not present for the meeting so no verbal report was given, however Jeff Teal, Ph.D., Director of Safety and Compliance noted that the Medical Staff has given conceptual approval regarding revision to Medical Staff Bylaws which would allow tele-radiology credentialing to be done via delegated credentialing instead of the current credentialing process.


• Quality Improvement 2015 Plan Review Continued

After some discussion, Commissioner Carver made a motion to accept the QI 2015 Plan with the correction of replacing the Mission, Vision and Values statement that was presented with the plan with newly the revised Mission, Vision and Values. Commissioner Quinn seconded the motion. The motion carried unanimously.


• Strategic Planning - Mission, Vision, and Values Update

Leslie Hiebert showed the Board samples of the new Mission, Vision, and Values. Leslie also provided an updated Strategic Planning schedule. She noted the goal is to approve an updated Strategic Plan in September and to have the Master Facilities Plan completed at the same time. Some discussion was had regarding scheduling a joint dinner with the Chamber of Commerce Board, it was determined that this should be scheduled for some time after the Fair. Leslie provided an updated work plan to the Board and noted that she would be providing updates of the plan to the Board quarterly.


• Rural ACO

Leslie Hiebert provided information on Rural ACO's. There was discussion regarding the benefits and risks associated with joining the Rural ACO. Leslie noted that grant funding available through the Center for Medicare and Medicaid Innovation would pay for our participation fees if our ACO application is accepted by the grant program. She explained that there is n $1,000 initial application fee and that if KVH was not accepted by the grant program that we could withdraw our application and would not be required to go forward with the Rural ACO. Leslie also noted that a Care Coordinator would need to be hired if KVH participates in the program. Some of the services that the Care Coordinator would provide could be billed for through the clinic. It would also require staff time to ensure that mandatory reporting is completed. She noted that at the recent Family Medicine Clinic Provider Operating Council meeting the providers expressed no objections to going forward. Leslie made the recommendation to the Board that KVH applies for the program and see where it goes with the grant funds. Commissioner Carver made a motion to authorize Leslie Hiebert, CEO to submit the application for participation in the Medicare Shared Savings Program that is due by July 31, 2015.


• Resolution 2015-05. Surplus Property

See Surplus Items list attached to the Resolution.
Commissioner Sigfrinius made a motion to approve Resolution 2015-05 Surplus Property as presented. Commissioner Carver seconded the motion. The motion carried unanimously.


• 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


There was some discussion during the Building Committee report regarding the preferred process for disposal of the Home Health Hospice building that was surplussed at the March regular meeting of the Board. Initially the preference by the Building Committee was to go through the sealed bid process, however since the Building Committee meeting, Leslie has received additional information regarding the possibility of requiring bidders participating in a live auction to be prequalified before the auction. This would alleviate the concern that the Building Committee had regarding potential bidders winning and then being unable to follow through. After discussion it was determined by the Board to move forward with a live auction and Leslie will establish the required pre-qualifications. Additionally, it was noted that notices should outline specific time frames for moving the building, and that the building is being sold as is. Commissioner Quinn made a motion to accept the reports as presented; Commissioner Carver seconded the motion. The motion carried unanimously.


President Pond announced that the Board of Commissioners would go into an approximately 10 minute Executive Session beginning at 8:50p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges. The Board returned to public session at 9:01 p.m.


Commissioner Quinn moved to approve the following individual(s) for re-appointment to Medical Staff:

Sam Donahoe, MD - Provisional Active (Coast to Coast Hospitalist);

Timothy Flaugher, PA-C - Provisional Allied Health Professional (Coast to Coast Mid-Level);


and reappointment to Medical Staff:

John Nguyen, MDTelemedicine Physician (Virtual Radiologic Professionals);

Troy Witherrite, MDCourtesy Physician (Independent Contractor);

Mark Montella, MD - Telemedicine Physician (Virtual Radiologic Professionals);

Julie Shaffrey, MD - Telemedicine Physician (Virtual Radiologic Professionals;)

Davae Ketan, MD - Telemedicine Physician (Virtual Radiologic Professionals);

and Jacinto Orozco, MD - Active Physician (KVH).


The motion was seconded by Commissioner Carverl. 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 9:04 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.