BOARD OF COMMISSIONERS
PUBLIC HOSPITAL DISTRICT NO. 1 OF KLICKITAT COUNTY
Regular Monthly Open Public Meeting
October 28, 2015 – 6:00 PM
A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, October 28, 2015 at 6:00 p.m., in the KVH Kafe. 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.
CALL TO ORDER, APPROVAL OF AGENDA & CONFLICT OF INTEREST DISCLOSURE
President Pond called the meeting to order at 6:00 p.m. Commissioner Daniel made a motion to approve the Agenda as presented. Commissioner Carver 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 September 23, 2015; and Special Meeting Minutes from October 20, 2015; and
Accounts Payable $ 577,634.91 Payroll $ 28,165.51 Electronic Transfers: $ 937,407.48 Bad Debt: $ 81,784.37 Charity Care: $ 47,996.86
The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.
BOARD EDUCATION / SPECIAL PRESENTATION
Sunday Sutton presented information regarding the Klickitat County Drug Awareness Team including how the Team was created, what services they provide to Klickitat County with the primary focus being on prevention, treatment, education and aftercare. She also explained how they were funded in the past and future plans to obtain additional funding. Sunday noted that they are currently developing a survey to be distributed throughout the county. They will use the results of this survey to help in the creation of a strategic plan. She asked the Board and Senior Leaders present to complete the survey and to encourage others in the community to complete it as well. See information pamphlet included in Board Book.
• Medical Staff Report
Dr. Nguyen reviewed the written report and noted that the Medical Staff addressed a recent credentialing issue and had developed a plan to ensure that it doesn't happen again. Some discussion was had regarding OHSU continuing to have patients that have been sent to them from KVH establish a PCP in The Dalles for their follow up rather than to see their provider in Goldendale. Leslie noted that she has a meeting with OHSU and will be following up on that issue. Dr. Nguyen also reiterated the need for advertising the new providers at the Clinic, she had mentioned this previously at the Joint Board Med Staff Special Meeting earlier this month.
• Master Facility Plan Update
Leslie Hiebert provided a brief update to the Board. She noted that John McLean of Blue Room will provide some draft drawings of potential changes to the Board at the Special Board Meeting on November 3, 2015. Leslie noted that the drawings have come back from Pioneer Engineering regarding the helipad. She explained that the changes that were made to the original plan are to create a concrete pad rather than use the existing building foundation. Leslie also noted that Dean Basse, Plant Manager will be sending out the packets soon and that Crestline and Riley's are expected to provide bids for the project.
• Strategic Planning Core Goals/Seven Key Strategies
Leslie Hiebert reviewed the purpose of the core goals and seven key strategies and noted that it is important to revisit them and decide if they are still in line with the changes to the Mission, Vision and Values statement that were made last spring as it is relevant to the completion of the strategic plan that they are in line and reflective of each other. Leslie noted that she will work on wordsmithing and will propose new language to the Board for consideration. She asked that suggestions and feedback be emailed to her. She expressed that she wants to keep it simple and relatable.
• Bylaws Discussion - Meeting Date and Time
Jeff Teal presented two proposed bylaw change options to the Board for consideration regarding meeting date and time. Commissioner Daniel made a motion that the second proposal outlining the change, be considered for approval at the November Regular Board Meeting. The motion was seconded by Commissioner Carver. The motion carried unanimously.
• Resolution 2015-09 Compliance and Ethics
Jeff Teal reviewed the Compliance and Ethics Plan Implementation Summary including the necessity for a Resolution by the Board of Commissioners demonstrating the organization's commitment to compliance and ethics, to appoint a Compliance and Ethics who would report directly to the Board of Commissioners regarding Compliance and Ethics or Code of Conduct issues. Please see copy of KVH Compliance and Ethics Plan Implementation Summary included in the Board Book. Commissioner Quinn made a motion to approve Resolution 2015-09. The motion was seconded by Commissioner Carver. The motion carried unanimously.
Jeff noted that the next step was for the Board to determine how they would like the Committee to be formulated. He noted that a change to the current bylaws would be required if the Board opted to form it as a standing committee. Commissioner Daniel made a motion to present for approval at the November Regular Board meeting a change to the bylaws establishing the Compliance and Ethics Committee as a standing Committee. Commissioner Quinn seconded the motion. The motion carried unanimously.
• Resolution 2015-10 Surplus Property.
Leslie Hiebert noted that the majority of the items on the surplus asset disposal list were items that had been damaged in the recent Conference Room flooding and were deemed unsafe to continue using. Commissioner Carver made a motion to approve Resolution 2015-10. The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.
BOARD, MEDICAL STAFF, and ADMINISTRATIVE REPORTS
Building Committee. Commissioner Sigfrinius gave a brief report of the recent Building Committee meeting. He noted that John McLean from Blue Room Architecture had presented information to the Committee that he had gleaned from his previous meetings with Department Managers and some preliminary ideas for potential consideration of areas of focus. Some discussion was had regarding the current status of the Conference Room repairs and the likelihood that it will not be completed until the end of November. It was reported that the Helipad project completion is still expected to occur by the end of November.
Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; 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.
Additional items of discussion included Board President Pond challenging the Board to consider what legacy they, as a board, would like to leave behind. Discussion was had regarding departmental reports occurring during the Board meetings, as well as the need for increased clinic reporting/participation in future board meetings. An evaluation of the meeting occurred with President Pond inquiring as to whether the other members of the Board felt as though they were getting enough information and whether they felt that the meeting had been productive. Some discussion was also had regarding the amount of time spent on EMS District projects.
President Pond announced that the Board of Commissioners would go into an approximately 10 minute Executive Session begining at 8:50 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 when public knowledge regarding such consideration would cause a likelihood of increased price". The Board returned to public session at 9:00 p.m.
COMMENTS OR ACTIONS RESULTING FROM EXECUTIVE SESSION
Commissioner Daniel moved to approve the following individual(s) for initial appointment to Medical Staff:
Blake C Poleynard, MD -Telemedicine Physician (Virtual Radiologic);
and reappointments to Medical Staff:
Rodney Krehbiel, MD - Active.
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 9:00 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.