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Guam Memorial Hospital Authority Aturidat Espetat Mimuriat Guahan 850 Go\, C,Arfos CJ

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Guam Memorial Hospital Authority Aturidat Espetat Mimuriat Guahan 850 Go\, C,Arfos CJ Guam Memorial Hospital Authority Aturidat Espetat Mimuriat Guahan 850 Go\, C,arfos CJ. ('a1nachn Road rfarnuning, CilJ 96913 Phone: (671) 047-23.i0/2444 I Fax: (671) 649-0145 October 19. 2015 Honorable Judith T. Won Pat. Ed.D. S/;eaker r~ll A1inarreruai T'res jVa l,ihcslaturan (;udhan 155 Hesler Place Hagiitfia. GU 96910 RE: REPORTING REQUIREMENTS FOR BOARDS AND COMMISSIONS Dear Speaker Won Pat: In accordance with Ch .8 of Title 5 GCA, Section 38, §8113. l. Reporting Requirements for Boards and Conunissions. enclosed is a cornpact disc containing electronic copies of aH n1ateriaJs presented and discussed during the GMHA Board of Trustees meeting held on September 24, 2015 at 6:00 p.m. in the GMHA D.L Webb Conference Room. Please contact me directly at 647-2 l 04 if you have any questions. Senserarnente, Theo M _Pangelinan Administrative Assistant - Board Office cc: Hospital Administrator/CEO File 0970 GUAM MEMORIAL HOSPITAL AUTHORITY Board of Trustees Regular Meeting AGENDA Thursday, September 24, 2015 | 6:00 p.m. D. L. Webb Conference Room I. Call meeting to order and determination of quorum II. Medical Staff President’s report III. Executive Session IV. Approval of regular session minutes A. July 30, 2015 V. Board Sub-committee reports A. Human Resources 1. Res. 15-74 through 15-79 Relative to Retirements 2. Res. 15-80 Relative to Commending Dr. Walter Chris Perez 3. Res. 15-81 Relative to Commending Dr. Debra Ericson B. Joint Conference and Professional Affairs 1. Res. 15-66 & 71 Relative to Appointments/Reappointments C. Facilities, Capital Improvement Projects, and Information Technology 1. Res. 15-65 Relative to Complying with PL 32-179 & 32-204 in Order to Effectively Complete GMHA’s Family Birth Center Renovation Project 2. Facility Master Plan: “Designing & Building the Best Guam Hospital” D. Governance, Bylaws, and Strategic Planning E. Quality and Safety 1. Performance Improvement Dashboard – Month 2 (CY-2015, 2Q) 2. Skilled Nursing Unit (CY-2015, 2Q) 3. EEO Report (CY-2015, 2Q) F. Finance and Audit 1. Res. 15-72 Relative to the Consent to Adjust Hospital Rates to Reflect Current Year Medicare Reimbursements Under PL 26-66 2. Res. 15-73 Relative to the Approval of Fourteen (14) New Fees 3. Financials: August 2015 VI. Administrators’ reports A. Associate Administrator of Medical services B. Chief Financial Officer C. Hospital Administrator/CEO VII. Old Business VIII. New Business IX. Public Comment X. Adjourn Board Members: Lee Webber – Chairman | Frances Mantanona – Vice-chairperson | Dr. Edna Santos – Secretary | Rose Grino, RN – Treasurer | Dr. Ricardo Terlaje – Trustee | Valentino Perez – Trustee | Evelyna Akimoto – Ex-officio Member Leadership: Theodore Lewis, MBA – Interim CEO | Zennia Pecina, RN – Assistant Administrator of Nursing Services | Florencio Lizama, MD – Medical Director | Benita Manglona – Chief Financial Officer | Dr. Hoa Nguyen – Medical Staff President | Danielle Manglona, RN – Compliance Officer Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 Doc. No. 33GL-15-0970 GUAM MEMORIAL HOSPITAL AUTHORITY “Designing & Building the Best Guam Hospital” A Facility Master Plan (September of 2015) Organizational Background The Guam Memorial Hospital, a component of the Government of Guam (GovGuam), a government entity created on July 26, 1977 under Public Law No. 14-29 as an autonomous agency of GovGuam. Preceding the creation of the Guam Memorial Hospital Authority (GMHA), the United States Government provided free hospital and health care services to the people of Guam. At the turn of the 20th century, the United States took formal possession of Guam with the United States Naval forces assuming responsibility for the island’s health needs. Post World War II, responsibility to provide for the island’s health care needs was assumed by the Government of Guam’s Department of Public Health and Welfare with the donation of the first hospital facility. In 1977, GMHA was created as a public corporation administered under the governance of a Board of Trustees. GMHA achieved full autonomy through Bill No. 386-30, which became Public Law 30-190 when it was signed into law by Felix P. Camacho, the Honorable Governor of Guam, on 8/28/2010. As the Guam Memorial Hospital is the exclusive “public” provider of hospital-based services for the civilian population of the community of Guam, GMHA is mandated to deliver medical care notwithstanding one’s financial ability to pay for the provision of services. GMHA’s mission is “to provide quality patient care in a safe environment” twenty-four (24) hours, three hundred sixty-five (365) days a year by way of two medical facilities located in Tamuning and Barrigada. The Tamuning facility is an acute care hospital responsible for the delivery of acute and emergency care, as well as a wide array of non-acute and outpatient services; and the Barrigada facility is a Skilled Nursing Unit responsible for the delivery of skilled nursing care and associated services. GMHA is accredited and/or certified by the following standards/guidelines setting healthcare entities: The Joint Commission (TJC); The Centers for Medicare and Medicaid Services (CMS); The College of American Pathologists (CAP) and the Food and Drug Administration (FDA) accreditation/certification for Laboratory Services; and GMHA’s Education Department is American Heart Association accredited as a Training Facility to provide certification programs for Basic and Advanced Cardiac Life Support, thus covering the Guam community’s patient population with respect to cardiac life support; and is also accredited, by the Hawaii Medical Association and California Board of Registered Nurses, to provide education credits for both Continuing Medical Education (CME) and Continuing Nursing Education (CNE) respectively. Doc. No. 33GL-15-0970 Clinical Bed Capacities GMHA’s current bed capacities are as follows: 161 hospital acute care beds; 97 hospital non-acute care beds; and 40 skilled nursing unit residential treatment beds. The availability or utilization of the above listed beds, for actual admissions, varies from time to time in accordance with the availability of fully trained and licensed staff. Mission, Core Values and Vision As reflected in its 2013 Strategic Plan, GMHA’s mission is “To provide quality patient care in a safe environment.” Its core values were determined to be as follows: Accountability; Cost Efficiency; Excellence in Service; Safety; plus Quality. Based upon these core values, GMHA determined that its vision is to “To achieve a culture and environment of safety and quality patient care meeting national standards and addressing the needs of the Community in a fiscally responsible, autonomous hospital.” Current Scope of Services In support of its mission and in striving to achieve its vision, GMHA offers a wide scope of services. These services currently include acute and non-acute care, skilled nursing, emergency care, surgical services, diagnostic, therapeutic, and a host of professional support services as follows: The acute care units provide all customary acute care services such as pediatric and adult medical services; pediatric and adult intensive care services; adult progressive care and telemetry; obstetrics ward services; and non-acute units provide obstetrics services to include labor & delivery, nursery, postpartum, and birthing. The Skilled Nursing Unit provides skilled nursing and intermediate care at an off-site facility. Emergency care is a 24-hour service for trauma cases, full spectrum of medical and surgical emergencies, and extended emergency services such as short stay observation. GMHA Facility Master Plan September of 2015 Page 2 of 11 Doc. No. 33GL-15-0970 Comprehensive inpatient and outpatient surgical services are available in the operating room with four surgical suites, one cystoscopy room, one endoscopy unit, a post anesthesia recovery area, and one room in Labor & Delivery (L & D) for C-Sections. In August 2015, GMHA completed the A/E Design Phase to upgrade its L & D Unit in order for it to become a state-or-the-art Family Birthing Center to include multi-purpose Labor, Delivery, Recovery, and Postpartum Rooms, as well as a state-of-the-art Nursery. Inpatient and outpatient diagnostic and therapeutic services include laboratory and comprehensive blood bank services, that are CAP accredited and FDA registered, radiology, nuclear medicine, nuclear cardiology, thallium stress tests, CT scan, mammography, ultrasonography, and angiography imaging services; inpatient pharmacy, respiratory and cardiopulmonary services; physical, speech, occupational, cardiac, and recreational therapies; and inpatient hemodialysis. Other professional support services include dietary/nutritional counseling; spiritual care; medical social services; patient/family education; staff education, guest relations and special services which includes echocardiogram, stress test, EKG, EEG, cardiac MIBI and neurology, cardiology and orthopedic Consultations. Telemedicine and Teleradiology services are available for specialty consultations and follow-ups; as well as distance education programs for physicians, nursing staff, and allied health professionals. “Best Guam Hospital” Additional Future Scope of Services GMHA’s near future “Best Guam Hospital” Scope of Services shall also include, as examples,
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