#14-18 MOTION WAS MADE by Director Matthews and seconded by President Grimm to approve the asenda. Motion passed unanimously.

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1 DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES April ZZ, Z014 A Regular 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 Glen Grayman, MD - Vice-President/Secretary William Grimm, DO - Treasurer Kay Hazen - Director Mark Matthews - Director Staff Kathy Greco, Chief Executive Officer Peter Young, Chief Operating Officer Donna Craig, Chief Grants Officer Samantha Prior, Operations Support Manager Steve Brown, Clerk to the Board Absent: Michael Solomon, MD - President legal Counsel Robert Hargreaves Guests Sheila Thornton, VP Workforce Excellence, CVEP Cristina Greogorio - CVEP Ernie Rios - CVEP Ruby Hodge - HealthCorps Rocio Jacobo - HealthCorps Evelyn Rodriquez - HealthCorps Jessica Anders - HealthCorps Karen Buonocore - HealthCorps CALL TO ORDER The meeting was called to order at 2:00 pm by. APPROVAL OF AGENDA asked for a motion to approve the agenda. #14-18 MOTION WAS MADE by Director Matthews and seconded by President Grimm to approve the asenda. Motion passed unanimously. Page 1 of6

2 PUBUC COMMENT None CONSENT AGENDA Submitted for approval: 1. Board Minutes - March 25, District March 2014 Financial Statements #14-19 MOTION WAS MADE by Director Hazen and seconded by Director Grimm to approve the Consent Agenda. AYES: NOES: ABSTAIN: ABSENT: Motion Passed 4-0 Director Hazen; Director Matthews, Director Grimm o o President Solomon COMMITTEE REPORTS Program Committee a. Grant Payment Schedule - no questions or comments b. Proposals Under Development - no questions or comments c. Final Grant Reports 1. FINO Food Bank - No questions or comments 2. Ranch Recovery Center - No questions or comments d. Grants for Consideration 1. Grant #821- HealthCorps - Consideration to Approve $536,442 in Support for HealthCorps Coordinator and HealthCorps University Programs. Ms. Greco reported that would place a HealthCorps Coordinator in both the Rancho Mirage High School and Palm Desert High School. The Regional Access Project will consider funding the coordinators for Indio High School and La Quinta High School. With The California Endowment funding the highs school in the Coachella Unified School District, all high schools in the valley will have had the HealthCorps curriculum and the Alliance for a Healthier Generation program in the schools. All programs are aligned to end in The HealthCorps Program is interconnected and aligned, in part, with The Alliance for a Healthier Generation. With the inclusion of 2 more high schools having a HealthCorps Coordinator and the introduction of a HealthCorps University Sustain ability Manager training a total of 64 trainers to sustain the HealthCorps curriculum after The California Endowment will pay their share of the cost for the Sustainability Manager for for the 3 high schools in the Coachella Valley Unified School District. commented that the program needs the sustainability manager to work with the teachers and students to make sure the curriculum continues. Director Hazen suggested that a MOU between the Alliance for a Healthier Generation and the HealthCorps should be clearly stated that there is not any duplication of efforts. Page 2 of6

3 Director Matthews commented that he liked this plan because it allows for 2 years working within the schools to increase sustainability. Director Hazen suggested using volunteers as well as teachers to train the trainers MOnON WAS MADE by Director Grimm and seconded by Vice-President Grayman to approve $536,442 to HealthCorps In support for HealthCorps Coordinators and HealthCorps UnIversity Program. AYES: Director Hazen; Director Matthews, Director Grimm, NOES: 0 ABSTAIN: 0 ABSENT: President Solomon Motion Passed Grant Coachella Valley Economic Partnership - Consideration to Approve $244,500 in Support for the Pathways to Success Matching Scholarship Program. Director Grimm reported that the Program Committee had an interactive discussion on the return on investment of the scholarship program and what options the committee could recommend to the Board. After in-depth consideration, the Program Committee recommends that the Board not fund the grant as presented but instead develop a student loan repayment program rather than funding the current scholarship program. Ms. Greco defined the loan repayment program as paying off student loans received from other funders, such as the federal government, up to a designated dollar amount, after the student graduates with a degree in a health field, returns to the Coachella Valley, and works In that field for a designated amount of time (perhaps in the range of 2-4 years). Ms. Thornton reported the historically higher college graduation rates of the cohorts over the national average. She acknowledged, however, that the majority of the DHCD scholarship recipients are still enrolled in college, and therefore their future college graduation rate cannot yet be ascertained. Further, Ms. Thornton indicated that it is difficult to track some of the students, especially once they do graduate. Ms. Greco reminded the Board that the strategy was to improve the healthcare workforce in the valley. The District does not know if that strategy is being met. Director Matthews inquired if tabling this item would cause a timing issue for the students. CVEP staff responded that the graduating students need to select their college with a few weeks and knowing what kind of assistance they will receive can determine their choice. Ms. Thornton stated that if the program did not receive the match from DHCD they would use other funders to meet the match for the College Access Foundation funds, however there is no guarantee the scholarships would be for health related majors or that they would be District residents. Ms. Greco confirmed with CVEP staff that the students would have time to become eligible for student loans. Director Hazen reminded the Board that the District signed on as a matching partner with The California Access Foundation until 2018 and the District should honor its commitment. She felt that the District should continue on and ask staff to improve on our singular goal and tighten up the process. This was the beginning of collective impact, she indicated, Page 30f6

4 bringing together the resources of the California Access Foundation and the Desert Healthcare District. #14-21 MOTION WAS MADE by Director Matthews and seconded by Director Grimm to accept the the Program Committee recommendlon to not approve Grant #810, but rather to approve Option 2 as listed by staff on page 66 of the board packet which is to develop and Implement a student loan repayment program. AYES: Director Matthews, Director Grimm NOES: Director Hazen ABSTAIN: o ABSENT: President Solomon Motion Passed 3-1 Finance, Administration, Real Estate and Legal Committee a. Minutes - No meetings in February and March b. COO Report c. lpmp Rental Status d. RPP Update e. Riverside County - Possessory Interest Tax litigation f. High Mark Investment Report Items a-f were all informational and there were no questions or comments. Ad Hoc Committee & Project Team Updates 1. Ad Hoc Mental Health Committee 2. Project Team - Affordable Care Act/Covered California 3. Project Team - Access to Healthy Food 4. Ad Hoc Media/TV Committee 5. Ad Hoc First 5 Committee In order to provide time for Mr. Valentine's presentation, Ms. Greco reported she would up this information in her weekly report. OLD BUSINESS 1. Update on the Desert Hot Springs Community Health & Well ness Center Ms. Greco reported that Borrego Community Health Foundation had suggestions for funding the center. The idea of a stabilization plan is moving forward. Meetings with the Boys & Girls Club and the City of Desert Hot Springs will take place in the next few days. DIRECTORS' COMMENTS None DRMC GOVERNING BOARD DIRECTORS' REPORT Page4of6

5 Director Grimm reported that the Board of Governors for Desert Regional Medical Center held their monthly meeting on April 17, Director Grimm informed the Board that DRMC continues to monitor quality at the hospital, monitor activity at the Comprehensive Cancer Center, and participate in community activities. CEO REPORT No report was given. STUDY SESSION - PRESENTATION Steve Valentine - The Camden Group - Healthcare Industry Update Mr. Valentine discussed his PowerPoint presentation (copy attached) on the current status of the healthcare industry. Mr. Hargreaves interrupted the presentation and expressed concerned that the information to be discussed included potential lease negotiations and therefore should be discussed in closed session. #14-22 MOTION WAS MADE by Director Hazen and seconded by Director Matthews to approve a time-sensitive emergency item which was brought to the Board's attention after the posting of the agenda, and now needed to be placed in dosed session. AYES: Director Hazen; Director Matthews, Director Grimm, NOES: 0 ABSTAIN: o ABSENT: President Solomon Motion Passed 4-0 ADJOURNMENT OF OPEN SESSION The open session was adjourned at 4:02 p.m. RECONVENE TO CLOSED SESSION The meeting was reconvened to closed session at 4:02 p.m. Topics discussed: 1. Report InvoMng a Trade Secret Pursuant to Health and Safety Code 32106: Discussion will concem proposed hospital services. ADJOURNMENT OF CLOSED SESSION The meeting was adjourned at 5:55 p.m. RECONVENE TO OPEN SESSION PageSof6

6 The meeting was reconvened to open session at 5:55 p.m. REPORT AFTER CLOSED SESSION No reportable action was taken in closed session. ADJOURNMENT Meeting was adjourned at 5:56 pm. ATIEST: --;\ee-'\~~:.;.p. CI..-~b_rl-lc.M =t~~"'-r-»-~-=--- Glen Gravman M.D., Vice.presi &ent.i~cretarv Desert Healthcare District Board of Directors Minutes respectfully submitted by Steve Brown, Clerk to the Boord Page6of6

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