1. Call to order and roll call

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

3. CLOSED SESSION
   1. Medical Staff monthly report to the board, Aimee Carey, Medical Staff Coordinator
   2. Medical Staff report to the board by attending providers
   3. Medical Staff Privileges (Health & Safety Code §32155)

On recommendation from the Medical Executive Committee, the following were granted appointment privileges:

Michael Khalili, M.D., Teleradiology to Consulting Staff

Jayesh Shah, M.D., Emergency Medicine to Provisional Staff

On recommendation from the Medical Executive Committee, the following was granted re-appointment privileges:

Albert Col, M.D., Family Medicine to Consulting Staff

Shawn Emery, M.D., Pathology to Consulting Staff

Joanna Eveland, M.D., Family Medicine to Consulting Staff

Christie Tung, M.D., Teleneurology to Consulting Staff

54956. Potential Litigation (Government Code §54956.9(d)(2)), one matter
54957. 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
6. Welcome to our guests—guests may voluntarily sign in if they wish to have their name spelled correctly in the minutes of this organization.
7. Employee of the month for March, JoAnne Eskra, Data
8. Sierra Medical Services Alliance/RIGGS, helicopter service, Steve Crabtree, Program Director, progress report
9. EDUCATION
10. Gonzo Tafoya, RN, Education Manager
11. Kristen Fournier, RN, Home Health, Hospice and Private Duty Manager
12. Bi-Monthly report PRIME, Dana Tafoya Manager

7. BOARD REPORTS
8. ACHD (Association of Healthcare Districts) Leadership Academy, Chair O’Donel-Browne
9. ACHD (Association of Healthcare Districts) Leadership Academy, Secretary-Treasurer Pribyl
10. ACHD (Association of Healthcare Districts) Leadership Academy, Director De Bry
11. ACHD (Association of Healthcare Districts) Leadership Academy, Director Rogers
12. ACHD (Association of Healthcare Districts) Leadership Academy, Director Uribe

8. 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.

9. 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.

1. Approve minutes of the Regular Board meeting of January 31, 2018
2. Approve minutes of the Policies & Procedures and Bylaws committee meeting of February 15, 2018
3. Approve minutes of the Finance Board meeting of February 21, 2018

10. DISCUSSION/ACTION ITEMS
11. RECOMMENDATIONS from Policies & Procedures committee:

• Deletion of Clinics P&Ps (covered in other policies)
• Operational 6.1 – Infection Control
• CL-OP 06.2 – Sterility Guidelines
• CL-OP 06.3 – Cleaning of Instruments
• CL-OP 08.2 – Reporting Communicable Diseases
• Operational 8.3 – Reporting Alzheimer’s and Related Disorders
• OP 10.1 – Disposal of Contaminated Needles/Syringes
• OP 10.3 – General Nursing Infection Control Program
• OP 10.4 – Standard Precautions
• Deletion of Emergency Department P&Ps (covered in other policies)
• ER-117 – No Smoking
• ER-151 – Reportable Conditions
• Adoption of Human Resources P&P
• HR 1.7 – Hiring of Relatives/Conflict of Interest
• HR 1.31 – Student Extern Intern Shadowing
• Affirmation of Infection Prevention P&Ps
• IP-102 – Infection Prevention Committee
• IP-105 – Infection Control Incident Log
• IP-108 – Surveillance Plan
• IP-109 – Environmental Surveillance
• Affirmation of Infection Prevention Protocol
• UTI Antibiotic Management
• Deletion of Infection Prevention P&Ps (covered in other policies)
• IC-D-3 – Hand Washing
• IC-N-14 – Infection Surveillance
• IC-N-21 – Reportable Conditions
• IP-34 – Communicable Disease Reporting
• IP-N-12 – How to Obtain a Urine Specimen from a Foley Catheter
• Affirmation of Pharmacy P&P – change this one to Protocol from P&P
• Pharm 4.17 – Insulin Drip Infusion
• Affirmation of Pharmacy Protocol
• Patient Controlled Analgesia
• Affirmation of Sterile Processing P&P
• SP-05 – Cleaning of Instruments

1. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
2. Tour of and visit to Lompoc, Bishop & Mammoth hospitals – wait until Tioga Pass opens or March 16^th or 30^th or end April after ski season or in May? Visit all three in one day?  Hotel stay?

11. WRITTEN/VERBAL REPORTS
12. Chief Executive Officer (CEO), Matthew Matthiessen, no report available at posting time
13. Chief Nursing Officer (CNO), Theresa Loya

• Progress report, Clinics, Cindy McAfee, Director of Clinic Operations
• Progress report, Telehealth, Kerina Mendoza, PRIME Telehealth Coordinator
• Progress report, Health Education, Doucette Alvarez, PRIME Health Education Specialist
• Progress report, Community Advisory Council, coordinated by Dana Tafoya, PRIME Manager & Doucette Alvarez, Health Education Specialist

1. Chief Human Resources Officer (CHRO), Martha Robichaux

• Workers Compensation monthly expense chart

1. Information Technology (IT), Ginger Clark, RN, Informatics, IT Manager

• Progress report, eClinicalWorks

1. Employees Association (EA), Megan Fain, Secretary
2. JCFH Foundation, Lorna Coci, Secretary, no report this month
3. JCFH Volunteers, Phyllis Linnebur, no report this month
4. Outreach Activity Report, Lorna Coci

12. AGENDA ITEMS FOR FUTURE MEETINGS

• New Hospital Reports
• Tour of and visit to Lompoc, Bishop & Mammoth hospitals
• Architectural (SB1953 Seismic) compliance timeline
• Progress report, RFP (request for proposal) architects SB1953 Seismic compliance, 7 responses for hospital rebuild
• G.L. Hicks Financial, LLC, seismic rebuild financial timeline, April 18^th
• ADAMS Management Services Corporation, March 28^th
• RFP (Request for Proposal) for the emergency department physician coverage agreement for 2018
• JCFH Volunteer stability
• Volunteer Policies
• Indian Health Clinic presentation
• Final version Aventus Outreach, LLC agreement
• Develop Strategic Plan, Director Uribe

13. INFORMATIONAL ITEM(S)
14. Calendar – March meeting dates and/or rescheduling
15. ACHD (Association of California Healthcare Districts) “Beyond the Conversation” legislative days in Sacramento, April 16 & 17, event registration $225 per person and hotel $229 per night
16. Progress Report on Seismic Compliant Hospital Construction, Chair O’Donel-Browne

14. 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.

15. ADJOURNMENT

In memory of John Bruce (Hospice), Dorothy Edmunds (previous RN employee – 30 years ago), Gwendolyn Foster (Home Health), George Matlock (SNF Resident), Norman Murrell (longtime supporter of JCFHD), Glen Rains (Hospice), and Doris Van Meter

Regular Meetings convene at 2:00 p.m. on the last Wednesday of each month, at JCFHD – Board Room 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.  JCFHD – Board Room 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)