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January 27, 2015


Present: Commissioners Daisy Anderson, Gerry Lane, Don Lawley, David Selman (CEO), Jim Chaney (CFO), Heidi Anderson CNO/COO, & Gary Harmon, MD


Guests: Sarah Huling, Pam Brown, Debbie Perkins & Kirk Cole, MD


The meeting was called to order at 5:02 pm by Daisy Anderson.

Community Communications: Reviewed articles from Washington State Hospital Association regarding Improving the Mental Health System and Ensuring Access to Health Services through Telemedicine.


· Gerry asked what is boarding. Pam Brown answered, boarding is when a person is a danger to themselves or others and there are no psychiatric hospital beds available. The patient is held in acute care until a psychiatric bed is available.

· Gerry asked about reimbursement for Telemedicine and David the State of Washington has not developed a reimbursement metrology for telemedicine.

Community Advisory Committee: Meeting Minutes from December 9th, 2014 were reviewed.


· David presented a map displaying timber projects in Clallam County from the Department of Natural Resources.


· Sue Trettivick and Lisa Anderson from the Department of Natural Resources will be attending the next Community Advisory Committee and presenting Timber predictions for the next few years.

Medical Staff: Medical Staff Committee Minutes from January 14, 2015 were reviewed.


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


Medical Staff Privileges: Reviewed request for privileges as presented for Robert Craven, MD, Wade Austin-Getsfrid, MD & Anne Koomen, ARNP.



ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Robert Craven, MD.


ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Wade Austin-Getsfrid, MD.


ACTION: It was moved, seconded and passed to approve appointment of                                           privileges for Anne Koomen, ARNP.

Provider Recruiting: David Selman updated the board on provider recruitment. Meghan Timmerman had an onsite interview on January 19th.  Dr. Timmerman is interested in joining us and we extended an employment agreement.


· David is working on restructuring physician contracts to include incentives and metrics for patient satisfaction, quality measures and productivity.

Performance/Quality Improvement: Meeting Minutes from December 15th, 2014 were reviewed.


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

Minutes:         Board of Commissioner’s Meeting Minutes for December 23rd, 2014 were reviewed.

ACTION: It was moved, seconded and passed to approve the Board of Commissioners Meeting Minutes for November 25th, 2014.


· Managers Forum Meeting Minutes from January 6, 2015 were reviewed.

· OB Committee Meeting Minutes from November 14th, 2014 were reviewed.

· Safety Committee Meeting minutes from December 16th, 2014 were reviewed.



ACTION: It was moved, seconded and passed to approve the December 2014  General A/P vouchers numbered 083741 through 084096 in the amount of   $896,417.38 and the General P/R vouchers numbered 542106 through  542220 in the amount of $95,493.23.


ACTION: It was moved, seconded and passed to approve the Write Offs for                                                  January 2015 in the amount of $47,033.67.

Administrators Report:

David Selman submitted report topics to include:


· Dr. Dickson submitted his resignation effective May 31st, 2015. He would like to stay on as a Hospitalist to assist us with ER call and inpatient care.

· Dr. Timmerman is also interested in geriatrics.

§ Don asked if Dr. Timmerman can be a preceptor for the mid-levels. David answered it would be her choice.

· Pursuant to chair Board Daisy Anderson’s request David presented the Equipment and Facility list from Clint Wood regarding the priority level and life span of equipment that needs replaced overtime.

· Angela Wazzerug, CFO candidate, did not accept our offer.

· Looking at using a virtual Human Resources Director with Jefferson Healthcare. Still recruiting for a HR Director but, the candidates who applied have had no Hospital experience and very little healthcare experience.

· Bryan Foster, our Pharmacy Director resigned. We have a locums starting Tuesday, February 3rd.

· EMS levy is on the ballot for February 10th. Clint has EMS signs available.

· Working on provider evaluation forms. We received an excellent template from another hospital. Provider contracts contain language for periodic evaluations.

· Budget meetings are going well with Manages and potential cost savings are being identified.

Finance: Jim Chaney presented the December 2014 financial report, which was reviewed and


· Received two Medicaid Cost Report Settlements.

· Received pro share monies for nursing home.

· Revenue up $340,000 from November.

· December activity was up in the Clinic and ER.

· Days in cash went from 65 to 85 with the Medicaid Cost Report Settlements.

· Net A/R days dropped from 40 to 30 days.


Planning:        The board would like a strategic planning session which will be decided at the       February Board of Commissioners Meeting.

Board Calendar:


Additional Agenda Items:

· Election of Officers:  A motion was made as follows for officers:  Daisy Anderson will continue as Chair, Don Lawley continues as Secretary and Gerry Lane continue as Commissioner. Committee assignments for 2015 will stay the same.

ACTION: It was moved, seconded and passed to approve Daisy Anderson as

Chair, Don Lawley as Secretary and Gerry Lane as Commissioner.


· The Environment for Care Committee 2014 Annual Report was reviewed.

Executive Session: Time In: 6:00pm             Time out: 6:30pm

With no further business, the meeting was adjourned at 6:30 pm.


The next Board of Commissioners meeting is scheduled for February 24, 2015 at 5:00pm.

Minutes recorded by Laci Johnson, Executive Specialist.




Don Lawley, Secretary


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