GOVERNING BODY MEETING MINUTES
501 Petaluma Avenue, Sebastopol, CA 95472
July 25, 2016
1. CALL TO ORDER
President Marescacalled the meeting to order at6:00p.m. in the Conference Room
2. ROLL CALL
PRESENT: Shelleen Denno, MD Marsha Sue Lustig
Richard Powers, Vice- President Sandra DeBella-Bodley
Dennis Colthurst, Treasurer Chris Thompson
John Moise – via Conference CallRoger Delgado
Craig Campbell
ABSENT:John Balletto
STAFF: Luke Tharasri, CEO Jane Rogan – Marketing/Communications Mgr
Robert Heinemeier, CFO Wanes Barsemian, MD
Barbara Borbeck, COO/CNO
OPEN SESSION
3. APPROVAL OF AGENDA
§ A motion was made by Director Powerswith a second from Director DeBella-Bodleyto approve the agenda, which motion passed unanimously.
4. PUBLIC COMMENTS ON ITEMS NOT ON AGENDA
§ A member of the public reminded the Board of the Brown Act code 549543a allowing the public to comment prior to a board consideration.
5. CORRESPONDENCE
§ None
6. CONSENT CALENDAR
§ June 27, 2016 Governing Body Meeting Minutes
Motion to approve: The motion was made by Director Colthurst to approve June 27, 2016 Governing
Body minutes, with a second from Director Lustig, which motion passed unanimously.
7. OLD BUSINESS
§ Strategic Planning Meeting. Director DeBella-Bodley, who is filling in for Alanna Brogan while on vacation, stated while considering the month of September, no firm date has been set.
8. REPORTS
§ SWMC POLICIES AND PROCEDURES. None agendized (see below –Closed Session)
§ CEO REPORT
· Monthly CEO Report, included in the Board packet, was reviewed by Luke Tharasri. Highlights include:
o Hospital Operations. Pipeline team making headway on the revenue cycle component in order to improve cash flow. Within the supply chain the team is finding thousands of dollars of savings while reviewing line items. Several hospital departments will be inventoried in the near future. Luke is collaborating with Dr. Barsemian to improve clinical documentation.
o Managed Care Contracts. Negotiations continue behind the scenes. Blue Shield contract is the latest fully executed contract.
o PRIME Grant. The next planning meeting is scheduled for July 13.
o Community Outreach. Community outreach is ongoing. Pipeline team is dedicated to making SWMC a center of excellence while attracting new physicians; building new services lines; recruiting additional RN’s; and provide care to higher care patients.
o While understanding the importance of the EMS system, a paramedic lounge was created, located just off the Emergency Room entrance, to accommodate down-time while in the area.
o In an effort to recruit more surgeons, we are offering more block time while partnering with West County Health Centers, among other strategies.
o Small Hospital Improvement Program (SHIP) Grant Authorization to Bind. President Maresca designated the signing of the form to Alanna Brogan. The SHIP Grant was approved at a prior meeting.
§ CFO REPORT
· Mr. Robert Heinemeier,CFO, presented the JuneFinancial Report, provided in the board packet, including the following:
o Statistics for FYTD – June, 2016
o Unaudited financials – June 2016
o Income statement and balance sheet
o Payroll cost summary
o Accounts Receivable summary total
o In future reports, as in this one, all costs and revenues will be analyzed by adjusted patient days
o HFS Consultants are being transitioned out this week, with the savings coming under the Pipeline umbrella.
o Significant funds have already been found that are due back to the hospital.
In response to the question regarding goals for increased surgeries, Luke stated we are focusing on increase procedures, more orthopedic surgeries and payor mix. A new orthopedic surgeon, Dr. Eric Schmidt,was recently credentialed and has scheduled cases in August.
In response to the question of a large jump in utility charges, Robert stated typically in the summer months the utility bills increase.
ACTION ITEM: Robert will research the travel and entertainment expense for June of $22,000, per request from Dr.
Denno.
§ COO/CNO REPORT
· Dr. Barbara Borbeck, COO/CNO, presented her verbal report:
o Three RN’s were recently hired, with the goal of reducing costs for Registry staff. We anticipate seeing those savings in another month or two. As we bring in more business, we will need to hire more clinical staff with appropriate competencies for their positions, with a focus on orthopedic standards of practice.
o Strategic Plan. As that project commences, the clinical division of RN’s will start focusingon a Nursing Strategic Plan.
o Operational Assessment. We are currently engaged in an operational assessment, through the eyes of a patient, observing such things as wait times and impediment in service. The project is ongoing. There will be a follow-up report at the next meeting.
§ CONTRACT AND MAJOR EXPENDITURE APPROVAL
o None
§ MARKETING REPORT
· Jane Rogan presented the Communications and Marketing Status Report for July 2016, including:
o Outreach
o Sonoma County Sub-Committee for Healthcare Improvement/Health Action (SCDHS)
o West County Community Services Sub-Committee (PDHCD)
o PRIME Medi-Cal Grant Steering Committee
o Pipeline Introductions to EMS offices in Santa Rosa
o Physician Outreach
o Sebastopol Chamber of Commerce, Marketing Committee
o Public Relations
o KZSR, WOLF News, Sonoma County’s Talking – Ted Williams
o Press Releases
o PDHCD Direct Mail, June-July (PDHCD Project)
o External and internal newsletters
o Website; Social Media Program updates
o Website
o Google AdWords
o Yelp
o Instagram
o Facebook
o Twitter
o Hospital Events
o Paid Advertising
Director DeBella-Bodley stated it was nice to collaborate with Jane during the Blood Bank event at the Senior Center.
§ FOUNDATION REPORT
· Gail Thomas, President, reported on activities in July:
o Major news is the transition of SWMC in leadership to the Pipeline Group from Southern California. Welcome Pipeline!
o Philanthropy. Continuing to plan for October 1st celebration of the hospital’s reopening
o Community Outreach. Email newsletter going out this week reporting on recent events.
o KOWS Radio program with Dennis Colthurst continues as do the monthly lecture series with various physicians
o Research Institute. Programs focused on Alzheimer’s continue under the direction of Dr. Bernstein
o Sonoma West Medical Foundation Research Institute is now a registered dementia specialist site in the Imaging Dementia Evidence for Amyloid Scanning (IDEAS) Study
9. NEW BUSINESS
§ None
10. NEXT PDHCD/SWMC GOVERNING BODY MEETING
The next regularly scheduled meeting is on August 22, 2016 – Sonoma West Medical Center Conference Room.
11. DIRECTORS COMMENTS
§ Director Powers welcomed Pipeline group. Director Maresca met with Luke Tharasri, CEO, recently stating he has a good sense for metrics and how we can improve what we are doing.
12. PUBLIC COMMENTS ON CLOSED SESSION ITEMS
§ A member of the public questioned why a staff report was listed under closed session. President Maresca responded with the fact that there may be HIPAA issues involved and/or competitive trade secrets. Discussions regarding physicians are typically scheduled in closed session.
§ Another member of the public stated the community is still looking for compliance regarding PDHCD-SWMC Bylaws, 7.2 creation of three standing committees: Finance Committee; Quality, Patient Safety and Professional Affairs Committee; Planning and General Affairs Committee.
13. ADJOURNMENT TO CLOSED SESSION 7:30p.m.
14. RECONVENE TO OPEN SESSION8:00 p.m.
§ The following recommendations from the Medical Staff Executive Committee was approved during Closed Session as submitted by MEC 7/11/2016:
o No actions were taken other than the following:
o Approved: Appointments, Completion of Proctoring, Reappointments, Relinquishment of Privileges, Updated Privileges, Formulary Additions/Deletions
o Allied Health Professional Staff Appointments tabled
o Policy Template and Antimicrobial Stewardship Program-Pharmacist Role Policy deferred to next meeting, Open Session
15. ADJOURNMENT
President Maresca adjourned the meeting at 8:05 p.m.
Respectfully Submitted
Gail Mullins
Clerk of the Board
August 22, 2016
GovBodyMinutes 25JULY16