Board Meeting - EvergreenHealth

King County Public Hospital District No. 2
d/b/a EvergreenHealth
Board of Commissioners Meeting
EvergreenHealth Medical Center, Kirkland, WA
October 21 , 2014
Minutes
Comms. Present:
Comms. DeYoung, Greenfield, Hirt, Kempf and Pilcher
Medical Staff
Leadership:
Scott Burks, MD; Bob Geise, MD
Others Present:
Bob Malte; Greg Allen; Laurene Burton; Jim Fitzgerald; Jeff Friedman ;
Nancee Hofmeister; Neil Johnson; Tom Martin ; Monique Ruyle; Bob
Sampson; Kay Taylor; Jeff Tomlin, MD; Chrissy Yamada; Cheri Doner;
Rachel Gordon; Marlita Mingaracal
Guests:
Liz Oaksmith (see Exhibit A)
PUBLIC MEETING
and
EXECUTIVE
SESSION
Comm . DeYoung called the October 21 , 2014 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
con sider and discuss pending litigation, property acquisition,
personnel matters and medical 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 conclud ed at 6:25 p.m., at which time a short recess
was taken.
Comm. DeYoung reconvened the Public Meeting, calling it to
order at 6:31 p.m. and welcoming those present.
Order of Business
There were no changes to the agenda.
KCPHD #2 Board Meeting Minutes 10/21 /2014
Public Comment
page 2 of 14
Rachel Gordon, an EvergreenHealth Diagnostic Imaging
employee, introduced herself as a member of the SEIU
bargaining team and expressed her concern about receiving fair
wages. Cheri Doner, an EvergreenHealth Unit Tech working on
5-Blue and also a member of SEIU, expressed her feelings
about staffing ratios and wages. She was followed by Marlita
Mingaracal, an EvergreenHealth Health Unit Coordinator also
working on 5-Blue and a member of the SEIU bargaining team,
expressed her concerns regarding medical insurance coverage.
The Board thanked the members of the SEIU bargaining team
for sharing their viewpoints.
PRESENTATION
Biannual Information
Technology Report
Tom Martin, CIO, presented the Biannual Information
Technology Report. He stated that his presentation was a longrange view of how IT has evolved over time, automating
functions and moving away from paper. He observed that this
automation has improved many areas, including nursing. He also
provided information about the Electronic Medical Record (EMR)
completion; integration and focus over the next three years; the
future state for the Revenue Cycle System; IT capital projects
planned for 2015; new initiatives; IT Operating Budget trends;
FTE benchmarking in the IT Department; and information on
Meaningful Use.
The Board thanked Mr. Martin for his very informative report.
ACTION ITEMS
MINUTES
Regular Board
Meeting of September
16, 2014, Study Session
of October 7, 2014 and
Leadership Educational
of October 10, 2014
Comm. Greenfield made a motion to approve the meeting
minutes for the September 16, 2014 Regular Board Meeting, the
October 7, 2014 Study Session and the October 10, 2014
Leadership Educational.
Comm. Kempf seconded the motion .
The motion carried unanimously, with the exception that Comm .
Hirt abstained from voting on the October 7 Minutes due to her
absence from that meeting.
KCPHD #2 Board Meeting Minutes 10/21/2014
Consent Agenda
page 3of14
Comm. Greenfield made a motion to approve the Consent
Agenda.
The Consent Agenda included:
A) Voucher No. 510, September 2014, totaling $39,201 ,693.64
(Exhibit 8)
B) Contractor Pay Requests
o
o
EHMC - Silver Cafeteria/Kitchen Remodel
o Andersen Construction Co.
$ 169,412.66
EHMC - HR & 5-Blue Flooring Replacement
o G&W Commercial Flooring, Inc.
$
49,427.27
TOTAL CONTRACTOR PAY REQUESTS
$ 218.839.93
C) Disposal of Surplus Equipment (as identified in Exhibit C)
Comm. Hirt seconded the motion.
The motion carried unanimously.
Resolution No. 865-14 2006 LTGO Bonds
Refunding
Comm. Kempf made a motion to approve Resolution No. 865-14
- 2006 LTGO Bonds Refunding:
A RESOLUTION ("Resolution') of the Board of
Commissioners of King County Public Hospital
District No. 2, King County, Washington, relating to
contracting indebtedness; providing for the
issuance, sale and delivery of not to exceed
$75,000,000 aggregate principal amount of limited
tax general obligation refunding bonds to provide
the funds necessary to advance refund certain of
the District's outstanding Limited Tax General
Obligation Improvement and Refunding Bonds,
2006; fixing or setting parameters with respect to
certain terms and covenants of the bonds;
appointing the District's Designated Representative
to approve the final terms of the sale of the bonds;
and providing for other related matters.
Comm . Pilcher seconded the motion.
The motion carried unanimously.
KCPHD #2 Board Meeting Minutes 10/21/2014
page 4 of 14
Proposed Employment of Comm . Kempf made a motion to authorize the CEO, or his
designees, to complete negotiations of the final terms of and
a Podiatrist
execute the employment agreement with Dr. Peter Lallas at a
cost not to exceed $60,000.
Comm . Greenfield seconded the motion .
The motion carried unanimously.
EvergreenHealth Human Resources & 5
Blue Flooring
Replacement Acceptance of
Completion of Work
Comm. Greenfield made a motion for final acceptance of the
EvergreenHealth - Human Resources & 5 Blue Flooring
Replacement project performed by G & W Commercial Flooring,
Inc.
Comm. Pilcher seconded the motion.
The motion carried unanimously.
Medical Staff: New
Appointments,
Reappointments and
Status Changes
Comm. Hirt made a motion to approve the New Appointments,
Reappointments, Status Changes, Privileges and Designated
Scope of Practice pertaining to the EvergreenHealth Medical
Center Medical Staff and AHPs, as stated in Exhibit D.
Comm. Kempf seconded the motion.
The motion carried unanimously.
DISCUSSION
ITEMS
Quarterly Vendor Report
Ms. Yamada presented the 2014 03 Quarterly Vendor Report
and answered questions from the Board.
Rolling Agenda:
November, December
and January
Ms. Burton presented the rolling agenda for the months of
November, December and January, noting that the 2015 Budget
Hearing would be held on November 14th, 2014. It was suggested
that the Physician Recruitment Plan be the proposed topic for the
January 2015 Educational.
KCPHD #2 Board Meeting Minutes 10/21/2014
Medical Staff Report
Dr. Scott Burks, President of the Medical Staff, reported on and
gave notice of the following:
•
•
•
Executive Team Reports
page 5of14
Flu immunizations - Dr. Burks commented that all the
great work related to Ebola has overshadowed the regular
work on influenza immunizations of the Medical Staff. At
this time, only a small percentage of providers have been
immunized and a plan has been created to increase that
number. 68% of the total employees have been
immunized thus far.
Physician Wellness - Dr. Burks stated that this important
concept is gaining traction and is under discussion at the
MEC. With stressors related to the practice of medicine
increasing, it is important to identify at-risk physicians. He
commended Ors. Handley and Brown for their leadership
with this task and for spearheading the process.
Dr. Burks commented that he was looking forward to the
Leadership Retreat in November, noting past meetings
have been great learning experiences.
Mr. Malte invited Nancee Hofmeister, Dr. Jeff Tomlin, Dr. Bob
Geise and Kay Taylor to provide an update on EvergreenHealth's
Ebola preparedness:
•
•
•
Ms. Hofmeister provided a presentation that has been
shared with leaders at Evergreen Health. Dr. Geise has
been providing training in basic Personal Protective
Equipment ("PPE"), noting that it was a constantlyevolving situation. Both he and Dr. Riedo have
received advanced PPE training as recommended by
the CDC. In the event a potential Ebola patient
presents at EvergreenHealth,
the
Emergency
Department will be the point of entry. Ms. Hofmeister
noted that this is not a singular responsibility and
community coordination is essential, utilizing multiple
resources. She also stated that in the next two weeks
we will conduct a full Ebola patient simulation, with
incident command and actual transfer to CCU.
Kay. Taylor and her team have developed an
information package for the staff to help them feel
comfortable, safe and knowledgeable about the
preparedness steps EvergreenHealth has taken.
Ms. Hofmeister also noted the good outcome for the
recertification Trauma Survey, stating that the
surveyors had very positive things to say about
EvergreenHealth's ED.
KCPHD #2 Board Meeting Minutes 10/21/2014
Executive Team Reports,
cont.
page 6 of 14
o Greg Allen
• The first retreat for EvergreenHealth Medical Group
Leaders from all physician specialties was held 10 days
ago, and it was very positive and encouraging. There
is a strong desire to work together with great
camaraderie, as well as a commitment to provide
patients with high quality and a full continuum of
services at EvergreenHealth.
o
Dr. Jeff Tomlin
• Dr. Tomlin echoed Mr. Allen's comments about the
EMG Leadership Retreat. The leaders also appreciated
the financial information from Ms. Yamada.
• One of the great benefits from the Ebola preparation is
the overall sense of preparedness of the staff - he
believes that EvergreenHealth's healthcare workers are
feeling very prepared to care for patients in times of
emergency.
Chief Executive Officer
Report
No further report at this time.
Commissioner Reports
Comm. Hirt reported that she had received information related to
the possible closing of the Seattle-King County Public Health
Clinic in Northshore and the impact it is having upon WIC clients.
Public Health is asking for help to support this clinic. Comm. Hirt
commented that she hopes this is a community effort.
Adjourn
The October 21, 2014 Meeting of the Board of Commissioners for
King County Public Hospital District No. 2 was adjourned at 7:57
p.m.
SUBMITTED:
AIF. DeYoung, C
ATTEST:
KCPHD #2 Board Meeting Minutes 10/21/2014
Rebecca D. Hirt, Commissioner
Approved as to content and form:
page 7of14
KCPHD #2 Board Meeting Minutes 10/21/2014
Exhibit A - Guests
I Name
Liz Oaksmith
I Address
Seattle
page 8of14
KCPHD #2 Board Meeting Minutes 10/21 /2014
page 9of14
Exhibit B - Monthly Voucher Summary
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
d/b/a EVERGREEN HEALTH
VOUCHER SUMMARY #510
September 2014
6-MONTH
ROLLING
CURRENT
MONTH
PATIENT & INSURANCE REFUNDS
AVERAGE
$355,803.55
$453,794.78
$13,614,424.22
$15, 115,350.40
$3,037,472.86
$3,788,565.67
RISK MANAGEMENT CLAIMS -Wire Transfers *
$46,830.16
$17,677.72
WORKERS COMPENSATION CLAIMS
$84,894.76
$104,904.54
$1,352,312.87
$1 ,508,910.60
$279,428.33
$487,054.62
$14,256, 703.53
$15,125,872.51
$5,710,129.74
$6,297,627.92
$463,693.62
$469,778.44
$39,201,693.64
$43,369,537 .20
ACCOUNTS PAYABLE -Warrants/Refunds
ACCOUNTS PAYABLE -Wire Transfers
FIRST CHOICE PPO CLAIMS
PAYROLL - Warrants
PAYROLL - Direct Deposit
PAYROLL TAXES
B&OTAXES
* August and September invoices paid in September
KCPHD #2 Board Meeting Minutes 10/21/2014
page 10of14
Exhibit C - Surplus Equipment
DESCRIPTION
SideTask Chairs
Incubator
Incubator
Incubator
Floor Lamp
Floor Lamp
File Cabinets
Book Shelf
Recliner
Task chairs
Towel Dispenser
QTY
AGE
40
1
1
1
1
1
15
5
20
3
3
3
7
7+
20
5
5
10
10
8
6
7
EST.
VALUE
LOCATION
$0
$0
$0
$0
$10
$10
$10
$0
$0
$0
$5
Surplus
Surplus
Surplus
Surplus
Surplus
Surplus
Reuse
Reuse
CPC
Surplus
Surplus
Comments
Donate
Recycle
Recycle
Recycle
Sell/Recycle
Sell/Recycle
Recycle
Recycle
Scrap
Scrap
Sale/wronq size
KCPHD #2 Board Meeting Minutes 10/21/2014
page 11 of 14
Exhibit D - Medical Staff/AHP Appointments/Reappointments/Scope of Practice
October 21. 2014
INITIAL APPOINTMENTS: The following individuals are approved for appointment to the Provisional
Medical Staff with privileges as delineated in their credential fields or as Allied Health Professionals
with the designated scope of practice as delineated in their credentials files:
NAME
SPECIALTY
DEPT
STATUS
APPNT PERIOD
Battaglia, Michael J.,
Orthopedics
Surg
Prov.Active
10/21/14-10/21/16
MD
Dhesi, Satvinder, MD
Pain Med
Surg
Prov.Courtesy
10/21/14-10/21/16
Fletcher, Corrie, DO
Peds
PC
Prov.Active
10/21/14-10/21/16
Kim, Samuel Jisoo, DO
Anesthesia
Surg
Prov.Active
10/21/14-10/21/16
Mambalam, Praveen,
MD
Pain Med
Surg
Prov.Active
10/21/14-10/21/16
Mcintyre, Andrew S.,
PA-C
PA-C - Ortho
Surg
Prov.AHP
10/21/14-10/21/16
Neill, Megan, MD
Dermatology
Med
Prov.Act ive
10/21/14-10/21/16.
Parker, Anne, ARNP
OB/Gyn
W&C
Prov.AHP
10/21/14-10/21/16
Stursova-Wolff,
Peds
PC
Prov.Active
10/21/14-10/21/16
Katerina, MD
DELEGATED CREDENTIALING: The following practitioners are approved pursuant to the delegated
credentialing process. The [practitioners are not new applicants, nor up for reappointment.
NAME
SPECIALTY
DEPT
STATUS
APPNT PERIOD
None
PROVISIONAL/YEARLY REVIEW : Pursuant to Medical Staff Bylaws §S.5-l(a), all provisional Medical
Staff members of AHPs are to be reviewed at lea st every 12 months. The activity and any quality
data of all the following practitioners were reviewed :
NAME
SPECIALTY
DEPT
STATUS
ACTION
Boboc, Georgiana, MD
Family
Practice
Orthopedic
Surg
Pediatrics
PC
Prov. Active
Continue to Prov. Active
Surg
Prov. Active
Continue to Prov. Active
PC
Prov. Consult
Continue to Prov. Consult
Brown, Alan, MD
Buddhe, Sujatha, MD
KCPHD #2 Board Meeting Minutes 10/21/2014
page 12 of 14
Caso, Carlos, PA-C
PA-Ortho
Surg
Prov. AHP
Continue to Prov. AHP
Day, Travis, ARNP
PC
Prov. AHP
Continue to Prov. AHP
Surg
Prov. AHP
Continue to Prov. AHP
PC
Prov. Active
Continue to Prov. Active
Khalsa, Gagan, MD
Family
Practice
Surg,
OB/GYN
Internal
Med.
Pediatrics
PC
Prov. Active
Continue to Prov. Active
Lane, Daniel, PA-C
PA-Ortho
Surg
Prov. AHP
Continue to Prov. AHP
Larsen, Janet, MD
Family
Practice
NP-Surg
PC
Prov. Active
Continue to Prov. Active
Surg
Prov. AHP
Continue to Prov. AHP
Surg
Prov. Active
Continue to Prov. Active
Surg
Prov.
Courtesy
Continue to Prov. Courtesy
Haller, Melanie, RNFA
Kaur, Navdeep, MD
Sherwin, Sara, ARNP
Sidhu, Ramandeep,
MD
Whalen, Raymond, MD
Vascular
Surg
Urology
REAPPOINTMENTS: The following individuals are approved for reappointment to the Medical Staff
with privileges as delineated in their credential s files, or as Allied Health Professionals, with the
designated scope of practice as delineated in their credentials files:
NAME
SPECIALTY
DEPT
STATUS
REAPPNT PERIOD
Liviakis, Lea, MD
Internal Med
HM
Active
10/21/14 - 10/21/16
Maas, Rachel, ARNP
Cardiology
Med
AHP
10/21/14 - 10/21/16
Marlow, David, MD
DI
Med
Active
10/21/14 - 10/21/16
McAllister, Craig, MD
Ortho Surg
Surg
Active
10/21/14 - 10/21/16
Michaelson, Robert,
Bariatric Surg
Surg
Active
10/21/14 - 10/21/16
MD
Migita, Darren, MD
Peds Hospitalist
PC
Active
10/21/14 - 10/21/16
Miyauchi, Dale, MD
Family Practice
PC
Active
10/21/14 - 10/21/16
Mosby, Jill, MD
Hospice/Palliative
PC
Active
10/21/14 - 10/21/16
Munoz, Xiomara, DO
Family Practice
PC
Active
10/21/14 - 10/21/16
Neal, Craig, DDS, MD
Endodontics
Surg
Active
10/21/14 - 10/21/16
Nguyen, Khanh, MD
Neurology
Med
Consult
10/21/14 - 10/21/16
Park, Hyu ng, MD
Psychiatry
Med
Active
10/21/14 - 10/21/16
KCPHD #2 Board Meeting Minutes 10/2 1/2014
page 13 of 14
Parsons, Phillip, MD
Emergency Med
HM
Active
10/21/14 - 10/21/16
Powers, Glenn, MD
Anesthesiology
Surg
Active
10/21/14 - 10/21/16
Rice, Ashley, PA-C
PA-Surg
Surg
Prov. AHP
10/21/14 - 10/21/16
Ryan, Kathrine, MD
Pediatrics
PC
Courtesy
10/21/14 - 10/21/16
Saluja, Sunil, MD
Neonatology
W&C
Active
10/21/14 - 10/21/16
Salama, Sam, MD
General Surg
Surg
Active
10/21/14 - 10/21/16
Schaengold, Howard,
DPM
Podiatry
Surg
Active
10/21/14 - 10/21/16
Schweizer, Lauren,
ARNP
NP-Gyn
W&C
AHP
10/21/14 - 10/21/16
Sharma, Pratima, MD
Internal Med
PC
Active
10/21/14 - 10/21/16
Shih, Lorena, MD
Pediatrics
PC
Courtesy
10/21/14 - 10/21/16
Shively, Stewart, PA-
PA-Surg
W&C
AHP
10/21/14 - 10/21/16
Smith, Connie, MD
Geriatrics
Med
Active
10/21/14 - 10/21/16
Srikanth, Myur, MD
General Surg
Surg
Courtesy
10/21/14 - 10/21/16
Swartz, Mia, MD
Urology
Surg
Active
10/21/14 - 10/21/16
Taylor, Eric, MD
Rad One
Med
Active
10/21/14 - 10/21/16
Tsai, Albert, MD
Psychiatry
Med
Prov. Active
10/21/14 - 10/21/16
Ummat, Sunil, MD
ENT
Surg
Courtesy
10/21/14 - 10/21/16
Veith, Ryan, MD
Anesthesiology
Surg
Active
10/21/14 - 10/21/16
Wall, Martin, MD
Urology
Surg
Active
10/21/14 - 10/21/16
Winch, Roberta, MD
Pediatrics
PC
Courtesy
10/21/14 - 10/21/16
Zhu, Liqun, MD
Family Practice
PC
Active
10/21/14 - 10/21/16
c
REQUESTS FOR STAFF STATUS CHANGES: The following practitioners have requested a staff status
change, which are approved.
NAME
None
SPECIALTY
DEPT
STATUS
SUPPORTING
DOCUMENTATION
KCPHD #2 Board Meeting Minutes 10/21 /2014
page 14 of 14
REQUESTS FOR ADDITIONAL/CHANGE OF PRIVILEGES: The following practitione rs have requested
additional privileges, and provided documentation of current competency in requested privilege(s)
unless otherwise noted. Additional privileges shall be granted for the remainder of the current
appointment period.
NAME
SPECIALTY
DEPT
STATUS
Steinberg, Orly, MD
OB/GYN
W&C
Courtesy
Welcome, Anna, MD
OB/GYN
W&C
Courtesy
SUPPORTING
DOCUMENTATION
RESIGNATIONS: The following resignations from the Medical Staff are accepted and approved :
NAME
SPECIALTY
DEPT
STATUS
Anonsen, Cynthia, MD
ENT
Surg
Courtesy
Plaskon, Brian, MD
Gen eral
Surg
Anesth esiology
Family Med
Surg
Courtesy
Surg
Act ive
PC
Active
Scurlock, James, MD
Wien, William, MD
I