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JCF butterfly
AGENDA of Board of Directors for 
Regular Board Meeting 

Wednesday, October 20, 2021 

Location:  5189 Hospital Road, 
Mariposa, CA  95338 

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 
5 Pillars:  People by Katrina Anderson, Service by Paula Rhodes, Quality by Kristen Fournier, 
Finance by Matthew Matthiessen & Shahri Taj, Growth by Therese Williams

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

10 20 21 JCF

    3.        CLOSED SESSION

A.     Medical Staff report to the board by attending providers

B.     Significant exposure to anticipated litigation – 3 potential cases (Government Code §54956.9(b))

C.     Trade Secrets – 5 - (Government Code §54956.87)

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. Board Meeting

A.     Welcome to our guests

B.     Introduction:  Angela Uthe, LCSW

    6.        PRESENTATION

A.     New construction at Northern California sister hospitals, CEO Matthiessen

B.     Strategic Plan/Action update & discussion

    7.        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.

               8.        EDUCATION

A.     AirMethods, Heather Geske, Area Manager, reports attached for August & September

B.     Board of Supervisors, Rosemarie Smallcombe

C.     Michael Nolan, Pharmacist

               9.        MINUTES

A.     Approve minutes of the Finance Board meeting of September 29, 2021

B.     Acceptance of minutes of the Policies & Procedures committee meeting of October 13, 2021

C.     Acceptance of minutes of the Board Education committee meeting of October 13, 2021

D.    Approve minutes of the Special Board meeting of October 13, 2021

10.        DISCUSSION/ACTION ITEM

A.     Select date for November board meetings, November 17th?

B.     Select date for December board meetings, December 15th?

C.     Board self-evaluation update

D.    Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:

Ø  Affirmation of COVID P&Ps and Protocols

·         “COVID Environmental Services Terminal Clean”

·         HR 4.29 “COVID Incentive Pay”

·         HR 7.22 “Vaccine Religious Accommodation”

·         IP 504 “Testing of Health Care Personnel for SARS CoV-2”

Ø  Adoption Human Resources P&Ps

·         HR 4.1 “Designated Holidays and Holiday Bonus Pay”

·         HR 4.2 “PTO LTS SICK”

·         HR 4.5 “Workers Compensation Insurance”

Ø  Adoption of Information Technology P&Ps

·         IS 1.7.5 “Audit Controls and System Activity Review”

·         IS 4.7 “Workstation and Mobile Devise Use”

·         IS 5.1.5 “Hardware Inventory”

·         IS 5.1.6 “Systems Development Life Cycle for Secure Software Applications”

Ø  Adoption of Quality Management Plan

·         2021 QAPI (Quality Assurance Performance Improvement) & Patient Safety Plan

Ø  Adoption of Ryan White P&Ps

·         RW 4 “Ryan White Nurses Responsibility”

·         RW 5 “Ryan White Patient Coordinator Responsibility”

·         RW 7 “Ryan White Scheduling”

·         RW 8 “Six & Twelve Month Eligibility and Certification Process”

·         RW 10 “Grievance”

Ø  Adoption of Utilization Review Plan

·         2021 UR (Utilization Review) Plan

11.        WRITTEN/VERBAL REPORTS

A.     COVID-19 report updates

B.     Chief Executive Officer (CEO), Matthew Matthiessen

C.     Chief Nursing Officer (CNO), Gonzalo Tafoya, RN, report attached

D.    Chief Operating Officer (COO), Ginger Clark, RN, report attached

E.     Chief Human Resources Officer (CHRO), Martha Robichaux, report attached

Ø  Appraisal chart

Ø  Onboarding

Ø  Workers Compensation

F.      Public Relations & Community Outreach, Therese Williams, Director, report attached

G.    Information Technology (IT), Craig Burchfiel, IT Manager

H.    Northside Clinic update, Ginger Clark, RN, COO

12.        AGENDA ITEM(S) FOR FUTURE MEETINGS

A.     CEO Annual evaluation

B.     Wage Scale

C.     Recruiting & retaining medical providers, Dr. Rose ideas

D.    Board self-evaluation report

13.        NEXT MEETING DATES/CALENDAR

A.     Policies & Procedures and Bylaws:  January 13, 2022, at 2:00 P.M.

B.     Board Education:  January 13, 2022 @ 3pm

C.     Regular & Finance Board Meetings:  November 17th?

14.        ADJOURN OPEN SESSION

In memory of Michael Flores (Hospice), Vere Geary, William Gorton (Hospice), Albert Mott (Hospice) and Beverly Pinkerton (Hospice)

Congratulations on the birth of baby:

Greyson Elijah to Whitney Eslinger (employee) and to grandparent Carolyn Banias (employee)

15.        CLOSED SESSION (continued)

Trade Secrets – 5 - (Government Code §54956.87)

16.        RECONVENE PUBLIC SESSION

Disclosure on reportable action taken during closed session

17.        ADJOURNMENT

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.

In compliance with the Americans with Disability Act, if you require special accommodations to participate in a board meeting, please contact the District at 209-966-3631, x-5101 at least 47 hours prior to the meeting.

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-5101, 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