AGENDA of Board of Directors for
Finance & Regular Board Meeting
Wednesday, December 18, 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 Brenda J. Forrest, M.D. 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. Quality Management monthly report (Health & Safety Code §32155), Laura Donahue, RN, Quality Director & Kristen Fournier, RN, onboarding Quality Director
B. Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Janet Amundson, M.D., Teleradiology to Consulting Staff
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Sarah Chaumette, M.D., Telepsychiatry to Consulting Staff
Richard Leach, M.D., Emergency Medicine to Associate Staff
Sarah Makin, PA-C, Family Medicine to Allied Health
Deron Warren, D.O., Emergency Medicine to Associate Staff
C. Medical Staff report to the board by attending providers
D. Significant exposure to anticipated litigation – 1 potential case (Government Code §54956.9(b))
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. 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 January, Marco Noia, Network Analyst, Information Technology
C. AirMethods, Heather Geske, Area Manager, Northern CA
D. 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. EDUCATION
A. Terry Woodward, Plant Operations Manager
B. Department Manager Board presentations – since March 2017 to current we’ve heard from all Department Managers. Do you wish to start the list over again?
8. Financials
Chief Financial Officer (CFO), Joseph O’Malley
Ø November 2019 Financial & Statistical Reports
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.
A. Approve minutes of the Finance & Regular Board meeting of November 20, 2019
B. Accept minutes of Policies & Procedures and Bylaws committee meeting of December 4, 2019
10. DISCUSSION/ACTION ITEM
A. CEO compensation & appraisal
B. Resolution # 9-19, honoring the retirement of Laura Donahue, RN
C. Northside Clinic update
D. Tramutola, LLC messaging to community update
E. FlowHealth update
F. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
G. Construction update
H. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Affirmation of Acute P&P
· N-MS-101 “Rounding”
Ø Adoption of Board of Directors P&P
· BOD-02 “Conflict of Interest Code & Ethics”
Ø Affirmation of Case Management P&P
· CM-01 “Patient Choice”
Ø Affirmation of District Wide Nursing Protocols
· “CIWA (Clinical Institute Withdrawal Assessment) Assessment”
· “Sepsis Screening”
Ø Adoption of Ethics P&P
· E-02 “Ethics Consult”
Ø Adoption of Human Resources P&Ps
· HR 1.10 “Physical Examination Tuberculosis Screenings Pre and Post Employment”
· HR 3.3 “Shift Differential”
Ø Affirmation of Imaging P&Ps
· 08-8001 “Scheduling Procedures”
· 08-8002 “Scheduling Multiple Examinations”
· 08-8003 “Stat Diagnostic”
· 08-8004 “Availability of STATS”
· 08-8005 “Critical Test Results”
· 08-8201 “Use of Imaging Services Equipment by Technologist”
· 08-8202 “Radiation Safety”
· 09-9001 “Confidentiality of Information General Issues”
· 09-9002 “Verbal and Written Orders General”
· 09-9003 “Radiologist Signing of Reports”
· 09-9004 “Documentation and the Use of Abbreviations, Acronyms and Symbols”
· 09-9005 “Retention of Radiology Medical Records”
· 09-9007 “Picture Archiving and Communication System”
· 09-9008 “General Security Picture Archiving and Communication System”
· 09-9009 “Workforce Authorization Picture Archiving and Communication System”
· 09-9010 “Physician Access to the Hospital’s PAC System Web Server”
· 10-10002 “Patient Refusal of Exam”
Ø Adoption of IT & Security P&Ps
· IS 1.7.4 “Firmware Versions Update”
· IS 1.7.7 “Devise and Media Controls”
· IS 1.17 “Security Credentials”
Ø Affirmation of Jail P&Ps and Protocols
· 100 “Registered Nurse Protocol”
· 101 “Abdominal Gastrointestinal Complaints”
· 102 “Cardiac Conditions Hypertension”
· 103 “Chest Pain”
· 104 “Dental Conditions”
· 105 “Diabetes”
· 106 “Emergency Response”
· 107 “Withdrawal – Alcohol”
· 108 “Withdrawal – Benzodiazepine”
· 109 “Withdrawal – Cocaine Methamphetamine Designer Drugs”
· 110 “Withdrawal – Opioid”
· 700.00 “Healthcare Services”
· 700.00A “Governance and Administration”
· 700.00Aa “Referrals”
· 700.00Aab “Management of Psychotropic Medications”
· 700.00Aac “Care of Inmate with Post-Partum Depression”
· 700.00Ac “Involuntary Psychotropic Medications”
· 700.00Ad “Screening and Care of Pregnant and Lactating Women”
· 700.00C “Post-Partum Inmate Charged with Murder”
· 700.00D “Health Care Staff”
· 700.00E “Health Care Staff Qualifications”
· 700.00F “Inmate Medical Records”
· 700.00G “Confidentiality of Medical Records”
· 700.00H “Updates and Revisions of Policies & Procedures”
· 700.02A “Communicable Disease Screening”
· 700.02B “Medical Intake Screening”
· 700.02C “Reportable Diseases”
· 700.02D “Staff Exposure to Communicable Diseases”
· 700.01 “Forensic Medical Services”
· 700.02A “Communicable Disease Screening”
· 700.02B “Medical Intake Screening”
· 700.02C “Reportable Diseases”
· 700.02D “Staff Exposure to Communicable Diseases”
· 700.02E “Vermin Control New Bookings”
· 700.02F “Vermin Infestation within Jail”
· 700.04A “Pharmacy”
Ø Affirmation of Laboratory P&P
· “Thyroid FN”
Ø Adoption of Nurse Assistant Training Program P&P
· NATP-13 “Program Instructor Monitoring”
Ø Affirmation of Pharmacy P&Ps
· Pharm 4.6 “Medication Dispensing for the ER”
· Pharm 6.4 “High Alert Medications”
Ø Adoption of Skilled Nursing Facility P&P
· SNF 003 “Abuse Investigation Report”
· SNF-12 “Laundry and Linen Cleaning”
11. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, no report at posting
Ø CEO monthly expenses – one
B. Chief Nursing Officer (CNO) report attached
C. Chief Human Resources Officer (CHRO), Martha Robichaux, no report at posting time
D. JCFH Volunteers, Phyllis Linnebur, report attached
12. AGENDA ITEM(S) FOR FUTURE MEETINGS
A. Construction timeline
Ø Assign Directors to Construction Oversight Committee
B. Agreement Renewal: Mimi Carter, MD, Family Practice, Fremont Family Physicians, renews March 31, 2020 – January 22, 2020
C. Information Technology (IT), Craig Burchfiel, IT Manager, report for December
D. Employees Association, (EA) reports for November & December
E. JCFH Foundation reports for October & November & December
F. Board Member Code of Conduct – January 29, 2020
G. Audited Financials, Wes Thew, WIPFL, LLPi, January 22, 2020
13. NEXT MEETING DATES
A. Policies & Procedures and Bylaws: January TBD, 2020
B. Board Education & Development committee meeting, January TBD, 2020
C. Joint Board of Supervisors/JCFHD Board: January 22, 2020 at 10:00 a.m.
D. Finance: January 22, 2020 at 2:00 p.m.
E. Regular: January 29, 2020 at 2:00 p.m.
14. INFORMATIONAL ITEM(S)
Calendar – January meeting dates and/or rescheduling
15. 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.
16. ADJOURNMENT
In memory of Harold Bizzy (Hospice), Bobb Moss (Hospice) and Dorothy Schmidt (Hospice)
In celebration of the birth of baby Esmae to parents Ashley & Gary Dunworth
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: John C. Fremont Healthcare District