Deprecated: Function eregi() is deprecated in /mnt/raid/webserver/virtual/ on line 112



Aug 25, 2015


Present: Commissioners Daisy Anderson and Don Lawley, David Selman, CEO, Tim Cournyer, CFO, and Cindy Paget, CHRO.

Guests: Mary Wright, CPA and Matthew Stopa, CPA, of Moss-Adams LLP; Doug Crafton, Pharmacist.

The meeting was called to order at 5:00 p.m. by Daisy Anderson.

Internal Audit Presentation - Moss-Adams LLP: Mary Wright and Matthew Stopa delivered a presentation overview of the Clallam County Public Hospital District #1 draft financial statements, comparisons to other rural hospitals, and industry updates. In summary, the cumulative impact of current year and prior year passed adjustments; increase in net position $54,000, increase assets $75,000, increase liabilities $52,000, and decrease net position $31,000.

Pharmacy Presentation: Doug Crafton discussed key roles of technology and automation in hospital pharmacy department practices. He presented the drivers for technology as being improved productivity, reduced reliance on memory, standardization process, patient specific clinical information, and controlled costs.

Medical Staff:  The Medical Staff Committee minutes from the July 8, 2015 were reviewed.

ACTION: It was moved, seconded, and passed to approve the Medical Staff Committee meeting minutes as presented.

Provider Recruiting:

David Selman updated the board on provider recruitment.

  • Carol Allchin, MD, is settling into the clinic and continues to shadow Dr. Dickson in preparation for his official retirement from Clinic practice September 1st. Tauqeer Rahat, MD, cancelled his scheduled interview with no interest in rescheduling. Dr. Rahat provided no explanation and we are currently looking into the reason.

  • Matthew Whitaker, MD, has completed his contract with the Makah Clinic in Neah Bay and has expressed interest in helping us part time. He will potentially work at the Clallam Bay Medical Clinic.

  • An interview with Dr. Sine, Family Practice, is scheduled this Thursday, August 27th. He is interested in working for us long term on a part time basis.

  • We are currently talking with eight Locum Tenens firms and three recruiting firms. Rebecca Pfaff, MD, Family Medicine/Obstetricshas a contract offer and would be available August 1, 2016 or sooner.

Performance/Quality Improvement: Meeting Minutes from July 20, 2015, were reviewed.

ACTION: It was moved, seconded, and passed to approve the PIC meeting minutes as presented.

Minutes: Board of Commissioner’s Meeting Minutes from July 28, 2015, were reviewed.

ACTION: It was moved, seconded, and passed to approve the Board of Commissioners Meeting Minutes as presented.

  • Managers Forum Meeting minutes from July 7, 2015 were reviewed.

  • Safety Committee Meeting Minutes from July 21, 2015 were reviewed.


ACTION: It was moved, seconded, and passed to approve the July 2015 General A/P vouchers numbered 085108 through 056519 in the amount of $1,490,718.54 and the General P/R vouchers numbered 542931 through 543075 in the amount of $134,792.15.


There were no write offs presented.

District CEO Report:

David Selman, CEO, reported:

  • David introduced Bill Burton, Interim Clinic Administrator at the Bogachiel Clinic and asked Bill to say a few words. Bill stated that he has been in the healthcare industry for 18 years and has agreed to work on a part time basis while MedMan recruits for a new Clinic Administrator.

  • Deborah Dillon and Darlene Rondeau worked on an application for our Level IV trauma designation. We received approval for a three year designation effective October 1, 2015. Peter Merrill is working with Clallam County to have an Involuntary Treatment Act court in Forks so patients don’t have to be transported to Port Angeles for court proceedings.

  • Jen Adams, Nursing - Acute, was our employee of the month for August.

  • A special Medical Staff meeting is scheduled for tomorrow, August 26, 2015, facilitated by Sandy Johnson, District Compliance Attorney, to initiate compliance training for our Medical Staff. Areas covered will include the Medical Staff Bylaws, Rules and Regulations.

  • Sandy is assisting in our review of provider contracts to insure they are within current industry regulatory compliance laws. Accountable Care Organization (ACO) – we joined an existing ACO in Colorado along with four other hospitals within our Collaborative.

  • The new Management Action Plan (MAP) was reviewed. The MAP is focused on our five key result areas as delineated in the 2013-2016 Strategic Plan and will become the CEO’s report for future BOC meetings. The large bulletin board outside the Cafeteria will be designed in the key result area format to continually apprise all employees of District initiatives.

  • The national health awareness calendar was presented to the group and its purpose of providing the information to the public on specific health awareness days and the services offered within the District. Forks Forum has a scheduled interview with Mental Health to cover suicide prevention awareness. October includes 14 departments or individuals honored. We will have an employee BBQ to celebrate Dr. McGovern has a joint replacement community seminar scheduled in September.

  • The Clallam County Public Hospital District #1 revised organization chart was presented. Don commented on his support of our Quality Department reporting directly to the CEO.

  • ICD-10 goes into effect on October 1, 2015, with provider training beginning in September.


Finance: Tim Cournyer, CFO, presented the July 2015 financial report, which was reviewed and discussed. (Have Tim review this section each month).

  • Patient revenue exceed budget by $280,785.

  • A/R days are at 58.49 for July

  • Net A/R days at 40.81

  • Operating expenses under budget by $77,008

  • Net operating gain of $158,613

  • Non-operating loss of ($24,767)

  • Net Income for July of $133,846


Tim presented a Capital Equipment request for eleven Point-of-Care Glucose Meter. The life expectancy of the meter is six years. West Jefferson donated $10,000 which covers 100 percent of the cost.

ACTION: It was moved, seconded, and passed to approve the purchase of eleven Point-of-Care Glucose Meter for an amount not to exceed $10,000.

Tim presented a Capital Equipment request for Dragon Speak. Dragon Speak is voice recognition software that transcribes words into the electronic health record as you speak.

ACTION: It was moved, seconded, and passed to approve the purchase of Dragon Speak for an amount not to exceed $58,000.

Tim informed the Board that the Umpqua Bank signature cards still have former employee names listed. He requested the Board to approve the removal of the old employees and presented a new signature card to the Board.

ACTION: It was moved, seconded, and passed to approve the removal of former employees and the addition of new employees on the Umpqua Bank account.

The Board was informed that the copiers are so outdated that replacement parts are obsolete. The purchase price of new copiers would be $51,000. The decision has been made to sign a

five-year lease for new copiers.

Planning: No discussion.

Additional Agenda Items: No comments.

Board Calendar: There was no discussion.

Executive Session: Time In: 6:28 p.m. Time out: 7:35 p.m.

The open session meeting was called back to order at 7:35 p.m. by Daisy Anderson.

There being no further business to discuss, the meeting was adjourned at 7:35 p.m.

The next Board of Commissioners meeting is scheduled for September 22, 2015 at 5:00 p.m.

Minutes recorded by Melissa Jones, Executive Assistant.


Don Lawley, Secretary

© 2009 Clallam County Hospital District # 1 All Rights Reserved. :: Design & Implementation by Computech Systems ::