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July 22nd, 2014


Present: Commissioners Daisy Anderson, Gerry Lane, Don Lawley, Jim Chaney (Acting CEO/CFO), Heidi Anderson CNO/COO, Gary Harmon, MD & Andrea Perkins-Peppers

Guests: Debbie Perkins, Pam Brown, Angelique Williams, Sarah Huling, Kathy (Pharmacy Student) & Dr. Cole.


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

Community Communications: Reviewed two letters sent to Regence patients regarding a contract between Harrison Health Partners and Regence not coming to an agreement.


Community Advisory Board: Meeting Minutes from July 8th, 2014 were reviewed. The board has concerns around the main focus of the committee.


Medical Staff: Medical Staff Committee Minutes from July 9th, 2014 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 Stephani Amstadter, MD, Daniel Case, MD, Ashwin Shetty, MD & Bruce Higginbotham, MD.


ACTION: It was moved, seconded and passed to approve appointment of privileges for Stephani Amstadter, MD.


ACTION: It was moved, seconded and passed to approve appointment of privileges for Daniel Case, MD.


ACTION: It was moved, seconded and passed to approve appointment of privileges for Ashwin Shetty, D.


ACTION: It was moved, seconded and passed to approve appointment of privileges for Bruce Higginbotham, MD.

Provider Recruiting: Jim updated the board on provider recruitment.


· The board would like monthly updates from Dan regarding recruitment.

Performance/Quality Improvement: Meeting Minutes from May 19th, 2014 were reviewed.


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


Minutes: Board of Commissioner’s Meeting Minutes for June 18th, 2014, June 20th, 2014 and July 10th, 2014 were reviewed.


ACTION: It was moved, seconded and passed to approve the Board of Commissioners Meeting Minutes for June 18th, 2014, June 20th, 2014 and July 10th, 2014.

Managers Forum Meeting Minutes from July 1st, 2014 were reviewed.


· Safety Committee Meeting minutes from May 20th, 2014 were reviewed.




ACTION: It was moved, seconded and passed to approve the June 2014 General A/P vouchers numbered 081501through 081866 in the amount of $1,118,564.50 and the General P/R vouchers numbered 541289 through 541388 in the amount of $73,148.50.



ACTION: It was moved, seconded and passed to approve the Write Offs for July 2014 in the amount of $137,214.89.

Administrators Report:

Jim Chaney submitted report topics to include:


COMMUNITY DEVELOPMENT BLOCK GRANT Termination: Gerry and Jim attended the Forks City Council meeting on July 14th. Rod Fleck presented our resolution of cancellation of the grant to the city council in a very complimentary and collegial fashion. Gerry and Jim both spoke regarding our reasons for termination of the grant and thanked the city. Council members asked a few questions and then passed the appropriate resolution terminating the grant. We agreed to work with Rod to finalize things with the Department of Commerce and completed everything in about 15 minutes. Rod corresponded with the project manager at the Department of Commerce who was understanding of our financial situation, the current economy and stated that, once she received the mayor’s letter to terminate the grant she would issue a letter to close the contract and deobligate the $600,000. Jim talked with Rod Fleck today and he stated the letter from the mayor to the Department of Commerce would be sent today. We also sent letters to each of the contractors to notify them of the termination of the project and thanking them for the time and effort put forth bidding on the project.


CLINT OUT ON FAMILY MEDICAL LEAVE ACT: Clint Wood is out on medical leave and is not expected to return until August 25th from back surgery. Jim talked with him today and his recuperation is going well and he is out walking multiple times daily.


BE SMITH NEGOTIATIONS: Jim talked with Craig Miller last Thursday regarding negotiations with BE Smith for recoupment of the CEO recruitment fee. He was to follow up with legal counsel for BE Smith and then update me as to progress made. Jim followed up today and Craig believes the opposing attorney may concede that BE Smith did not perform due diligence in the screening process. However, they have not yet discussed or agreed upon any monetary concession by BE Smith.


· The board would like to file a suit against BE Smith.

PHYSICIAN RECRUITMENT: Dr. Jackson will be on campus July 29th to complete additional physician third party payer credentialing paperwork with Bogachiel Clinic. We are awaiting his Washington DEA credentialing and verification of his profession liability coverage through our insurance carrier. His first day of work is planned for August 18th.


We have a CRNA candidate, Charles Bouis, who is coming for an interview. He currently practices in Eastern Washington with a CRNA group and has practiced for 7 years. Prior to becoming a CRNA he was a hospital administrator. There have been fourteen applicants apply for the CRNA position with this candidate being Julie Erickson’s top choice.


REGENCE AND HARRISON HOSPITAL AND HEALTHPARTNERS: Jim included copies of letters sent out by both parties regarding their failure to negotiate a new contract and the expiration of their current contract on July 30th. If they are unable to reach an agreement prior to July 30th, patients seen at their facilities will be considered out of network by Regence and will incur higher patient out of pocket costs for services provided by Harrison Hospital and Harrison HealthPartners providers and facilities.


COMMUNITY ADVISORY COMMITTEE: Jim talked with Bill Peach on the telephone on Monday regarding the role of the Community Advisory Committee and we have a meeting scheduled for Tuesday, July 29th at 2:30PM to further discuss this and redirect the committee’s focus. Any board member interested in joining us for the meeting is welcome.


CEO RECRUITMENT: At the last commission meeting Laci provided copies of the 34 resumes of applicants for the CEO position to each commissioner. That figure has now increased to 46 applicants. We need to discuss next steps regarding those 46 applicants. We also need to determine the top 10 qualification characteristics required of the candidates as they are screened for the CEO position. This was the homework assignment from the last commissioner meeting.


LEGISLATIVE UPDATE: US Congressmen Derek Kilmer is coming for a site visit on August 28th from 3:15-4:45PM to include a campus tour, meeting with administration and any commissioners interested, and a question and answer session with staff. The meetings will be help in the Ambulance Conference Room.


WSHA RURAL ADVOCACY DAYS: WSHA rural advocacy days are scheduled for September 16th and 17th in Washington, D.C.. Laci has included information regarding the meeting in your packets if any commissioners are interested in attending. Dr. Harmon has expressed interest in attending if the District is willing to send him and cover his expenses.


UPCOMING EVENTS: Hospital Employee Picnic, August 3rd from 11:00AM - 3:00PM/ Yard Area next to Administration


Healthy Families Fair, August 9th from 10:00AM - 2:00PM, Forks High School


Finance: Jim Chaney presented the June 2014 finance report, which was reviewed and


Planning:  BOC Executive session is scheduled for Friday, August 15th at 2:00pm

Board Calendar:

Additional Agenda Items:

· Rural Advocacy Days - Daisy and Heidi will be attending the Rural Advocacy Days in Washington DC in September.

· Meaningful Use Update- Andrea Perkins-Peppers and Angelique Williams gave a meaningful use update. They believe we will not make Meaningful Use for 2014. Andrea doesn’t see the clinic issues going away in the future with Centricity.

o The board is considering discontinuing Centricity and purchasing the Meditech Clinic and Practice Management System. Andrea will put a quote together.

Executive Session: None


With no further business, the meeting was adjourned at 6:40 pm.


The next Board of Commissioners meeting is scheduled for August 26th, 2014 at 5:00pm.


Minutes recorded by Laci Johnson, Executive Specialist.




Don Lawley, Secretary


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