Chairman Rivera, Director, Kleiter and Director Bassett established a quorum for the meeting.

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Dora Lee
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1 CALL TO ORDER Palomar Pomerado Health Facilities and Grounds Board Committee Palomar Medical Center June 14, 2010 Approved 12:15 pm by Chairman Rivera. Chairman Rivera, Director, Kleiter and Director Bassett established a quorum for the meeting. Also attending: Michael Covert, Bruce Krider, David Tam, Michael Shanahan, Wendy Cohen, Steve Gold, Bob Hemker, Marcia Jackson, Dan Farrow, Terry Green, Nancy Petitti, Kevin Pokrywa, Dr. Kung, Gerry DeWulf of DPR Construction and Pam Carner scribe Guests: Dick Daniels and Charlie Grimm from the City of Escondido. James Cutbirth of Pacific Medical Buildings. Regrets from: NOTICE OF MEETING Notice of Meeting was mailed and posted consistent with legal requirements PUBLIC COMMENTS None ADJOURNMENT TO None CLOSED SESSION pursuant to (if needed) RE-ADJOURNMENT TO None OPEN SESSION APPROVAL OF MINUTES The minutes of were reviewed and approved. MOTION: by Director Bassett, 2 nd by Director Kleiter and carried to approve the minutes as submitted. All in favor. None opposed. 1

2 State of the Facilities Skilled Nursing Facilities Review Life Cycle Analysis Steve Gold reviewed with the committee the Capital needs for the Skilled Nursing Facilities PCCC and Villa POM based on the life cycle analysis. Steve shared the findings at both facilities. At PCCC much of the equipment is in excess of 8 years beyond the typical replacement period. At Villa POM a majority of the equipment is in excess of 4 years beyond the typical replacement period. Steve reviewed specific future capital/operational Life Cycle projections for PCCC which equaled $2.5M in Capital Expenditures and $800K in Operational expenses over the next 10 years. The specific future capital/operational Life Cycle projections for Villa POM equaled $3.75M in Capital Expenditures and $800K in Operational expenses over the next 10 years. Steve brought to the attention of the Committee that there are two critical needs at Villa POM in year one which are the Chiller Line Replacement and the Nurse Call Replacement. Steve reviewed the specific conditions of both. Steve reviewed recommendations for both Villa POM and PCCC. Steve recommended that the Nurse Call System be the priority of the two critical needs at Villa POM based on patient safety. Wendy Cohen made mention to the committee that the design and bid for the 2

3 Chiller Lines was completed last year, so the costs presented are actual numbers. The Nurse Call design is complete and ready for submission to OSHPD for permit. Once permit received the project would be bid and ready to build within the next 6 months. Recommendation of the Committee for these two critical needs to be presented to the full board with complete costs associated for funding approval. Project Updates PMC West Hospital Update Wendy Cohen gave an update to the committee on the PMC West Hospital project. Wendy reviewed the Project Status as month end May 2010 and Key Activities planned for June Wendy reported that the Shaker Test of the Central Plant Generators which was delayed due to Federal Government opting our slot are scheduled this month. Wendy reviewed the Key Schedule Risks as month end May 2010 with the committee. Wendy let the committee know that a complete Budget and Schedule Update will be presented at the July 2010 meeting. Wendy reviewed Level 2.5 with the committee. What it is, Why it s so complex and the various layers. Chairman Rivera brought to the attention of the committee members, for their awareness, that the PMCW project was proceeding without formal OSHPD approval and that there were regulatory changes involved with ICU/CCU Line of Site. Pomerado Hospital Wendy Cohen gave a schedule update to the committee for Pomerado Hospital. The air flow issues with the Central Plant Generators at POM have been resolved. 3 Major Milestones Reached: Generator cut over & fire protection systems were completed on June 10. OSHPD temporary Certificate of Occupancy has been received and the temporary systems are now being removed. 3

4 The Next Milestone: Electrical Systems Cut Over which is scheduled for June 16 th. Wendy reviewed the estimated Project Schedule for the Ancillary Building Expansion project: Summer 2010 Bidding & Estimate September 2010 Estimated Construction Start Date subject to Board Approval Estimated Construction Duration 2 yrs Satellite Update Rancho Penasquitos Mike Shanahan introduced James Cutbirth of Pacific Medical Buildings. Mr. Cutbirth is specifically in charge of helping PPH to market and create leasehold interest for both Rancho Penasquitos and Ramona Projects. James Cutbirth reported to the committee that they are days away from finalizing marketing materials that will go out to PPH Medical Staff and others anticipating that interest will be generated. A 70% to 75% lease threshold will need to be reached to make these projects happen. Satellite Update Ramona Project Mike Shanahan updated the committee that there is a dedicated easement that goes along the length of the property for the Ramona Water District which creates the water loop and utility support for the clinic. Mike reviewed with the committee placement and size of future buildings based on the location of the water easement. Mike reported that the library project across the street from our site looks to have adequate parking and should not impact our clinic parking. Mike mentioned that the 4

5 driveways would be staggered to eliminate driving directly across the street from driveway to driveway. Mike also reviewed two concept floor plans for the single story building. Mike also reported that the General Contractor for the library project is CW Driver and they currently have the street torn up and there is some opportunity for PPH to at least get the utilities from the street to our future development site for a significantly less cost. Mike also brought to the committee s attention that once the street is repaired there is a 5-yr moratorium with the County of San Diego to be able to get back into that street. James Cutbirth of PMB reported that the same materials will be going out for the Ramona Project marketing the full 37,000 square foot building. Rehabilitation Hospital RFQ Developer Recommendation Process Mike Shanahan gave an update to the committee on the strategic initiative for a Rehab hospital. Mike reported that the RFQ for a strategic partner to help build the Rehab hospital had gone out 3 weeks ago and bids were to be received back to PPH tomorrow, June 15, We already have an operational Strategic Partner - RehabCare. There are four developers that have expressed interest. This will be a 40-bed rehab hospital, 45,000 square feet of clinical rehabilitation as well as support to the main hospital. 5

6 We are looking at 3 possible locations. PMC East on the west end of the campus which is the grassy knoll, PMC East on the east end next to existing Rehab and PMC West near the HSB proposed building. Mike will be working with Senior Administration in the next 30 days in reviewing the bids received and will bring a recommendation back to this committee. More details available in August. Letter of Intent in September Citracado Parkway Extension Update Informational: Date/Time/Location of Next Meeting Charlie Grimm reported that they had met with the Tribes last week and it was determined to conduct more testing as numerous sites have been discovered however Mr. Grimm didn t think it would affect the long term schedule. Monday, July 12, 2010 at 456 E Grand Ave, Escodindo, 1 st floor Conf 12:15 p.m. Chairman Rivera mentioned to the committee that he would not be able to attend the meeting on Monday, September 13, 2010 so it needs to be determined if the meeting will be rescheduled. Director Bassett mentioned to the committee that she would not be able to attend the next meeting on July 12, 2010, so an alternate will need to be arranged. (FINAL) ADJOURNMENT SIGNATURES Committee Chairperson Secretary to Committee Meeting adjourned by Director Kleiter at 1:27 p.m. Marcelo Rivera, M.D. Pamela Carner 6

A. * Recommended Nominees for Officers for Appointment by PPH Board of Directors.. Chair Vice-Chair Secretary

A. * Recommended Nominees for Officers for Appointment by PPH Board of Directors.. Chair Vice-Chair Secretary PALOMAR POMERADO HEALTH (PPH) HOSPITAL, EMERGENCY CARE, TRAUMA CENTER IMPROVEMENT AND REPAIR MEASURE BONDS INDEPENDENT CITIZENS OVERSIGHT COMMITTEE (ICOC) NOTICE & MEETING AGENDA Wednesday, May 19, 2010