DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES 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 Michael Solomon, MD - President Glen Grayman - Vice-President/Secretary William Grimm, DO - Treasurer Kay Hazen - Director Mark Matthews - Director Absent: Staff Kathy Greco, Chief Executive Officer Peter Young, Chief Operating Officer Donna Craig, Chief Grants Officer Steve Brown, Clerk to the Board Legal Counsel Carlos Campos Guests Jenna Le Comte-Hinely, Director of Research, HARC Carole Roger, RN Elizabeth Iannone, Director of Operations, Office of Congressman Ruiz Bev Greer, CEO, Stroke Recovery Center David Brinkman, Board Member, HARC Hank Goudreault, RN Professor Mahapatra Rich Ramhoff, DRMC CALL TO ORDER The meeting was called to order at 2:00 pm by President Solomon. APPROVAL OF AGENDA President Solomon asked for a motion to approve the agenda with the following change: #14-49 MOTION WAS MADE by Vice President Grayman and seconded by Director Grimm to approve the agenda. Motion passed unanimously. Page 1 of 8
PUBLIC COMMENTS Hank Goudreault, RN at Desert Regional Medical Center (DRMC) distributed a flyer to the Board from the National Nurses United organization listing their demands for the safety of healthcare workers at DRMC concerning the threat of the Ebola virus. He did not feel that there is an adequate policy in place in the event an Ebola case is admitted to DRMC. Other unnamed nurses at DRMC attended in support for Mr. Goudreault's concerns. CONSENT AGENDA Submitted for approval: 1. Board Minutes a. Regular Meeting - September 23, 2014 2. a. District August 2014 Financial Statements As per Vice-President/Secretary Grayman's request the minutes were amended on page 12 to clarify the report on the ad hoc media committee. #14-S0 MOTION WAS MADE by Vice-President Grimm and seconded by Director Matthews to approve the Consent Agenda with the revision on page 12 of the September 23, 2014 minutes. AYES: Motion Passed s-o Director Matthews; Director Hazen; Director Grimm; PRESENTATION Jennifer Barber, from Borrego Community Health, reviewed a PowerPoint presentation which showed the successes and activities for the fitness program, dental center, and teen center at the Desert Hot Springs Community Health & Wellness Center (copy of PowerPoint attached to minutes}. RECESS OPEN SESSION Open session recessed at 2:35 pm. RECONVENE TO CLOSED SESSION OF THE DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS 1. Report Involving a Trade Secret Pursuant to Health and Safety Code 32106: Discussion will concern proposed hospital services RECESS CLOSED SESSION Closed session recessed at 3:41 Page 2 018
RECONVENE TO OPEN SESSION OF THE DESERT HEALTHCARE DISTRICT BOARD OF DIRECTORS AND REPORT AFTER CLOSED SESSION There was no reportable action taken in closed session. COMMITTEE REPORTS Program Committee - Director Grimm a. Final Grant Reports 1. Grant #715 - Pegasus Riding Academy 2. Grant #718 - HealthCorps 3. Grant #806 - HARC b. Report on Mini-Grants Funded c. Grants for Consideration 1. Grants #84 - CV Volunteers in Medicine (CVVIM) - Consideration to Approve Grant in Support for the CWIM's Evolution in the Era of the Afford Care Act in the amount of $151,479. Vice-President Grayman reported that he is a board member for CVVIM, however, he receives no compensation nor financial gain. As per the grant request, he added that the requested funding is only for services to District residents. #14-51 MOTION WAS MADE by Director Hazen and seconded by Director Matthews to approve a grant award of $151,479 to CWIM In Support for the Evolution in the Era of the Affordable Care Act. 2. Grant #843 - Planned Parenthood of the Pacific Southwest (PPSW) - Consideration to Support the New Ultrasound and Disinfection System for PPSW's Rancho Mirage Health Center in the amount of $30,000. #14-52 MOTION WAS MADE by Director Hazen and seconded by Director Grimm to approve a grant award of $30,000 to PPSW in support for the new ultrasound and disinfection system for PPSW's Rancho Mirage Health Center. Page 3 of 8
NOES: ABSTAIN: o o 3. Grants #846 - Health Assessment Research Center (HARe) - Consideration to Approve Grant in Support for Specialized Reports for the Uninsured, Veterans, and Children in the amount of $125,000. Director Matthews commented that a large amount of federal funding for the Veterans has been released for medical and mental health services. Vice-President Grayman commented that these specialized reports are very different than the "briefs" HARC produced from the triennial survey. Rather, the proposed reports will be very comprehensive and inclusive of all topics relating to the 3 populations with additional mapping services. Again, Dr. Grayman is board president of HARC, but he receives no compensation nor financial gain. #14-53 MOTION WA5 MADE by Director Hazen and seconded by Director Grimm to approve a grant award of $125,000 to HARC in support for specialized reports for the uninsured, veterans, and children. 4. Grants #848 - Stroke Recovery Center - Consideration to Approve Grant to Support the Building of a Service Delivery Model for Community-based Neurological Services in the amount of $202,516. Staff reported that the grant request included funding for a business consultant who the Program Committee recommended removing from the funding at this time and requested that the Stroke Recover Center submit a separate grant application for an appropriate consultant to help the center build a service delivery model. Ms. Greer added that they have expanded services and have consumers from Act for MS attending exercise programs. In response to Director Matthews, Ms. Greer reported that receive approximately $62,000 for the Meals on Wheels program that they provide to the Jocelyn Senior Center in Palm Desert. Page 4 of 8
#14-54 MOTION WAS MADE by Director Hazen and seconded by Director Matthews to approve a grant award to the Stroke Recovery Center in support for the building of a service delivery model for community-based neurological services in the amount of $202,516. Finance Committee - Vice-President Grayman a.-e. Vice-President Grayman reported that the Minutes of 9-16-14, COO Report, LPMP Rental Status, Grant Payment Schedule and RPP Update were included in the packet. There were no questions or comments. f. Final Audit Reports Desert Healthcare District and RPP for FYE 6/30/2014. Vice-President Grayman reported that the District's new auditing firm, Moss, Levy & Hartzheim was very professional and very complete. The audit partner and manager reviewed the audit results with the F&A Committee and reported that there were no issues of concern nor adjustments. The auditors commended staff for doing an excellent job. The F&A Committee recommended that the Board receive and file the audit. #14-55 MOTION WAS MADE by Vice-President Grayman and seconded by Director Matthews to receive and file the Desert Healthcare District and RPP FYE 6/30/2014 Financial Audit. Motion passed unanimously. g. Consideration to Approve Policy #14-02 - Policy for Qualifications for Organizations Requesting Grant Funds. Vice-President Grayman reported that Ms. Greco requested this policy at the F&A Committee Meeting to clarify an organization's eligibility to receive grant funds from the District. Ms. Greco added that the Comprehensive Cancer Center, a for-profit organization and a department of Tenet, had requested funding which stimulated the discussion on grants funds to for-profits. She added that the F&A Committee clearly stated that the grants should only be awarded to non-profits. Mr. Campos stated that the proposed policy just codified the grant guidelines/requirements posted on the DHCD website. President Solomon reminded Mr. Campos that he had asked for a legal opinion on funding for-profits, and Mr. Campos did say that it was allowable if funding was for the benefit of the community and clearly not a gift of public funds. President Solomon clarified that if a grant were given to a for-profit and if it were clearly for a community benefit and not for the operations of the for-profit, it would be allowable. Director Hazen commented that it has always been the District's policy that organizations must be a non-profit to receive a grant. However, the District could always contract with a for-profit to provide services for the community benefit. The larger question is Page 5 of 8
if the District wants to have a policy for funding for-profits. Director Matthews suggested having the discussion start in the Program Committee and any recommendations move forward to the F&A Committee. President Solomon and Director Hazen requested staff confirm that San Gorgonio outpatient behavioral health program is under the hospital (public agency) and not a for-profit enterprise. Vice-President Grayman had suggested revisions for the policy if the Board were going to move Policy#14-02 forward for approval: 1. Language should be consistent for eligibility - correct all references from "non-profits" to "non-profits and public agencies." 2. Correct the statement indicating that an organization "must have audited financial statements" to exclude mini-grants. 3. Take out "board approval" for mini-grants. #14-56 MOTION WAS MADE by Director Hazen and seconded by Vice-President Grayman to approve Policy #14-02, Policy for Qualifications for Organizations Requesting Grant Funds with the revisions stated above. Motion passed unanimously. 3. AD HOC COMMITIEES a. Ad Hoc Mental Health Committee Mr. Brown reported that the committee is gathering information on the resources/programs from the County Department of Mental Health which will be addressing 5150s and which have the goal of intervening and stabilizing consumers whenever possible instead of taking them to the emergency departments at the 3 Coachella Valley hospitals. Staff will be gathering information on 5150s from each of the 9 cities and the County in order to analyze the needs and gaps in service. b. Ad Hoc Media Director Matthews reported that he met with Mr. Garen who has a TV license and needs programming if the District had any interest. OLD BUSINESS 1. Consideration to Approve Desert Healthcare District Staff Position, Job Description & Salary Range for Grant Funded Program Manager - NEOPB Grant from the County of Riverside Department of Public Health. In response to Vice-President Grayman, Ms. Greco explained that the grant was only to provide services in the City of Desert Hot Springs. The funding cannot be used in other cities. She added that the position is 100% funded by the grant, including all benefits. #14-57 MOTION WAS MADE by Director Hazen and seconded by Vice-President Grayman to approve the DHCD Staff Position, Job Description & Salary Range for the Grant Funded Program Manager - NEOPB Grant from the County of Riverside Department of Public Health. NOES: o Page 6 of 8
2. Consideration to Approve Independent Contract Agreements for the NEOPB Grant from the County of Riverside Department of Public Health. Ms. Greco reported that the exhibits to the contract listed the scope of work and deliverables for each contractor. 14-58 MOTION WAS MADE by Director Hazen and seconded by Vice-President Grayman to approve the Independent Contract Agreements - NEOPB Grant from the County of Riverside Department of Public Health. 3. Consideration to Approve Format & Content for the Desert Healthcare District Annual Report. Director Hazen recused herself from this item to avoid any appearance of a conflict as she may work with this person as a contractor to her private business. Vice-President Grayman commented that he felt that the report needs to look attractive, with multiple images, limiting text to perhaps 5-10 bullet point facts per page. Otherwise the report may waste of time and money if people will just toss it in the trash. The Board agreed and directed staff to proceed and bring back a draft of the report before going to print. DIRECTORS' COMMENTS Director Matthews suggested that board members and staff should consider attending the CSDA Leadership Academy in Anaheim from November 16 th to 19 th DRMC GOVERNING BOARD DIRECTORS' REPORT Director Grimm reported that the Board of Governors for Desert Regional Medical Center held their monthly meeting on October 23, 2014. Director Grimm informed the Board that DRMC continues to monitor quality, participate in community activities, and monitoring activity at the Comprehensive Cancer Center. CEO REPORT The December 2014 board meeting was rescheduled to Tuesday, December 16 th at 2:00pm due the Christmas holiday. First 5 Riverside is beginning their strategic planning session. Staff will schedule Stella Smith, Deputy Director of First 5 to attend an Ad Hoc First 5 Committee Meeting. Page 7 of 8
The Every Third Grader learns to Swim Program will begin January 3 rd Ms. Greco has been meeting with Dr. Greer Sullivan, Founding Director for the UCRSOM Center for Healthy Communities. Any board members interested in attending the meetings are welcome. Vice-President Grayman added that Dr. Greer will be getting staff support from HARe. ADJOURNMENT OF OPEN SESSION The open session was adjourned at 5:21 p.m. CONVENE TO THE DESERT HEALTHCARE FOUNDATION BOARD MEETING RECONVENE TO CLOSED SESSION The meeting was reconvened to closed session at 5:41p.m. Topics discussed: 1. PUBLIC EMPLOYEE ANNUAL PERFORMANCE EVALUATION Pursuant to Government Code Section 54957 Title: Chief Executive Officer ADJOURNMENT OF CLOSED SESSION The meeting was adjourned at 6:41 p.m. RECONVENE TO OPEN SESSION The meeting was reconvened to open session at 6:41 p.m. REPORT AFTER CLOSED SESSION No reportable action was taken in closed session. NEW BUSINESS 1. Consideration to Review CEO Compensation #14-60 MOTION WAS MADE by Director Matthews and seconded by Director Hazen to table this item. Motion passed unanimously. ADJOURNMENT The meeting was adjourned at 6:44 pm. t/secreta ry Desert Healthcare District Board of Directors Minutes respectfully submitted by Steve Brown, Clerk to the Boord Page 8 of 8