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Board of Directors Meeting at 5:30PM on Monday February 25, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue}

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Board of Directors Meeting at 5:30PM on Monday February 25, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue} February 22, 2019 NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in an open Board of Directors meeting at 5:30PM on Monday February 25, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue}. The Board of Directors of the Kaweah Delta Health Care District will meet in a closed Board of Directors meeting at 5:31PM on Monday February 25, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue} pursuant to Government Code 54956.9(d)(2), Government Code 54956.8, and Health and Safety Code 32155, & Safety Code 1461. The Board of Directors of the Kaweah Delta Health Care District will meet in an open Board of Directors meeting at 6:00PM on Monday February 25, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue}. All Kaweah Delta Health Care District regular board meeting and committee meeting notices and agendas are posted 72 hours prior to meetings (special meetings are posted 24 hours prior to meetings) in the Kaweah Delta Medical Center, Mineral King Wing entry corridor between the Mineral King lobby and the Emergency Department waiting room. The disclosable public records related to agendas are available for public inspection at the Kaweah Delta Medical Center – Acequia Wing, Executive Offices (Administration Department) {1st floor}, 400 West Mineral King Avenue, Visalia, CA and on the Kaweah Delta Health Care District web page http://www.kaweahdelta.org. KAWEAH DELTA HEALTH CARE DISTRICT Nevin House, Secretary/Treasurer Cindy Moccio - Board Clerk / Executive Assistant to CEO DISTRIBUTION: Governing Board Legal Counsel Executive Team Chief of Staff www.kaweahdelta.org 400 West Mineral King Avenue · Visalia, CA · (559) 624 2000 · www.kaweahdelta.org KAWEAH DELTA HEALTH CARE DISTRICT BOARD OF DIRECTORS MEETING Kaweah Delta Medical Center {Blue Room} 400 West Mineral King Avenue, Visalia www.KaweahDelta.org Monday, February 25, 2019 OPEN MEETING AGENDA {5:30PM} 1. CALL TO ORDER 2. APPROVAL OF AGENDA 3. PUBLIC PARTICIPATION – Members of the public may comment on agenda items before action is taken and after the item has been discussed by the Board. Each speaker will be allowed five minutes. Members of the public wishing to address the Board concerning items not on the agenda and within the subject matter jurisdictions of the Board are requested to identify themselves at this time. 4. APPROVAL OF THE CLOSED AGENDA – 5:31PM 4.1. Credentialing - Medical Executive Committee (February 2019) requests that the appointment, reappointment and other credentialing activity regarding clinical privileges and staff membership recommended by the respective department chiefs, the credentials committee and the Medical Executive Committee be reviewed for approval pursuant to Health and Safety Code 1461 and 32155 - Harry Lively, MD, Chief of Staff 4.2. Conference with Legal Counsel – Anticipated Litigation – Significant exposure to litigation pursuant to Government Code 54956.9(d)(2) – 5 Cases - Dennis Lynch, Legal Counsel & Ben Cripps, Compliance Officer 4.3. Conference with Real Property Negotiator {Government Code Section 54956.8}: Property: APN 126-130-028, 126-130-029, and 126-130-012. Negotiating party: Kaweah Delta Health Care District: Deborah Volosin and Harvey May and Matt Graham – price and terms - Deborah Volosin, Director of Community Engagement and Marc Mertz, Vice President of Strategic Planning and Business Development 4.4. Approval of closed meeting minutes – January 28, 2019. 5. ADJOURN Monday February 25, 2019 Page 1 of 5 Herb Hawkins – Zone I Lynn Havard Mirviss – Zone II John Hipskind, MD – Zone III David Francis – Zone IV Nevin House – Zone V Board Member President Vice President Board Member Secretary/Treasurer CLOSED MEETING AGENDA {5:31PM} 1. CALL TO ORDER 2. CREDENTIALING - Medical Executive Committee (February 2019) requests that the appointment, reappointment and other credentialing activity regarding clinical privileges and staff membership recommended by the respective department chiefs, the credentials committee and the Medical Executive Committee be reviewed for approval pursuant to Health and Safety Code 1461 and 32155 Harry Lively, MD, Chief of Staff 3. CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATION – SIGNIFICANT EXPOSURE TO LITIGATION PURSUANT TO GOVERNMENT CODE 54956.9(D)(2) – 5 Cases Dennis Lynch, Legal Counsel & Ben Cripps, Compliance Officer 4. CONFERENCE WITH REAL PROPERTY NEGOTIATOR {GOVERNMENT CODE SECTION 54956.8}: Property: APN 126-130-028, 126-130-029, and 126-130-012. Negotiating party: Kaweah Delta Health Care District: Deborah Volosin and Harvey May and Matt Graham – price and terms Deborah Volosin, Director of Community Engagement and Marc Mertz, Vice President of Strategic Planning and Business Development 5. APPROVAL OF CLOSED MEETING MINUTES – January 28, 2019. Action Requested – Approval of the closed meeting minutes – January 28, 2019. 6. ADJOURN OPEN MEETING AGENDA {6:00PM} CALL TO ORDER 1. APPROVAL OF AGENDA 2. PUBLIC PARTICIPATION – Members of the public may comment on agenda items before action is taken and after the item has been discussed by the Board. Each speaker will be allowed five minutes. Members of the public wishing to address the Board concerning items not on the agenda and within the subject matter jurisdictions of the Board are requested to identify themselves at this time. 3. CLOSED SESSION ACTION TAKEN – Report on action(s) taken in closed session. 4. OPEN MINUTES – Request for approval of the January 28, 2019 Open Board of Directors meeting minutes. Action Requested – Approval of the open meeting minutes – January 28, 2019. Monday February 25, 2019 Page 2 of 5 Herb Hawkins – Zone I Lynn Havard Mirviss – Zone II John Hipskind, MD – Zone III David Francis – Zone IV Nevin House – Zone V Board Member President Vice President Board Member Secretary/Treasurer 5. RECOGNITIONS – John Hipskind, MD 5.1. Presentation of Resolution 2018 to Angie Pimentel, RN - Service Excellence Award – January 2019. 5.2. Presentation of Resolution 2019 to Andres Ramirez – Service Excellence Award – February 2019. 5.3. Presentation of Resolution 2020 to Peggy Escobedo, RN, Clinical Educator retiring from duty after twenty-two (22) years of service. 6. CONSENT CALENDAR - All matters under the Consent Calendar will be approved by one motion, unless a Board member request separate action on a specific item. 6.1. REPORTS A. Medical Staff Recruitment B. Compliance C. Sleep Disorders Center D. Oncology Services E. Endoscopy F. Respiratory Services 6.2. POLICIES A. ADMINISTRATIVE 1. Grants AP.148 Revised 2. Bridge Policy for Federal Grants and Awards Mgmt AP.179 New 3. Conflict of Interest AP.23 Revised 4. Messenger Model Guidelines for Managed Care Contracting for Physicians AP.164 Reviewed 5. Public Bidding on Construction Contracts AP.96 Reviewed 6. Competitive Bidding on Contracts AP.166 Reviewed B. EMERGENCY MANAGEMENT 1. Code Grey – Activation Plan DM2203 Revised C. ENVIRONMENT OF CARE 1. Property Acquisition EOC 1008 New 2. Monitoring of Temperature and Humidity Levels in Sensitive Areas Procedural/Sterile Rooms EOC 1021 Revised 3. Helipad Policy EOC 1050 Revised D. BOARD 1. Conflict of Interest BOD.5 Revised 6.3. RECOMMENDATION FROM THE MEDICAL EXECUTIVE COMMITTEE (FEB. 2019). A. Medical Staff Policies 1. Medical Staff Fees MS03 Revised B. Privileges in Gastroenterology Recommended Action: Approve the February 25, 2019 Consent Calendar. Monday February 25, 2019 Page 3 of 5 Herb Hawkins – Zone I Lynn Havard Mirviss – Zone II John Hipskind, MD – Zone III David Francis – Zone IV Nevin House – Zone V Board Member President Vice President Board Member Secretary/Treasurer 7. COMMUNITY ENGAGEMENT 7.1. Community Advisory Committee - Hospital of the Future – Progress report of committee activities. Bill Kitchen (Co-Chair) and Samantha Mendoza (Back-Up Co-Chair) 7.2. Community Engagement Initiatives - Report on the Kaweah Delta Community Engagement Initiative groups. Deborah Volosin, Director of Community Engagement 8. QUALITY 8.1. Fall Prevention - A review of current KDHCD fall rates and current activities for continuous improvement in fall prevention. Rose Newsom, RN, Director of Nursing Practice 9. STRATEGIC PLANNING 9.1. Strategic Plan 2019 – Review and approval request of the Strategic Plan for fiscal year 2019-2020. Marc Mertz, Vice President of Strategic Planning and Business Development Recommended Action: Approval of the Kaweah Delta Strategic Plan 2019-2020, new Mission Statement, new Vision, and retitling current Goals to “Pillars”. 10. PROJECTS UPDATE – Review of current construction projects throughout the District. Julieta Moncada, Facilities Planning Director 11. CREDENTIALING – Medical Executive Committee requests that the appointment, reappointment and other credentialing activity regarding clinical privileges and staff membership recommended by the respective department chiefs, the credentials committee and the Medical Executive Committee be reviewed for approval. Harry Lively, MD, Chief of Staff Recommended Action: Whereas a thorough review of all required information and supporting documentation necessary for the consideration of initial applications, reappointments, request for additional privileges, advance from provision al status and release from proctoring and resignations (pursuant to the Medical Staff bylaws) has been completed by the Directors of the clinical services, the Credentials Committee, and the
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