Regular Monthly Open Public Meeting

September 23, 2015 – 6:00 PM



A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, September 23, 2015 at 6:00 p.m., in KVH Conference rooms A and B. Commissioner Connie Pond, President of the Board of Commissioners was the presiding officer. A quorum was present including: Commissioners John Quinn, Jim Daniel, Dennis Carver and Mark Sigfrinius.


Also present were: Leslie Hiebert, CEO; Jamie Eldred, Controller; Charis Weis, Director of Human Resources; Kasey Schneider, DNS, Anh Nguyen, MD Chief of Staff; Jeff Teal, Director of Safety and Compliance, Gwen Cox, Director of Risk and Quality, and Barbara Bostick, Executive Administrative Assistant & Recorder.


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.



There was no business from the audience.



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

• Regular Meeting Minutes from August 26, 2015; and

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


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


Charis Weis presented information to the Board regarding different types of compensation models including Straight Market Pricing Model, Across the Board Increase Model, Pay-for-Performance Model and Carve-Out Models. She reviewed the pros and cons of the different models including the benefits to rewarding star employees, recruitment and retention, as well as the high cost of implementation and development and difficulty in maintaining programs such as the Pay-for-Performance Model. See information included in Board Book.



Medical Staff Report

Dr. Nguyen reviewed the written report and noted that Dr. Nathan Armerding will be coming on board in July of 2016. He will be here again in October to finish his Residency training. She also noted that the three new providers at the clinic are doing well. She noted that Dr. Kelsch, who was here recently as a second year resident, will be a strong candidate for future recruitment and is interested in coming back next year. Leslie reported that Dr. David Huber will be coming for a visit in October and is considering doing a couple of days in the clinic as well as some ED shifts.


• Rocky Mountain ACO Update

Leslie Hiebert provided an updated timeline regarding the Rocky Mountain ACO. Of note, Leslie also reported that she has been chosen to be the Treasurer of the ACO.


• Allevant Update

Kasey Schneider, DNS reports that she is the Project Manager for the implementation of the Allevant program. She noted that Allevant Representatives were on site on September 17th and will be back again on the 8th of October. She noted that Allevant has an excellent nursing education program.


• Strategic Plan Update

Additional marketing data analysis information that the Board had requested previously from Jody Corona has been received and is included in the Board packet. Leslie Hiebert noted that she would like to finish up the Strategic Plan by the end of the year. Discussion was had regarding holding a Joint Hospital Board/Chamber Board dinner meeting in January.


• Bylaws Discussion was had regarding potential changes to the Bylaws including changing the meeting date back to the third Wednesday of the month as well as changing the time to 4:00 p.m. It was determined that it would be best to make a change to the Bylaws that would allow for greater flexibility in meeting dates and times. Jeff Teal will create a draft proposal to present to the Board at the October Board meeting.


• Pre-Employment Drug Screening Policy. Charis Weis provided an overview of the draft pre-employment drug screen policy for the Board to review. Some discussion was had regarding the testing being done pre-employment only and not random once employed with the exception of for cause testing, which would include impairment or work place injury. Commissioner Carver noted that he participates on the local Meth Action Team and that he would ask Sunday Sutton, the Meth Action Team leader to do an education presentation to the Board at a future meeting.



Building Committee. Commissioners Sigfrinius and Carver noted that John McLean from Blue Room Architecture met with the Building Committee on September 2nd. He will be returning on October 7th to again meet with the Building Committee as well as department heads to determine department specific future needs, plans and areas of development as part of the Master Facility Plan. Leslie Hiebert noted that there were some changes to the original plan that would have increased the cost and, put the project over budget, however alternatives were found that will change the structure, but not lessen its effectiveness and will keep the project within budget.


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; Jeff Teal, PhD, Director of Safety and Compliance; and Anh Nguyen, MD Chief of Staff. Commissioner Quinn made a motion to accept the reports as presented; Commissioner Sigfrinius seconded the motion. The motion carried unanimously.



Appreciation was expressed to Connie Pond for hosting the recent dessert get together at her home for Providers, Board Members and Senior Leaders. Charis Weis noted that the employee "Years of Service Awards" would be on November 5th at 2:00 p.m. and that the annual "Salsa Wars" would be on Tuesday, September 29th.




President Pond announced that the Board of Commissioners would go into an approximately 15 minute Executive Session beginning at 8:48 p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges as well as RCW 42.30.110 (1) (b) "to consider the selection of a site or the acquisition of real estate by lease or purchase hen public knowledge regarding such consideration would cause a likelihood of increased price. Vice-President Dennis Carver announced at 9:02 p.m. that the Board would need an additional approximately 15 minutes in Executive Session. The Board returned to public session at 9:20 p.m.




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

Jonathan Bold, MD - Telemedicine Physician (Virtual Radiologic);

Robert Grumbo, MD - Active Physician (KVH Hospitalists Program);

Terra Bowles, MD - Active Physician (KVH Hospitalists Program;


and acknowledgement of temporary privileges granted to:
Betty Van Leuven, MD - Locum Tenen.


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




There being no further business to come before the Board of Commissioners, Commissioner Quinn moved that the meeting be adjourned at 9:23 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.