AGENDA of Board of Directors for 
Finance & Regular Board Meeting 

Wednesday, December 20, 2017

Location:  MPUD – Fire House, 5273 Highway 49 North, Mariposa

Candy O’Donel-Browne, Chair, Linda Pribyl, R.N. Secretary-Treasurer,
Philip H. De Bry, D.D.S., Joseph E.C. Rogers, M.D. and Sally Abbott Uribe, Directors

Mission – To excel in the provision of quality health care services
Vision – To be the organization of choice for community health care

Closed Session 1:00 p.m.
Regular Board Meeting 2:00 p.m.

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 Carey, 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:

Lauren Brown-Berchtold, M.D., Emergency Medicine to Provisional Staff

Fatima Kazem, M.D., Teleradiology to Consulting Staff

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

Theodore Faber, M.D., Teleneurology to Consulting Staff

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

Robert Hansen, M.D., Radiology to Consulting Staff

D.   Potential Litigation (Government Code §54956.9(d)(2)), one matter

E.    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.    John C. Fremont Healthcare District Board Retreat report

C.   Employee of the month for December, Darla Weatherly, LVN, Director of Staff Development, Skilled Nursing Facility.

D.   Employee of the month for January, Susan Hibpshman, Environmental Services

6.              EDUCATION

A.    Jeff Johnson, WIPFLi, CPAs and Consultants, 2016/2017 audited financials

7.              Public Comments

  8.         FINANCIALS

Chief Financial Officer (CFO), Matthew Matthiessen

A.    October 2017 Financial & Statistical Reports

B.    November 2017 Financial & Statistical Reports

C.   Financial analysis for the following provider agreement:

1)    Jack Caraco, Acupuncturist for Hospice – renews 3/14/2018

2)    Kirk Ramos, Massage Therapist for Hospice – renews 3/14/2018

3)    Clear Sounds Speech & Language Therapy, Shelly Gerken – renews 3/31/2018

4)    Anwer Shaikh, M.D., Oncology/Hematology – renews 3/31/2018

5)    Claude Schutz, D.P.M., Podiatry – renews 4/30/2018

9.              CONSENT AGENDA

A.    Approve minutes of the Board meeting of October 25, 2017

B.    Approve minutes of the Policies & Procedures and Bylaws committee meeting of November 8, 2017

C.   Approve minutes of the Retreat meeting of November 17, 2017

10.              DISCUSSION/ACTION ITEMS

A.    Acceptance and approval of 2016-2017 audited financials

B.    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 8 Clinics policies and procedures

Ø  Deletion of Clinics 19 policies and procedures

Ø  Deletion of Clinics policy and procedure “Anticoagulation Management Clinic” as an inactive clinic

Ø  Affirmation of District Wide Nursing policy and procedure “Text Messaging PHI” policy and form

Ø  Adoption of Ethics policy and procedure “Ethics Consult”

Ø  Adoption of Human Resources policies and procedures HR 3.2 “Standby Callback” and HR 4.2 “PTO LTS SICK”

Ø  Affirmation of Pharmacy policy and procedure Pharm 4.8 “Sterile Admixing Performed by Nursing”

C.   Adoption of 2017 Compliance Plan

D.   Adoption of Human Resources policy and procedure HR 1.7 “Hiring of Relatives” (Director Pribyl recommends adoption, Director Uribe abstains)

E.    Endorsement of 2017 Quality Performance Improvement (QAPI) Committee Plan, which was approved by Medical Staff on November 15, 2017.

F.    Community Advisory Council, report by Dana Tafoya, PRIME Manager & Doucette Alvarez, Health Education Specialist (see CNO written report)

G.   Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet

H.   Aventus Outreach, LLC, Laboratory Management Services agreement, 1 year term with 1 year auto renewals.  Review completed by legal counsel August 14, 2017.

I.      Physician agreement – status, Director Rogers

11.              WRITTEN/VERBAL REPORTS

A.   Chief Executive Officer (CEO), Matthew Matthiessen, not attached at posting time

Ø  Monthly expenses

B.   Chief Nursing Officer (CNO), Theresa Loya

Ø  Organization Chart

Ø  Progress report, Clinics, Cindy McAfee, Director of Clinic Operations

Ø  Progress report, Telehealth, Kerina Mendoza, PRIME Telehealth Coordinator

Ø  Progress report, Health Education, Doucette Alvarez, PRIME Health Education Specialist

Ø  Professional Advisory Committee, Home Health & Hospice minutes from November 9, 2017

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

Ø  Workers Compensation chart

Ø  BETA loss history report 2013-2017

D.   Information Technology, Ginger Clark, RN, Informatics, IT Manager

Ø  Progress report, eClinicalWorks

E.    Employees Association (EA), Megan Fain, Secretary

F.    JCFH Foundation, Lorna Coci, Secretary

G.   JCFH Volunteers, Phyllis Linnebur, no report this month

H.   Outreach Activity Report, Lorna Coci

12.              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

ü  G.L. Hicks Financial, LLC, seismic rebuild financial timeline

ü  ADAMS Management Services Corporation

Ø  RFP (Request for Proposal) for the emergency department physician coverage agreement for 2018

Ø  JCFH Volunteer stability

Ø  Volunteer Policies

Ø  Indian Health Clinic presentation

Ø  Additional Brown Act training, Director Uribe

13.              INFORMATIONAL ITEM(S)

A.    Calendar – January meeting dates and/or rescheduling

B.    ACHD (Association of California Healthcare Districts), Leadership Academy – February 8-9, 2018, Sacramento - $150 + Hotel $225 per night

14.              PUBLIC COMMENTS

15.              ADJOURNMENT

In memory of Otella Barlow (Home Health), David Burgess (Hospice), Kathryn Gallagher (SNF Resident), Ernest McConathy (Hospice), Melvin Ruiz (Hospice), Dorothy Ullstrom (Hospice), Lorrie Wackerman (Hospice), and Elsie Wessels (Hospice & former employee)

In celebration of the birth of baby Lux Maxine to parents Ashley & William Tucker

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)