DRAFT - WhidbeyHealth



June 11, 2018The regular meeting of the Board of Commissioners of the Whidbey Island Public Hospital District was called to order at 7:05 am by Board President, President Wallin. Present were President Wallin; Commissioner Fey(Conference call); Commissioner Cammermeyer; Commissioner Anderson, Chief Executive Officer, Geri Forbes, Chief Human Resource Officer, Cindy Paget; Chief Financial Officer, Ron Telles; Chief Quality & Transformation Officer, Linda Gipson Chief Nursing Officer, Lisa Sanford; Chief of Staff, Dr. Nicholas Perera; General Counsel, Jake Kempton and several other hospital staff. Excused absence, Commissioner Blankenship.Points of Order President Wallin stated the meeting will be audio and video recorded today. It is also noted that Secretary of the Board Nancy Fey has joined the meeting today by conference dial in. This was passed through legislature last year as acceptable practice for Board members to call in for meetings.Consent Agenda Commissioner Cammermeyer made a motion to approve the Consent Agenda and the vouchers as presented, seconded by Commissioner Anderson. Motion carried. Vouchers audited and certified by the auditing officer as required by RCW 42.24.080, and those expense and reimbursement claims certified as required by RCW 42.24.090, and have been recorded on a listing which has been made available to the Board. #225560 to #227149 and #3879 to #3886 in the total amount of $12,596,244.49 with Capital equipment vouchers in the amount of $706,599.06 motion carries therefore the vouchers are approved for payment in the amount of $13,302,843.55 on this 11th of June 2018.General Public CommentsNo Public CommentsNursing Update Lisa Sanford reported on the following additions to her clinical team. Tony Triplett has accepted the Pharmacy Director position. Mr. Triplett brings many years of experience in the acute care setting and will be joining WhidbeyHealth this August. Cindy Stephenson has accepted the lead Medical Social worker position, and will start on August 8th.The clinical informatics team is working hard on improved documentation tactics, focusing on suicide prevention. This was determined as an area of opportunity for our clinical team, and we look forward to optimizing our patient care through this work.Terri Garrett has been working on education sepsis training, which included a successful live roll out last week. Lisa acknowledges Jamey Pennington’s team and their hard work with the clinical informatics piece in our patient care; this has been instrumental in providing opportunities for our quality patient care growth.Quality UpdateDr. Linda Gipson reported on the following;Jill and Dave Thompson, members of the Patient Family Advisory Council are present today. The council is proud to announce that it has outlined some very ambitious goals for the year and they will be sharing the prioritized listing in the next few months.WhidbeyHealth has submitted the phase 1 application for the Accountable Communities of Health Initiative; WhidbeyHealth’s intent is to potentially join the ACO initiative. Currently, we are assessing the impact that this will have on WhidbeyHealth’s reporting and the requirements tied to the ACO. Jail transitions are a high priority and we have worked very closely with ANRP Yvette, at the County Jail. This has had a large impact on not having readmission cases due to detained patient’s ability to have their needs met at the jail. Our team looks to continue working with Yvette on this important work.WhidbeyHealth’s CMS survey went very well on the clinical side, as we identify documentation issues; we take pride on the overall strength of our team. As the district is well aware we continue to struggle with the facilities side of survey as our aging building proves once again to be troublesome. Looking forward, Ron’s work on the USDA loan process will provide help update our facility.Medical Staff Report Dr. Nicholas Perera presented the following Initial Appointments:Freddy Chavez, MD, Family Medicine Provisional Active Chia-Jen Kuan, MD, Internal Medicine Provisional CourtesyDavid U. Kim, MD, RadiologyProvisional TelemedicineDaniel Sheffield, DO, Emergency MedicineProvisional ActiveCommissioner Cammermeyer made a motion, seconded by Commissioner Anderson to approve the Initial Appointment as presented. Motion carried.Dr. Nicholas Perera presented the following Reappointments:Lee Loung Liou, MD, NeurologyConsulting to TelemedicineDr. Nicholas Perera presented the following conversion to New Hospitalist Privileges:Rosa Rangel, MD, HospitalistActiveManinder Mahal, MD, HospitalistActiveCommissioner Cammermeyer made a motion, seconded by Commissioner Anderson to approve the Advancements as presented. Motion carried.Staff and Status Reports from AdministrationAdministrative UpdateGeri Forbes, CEO reports with the following:Geri presented our new south end physician Dr. Dennis Rochier, who has hit the ground running in our Freeland clinic. Dr. Rochier, present today spoke to the Board giving a brief background and experience on the island thus far.Department of Health currently has an Accountable Community of Health initiative which is looking at working on becoming a global payer. Our teams, along with our partners at the Washington Rural Health Collaborative have looked at other models across the county, like Maryland, to understand what this would mean for Washington. Our Rural hospitals are much smaller than those who have seen this model before, and we are very leery of moving forward without looking at fine tuning the process to be reflective of our setting.Radiology is moving forward on prepping the mammography room for our new equipment. We do not have a hard date for delivery of this equipment; however we will share with the board and community when this is ready to go.Our clinics are working on medically treated opioid patients; we have rolled this out at the Cabot Clinic and look to continue the program at the Goldie Road and Freeland Clinics. An initiative at the jail has been working with a Tribal agreement on this type of program.Jake Kempton has been working on current property ownership to have a clean inventory listing. The idea is to have a clear listing of properties owned by the district to be reviewed for any potential opportunities. This list and any plans will be presented to the board in the future.The WhidbeyHealth Foundation had a successful Gala this month, which was sold out and boasted the wonderful theme of “Growing Together”. The Dancing Fish Vineyards in Freeland set a wonderful backdrop which was only enhanced by the floral wonderland creations by Tobey Nelson Events and design. The event was a large success creating lasting memories for all.Our clinical team has worked very hard to bring back the SANE (Sexual Assault Nurse Examiner) program to WhidbeyHealth. Lisa Sanford and Jackie Bassett have worked on this initiative to ensure we have a sustainable program for our community. Six WhidbeyHealth nurses are SANE trained allowing us to offer 24/7 coverage at WhidbeyHealth.Diagnostic Imaging received new stress test equipment, and our Nuclear Medicine Tech Nick Chapman has been training staff. This equipment was purchased with funds through the WhidbeyHealth Foundation who approved the order to meet an essential need of the community.Family Birthplace Nurse Nancy Manjikian, was honored with the Daisy Award. This award honors nurses from around the world who provide extraordinary compassionate and skillful care. Manjikian has been an exemplary nurse whose written nominations reflect her patient’s gratitude for her willingness to go above and beyond the call of duty.Our Laboratory aced their Cap Survey and once again scored accreditation. The Commission on Laboratory Accreditation of the College of American Pathologists conducted their formal survey of the WhidbeyHealth laboratory. CAP accredited laboratories must adhere to rigorous regulatory requirements to achieve accreditation. Kudos goes out to Janice Clarke and her team for once again pulling together and breezing through this survey.The Polly Harpole Hospital Guild had their annual fashion show last month. The event was a success and boosted sales for the Hospital Gift Shop directly following the event. Staff, volunteers and guest enjoyed a delicious lunch and a wonderful runway show emceed by shop manager Michelle Suggs.WhidbeyHealth staff participated in the Relay for Life overnight event this month. Our team was well represented, and successful in raising money to help an amazing cause.Finance:Ron Telles, CFO, discussed and presented the following financials for April 2018:Ron explains GASB 75 how this is going to impact our system in relationship to PEBB Clinic volumes are up in volume. The addition of new providers has helped our numbers.Specialty Clinics were also up in volume for the month of AprilSurgeries, Patient Days, ER Visits and Admits were the lowest in 4 years.Expenses were also high this pensation, supplies, depreciation, and contracted services are all much higher than last year. 7. Patient Revenue and cash collections reviewed. 8. Days cash on hand and cash goals reviewedBoard Items:James Pennington presented on the roll out of patient reminder services. IBM Phytel outreach is set to help our clinic outreach. This is also a reminder system set up to help manage chronic patients, for reminders to follow up with their appointments.Linda Gipson presents her Patient Safety and Quality program information. Outlining the governing board standards, this includes assuming full responsibility of implementing and overseeing quality. Dr. Gipson gives a thorough education and presentation to the board regarding quality review, performance improvement model, quadruple aim module, 2017 quality priorities, utilization, readmission rates, inpatient patient experience goals, safety measure goals, MIPS reporting, current initiatives and peer review. The Quality and Transformation Commitment to the community is shared with the Board.Quality and Patient Safety Charter is presented for missioner Cammermeyer makes a motion to approve the Quality and Patient Safety Charter, seconded by Commissioner Fey. Motion approved.President Wallin notes that the Board will not proceed into Executive Session.President Wallin announces that the Board will be attending a meeting at the end of this month with CEO Geri Forbes in Lake Chelan.Agenda Items For Next Board MeetingPresident Wallin noted for the next Board meeting: Next Board meeting will be held Monday, July 9th at 7:00 am.Adjournment There being no further business, Commissioner Wallin called for a motion to adjourn, seconded by Commissioner Anderson to adjourn the meeting at 10:15 am. Motion carried. ______________________________________________President of the Commission______________________________________________Secretary of the Commission______________________________________________Commissioner______________________________________________Commissioner______________________________________________Commissioner ................
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