AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, January 20, 2021
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, Jessica Robichaux & Anne-Marie Sheeley, Medical Staff Coordinators
B. On recommendation from the Medical Executive Committee, the following were granted temporary re-appointment privileges:
Rajwinder Bahia, MD, Internal Medicine to Associate Staff
Roger Gallant, MD, Emergency Medicine to Consulting Staff
Daniel Ikemiyashiro, MD, Nephrology to Consulting Staff
Vincent Martinez, CRNA, Anesthesiology to Consulting Staff
Atulkumar Roy, MD, Nephrology to Consulting Staff
Narinder Sandhu, MD, Internal Medicine to Provisional Staff
Anna Yaffee, MD, Emergency Medicine to Associate Staff
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Kevin Rudny, MD, Teleradiology to Consulting Staff
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Gaurav Datta, MD, Internal Medicine to Provisional Staff
Elizabeth Keller, FNP, Family Medicine Allied Health
Ogochukwu Molokwu, MD, Internal Medicine to Provisional Staff
C. Medical Staff report to the board by attending providers
D. Quarterly Risk Management report, Kristen Fournier, RN, Director of Quality (clinical) and Martha Robichaux, Chief Human Resources Officer (employee)
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. 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. AirMethods, Heather Geske, 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
Gonzalo Tafoya, RN, Clinical Education Manager
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 Regular & Finance Board meeting of December 16, 2020
B. Accept minutes of the Policies & Procedures and Bylaws Committee of January 7, 2021
9. DISCUSSION/ACTION ITEM
A. Resolution 01-21 – James Mason retirement, see attached
B. Code of Conduct 2021, review and sign, see attached
C. Retreat 2021, schedule date
Ø Agenda items
D. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
E. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Affirmation of District Wide Protocol
· “COVID Source Control/Face Masks”
Ø Affirmation of Home Health Protocol
· 522 “PPE standards during upward trends such as COVID-19 epidemic”
Ø Affirmation of Hospice Protocol
· 702 “PPE standards during upward trends such as COVID-19 epidemic”
Ø Adoption Human Resources P&Ps
· HR 3.2 “Standby Callback”
· HR 4.26 “Compassionate PTO Donation”
· HR 4.26 “COVID Incentive Pay”
· HR 7.21 “Emergency Credentialing”
Ø Adoption of Information Technology & Security P&Ps
· IS 1.7.6 “Secured Disposal of Hardware”
· IS 1.7.8 “Facility Controls and Access Validation”
· IS 1.7.9 “Security Management Process”
· IS 1.7.11 “Protection from Malicious Software”
· IS 5.1.0 “Access Control Unique User Identification”
· IS 5.1.1 “Access Control Encryption and Decryption”
· IS 5.1.2 “Audit Controls and System Activity Review”
· IS 5.1.3 “Contingency Plan Emergency Mode Operations and Disaster Recovery”
· IS 5.1.4 “Data Integrity Encryption Data in Transit”
· IS 5.1.5 “Hardware Inventory”
· IS 5.1.6 “Isolation Health Clearinghouse”
· IS 5.1.7 “Mobile Device Management”
· IS 5.1.8 “Security Evaluation Frequency”
· IS 5.1.10 “Workforce Security Termination Procedures”
Ø Affirmation of Pharmacy P&P
· Pharm 4.11 “Medication Reconciliation”
Ø Adoption of Safety, Illness & Injury P&Ps
· IIPP 01 “Prevention Program”
· IIPP 02 “Assignment of Responsibility District Management Employee”
· IIPP 03 “Health Illness Prevention”
Ø Affirmation of Skilled Nursing Facility Protocols
· SNF-15 “Influenza during COVID-19 Pandemic”, plus attachment
· SNF-17 “Resident Placement Movement and Staffing Considerations by Resident Category”, plus attachment
· SNF-18 “Screening Staff & Visitors”
· SNF-19 “Visitation”
10. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen
B. Director of Operations (DOO), Ginger Clark, RN
C. Chief Human Resources Officer (CHRO), Martha Robichaux
D. Information Technology (IT), Craig Burchfiel, IT Manager, report attached
E. Northside Clinic update, Terry Woodward, Plant Operations Manager
F. New Hospital update, Therese Williams, PR and Outreach Director
11. AGENDA ITEM(S) FOR FUTURE MEETINGS
A. Construction timeline
B. CEO Annual evaluation
C. Follow up CEA education
D. Cost Gallup survey
E. Compliance Program options
12. NEXT MEETING DATES
A. Policies & Procedures and Bylaws: February 11, 2021
B. Regular Board Meeting: February 17, 2021
C. Finance Board Meeting: February 27, 2021
D. Board Education: TBD
E. Retreat: TBD
13. INFORMATIONAL ITEM(S)
Calendar – February meeting dates and/or rescheduling
14. ADJOURNMENT
In memory of Jane Hurd (Hospice), Roy Jacobs (Hospice), Allan King (Hospice), Sally Mills (Hospice), Patricia Peterson (Hospice), Muriel Powers (Hospice & retired employee’s mother), Rodolfo Reyes (employees father), Jimmy Verdugo (Hospice) and Corrine Wald (Hospice)
Regular Board Meetings convene at 2:00 p.m. once 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