King County Public Hospital District No. 2 d/b/a EvergreenHealth Board of Commissioners' Meeting EvergreenHealth Medical Center, Kirkland, WA January 5, 2016 Study Session Minutes Comms. Present: Medical Staff Leadership: Others Present: Guests: Comms. DeYoung, Greenfield, Hirt, Kempf & Pilcher Bob Geise, MD; Jim O'Callaghan, MD Bob Malte; Greg Allen ; Steve Bradshaw; Laurene Burton; Maria Chong, MD; Jim Fitzgerald; Jeff Friedman; Nancee Hofmeister; Neil Johnson; Victor Kao; Tom Martin; Bob Sampson; Kay Taylor; Jeff Tomlin, MD; Chrissy Yamada None present PUBLIC MEETING and EXECUTIVE SESSION Comm. DeYoung called the January 5, 2016 Study Session Meeting of the Board of Commissioners of King County Public Hospital District No. 2 to order at 4:30 p.m. and announced that the Board would immediately adjourn into Executive Session to consider and discuss personnel matters. Comm. DeYoung further announced that the Executive Session would adjourn at approximately 5:30 p.m. and that the open Public Meeting would resume at approximately 5:35 p.m. after a short recess. The Executive Session commenced at 4:31 p.m. The Executive Session was concluded at 5:22 p.m., at which time a short recess was taken. Comm. DeYoung reconvened the Public Meeting, calling it to order at 5:30 p.m. and welcoming those present. Order of Business There were no additions to the agenda.
KCPHD #2 Board Meeting Minutes 1/5/2016 Page 2 of 5 PRESENTATIONS Board Quality Committee Report Jeff Tomlin, MD, congratulated Ors. Geise and O'Callaghan on their new roles as President and Vice-President of the Medical Staff, respectively, and then presented the Board Quality Committee ("BQC") Report, noting the following: He shared an example of quality metrics data pertaining to each Primary Care Provider in the EvergreenHealth Medical Group. This information will help develop standard work and improve quality. Recent reportable events and outcomes were shared. It was noted training has reinforced standard work and mock codes will continue to be done. The BQC Rounds review of ENI was a great presentation, demonstrating the growth of general neurology and the advantage the research program provides for our patients. The Performance Excellence Committee ("PEC") will transform into the Performance Assessment Committee ("PAC"), utilizing a different format and revised agenda. Dr. Tomlin asked Nancee Hofmeister to review the Quality Dashboard. She noted areas of success and areas of opportunity for improvement, commenting particularly on the CLABSI numbers and challenges faced. Hospital Compare data was cited, noting that EvergreenHealth compares very favorably in terms of cost per episodic care. DISCUSSION ITEMS FOR PROPOSED ACTION ON January 19, 2016 MRI Upgrade Request Jeff Friedman introduced Dr. Maria Chong, Medical Director of Diagnostic Imaging, and Steve Bradshaw, Supervisor, Diagnostic Imaging. Mr. Friedman and Dr. Chong presented a request for approval to purchase a Siemens TMI (Total Matrix Imaging) upgrade for the hospital's sole MRI unit. A TMI will enhance image quality and diagnostic capability, and should add 10 more years to the scanner's useful life. Following the presentation, Mr. Friedman and Dr. Chong answered questions from the Board.
KCPHD #2 Board Meeting Minutes 1/5/2016 Page 3 of 5 Evergreen Outpatient Electronic Medical Record 2016 Capital Budget Request Tom Martin presented a request for approval to continue implementation of the Electronic Medical Record ("EMR") system to support EvergreenHealth Outpatient clinics, the Hospital, and additional Primary Care Clinic operations. Mr. Martin noted that the physicians have seen the value of the tool and great progress has been made to date with implementation in twenty-four clinics. Orthopedic Surgery Practice Acquisition and Physician Employment Mr. Martin thanked Casey Morgan for his work on this request for approval to complete negotiations for the acquisition of Eastside Orthopedics and to commence with recruitment of an orthopedic hip and joint specialist. Under the proposed arrangement, the acquisition would include employment of orthopedic surgeons Bruce Rolfe, M.D., and Matthew Oseto, M.D., and primary care/sports medicine physician Bob Adams, D.O., for the provision of orthopedic surgery and sports medicine services within the EvergreenHealth Orthopedics and Sports Care practice. New Architect and Engineer Selection Policy Mr. Fitzgerald presented a policy for approval regarding the selection of architects and engineers for District construction projects. He commented that this policy strikes a proper balance between the Board knowing who's been selected and for management to select an architect early enough to ensure timeliness on a project. This policy was reviewed by the Board Planning and Construction and unanimously recommended for approval by the Board. Revision of Board Planning and Construction Committee Charger Mr. Fitzgerald presented an updated reorganized and streamlined Charter for the Board Planning & Construction Committee. This draft was reviewed by the Board Planning & Construction Committee and unanimously recommended for approval by the Board. This format will be used as a template for updating other Board Committee charters. Medical Staff Report Dr. Bob Geise, Medical Staff President, reported on and gave notice of the following: o Dr. Geise wished everyone a Happy New Year and shared that the new Medical Staff Officers had met and created goals for 2016, which include revising all privilege forms to meet the requirements of the new Medical Staff Bylaws and revision of the Policies & Procedures and Rules & Regulations. o An additional focus will be on provider health and wellbeing. In furtherance of that focus, the Medical Staff has
KCPHD #2 13oard Meeting Minutes 1/5/2016 Page 4 of 5 formed the Practitioner Peer Support Committee ("PPSC"), which is a provider wellness committee that w,ill focus on general health and well-being in addition to helping respond to crisis and abuse situations. It is hoped that by intervening before a crisis-stage, EvergreenHealth will continue to be a great place to work and get even better. CEO Report Bob Malte, CEO, reported on and gave notice of the following : o The 2016 Legislative Session is ramping up. Top priorities from both WSHA and the Legislature will be shared in the near future. o Ben Lindekugel, Executive Director of the AWPHD, requested that a representative from EvergreenHealth testify before a Legislative Work Committee regarding the Public Disclosure Act on January 1ih. Laurene Burton will be our representative and we appreciate her work on this. Adjourn The January 5, 2016 Meeting of the Board of Commissioners for King County Public Hospital District No. 2 was adjourned at 6:23 p.m. SUBMITTED: AIF. DeYoung, C ATTEST: retary/commissioner
KCPHD #2 Board Meeting Minutes 1/5/2016 Page 5 of 5 Rebecca D. Hirt, Commissioner Charles A. Pilcher, MD, Commissioner Approved as to content and form: J~s S. Fitzgeral.,