SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING. SPH Conference Rooms December 14, *****Into Executive Session 5:19 p.m.

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1 SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING SPH Conference Rooms December 14, 2016 Call to Order The BOD went into Executive Session to discuss personnel and financial matters prior to the start of the regular meeting. *****Into Executive Session 5:19 p.m. ***** *****Out of Executive Session 6:58 p.m.***** *****Into Regular Session 7:05 p.m.***** *****Return to Executive Session 8:22 p.m.***** *****Out of Executive Session 8:27 p.m.***** Vice President Julie Woodworth called the regular meeting to order at 7:05 p.m. Present: Matt North Vickey Hodnik Susan Drathman Tom Clark Julie Woodworth Lane Chesley David Groesbeck Bernadette Wilson Excused: Also Present: Matt Hambrick Keri Ann Baker, SAB Representative Robert Letson, CEO Jason McCormick, B2B CFO, Financial Analyst, by phone Leslie Haynes, QI/UR/RM Director Derotha Ferraro, Marketing / Public Relations Director Shelly Allain, Chief Human Resources Officer Danica Lamb, Human Resources Recruiters Glenn Radeke, Support Services Director Laura Hansen, Strategic Initiatives Director Nancy Chastain, Recording Secretary Janet Stookey, Surgery Manager Kenny Rogers, Emergency Department Manager Dr. Andrew Peter A quorum was present. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 1 of 10

2 Announcements, Welcome Guests & Public Vice President Woodworth welcomed everyone. She briefly reflected on Living our Values, focusing on Respect: We show respect for the dignity, beliefs, perspectives and abilities of everyone. Comments of the Audience Ms. Woodworth welcomed the audience, mentioned Rules for Participating in a Public Meeting and indicated they should sign up if they wished to speak at the meeting. Approval of the Agenda Mr. Groesbeck moved to approve the agenda as written. Mr. Clark seconded. There was no dissent and the motion carried. Approval of the Consent Calendar Ms. Wilson asked to remove item d. Consideration to Approve the Website Roster, to New Business. This was done. Groesbeck/Clark moved/seconded to Approve the Consent Calendar as revised. Ms. Wilson read the revised consent calendar into the record. a. Consideration to Approve the minutes of November 15, 2016 Board of Directors meeting b. Consideration to Approve 2017 Board Calendar c. Consideration to Approve Updated Organization Chart Discussion: None further. Motion carried unanimously. Presentations: Career Site Shelly Allain / Danica Lamb Ms. Allain introduced Ms. Lamb, who ushered the board around the improved SPH Career website she developed, creating a more active site with easier internet connectivity to search engines and social media, with a focus on the local community as well as the specifics of job offerings at SPH. The board expressed their sincere appreciation for a job very well done. Public Comments Reports: a. Chief of Staff Dr. Sarah Spencer was not present. There were no comments. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 2 of 10

3 b. Service Area Board Representative Keri Ann Baker, newly elected SAB president, was present. She reported SAB had recorded their election of officers, and also that several members of SAB will attend the Rural Health Care Conference. The board s overall focus in the coming year is getting to know individual departments of the hospital with 5-Minute Mini Series focusing on the different areas. c. Chief Executive Officer CEO Letson s report was included in the packet. He highlighted the following: TeleStroke in the emergency room has gone live. New medical staff officers are as listed in the packet. Dr. Martynowicz, pulmonologist, is coming to Homer beginning Dec 15 &16. Quarterly presentation to Borough was given December 6. Holiday luncheon on December 7 honored employees of 20 to 25 years service. d. LTC Report Mr. Letson s report was included in the packet. He mentioned: Dori Rodman, new LTC manager, is doing a tremendous job. At present LTC has 27 residents. Live date for Point-Click-Care EHR software is December 15. e. Chief Financial Officer Mr. McCormick s report was included in the packet. He attended the meeting telephonically and summarized the report. Mr. Letson mentioned that Home Health Care and Surgical Services had a net income profit last month. There were no further comments or questions. f. Patient Care Services Ms. Sutherland s written report was provided in the meeting packet. She did not attend the meeting. Ms. Woodworth mentioned Donna Rufsholm and the Imaging Department partnering with SVT Clinic to read their x-ray reports. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 3 of 10

4 g. Quality Improvement/Utilization Review Ms. Haynes written report was provided in the meeting packet. She briefly reflected on Living our Values, focusing on teamwork: I embrace change and engage in process improvement. She highlighted the following: The end of the year is a big time for the department. Completed the Enterprise Risk Management Plan, closed out HEN 2.0, transforming to HEN 3.0. HCAHPS changes coming. Ms. Drathman stated that the HCAHPS looked good this month. Ms. Woodworth liked the written report and found it easy to read. h. Marketing Report Ms. Ferraro s written report was provided in the packet. She summarized as follows. She plans to extend the promotional video from the career site to the Chamber for their use in their programs. Mr. Letson won Best Dressed in the annual Senior Center Glitz and Glam Fashion Show. New Health Needs Assessment will be available at next board meeting. She thanked the Service Area Board for funding the Health Needs Assessment. Ms. Woodworth reported the MAPP presentation may have to be pushed to February, as January is the annual meeting. i. Human Resources There was no written report for December. j. Support Services Mr. Radeke s written report was included in the packet. He spoke to the following issues. Conditional Use Permit process has been met for Homer Medical Center, and other permits and plans are being pursued. Operating Room HVAC: RSA Engineering will visit December 15. Will go over drawings at that time, and work on logistics. Thyssen/Krupp ordered new elevator parts for repair work for the 2 old elevators. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 4 of 10

5 k. Strategic Initiatives Report Ms. Hansen s report was provided in the packet. She briefly reflected on Living our Values, focusing on teamwork: I embrace changes and engage in process improvement. She summarized her work on the mid-year adjustment to the Strategic Action Items, incorporating items learned from the Enterprise Risk Management Plan. Ms. Woodworth appreciated her work. l. Board President Mr. Hambrick was not present at the meeting. m. Mayoral Task Force Update Ms. Woodworth stated that the task force had held its final meeting, which she had mentioned at our last meeting. n. Board Committees: Finance There was no written report on Finance. Mr. Groesbeck stated that Mr. McCormick had covered specifics well. He stated that the Finance Committee is clearly concerned about the number of days of cash on hand. Committee was pleased with the analysis of contributing factors. Governance Ms. Drathman reported board would be electing members later in the meeting. She had no other report. Education Ms. Wilson pointed out the two flyers included in the packet. Rural Health Care Leadership Conference is scheduled for Feb 5 to 8, 2017 in Phoenix, AZ. Managing Physician Conduct, Health, Aging & Other Dilemmas for Leadership Conference dates are March 2 to 4, 2017 in Orlando, FL. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 5 of 10

6 Ms. Woodworth appreciated the SAB commitment to attend the Rural Health Care conference. She added that the entire CPH Board would attend. More than half of the SPH Board will attend. Pension Plan No Pension Plan report was included in the packet. Mr. North said the committee met with Mr. McCormick, Ms. Allain and Mr. Letson and reviewed the current plan, so all committee members understand the plan in the same way. BOD Representative to Service Area Board Meeting Ms. Drathman attended the meeting, and gave a brief summary. They had a presentation on the AK ehealth network, and Ms. Ferraro did the MAPP presentation. The SAB will have presentations by hospital staff to become more familiar with what each department does. Ms. Woodworth thanked her for attending. Unfinished Business a. Re-Consideration to Approve Behavioral Health Clinic Expansion Ms. Woodworth turned the gavel over to Mr. Groesbeck. Clark/North moved/seconded: To Approve Hiring a Licensed Professional Counselor for the Behavioral Health Clinic and for Construction to Facilitate the Needed Space upon reaching the Cash on Hand Target of 45 Days, and upon Verification of Suitability of Space as Relates to Fire Marshall Requirements. Discussion: The BOD approved a motion at the November 2016 meeting to approve hiring a Professional Counselor for the Behavioral Health Clinic and do needed construction for suitable space. Within 24 hours of the meeting, Mr. Clark, who voted with the majority, moved for reconsideration. The motion was taken up by the Finance Committee in preparation for the December board meeting. The Finance Committee amended the motion by adding two conditions: 1) SPH cash on hand be a minimum of 45 days, and 2) Fire Marshall approval of the facility improvement plan. The Vote: Yes: Wilson, Groesbeck, Drathman, Hodnik, Chesley, Clark, North No: 0 South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 6 of 10

7 Abstain: Excused: Motion carried. Woodworth Hambrick Mr. Groesbeck turned the gavel back over to Ms. Woodworth. New Business a. Election of Board Members Discussion: Ms. Woodworth added 2 names to the printed Ballot in the packet: Monica Mede and Michael Hough, and requested that the board members fill in the ballot and pass them to Ms. Drathman to count. Ms. Wilson asked for some background on the two new people named, and Ms. Drathman complied. Votes were cast, collected and tallied by Ms. Drathman. Election results: Matt North Tom Clark Lane Chesley After the vote was completed, Ms. Woodworth felt the board should reach out to the other applicants, perhaps helping on a Committee. She clarified that the vacant seat on the board is dedicated for a physician board member, and currently there is no candidate for the seat. Ms. Wilson supplied some history and fine points regarding the empty position. Mr. Letson told the board that Dr. Hal Smith is stepping down from his ER clinical status in 2017, and the Board might approach him regarding the position. b. Consideration to Approve Medical Executive Committee Officers Discussion: Ms. Woodworth introduced the consideration. North/Groesbeck moved/seconded: To Approve the slate of Medical Executive Committee Officers as elected by the Medical Executive Committee on November 30, 2016: Chief of Staff: Rob Downey, MD Chief of Staff Elect: Kathryn Ostrom, MD Secretary/Treasurer: Teresa Johnson, MD Member at Large: Edson Knapp, MD Past Chief of Staff: William Bell, MD Discussion: None further Motion carried. c. Consideration to Approve Enterprise Risk Management Plan Discussion: Ms. Woodworth introduced the plan. Groesbeck/Hodnik moved/seconded: South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 7 of 10

8 To Approve the Enterprise Risk Management Plan as presented. Discussion: Mr. Groesbeck felt it was an impressive document. Motion carried. d. Consideration to Approve Website Board Roster Discussion: Ms. Wilson asked for clarification on the section of the roster. A long discussion ensued regarding issues of confidentiality, financial security, privacy, access and accessibility. Discussion: Clark/ North moved/seconded: To Approve the Board Roster as presented. Discussion: None further. Motion carried. BOD attendance at 2017 SAB meetings Ms. Woodworth briefly explained the purpose for the list of BOD members to attend SAB meetings. The list was already nearly filled for the year. Public Comments Mr. Rogers, Emergency Department Manager, mentioned that Becky Lundquist, RN, trauma coordinator for the emergency department is to retire in December She was recently honored with Nurse of the Year award from the Governor s Alaska Council on Emergency Medical Services. Mr. Rogers and Ms. Stookey shared with the board their knowledge of coworkers who have suffered recent hardship and trauma, and efforts being made to help with them. There were further no comments. Comments from the Chief of Staff Dr. Sarah Spencer was not present. Comments from the Chief Financial Advisor Mr. McCormick had no final comments. Comments from the Chief Executive Officer Mr. Letson stated he was proud of Danica s work on the Career website. He congratulated Mr. Radeke on his growth over the years he has worked at the hospital. He wished everyone happy holidays. Comments from the Recording Secretary Thanked the board for their hard work. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 8 of 10

9 Comments from Service Area Board Representative Ms. Baker wished all a happy holiday. Comments from Board Members Ms. Drathman thanked Danica for her presentation and her hard work. She wished all happy holidays. Mr. Chesley appreciated the improvement in the career website. Mr. Clark wished all happy New Year and Merry Christmas. He enjoyed the CFO candidate he had met. He thanked Ms. Baker for her work in the annual Nutcracker presentation. Ms. Woodworth said she really respects everyone in the room and in the organization, and is proud to serve with all of them. Mr. Groesbeck reminded everyone that not all workers get time off on the holidays, that some are working. He thanked them for their efforts.. Mr. North reminded people to be considerate, to listen to others and not rush to judgement. Ms. Wilson congratulated Danica on an excellent presentation, and encouraged others to explore the new career site. She wished everyone happy holidays. Dr. Hodnik wished everyone Merry Christmas. Announcements as a Result of the Executive Session After review of the applicants files in Executive Session, Ms. Wilson moved to approve the following positions in the medical staff as requested and recommended by the Medical Executive Committee: Appointment Blanton, Renae ANP Family Practice Allied Practitioner, Categ. B Velsko, Amy ANP Family Practice Allied Practitioner, Categ. B Laudermilch, Dann MD Orthopedic Surgery Affiliate Staff Shaw, David DO Cardiology Telemedicine Privileges Reappointment of: Eneboe, Paul MD Family Practice Active Staff Fowler, Raymond MD Anesthesia Active Staff Wiest, Randall MD Family Practice Active Staff Groesbeck seconded the motion. Discussion: None further Motion carried unanimously. South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 9 of 10

10 Executive Session Chesley/Clark moved/seconded that the board go into a very brief Executive Session, which commenced at 8:25 and concluded at 8:27, then returning to open session. There were no additional announcements as a result of the second Executive Session. Adjournment North/Groesbeck moved/seconded to adjourn. Meeting adjourned at 8:28 p.m. Respectfully Submitted, Accepted: Nancy M. Chastain Recording Secretary Julie Woodworth, Vice President Minutes Approved: Bernadette Wilson, Secretary South Peninsula Hospital, Inc., Regular Board Meeting, December 14, 2016 Page 10 of 10