BOARD OF COMMISSIONERS
PUBLIC HOSPITAL DISTRICT NO. 1 OF KLICKITAT COUNTY
Regular Monthly Open Public Meeting
February 17, 2016 – 4:00 PM
A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, February 17, 2016 at 4:00 p.m., in the KVH Home Health and Hospice Lobby (Conference Room C) Commissioner Dennis Carver, President of the Board of Commissioners was the presiding officer. A quorum was present including: Commissioners Connie Pond, Jim Daniel, John Quinn and Mark Sigfrinius.
Also present were: Leslie Hiebert, CEO; Jamie Eldred, Controller; 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.
CALL TO ORDER, APPROVAL OF AGENDA & CONFLICT OF INTEREST DISCLOSURE
President Carver called the meeting to order at 4:00. Commissioner Daniel made a motion to approve the Agenda as presented. Commissioner Pond seconded, the motion carried unanimously. President Carver requested 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
Commissioner Daniel moved that the consent agenda be approved as follows:
• Regular Meeting Minutes from January 20, 2016; and
Accounts Payable $ 744,620.65 Payroll $ 34,553.17 Electronic Transfers: $ 990,573.70 Bad Debt: $ 14,369.30 Charity Care: $ 40,978.61
The motion was seconded by Commissioner Quinn. The motion carried unanimously.
BOARD EDUCATION / SPECIAL PRESENTATION
CAH Annual Review was presented by Gwen Cox, Director of Risk and Quality in draft format, as well as the District's 2016 Performance Improvement plan and goals. She noted that the information presented is in draft form and she will provide the final documents for the Board's approval at the March 2016 Regular Board Meeting.
• Medical Staff Report
Dr. Orozco noted that the most important part of the Medical Staff Meeting was that the Bylaw revisions were voted on and accepted by Medical Staff. He also wanted to let the Board know that the new endoscopy equipment has been very helpful and is much appreciated. He also noted that both he and Dr. Garnett have exceeded the national average in adenoma polyp detection rates.
• Strategic Plan
Leslie Hiebert noted that she has met with several groups of employees and has reviewed the Healthier Washington video with them as well as explained the why and what's of the District's Strategic Plan. She noted that she also has created a District Leadership team consisting of Senior Leaders and key Department leaders to work on continued development of the Strategic Plan. Leslie reported that she will work with Managers in developing their own department specific Action plans at the upcoming Department Head meeting, she will ask that they include in all of their Action plans five specific goals that are also included in the District Strategic Plan and that overall their department goals and plans should be in alignment with the overall goals and plans of the district. Leslie intends to report quarterly to the Board regarding the status of the Strategic plan and more often if the need arises.
• Rocky Mountain ACO
Leslie Hiebert reported on her recent trip to Colorado to attend meetings of the Rocky Mountain ACO Board as well as the Community Care Alliance Board. She noted that timelines have been established for implementation of Care Coordination, Quality Reporting and Data Analytics. Leslie also noted that CMS will be providing information regarding the lives that are assigned to Family Medicine sometime in February. She reported as well that candidates for the ACO Care Coordinator position have been interviewed and the hope is to have that position filled by the end of the first quarter in 2016.
• District 2016 Performance Improvement Plan
Gwen Cox covered the 2016 PI Plan during the Board Education piece in its draft form. She will present a final copy at the March Board of Commissioners meeting for the Board's approval.
• Medical Staff Bylaws Revision
Jeff Teal reviewed the steps that were taken by the Medical Staff Bylaws Committee in to come up with the proposed changes. Both a copy of the proposed Bylaws and a redlined version of the Medical Staff Bylaws were provided to the Board prior to the meeting for their review. leffnoted that there were several minor changes, but that the major change that was made is regarding credentialing of medical staff. He noted that the change allows for either direct or indirect credentialing which will reduce the time required of the Medical Staff Coordinator in processing providers such as tele-radiologists and such because the credentialing documentation could be supplied by their company instead of having to be done by both their company and KVH's Medical Staff Coordinator. After discussion, Commissioner Daniel made a motion to approve the Medical Staff Bylaws as presented. The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.
• Resolution 2016-02 Surplus Property
Jamie Eldred reviewed the items included in the resolution for surplus. Commissioner Pond made a motion to adopt Resolution 2016-02 as presented. The motion was seconded by Commissioner Quinn. The motion carried unanimously.
BOARD, MEDICAL STAFF, and ADMINISTRATIVE REPORTS
Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; Kasey Schneider, DNS; Jeff Teal, PhD, Director of Safety and Compliance; Gwen Cox, Director of Risk and Quality and Jacinto Orozco, MD Chief of Staff. Commissioner Pond made a motion to accept the reports as presented; Commissioner Quinn seconded the motion. The motion carried unanimously.
Board President Carver announced that the Board of Commissioners would go into an approximately 10 minute Executive Session beginning at 6:34 p.m. for the purpose permitted by RCW 70.44.062(1) regarding medical staff privileges, as well as RCW 42.30.110 (I) (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 6:46 p.m.
COMMENTS OR ACTIONS RESULTING FROM EXECUTIVE SESSION
Commissioner Pond moved to approve the following individual(s) for initial appointment to Medical Staff:
Jay Donohoo, MD - Telemedicine Physician (Virtual Radiologic Professionals);
Frank Welte, MD - Telemedicine Physician (Virtual Radiologic Professionals);
Cynthia Lyle, MD - Telemedicine Physician (Virtual Radiologic Professionals);
Khalid Jaboori, MD - Provisional Active Physician (KVH Hospitalist Services);
Steven Williamson, MD - Provisional Active Physician (Emergency Department);
and reappointment to Medical Staff:
Michael Braun, DO (Active Physician);
Karen Phillips, MD - Telemedicine Physician (Virtual Radiologic Professionals);
Thomas Bigham, DO - (Active Physician);
and acknowledgement of temporary privileges granted to:
Shannon Servin-Obert, DO;
Peter Viavant, MD;
John Barrett, MD.
Commissioner Daniel seconded the motion. 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 6:48 p.m. The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.
Minutes Approved and Signed by President Dennis Carver and Secretary John Quinn.
Note: Printed copies are available at a charge of $.15 per page.