REGULAR MEETING OF THE SAN GORGONIO MEMORIAL HOSPITAL BOARD OF DIRECTORS May 1, 2018

Transcription

1 REGULAR MEETING OF THE SAN GORGONIO MEMORIAL HOSPITAL BOARD OF DIRECTORS MINUTES: Approved by Board June 5, 2018 The regular meeting of the San Gorgonio Memorial Hospital Board of Directors was held on Tuesday, in Modular C meeting room, 600 N. Highland Springs Avenue, Banning, California. Members Present: Absent: Required Staff: Bakhtiar Ahmad, MD, Lynn Baldi, Susan DiBiasi, Barbara Djordjevic, RN, Farzad Farrokhi, MD, Olivia Hershey, Estelle Lewis, Ehren Ngo, Ron Rader (Chair), Georgia Sobiech, Dennis Tankersley, PA-C DeNae Reagins Steve Barron (CEO), Pat Brown, RN (CNO), Dave Recupero (CFO), Annah Karam (CHRO), Sherif Khalil, MD (Chief of Staff), Siobhan Lopez (Director, Foundation), Susan Sommers (Director, Risk Management), Pat Ziegler (Director, Performance Improvement), Joey Hunter (Director, Safety/Security/Emergency Preparedness), Linda Palmer (Compliance Officer), Bobbi Duffy (Executive Assistant), Mary Haas (DWT-legal counsel) Call To Order Chair Ron Rader called the meeting to order at 5:01 pm. Public Comment Chair Rader announced that Jerilynn Kaibel has resigned from the Hospital Board of Directors effective. As there were no public comments, Chair Rader closed the Public Comment section. EDUCATION BETA Heart Program Susan Sommers reviewed the BETA Heart Program that the Hospital is participating in. A copy of her presentation was included on the board tablets. OLD BUSINESS Proposed Action - Approve Minutes April 3, 2018 Chair Rader asked for any changes or corrections to the minutes of the April 3, 2018 Regular meeting, the April 10, 2018 Special meeting, and the April 16, 2018 Special meeting as included on The minutes of the April 3, 2018 Open Session Regular

2 Regular meeting, April 10, 2018 Special meeting, and April 16, 2018 Open Session Special meeting the board tablets. There were none. meeting, the April 10, 2018 Special meeting, and the April 16, 2018 Open Session Special meeting will stand correct as presented. NEW BUSINESS Healthcare District Board report - informational Proposed Action Removal of Jerilynn Kaibel from the Hospital Board as recommended and approved by the Healthcare District Board at their April 3, 2018 Board meeting. Hospital Board Chair report CEO monthly report Newly elected Healthcare District Board Chair Dennis Tankersley reported that a copy of the Healthcare District s meeting agenda and enclosures were included on the board tablets. He also reported on actions taken at that meeting including approving new Chair, Vice Chair, and Secretary. There was no need for action on this item as Jerilynn Kaibel resigned from the Hospital Board effective. Chair Rader stated that he will appoint an Ad Hoc Nomination at the June Board meeting to fill the newly vacated seat. Chair Rader noted that his activity report for the previous month was included on the board tablets. Steve Barron reported that our triennial accreditation survey was done last week. CIHQ was here for 3 days and we did very well in the survey. We will be issued a full 3-year unconditional accreditation. Steve also reported that we just received the results from our 2 nd annual Associate survey. He highlighted several areas; on the question regarding intention to leave SGMH in the near 2

3 future, we improved over last year s score by 38%; on the question work/life balance, we re in the 90 th percentile and improved 4% over last year; on the question regarding burn out climate, we improved 12%. Steve also reported that we are working on the budget and should have it done by mid-june. It will then be presented to the Finance and then the full Board for approval. Calendars Bi-monthly Patient Care Services report Foundation monthly report Calendars for May, June, and July were included on the board tablets and take home copies were at each board member s seat. Pat Brown briefly reviewed her bi-monthly Patient Care Services report as included on the board tablets. Siobhan Lopez briefly reviewed the Foundation monthly report as included on the board tablets. Reports: Finance At the request of Chair Olivia Hershey, Dave Recupero briefly reviewed the March 2018 Financial report which was included on the board tablet. A copy of the Finance s April 24, 2018 open session regular meeting minutes were also included on the board tablet. It was noted the Finance recommends approval of the March 2018 Financial report. BOARD MEMBER ROLL CALL: Ahmad Yes Baldi Yes DiBiasi Yes Djordjevic Yes Farrokhi Yes Hershey Yes Lewis Yes Ngo Yes Rader Yes Reagins absent Sobiech Yes Tankersley Yes Motion carried M.S.C., (Hershey/ DiBiasi), the SGMH Board of Directors approved the March 2018 Financial report as presented. 3

4 Ad Hoc Bylaws update Dennis Tankersley gave a brief update on the progress of the Ad Hoc Bylaws. He stated that they recently met and the proposed changes should be ready for board review and approval at the June Board meeting. Proposed Action Approve Policies and Procedures Chief of Staff Report Proposed Action Approve Recommendations from the Medical Executive It was noted that we re in the timeframe when we are required to perform the tri-annual review of all the policies and procedures and noted that any new or changed/revised policies are presented for board approval. Two hundred fiftysix (256) policies and procedures as included on the board tablets were approved. BOARD MEMBER ROLL CALL: Ahmad Yes Baldi Yes DiBiasi Yes Djordjevic Yes Farrokhi Yes Hershey Yes Lewis Yes Ngo Yes Rader Yes Reagins absent Sobiech Yes Tankersley Yes Motion carried Sherif Khalil, MD, Chief of Staff, reviewed the Medical Executive Report dated April 18, 2018 included on the Board tablets. The Medical Executive recommended items for approval by the Hospital Board of Directors are as follows: Annual Approval of the following Department s Policies and Procedures: 1. Clinical Laboratory 2. Dietary 3. Diagnostic Imaging 4. Emergency Department 5. Medical Staff 6. Respiratory Therapy Annual Approval of the Diet Manuel/Disaster Manual: No revision were made to the 2018 Diet Manual/Disaster Manual. M.S.C. (Djordjevic/ Hershey), the SGMH Board of Directors approved the policies and procedures as submitted. M.S.C., (Farrokhi/ Ahmad), the SGMH Board of Directors approved the Medical Executive recommended approval items as submitted. 4

5 BOARD MEMBER ROLL CALL: Ahmad Yes Baldi Yes DiBiasi Yes Djordjevic Yes Farrokhi Yes Hershey Yes Lewis Yes Ngo Yes Rader Yes Reagins absent Sobiech Yes Tankersley Yes Motion carried Adjourn to Closed Session Chair Rader reported the items to be reviewed and discussed/acted upon during Closed Session will be: Approve Medical Executive Credentialing Receive Quarterly Performance Improvement report Receive Quarterly Emergency Preparedness/Environment Safety report Receive Quarterly Compliance report Telephone conference with legal counsel regarding potential litigation (two potential cases) Receive Ad Hoc Affiliation update, if any Reconvene to The meeting adjourned to Closed Session at 5:49 pm. The meeting reconvened to at 7:35 pm. There were no community members waiting to return to the meeting. At the request of Chair Rader, Bobbi Duffy, Executive Assistant, reported on the actions taken/information received during the Closed Session as follows: Approved Medical Executive Credentialing Received Quarterly Performance Improvement report Received Quarterly Emergency Preparedness/Environment Safety report Received Quarterly Compliance report Participated in a telephone conference with legal counsel regarding potential litigation (two potential 5

6 cases) no action was taken Received a brief Ad Hoc Affiliation update NOTE: Dr. Khalil and Dr. Farrokhi recused themselves from the meeting at 7:07 pm just prior to the conference call with legal counsel. General Information/ Newspaper articles & miscellaneous information Announcements Upcoming Community Events Future Agenda Items Adjourn See newspaper and miscellaneous articles included on the board tablets and placed at each Board member s seat. Chair Rader reported that this Friday s Good Morning Beaumont s featured speaker will be Sheriff Stan Sniff. The breakfast will begin at 7:30 am and be held at Morongo Golf Club at Tukwet Canyon. Call the Beaumont Chamber of Commerce to make reservations. Approve FY19 budget Approved proposed changes to bylaws The meeting was adjourned at 7:37 pm. In accordance with The Brown Act, Section , all reports and handouts discussed during this meeting are public records and are available for public inspection. These reports and/or handouts are available for review at the Hospital Administration office located at 600 N. Highland Springs Avenue, Banning, CA during regular business hours, Monday through Friday, 8:00 am - 4:30 pm. Respectfully submitted by Bobbi Duffy, Executive Assistant 6