FORKS COMMUNITY HOSPITAL
BOARD OF COMMISSIONERS
October 28th, 2014
Present: Commissioners Gerry Lane, Don Lawley, Jim Chaney (Acting CEO/CFO), Heidi Anderson CNO/COO, Gary Harmon, MD & Dan Whitlow
Guests: Debbie Perkins, Sarah Huling & Pam Brown
The meeting was called to order at 5:02 pm by Don Lawley.
Community Communications: Reviewed Thank you letter from Sightlife.
Community Advisory Committee: Meeting Minutes from October 14th, 2014 were reviewed.
Medical Staff: Medical Staff Committee Minutes from October 8th, 2014 were reviewed.
o Gerry asked what core privileging is as described in the minutes. Heidi and Laci answered, core privileging is the physician would have to show proof they have done the privileges they are requesting.
ACTION: It was moved, seconded and passed to approve the Medical Staff meeting minutes.
Medical Staff Privileges: Reviewed request for privileges as presented for Susan Keilman, CNM, Thomas Hughes, PA-C, J. Victor Cowley, CRNA, Linton Petersen, LH, Gary Webb, CDP, Charles Joshlin, CRNA, Marni Bonnin, MD, Christopher Frank, MD, Rienera Sivesind, MD & James Flowers, MD.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Susan Keilman, CNM.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Thomas Hughes, PA-C.
ACTION: It was moved, seconded and passed to approve appointment of privileges for J. Victor Cowley, CRNA.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Linton Petersen, LH.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Gary Webb, CDP.
ACTION: It was moved, seconded and passed to approve appointment of privileges for Charles Joshlin, CRNA.
ACTION: It was moved, seconded and passed to approve appointment of privileges for Marni Bonnin, MD.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Christopher Frank, MD.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for Rienera Sivesind, MD.
ACTION: It was moved, seconded and passed to approve re-appointment of privileges for James Flowers, MD.
Provider Recruiting: Dan Whitlow updated the board on provider recruitment.
Performance/Quality Improvement: Meeting Minutes from August 18th, 2014 were reviewed.
ACTION: It was moved, seconded and passed to approve the PIC meeting minutes.
Minutes: Board of Commissioner’s Meeting Minutes for September 23rd, 2014, September 26th, 2014, October 3rd, 2014, October 10th, 2014 and October 20th, 2014 were reviewed.
ACTION: It was moved, seconded and passed to approve the Board of Commissioners Meeting Minutes for September 23rd, 2014, September 26th, 2014, October 3rd, 2014, October 10th, 2014 and October 20th, 2014.
· Managers Forum Meeting Minutes from October 7th, 2014 were reviewed.
· OB Committee Meeting Minutes from September 12th, 2014 were reviewed.
· Safety Committee Meeting minutes from August 19th, 2014 were reviewed.
ACTION: It was moved, seconded and passed to approve the September 2014 General A/P vouchers numbered 082630 through 082973 in the amount of $994,288.63 and the General P/R vouchers numbered 541754 through 541869 in the amount of $97,185.56.
ACTION: It was moved, seconded and passed to approve the Write Offs for October 2014 in the amount of $157,381.45.
Jim Chaney submitted report topics to include:
CEO UPDATE: David Selman plans on arriving in Forks on October 31st and will start work on November 3rd, 2014. In conversations with him via telephone and text he has expressed great interest and excitement regarding joining our hospital and moving into our community. By moving his contract beginning date to November 1st we are able to provide him health insurance so that he will not have to use his COBRA benefit. We have offered David interim housing until he can find more permanent housing. He may have to board his two dog’s short term until he is able to secure more permanent housing.
Staff seems pleased that David is going to be our new CEO. We have a social function arranged for David from 3-5:00pm on Monday, November 3rd in the Ambulance Conference Room for commissions, senior leadership and managers to come meet and welcome David.
We will also have a resolution to introduce at the October 28th commissioners meeting to appoint David to the permanent CEO position which will then be acted upon at the November 25th commissioner meeting.
INDEMNIFICATION OF OFFICERS, EMPLOYEES AND VOLUNTEERS: Included in your board packet is a resolution for the indemnification of officers, employees and volunteers. This was a result of a conversation Jim had with Jim Fredman of Foster Pepper LLC, as he was drafting the contract for David Selman. He believes the District should have this resolution in place for all rather than just specific to the chief executive officer and therefore Jim asked him to draft the resolution for your review and approval.
LAWSUIT AGAINST B.E SMITH: Jim followed up last week with Craig Miller regarding the lawsuit with B.E. Smith regarding failure to complete due diligence in the background check on Bill McMillan. Craig told Jim he had heard nothing further from B.E. Smith’s attorney. He also said he would like to teleconference with us if we plan to discuss the lawsuit in the commissioners meeting. Jim called Craig again today but was unable to reach him. Jim will give a further update if I talk with him prior to tomorrow’s meeting.
PRECEPTORSHIP OF A 4TH YEAR MEDICAL STUDENT FROM THE UNIVERSITY OF WASHINGTON: Last summer when we attended the WSHA Rural workshop Jim participated in the session on physician recruitment moderated by Peter House, a professional in the UW Medicine Program. Jim shared with him our interest in exploring becoming a part of their rural track for medical students whereby students would live and work alongside one of our physicians and experience practice in a rural community and perhaps later return later to build a practice. Last week, Andrew Schweitzer a 4th year medical student contacted Jim regarding interest in spending a month next spring with a Family Practice/OB physician as his preceptor. I talked to both Rae Wilson and Dr. Jackson regarding interest. They are both interested and Dr. Jackson is willing to be Andrew’s preceptor. We are moving forward with plans for Andrew to join us from March 16th through April 10th of 2015. Andrew also enjoys fly fishing for steelhead.
WORK GROUP SPONSORED BY WSHA AND THE DEPARTMENT OF HEALTH - CRITICAL ACCESS HOSPITALS WHERE MARKET DYNAMICS AND DEMOGRAPHIC CHANGES HAVE LEFT CRITICAL ACCESS HOSPITALS VULNERABLE: David and Jim have been invited to participate with a group of other small critical access hospitals in the above study group. The specific objectives or products will be:
1) Profile of financial heath operations, market dynamics and community for team CAH’s
2) Facility/service delivery models
3) Reimbursement models
4) Regulatory waivers on changes needed
NEW CEO AT HARRISON MEDICAL CENTER: Jim received a call earlier this month from Kurt Schley, Interim CEO at Harrison Medical Center announcing selection of a new CEO for Harrison. The new CEO at Harrison effective November 15th will be David Schultz currently Chief Operating Officer at Overlake Medical Center.
Jim also asked Mr. Schley if there were any further discussion taking place between Regence and Harrison regarding an insurance contract and he shared there are no negotiations occurring or any intent to further negotiate at this time.
UFCW LOCAL 21: On October 22nd Heidi and Jim met with UFCW local 21 representative Myle Dahlke and local stewards for our monthly labor management committee meeting. The union is in agreement with our FMLA policy and doesn’t believe there needs to be a separate policy for the Extended Illness Bank. We discussed further revisions to our time sheet policy regarding employee sign off for changes made. We also discussed innovative shifts. We shared with Myle that David Selman would be joining us as our new CEO effective November 3rd. We also shared our forthcoming change to a nonsmoking campus for both patients and staff as part of our DNV accreditation. Our next meeting is scheduled for November 19th.
SWEDISH SYMPOSIUM: The annual Swedish Symposium will be October 30th at the Swedish Cherry Hill Campus. Heidi and Jim meet individually with Swedish representative at 7:30am followed by the symposium with all the peninsula hospitals beginning at 8:30am. Forks Community Hospital representative will include: Don Lawley, Heidi Anderson, Dr. Harmon and Jim Chaney.
MEDICAID COST REPORT FINAL SETTLEMENTS: Early in October we were notified by the WA State Health Care Authority (WA State Medicaid Administration) that they had finalized the cost reports for 2008, 2009 and 2010. Per their calculations the final settlements of those cost reports will result in a payback to our hospital of over $649,000. Jim have requested a copy of their calculating for review by our cost report preparer. As of this date we are still awaiting payment.
Finance: Jim Chaney presented the September 2014 finance report, which was reviewed and
· September was a good month.
· Revenue was over 3.5 million.
Additional Agenda Items:
Discussed Resolution 4014-493 on Indemnification. The board had a question if the resolution pertained to them and Jim would look into it. This will be discussed at the next meeting. Per Jim Fredman at Foster Pepper LLC they are included as officers.
Reviewed Resolution 2014-494 which will be signed at the November Board of Commissioners Meeting
Discussed EMS and the Fire Department do not oversee the Ambulance. We will look into the history of the Ray Ellis Memorial Volunteer Ambulance.
With no further business, the meeting was adjourned at 6:15 pm.
The next Board of Commissioners meeting is scheduled for November 25th, 2014 at 5:00pm.
Minutes recorded by Laci Johnson, Executive Specialist.
Don Lawley, Secretary