Regular Monthly Open Public Meeting

January 20, 2016 – 4:00 PM



A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, January 20, 2016 at 4:00 p.m., in the KVH Home Health and Hospice Lobby. Notices were posted noting the change in location from the Conference Rooms A and B to the Home Health Lobby due to construction/repair in 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; Jeff Teal, Director of Safety and Compliance, Gwen Cox, Director of Risk and Quality; Jacinto Orozco, MD Chief of Staff, and Barbara Bostick, Executive Administrative Assistant & Recorder.


President Pond called the meeting to order at 4:00. Commissioners Carver and Quinn completed their oath of office. Commissioner Carver made a motion to approve the Agenda as presented. Commissioner Quinn seconded, the motion carried unanimously. Discussion was had regarding conflict of interest disclosures. President Pond asked all Commissioners to review and complete the Conflict ofInterest Disclosure form. She 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.



Kay Schmidt offered appreciation and compliments to the hospital staff, noting that her father had been taken care of in the Emergency Department and on the acute care floor and had received wonderful care. She noted that every 'department that interacted with him did a great job, including housekeeping, dietary, nursing, doctors, etc. She also expressed her concern for the lack of adult care facilities locally and noted that it is a hardship on the elderly and their families to have to travel to The Dalles or Hood River.



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

• Regular Meeting Minutes from December 16, 2015; and Special Meeting Minutes from January 6, 2016; and

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


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


President Pond provided informational handouts regarding "What Should Board Members Know About the new Healthcare Reform Payment Schedule". After briefly reviewing the handout, President Pond advised that if the Commissioners had additional questions they could be directed to Leslie Hiebert, Gwen Cox or Jeff Teal.



Medical Staff Report

Dr. Orozco provided an overview of the Medical Staff meeting report. In addition, he noted that he would like to get more medical staff involvement in committees to be in-line
with their bylaws. He reported that medical staff elected new officers noting that he was elected as Chief of Staff, Dr. Nguyen was elected Vice-Chief of Staff and Dr. Bothamley as Secretary/Treasurer. He also reported on new laboratory equipment that will primarily benefit the Emergency Department. Josh Smith, Lab Director, noted implementation of rapid testing as well. Leslie Hiebert noted that the surgery department has done the highest number of surgical procedures in one year ever.


• Strategic Plan

Leslie Hiebert reviewed the draft strategic plan, including the steps involved in creating the document. She noted that her goal is to set and prioritize action plan items. Leslie reviewed the pillars, objectives and action plans. She will continue to develop the plan and will await additional feedback from the Board, Senior Leaders and Managers. Charis Weis reviewed the new Mission, Vision and Values and noted that it will be put in patient rooms, clinic rooms and blown up in the lobby.


• Rocky Mountain ACO

Leslie updated the Board regarding the 2016 ACO's and AIM award recipient approval by CMS. She noted that Family Medicine will be required to display a poster with information including their right to decline sharing their healthcare information. The posters have to be in place by January 30th. In addition, a separate written notice, must also be available. Clinic staff will be provided scripting regarding the ACO so that a consistent message and information can be provided to patients.



• Board Officers and Commissioner Assignments

After discussion, Commissioner Daniel made a motion to approve the following Board Officer and Commissioner Assignments:

President, Dennis Carver
Vice-President, Mark Sigfrinius
Secretary, John Quinn
Commissioner, Jim Daniel
Commissioner, Connie Pond


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


• Health Insurance Authorization

Charis Weis, Director of Human Resources, provided information regarding renewal opportunities with Premera Blue Cross. After discussion, Commissioner Daniel made a motion to authorize the CEO to execute the 2016-2017 renewal with Premera Blue Cross. The motion was seconded by Commissioner Pond. The motion carried unanimously.


• Resolution 2016-01

Jamie Eldred, Controller, noted the need to update the authorized financial account signers to reflect the change in Board Officer Assignments. Commissioner Pond made a motion to approve Resolution 2016-01 regarding signature authority on bank accounts as noted in the motion. The motion was seconded by Commissioner Daniel. The motion carried unanimously.



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; Gwen Cox, Director of Risk and Quality and Jacinto Orozco, MD Chief of Staff. Additionally, verbal reports were given by Commissioner Sigfrinius - outgoing Chair of the Building Committee and Commissioner Quinn, Chair of the newly formed Compliance and Ethics Committee. Commissioner Sigfrinius made a motion to accept the reports as presented; Commissioner Quinn seconded the motion. The motion carried unanimously.




Newly appointed Board President Carver announced that the Board of Commissioners would go into an approximately 20 minute Executive Session beginning at 7:00 p.m. for the purpose
permitted by RCW 70.44.062(1) regarding medical staff privileges, as well as RCW 42.30.110 (l) (g) regarding CEO Evaluation, and 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. At 7:20 p.m. Board President Carver noted that approximately 5 additional minutes would be needed for Executive Session. The Board returned to public session at 7:27 p.m.




Commissioner Daniel moved to approve the following individual(s) for initial appointment to Medical Staff:

Tyler Raymond, DO - Provisional Active Physician - Hospitalist Program; and


acknowledgement of notification of temporary privileges granted to:

Minh Nguyen, DO, Locum tenen - Hospitalist Program; and

Keith Petersen, MD - Hospitalist Program; and

Matthew Augustine, MD, Locum tenen - Hospitalist Program.


Commissioner Quinn seconded the motion. 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 7:29 p.m. The motion was seconded by Commissioner Pond. The motion carried unanimously.


Minutes Approved and Signed by President Dennis Carverand Secretary John Quinn.

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