DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES October 27, 2015

Transcription

1 DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES A Meeting of the Board of Directors of the Desert Healthcare District was held in the Arthur H. "Red" Motley Boardroom, Palm Springs, CA. Attendance: Members Kay Hazen - President William Grimm, DO - Vice-President/Secretary Mark Matthews - Treasurer Michael Solomon MD - Director Carole Rogers - Director Staff Kathy Greco, Chief Executive Officer Donna Craig, Chief Grants Officer Alejandro Espinoza, Director Programs/Projects Steve Brown, Clerk to the Board Absent Legal Counsel Carlos Campos Guests Tricia Gehrlein, Clinton Health Matters Initiative Kristin Schmidt, DRMC Sheila Thornton, VP, Workforce Excellence Jenna LeComte-Hinely PhD, CEO, HARC Casey Leier PhD, Director of Research, HARC Bruce Purdy, HARC Board President David Brinkman, HARC Board Member Russ Russell, HARC Board Member Dr. Neil Schiller, Interim Dean, UCR School of Medicine Jocelyn Nagashige, UCR School of Medicine Dr. Paul Lyons, UCR School of Medicine Kathy Barton, UCR School of Medicine Rick Seidner, Parent BOARD DIRECTION/FOLLOW-UP 1. UCR School of Medicine will report back to the Board answers regarding a possible mental health residency program here, the impact of UC San Diego's affiliation with Eisenhower Medical Center and names of high schools attended for the medical school applicants from the Coachella Valley. Page 1 of9

2 2. Keep in touch with NeurovitalityCenter on recommendations from The Camden Group. 3. The Ad Hoc Mental Health Committee will provide a recommendation before the end of the year regarding forming a mental health task force and the need for technical assistance. 4. Grantee's 990's and audited financials are available for board review. CAU TO ORDER The meeting was called to order at 2:00 pm by President Hazen. APPROVAL OF AGENDA President Hazen asked for a motion to approve the agenda. #15-63 MOTION WAS MADE by Director Matthews and seconded by Vice-President Grimm to approve the agenda. Motion passed unanimously. PUBUC COMMENTS 1. Wayne Gottlieb Mr. Gottlieb discussed the major issue of mental illness in our community. He reminded the Board that Tenet closed the mental health ward years back. He has heard that Desert Healthcare District are changing or negotiating the lease with Tenet and mental health needs to be addressed. This is a great opportunity to pressure Tenet to bring back the mental health ward. The hospital is profitable, which Tenet needs, but so are the needs for the people who need mental health help. He asked the Board to please discuss this matter with Tenet and Mr. Gottlieb offered his help and assistance. 2. Rick Seidner Mr. Seidner agreed with everything Mr. Gottlieb said and did not need to repeat it. He added that currently, residents need to go outside the city for in-patient services. He too offered his help and assistance if needed. 3. Tricia Gehrlein Ms. Gehrleln reported that the invitations to the 2016 Clinton Health Matters Conference were sent out to the board members. On-line registration is necessary as early as possible. Ms. Gehrlein offered her assistance if needed for registration. INTRODUCTION OF UCR SCHOOL OF MEDICINE INTERIM DEAN Dr. Neil Schiller provided a Power Point (copy attached to minutes) reviewing the residency program's accomplishments and future. Questions asked by the board members: Director Rogers - there is a huge need for mentlll h",alth services here. Is there a psychi3tric residency program? Dr. Schiller responded that there is program at the Riverside campus and it would need to be coordinated with the hospital here. Director Solomon commended Dr. Schiller for the resident program. He believes it is the best investment the District has made to serve the local community. Director Matthews was interested in the number of Coachella Yalley students who applied for the medical school and which high schools they attended. Dr. Schiller responded that there were 18 applicants from the Coachella Yalley, five were selected for interviews, and two were accepted into the medical school. Dr. Schiller did not know the names of the high schools but he would provide that information to the Board. Page 2 of9

3 Vice-President Grimm asked how the affiliation between Eisenhower Medical Center and UC San Diego would impact the residency program at Desert Regional. Dr. Schiller believes the affiliation will offer a better opportunity for collaborations for the residency programs at the two hospitals. In response to President Hazen, Dr. Schiller reported that the timeline for the internal medicine residency program will be included when their 2016 budget will be presented to the Board in December. CONSENT AGENDA Submitted for approval: 1. Board Minutes a. Minutes of September 22, Finance & Administration a. Consideration of District September 2015 Financial Statements 3. Consideration to Approve a 3 Year lease - Las Palm as Medical Plaza 2W-l02 to BioData Medical Laboratory Director Solomon noted two corrections to the minutes of September 22, 2015: Page 13 - President Hazen should be noted as absent on the vote #15-61 Page 10 - Grammar correction in the last paragraph #15-64 MOTION WAS MADE by Director Rogers and seconded by Director Matthews to approve the Consent Agenda with the corrections to the minutes of September 22, 2015 Before the vote, Director Solomon provided a written statement with abstaining for portions of the consent agenda. "Director Solomon requested this be included in the minutes regarding the approval of the Consent Agenda: California Health & Safety Code Section 32121, subparagraph 01 tells the Board of Directors how it can spend taxpayer's money. This law requires us to only spend taxpayer's money on programs or purposes that are "for the benefit of the district and the people served by the district". This means we can only spend district money on programs that primarily serve the people who live within the district and pay district taxes. With regard to pages of our Board packet, all mom'!v gr;\nt~d to the D'=!sert Healthcare Foundation from the Desert Healthcare District, with the exception of those earmarked for the Hospital's collective fund, are therefore illegal. These expenditures, which are listed in the Consent Agenda and the Grant Payment Schedule on page 71 of our Board packet, are illegal because they are not "for the benefit of the district and the people served by the district" because they do not primarily serve or benefit the people who live within the Desert Healthcare District. Therefore by definition these expenditures are not only wrong but they are illegal. Our staff and our CEO should have never recommended them and our Attorney should be counseling us against them. Page 3 of9

4 I Therefore abstain from approving those specific items because they are illegal and would ask that my concems be duly noted in the minutes of this meeting. I urge each of the members of this Board to do the same. I also abstain from any and all financial action approval for any item in our packet regarding either the Healthcare District or the Healthcare Foundation and Borrego Health Systems."* Roll call Vote: AYES Director Rogers; Director Matthews; Director Solomon; Vice-President Grimm NOES: o ABSTAIN: *Director Solomon per the abstention above President Hazen - only for the minutes of 9/22/15 since was absent from the meeting. ABSENT: o Motion Passed 5-0 except for partial abstentions noted above COMMITTEE REPORTS Program Committee - Vice-President Grimm a.-c Draft Committee Meeting Minutes 10/13/2015, Grant Payment Schedule, and the Proposals Under Development - Remaining Budget Impact were presented. Dr. Grimm reported that grantee progress reports, including the ihub Accelerator will be included In the packets for the Program Committee. Director Rogers reported that the Program Committee supported hiring a consultant to provide technical assistance to help the District address the mental health issues. President Hazen commented that this recommendation will be referred to the Ad Hoc Mental Health Committee. d. Final Reports 1. Grant #856 - NeurovitalityCenter & Camden Sustainability Financial Model Report President Hazen asked what the next steps would be for the center. Staff referred to the recommendations in the Camden Sustalnability Financial Model. President Hazen asked staff to keep in touch with the Neurovitality Center regarding the recommendations. 2. Grant #861- Well in the Desert There were no questions or comments. 3. Grants for Approval. 1. Grant #887 - Consideration to Approve a Grant to Health Assessment & Research for Communities (HARC) in Support for the 2016 Community Health Monitor in the Amount of $499,955 Over a 3 Year Grant. Ms. Greco reviewed the staff report in the packet but reported an addition to the scope of work since the recommendation by the Program Committee. The USC Sol Price Center for Social Innovation is working with FIND Food on their recent award of the Feeding America Grant. During the first year of the grant, the Sol Price Center will help FIND Food Bank conduct a needs assessment that looks at what specific issues in the valley affect families' ability to feed themselves. Gary Painter, director of social policy in the Sol Price Center for Social Innovation will work with HARC on the data collected by their survey for the Community Monitor. With the survey data from Page 4 of9

5 HARC and the needs assessment from the Sol Price Center, there will be a complete picture of the socio-economic determinants for a healthy community. Dr. Grimm referenced a recent los Angeles Times article, which reported about screening children for food insecurities. One out of five children live with food insecurities and the screening was 97% accurate by just asking 2 questions. Ms. Greco added that with both the data from HARC and Sol Price, the data will be mapped so one can quickly and visually see where the biggest needs are and the locations of the resources (close by, far, unavailable, etc.). Director Solomon commented that with food insecurities, there needs to be an educational component on how to shop in the grocery stores with a limited budget. Examples include checking prices, watching for specials, and buying healthy foods. Director Matthew questioned the kind of data being collected with the HARC survey and if additional information will be needed for the Sol Price needs assessment. It would appear with the Sol Price needs assessment we will have a better idea of the data needed from the survey. Dr. lecomte-hinely reported that the Sol Price data will communicate with HARC as they craft the survey questions. President Hazen questioned how the HARC data could be more actionable and make something happen. There is lots of access to the data but how does one determine what is meaningful. What will this monitor do to make the data intelligent and actionable. Dr. lecomte-hinely responded that there will be monthly press releases and social media updates about the data and how it can be utilized. HARC will schedule meetings with the local organizations. President Hazen requested that staff include deliverables with this grant that identify priority issues, gaps and focused areas for attention. There needs to be a commitment to go further with the use of the data. Deliverables should be designed with measurable action items. HARC President Purdy spoke about HARC's goal for sustainability and their plan to expand their marketing program and community outreach. The private sector is another potential group to approach especially with the current focus on workplace wellness. They can help the non-profits use the data. Director Matthews asked the HARC board members if there was a way to recognize former HARC board member Glen Grayman. HARC is planning a dinner for him in December. #15-65 MOnON WAS MADE by Director Rogers and seconded by Director Matthews to approve Grant Request #887 to the Health Assessment & Research for Communities in support for the 2016 Community Health Monitor with the additional dellverables that Identify priorities issues and gaps to make use of the data, in the Amount of $499,955 over a 3 Year Grant Term. Roll Call Vote: AYES Director Rogers; Director Matthews Vice-President Grimm; President Hazen NOES: 0 ABSTAIN: 1-Director Solomon ABSENT: o Motion Passed 4-1 Page 5 of9 October 27,2015

6 Rnance Committee - Director Matthews a. Director Matthews reported that the draft minutes from the October meeting. There were no questions or comments. b. District Board Policy Manual Schedule with Brent Ives Direction was given by the board accepting the board policy manual schedule with Mr. Ives. Further direction was given to staff to defer scheduling the additional workshops until after the November 17 board meeting with Mr. Ives when the discussion for additional workshops will take place. c. Consideration to Approve the a Contract with Burke Consulting for the Strategic Communication Plan President Hazen recused herself from this agenda item because Ms. Burke is a consultant who works with President Hazen. President Hazen left the room and asked to be called back after this agenda item is over. Director Matthews reported that the Committee asked staff to reduce the cost of services to within the $50,000 budget. Staff was able to do so. Direction was also given to check with legal counsel when the form and type of social media is determined. He added that there was a discussion to freshen up the District's website. Director Rogers requested that the plan Included events where the District could have a table and give away promotional items. #15-66 MOTION WAS MADE by Director Rogers and seconded by Director Matthews to approve the contract with Burke Consulting for the Strategic Communication Plan Roll Call Vote: AYES Director Rogers; Director Solomon; Director Matthews Vice-President Grimm NOES: 0 ABSTAIN: o ABSENT: 1-President Hazen recused herself from this item Motion Passed 4-0 President Hazen returned to the meeting. Ad Hoc Committees a. Ad Hoc Mental Health Committee No meeting in October. Director Rogers recommended forming a mental health task force with 2 board meetings, community members and a consultant. Director Matthews was open to the Idea. In response to Vice-President Grimm, Ms. Gehrlein reported that mental health is not part of the Clinton Health Matters Coachella Valley Blueprint. Ms. Greco recommended that a landscape analysis be developed for the mental health issues in the region. Supervisor Benoit's Chief of Staff is a strong believer in collaboration and would like to bring all the players to the table as well. President Hazen recommended that the Ad Hoc Mental Page6of9

7 Health Committee consider all these suggestions. The committee should meet and bring a recommendation to the Board at the December board meeting, which would complete the committee's purpose and goal. b. Ad Hoc Pulmonary Committee No meeting in October. A meeting will be scheduled after the first of the year. c. Ad Hoc Urgent Care Vice-President Grimm reported that DRMC has identified a site close to the hospital and expects to open sometime in the first quarter in The committee has completed its purpose. Vice President Grimm will continue reporting on DRMC's urgent care facility during future his Governing Board reports. d. Ad Hoc CEO Evaluation The committee met with Ms. Greco for their quarterly meeting. The evaluation process next steps will be discussed at the November meeting with Mr. Ives. e. Ad Hoc DRMC Facilities Master Plan Committee The committee had their second meeting with DRMC staff. DRMC's administrative team had a better understanding ofthe District's role in this process, our interest in the public process by identifying community/facility needs. The District needs technical assistance and legal assistance and should involve the entire District Board. The next step would be to roll this into the strategic planning session along with technical assistance for full board participation. There is the potential for board members to tour the hospital facilities and grounds before the end of the year to discuss any suggestions at the strategic planning meeting. OLD BUSINESS 1. BHI Management Consulting October Consultant Report There were no questions or comments. 2. Desert Highland Gateway Status & Proposed Next Steps Ms. Greco reviewed the grant assistance the District provided for a health needs assessment, which lead to the strategic plan. The Wellness Committee was formed but now they need the structure to implement the plan in addition to some administrative support. The faith-based community is interested in providing health education. The Committee is becoming frustrated, there is no glue holding the group together. The may want to become a 501.3(c) and need technical assistance. Ms. Greco and Ms. Craig will be attending their next committee meeting on November 5 th to understand more clearly their needs and explore options. President Hazen asked when staff would be coming back to the Board with a recommendation. Ms. Greco responded that within 30 days, staff will be bringing a grant requp.st to the Board. 3. Roy's Desert Regional Center - "Clients Access to Medical, Dental, and Mental Health Services New Model of Care n Ms. Greco reviewed the report in the packet. Borrego Health will be replacing the Public Health Nurse. Borrego will be able to offer both physical and mental health services. DIRECTORS' COMMENTS 1. Director Matthews - Southern California Energy + Water Summit Director Matthews reported that solar energy was a large part of the summit. Page 7 of9

8 There is so much solar energy that it is being sold to other states. The issue with water conservation is that as consumption goes down, water fees go up. 2. Director Solomon asked why the Board never sees the grantee's tax returns (IRS Form 990) and audited financial statements. Staff reported that they are required with all grant application and are kept in the grantee's file. Staff can provide the 990s and audited financials to the Board. DRMC GOVERNING BOARD DIRECTORS' REPORT Vice-President Grimm reported that the Board of Governors for Desert Regional Medical Center held their monthly meeting. Director Grimm informed the Board that DRMC continues to monitor quality, participate in community activities, and monitoring activity at the Comprehensive Cancer Center. Physician recruitment is going well and they are on track for opening an urgent care facility nearthe hospital by the end of the 1 st quarter in INFORMATIONAL ITEMS 1. Association of Califomia Healthcare Districts (ACHO) Monthly Update for September District Website Activity There were no questions or comments CEO REPORT 1. Two Day Training on Results Based Accountability Ms. Greco & Ms. Craig attended the two day training. The theory and process was discussed during the HARC grant request. 2. "Communicatlon check-in" Ms. Greco asked if the Board needed any additional needs for communication beyond phone calls, meetings, or s that they should bring their requests to her Month Project PrOjection Ms. Greco distributed a 3 month project projection for items that will be brought to the Board. It is simple and can be tracked easily. President Hazen commented that she finds this report very helpful. It should include workshops, annual obligations (such as required reporting to the State), and when policies are due to be reviewed. Director Rogers would like to see the grantees site visits on the report. Director Solomon recommended including all the events for which the Board receive invitations. Vice-President Grimm commented that he finds this much more helpful than the previous reporting format. 4. November & December Board Meeting Dates. Typically because the November board meeting falls in the week of Thanksgiving and the December board meeting falls in the week of Christmas. Since the Board will be having an evening mep.tins with Brent Ives, the Board could forgo the November board meeting for regular business until the December board meeting. It was decided to have a regular business board meeting on the same day of the Brent Ives meeting with the Board. The board meeting would then be on November 17th with regular business from 4:00pm - 5:00pm and the workshop with Brent Ives from 5:30pm to 9:00pm. The Board agreed to hold the December meeting on Tuesday, December 15 th at the regular time, 2:00pm. 5. Authorization to Create A Temporary/Part Time Staff Position in Order to Provide Reasonable Accommodations for an Employee's Medical Condition. Ms. Greco reviewed the staff report and added that the reasonable accommodation requested was with legal assistance. Page 8 of9 October27,2015

9 #15-67 MonON WAS MADE by Director Matthews and seconded by Vice-President Grimm to Approve Authorization to Create A Temporary/Part Time Staff Position in Order to Provide Reasonable Accommodations for an Employee's Medical Condition Roll Call Vote: AYES Director Rogers; Director Solomon; Director Matthews Vice-President Grimm; President Hazen NOES: 0 ABSTAIN: 0 ABSENT: 0 Motion Passed SoO ADJOURNMENT OF OPEN SESSION Open session was adjourned at 4:49 pm. Director Solomon left the meeting. RECONVENE TO CLOSED SESSION OF THE DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS The meeting was reconvened at 5:25 pm. Topic discussed: 1. CONFERENCE WITH LEGAL COUNSEL EXISTING LITIGATION Pursuant to Government Code Section (d)(1) Michael R. Solomon v. Desert Healthcare District, et ai., Riverside County Superior Court, Case No. PSC ADJOURNMENT OF CLOSED SESSION The meeting was adjourned at 5:52 pm. RECONVENE TO OPEN SESSION OF THE DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS The meeting was reconvened to open session at 5:52 pm. REPORT AFTER CLOSED SESSION No reportable action was taken. ADJOURNMENT The meeting was adj./ ArrEST: -----"'"--f\,...fi!-7"' uu-,"",ce-president/secretary istrict Board of Directors Minutes re~ctfully submitted by Steve Brown, Clerk to the Board Page 9 of9