1.              Call to order and roll call

2.              Open Session:  disclosure regarding Closed Session items pursuant to Government Code §54957.7

3.              CLOSED SESSION
A.    Medical Staff monthly report to the board, Aimee Gover, Medical Staff Coordinator
B.    Medical Staff report to the board by attending providers
C.   Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Maria Alexianu, M.D., Teleneurology, to Consulting Staff
Daniel Jardini, M.D., Family Medicine/Hospitalist, to Provisional Staff
Christopher Ryan, M.D., Internal Medicine/Hospitalist, to Provisional Staff
D.   Public Employee Evaluation (Government Code §54957(b)(2))
Title:  Chief Executive Officer

4.              RECONVENE PUBLIC SESSION
Disclosure on reportable action taken during closed session

5.              2:00 p.m. Call to Order Regular Scheduled Board Meeting
A.    Welcome to our guests—guests may voluntarily sign in if they wish to have their name spelled correctly in the minutes of this organization.
B.    Employee of the month for November, Sherri Shaw, Ward Clerk, Acute Nursing
C.   Sierra Medical Services Alliance/RIGGS, helicopter service, Steve Crabtree, Program Director, progress report

6.              EDUCATION
A.    Roby David, Cardiopulmonary Manager
B.    Dana Tafoya, PRIME Manager
ü  Labor Day Fair telemedicine survey results
ü  PRIME metrics reporting

7.              Public Comments

Persons wishing to speak on any subject not on the agenda may do so at this time.  This legislative body cannot act on or discuss an item that is not on the agenda according to Government Code §54954.2(3).  Persons wishing to comment on an agenda item are invited to do so when the Board considers that item and the Chair calls for comments.  Thank you for your participation.

8.              CONSENT AGENDA

NOTE: The Consent Agenda consists of items that are generally viewed as non-controversial and routine by JCFHD.  If the Board wishes to discuss an item, it will be removed from the Consent Agenda.  Consent Agenda items are generally approved in one single motion.  This is the appropriate time for the public to advise the Chair of any comments to the Consent Agenda, or to request that the Board consider removing an item from the Consent Agenda.

A.    Approve minutes of the Finance & Board meeting of September 27, 2017
B.    Approve minutes of the Policies & Procedures and Bylaws committee meeting of October 5, 2017
C.   Approve minutes of the Finance Board meeting of October 18, 2017

9.              DISCUSSION/ACTION ITEMS
A.    RECOMMENDATIONS from Policies & Procedures committee (see list of policies names and numbers on minutes as attached):
Ø  With clarification and minor corrections adoption and/or affirmation of 42 Clinics policies and procedures
Ø  Deletion of Clinics 16 policies and procedures
Ø  Adoption of 1 District Wide Nursing policy and procedure
Ø  Affirmation of 1 District Wide Nursing policy and procedure
Ø  Deletion of 2 Infection Prevention/Environmental Services policies and procedure
Ø  Adoption of 5 Human Resources policies and procedures
Ø  With corrections made, affirmation of 5 Infection Prevention policies and procedures
Ø  Deletion of 18 Infection Prevention policies and procedures
Ø  With clarification and corrections, affirmation of 10 Pharmacy policies and procedures
Ø  Adoption of Skilled Nursing Facility – Ewing Wing 2017 Disaster Plan
B.    Community Advisory Council, update on progress by Director Pribyl
Ø  Colin Coffey, Esq., Archer Norris legal counsel for JCFHD states if the Community Advisory Council is created, appointed and operated by a “task force” of the community, without Board membership or control and with only at least one JCFHD employee, then Brown Act compliance is avoided.
C.   Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
D.   Aventus Outreach, LLC, Laboratory Management Services agreement, 1 year term with 1 year auto renewals.  Review completed by legal counsel August 14, 2017.
E.    Physician agreement – status
F.    Resolution 8-17 changing the date(s) of the November meeting(s)
Ø  Finance from November 22^nd?
Ø  Regular from November 29^th?
Ø  Merge both together on November 29^th?
G.   Resolution 9-17 changing the date(s) of the December meeting(s)
Ø  Finance from December 20^th?
Ø  Regular from December 27^th?
Ø  Merge both together on December 20^th?
H.   Strategic Planning Retreat, set for Friday, November 17^th at the MPUD – Fire House starting at 9:00 a.m.

10.              WRITTEN/VERBAL REPORTS
A.   Chief Executive Officer (CEO), Matthew Matthiessen
B.   Chief Nursing Officer (CNO), Theresa Loya
Ø  Rural Health Clinics Annual Review
Ø  Nursing Administrative Manual
Ø  Organization Chart
Ø  Progress report, Clinics, Cindy McAfee, Director of Clinic Operations
Ø  Progress report, Telehealth, Kerina Mendoza, PRIME Telehealth Coordinator
C.   Quarterly Risk Management, Theresa Loya & Martha Robichaux
D.   Chief Human Resources Officer (CHRO), Martha Robichaux
Ø  Workers Compensation chart
Ø  BETA loss history report 2013-2017
E.    Information Technology, Ginger Clark, RN, Informatics, IT Manager
Ø  Progress report, eClinicalWorks
F.    Employees Association (EA), Megan Fain, Secretary
G.   JCFH Foundation, Lorna Coci, Secretary
H.   JCFH Volunteers, Phyllis Linnebur, no report this month
I.      Outreach Activity Report, Lorna Coci

11.              AGENDA ITEMS FOR FUTURE MEETINGS
Ø  New Hospital Reports
ü  Tour of and visit to Lompoc, Bishop & Mammoth hospitals
ü  Architectural (SB1953 Seismic) compliance timeline
ü  Progress report, RFP (request for proposal) architects SB1953 Seismic compliance, 7 responses for hospital rebuild
Ø  Compliance Plan
Ø  JCFH Foundation & Volunteer stability
Ø  Volunteer Policies
Ø  Physician agreement template, November
Ø  Indian Health Clinic presentation

12.              INFORMATIONAL ITEM(S)
Calendar – November meeting dates and/or rescheduling

13.              PUBLIC COMMENTS

Persons wishing to speak on any subject not on the agenda may do so at this time.  This legislative body cannot act on or discuss an item that is not on the agenda according to Government Code §54954.2(3).  Persons wishing to comment on an agenda item are invited to do so when the Board considers that item and the Chair calls for comments.  Thank you for your participation.

14.              ADJOURNMENT OF OPEN SESSION
In memory of James Burdick (Hospice), Keith Hillis (Hospice & brother of employee), Nancy Jones (Hospice), Belinda Kramer (Home Health), Frederick Newman (Hospice, employees husband & employees step-dad), Tom Phillips (employees dad), and Linda Turgeon (Hospice)

In celebration of the birth of baby Ryland Sage to parents Tamara Wilson & Jonathan Brondolo and Grandmother Mary Buskeness (employee)

15.              ADJOURNMENT

Regular Meetings convene at 2:00 p.m. on the last Wednesday of each month, at MPUD – Fire Station unless otherwise resolved at a prior meeting.  Citizens wishing to schedule matters for Board consideration must contact the Clerk of the board in writing stating the action requested.  Appropriate requests will be scheduled before the Board as time allows.  Deadline for submission of written materials is seven days in advance of meeting.  An original and five copies of all supporting materials must be submitted. Public Presentations: The law provides the opportunity for the public to be heard on any item within the subject matter jurisdiction of the Board, before or during the consideration of that item by the Board.  For all items, including items not on the agenda, the public presentation time at the start of each meeting is appropriate.  The Chair may set time limits as appropriate to manage the Agenda.  State law does not allow action to be taken on any item not on the Agenda.  MPUD – Fire House is handicapped accessible. This agenda shall be made available upon request in alternative formats to persons with a disability, in compliance with the Americans with Disabilities Act of 1990 (42 U.S.C. §12132) and the Ralph M. Brown Act (California Government Code §54954.2).  Persons requesting special accommodations to participate in a District meeting, please contact the Board Clerk at 209-966-3631, x-9, during regular business hours, at least 48 hours prior to the time of the meeting. Pursuant to the Brown Act as codified in Government Code §54957.5, any documents pertaining to a non-closed agenda item distributed to a majority of the Board of Directors in less than 72 hours before a Board meeting shall be available for public inspection.  Said documents shall be available for inspection at the John C. Fremont Healthcare District Administrative Office located at 5189 Hospital Road, Mariposa, California, Monday through Friday, except Holidays, between the hours of 9:00 a.m. and 12:00 p.m.

Posted: (Front of hospital, hospital hallway, JCFHD website, Chamber of Commerce web, and Sierra Sun Times)