BOARD OF COMMISSIONERS
PUBLIC HOSPITAL DISTRICT NO. 1 OF KLICKITAT COUNTY
Regular Monthly Open Public Meeting
July 20, 2016 – 4:00 PM
A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, July 20, 2016 at 4:00 p.m., in the KVH Conference Rooms A&B. Commissioner Dennis Carver, President of the Board of Commissioners was the presiding officer. A quorum was present including: Commissioners Jim DanielJohn Quinn, and Mark Sigfrinius.
Also present were: Leslie Hiebert, CEO; Jamie Eldred, Controller; Jonathan Hatfield, IT Manager; Charis Weis, Director of Human Resources; Kasey Schneider, DNS and 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 4:02 p.m. Commissioner Daniel made a motion to approve the Agenda as presented. Commissioner Quinn 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.
BOARD EDUCATION / SPECIAL PRESENTATION
The Board Members present each provided a brief overview of a session that they attended during the recent WSHA Chelan Summer Workshop. Commissioner Sigfrinius reported on a session he attended regarding Psychiatric Care in Washington State. Commissioner Daniel noted that he felt that this year's session variety was limited compared to previous years. Commissioner Quinn reported on a session he attended regarding spending for healthcare, increased costs and upcoming changes. Commissioner Carver reported regarding the importance of commissioners modeling desired behavior, participating in community outreach opportunities and being an assertive advocate within the community for the hospital.
BUSINESS FROM AUDIENCE
No Business from the Audience.
Commissioner Daniel moved that the consent agenda be approved as follows:
• Regular Meeting Minutes from June 15, 2016; and Special Meeting Minutes from July 12, 2016; and
Accounts Payable $ 731 ,444.49 Payroll $ 36,595.79 Electronic Transfers: $ 1,334,959.03 Bond Payment: $ 95,965.31 Bad Debt: $ 54,132.68 Charity Care: $ 27,847.74
The motion was seconded by Commissioner Sigfrinius. The motion carried unanimously.
• Medical Staff Report
Dr. Orozco provided a brief overview of the recent Medical Staff meeting. He noted that K VH does a much better job of outreach within the community than his previous employer. He reported that Rick Sexton had attended the Medical Staff meeting and appeared to be improving. Leslie Hiebert noted that the attendance at the July Medical Staff meeting was very well attended.
• Pain Management Clinic Update
Leslie Hiebert reported that she, Dr. Bothamley and Gail Garcia will be travelling to visit a Pinnacle Pain Management Clinic in Kennewick on August 3rd. She noted they are moving forward with their intent to provide Pain Management Services at Family Medicine. They have started the credentialing process. The plan is that they will lease the space from KVH and do their own billing for services with KVH being able to provide additional ancillary services such as imaging or lab as needed.
• Strategic Plan Update
Leslie Hiebert provided a quarterly update and review of the Strategc plan. She noted that parts of the Quality objectives that were established previously by Gwen Cox have been put on hold while Kasey Schneider is doing both the DNS and Quality and Risk roles. Leslie noted that the required PQRS and ACO reporting has been completed. Please find the updated quarterly strategic plan included in the Board book.
• IT Infrastructure Update
Jonathan Hatfield explained to the Board the reasoning behind the need to replace the current CPSI and T-system servers. He noted that it would be the best use of District dollars and would not be antiquated in five years and will allow for the current backup server to be used as a storage server allowing everything to be encrypted and create an extra layer of security. Leslie Hiebert noted that the cost is within her authority to approve, but that she wanted the Board to be aware of the reasoning behind the decision to move forward with the purchase. John Quinn noted that he and Jonathan Hatfield had attended a Conference on Cyber Security and ransom ware. Discussion was had regarding the potential impact to the District if the necessary security steps are not taken to ensure security within the Districts communication systems.
BOARD, MEDICAL STAFF, and ADMINISTRATIVE REPORTS
Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; Kasey Schneider, DNS and Director of Risk and Quality; Charis Weis, Human Resources Director; and Jeff Teal, PhD, Director of Safety and Compliance. Dennis Carver provided a brief verbal overview of the July 6,2016 Building Committee meeting. Commissioner Quinn made a motion to accept the reports as presented; Commissioner Daniel seconded the motion. The motion carried unanimously.
• President Carver announced that the Board of Commissioners would go into an approximately 15 minute Executive Session beginning at 6.59 p.m. for the purpose permitted by RCW 42.30.110 (1 ) (b) regarding real estate as well as RCW 70.44.062 (1) regarding Medical Staff. At 7:14 p.m. President Carver noted that the Board would be in Executive Session for an additional 5 minutes. The Board returned to public session at 7:19 p.m.
COMMENTS OR ACTIONS RESULTING FROM EXECUTIVE SESSION
• Commissioner Daniel moved to approve the following individual(s) for initial appointment to Medical Staff:
Keith Petersen, DO - Hospitalist Services;
John P Barrett, MD - Hospitalist Services;
and reappointment to Medical Staff:
Michael Garnett, MD, (Active Physician);
Rod Krehbiel, MD (Active Physician);
Rick Sexton, PA-C (Active Allied Health Professional)
and David Schlosser, CRNA (Active Allied Health Professional);
and acknowledgement of temporary privileges granted to:
Nathan Armerding, DO.
Commissioner Quinn 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 7:22 p.m. The motion was seconded by Commissioner Quinn.
Minutes Approved and Signed by President Dennis Carver and Secretary John Quinn.
Note: Printed copies are available at a charge of $.15 per page.