AGENDA of Board of Directors for
Regular Board Meeting

Wednesday, January 31, 2018 

Location:  Mariposa Human Services Department, Mariposa Room
5362 Lemee Lane, 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:

Sarah Chaumette, M.D., Tele-psychiatry to Consulting Staff (RETRO back to November 2017)

Eric Sergienko, M.D., Emergency Medicine to Provisional Staff

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

Bonnie Henderson, LCSW (Licensed Clinical Social Worker), to Allied Health Staff

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

Surinder Sandhu, M.D., Cardiology, adding “Loop Recorder Insertion and Loop Recording/Pacemaker/ICD Interrogations” procedures to his privileges

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.     Employee of the month for February, Emilie Jones, CNA Ewing Wing

C.     Sierra Medical Services Alliance/RIGGS, helicopter service, Steve Crabtree, Program Director, progress report

 

6.            EDUCATION

Gonzo Tafoya, RN, Education Manager

 

7.            Public Comments

 

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 & Regular Board meeting of December 20, 2017

B.     Approve minutes of the Policies & Procedures and Bylaws committee meeting of January 10, 2018

C.     Approve minutes of the Finance Board meeting of January 24, 2018

 

9.            DISCUSSION/ACTION ITEMS

A.     RECOMMENDATIONS from Policies & Procedures committee:

Adoption/Affirmation of Clinics P&Ps:

Ø  301 – Completion of Medical Records for RHC

Ø  304 – Patient Access to Records

Ø  900 – Telemedicine Appointment Scheduling, Cancellations and No-Shows

Ø  901 – Telemedicine Patient Consent

Deletion of Clinics P&P

Ø  Infection Control (covered in another policy)

Adoption of District Wide Nursing P&Ps

Ø  ED Abnormal Result Follow-Up

Ø  Macy Catheter Appliance

Ø  Macy Catheter Medication Administration and Proctoclysis

Affirmation of Infection Prevention P&Ps

Ø  IP-104 – Infection Preventionist Role & Responsibilities

Ø  IP-106 – Infection Prevention Chairperson

Ø  IP-302a – Insertion of Central Venous Lines and PICC Lines – Bundle

Ø  IP-302b – Central Line Insertion Surveillance and Reporting

Ø  IP-302c – Central Line – Associated Blood – Stream Infection Surveillance and Reporting

Deletion of Infection Prevention P&Ps (covered in other policies)

Ø  IC-Inf-2 – Infection Control Nurse Duties/Responsibilities

Ø  IC-12 – Infection Control – Medical Clinic

Affirmation of Nursing District Wide P&P

Ø  Nur-200 – Peripherally Inserted Central Catheter (PICC)

Affirmation of Pharmacy P&P

Ø  Diltiazem (Cardizem) Infusion

Affirmation of Ryan White

Ø  Policy & Procedure Manual

Affirmation of Sterile Processing P&P

Ø  SP-15 – General Infection Prevention Guidelines

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

 

10.            WRITTEN/VERBAL REPORTS

A.   Chief Executive Officer (CEO), Matthew Matthiessen

B.   Chief Nursing Officer (CNO), Theresa Loya

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  Progress report, Community Advisory Council, coordinated by Dana Tafoya, PRIME Manager & Doucette Alvarez, Health Education Specialist

C.   Quarterly Risk Management, Theresa Loya & Martha Robichaux

D.   Chief Human Resources Officer (CHRO), Martha Robichaux, no report at posting time

Ø  JCFHD Performance Appraisal form

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

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

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

Ø  Final version Aventus Outreach, LLC agreement

Ø  Community Advisory Council

Ø  Develop Strategic Plan, Director Uribe

 

12.            INFORMATIONAL ITEM(S)

A.     Calendar – February meeting dates and/or rescheduling

B.     CHA (California Hospital Association) Rural Healthcare Symposium, Sacramento, March 21-23, 2018, $525 per person and $239 per night hotel (deadline February 27, 2018)

13.            PUBLIC COMMENTS

 

14.            ADJOURNMENT

In memory of Betty Bischoff (employees Mother), Lillian Griffith (Hospice), Richard Jarrett (Hospice), Frances Long, Jack Mauney (Hospice), James Spacke, Beverly Stern, and Jefferson Venard

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)