King County Public Hospital District No. 2 EvergreenHealth ... · 3/20/2018 · • LINQ at Spencer Square-Kenmore Tenant Improvement o Orion Construction, Inc. $ 31,433.85 • EHMC-Silver

Comms. Present:

Medical Staff Leadership:

Others Present:

Guests:

PUBLIC MEETING and EXECUTIVE SESSION

Order of Business

King County Public Hospital District No. 2 d/b/a EvergreenHealth

Board of Commissioners' Meeting EvergreenHealth Medical Center, Kirkland, WA

March 20, 2018 Minutes

Comms. DeYoung, Butler, Greenfield, Hirt, McLaughlin, Pilcher and Snyder

Jim O'Callaghan, MD; Sean Kincaid, MD

Bob Malte; Laurene Burton; Todd Buxton; Jenny Dreyfuss; Jim Fitzgerald; Jeff Friedman; Nancee Hofmeister; Renee Jensen; Tom Martin; Aileen Mickey, MD; Tina Mycroft; Dan Perry; Kae Peterson; Meg Powers; Carolyn Reeves; Bob Sampson; Kay Taylor, Jeff Tomlin, MD; Blake Vintertun

Fred Eoff; Elling and Barbara Halvorson, Kent Halvorson, Lon and Colleen Halvorson, Randy Halvorson, Queenie Bactad

Comm. DeYoung called the March 20, 2018 Regular Public Meeting of the Board of Commissioners of King County Public Hospital District No. 2 to order at 5:00 p.m. and announced that the Board would immediately adjourn into Executive Session to consider and discuss medical staff privileges, personnel, litigation, and quality matters. Comm. DeYoung further announced that the Executive Session would adjourn at approximately 6:30 p.m. and that the open Public Meeting would resume at approximately 6:35 p.m.

The Executive Session commenced at 5:01 p.m. The Executive Session was concluded at 6:28 p.m., at which time a short recess was taken.

Comm. DeYoung reconvened the Public Meeting, calling it to order at 6:38 p.m. and welcoming those present.

Comm. DeYoung noted that Action Item 6 was deleted and an additional action item related to a claim settlement was added.

KCPHD #2 Board Meeting Minutes 3/20/2018 page 2 of 17

Public Comment

ACTION ITEM AND PRESENTATION

2017 Community Service Award

There were no members of the public present that wished to provide comment at this time.

Comm. DeYoung noted that each year the Board of Commissioners ' endeavors to select and present the EvergreenHealth Community

Service Award to one or more deserving recipients. He stated that this year he was honored to announce that the Board selected the Halvorson Family as the well-deserved recipients. Comm. DeYoung welcomed The Halvorson Family.

Comm. DeYoung then read aloud Resolution No. 888-18, bestowing the 2017 EvergreenHealth Community Service Award to The Halvorson Family.

Comm. Greenfield made a motion to approve Resolution No. 888-18.

Comm. Hirt seconded the motion.

The motion to approve Resolution No. 888-18 carried unanimously.

Following the approval of the Resolution, Kae Peterson thanked the Halvorson Family for their many contributions to the Foundation. The Commissioners and Mr. Malte then took the opportunity to thank the Halvorson Family for all they had done to support EvergreenHealth and the community, including, but not limited to, the nondenominational chapel, the Cancer Center, and the Parkinson's Center.

Elling Halvorson, on behalf of the entire Halvorson Family, stated that it has been a pleasure supporting EvergreenHealth and the entire family is humbled and honored to receive this award.

The meeting paused for a short celebration and dessert reception.


ACTION ITEMS

MINUTES Regular Board Meeting of February 20, 2018, Study Session of March 6, 2018 and Leadership Educational of March 9, 2018

Consent Agenda

Comm. Butler made a motion to approve the meeting minutes for the Regular Board meeting of February 20, 2018, Study Session of March 6 1 2018 and Leadership Educational of March 9, 2018.

Comm. Pilcher seconded the motion.

The motion carried unanimously.

Comm. Greenfield made a motion to approve the Consent Agenda.

The Consent Agenda included:

A) Voucher No. 551, February 2018, totaling $51,956,419 (Exhibit B).

B) Contractor Pay Requests

• EvergreenHealth DYP-MSK Ortho Tenant Improvement o Lydia Construction $ 15,324.96

• LINQ at Spencer Square-Kenmore Tenant Improvement o Orion Construction, Inc. $ 31,433.85

• EHMC-Silver Level P1 Admin & Level 1 Cont. Room o Regency NW Construction, Inc. $ 37,795.80

Total Contractor Pay Requests: $ 84,554.61

C) Acceptance of completion of work for MSK Ortho Tenant Improvement by Lydig Construction, Inc.

D) Acceptance of completion of work for Silver Level P1 Admin & Level Conference Rooms (Cath/lR Phase 1) by Regency NW Construction, Inc.

E) Disposal of Surplus Equipment (as identified in Exhibit C)

Comm. McLaughlin seconded the motion.

The motion carried unanimouslV:


Annual Environment of Care Report Approval

2018 Organizational Dashboard

2018 Organizational Objectives

Settlement of Claim

Comm. Greenfield made a motion to approve the EvergreenHealth Annual Environment of Care Report as submitted.

Comm. Butler seconded the motion.


Noting this was Todd Buxton's final report to the Board since he will be retiring at the end of the month. the Board recognized Mr. Buxton for his many contributions to EvergreenHealth and thanked him for his dedicated service. Mr. Buxton, in turn, thanked the Board for a 30 wonderful years of employment and stated that it has been an honor to work here.

Comm. Pilcher made a motion to approve the EvergreenHealth 2018 Organizational Dashboard as submitted.

Comm. Hirt seconded the motion.


Comm. Snyder made a motion to approve the 2018 Organizational Objectives as submitted.

Comm. Greenfield seconded the motion.


Comm. Greenfield moved to delegate the authority to the CEO, or his designee, to settle the claim of MRN 01493531 for a sum within the Self-Insured Retention as proposed and resolved in mediation.




Approval of MFP Plan Phase 2 and Planning Authorization for April 2019 Bond Issue

Approval of Design and Construction Document Phase Front-Funding Request

Comm. Snyder made a motion to authorize and direct the CEO or his designees to proceed with planning for Phase 2 of the Master Facilities Plan and in connection therewith, to plan for a proposed UTGO Bond Issue to be placed on the ballot in April 2019 in an amount up to $275 million and to take all necessary steps in planning for the proposed projects.



Comm. Butler made a motion to authorize the CEO or his designees to fund continued Master Facility Plan Phase 2 planning in an amount not to exceed $9,217,502 in 2018 and $6,227,316 in 2019, the source of which shall be Board Designated Assets, all to be reimbursed out of a planned 2019 UTGO Bond Issue if approved by the voters in April 2019 - such reimbursement to be pursuant to Resolution No. 887-18.



Resolution No. 887-18 Comm. Hirt made a motion to approve Resolution No. 887-18: - 2018 Bond Reimbursement Resolution

A resolution of King County Public Hospital District No. 2. King County, Washington, Declaring its official intent to reimburse capital expenditures from proceed of a future borrowing in connection with acquiring. constructing. and equipping certain Proiects as defined herein for the purpose of supporting the operation of the District's health care facilities.




Approval of GC/CM for Green/Purple Seismic & Infrastructure Project

Medical Staff: New Appointments, Reappointments and Status Changes

DISCUSSION ITEMS

Rolling Agenda: April, May and June 2018

Medical Staff Report

Executive Team Reports

Comm. Greenfield made a motion to authorize the CEO or his designees to: ( 1) accept the GC/CM proposal of Lease Crutcher Lewis to be designated as the GC/CM for the pre-construction phase of the Green/Purple Seismic & Infrastructure Project ("Project"); (2) negotiate and sign a pre-construction contract with Lease Crutcher Lewis in an amount not to exceed $1.2 million for Project preconstruction services: (3) onboard Lease Crutcher Lewis for the preconstruction phase with the existing design team: and (4) review and approve all pay requests and change orders in conformity with the Project budget.



Comm. Hirt made a motion to approve the New Appointments, Reappointments, Status Changes, and Privileges pertaining to the EvergreenHealth Medical Center Medical Staff and AHPs as presented and stated in Exhibit D.

Comm. Pilcher seconded the motion.


Ms. Burton presented the rolling agenda for the months of April, May and June 2018, noting the Educational in April would focus on capital priorities for EvergreenHealth Monroe.

There was no additional report at this time.

Executive Team members reported on and gave notice of the following:

o Jeff Friedman, Senior VP, Hospital & Medical Group Operations

• The Medical Group is in the process of recruiting for a Signature Care physician due to the retirement of Dr. Kristen Knox.


Executive Team Reports, cont.

o Renee Jensen, CAO, EvergreenHealth Monroe ("EHM") • Ms. Jensen is looking forward to the Board Educational

on April 13th that will focus on EHM's capital plan and future possibilities.

• EHM is working on achieving a Level 3 trauma designation of its emergency department.

• There is a high level of community engagement occurring, which is exciting. The City Council recently met with the District Board Chair to discuss ways of supporting the hospital and these connections have been very, very positive.

• Members of senior leadership at EHM are planning a site visit with CHI to review its OB program and how a similar OB model might apply at EHM.

• Two excellent physicians have been hired: Dr. Teresa Jackson will join the Recovery Center as an Addiction Specialist and Dr. Joel Weber will be joining as an orthopedic surgeon. Ms. Jensen expressed appreciation for the tremendous work required to accomplish these hires.

o Kay Taylor, Senior VP, Marketing, Communication and Patient Experience

• Ms. Taylor thanked Ms. Jensen for her assistance with the City of Monroe for approving signage changes.

• Two Healthgrades awards acknowledging absolute safety and service were shared.

o Jeff Tomlin, MD, CMO • Dr. Tomlin commended Don Briggs for leading the

Pharmacy upgrade. It was a seamless transition and allows us to better serve our customers. Congratulations to the entire team for this great work.

o Aileen Mickey, MD, EHMC3 CMO • Dr. Mickey reported that she and Ms. Taylor have

conducted several listening sessions regarding the wellness and burnout survey. These have been very fruitful in terms of feedback.

• Dr. Mickey recently attending a conference and was reassured by the content that we are on the right track for future planning.


Executive Team Reports,cont.

CEO Update

o Tina Mycroft, Senior VP and Chief Financial Officer • February results show a positive variance for EHM.

EvergreenHealth experienced a Net Operating Income (NOi) loss, however had strong volumes overall. The revenue variance experienced is not expected to be a recurring trend.

• Medi-Revv, the new billing service, has gone live and it has been a positive transition.

o Nancee Hofmeister, Senior VP & Chief Nursing Officer • Evergreen Health was just named "Favorite Hospital" by

425 Magazine. • Ms. Hofmeister thanked the Board for approving Phase

2 of the Master Facility Plan, noting the hospital has been very busy and overflow beds have been opened to accommodate adults.

• The trend in lower numbers of deliveries in the Family Maternity Center is projected to reverse over the next 6 months.

o Bob Sampson, Senior VP, Human Resources • Mr. Sampson reported that the Fair Chance Act was

recently enacted, a law designed to give people a second chance by eliminating the requirement to disclose certain crimes. Some businesses are exempt, however, from this act and EvergreenHealth will continue to request answers to these questions as a matter of patient and staff safety.

o Tom Martin, Senior VP and Chief Strategy Officer • Open Notes, the outpatient notes program in the Patient

Portal, will go live in April. • Conversations with Western Washington Medical

Group may provide helpful resources for patients. • Mr. Martin, Ms. Jensen, Ors. Handley and Larrabee

recently visited the Snohomish Family Group to learn more about available resources.

Bob Malte, CEO, reported on and gave notice of the following:

• Mr. Malte thanked the Board for its support of the Master Facility Plan Phase 2, which is a bold and visionary step. He thanked all those that had worked on bringing it forward, noting


CEO Update, cont.

Commissioner Reports

the immense amount of work it takes. • Mr. Malte expressed his pride in the entire team. He

acknowledged Dr. Mickey's tenacity, noting she has mastered the art of asking "why" a sufficient number of times, which has led to some breakthroughs.

• Mr. Malte noted that he would be away for a few days on a mini-spring break with his family.

Comm. McLaughlin attended his first Employee Recognition Event and believes the employees felt valued and recognized for their service. Particularly impressive were the videos of long-term employees and the love they have for EvergreenHealth was very evident.

Comm. Pilcher commented the Board Quality rounds at Lakeshore Totem Lake was one of the best BQC experiences in the last six years, noting the clinic is a well-oiled machine in terms of quality. He expressed that he is honored be a representative of the Board on that Committee. He also noted that he will miss the April 3 Study Session due to a service project out of the country.

Comm. Hirt noted that physical therapy appointment registration has room for improvement.

Comm. Greenfield recently experienced several specialty services, noting it has been nice getting to know the staff. She continues to advocate for a single electronic medical record.

Comm. Butler commented that she views her role on the Board as having at least two parts - first, the governing aspects, and second, "connecting the dots" within the community or health care industry. Recently a friend shared that a family member visiting from India ended up in the Evergreen Health ER due to a medical emergency and they were very grateful for the care and to have purchased travel insurance to cover the health care expenses.

Comm. Butler also noted that she has attended several presentations recently, including one related to cyber security. She offered kudos to the entire IT team and Richard Meeks for their focus on phishing and caution to the staff regarding external emails. In addition, she learned about genetic testing being used for managing patient care and the City of Redmond's recent seismic retrofit. This information confirms what a fascinating industry is healthcare, and it is moving faster each

KCPHD #2 Board Meeting Minutes 3/20/2018

Commissioner Reports, cont.

and every day. It is exciting to be a part of it.

page 10 of 17

Adjourn The March 20, 2018 Meeting of the Board of Commissioners for King County Public Hospital District No. 2 was adjourned at 8:25 p.m.

SUBMITTED:

er

ATTEST:

Minerva Butler, Secretary/Commissioner

/

Rebecca D. Hirt, Commissioner

v''{_~~~ Timothy L. Mclaug~ , Commissioner


Charles A. Pilcher, MD, Commissioner

Approved as to content and form:


Exhibit A - Guests

Name Residence Fred Eoff Seattle EllinQ and Barbara Halvorson Woodinville Randy Halvorson Woodinville Queenie Bactad Woodinville Lon and Colleen Halvorson Kirkland Kent Halvorson Redmond

KCPHD #2 Board Meeting Minutes 3/20/2018

Exhibit B - Monthly Voucher Summary

KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 d/b/a EVERGREEN HEAL TH VOUCHER SUMMARY #551 February 2018

PATIENT & INSURANCE REFUNDS

ACCOUNTS PAYABLE -Warrants/Refunds*

ACCOUNTS PAYABLE -Wire Transfers

RISK MANAGEMENT CLAIMS - Wire Transfers "'*

WORKERS COMPENSATION CLAIMS

FIRST CHOICE PPO CLAIMS

PAYROLL -Warrants

PAYROLL - Direct Deposit

PAYROLL TAXES

B & OTAXES

page 13 of 17

6-MONTH ROLLING

CURRENT MONTH AVERAGE

$574,931 $479,310

$17,431,635 $19,494,077

$4,529,567 $4,980,811

$0 $38,887

$100,842 $144,376

$1,871,872 $1,651,700

$169,119 $255,249

$18,906,558 $20,111,708

$7,755,861 $8,330,643

$616,035 $627,825

$51,956,419 $56,114,587


Exhibit C - Surplus Equipment

---, DES~CRl'PTION QTY/ L©CA;rtON MODEL# Comments , __

-- --Gastroscooe Olvmous 1 2 Silver GIFITQ160 Sell /Donate Blanket Warmer 1 Surplus Castle 5524 Scrap Micro Analyzer 1 Surplus EVOLIS Sell/Donate

I CPAP Unit 1 2 Silver Spirt Recycle SplintinQ Pan 1 QPR I PR-1502 Recycle EKG Machine 2 2 Silver 6100 Sell FMV


Exhibit D - Medical Staff/AHP Appointments/Reappointments/Scope of Practice

EvergreenHealth Medical Center March 20, 2018

I

ilNITIAL APPOINTMENTS: The following individuals are approved for appointment to the Provisional iMedical Staff or as Allied Health Professionals with the privileges as delineated in their credentials files· ! NAME SPECIALTY DEPT STATUS APPNT PERIOD

i l Allied Health 03/20/18 - 02/28/20 ! Daisa, Nicole M., ARNP Hand Surgery Surgery Dept

Allied Health 03/20/18 - 02/28/20 Escalera, Miguel A., PA-C Orthopedics Surgery Dept

I Perkinson, Kathryn L., RNFA Bariatrics Surgery Dept Allied Health 03/20/18 - 02/28/20

j DELEGATED CREDENTIALING: The following individuals are added to delegated credentialing only. , They are not new applicants nor are they up for reappointment.

NAME SPECIALTY DEPT STATUS

I None

REAPPOINTMENTS: The following individuals are approved for reappointment to the Medical Staff or as Allied Health Professionals with the privileges as delineated in their credentials files:

NAME SPECIALTY DEPT STATUS REAPPNT PERIOD · Anderheggen-Leif, Lise D., Hospice PC AHP 03/20/18 - 02/28/2020

ARNP Cannell, Erica, MD Pediatrics PC Active 03/20/18 - 02/28/2020

Codsi, Michael, MD Orthopedics Surgery Active 03/20/18 - 02/28/2020

Gong, Bonnie, MD OB/GYN W&C Active 03/20/18 - 02/28/2020

Hardie, Derek, PA-C Orthopedics Surgery AHP 03/20/18 - 02/28/2020

Harris, Eric, MD Bariatrics Surgery Active 03/20/18 - 02/28/2020

Huhdanpaa, Hannu T., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Joh, Jung H., MD Nephrology Medicine Dept Active I 03120118 - 0212312020

Keylock, Joren 8., MD Anatomic/Clinical Hospital Medicine Active 03/20/18 - 02/28/2020 Pathology Dept

Krishnananthan, Ruben, MD Diagnostic Radiology Hospital Medicine Active I 03/20/18 - 02/28/2020 Dept

Lamba, Rajneet S., MD Adult Hospitalist Hospital Medicine Active I 03120118 - 0212812020 Dept

Lowe, Philip E., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Matsuno, Pia, MD Pediatrics I PC Active 03/20/18 - 02/28/2020

Matthies, Rich J., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Michalak, Victor R., MD Dermatology Medicine Dept Courtesy 03/20/18 - 02/28/2020

i

i !

!

I I I i

! i

I I I


Milam, Phillip E., MD Family Medicine I PC Active 03/20/18 - 02/28/2020

Mitra, Srobana, MD Family Medicine PC Active 03/20/18 - 02/28/2020

Newman, Mark, MD Anesthesiology Surgery Active . 03/20/18 - 02/28/2020

Norwood, Thomas J., AUD Audiology PC AHP 03/20/18 - 02/28/2020 I I

Osnis, Robert B., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Pacem, Colleen M., ARNP Family Medicine PC AHP 03/20/18 - 02/28/2020

Palazzo, Ettore G., MD Adult Hospitalist Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Park, Raymond D., MD Neurology Medicine Dept Active 03/20/18 - 02/28/2020

Pheifer, Terrence, MD OB/GYN W&C Active 03/20/18 - 02/28/2020

Pierre-Jerome, Frantz, MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Ponce De Souza, Yolanda, MD Neonatology W&C Active 03/20/18 - 02/28/2020

Prow, Harold W., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 I Dept

Remington, Jared W., MD Adult Hospitalist Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Ritchie, William, MD Anesthesiology Surgery Active 03/20/18 - 02/28/2020

Santoro, Vincent, MD Orthopedics Surgery Active 03/20/18 - 12/31/2018

Schiebel, Steven, MD Pediatrics PC Active 03/20/18 - 02/28/2020

Stowe, David G., PA-C Emergency Medicine Hospital Medicine AHP 03/20/18 - 02/28/2020 Dept

Strayer, John M., MD Emergency Medicine Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Swenson, James, MD Orthopedics Surgery Active 03/20/18 - 02/28/2020

Thakkar, Anshita, DPM Podiatry Surgery Courtesy 03/20/18 - 02/28/2020

Trask, William, DO Anesthesiology Surgery Active 03/20/18 - 02/28/2020

Walker, Martin, MD MFM W&C Active 03/20/18 - 02/28/2020

Watanabe, Suzan, ARNP Gynecology W&C AHP 03/20/18 - 02/28/2020

Wechkin, Hope A., MD Palliative Care PC Active 03/20/18 - 02/28/2020

Weeks, Diana, MD Anesthesiology Surgery Active 03/20/18 - 02/28/2020 i i

i Young, Julie A., ARNP Cardiology Medicine Dept AHP 03/20/18 - 02/28/2020 I

Vounggren, Bradley N., MD Emergency Medicine Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

Zobel, Mark S., MD Diagnostic Radiology Hospital Medicine Active 03/20/18 - 02/28/2020 Dept

REQUESTS FOR CHANGE OF STATUS: The following practitioners are approved for a change in status as I noted in their credentials files: ,

I NAME SPECIALTY DEPT STATUS I I Taggart, James, MD General Surgery Surgery Active


RESIGNATIONS: The following resignations from the Medical Staff or as AHPs are accepted and ,approved:

NAME SPECIALTY DEPT STATUS

Jacobson, Louis, MD Pain Medicine Surgery Active

Jennings, Therese, MD Neonatology PC Active

Klachkovich, Olga, PA-C Neurosurgery Surgery AHP

Martinez, Shay M., MD Adult Hospitalist Hospital Medicine Active

I Dept Percelay, Jack, MD Pediatric Hospitalist PC Active l

Velamoor, Gautam, MD Thoracic Surgery Surgery Courtesy I

DELEGATED CREDENTIALING RESIGNATIONS: The following delegated credentialing resignations from the Medical Staff or as AHPs are accepted and approved:

NAME SPECIALTY DEPT STATUS None

Documents

King County Public Hospital District No. 2 EvergreenHealth ... · 3/20/2018 · • LINQ at Spencer Square-Kenmore Tenant Improvement o Orion Construction, Inc. $ 31,433.85 • EHMC-Silver