AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, April 24, 2019
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 (January, February & March) reports 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:
Kyle Miller, M.D., Teleradiology to Consulting Staff
Olufolajimi Obembe, M.D., Teleradiology to Consulting 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. Regularly 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 May, Deedra Hooper, CNA, ER Technician (not able to make board meeting)
C. AirMethods, Heather Geske, Area Manager, Northern CA
Ø “No Membership” initiative
6. EDUCATION
A. Gary Hicks, G.L. Hicks Financial, LLC
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 & Regular Board meeting of March 27, 2019
B. Accept minutes of the Policies & Procedures and Bylaws committee of April 10, 2019
C. Approve minutes of the Special Board meeting of April 10, 2019
D. Approve minutes of the Retreat Board meeting of April 12, 2019
E. Approve minutes of the Finance Board meeting of April 17, 2019
9. DISCUSSION/ACTION ITEM
A. Update on Northside Clinic
B. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Adoption of Administration P&Ps
· ADM-02 “Signature Authority”
· ADM-09 “Travel & Expenses”
Ø Adoption of Compliance P&P
· 100 “Request for Inspection of Public Records” & form
Ø Adoption of District Wide P&P
· 1 “CMS Reportable Events”
· QM-01 “Patient/Family/Staff/Other Improvement Opportunity Evaluation & Follow-up”
· QM-02 “Quality Review Reporting”
· QM-03 “Patient Satisfaction Surveys”
Ø Adoption of Fiscal P&P
· F-3 “Financial Assistance Program”
Ø Adoption of Human Resources P&P
· HR 4.2 (a), (b) & (c) “Paid Time Off”, “Long Term Sick” & “SICK”
Ø Affirmation of Imaging P&Ps
· 04-4001 “Infection Prevention and Control – Imaging Services”
· 05-5001 “Emergency Management”
· 07-7001 “Performance Improvement Plan”
Ø Affirmation of Laboratory P&P
· Miscellaneous “Technical Consultant Designation: On-Call Consultation”
Ø Affirmation of Pharmacy P&Ps and Protocols
· Pharm 4.22 “Ketamine”
· Pharm 4.23 “Vancomycin Dosing”
· Pharm 6.1 “Adverse Drug Event/Reaction and Medication Errors”
· Pharm 6.2 “Medication Errors”
· Pharm 6.3 “Look-Alike, Sound-Alike Medications”
C. Assign Directors to Construction Oversight Committee
D. Assign Board member to Compliance Committee
E. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
F. Review and add to Core Values:
Ø Patient centered
Ø Honesty
Ø Integrity
Ø Respect
Ø Support
Ø Hospitality
Ø Listening
Ø Quality
Ø Safety
Ø Advocacy
Ø Commitment
Ø Knowledge
Ø Skill
Ø Continued Education
G. Construction update
10. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, no report at posting time
B. Chief Nursing Officer (CNO), Kristen Clayton, RN
Ø Thomas Wilkinson, RN CEN (Certified Emergency Nurse), accepted the position of Emergency Department Manager
Ø General Acute Care Hospital (GACH) survey was completed April 11, 2019. The plan of correction arrived April 18, 2019 and is due April 27, 2019
C. Chief Human Resources Officer (CHRO), Martha Robichaux, report & charts attached
D. Quarterly Risk Management, Laura Donahue & Martha Robichaux, report attached
E. Information Technology (IT), Craig Burchfiel, Interim IT Manager, report attached
F. JCFH Foundation, Melissa Takahashi, Secretary, report attached
G. JCFH Volunteers, Phyllis Linnebur, report attached
11. AGENDA ITEM(S) FOR FUTURE MEETINGS
A. Construction timeline
B. Compliance Plan education, Director Uribe
C. ACHD certification - status
12. NEXT MEETING DATES
A. Policies & Procedures: May 15, 2019 at 1:30 p.m. – JCFHD Board Room
B. Finance: May 22, 2019 at 2:00 p.m., MPUD – Fire House
C. Special Board Meeting (with Board of Supervisors): May 29, 2019 at 10:00 a.m. – Board of Supervisors meeting room
D. Regular: May 29, 2019 at 2:00 p.m., MPUD – Fire House
13. INFORMATIONAL ITEM(S)
A. Calendar – May meeting dates and/or rescheduling
B. ACHD (Association of Healthcare Districts) Annual meeting, La Jolla, October 9-11 – who will be going?
C. Women’s Dinner, Wednesday, May 15, 2019, 6:00 p.m. @ Masonic Hall – Board to sponsor table
D. Network @ Night, Wednesday, May 22, 2019, 5:00 p.m., JCFHD front lawn
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 Joni Emmers, William Kinsella, Sr. (Home Health), Janet Ludolph (Hospice & employee’s mother), Felicitas Macias (Hospice), Belinda Roark (Hospice), and Walter Roland (Hospice & Volunteer spouse)
Regular Board Meetings convene at 2:00 p.m. on the second to the last Wednesday of each month. 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, Option 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.
Source: John C. Fremont Healthcare District
