Board Meeting - EvergreenHealth

King County Public Hospital District No. 2
d/b/a EvergreenHealth
Board of Commissioners Meeting
EvergreenHealth Medical Center, Kirkland, WA
May 19, 2015
Minutes
Comms. Present:
Comms. DeYoung , Greenfield, Hirt, Kempf and Pilcher
Medical Staff
Leadership:
Scott Burks, MD (Bob Geise, MD excused)
Others Present:
Bob Malte; Greg Allen; Laurene Burton ; Todd Buxton; Jim Fitzgerald;
Jeff Friedman; Sheila Green-Shook; Neil Johnson ; Tom Martin;
Richard Meeks; Monique Ruyle; Jeff Tomlin , MD
Guests:
None present
PUBLIC MEETING
and
EXECUTIVE
SESSION
Comm. DeYoung called the May 19, 2015 Regular Public Meeting of
the Board of Commissioners of King County Public Hospital District
No. 2 to order at 5:00 p.m. and announced that the Board would
immediately adjourn into Executive Session to consider and discuss
property acquisition , personnel matters and medica l staff privileges.
Comm. DeYoung further announced that the Executive Session would
adjourn at approximately 6:30 p.m. and that the open Public Meeting
would resume at approximately 6:35 p.m.
The Executive Session commenced at 5:01 p.m. The Executive
Session was concluded at 6:23 p.m., at which time a short recess was
taken.
Comm . DeYoung reconvened the Public Meeting, calling it to order at
6:30 p.m . and welcoming those present.
Order of Business
Comm . DeYoung announced the addition of one agenda item: CEO
Compensation Payment Authorization.
Public Comment
There were no members of the public present that wished to make a
comment at this time.
KCPHD #2 Board Meeting Minutes 5/19/2015
page 2of13
PRESENTATIONS
Five Year Gold
Badge Presentation
In recognition of Mr. Malte's five year anniversary at EvergreenHealth,
Comm. DeYoung presented him with his gold employee name badge.
Comm. DeYoung stated that that it is hard to believe that five years
have passed since Mr. Malte came on board and that it seemed like
only yesterday. On behalf of the Board, Comm. DeYoung expressed
appreciation to Mr. Malte for accepting the position and for all he has
done for EvergreenHealth.
Mr. Malte thanked the Board and shared his gratitude for being
selected as the CEO five years ago.
Sheila Green-Shook, Director of Health Information Management and
Annual HIPAA and
the EvergreenHealth Privacy Officer, presented the annual HIPAA
Corporate
Compliance Reports and Patient Privacy Report. Richard Meeks, Corporate Compliance
and Internal Audit Officer, then presented the annual Compliance
Report.
Following the informative presentations, Ms. Green-Shook and Mr.
Meeks answered questions from the Board. The Board thanked them
for the reports.
Annual Environment Todd Buxton, Director of Support Services, presented the annual
of Care Report
Environment of Care Report for 2014.
The Board thanked Mr. Buxton his report, noting they had learned a
lot and that it was one of the best Environment of Care reports they
have heard.
ACTION ITEMS
MINUTES
Regular Board
Meeting of April 21,
2015; Study Session
of May 5, 2015; and
the Leadership
Retreat of May 14-15,
2015
Comm. Hirt made a motion to approve the meeting minutes for the April
21, 2015 Regular Board meeting; the May 5, 2015 Study Session; and
the May 14 & 15. 2015 Leadership Retreat.
Comm. Pilcher seconded the motion.
The motion carried unanimously,
Comm. Greenfield abstained from the approval of the April 21, 2015
Regular Board meeting due to her absence that evening.
KCPHD #2 Board Meeting Minutes 5/19/2015
Consent Agenda
page 3of 13
Comm. Kempf made a motion to approve the Consent Agenda.
The Consent Agenda included:
A) Voucher No. 517, April 2015. totaling
$46,360,101 .69.
(Exhibit A)
B)
Contractor Pay Request
• EHMC Radiation Oncology Remodel
o Western Ventures Const. Inc.
TOTAL CONTRACTOR PAY REQUEST
C)
$67,740.98
$67 ,740.98
Disposal of Surplus Equipment (as identified in Exhibit 8 )
Comm. Greenfield seconded the motion.
The motion carried unanimously.
KPMG 2014
Financial Audit
Report
Comm . Hirt made a motion to approve the KPMG 2014 Financial Aud it
Report as submitted.
Comm. Greenfield seconded the motion .
The motion carried unanimously.
EHP Participation
with Puget Sound
High Value Network
Comm . Pilcher made a motion to delegate the authority to the CEO or
the EHP Executive Director, or their designees, to finalize and execute
the Participation Agreement of EvergreenHealth Partners, LLC in the
Puget Sound High Value Network, LLC in substantially the same form
as presented to the Board , and to make an initial investment therein not
to exceed $100,000.
Comm. Greenfield seconded the motion .
The motion carried unanimously.
Proposed Physician
Employment
Agreement
Comm. Greenfield made a motion to authorize the CEO, or his
designee, to complete negotiations of and execute the employment
agreements for neurosurgery and orthopedic spine surgery, at an
incremental cost not to exceed $600,000, and to exclude such from the
2015 Reward and Recognition Program due to budgeted factors.
Comm. Kempf seconded the motion.
The motion carried unanimously.
KCPHD #2 Board Meeting Minutes 5/19/2015
Rescinding Closure
of Sleep Medicine
Department
page 4of13
Comm. Hirt made a motion that the CEO, or his designee, be allowed to
open the Sleep Medicine Department and specialty such that the District
and the EvergreenHealth Medical Center Medical Staff shall henceforth
be allowed to accept applications from providers seeking privileges for
such services. Applicable clinical privilege forms shall be modified to
comply with this resolution.
Comm. Pilcher seconded the motion.
The motion carried unanimously.
Board Committee
Appointment Construction and
Planning
Comm. Greenfield made a motion to approve the appointment of Todd
Banks to the EvergreenHealth Construction and Planning Committee.
Comm. Pilcher seconded the motion .
The motion carried unanimously.
Comm. Greenfield made a motion to approve the New Appointments.
Medical Staff: New
Reappointments. Status Changes. Privileges and Designated Scope of
Appointments,
Reappointments and Practice pertaining to the EvergreenHealth Medical Center Medical
Staff and AHPs, as stated in Exhibit C.
Status Changes
Comm. Hirt seconded the motion.
The motion carried unanimously.
CEO Compensation
Payment
Authorization
Comm. Hirt made a motion authorizing a cost of living adjustment to the
CEO compensation and the Reward and Recognition payment as
earned , and authorizing the Chair to execute the memo to the Vice
President of Human Resources.
Comm. Pilcher seconded the motion.
The motion carried unanimously.
DISCUSSION
ITEMS
Rolling Agenda:
June, July and
August, 2015
Ms. Burton presented the rolling agenda for the months of June, July
and August, noting that the August Leadership Educational is being
planned offsite at the Recovery Center in Monroe. Further details will be
forthcoming .
KCPHD #2 Board Meeting Minutes 5/19/2015
Executive Team
Reports
page 5 of 13
Executive team members reported on and gave notice of the following :
o
Dr. Tomlin
• Thoracic and General Surgery continue to work on providing
appropriate emergency back-up for each department.
• EvergreenHealth Kirkland is working with EvergreenHealth
Monroe ("EHM") on transfer protocols. Dr. Handley is doing a
great job in his new role as CMO at EHM.
o
Mr. Friedman
• The Lab had a very successful College of Pathology ("CAP")
Survey, the first under new leadership in that department.
The surveyors from PeaceHealth were very complimentary
and the findings were very minor and immediately corrected.
• EvergreenHealth will be meeting with PAML to learn more
about its plans.
o
Ms. Ruyle
• Starting May 22 Ms. Ruyle will be on maternity leave for
several weeks but will attend the Rose Garden Ceremony on
July 151h.
• The turnout was great for a recent meeting with Regence.
Tom Martin and a representative from Virginia Mason gave a
presentation . Ms. Ruyle thanked Ms. Taylor and her team for
a fantastic job for the meeting arrangements.
• Mill Creek Family Practice just signed the Participating
Provider Agreement with EvergreenHealth Partners.
o Ms. Taylor
• EvergreenHealth just concluded its celebration of Hospital
Week and, concurrently, Nurses' Week. Very positive
feedback was received.
• "The Healthiest Best" theme is being integrated into all
activities, including two exercising flash mobs.
• A public awareness campaign has been developed for each
key service line.
• A new EvergreenHealth website will come online in July and
feature a new spine services section.
o Mr. Martin
• Sites are being explored for an additional Primary Care and
Urgent Care facility in the north market, as well as staffing
models for that facility. A potential site has been located.
o Mr. Johnson
• Mr. Johnson thanked the Board for approval of employment
for Dr. Mark Freeborn. He has met with Virginia Mason
KCPHD #2 Board Meeting Minutes 5/19/2015
page 6 of 13
surgeons to review models of care and his excitement is
visceral! Employment of Dr. Freeborn is very exciting for
many reasons and we are looking forward to the future. Mr.
Johnson also mentioned that his work on neurosurgery is
progressing and will result in a substantial upgrade in service
to the community in partnership with VM and Overlake.
o
Ms. Burton
• Ms. Burton attended the WASA Awards ceremony at
Emerald Downs on behalf of EvergreenHealth and
accepted the Community Partnership Awa rd from LWSD.
o Mr. Fitzgerald
• Mr. Fitzgerald noted that the Washington State Supreme
Court argument on the Certificate of Need case will be
televised May 26 on TVW and should be interesting to
watch.
• A draft of the new Medical Staff Bylaws is about ready to
provide to the Board to become familiar with the changes.
A contemporaneous review will be performed by Greeley.
Chief Executive
Officer Report
No further report this evening.
Commissioner
Reports
Comm . Hirt congratulated the Lab on its recent CAP survey. She also
thanked Ms. Hofmeister for her assistance in recruiting nurses to
participate in the Expanding Your Horizon's Conference for middle
school girls that focuses on workshops related to STEM careers.
Comm . Hirt was the moderator for the adult program for parents and
had many tell her how great it was to work at EvergreenHealth.
Comm . Kempf stated that he will be in England for the next two weeks
and will look forward to seeing everyone upon his return .
Comm . Greenfield noted that after a two-month tour to the Far East, it
was interesting to observe the proliferation of store-front medicine there.
She had the opportunity to visit several compounding pharmacies during
her travels. She returned feeling appreciative for all that we enjoy in this
country, including our medical system, despite its issues.
Adjourn
The May 19, 2015 Meeting of the Board of Commissioners for King
County Public Hospital District No. 2 was adjourned at 7:52 p.m.
KCPHD #2 Board Meeting Minutes 5/19/2015
page 7of13
SUBMITTED:
Al F. DeYoung , qhair/Comnfs$ioner
ATTEST:
Rebecca 0 . Hirt, Corfunissioner
Charles A. Pilcher, MD, Commissioner
Approved as to content and form:
J
KCPHD #2 Board Meeting Minutes 5/19/2015
page 8of13
Exhibit A - Monthly Voucher Summary
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
d/b/a EVERGREEN HEALTH
VOUCHER SUMMARY #517
April 2015
CURRENT MONTH
PATIENT & INSURANCE REFUNDS*
ACCOUNTS PAYABLE - Warrants/Refunds*
ACCOUNTS PAYABLE - Wire Transfers **
RISK MANAGEMENT CLAIMS - Wire Transfers
WORKERS COMPENSATION CLAIMS
FIRST CHOICE PPO CLAIMS
PAYROLL - Warrants
PAYROLL - Direct Deposit
PAYROLL TAXES
B & 0 TAXES
6-MONTH
ROLLING
AVERAGE
$603,648.65
$404,635.00
$17,631,158.11
$16,241,266.44
$4,689,484.32
$3,915,510.07
$0.00
$152,444.17
$66,125.98
$78,545.55
$1,530,670.47
$1 ,492,636.55
$257,426.70
$209,164.60
$14,823,465.36
$14,830,495.64
$6,312,536.08
$6,202,255.96
$445,586.02
$521 ,059.07
$46,360,101.69
$44,048,013 .05
KCPHD #2 Board Meeting Minutes 5/19/2015
page 9of13
Exhibit B - Surplus Equipment
EST.
VALUE
LOCATION
1
5
10
10
10
10
10
10
5
10
10
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
7703
7703
7703
7703
8431
8431
8431
7480
7480
7480
7480
7480
7140
7170
7170
7170
Recycle/D is pose
Recycle /Dispose
Donate/Recycle
Donate/Recvcle
Dispose properlv
Dispose properly
Dispose properly
Donate/Recycle
Dispose properly
Donate/Recvcle
Sell/Donate/recycle
Sel I/Don ate/recycle
Sell/Donate/recycle
Sell/Donate/recycle
Sell/Donate/recvcle
Sell/Donate/recvcle
1
5
$0
7170
N/A
DESCRIPTION
QTY
AGE
File Cabinet
Ultra Sound Unit
X-Ray Generator
Exam Table
Scanner HP
Scanner, Pro 3000
Scanner HP Scan Jet.
Recliner Blue
Chairs
IV Poles
Rolling Cart
Cautery Unit
Portable X-Ray unit
Vacuum Pump
Gen Probe
Genprob Leader HC
GenPro Target
Capture
1
1
1
1
1
1
1
10
10
15
10
5
2
2
2
1
3
1
1
2
2
Comments
KCPHD #2 Board Meeting Minutes 5/19/2015
page 10of13
Exhibit C - Medical Staff/AHP Appointments/Reappointments/Scope of Practice
EvergreenHealth Medical Center
May 19, 2015
INITIAL APPOINTMENTS : The following individuals are approved for appointment to the Provisional
Medical Staff with privileges as delineated in their credentials files or as Allied Health Professionals
with the designated scope of practice as delineated in their credentials files :
NAME
SPECIALTY
DEPT
STATUS
APPNT PERIOD
Au, Brandon K, MD
Int Med
Hosp Med
Prov. Active
05/19/ 15 - 04/30/17
Bender, John D, DO
PM&R
Med
Prov. Courtesy
05/19/15 - 04/30/17
Bray, Jeffrey F, MD
OB/ Gyn
W&C
Prov. Active
05/19/15 - 04/30/17
Christensen, Deborah, ARNP
Family Nurse
Practition er
PC
Prov. AHP
05/19/15 - 04/30/17
Hu, Ellen G, MD
Obstetrics
W&C
Prov. Active
05/19/15 - 04/30/17
Koss, Katherine J, MD
Pediatrics
W&C
Prov. Active
05/19/15 - 04/30/17
O'Brien, Leah E, ARNP
Fami ly Nurse
Practitioner
W&C
Prov. AHP
05/19/15 - 04/30/17
Pfleger, Mark J, MD
Neuroradio logy
Hosp Med
Prov. Active
05/19/15 - 04/30/17
Zeitler, Daniel M , MD
ENT/ Neurot ology
Surgery
Prov. Active
05/19/15 - 04/30/ 17
DELEGATED CREDENTIALING: The following practition ers are being added to the delegated
credentialing only. They are not new applicants, nor are they up for reappointment.
NAME
SPECIALITY
DEPT
STATUS
None
PROVISIONAL/YEARLY REVIEW: Pursuant to Medical Staff Bylaws §S.5-l(a), all provisional Medical
Staff members or AHPs are to be review ed at least every 12 months. The activity and any quality
data of all the following practitioners were reviewed:
NAME
SPECIALTY
DEPT
STATUS
ACTION
Davalian, Faranek, MD
Neonatology
W&C
Prov. Active
Continue Prov. Active
Demaline, Ashley, ARNP
Home Hea lth
PC
Prov. AHP
Nguyen-Vermillion, Annie,
MD
Neonato logy
W&C
Prov. Active
Continue Prov. Active
Patwari, Pariksha, MD
Peds Hospitalist
W&C
Prov. Active
Continu e Prov. Active
page 11 of 13
KCPHD #2 Board Meeting Minutes 5/19/2015
REAPPOINTMENTS: The following individuals are approved for reappointment to the Medical Staff
with privileges as delineated in their credentials files, or as Allied Health Professionals, with the
designated scope of practice as delineated in their credentials files:
NAME
SPECIALTY
DEPT
STATUS
REAPPNT PERIOD
Adams, Jeffrey, MD
ENT
Surg
Active
05/19/ 15 - 04/ 30/ 17
Akselrod, Dmitriy, MD
DI
HM
Prov. Active
05/19/ 15 - 04/30/17
Austin, Joseph, MD
Thoracic Surg
Surg
Courtesy
05/19/15 - 04/30/17
Bowen, Kerry, PA-C
Vascular Surg
Surg
AHP
05/19/15 - 04/ 30/ 17
Bradford, Heather, CNM
Midwifery
W&C
AHP
05/19/15 - 04/30/17
Burks, R. Scott, MD
Anesthesiology
Surg
Active
05/19/15 - 04/30/ 17
Burnside, Monica, MD
Pediatrics
PC
Active
05/19/15 - 04/30/17
Burns-Vatter, Roxanne,
RNFA
General Surg
Surg
AHP
05/19/15 - 04/30/17
Caldwell, Douglas, MD
DI
HM
Active
05/19/15 - 04/30/17
Cardwell, Maura, MD
OB/GYN
W&C
Active
05/19/15 - 04/ 30/17
Carter, Amy, MD
Pediatrics
PC
Active
05/19/15 - 04/30/ 17
Castango, Arthur, MD
DI
HM
Active
05/ 19/15 - 04/ 30/ 17
Chattra, James, MD
Pediatrics
PC
Active
05/19/15 - 04/30/17
Chhabra, Mona, MD
Pediatrics
PC
Prov. Active
05/19/15 - 04/30/ 17
Collins, A. Thomas, MD
Neurology
Med
Active
05/ 19/15 - 04/30/17
Colston, Howard, MD
Anesthesiology
Surg
Active
05/19/15 - 04/30/17
Cox, Patrick, MD
DI
HM
Active
05/19/15 - 04/30/ 17
Crosby, Ruth, MD
Pediatrics
PC
Courtesy
05/19/15 - 04/30/17
Cufley, Travis Jo, ARNP
Fam ily Practice
PC
Prov. AHP
05/19/15 - 04/30/17
Denny, Jill, MD
Palliative Care
PC
Active
05/19/15 - 04/30/17
Eckert, Buckley, MD
Pediatrics
PC
Active
05/19/15 - 04/30/17
El-Ghazzawy, Adel, MD
General Surg
Surg
Prov. Courtesy
05/19/15 - 04/30/ 17
Eng, Sue, MD
Gastroenterology
Med
Active
05/19/15 - 04/30/17
page 12 of 13
KCPHD #2 Board Meeting Minutes 5/19/2015
Fournarakis, Bill, MD
Pediatrics
PC
Active
05/19/15 - 04/30/17
Go, Greta, MD
DI
HM
Active
05/19/15 - 04/ 30/ 17
Goldberg, Russell, MD
Family Medicine
PC
Active
05/19/15 - 04/30/17
Gong, Bonnie, MD
OB/GYN
W&C
Active
05/19/15 - 04/30/16
Hall, Joseph, DPM
Podiatry
Surg
Active
05/19/15 - 04/30/17
Hashisaki, Peter, MD
Infectious Disease
Med
Courtesy
05/19/15 - 04/30/17
Heffron, Charles, MD
OB/GYN
W&C
Active
05/ 19/15 - 04/30/17
Hill, Carter, MD
Emergency Med
HM
Prov. Active
05/19/15 - 04/30/17
Hill, Wayne, MD
OB/GYN
W&C
Act ive
05/19/15 - 04/30/17
Houser, James, MD
Psychiatry
Med
Active
05/19/15 - 04/30/17
Hunter, Michael, MD
Cancer
Med
Active
05/19/15 - 04/30/17
Isackson, Rebecca, DO
Emergency Med
HM
Active
05/19/15 - 04/30/17
Island, David, PA-C
Emergency Med
HM
Prov. AHP
05/19/15 - 04/30/17
Johnson, Laura, MD
Palliative Care
PC
Active
05/19/15 - 04/30/17
Kaukonen, Larisa, MD
Emergency Med
HM
Active
05/19/15 - 04/30/17
Kiyasu, Elizabeth, MD
Hospice/Palliative
PC
Active
05/19/15 - 04/30/17
Koenig, Marc, MD
DI
HM
Prov. Act ive
05/19/15 - 04/30/17
Ken, Lynda, MD
Peds Hospitalist
PC
Prov. Active
05/19/15 - 04/30/17
Keys, Shaunie, MD
OB Hospitalist
W&C
Active
05/19/15 - 04/30/17
Koreishi, Aashiyana, MD
Pathology
HM
Active
05/19/15 - 04/30/17
Lampe, Ellen, MD
Pediatrics
PC
Courtesy
05/19/15 - 04/30/17
Le, Thuy, PA·C
Family Practice
PC
Prov. AHP
05/19/15 - 04/30/ 17
Limb, Terrence, AUD
Audiology
PC
AH P
05/19/15 - 04/30/17
Lin, Yu Yu, MD
Family Medicine
PC
Active
05/19/15 - 04/30/17
McCullough, Brendan, MD
DI
HM
Prov. Active
05/19/15 - 04/30/17
Myers, Kimberly, CNM
Midwifery
W&C
Prov. AHP
05/19/15 - 04/30/17
page 13of13
KCPHD #2 Board Meeting Minutes 5/19/2015
Nason, Laura, MD
DI
HM
Prov. Active
05/19/15 - 04/ 30/17
Nelson, Monica, ARNP
Neurosurgery
Surg
Prov. AHP
05/19/ 15 - 04/30/17
Overland, Alison, MD
PM&R (ARU)
HM
Prov. Active
05/19/15 - 04/30/ 17
Ravani, Rhonda, ARNP
Family Practice
PC
Prov. AHP
05/19/15 - 04/30/17
Rodgers, Mary, MD
Pediatrics
PC
Prov. Active
05/19/ 15 - 04/30/17
Saly, Monirath, MD
Anesthesiology
Su rg
Prov. Act ive
05/19/15 - 04/30/17
Shaftel, Solomon, MD
Ophthalmology
Surg
Prov. Active
05/ 19/15 - 04/ 30/17
Sliker, Renee, CRNA
Anesthesiology
Su rg
Prov. AHP
05/19/15 - 04/ 30/17
Stone, Vivian, MD
Rheumato logy
Med
Prov. Active
05/ 19/ 15 - 04/30/17
Woo, Joan, MD
Cardiology
Med
Prov. Active
05/ 19/15 - 04/ 30/17
Yore, Liam, MD*
Emergency Med
HM
Prov. Active
05/ 19/ 15 - 04/30/17
REQUEST FOR STAFF STATUS CHANGES: The following practitioners are approved for a staff status
change as stated in their credentials files.
SPECIALTY
DEPT
STATUS
Codsi, Michael, MD
Orthopedics
Surg
Courtesy
Ou, Chau-Su, MD
Gyn
W&C
Resignation
Corcoran, Helen PA
Primary Care
Prima ry Care
Sus pension
NAME
REQUESTS FOR ADDITIONAL/CHANGE OF PRIVILEGES: The following practitioners are approved for
additional privileges as stated in their Credentials File, which additional privileges are granted for
the remainder of their current appointment period .
NAME
SPECIALTY
DEPT
STATUS
Chock, Devorah, MD
Michaelson, Robert, MD
Bariatrics
Surgery
Active
Bariat rics
Surgery
Active
RESIGNATIONS: The following resignations from the Medical Staff are accepted and approved:
SPECIALTY
DEPT
Anderson, Larry, MD
DI
HM
Ashbach, Matthew, MD
ENT
Surg
Brevig, James, MD
Thoracic Surg
Surg
Fox-Barrow, Marne, PA-C
Family Medicine
PC
Henson, John, MD
DI
HM
Lasley, Mary, MD
Allergy & lmmuno
Med
Potampa, W. M, MD
Opthalmology
Surg
Repp, Daniel, MD
Ophthalmology
Surg
Zipperman, Michelle, MD
Psychiatry
Med
NAME