Board of Directors Agenda Packet
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BOARD OF DIRECTORS AGENDA PACKET June 13, 2016 The mission of Palomar Health is to heal, comfort and promote health in the communities we serve. BOARD OF DIRECTORS Dara Czerwonka, MSW, Chair Jeffrey D. Griffith, EMT-P, Vice Chair Raymond McCune, RN, Secretary Jerry Kaufman, PTMA, Treasurer Linda C. Greer, RN, CCP, Director Hans Christian M. Sison, LVN, Director Aeron Wickes, MD, Director Robert A. Hemker, President and CEO Regular meetings of the Board of Directors are usually held on the second Monday of each month at 6:30 p.m., unless indicated otherwise. For an agenda, locations or further information call (760) 740-6375, or visit our website at www.palomarhealth.org MISSION STATEMENT The Mission of Palomar Health is to: Heal, Comfort, Promote Health in the Communities we Serve VISION STATEMENT Palomar Health will be the health system of choice for patients, physicians and employees, recognized nationally for the highest quality of clinical care and access to comprehensive services CORE VALUES Patient’s Well-Being We passionately give and support heartfelt care that encourages patient comfort and safety Professionalism Each of us takes pride in teamwork, self-discipline, our skills and trustworthiness Highest Quality We are each accountable for providing the safest, most effective and innovative care Affiliated Entities *Palomar Medical Center * Palomar Health Downtown Campus* Arch Health Partners* *Palomar Health Foundation * Palomar Home Care * Pomerado Hospital* *Palomar Health Development, Inc.* North San Diego County Health Facilities Financing Authority* *San Marcos Ambulatory Care Center * Villa Pomerado * Palomar Health Concern * Palomar Health Source* POSTED TUESDAY, ` JUNE 7, 2016 BOARD OF DIRECTORS MEETING AGENDA Monday, June 13, 2016 Palomar Medical Center 6:00 p.m. Graybill Auditorium 5:30 dinner for board members and invited guests 555 East Valley Parkway Escondido, CA 92592 Mission and Vision “The mission of Palomar Health is to heal, comfort and promote health in the communities we serve.” “The vision of Palomar Health is to be the health system of choice for patients, physicians and employees, recognized nationally for the highest quality of clinical care and access to comprehensive services." PLEASE TURN OFF CELL PHONE OR SET TO SILENT MODE UPON ENTERING MEETING ROOM Form A Page Time Target I. CALL TO ORDER 1 6:01 II. ESTABLISHMENT OF QUORUM 2 6:03 III. OPENING CEREMONY 2 6:05 A. Pledge of Allegiance IV. PUBLIC COMMENTS1 15 6:20 V. SPECIAL BOARD BUDGET WORKSHOP (ADD A Pp11-44) 60 7:20 A. *Review/Approval: Capital and Operating Budget for Fiscal Year 2017 1 B. *Review/Approval: Five-Year Strategic Financial & Capital Plan 2 VI. * MINUTES (ADD B) 3 7:23 A. Special Board Education Session - May 9, 2016 (Pp46-47) 3 B. Regular Board of Director's Meeting - May 9, 2016 (Pp48-54) 4 C. Special Board of Directors Meeting - May 23, 2016 (Pp55-56) 5 D. Special Closed Session Board Meeting - May 23, 2016 (Pp57-58) 6 VII. * APPROVAL OF AGENDA to accept the Consent Items as listed (ADD C) 5 7:28 A. Approval of Revolving, Patient Refund & Payroll Fund Disbursements – April 2016 (P60) 1. Accounts Payable Invoices $54,774,717.00 2. Net Payroll $14,085,713.00 Total $68,860,430.00 VIII. REPORTS A. Medical Staffs (ADD D) *1. Palomar Medical Center - Franklin Martin, M.D. 5 7:33 A. Credentialing and Reappointments (Pp62-69) 7 B. Modification of the Neurosurgery Clinical Privilege Checklist – PMC and POM (Pp70-76) 8 *2. Pomerado Hospital - Paul Neustein, M.D. 5 7:38 A. Credentialing and Reappointments (Pp77-78) 9 "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" Form A Page Time Target B. Administrative 1. Chair of the Palomar Health Foundation - Tom Silberg 5 7:43 2. Chair of the Board - Dara Czerwonka 5 7:48 3. President and CEO - Robert Hemker 5 7:53 a. Arch Health Partners Discussion IX. INFORMATION ITEMS A. ACHD Update Report for May 2016 (under separate cover) 2 7:55 X. * APPROVAL OF BYLAWS, CHARTERS, POLICIES (ADD E Pp) 5 8:00 (each document to be voted on individually) Item Type Board Committee Action A. Lucidoc 11234 - Quality Assurance Performance Improvement Policy Quality Review Modified (QAPI) Plan (Pp80-98) B. Lucidoc 55732 - Aid in Dying (P99) Policy Governance New XI. COMMITTEE REPORTS (ADD F ) 10 8:10 A. Audit & Compliance Committee - Linda Greer, Committee Chair (no meeting in May) B. Community Relations Committee - Dara Czerwonka, Committee Chair (P101) C. Finance Committee - Jerry Kaufman, Committee Chair (no meeting in May) D. Governance Committee - Jeff Griffith, Committee Chair (P102) E. Human Resources Committee - Hans Sison, Committee Chair (P103) F. Quality Review Committee - Dr. Aeron Wickes, Committee Chair (P104) G. Strategic & Facilities Planning Committee - Ray McCune, Committee Chair (5/23/16 Full Board Balanced Scorecard Review meeting held in lieu of May Board Strategic meeting) H. Other Committee Chair Comments on Committee Highlights XII. BOARD MEMBER COMMENTS/AGENDA ITEMS FOR NEXT MONTH 5 8:25 XIII. ADJOURNMENT - TO CLOSED SESSION * A. Reports Involving Trade Secrets Discussion will concern: proposed new service or program 10 8:35 Anticipated date of disclosure: July 1, 2016 Authority: California Health and Safety Code Section 32106 * B. Pursuant to California Government Code §54957(b) Public Employee Performance Evaluation 30 9:05 President and CEO XIV. RE-ADJOURNMENT TO OPEN SESSION 1 9:06 XV. ACTION RESULTING FROM CLOSES SESSION DISCUSSION – IF ANY 5 9:11 1 XVI. PUBLIC COMMENTS 15 9:26 XVII. FINAL ADJOURNMENT 2 9:28 FY2017 Annual Operating & Capital Budget TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Diane Hansen, EVP Finance Background: The Annual Operating & Capital Budget for FY2017 is being presented for the Board’s review and approval. Budget Impact: Operating Budget consistent with that needed as defined in the Financial and Capital Plan, comprised of Earnings Before Interest Expense, Depreciation and Amortization (EBIDA) of $84.0 million A composite charge master rate increase of 8% for FY2017 Capital Budget Reserve of $41.5 million that includes: o $5.5 million for Routine Equipment o $5 million for Facilities Renovation o $5 million for Information Technology o A reserve of $16 million to fund future initiatives and strategies, based upon available cash reserves o A reserve of $10 million to fund the Downtown Relocation Staff Recommendation: Approval of the Operating Budget, the composite charge master rate increase, and the Capital Budget Reserve. COMMITTEE RECOMMENDATION: Motion: X Individual Action: Information: Required Time: Form A - Budget.doc 1 UPDATED FINANCIAL AND CAPITAL PLAN TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Diane Hansen, EVP Finance Background: The 5-year Financial and Capital Plan for the District has been updated to reflect actual audited results for FY2015, the Board-approved budget for FY2016, and baseline financial projections for FY2017-FY2021. In addition, the update (previously presented at the May 2016 Board meeting) incorporates approved and planned strategic initiatives, transformational costs, and updated revenue and cost assumptions. Various sensitivities tested in conjunction with the updating were reviewed. Budget Impact: N/A Staff Recommendation: Approval Committee Questions: COMMITTEE RECOMMENDATION: At the April 27, 2016, Board Finance Committee meeting, approval was recommended: 5 to 0 by the Committee; Board members approved 3 to 0; 1 Committee member was absent. Motion: X Individual Action: Information: Required Time: Form A - Fin'l & Cap Plan.doc 2 Minutes Special Board Education Session Monday, May 9, 2016 TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Debbie Hollick, Board Assistant Background: The minutes from the Monday, May 9, 2016 Special Board Education Session are respectfully submitted for approval. Budget Impact: N/A Staff Recommendation: Recommendation to approve the Monday, May 9, 2016 Special Board Education Session minutes. Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 3 Minutes Board of Director’s Meeting Monday, May 9, 2016 TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Debbie Hollick, Board Assistant Background: The minutes from the Monday, May 9, 2016 Board of Director’s meeting are respectfully submitted for approval. Budget Impact: N/A Staff Recommendation: Recommendation to approve the Monday, May 9, 2016 Board of Director’s meeting minutes. Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 4 Minutes Special Board of Director’s Meeting Monday, May 23, 2016 TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Debbie Hollick, Board Assistant Background: The minutes from the Monday, May 23, 2016 Special Board of Director’s meeting are respectfully submitted for approval. Budget Impact: N/A Staff Recommendation: Recommendation to approve the Special Monday, May 23, 2016 Board of Director’s meeting minutes. Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 5 Minutes Special Closed Session Board of Director’s Meeting Monday, May 23, 2016 TO: Board of Directors MEETING DATE: Monday, June 13, 2016 FROM: Debbie Hollick, Board Assistant Background: The minutes from the Monday, May 23, 2016 Special Closed Session Board of Director’s meeting are respectfully submitted for approval. Budget Impact: N/A Staff Recommendation: Recommendation to approve the Monday, May 23, 2016 Special Closed Session Board of Director’s meeting minutes. Committee Questions: COMMITTEE RECOMMENDATION: Motion: Individual Action: Information: Required Time: 6 7 8 9 ADDENDUM A 10 FY 2017 Annual Operating and Capital Plan Palomar Health FY 2017 Annual Operating and Capital Budget Board of Directors Budget Workshop June 13, 2016 6/1/2016 11 FY 2017 Annual Operating and Capital Plan Agenda . Executive Summary . FY 2017 Budget Overview: Key Budget Drivers Inflationary Assumptions . Key Statistical / Growth Indicators .