POSTED THURSDAY, JUNE 7, 2018 Monday, June 11, 2018 6:30 p.m. ` BOARD OF DIRECTOR'S MEETING 2nd LOCATION AGENDA 12093 Caminito Campana San Diego, CA 92128 Time Form A Page I. CALL TO ORDER 6:30 II. ESTABLISHMENT OF QUORUM 1 6:31 III. OPENING CEREMONY 3 6:34 A. Pledge of Allegiance IV. PUBLIC COMMENTS 1 15 6:49 V. ADMINISTRATIVE REPORT 5 6:54 A. Chair of the Board - Dara Czerwonka VI. OATH OF OFFICE - Administered by Blaise J. Jackson, Esq. 5 6:59 A. Dale Bardin VII. * MINUTES (ADD A) 3 7:02 A. Special Board of Director's Meeting - May 8, 2018 (Pp30-33) 1 B. Special Board of Director's Meeting - May 14, 2018 (Pp34-35) 2 C. Board of Director's Meeting - May 14, 2018 (Pp36-48) 3 D. Special Board of Director's Meeting - May 23, 2018 (Pp49-51) 4 E. Special Board of Director's Meeting - May 29, 2018 (Pp52-55) 5 VIII. * APPROVAL OF AGENDA to accept the Consent Items as listed (ADD B) 3 7:05 A. Approval of Revolving, Patient Refund & Payroll Fund Disbursements April, 2018 (P57) 1. Accounts Payable Invoices $56,642,317.00 2. Net Payroll $15,666,178.00 Total $72,308,495.00 B. April 2018 & YTD FY2018 Financial Report (Pp58-81) 6 C. Summary of Executed Budgeted Routine Physician Agreements (Pp82-83) IX. QUALITY AND SAFETY (verbal) 5 7:10 X. PLEASE TURN OFF CELL PHONES OR SET TO SILENT MODE UPON ENTERING MEETING ROOM Chief Quality Officer Dr. Jerry Kolins District Director Quality, Patient Safety and Infection Control Valerie Martinez PRESENTATIONS (ADD C) A. Quality Update - Chief Quality Officer Dr. Jerry Kolins (verbal) B. Kindred Rehabilitation Hospital - Chief Opearations Officer Sheila Brown (Pp85-91) C. Labor Relations Discussion - Palomar Health Board Chair Dara Czerwonka (verbal) XI. REPORTS (ADD D) Target 10 7:20 10 7 7:30 10 7:40 A. Medical Staffs *1. Palomar Medical Center Escondido - Franklin Martin, M.D. 10 7:50 i. Credentialing and Reappointments (Pp93-104) 8 ii. Modification of the Medical Staff Bylaws Palomar Medical Center Escondido (Redline version Pp105-179 Clean version Pp180-253 ) 9 iii. iv. Modification of the Department of Medicine Rules and Regulations Palomar Medical Center Escondido (Redline version Pp254-268 Clean version Pp269-280) Modification of the Department of OB/GYN Rules and Regulations Palomar Medical Center Escondido (Redline version Pp281-299 Clean version Pp300-315 ) 10 11
XII. A. Medical Staffs (cont'd.) v. vi. vii. viii. ix. x. xi. Time Form A Page xii. Modification of the Neurology Clinical Privilege Checklist Palomar Medical Center 19 Escondido (Redline version Pp374-378 Clean version Pp379-383) *2. Palomar Medical Center Poway - Charles Callery, M.D. 5 7:55 i. Credentialing and Reappointments (Pp384-385) 20 Modification of the Medical Staff Bylaws Palomar Medical Center Poway 21 ii. (Redline version Pp386-458 Clean version Pp459-529) B. Administrative 1. Chair of the Palomar Health Foundation - Ginger Larson 5 8:00 2. President and CEO - Diane Hansen 5 8:05 i. CDPH / CMS Update 5 8:10 INFORMATION ITEMS A. ACHD Update Report for March 2018 (to be forwarded under separate cover) 2 8:12 XIII. * APPROVAL OF BYLAWS, CHARTERS, POLICIES, RESOLUTIONS 15 8:17 Item Modification of the Wound Care Nurse Practitioner Clinical Privilege Checklist Palomar Medical Center Escondido / Palomar Medical Center Poway - New (Pp316-319 ) Modification of the Physician Assistant Clinical Privileges - Acute Care Palomar Medical Center Escondido / Palomar Medical Center Poway (Redline version Pp320-323 Clean version Pp324-327) Modification of the Physician Assistant Clinical Privileges Cardiothoracic Surgery (Redline version Pp328-331 Clean version Pp332-335) Modification of the Physician Assistant Clinical Privileges Corporate Health (Redline version Pp336-339 Clean version Pp340-343) Modification of the Physician Assistant Clinical Privileges Emergency Medicine (Redline version Pp344-348 Clean version Pp349-353) Modification of the Physician Assistant Clinical Privileges Orthopaedic Surgery (Redline version Pp354-358 Clean version Pp359-363) Modification of the Physician Assistant Clinical Privileges Surgery, OB/GYN, Urology (Redline version Pp364-368 Clean version Pp369-373) (ADD E) A. Resolution No. 06.11.18(14)-01 Resolution of the Board of Directors of Palomar Health Authorizing Dissolution of the Corporate Entity Known as Palomar Pomerado Insurance Administrators (Pp531-532) B. Resolution No. 06.11.18(15)-02 Resolution of the Board of Directors of Palomar Health Authorizing the Temporary Consolidation of the Finance Committee and Strategic and Facilities Planning Committee and Setting the Time and Place of Meetings for the Consolidated Committee (P533-534) C. Lucidoc Policy 21794 - Revisions of Policies (Redline version Pp535-537 Clean Version Pp(538-540) D. Lucidoc Policy 44692 - Physician Owned Medical Device (POD) Company Arrangements (Redline version Pp541-542 Clean Version Pp543-544) E. Lucidoc Policy 20630 - Access by Board to District Records (Redline version Pp545-547 Clean Version Pp548-550) F. Lucidoc Policy 21785 - Recording of Governing Board Meetings (Pp551-553) Board Committee Action 12 13 14 15 16 17 18 Management 22 Board of Directors 23 24 Target
XIII. * APPROVAL OF BYLAWS, CHARTERS, POLICIES, RESOLUTIONS Time Form A Target Page (cont'd.) G. Lucidoc Policy 21792 Cost of Board Packets (Pp554-556) H. Lucidoc Policy 21801 Organizational Bylaws (Pp557-559) I. Lucidoc Policy 26973 (Pp560-561) J. Review of Board Community Relations Section of Palomar Health Bylaws (Redline version Pp562-563 Clean Version Pp564-565 ) K. Review of Board Audit & Compliance Committee Section of Palomar Health Bylaws (Redline version Pp566-567 Clean Version Pp568-569) L. 2018 Infection Prevention and Control Risk Assessment and Plan (Redline version Pp570-587 Clean Version Pp588-605) Community Relations Audit and Compliance Quality Review XIV. COMMITTEE REPORTS (ADD F) 10 8:27 A. Audit & Compliance Committee - Ray McCune, Committee Chair (Pp607-608) B. Community Relations Committee - Dara Czerwonka, Committee Chair (P609) C. Finance Committee - Jerry Kaufman, Committee Chair (P610-613) 1. May 2018 Financial Update 10 8:37 D. Committee - Jeff Griffith, Committee Chair (Pp614-616) E. Human Resources Committee - Hans Sison, Committee Chair (no meeting in May) F. Quality Review Committee - Doug Moir, Committee Chair (to be forwarded under separate cover) G. Strategic & Facilities Planning Committee - Doug Moir, Committee Chair (no meeting in May) XV. ADJOURNMENT TO EXECUTIVE SESSION 30 9:07 A. Pursuant to California Government Code Subdivision (a) of Section 54956.9 - Conference with Legal Counsel Potential Litigation B. Pursuant to Health and Safety Code Section 32155 - Report of Hospital Medical Audit/Quality C. Assurance Conference with Real Property Negotiator Pursuant to Gov t Code 54956.8 Under Negotiation: Sale of Public Property to include Price and Terms Property - Palomar Medical Center Downtown Escondido Negotiator on behalf of Agency - Diane Hansen, President & CEO Palomar Health XVI. RE-ADJOURNMENT TO OPEN SESSION 1 9:08 XVII. ACTION RESULTING FROM EXECUTIVE SESSION DISCUSSION-IF ANY 3 9:11 XVIII. BOARD MEMBER COMMENTS / AGENDA ITEMS FOR NEXT MONTH 3 9:14 XIX. PUBLIC COMMENTS 1 15 9:29 XX. FINAL ADJOURNMENT 1 9:30 25 26 27 28 1 5 minutes allowed per speaker with a cumulative total of 15 minutes per group. For further details & policy, see Request for Public Comment notices available in meeting room. "In accordance with the ADA (Americans with Disabilities Act) please notify us at 760-740-6375 48 hours prior to the meeting so we may provide reasonable accommodations"