AGENDA of Board of Directors for
Regular Board Meeting
Wednesday, December 19, 2018
Location: MPUD – Fire House
5273 Highway 49 North, 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 Sally Abbott Uribe, 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 report to the board by attending providers
B. Medical Staff Privileges (Health & Safety Code §32155)
On recommendation from the Medical Executive Committee, the following were granted appointment privileges:
Martin Fowler, MD, Teleneurology to Consulting Staff
On recommendation from the Medical Executive Committee, the following were granted re-appointment privileges:
Paul Singer, MD, Teleneurology to Consulting Staff
C. Quality Management monthly report (Health & Safety Code §32155), Laura Donahue, R.N., Quality Director
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. Call to Order Regular 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. Resolution 10-18 honoring JoAnne Eskra in her retirement
C. Employee of the month for December, Marco Noia, Information Technology
D. Employee of the month for January, Hyshinda Bracy, MA, Fremont Family Physicians
E. AirMethods, Heather Geske, Area Manager, Northern CA
6. Education
Katrina Anderson, LVN, Skilled Nursing Director
7. FINANCIALS
Chief Executive Officer (CEO), Matthew Matthiessen
Ø October 2018 Financial & Statistical Reports
Ø November 2018 Financial & Statistical Reports
8. 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.
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 October 31, 2018
B. Approve minutes of the Policies & Procedures and Bylaws committee of November 7, 2018
C. Approve minutes of the Special Board meeting of November 9, 2018
10. DISCUSSION/ACTION ITEMS
A. Request for Audited 2017-2018 Financials, to be presented at the January 23, 2019 Finance Board meeting by Jeff Johnson, WipFli
B. Update: upgrade T-Systems or move to EDIS (CPSI emergency department electronic medical record module)
C. Upon recommendation from Policies & Procedures and Bylaws committee – the following were recommended to be affirmed and/or adopted:
Ø Affirmation of Cardiopulmonary P&P
· II B 2 – “Airvo 2 Humidified High Flow Oxygen”
Ø Affirmation of Emergency Department P&P
· ER 045 “Standard of Care CVA or Stroke”
Ø Affirmation of Imaging P&Ps
· 01 1006 “Management Availability”
· 01 1007 “Supervisor Responsibilities”
· 01 1009 “Non-Radiologist Performing Fluoroscopy Procedures”
· 01 1010 “Radiation Physicist Services”
· 01 1011 “Contracted Imaging Services”
· 01 1012 “Availability of Scheduled Scanning Services”
· 01 1013 “Delays of Scanning”
· 01 1014 “Hospital Mobil Unit Communications”
· 01 1015 “Policies & Procedures – General”
· 01 1016 “Revisions Updates to Imaging Services P&P Manual”
· 02 2001 “Imaging Services Safety”
· 02 2002 “Floor Plan Evaluation”
· 02 2003 “Patient Safety”
· 02 2004 “Body Mechanics Training”
· 02 2005 “Staff Injury and Illness”
· 02 2006 “Hazardous Materials and Waste Training”
· 02 2007 “How to Read Safety Data Sheets”
· 02 2008 “No Smoking Policy”
· 02 2009 “Fire Safety”
· 02 2010 “Use of a Fire Extinguisher”
· 02 2011 “Electrical Safety and Maintenance”
· 02 2012 “Electrical Extension Cords”
· CT 2 “General Information Regarding P&P”
Ø Adoption of Maintenance P&Ps
· MN-01 “Air Compressors”
· MN-02 “Air Filters”
· MN-03 “Auxiliary Generator”
· MN-04 “Contracts and Agreements”
· MN-05 “Exterior General Maintenance”
· MN-06 “Fire Alarms Doors Sprinkler Systems and Smoke Detectors”
· MN-07 “Forms”
· MN-08 “Heating”
· MN-09 “Biohazardous Waste”
· MN-10 “Maintenance Log”
· MN-11 “Maintenance Shop”
· MN-12 “Security”
· MN-13 “Service Companies”
· MN-14 “Quarterly Inspections”
· MN-15 “Refuse Disposal”
· MN-16 “Emergency Water Supply”
· MN-17 “Orientation Checklist”
· MN-18 “Scales”
· MN-19 “Lock Out Tag Out”
· MN-20 “Pest Control”
· MN-IP-01 “Ice Machine Cleaning”
Ø Adoption of Medical Staff P&P
· C-21 “Peer Review”
Ø Adoption of Quality Plan
· “Quality Assurance Performance Improvement (QAPI) & Patient Safety Plan”
D. Westamerica Bank
1. Add Robert Reyes, CFO as a signer on all bank accounts
2. Authorization for John C. Fremont Healthcare District to purchase property located at 5300 Highway 49 North, Mariposa
3. Authorization for Matthew Matthiessen, Chief Executive Officer, to represent John C. Fremont Healthcare District in the loan application with Westamerica Bank and to sign the loan related bank forms or loan documents on behalf of the District.
E. Management of Oakhurst Healthcare & Wellness Center
F. Contracts and Agreements — review and accept operating agreements, costs and terms on attached spreadsheet
G. Construction update
H. Schedule Retreat for January
11. BOARD REPORT
Director Uribe report from Inyo
12. WRITTEN/VERBAL REPORTS
A. Chief Executive Officer (CEO), Matthew Matthiessen, no report at posting time
B. Chief Nursing Officer (CNO), Kristen Clayton, RN, report attached
C. Chief Human Resources Officer (CHRO), Martha Robichaux, report & chart attached
D. Quarterly Risk Management, Martha Robichaux & Laura Donahue, report attached
E. Information Technology (IT), Ginger Clark, RN, Informatics, IT Manager, reports attached
F. Employees Association, (EA), Kim Hopman, Secretary, report attached for November & December
G. JCFH Foundation, Melissa Takahasi, report attached for October & November
H. JCFH Volunteers, Phyllis Linnebur, report attached
13. AGENDA ITEMS FOR FUTURE MEETINGS
Ø New Hospital Reports
ü Construction updates & discussions
ü G.L. Hicks Financial, LLC proposal
Ø Compliance Plan education, Director Uribe
Ø Brown Act “reference sheet” set to run in the Mariposa Gazette on December 20, 2018
14. INFORMATIONAL ITEM(S)
Calendar – January meeting dates and/or rescheduling
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 Florence Appling (SNF Resident), Alice Brown (Hospice), Kathleen Green (Hospice), Edna Munoz (former employee), Glen Power (Hospice), Joyce Stockman (Hospice), Gerd Stoecker (Hospice), Leonard Wilkinson (Hospice), JL Williams (Hospice) and Walter Zerkas (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. MPUD – Fire House 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.
