Regular Monthly Open Public Meeting

October 19, 2016 – 4:00 PM



A regular meeting of the Klickitat Valley Health (KVH) Board of Commissioners was held on Wednesday, October 19, 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 Daniel, John Quinn, Connie Pond and Mark Sigfrinius.


Also present were: Leslie Hiebert, CEO; Jamie Eldred, Controller; Charis Weis, Director of Human Resources; Kasey Schneider, Director of Risk and Quality; Haley Greve, Interim DNS; Annie Stone, ARNP, Interim Clinic Director; and Barbara Bostick, Executive Administrative Assistant & Recorder.


President Carver called the meeting to order at 4:03 p.m. Commissioner Quinn 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.



Commissioners Daniel and Pond, as well as Leslie Hiebert provided a brief overview of the recent WSHA Annual meeting. A copy of the handouts they received and reviewed at the meeting are included in the packet. Commissioner Pond noted that at the Trustee meeting held the day before the WSHA annual meeting there was a great deal of discussion regarding the strategic direction of the Board and the Boards role in challenging times. Commissioner Daniel noted that contention between board members is an issue for many boards in Washington State and is an issue that will be discussed in Chelan at the Summer Workshop. They reported as well that there was a great deal of discussion regarding mental health integration within the health care system.



There was no business from the audience, however Charis Weis, HR Director introduced Jim Semlar, a new casual employee who has been hired to provide Marketing as well as assistance with improving internal communications.



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

• Regular Meeting Minutes from September 21, 2016; and

• Accounts Payable in the amount of $619,040.99 and

• Payroll in the amount of $28,806.48; and

• Electronic Transfers in the amount of $990,947.15; and

• Bad Debt in the amount of $ 225,761.20; and

• Charity Care in the amount of $ 92,969.21.

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


Medical Staff Report

Dr. Orozco provided a written report for the Board’s review. Annie Stone, ARNP, Interim Clinic Director provided a brief update on the Family Medicine Clinic. She noted that everything is going well and that the transition from Gail Garcia to herself has gone smooth ly and she gave huge accolades to Gail for her assistance during the transition. She noted that the current focus is on two things particularly, the first being building up the medical staff. She noted that there are the most providers that KVH has ever had, but that the medical support staff is an area that needs focused attention. She reported that a RN Support Staff Supervisor would be beneficial in that regard. Another area of focus is the scribing program. Annie noted that they are currently looking at a train the trainer option in California, which Annie would attend and then come back and then provide training to the medical support staff. Annie reported that the Pain clinic is doing really well and that they use scribes when they have their clinic at Family Medicine and that they trained them themselves, however what they do within their practice is much more limited than what is necessary for primary care. In addition, Annie noted that they are working on informing patients and streamlining the process for annual wellness visits as a project for the ACO.


• Strategic Plan Update

Leslie Hiebert provided an update of the Strategic Plan. Please see copy of updated Strategic Plan in the Board book.


• Resolution 2016-06 Surplus Property

Jamie Eldred provided a brief overview of the property listed for surplus on Resolution 2016-08. See Surplus Items list attached to the Resolution. Commissioner Quinn made a motion to approve Resolution 2016-11 Surplus Property as presented. Commissioner Daniel seconded the motion. The motion carried unanimously


• Providence Tele-Stroke Program

Leslie Hiebert provided an overview of the information provided by Providence Tele-Stroke program and a recent meeting. See copies of the power point provided in the Board book. She noted that the Medical Staff Bylaws have already been changed to allow for delegated credentialing and this would also allow for additional tele-health options in the future.


• Therapy Construction Project

Leslie Hiebert reviewed the notice of Loan Approval from the USDA that was received regarding the Physical Therapy Program development project. She provided the architectural services estimate from Blue Room Architecture and noted that their cost is 7% of the project, compared to 14% previously charged by KDF Architecture. She asked the Board for approval to move forward with Blue Room for architectural services. Commissioner Quinn made a motion to authorize CEO, Leslie Hiebert to enter into agreement with Blue Room Architecture for architectural services as presented. Commissioner Pond seconded the motion. The motion carried unanimously.



Written reports were presented from Leslie Hiebert, CEO; Jamie Eldred, Controller; Kasey Schneider, Director of Risk and Quality; Charis Weis, Human Resources Director; Haley Greve, Interim DNS, and Jeff Teal, PhD, Director of Safety and Compliance. Commissioner Quinn made a motion to accept the reports as presented; Commissioner Sigfrinius 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 6:27 p.m. for the purpose permitted by RCW 70.44.062 (1) regarding Medical Staff. The Board returned to public session at 6:45 p.m.


Commissioner Daniel moved to approve the following individual(s) for initial appointment to Medical Staff: Ann Rust, MD – Provisional Active Physician and Bassel Beitinjaneh, MD – Courtesy Physician, as well as reappointment to Medical Staff: Jeff Teal, PhD – Allied Health Professional, and Vassil Kaimaktchiev, MD – Courtesy Physician, and acknowledgment of notiece of temporary privileges granted to: Bethany Kapp, MD – ED Physician and Marshal Harpe, MD – ED Physician. There were no direct appointments or delegated credentialing put before the Board for consideration or approval. Commissioner Pond 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 6:50 p.m. The motion was seconded by Commissioner Sigfrinius.


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

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