AGENDA of Board of Directors for
Annual Organizational & Finance Board Meeting
Wednesday, June 24, 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., Brenda Forrest, M.D., and Joseph E.C. Rogers, 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 monthly report to the board, Anne-Marie Sheeley, Interim Medical Staff Coordinator
B. Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Baril, Robert, D.O., Teleradiology to Consulting Staff
Burrus, Tamika, M.D., Teleneurology to Consulting Staff
Col, Albert, M.D., Dermatology to Consulting Staff
Coll, Jonathan, M.D., Teleradiology to Consulting Staff
Fortuna, Robert, M.D., Teleradiology to Consulting Staff
Gasper, Mason, D.O., Teleneurology to Consulting Staff
Licuanan, Brian, PhD., MS, Telemedicine Psychology to Consulting Staff
Lin, Michael, M.D., Teleradiology to Consulting Staff
Merges, Daniel, M.D., Emergency Medicine to Associate Staff
Parikh, Meghal, M.D., Internal Medicine/Rheumatology to Consulting Staff
Park, Christopher, M.D., Teleradiology to Consulting Staff
Rogers, Joseph, M.D., Acute/Skilled Nursing Director to Active Staff
Schoellerman, Manal, M.D., Teleradiology to Consulting Staff
Strauchler, Daniel, M.D., Teleradiology to Consulting Staff
Vridhachalam, Sanjeevi, M.D., Teleradiology to Consulting Staff
On recommendation from the Medical Executive Committee, the following were granted temporary re-appointment privileges:
Eveland, Joanna, M.D., Family Medicine/HIV to Consulting Staff
Granese, Richard, M.D., Psychology/Psychiatry & LCSW to Consulting Staff
Shaikh, Anwer, M.D., Hematology/Oncology to Consulting Staff
The following providers have resigned from Medical Staff (Statrad):
Bradfield, Harold, M.D., Teleradiology
Jafari, Omid, M.D., Teleradiology
Verma, Vishal, M.D., Telradiology
C. Medical Staff report to the board by attending providers
D. Quality Management monthly report (Health & Safety Code §32155), Kristen Fournier, RN, Director of Quality
E. Significant exposure to anticipated litigation – 1 potential case (Government Code §54956.9(b))
F. 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. Introduction of guests—guests may voluntarily sign in if they wish to have their name spelled correctly in the minutes of this organization.
B. AirMethods, Lisa Epps, Area Manager, Northern CA, report attached
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
David Williams, Manager Imaging
8. ANNUAL ELECTION OF OFFICERS
A. Nomination and election of Board Chair (1 year term)
B. Nomination and election of Board Secretary-Treasurer (1 year term)
C. Appointment of officers for Policies & Procedures and Bylaws committee
D. Appointment of officers for Board Education & Development committee
E. Appointment of officers for Construction Oversight committee
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 Regular Board meeting of May 27, 2020
B. Approve minutes of the Special Board meeting of June 3, 2020
C. Accept minutes of the Policies & Procedures and Bylaws committee of June 3, 2020
D. Approve minutes of the Special Board meeting of June 9, 2020
10. DISCUSSION/ACTION ITEMS
A. Antimicrobial Stewardship letter of support (referenced in the District Wide policy & procedure named Antimicrobial Stewardship) - attached
B. COVID-19 Corona Virus update, Thomas Wilkinson, RN, Chief Nursing Officer
C. Northside Clinic update, Terry Woodward, Plant Operations Manager
D. Construction/Tramutola update
E. CEO and Board evaluation tools, Director De Bry - coordinator
F. Elisabeth Siegler, M.D., Orthopedic Surgeon – update
G. Shane Walker, M.D., Primary Care – update
H. Hospitalist Info Tech – update
I. California Employers Association – follow-up
J. Renewal of provider agreements:
ü Robert Horvat, MD, Endocrinology – agreement renews 10/31/2020 (any changes to agreement must be done by 9/30/2020)
ü Diana Hylton, MD, Neurology – agreement renews 10/31/2020 (any changes to agreement must be done by 9/30/2020)
K. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Affirmation of Acute P&Ps
· N-MS-114 “COVID-19 Staffing Patterns”
· N-MS-725 “Rounding”
· N-MS-1000 “Telemetry Box Placement”
Ø Adoption of Administration P&P
· ADM-06 “Response to Medical Calls”
Ø Affirmation of District Wide P&Ps and Protocol
· “Antimicrobial Stewardship”
· “COVID Lab Draw Protocol”
· “COVID Required Testing for Admit of Respiratory Nature”
· “COVID Screening and Treatment”
· “Staff and Visitor Screening for Illness”
· “Wearing of Masks”
Ø Affirmation of District Wide Nursing P&P
· “Restraints”
Ø Affirmation of Emergency Department P&P and Protocol
· “Rapid Sequence Induction and Intubation”
· “Respirator Surge Triage Protocol”
Ø Adoption of Human Resources P&Ps
· HR 1.27 “Drug Free Workplace Hiring and Employment”
· HR 3.12 “Salary Administration”
· HR 4.12.1 “FMLA Expansion and Emergency Paid Sick Leave with regards to COVID-19”
· HR 4.13 “Pregnancy Disability Leave Lactation”
· HR 6.3 “Job Performance and Standards of Conduct”
· HR 7.21 “Emergency Credentialing”
Ø Affirmation of Imaging P&P
· 10-10003 “Informed Consent”
Ø Affirmation of Infection Prevention P&P and Protocol
· “PAPR Cleaning Protocol”
· IP-202 “Hand Hygiene”
Ø Adoption of Information Technology P&P
· IS 1.19 “Telecommuting”
Ø Affirmation of Jail Protocols
· 111 “Ear Conditions”
· 112 “Epistaxis Nosebleed”
· 113 “Eye Conditions:
· 114 “Headache”
· 115 “Genitourinary Complaints”
· 116 “Musculoskeletal Back Pain Cervical Injury”
· 117 “Musculoskeletal Trauma”
· 118 “Musculoskeletal Non-Traumatic”
· 119 “Pregnancy and Lactation”
· 120 “Respiratory Conditions”
· 121 “Seizure Disorder”
· 122 “Skin Conditions”
Ø Affirmation of Laboratory P&P
· “Glucose Meter”
Ø Affirmation of Pharmacy Plan, P&Ps and Protocol
· 2020 Medication Error Reduction Plan
· Pharm 4.8 “Sterile Admixing Performed by Nursing with COVID-19”
· Pharm 4.9 “Automatic Stop Order”
· Pharm 4.19 “Amiodarone Dosing Protocol”
· Pharm 4.21 “Diltiazem-Cardizem Infusion”
· Pharm 5.7 “Patient’s Personal Home Medications”
Ø Affirmation of Skilled Nursing Facility manual and P&P
· PharMerica “Nursing Care Center Pharmacy” P&P manual, dated January 2020
· SNF-14 “Suspected or Confirmed Coronavirus COVID-19”
L. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
11. Financials
Chief Executive Officer (CEO), Matthew Matthiessen
Ø May 2020 Financial & Statistical Reports
12. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, no report attached
B. Chief Nursing Officer (CNO), Thomas Wilkinson, RN, report attached
C. Chief Human Resources Officer (CHRO), Martha Robichaux, no report attached
Ø Workers Compensation chart – attached
Ø Department Turnover chart – attached
Ø Appraisals due chart - attached
D. Information Technology (IT), Craig Burchfiel, IT Manager, report attached
E. JCFH Foundation, Rebecca Swisher, report attached for May
13. AGENDA ITEMS FOR FUTURE MEETINGS
A. Construction timeline
B. 2020 Board self-evaluation – due July 29th
C. 2020 CEO performance evaluation – due August 26th – reported in open session by September 30th
D. Retreat – August 16, 2020 – agenda items
14. INFORMATIONAL ITEM(S)
A. Calendar – July meeting dates and/or rescheduling
B. November elections:
Ø Board Member term expiration date of November 3, 2020: Philip De Bry, Brenda Forrest and Joseph Rogers
Ø Filing start date July 13th
Ø Deadline August 7th
Ø No fee for filing
Ø Call Courtney Morrow, County Clerks office @ 966-2007 to book your appointment
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 Geneva Callegari-Loyd (former LVN employee), Patricia Howells (Hospice), Col. Jan Mennig (spouse of former CEO) and Peter Myatt, Jr. (Hospice)
Regular Meetings convene at 2:00 p.m. on the last Wednesday of each month, 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. 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, 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.
Source: JCF
