AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, January 29, 2020
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. Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Tamara Barghouthi, M.D., Teleneurology to Consulting Staff
Quang Dang Vu, M.D., Teleneurology to Consulting Staff
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Kevin Maxwell, M.D., Emergency Medicine from Temporary to Full Privileges for Associate Staff
Eric Sergienko, M.D., Emergency Medicine from Provisional to Associate Staff
B. Quarterly Risk Management, Kristen Fournier & Martha Robichaux
C. Significant exposure to anticipated litigation – 1 potential case (Government Code §54956.9(b))
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 February, Kevin Lemmenes, Environmental Services
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. Compliance Plan education, Jean Potter, Compliance Officer
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 22, 2019
B. Accept minutes of Policies & Procedures and Bylaws committee meeting of January 15, 2020
C. Approve minutes of the Special joint Board of Supervisors/JCFHD Board meeting of January 22, 2020
D. Approve minutes of the Finance Board meeting of January 22, 2020
9. DISCUSSION/ACTION ITEM
A. CEO compensation & appraisal
B. Resolution # 1-20, honoring the retirement of Phyllis Linnebur, Volunteer Coordinator
C. Board Member Code of Conduct – see attached
D. Northside Clinic update
E. Tramutola, LLC messaging to community 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 CT Imaging P&Ps
· CT-5 “Patient Assessment”
· CT 6 “Dialysis Patients”
· CT 9A “Contrast Reaction”
· CT 10 “Code Blue”
· CT 11 “Technologist Qualifications”
· CT 14 “Patient Shielding”
· CT 17 “Lab Values”
· CT 20 “Quality Assurance”
· CT 21 “Scheduling Outpatient Examinations”
· CT 22 “Image Identification”
· CT 23 “On Call”
· CT 25A “Preparation Outpatient”
· CT 25B “Preparation for ER Inpatient”
· CT 26 “Consent for Treatment”
· CT 27 “Down Time Notification”
Ø Affirmation of Health Information Management P&P
· 2012 “Retention of Medical Record”
Ø Adoption of Human Resources P&Ps
· HR 7.3 “Privacy Confidential Information”
Ø Adoption of IT & Security P&Ps
· IS 1.18 “Isolation Health Clearinghouse”
· IS 2.1 “Violations Sanctions”
Ø Affirmation of Nutrition & Food Services P&P
· NA-5 “Hood Vent Cleaning”
Ø Adoption of Purchasing P&P
· AP-8 “Administration Approved Purchases”
Ø Adoption of Skilled Nursing Facility P&P, manual and plan
· SNF-13 “Power Strips”
· Infection Control manual
· 2020/2021 Ewing Wing Disaster Plan
I. Upon recommendation Policies & Procedures and Bylaws committee – the following suggested changes are recommended for the Board Bylaws (see attached):
Policies, Procedures & Bylaws Committee: The membership of this committee shall consist of two (2) Board members. The committee shall meet at least quarterly to: (suggested changes below)
§ Monitor District policies and procedures in compliance with legal mandates, and make recommendations for adoption of administrative policies and affirmation of operating and medical policies to the Board of Directors.
§ Review Medical Staff Bylaws, and make recommendations for approval to the Board of Directors.
§ Should changes to the District Bylaws ever be deemed advisable, submit recommendations for wording of proposed amendments to the Board of Directors for approval.
10. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, no report at posting
Ø Clinics Information Technology purchases - update
B. Chief Nursing Officer (CNO), Thomas Wilkinson, RN, report attached
C. Chief Human Resources Officer (CHRO), Martha Robichaux, report attached
Ø Workers Compensation chart
Ø Chart of appraisals that are due
D. Information Technology (IT), Craig Burchfiel, IT Manager, report attached
E. JCFH Foundation, Rebecca Swisher, Secretary, reports for December
F. Employees Association, (EA) reports for November & December
11. 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
C. Audited Financials, Wes Thew, WIPFL, LLPi, February 26, 2020
12. NEXT MEETING DATES
A. Finance: February 19, 2020 at 2:00 p.m.
B. Regular: February 26, 2020 at 2:00 p.m.
C. Policies & Procedures and Bylaws: March 18, 2020 at 11:00 a.m.
D. Board Education & Development committee meeting, (1st meeting 1/28/2020 – next TBD
13. INFORMATIONAL ITEM(S)
A. Calendar – February meeting dates and/or rescheduling
B. Ethics Training – Directors De Bry, O’Donel-Browne and Pribyl are due by 2/9/2020
C. ACHD (Association of California Healthcare Districts) Leadership Academy – February 20-21, 2020, Embassy Suites, Sacramento, $150 per person registration fees and $199 per night hotel
D. Candy O-Donel-Browne’s birthday January 11th
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 Dale Basham (previous employees brother), Darrell Benson (Hospice), Lynn Gill, Richard Oswald (previous employees daughter), Ralph Parker (Hospice), Wallace Revis (Hospice) and Lionel Richards (Hospice)
In celebration of the birth of babies:
James Keith to parents Ellie & Cody Leverett and Grandma Michelle Hoyt (employee)
Charlotte LeeAnn to parents Marla & Jason Hawkins and Grandma Cindy Simonic (employee)
CLOSED SESSION - continued
Public Employee Evaluation (Government Code §54957(b)(2))
Title: Chief Executive Officer
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
