MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING DISTRICT BOARD MEMBERS

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1 + MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING 6:00 p.m. Trinity County Library Weaverville CA DISTRICT BOARD MEMBERS GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH FRANCIS MOORE Vice-President Clerk President Treasurer Member Note: These minutes contain a description for each item to be considered. Supporting documentation is available in the public packet at the Board meeting or at the Administrative Office at Trinity Hospital. District Board Members Present: Jerry H. Cousins, President Lynn Jungwirth, Treasurer Francis Moore District Board Members Absent: Dero Forslund, Clerk Gerald Brasuell, Vice-President Staff Present: Aaron Rogers, CEO Peggy Manning, RN, Chief Nursing Officer Jeanne Silvers, Executive Assistant Jennifer Van Matre, Director of Finance Michael Novak, PA, Director of Clinic Services Hollie Malloy, Manager TCHC Victoria Williams, Director Ancillary Services Jerrel Tucker, TPA 6:00 PM CALLS MEETING TO ORDER IN OPEN SESSION Report from Closed Session on April 27, 2016 The Board came out of Closed Session at 7:45 pm and unmediately reconvened m Open Session. President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges. For each applicant the following infonnation has been reviewed and/or verified: Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations. Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked. On motion of Director Moore seconded by Director Forslund approves the following appointments/reappointments and accepts the resignations upon the recommendation from the Medical Staff.

2 May 25,2016 Appomtments/Reappointments: Jon Fong, DO Provisional Staff Specialty: Emergency Medicine Aymel Tarar, MD Provisional Staff Specialty: Emergency Medicine Paulalan Genstler, MD Provisional Staff Specialty: Emergency Medicine Robert Evans, MD Provisional Staff Specialty: Emergency Medicine Aaron Castro, MD Provisional Staff Specialty: Emergency Medicine Andrea McCullough, MD Provisional Staff Specialty: Emergency Medicine Kevm McDonnell, MD Consulting Staff Specialty: Tele-radiology Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis Moore Absent: None QUALITY IMPROVEMENT/RISK MANAGEMENT President Cousins reported that the Board thoroughly reviewed the quality data presented and there no action was taken. PUBLIC EMPLOYEE PERFORMANCE EVALUATION President Cousins reported that the Board discussed the evaluation of the Chief Executive Officer. Public Input - None 2015 Audit Presentation Jerrel Tucker, CPA from JWT & Associates, LLP reviewed the (draft) Audited Financial Statement for Audited Finance Statement for 2015 will be presented for approval at the June 29, 2016 meeting of the MCHD Board of Directors. Reports Medical Staff Report Received written /verbal report from. Daniel Harwood, MD, Chief of Staff and/or Donald Krouse, MD, Vice Chief of Staff on the Trinity Hospital Medical Staff. Chief Executive Officer Received written /verbal report from Aaron Rogers, CEO on the current operations of the hospital. Chief Financial Officer Received written /verbal report from Jon Marshall, CFO and Jennifer Van Matre, Director of Finance, on the current financial status and current status of revenue cycle management and accounts receivable. Chief Nursing Officer Received written/verbal report from Peggy Maiming, RN, CNO on the current status of the nursing departments.

3 Quality Improvement Received written/verbal report from Sarah Cordtz, RN, Coordinator, Q/RM on the current status of the Quality Program. The Board reviewed the data which included the Annual Critical Access Hospital Evaluation for Consent Agenda All matters listed under the Consent Agenda, are considered by the Board to be routine, and will be enacted by one motion in the form listed below. There will be no separate discussion of these items unless a request for discussion is made prior to the time the Board votes on the motion to approve. On Motion of Director Moore and seconded by Director Jungwirth approves the following consent items: a. Policies and Procedures - See Attached b. Minutes from April 17,2016 c. Minutes from May 10, 2016 Francis IVIoore Discussion Items a. Clinic The packet for the "Conditional Use Permit" has been submitted to the Trinity County Planning Department for approval at the July meeting of the Planning Commission. Need for more providers and space continues. Staff is trying to schedule patients as soon as possible and not turn anyone away. A new Physician's Assistant has been hired and will begin working around July 1. She will be working at both clinics. Both clinics continue to increase visits with increased providers. Hayfork Community Health Clinic will be having a barbecue for the community to introduce new providers and let the community know what services are offered. Telemedicine is almost ready to start scheduling patients. b. Tax Resolution Continuance of the parcel tax was discussed. Questions rose as to how the parcel tax is applied to mobile home parks and the IOOF property. The IOOF was charged as a group and at some point was changed to individual owners and is now being changed back to being charged as a group. Director Jungwith reported that she and Director Brasuell are researching how the tax was applied to the mobile home parks and the IOOF property.

4 Action Items a. Items removed from the Consent Agenda None b. Approve Authorization to Bind for the Small Rural Hospital Improvement Program On Motion of Director Jungwirth and seconded by Director Moore approves the Authorization to Bind for the Small Rural Hospital Improvement Program authorizing Aaron Rogers and Jennifer Van IVIatre to sign grant documents. Francis Moore c. Consulting Contract - Lew Edwards Group On Motion of Director Moore and seconded by Director Jungwirth approves the Contract with Lew Edward Group. Francis Moore Board Reports Director Moore reported that he attended the Quality Improvement Committee meeting. Close Public Session Closed Session The Board entered into closed session at 6:55 pm on the following: MEDICAL STAFF PRIVILEGES Government Code Section 54962; Health and Safety Code Section 1461 QUALITY IMPROVEMENT/RISK MANAGEMENT Government Code Section 54962: Health and Safety Code Section 32155

5 PUBLIC EMPLOYEE PERFORMANCE EVALUATION Government Code Section Public Employee Title: Chief Executive Officer The Board came out of Closed Session at 7:40 pm and immediately reconvened in Open Session. President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges. For each applicant the following information has been reviewed and/or verified: Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations. Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked. On motion of Director Moore seconded by Director Jungwirth approves the following appointments/reappointments and accepts the resignations upon the recommendation from the Medical Staff. Appointments/Reappointments: Waikeong Wong, MD Steven Lengle, MD Rodney Graver, DO Brett Williams, FNP Mary Baracco, CNM Provisional Staff Provisional Staff Consulting Staff Professional Staff Provisional Staff Specialty: Teleradiology Specialty: Teleradiology Specialty: Family Medicine Specialty: Family Medicine Specialty: Family Medicine Resignation Maureen Breese, FNP QUALITY IMPROVEMENT/RISK MANAGEMENT President Cousins reported that the Board thoroughly reviewed the quality data presented and there was no action was taken. PUBLIC EMPLOYEE PERFORMANCE EVALUATION President Cousins reported that the Board completed the evaluation of the Chief Executive Officer.

6 Adiourn: There being no further busiqpss, the meeting was adjourned at 7:50 p.m. Dero Forslund, feler/ofthe Board Mountain Communi'ties Healthcare District