AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, August 28, 2019
Location: JCFHD Board Room
5189 Hospital Road, 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. Significant exposure to anticipated litigation – 1 potential case (Government Code §54956.9(b))
B. Public Employee Evaluation (Government Code §54957(b)(2))
Title: Chief Executive Officer
C. Medical Staff monthly report to the board, Aimee Carey & Jessica Robichaux, Medical Staff Coordinator
D. Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Todd Chapman, M.D., Teleradiology to Consulting Staff
Pardeep Athwal, MD., Radiology to Provisional Staff
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Michael Karachalios, M.D., Teleradiology to Consulting Staff
Dustin Simpson, M.D., Teleradiology to-Consulting Staff
Shota Yamamoto, MD., Teleradiology to Consulting Staff
E. Medical Staff report to the board by attending providers
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 August, Alison (Ali) Lust, RN, Acute
C. Employee of the month for September, Janell Clayton, CNA, Skilled Nursing Facility
D. AirMethods, Heather Geske, Area Manager, Northern CA
E. Medical Staff report and suggestions
6. 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.
7. JCFHD EMPLOYEE SATISFACTION SURVEY CEA (California Employers Association) Climate Study, June 11-28, 2019
A. Review next steps
B. Leadership trainings scheduled for September 9, 11, 17, 23, 27 and October 8, 9 & 10
8. Board Governance self-assessment
A. Review self-assessment completed in July 2019, see attached
B. Chair O’Donel-Browne ranking notes, see attached
9. mission, vision & values
A. Mission: (What is our purpose?)
Current mission statement: To excel in the provision of quality health care services
B. Vision: (What do we aspire to achieve?)
Current vision statement: To be the organization of choice for community health care
C. Values: (What are our guiding principles?)
Ø As reported in the Climate Study: “All staff agreed ensuring that patients received the best experience was their number one priority”
Ø Ideals: Our patients come first
Our patients are why we come to work
We treat our patients like family
We strive to give our patients the best experience
10. EDUCATION
Jean Potter, Compliance Officer – Annual compliance training, see attachments
11. 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 Board meeting of July 31, 2019
B. Accept minutes of the Policies & Procedures and Bylaws committee meeting of August 14, 2019
C. Approve minutes of the Finance Board meeting of August 21, 2019
12. DISCUSSION/ACTION ITEM
A. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Adoption of Health Information Management (H.I.M.)
· Patient Bill of Rights (requirement as per ACHD [Association of California Healthcare Districts])
Ø Adoption of Human Resources P&Ps
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HR 1.10 “Physical Examination Tuberculosis Screenings Pre and Post Employment”
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HR 3.2 “Standby and Callback”
Ø Adoption of Information Technology (IT) Operations Manual
Ø Affirmation of Pharmacy P&Ps
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Pharm 2.3 “Access to Drug Storage Area”
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Pharm 4.2 “Crash Cart Medications”
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Pharm 4.18 “Heparin Dosing for Patients with ACS”
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Pharm 4.20 “Heparin Dosing for Adults with DVT PE”
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Pharm 4.21 “Diltiazem Cardizem Infusion Protocol”
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Pharm 4.24 “Protocol for Hanging a Banana Bag”
B. Update on Northside Clinic
C. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
D. Construction update
E. Schedule another meeting with the Board of Supervisors
F. Schedule Board Education & Development board committee meeting
13. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, report attached
B. Chief Nursing Officer (CNO), Thomas Wilkinson, RN, report attached
C. Chief Human Resources Officer (CHRO), Martha Robichaux, report attached
D. Information Technology (IT), Craig Burchfiel, IT Manager, report attached
E. Employees Association, (EA), Amber Caywood, Secretary, report attached
F. JCFH Foundation, Donna Burchfiel, Secretary, report attached
G. JCFH Volunteers, Phyllis Linnebur, report attached
14. AGENDA ITEM(S) FOR FUTURE MEETINGS
A. Construction timeline
Ø Assign Directors to Construction Oversight Committee
B. 2019 CEO performance evaluation – open session report September 25
15. NEXT MEETING DATES
A. Policies & Procedures: September 25, 2019 at 11:00 a.m.
B. Finance: September 18, 2019 at 2:00 p.m.
C. Regular: September 25, 2019 at 2:00 p.m.
16. INFORMATIONAL ITEM(S)
A. Happy Birthday to Linda Pribyl – August 15th
B. Calendar – September meeting dates and/or rescheduling
Ø September 9, 11, 17, 23, 27 and October 8, 9 & 10 CEA (California Employers Association) leadership trainings scheduled
Ø October 9-11 ACHD (Association of California Healthcare Districts) annual meeting in La Jolla, CA
Ø December 18th Audited Financials for FY 6/2018-7/2019 presented
17. 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.
18. ADJOURNMENT
In memory of George Barendse (Hospice), Allison Benbrook (Hospice), Harold Casto (Hospice), Carl Johnson (Hospice), Joyce Kraut (Hospice), Jim Leitzell (long time Greeley Hill resident), Maryls Martin (Hospice), Vivian Miller (SNF Resident & Hospice – 100 years), Thomas Santi (Hospice), James Tucker and Julie Vierra (employees sister)
In celebration of the birth of twins, Cora Bell & Carter Marion to parents Anna & Michael Murray and grandparents Fred & Taffy Elchlepp, and baby Luke Oda to parents Shannon & Freddie Elchlepp and grandparents Fred & Taffy Elchlepp.
Regular Board Meetings convene at 2:00 p.m. on 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. 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, 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: JCF
