Special (Rescheduled Regular) Monthly Open Public Meeting

June 17, 2015 – 6:00 PM



A Special meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, June 17, 2015 at 6:00 p.m., in KVH Conference rooms A and B. This meeting was held in place of the previously scheduled Regular Board of Commissioners meeting of June 24, 2015. Appropriate notices were posted regarding the change of meeting date. Commissioner Connie Pond was the presiding officer. A quorum was present including: Commissioners John Quinn, 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 6:02 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.



There were employees representing SEill NW 1199 present who shared with the Commissioners their concerns regarding unresolved bargaining unit contract issues. Leslie Hiebert, CEO noted that there is a meeting scheduled for arbitration on July 7, 2015 and that Administration has attempted to schedule additional negotiation meetings to occur prior to the arbitration, but the Union has not responded or accepted additional dates. Commissioner Pond queried David Gilliam, one of the employees representing the Union, whether there was a possibility that additional meetings could be set up to happen before July 7th. David Gilliam responded that he wanted to talk with Leslie anyway and that he would contact her to schedule a meeting.



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

• Regular Meeting Minutes from May 27, 2015; and

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


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

BOARD EDUCATION / Special Presentations

Gail Garcia, Family Medicine Clinic Director provided a power point presentation reviewing the Rural Health Clinic Annual Report. Please see a copy of the report in the Board Book.



Medical Staff Report

Dr. Krehbiel noted that the Medical Staff will be sad to see Dr. Mueller leave, noting that he has been an incredible asset to KVH. Dr. Donahoe will be the Hospitalist Director, Mary Klingner, M.D. will be the mini-cam provider for Coast to Coast and Dr. Nguyen will work as the ED Director. He noted that there will be some growing pains, but will work out. He noted that Tim Gibbons from Life Flight talked with them about the early activation button and Dr. Krehbiel noted that he felt that we would go with that, there would be no downside and could save 7-8 minutes in response time.


• Rural ACO

Connie Pond encouraged the Commissioners to watch the video link that was included in the ACO information packet that Leslie had sent out. Leslie wanted to confirm that the Commissioners do want to go forward with participating in the ACO as the option to change your mind in September is no longer available. She did note that if the grant funding doesn't come through would be have an option to opt out. Gwen Cox noted that if we don't join the ACO, this is the direction that funding sources are headed and will still have to do the work that will be required as part of the ACO without the benefits provided by participation in the ACO. Commissioner Carver made a motion to authorize Leslie Hiebert, CEO to execute the ACO legal agreements. Commissioner Quinn seconded the motion. The motion carried unanimously.


• Resolution 2015-07. Surplus Property

See Surplus Items list attached to the Resolution. Commissioner Daniel made a motion to approve Resolution 2015-07 Surplus Property as presented. Commissioner Carver seconded the motion. The motion carried unanimously.


• Liability Insurance Renewal

Jamie Eldred, Controller gave an overview of the insurance renewal quotes. She noted that although Physicians Insurance provided a quote that was low, after Jamie, Jeff Teal, Gwen Cox and Leslie Hiebert met with Washington Casualty (Coverys), they make the recommendation to the Board to renew with Washington Casualty for our liability insurance, citing our longstanding relationship with them, reasonable cost and also that Washington Casualty provides coverage for our mid-levels without additional premium cost. Commissioner Quinn made a motion to approve the renewal of the Districts general and liability insurance through Washington Casualty (Coverys). Commissioner Daniel seconded the motion. The motion carried unanimously.


• Collaborative Annual Report

Leslie provided a brief overview of the Washington Rural Health Collaborative 2014 Annual Report at a Glance page. A copy of the report is included in the Board Book.


• Executive Session Discussion

Gwen Cox, Director of Quality and Risk reviewed information that she had collected regarding what is and isn't allowed to be discussed in Executive Session. She noted that some issues regarding Risk and Quality can be discussed during Executive Session, but that any action that would be taken in regards to any of the issues discussed would have to take place during the public portion of the Board of Commissioners meeting upon coming out of Executive Session.


• 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. 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 8:37p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges. The Board returned to public session at 8:47 p.m.


Commissioner Daniel moved to approve the following individual(s) for Initial Appointment to Medical Staff:

Tal Delman, MD - Telemedicine Physician (Virtual Radiologic Professionals;)

as well as reappointments for:

Vinson Uytana, MD- Telemedicine Physician (Virtual Radiologic Professionals);

Jonathan Foral, MD - Telemedicine Physician (Virtual Radiologic Professionals);

Christopher Rickman, MD - Courtesy Physician (Independent Contractor) and
Peter Andress, CRNA - Active Allied Health Professional (Anesthesia).


The motion was seconded by Commissioner Quinn. 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 8:49 p.m. The motion was seconded by Commissioner Quinn. The motion carried unanimously.


Minutes Approved and Signed by Vice-President Dennis Carver and Secretary John Quinn.

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