I II Members Present: Phil Bergquist, Mary Molloy, Jon Villasurda, Sam Inglot, Therese Enders, Daniel Black, Jennifer Hanna, Anshu Varma, Thomas Mee, Dr. Doug Edema Members Absent: Todd Heywood, Todd Tennis, Sara Jackson, Elizabeth Hertel, Flesia McClurkin Staff Present: Anne Scott, Dr. Erik Wert, LaVella Todd Minutes By: LaVella Todd Guest(s): None AGENDA Action Time Follow-up Call to Order called to order by Jon Villasurda. Anne Scott was introduced 5:35 pm as Interim Executive Director. Anne Scott gave brief introduction. Approval of Agenda Mary Molloy asked that two items be added to September meeting agenda 1) Patient Wait Time at Forest CHC and 2) False Fire Alarms at Forest CHC. Anne Scott asked that annual Quality Plan approved on 9-20-17 by the Quality Committee be approved by the Board. Jon Villasurda asked that the three additional items will be placed on agenda between Old and New Business. III Public Comment on the Agenda (limited to 3 minutes per person): None. None required. Motion to add agenda items 1) Patient Wait Time at Forest CHC and 2) False Fire Alarms at Forest CHC between Old and New Business, and then approve agenda by Mary Molloy, seconded by Jennifer Hanna. Motion carried. 5:36 pm IV Consent Agenda a. Executive Committee Minutes 09/13/2017- Daniel Black commented September Executive Committee minutes contained date typos. Board chair acknowledged comment and asked Executive Assistant make corrections to 09/13/2017 Executive Committee minutes. b. Quality Committee Minutes 09/20/2017 c. Finance Committee Minutes 08/30/2017 meeting was canceled. d. Membership Committee Minutes 08/31/2017 e. Full Board Meeting Minutes 8/22/2017 f. Policies a. Motion to approve consent agenda with date correction of 09/13/2017 Executive Committee Minutes by Jennifer Hanna, seconded by Mary Molloy. Motion carried. 5:40 pm a. LaVella Todd will make correction to date in 9/13/2017 Executive Committee minutes. Page 1 of 6
i. Communication w PCP SBHC 021.3 ii. After Hours Call Coverage C 020.3 iii. Credentialing A 064.3 SUMMARY OF 09-28-2017 BOARD APPROVALS -Consent Agenda (with date correction in 09/13/2017 Executive Committee Mins.) -Policies: g. Communication w PCP SBHC 021.3 h. After Hours Call Coverage C 020.3 i. Credentialing A 064.3 -River Oak CHC Hours -Agenda Items j.- p. (approved as a whole): j. Approval of CMH Contract Addendum k. Approval of AIMS Grant Funding l. Approval of 340B Agreement With 340Basics m. Approval of Ryan White Funding n. Approval of Quality Improvement Funding o. Approval of MSU Psychiatry Services Addendum p. Approval of NexGen / QSI Addendum -Quality Plan 2018 -ICHC Budget VI Old Business a. River Oak CHC Hours Approval Action Item Anne Scott proposed the hours change to Monday, Tuesday, Thursday and Friday 8am-5pm and Thursday 8am -7pm. This change is an outcome to the change of providers at that location and scheduling associated with the launch of Prompt Care at River Oak. River Oak CHC Hours approved by Board 09-28-2017. a. Motion to approve Rive Oak CHC hours by Jon Villasurda, seconded by Anshu Varma. Motion carried. b. Anne Scott will work with Board / Committees to construct a corrective action plan within the 90- day period of receipt of HRSA report. c. Mary Molloy will draft her concerns 6:05 pm a. No action required. b. Next meeting. c. Pending. d. Next meeting. e. None. f. None. g. Next meeting. h. Next meeting. Page 2 of 6
b. HRSA Site Visit Review Anne Scott gave brief overview of summary points of anticipated findings, stating the most critical was the finding regarding board composition. She stated that overall, the HRSA reviewers were very impressed with our presentation and the feedback they provided was very helpful. Anne Scott will work with Board / Committees to construct a corrective action plan within the 90-day period of receipt of HRSA report. c. Patient Wait Time at Forest CHC Mary Molloy stated that patients had complained about waiting 30 minutes or more at the front counter of the Forest CHC, asked about additional front office staff. Dr. Wert and Anne Scott shared their concerns in that provider-to- staff ratios for patient check-in is currently disproportionate (2 to 4), and that the option of using the patient kiosk may need to be re-considered. Jon Villasurda suggested Mary draft her concerns for Anne to review and follow-up on accordingly. d. False Fire Alarms at Forest CHC Mary Molloy stated her concern that she was prevented from entering Forest CHC building on a recent visit, due to fire alarm issues that may not have been addressed as yet. Anne Scott stated there has been a technical issue in the fire alarm system and is talking with building manager / contractor to resolve issue. Anne also stated County safety protocol is being followed and plans to report on matter at next meeting. New Business e. Administrative Team / Board Lunch board decided on Thursday, October 05, 2017 for the first Board site visit and tour in an effort to engage staff and asked LaVella Todd to email invitations to the AT. f. Update On ED Transition / Candidate Interviewing Process - Jon regarding patient wait time at the Forest CHC for Anne Scott to review and follow-up on accordingly. d. Anne Scott will provide report on Forest CHC false fire alarms. e. LaVella Todd will send invitation email this week to Administrative Team for October 5 th Board site visit, lunch and tour. f. No action required. g. Dr. Edema will confirm year-end i. Next meeting. j. None. k. None. l. None. m. None. n. None. o. None. p. None. q. None. r. Next meeting. s. None. t. Ongoing. Page 3 of 6
Villasurda gave detailed overview on ED transition / candidate interviewing process, and answered Board member questions regarding the process. g. Update On Sparrow VOA Approval - Anne Scott stated Sparrow VOA will become operational with the ICHCs on Monday, October 2, 2017. She stated that transition process has run smoothly and looks forward to business as usual with staff / operations. She advised that 60-days after the October 2nd opening day, IT is to transition its operations. She also reported that presumed rental fees will not be a factor as previously thought. Dr. Edema state he would confirm year-end transitioning costs and follow up with Anne Scott. h. Waiver of Nominal Fee Action Item Board conducted lengthy discussion on waiver of nominal fee with regard to patients who have indicated a designation of homeless. Board did not act on item - forwarded to Finance Committee to create a policy (with financial option included), before re-presenting to Board for action. i. Update On Review of Sliding Fee Policy/Patient Perception of Nominal Fee - Anne Scott gave review of survey findings and concerns, and the Quality committee s re-survey process. She plans to present Board with an update of the re-surveys report from the Quality Committee. j. Approval of CMH Contract Addendum Action Item k. Approval of AIMS Grant Funding Action Item l. Approval of 340B Agreement With 340Basics Action Item m. Approval of Ryan White Funding Action Item n. Approval of Quality Improvement Funding Action Item o. Approval of MSU Psychiatry Services Addendum Action Item p. Approval of NexGen / QSI Addendum Action Item transitional costs and follow-up with Anne Scott. Anne Scott will have a conversation with VOA operational staff about having a board meeting / future event at the Sparrow VOA facility and report back to board. h. Motion to forward Waiver of Nominal Fee to Finance Committee to create a policy (with financial option included) before representing to Board for action by Phil Bergquist, seconded by Dr. Edema. Motion carried. i. Anne Scott will present Board with an update of the re-surveys report from the Quality Committee. j. Motion to approve agenda action items j., k., l., m., n., o., and p. as a whole by Phil Bergquist, seconded Dr. Edema. Motion carried. k. Noted in j. l. Noted in j. m. Noted in j. n. Noted in j. o. Noted in j. p. Noted in j. q. Motion to approve QIP 2018 as presented and approved by Quality Committee on 09/20/2017 by Phil Bergquist, seconded by Thomas Mee. Motion carried. r. 1. Motion to move item back to Page 4 of 6
Items j., k., l., m., n., o., and p. (listed above) approved as a whole by Board 09-28-2017. q. 2018 Quality Improvement Plan Action Item - Anne Scott gave overview of annual quality plan as approved at the September 20 th Quality Committee meeting, provided clarification regarding amendments made, and asked for Board approval. Quality Plan 2018 approved by Board 09-28-2017. r. Membership Committee Action Item - 1. Suggested Bylaw Amendments Board discussed suggested bylaw amendments and decided the 09-05-2017 draft revision of ICHC Bylaws will remain in-place until further discussed by the Membership Committee. Moved item back to Membership Committee for further discussion until HRSA report providing more detail is received. 2. FY 2018 Officers Sam Inglot suggested board consider officer solicitations. Dr. Edema recommended officer positions and role descriptions are submitted to full board for review to assist in the officer selection process. Moved item back to Membership Committee for further discussion. 3. HRSA Compliance for Board Composition Sam Inglot presented request to increase Board membership total from 15 to 19 members. Jon Villasurda stated concern by increasing board membership to 19 members. Board further discussed agenda item and suggested survey be attached with membership applications. Moved item back to Membership Committee for further discussion until HRSA report providing more detail is received. Membership Committee for further discussion until HRSA report providing more detail is received by Sam Inglot, seconded by Dr. Edema. Motion carried. 2. Motion to move item back to Membership Committee for further discussion by Jon Villasurda, seconded Sam Inglot. Motion carried. 3. Motion to move item back to Membership Committee for further discussion until HRSA report providing more detail is received by Sam Inglot, seconded Dr. Edema. Motion carried. s. Motion to approve ICHC budget report as presented at August 30th Finance Committee meeting by Phil Bergquist, seconded by Mary Molloy. Motion carried. t. Motion to charge staff to seek a budget for providers to Finance Committee by Jon Villasurda, seconded by Mary Molloy. Motion carried. s. Finance Committee Budget Approval - As Presented At August 30th Finance Committee Meeting Action Item Phil Bergquist stated Page 5 of 6
County Controller s budget report did not require ICHC Board to change its budget report as presented at August 30th Finance Committee meeting, and asked for board approval. ICHC Budget approved by Board 09-28-2017. t. Reports - Executive Director (Interim) - Anne Scott shared highlights of September 20th Forest Community Pharmacy opening, the August 17th Hooked On Health Fair, River Oak Prompt Care opening, and Azara implementation progress. Medical Director Dr. Wert gave overview of Epic/NextGen Interoperability memo presented in board packet. He stated that all current provider positions have been offered for employment. Phil Bergquist moved that staff be charged with seeking budget for providers for Finance Committee review. Dental Director no discussion. VII Closed Session Provider Privileging no closed session at this meeting. None required. Dr. Wert 7:50pm VIII Public Comment (limited to 3 minutes per person) none. None required. Jon Villasurda 7:50pm IX Adjournment - meeting was adjourned by Jon Villasurda at 7:53pm. Motion to adjourn meeting by Jon Villasurda, seconded by Mary Molloy. Motion carried. 7:53pm The Community Health Center approved the September 28, 2017 Minutes on. Jon Villasurda, Chairperson Date Anne Scott, Interim Executive Director Date LaVella Todd, Executive Assistant Date Page 6 of 6