king county public hospital district no. 2 ... - kirkland, wajan 15, 2019  · king county public...

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Comms. Present: Medical Staff Leadership: Others Present: Guests: PUBLIC MEETING and EXECUTIVE SESSION Order of Business Public Comment King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth Medical Center, Kirkland, WA January 15, 2019 Minutes Comms. DeYoung, Banks, Banks, Hirt, McLaughlin, Pilcher and Snyder Jim O'Callaghan, MD; Sean Kincaid, MD Amy Beiter, MD; Laurene Burton; Jim Fitzgerald; Jeff Friedman; Monique Gablehouse; Jessika Groce; Nancee Hofmeister; Tom Martin; Aileen Mickey, MD; Tina Mycroft; Bob Sampson; Kay Taylor; Diane Vondruska Kevin Hansen (Exhibit A) Comm. DeYoung called the January 15, 2019 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 medical staff privileges, personnel, litigation and quality matters. 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 6:30 p.m., at which time a short recess was taken. Comm. De Young reconvened the Public Meeting, calling it to order at 6:36 p.m. and welcoming those present. There were no changes to the agenda. Jeff Friedman, Sr. Vice-President, Hospital and Medical Group Operations, introduced Diane Vondruska, the newly-hired Construction Project Manager and former Community Advisor.

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Page 1: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

Comms. Present:

Medical Staff Leadership:

Others Present:

Guests:

PUBLIC MEETING and EXECUTIVE SESSION

Order of Business

Public Comment

King County Public Hospital District No. 2 d/b/a EvergreenHealth

Board of Commissioners Meeting EvergreenHealth Medical Center, Kirkland, WA

January 15, 2019 Minutes

Comms. De Young, Banks, Banks, Hirt, McLaughlin, Pilcher and Snyder

Jim O'Callaghan, MD; Sean Kincaid, MD

Amy Beiter, MD; Laurene Burton; Jim Fitzgerald; Jeff Friedman; Monique Gablehouse; Jessika Groce; Nancee Hofmeister; Tom Martin; Aileen Mickey, MD; Tina Mycroft; Bob Sampson; Kay Taylor; Diane Vondruska

Kevin Hansen (Exhibit A)

Comm. DeYoung called the January 15, 2019 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 medical staff privileges, personnel, litigation and quality matters. 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 6:30 p.m., at which time a short recess was taken.

Comm. De Young reconvened the Public Meeting, calling it to order at 6:36 p.m. and welcoming those present.

There were no changes to the agenda.

Jeff Friedman, Sr. Vice-President, Hospital and Medical Group Operations, introduced Diane Vondruska, the newly-hired Construction Project Manager and former Community Advisor.

Page 2: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 2 of 13

Election of Board Officers

PRESENTATION

2018 Employee Engagement Survey

Comm. DeYoung asked Dr. Beiter to conduct the Election of Board Officers for 2019.

Chair:

Dr. Beiter called for nominations to the office of Board Chair. Comm. Butler nominated Comm. DeYoung to continue in the office of Board Chair. Comm. Pilcher seconded the nomination. Comm. DeYoung stated he was willing to continue serving as Chair. No other nominations were made. Dr. Beiter closed the floor for nominations and called for the vote for the office of Board Chair for 2019.

Comm. DeYoung was unanimously re-elected to the office of Board Chair. Comm. DeYoung stated that this is the best qualified Board that he's had the pleasure of serving with at EvergreenHealth - the commissioners are very knowledgeable and very willing to ask questions. The six commissioners serving beside him are very, very qualified.

Secretary:

Dr. Beiter then called for nominations for the office of Board Secretary. Comm. DeYoung nominated Comm. Butler. Comm. Hirt seconded the motion. Hearing no other nominations, Dr. Beiter closed the floor for nominations and called for the vote for the office of Board Secretary for 2019.

Comm. Butler was unanimously re-elected to the office of Board Secretary. Comm. Butler stated that 2018 was a learning year for her and she looks forward to a great 2019.

Oath of Office:

Mr. Fitzgerald administered the Oath of Office to Commissioners DeYoung and Butler and they assumed their duties in the capacities of Chair and Secretary, respectively.

Bob Sampson, Sr. Vice-President, Human Resources and Jessika Groce, Director, Employee and Labor Relations, presented the 2018 Employee Survey results, which included: 2014-2018 Survey Comparison Data; Overall Engagement; Physician

Page 3: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 3 of 13

ACTION ITEMS

Consent Agenda

Engagement and Trends; Engagement in Leadership Positions; and Next Steps.

Mr. Sampson thanked Ms. Taylor for her assistance with analyzing the data.

Comm. Butler made a motion to approve the Consent Agenda.

The Consent Agenda included:

A) Board Minutes a. Regular Board Meeting - December 18, 2018 b. Study Session - January 8, 2019

B) Voucher No. 561 December 2018, totaling $55,357,578 (Exhibit B).

C) Contractor Pay Requests • EHMC-Cath/lR Lab Replacement & Expansion

o Western Ventures Construction. Inc. $ 9,619.50

• EHMC-Green/Purple. Seismic & Infrastructure o Lease, Crutcher Lewis $175,177.61

• EHMC-Ambulatory Practice Relocations o Ferris-Turney General

Contractors. Inc.

• Total Contractor Pay Requests:

$174,863.86

$ 359.660.97

D) Disposal of Surplus Equipment (as identified in Exhibit C)

Comm. McLaughlin seconded the motion.

The motion carried unanimously.

2019 Board Quality and Comm. Hirt made a motion to approve the 2019 Board Quality ad Absolute Safety Areas of Absolute Safety Areas of Focus as submitted. Focus

Comm. McLaughlin seconded the motion.

The motion carried unanimously.

Page 4: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 4 of 13

2018 Annual Clinical Contract Review

Comm. McLaughlin made a motion to accept the 2018 Clinic Contract Review as submitted.

Comm. Butler seconded the motion.

The motion carried unanimously.

Board Committee Charter Comm. Butler made a motion to approve the revisions to the Revisions Charters of the following Board Committees, including the

changes requested regarding keeping minutes and the review of reports: Audit & Finance: Retirement & Deferred Compensation:

Appointment of Designated Legal Counsel

Resolution 895-19 -UTGO Bond

Digital Health & Consumer Innovation: Levy Funded Services: Quality & Safety:. and Strategic Planning & Construction. ·

Comm. Snyder seconded the motion.

The motion carried unanimously.

Comm. Butler made a motion to approve Designated Legal Counsel as amended.

Comm. Banks seconded the motion.

The motion carried unanimously.

Comm. Pilcher made a motion to adopt Resolution 895-19:

A RESOLUTION ("Resolution 11) of the Board of

Commissioners of King County Public Hospital District No. 2. King County. Washington (the "District"), specifying and adopting a plan for constructing and equipping new health care facilities and renovating and equipping existing health care facilities: declaring the estimated costs of such plan: providing for the submission to the voters of the District at a special election to be held therein on April 23, 2019, of a proposition authorizing the incurring of general indebtedness in the sum of not to exceed $345.000.000 for capital purposes only, . which shall not include the replacement of equipment. and authorizing the issuance of general obligation bonds evidencing such indebtedness, the principal of and interest thereon to be payable from annual property tax levies to be made in excess of regular property tax levies.

Page 5: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 5 of 13

Comm. Snyder seconded the motion.

The motion carried unanimously.

Ratification of 2019 Slate Comm. Pilcher made a motion to ratify the 2019 Slate of Medical of Medical Staff Officers Officers as presented.

Medical Staff: New Appointments, Reappointments and Status Changes

DISCUSSION ITEMS

Year End Vendor Report

Rolling Agenda: February, March and April 2019

Medical Staff Report

Comm. McLaughlin seconded the motion.

The motion carried unanimously.

Comm. Hirt made a motion to accept the MEC recommendation for New Appointments, Reappointments, Status Changes, and Privileges pertaining to the EvergreenHealth Medical Center Medical Staff and AHPs in Exhibit D, and Delineation of Privileges.

Comm. Butler seconded the motion.

The motion carried unanimously.

Ms. Mycroft presented the year-end vendor report for 2018 and answered questions from the Board.

Ms. Burton presented the rolling agenda for the months of February March and April, noting the Community Advisor Retreat will be held on January 23rd at 4:30 p.m.

Following the presentation, nominees for the Annual Community Service Award were discussed. The Board consensus was to honor the Lake Washington Institute of Technology with the 2018 Community Service Award on February 19 at the Regular Board meeting and asked Ms. Burton to make the appropriate arrangements.

Jim O'Callaghan, Medical Staff President, had no additional report at this time.

Page 6: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 6 of 13

Administrative Update Amy Beiter, MD, CEO, gave notice of and reported on the following:

• The first neuro-interventional case in the bi-plane room was performed on December 27, 2018.

• Dr. Chris Boone completed the first joint replacement case using our new Navio Surgical System. Three additional cases have been completed this year.

• The Healthline's workflow redesign closes the loop for physician referrals ensuring the requested care of the patient is scheduled.

• An open house for the new Cancer Center at EHM is scheduled for January 17, 5:30-7:30 p.m.

• A new secure text messaging system is scheduled to go live in February.

• EvergreenHealth's Home Health is the only agency, in King County, to receive four stars from CMS for both quality and patient satisfaction.

• Nationally, CMS monitors Certral Line Blood Stream ·Infections ("CLABSI") and EvergreenHealth is to be congratulated for their outstanding results: No infections in the CCU for the past two years, no infections in the NICU for the past 8 years, no infections in the non-CCU units, resulting in no CLABSl's in the entire hospital for 2018.

• 2019 Employee Recognition events have been scheduled . • Dr. Beiter recognized Mr. Martin and the IT Team for the

impressive list of accomplishments for the last 30 days.

Commissioner Reports Comm. Snyder thanked Ms. Burton for her support and assistance in making sure the Board has accurate and up-to-date information. He also thanked Mr. Fitzgerald, noting that tonight is his last meeting due to his retirement later this week. Comm. Snyder expressed appreciation to Mr. Fitzgerald for sharing with the Board and others his many years of experience and for all of the knowledge he has imparted. Comm. Snyder also appreciated Mr. Fitzgerald's straightforwardness in expressing his opinions, and congratulated him on his retirement.

Comm. Banks commented that he recently met an employee working in IT and was appreciative of the comments shared. He also thanked Mr. Fitzgerald, stating he will be missed.

Comm. McLaughlin echoed the other commissioners with regard to Mr. Fitzgerald, ,hanking him for the orientation provided to him when he joined the Board, and for his work on behalf of EvergreenHealth and helping him personally.

Page 7: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 7 of 13

Commissioner Reports, Comm. Pilcher stated simply, 'Tm going to miss Jim." cont.

Adjourn

ATTEST:

Comm. Hirt thanked Mr. Fitzgerald for everything he's done for EvergreenHealth, for his commitment and service to the community, and for his clear and straight-forward advice.

Comm. Butler was very impressed with the transition of the space for the bi-plane equipment from a big, dusty room in August to a fully functioning bi-plane room in December. She is looking forward to longer-term strategic planning in 2019, the addition of a COO, and arrival of a new CNO.

Comm. DeYoung thanked the staff that attends the Board meeting and does the work. He noted it's a lot of hard work and it makes us a safer hospital.

The January 15, 2019 Meeting of the Board of Commissioners for King County Public Hospital District No. 2 was adjourned at 7:44 p.m.

Minerva Butler, Secretary/Commissioner

Page 8: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 8 of 13

Exhibit A - Guests

Name I Residence Kevin Hansen Kirkland

Page 9: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019

Exhibit B - Monthly Voucher Summary

KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 d/b/a EVERGREENHEAL TH VOUCHER SUMMARY #561 December 2018

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&OTAXES

Page 9 of 13

6-MONTH ROLLING

CURRENT MONTH AVERAGE

294,990 272,517

20,824,290 19,742,225

5,600,937 5,988,453

967,083 192,825

92,708 83,297

2,558,790 1,766,128

123,387 251,338

20,222,621 21,207,918

7,026,746 7,774,890

646,025 617,728

58,357,578 57,897,319

Page 10: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 10 of 13

Exhibit C - Surplus Equipment

J

I ~ riESCRIPTfON QTY LOCATION MODEL# Comments I ----- - -! - I

Injector Console 1 Storaqe Provis Sell FMV I Elliotican Machine 1 DeYounq 750AT Donate/Recycle l

I

Diqital Portable Unit 1 2 silver SMS0525 Sell to Monroe Xrav Unit 1 surplus GEAMX-4 Sell FMV

, Xrav Unit I 1 Surplus GEAMX4 Sell FMV Kodak Reader 1 Wood I CR Reader Recycle Kodak Reader 1 CP CR825 Recycle Defibrillator 1 Education LifePak12 Recycle/Donate

: Defibrillator 1 Education LifePak12 Recycle/Donate

Page 11: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 11 of 13

Exhibit D - Medical Staff/AHP Appointments/Reappointments/Scope of Practice

EvergreenHealth Medical Center January 15, 2019

INITIAL APPOINTMENTS: The following individuals are approved for appointment to the Provisional Medical Staff or as Allied Health Professionals with the privileges as delineated in their credentials files:

NAME SPECIALTY DEPT STATUS APPNT PERIOD

Nurse Practitioner - I I

! W&C i AGENA, JOANNA, ARNP 08/GYN AHP 1/15/19-12/31/20 I f I

I AHIR, NISHA, MD Pediatrics ! PC Active 1/15/19-12/31/20 I

I Orthopedic Sun::ierv HOU, CLIFFORD, MD Sun:ierv Courtesy I 1/15/19-12/31/20

JUNGELS, JULIE, MD Internal Medicine PC Active 1/15/19 -12/31/20 Nurse Practitioner-

LIAO, SARAH, ARNP Cardioloav Medicine AHP 1/15/19-12/31/20

LOW, SARAH, PHARMD Pharmacy Medicine AHP 1/15/19 -12/31/20 Physician Assistant- Hospital

MILES, DUSTIN, PA-C Un::ient Care Medicine AHP I 1/15/19 - 12/31/20

SIDDIQUI, ABDUL, MD Infectious Disease Medicine Active 1/15/19-12/31/20

SMITH, BRANDON, ARNP Nurse Practitioner PC AHP 1/15/19-12/31/20 TURNBOW, REBECCA, PA-C Phvsician Assistant Suraerv AHP 1/15/19 -12/31/20

DELEGATED CREDENTIALING: The following individuals are added to delegated credentialing only. I . They are not- new applicants nor are they up for reappointment

NAME SPECIALTY DEPT STATUS -I

1 None I I

! I

REAPPOINTMENTS: The following individuals are approved for reappointment to the Medical Staff or as Allied Health Professionals with the privileges as delineated in their credentials files:

I NAME SPECIALTY DEPT STATUS REAPPNT PERIOD

Barlam, Ilona, DPM Podiatry Surgery Active 1/15/2018 - 12/31/2020

Barlam, Serge, DPM Podiatry Surgery Active 1/15/2018-12/31/2020

Beaulieu, Cassandra, MD Pediatrics PC Courtesy i 1/15/2018 - 12/31/2020

! Benda, Sara, MD Pediatrics PC , Courtesy 1/15/2018- 12/31/2020 I I

Billett, Kurt, MD j Family Medicine PC t Active 1/15/2018-12/31/2020 ! I

Billing, Peter, MD ! Bariatrics Surgery Active 1/15/2018 - 12/31/2020

Bouse, Meagan, MD Anesthesiology Surgery Active 1/15/2018-12/31/2020

Brown-Chang, Janelle, MD Gastroenterology Medicine Active 1/15/2018-12/31/2020 Department

Chesnutls, Edward, DPM Podiatry Surgery Active 1/15/2018-12/31/2020

I Chibambo, Heather D., MD I

Family Medicine PC 1

Active 1/15/2018-12/31/2020

I

!

I

I

i ;

Page 12: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 12 of 13

Chung, Philip H., MD 1 Psychiatry I Medicine ' Active

I 1/15/2018-12/31/2020

Deoartment Criniti, Amy, MD Infertility W&C Courtesy 1/15/2018 - 12/31/2020

Cruzada,Matthew,ST Vascular Surgery Surgery I AHP . 1/15/2018-12/31/2020 I i

Dise, Amanda, MD 08/GYN W&C ! Active i 1/15/2018-12/31/2020 I

Evans, Temperance, PsyD Mental Health Medicine AHP l 1/15/2018 - 12/31/2020 Deoartment

Farnham, Mary, ARNP Vascular Surgery Surgery AHP 1/15/2018-12/31/2020

Ginsberg, Holly, MD Pediatrics PC Active 1/15/2018-12/31/2020 '

Graesser, Daniel T., MD Adult Hospitalist Hospital Med Active ! 1/15/2018-12/31/2020 Deoartment

Gumprecht. Thomas, MD ENT Surgery Active ! 1/15/2018 - 12/31/2020

Harris, Jacob D., MD Diagnostic Radiology ; Hospital Med Telemedicine 1/15/2018-12/31/2020 I Deoartment

Harris, Krista L., RPh Pharmacy PC AHP 1/15/2018-12/31/2020 ' I

Higginson, Michael J., Pharmacy PC AHP 1/15/2018 - 12/31/2020 PharmD

i Hori, Kevin M., MD Emergency Medicine Hospital Med Active 1/15/2018 - 12/31/2020 I

I Deoartment I I LaBorde, Pamela, MD Pediatrics ·pc Courtesy 1/15/2018 - 12/31/2020 I

I I Le, Dong-Xuan T., PharmD Pharmacy PC AHP 1/15/2018 - 12/3112020

Lewin, Mark B., MD Peds Cardiology Medicine Courtesy 1/15/2018 - 12/31/2020 Deoartment

Lin, Kenneth, MD Orthopedics Surgery Courtesy 1/15/2018 - 12/31/2020

~ O'Callaghan, James, MD Pediatrics PC Active I 1/15/2018-12/31/2020

Price, Mary C., ARNP Infectious Disease Medicine AHP 1/15/2018-12/31/2020 l Deoartment

I I i

Ruiz, Jose A., PA-C I nterventional Hospital Med ! AHP I 1/15/2018 - 1213112020 ! Radiology Deoartment i I

Smeback, Michelle, ARNP Vascular Surgery Surgery AHP I 1/15/2018-12/31/2020 I

Stroupe, Wendi, CRNA I Anesthesiology Surgery AHP 1/15/2018 -12/31/2020 i

Tham, Irene, MD Pediatrics PC ! Courtesy 1/15/2018-12/31/2020 I

REQUESTS FOR CHANGE OF STATUS: The following practitioners are approved for a change in status as noted in their credentials files:

NAME SPECIALTY DEPT STATUS

Skanse, Laura, PA-C Vascular Surgery I Surgery AHP

i

RESIGNATIONS: The following resignations from the Medical Staff or as AHPs are accepted and

approved:

NAME SPECIALTY DEPT STATUS

I Ahmad, Tania, ARNP I 08/GYN I W&C AHP i l I

1 Flannery, Jennifer, PA-C Emergency Hospital Med AHP '

I Medicine Department I i

Page 13: King County Public Hospital District No. 2 ... - Kirkland, WAJan 15, 2019  · King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners Meeting EvergreenHealth

KCPHD#2 Board Meeting Minutes 1/15/2019 Page 13 of 13

lin, Raynald H., MD Emergency Hospital Med Active Medicine Department

Iverson, Julie, MD 08/GYN W&C Active I

I ! I I Kuntz, Alice, MD ENT Surgery i Courtesy

I

f I

! Russell, Dawn, MD 08/GYN W&C Active !

Wei, Cindy, MD Plastic Surgery Surgery Active

i West, Lauren R., MD Emergency Hospital Med J Active

I Medicine Department !