AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, November 16, 2022
Location: 5189 Hospital Road,
Mariposa, CA 95338
Linda Pribyl, R.N., Chair, Candy O’Donel-Browne, Secretary-Treasurer,
Teresa Johnson, Suzette Prue and Joseph E.C. Rogers, M.D., Directors
Anne Branham, Legal Counsel, Best Best & Krieger Attorney at Law
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 VACANT, 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
3. CLOSED SESSION
A. Hearing: Quality Management monthly report, (Health & Safety Code § 32155) Kristen Fournier, RN, Director of Quality
B. Public Employment (Government Code § 54957)
Ø Evaluation of renewal of provider agreement for Loveneet Singh, Neurology, agreement renews 3/1/2023, any changes need to be made by12/31/2022
C. Report Involving Trade Secrets (Government Code § 54956.87)
Ø Discussion will concern service lines of viability
Estimated date of public disclosure: January 2023
D. Report Involving Trade Secrets (Health & Safety Code § 32106)
Ø Report by attending providers concerning information that constitutes a trade secret
4. RECONVENE PUBLIC SESSION
Disclosure on reportable action taken during closed session1
5. 2:00 P.M. Board Meeting
Welcome to our guests—guests may voluntarily sign in if they wish to have their name spelled correctly in the minutes of this organization.
6. PRESENTATION/ANNOUNCEMENTS
A. Mid-term election results
Ø Welcome new board members
4 year term: Wendy Priola-Ryder & Nick Lambert
2 year term: Suzette Prue & Rose Fluharty
B. Thank you to Linda Pribyl, Candy O’Donel-Browne & Teresa Johnson for serving, CEO Matthiessen
C. Gary Hicks, G.L. Hicks Financial, LLC, Hospital Construction financing
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 action item are invited to do so when the Board considers that item and when the Chair calls for comments. Thank you for your participation.
8. WRITTEN/VERBAL REPORTS
A. Interim Chief Nursing Officer (CNO), Lisa Hoyle, RN, report attached Ex # 1
Ø List of services provided by the District through Outpatient services
B. Chief Operating Officer (COO), Lynn Buskill, RN, report attached Ex # 2
Ø Rural Health Clinics customer service
C. Chief Financial Officer (CFO), Shahriar Tajbakhsh
Ø HRG (Healthcare Resource Group) update
D. Director of Human Resources, Julie Adair, report attached Ex # 3
Ø Labor Union update
Ø Recruitment efforts
E. Information Technology (IT), Craig Burchfiel, IT Manager, report attached Ex # 4
F. JCFH Foundation, Jill Harry, Secretary, September minutes attached, Ex # 5
G. Chief Executive Officer (CEO), Matthew Matthiessen
H. Board Clerk, Kym Brownell, report on CSDA (California Special Districts Association) Board Clerk training in Monterey, November 7th & 8th
9. DISCUSSION/ACTION ITEM
A. Resolution 28-22, adopting AB 361, Virtual meeting requirement for December, attached Ex # 6
B. Contracts and Agreements — review and accept operating agreements, costs and terms on Ex # 7, Chief Executive Officer
C. Upon recommendation from the Policies & Procedures committee the following were recommended to be affirmed and/or adopted: Ex # 8
Ø Affirmation of Cardiopulmonary P&P
· II:V “EKG”
Ø Affirmation of Environmental Services P&P
· EVS 1.2 “Cleaning the Discharged Patient Room and Restroom”
Ø Adoption of Hospice P&P
· 245 “Patient and Survivor Bereavement Services”
Ø Affirmation of Infection Prevention Plan & P&Ps & Protocol
· “Monkeypox Plan” and appendixes
· IP-200 “Storage of After Hours Lab Specimens”
· IP-206 “Respiratory Hygiene Cough Etiquette”
· IP-311 “Patient Room Assignments”
· IP-504 “Testing of Health care Personnel for SARS CoV-2” & Appendix A
· IP-600 “Antibiotic Stewardship Program”
Ø Affirmation of Lab P&Ps
· “A.M. In-Patient Testing”
· “Abbreviations”
· “Aim Tab Ketone Tablets”
· “Computer Downtime”
· “Creatinine Clearance”
· “Critical Result Procedure and Values”
· “Dialysis Patients”
· “Documentation of Employee Competency”
· “Drug Screen Collection”
· “EBA 200 S Centrifuge”
· “Employee Training”
· “FAX Protocol”
· “Infection Control”
· “Instrument Down”
· “KOH Preparation”
· “Legal Draws”
· “Loss of Electrical Power”
· “Manual Blood Culture”
· “Mariposa Jail Policy”
· “Occult Blood”
· “Cancelling Orders in CPSI”
· “Partial Reports”
· “Patient Orderable Tests”
· “QC Gram Stain”
· “Quality Control Program”
· “Referral Laboratory Charges”
· “Reportable Diseases”
· “Specimen Receiving & Processing”
· “Stool WBCs”
· “Storage of Laboratory Specimens”
· “Technical Consultant Designation”
· “Temperature & Humidity Control”
· “Test Clarification”
· “Test Requisition”
· “Thyroid FN”
· “Verbal Report”
· “Wet Mount”
Ø Affirmation of Outpatient Specialty Services P&P
· OPPS DP 4.3 “Patient’s Own Medication”
Ø Affirmation of Pharmacy P&P
· Pharm 5.8 “Ryan’s Law”
Ø Affirmation of SNF Plan
· “Ewing Wing Disaster Plan 2022-2023”
D. New Board Transitional Orientation, Wednesday, November 30, 2022 @ 1:00 p.m.
Ø Brown Act training
E. Chief Executive Officer annual compensation
10. MINUTES
A. Approve minutes of the Finance Board meeting of 10/26/2022, Ex # 9
B. Approve minutes of the Policies & Procedures committee meeting of 11/2/2022, Ex # 10
11. AGENDA ITEM(S) FOR FUTURE MEETINGS
A. Audited Financials, 2019/2020, Wes Thew, WIPFLi, LLP
B. Audited Financials 2020/2021, Wes Thew, WIPFLi, LLP
C. Audited Financial 2021/2022, Wes Thew, WIPFLi, LLP
D. Wage scale progress report
E. California Advancing and Innovating Medi-Cal (CalAIM)
12. NEXT MEETING DATES/CALENDAR – Ex # 11
A. New Board Transitional Orientation: November 30, 2022 @ 1:00 p.m.
B. Regular & Finance combined Board Meetings: December 21, 2022 @ 2pm
13. ADJOURNMENT
In memory of Florence Ernst (Home Health), Sherry Hutsell (Home Health), Christine Modesett (Hospice), Linda Texeira (Hospice) and Elinor Todd (Hospice)
Regular & Finance 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
