El Camino Hopsital Board of Directors Meeting Packet

AGENDA EL CAMINO HOSPITAL BOARD REGULAR BOARD MEETING Wednesday, November 12, 2014, 8:20 p.m. El Camino Hospital, Conference Rooms E, F & G (ground floor) 2500 Grant Road Mountain View, California EL CAMINO HOSPITAL MISSION: To be an innovative, publicly accountable and locally controlled comprehensive healthcare organization which cares for the sick, relieves suffering, and provides quality, cost competitive services to improve the health and well-being of our community. AGENDA ITEM PRESENTED BY 1. CALL TO ORDER Nandini Tandon, PhD 8:20 – 8:21 p.m. Board Vice Chair 2. ROLL CALL Nandini Tandon, PhD 8:21 Board Vice Chair 3. POTENTIAL CONFLICT OF Nandini Tandon, PhD 8:21 – 8:22 INTEREST DISCLOSURES Board Vice Chair 4. PUBLIC COMMUNICATION Nandini Tandon, PhD information A. Oral Comments Board Vice Chair 8:22 – 8:27 This opportunity is provided for persons in the audience to make a brief statement, not to exceed 3 minutes on issues or concerns not covered by the agenda. B. Written Correspondence 5. ADJOURN TO CLOSED SESSION Nandini Tandon, PhD 8:27 – 8:28 Board Vice Chair 6. POTENTIAL CONFLICT OF Nandini Tandon, PhD 8:28 – 8:29 INTEREST DISCLOSURES Board Vice Chair 7. Report related to Medical Staff quality Jamie Orlikoff, Orlikoff & discussion assurance matters, Health and Safety Code Associates, Inc. 8:29 – 9:29 Section 32155. - Governance of Quality 8. Report of the Medical Staff. Health and Ramtin Agah, MD motion required Safety Code Section 32155. MV Chief of Staff 9:29 – 9:39 - Deliberations concerning reports on Karen Pike, MD Medical Staff quality assurance matters LG Chief of Staff - Medical Staff Report 9. Health and Safety Code Section 32106(b) Tomi Ryba, President and discussion for a report involving health care facility CEO 9:39 – 9:49 trade secret. - February 2015 Board Retreat Agenda A copy of the agenda for the Regular Meeting will be posted and distributed at least seventy-two (72) hours prior to the meeting. In observance of the Americans with Disabilities Act, please notify us at 650-988-7504 prior to the meeting so that we may provide the agenda in alternative formats or make disability-related modifications and accommodations. Agenda: El Camino Hospital Board Regular Board Meeting November 12, 2014 Page 2 AGENDA ITEM PRESENTED BY 10. Gov’t Code Section 54956.9(d)(1) – Mary Rotunno, Associate possible motion Conference with legal counsel where to General Counsel 9:49 – 9:54 discuss in open session would jeopardize Kathryn Fisk, Chief Human the ability of El Camino Hospital to Resources Officer conclude existing settlement negotiations in its favor - Litigation 11. CONSENT CALENDAR Nandini Tandon, PhD motion required Any Board Member may remove an item Board Vice Chair 9:54 – 9:59 for discussion before a motion is made. Approval: - Minutes of the Closed Session of the Regular Meeting of the Board (October 8, 2014) Gov’t Code Section 54957.2 - Annual Patient Safety Report - Annual Safety Report for Managing the Environment of Care. Report related to the Medical Staff quality assurance matters, Health and Safety Code Section 32155. Acceptance: - Meeting Minutes of the Closed Session of the Quality Committee (September 15, 2014, October 1, 2014, October 7, 2014) Gov’t Code Section 54957.2 Information Only, Not Approval: - PCMH and West Valley PCC Update. Health and Safety Code Section 32106(b) for a report involving health care facility trade secret. - Organizational Clinical Risks. Report related to Medical Staff quality assurance matters, Health and Safety Code Section 32155. - Pacing Plan Health and Safety Code Section 32106(b) for a report involving health care facility trade secret. - CEO Report Health and Safety Code Section 32106(b) for a report involving health care facility trade secret and Health and Safety Code Section 32155 for report of medical staff quality assurance committee. 12. Report involving Govt. Code Section 54957 Nandini Tandon, PhD discussion for discussion and report on personnel Board Vice Chair 9:59 – 10:04 performance matters. - Executive Session Agenda: El Camino Hospital Board Regular Board Meeting November 12, 2014 Page 3 AGENDA ITEM PRESENTED BY 13. Adjourn to Open Session Nandini Tandon, PhD 10:04 – 10:05 Board Vice Chair 14. RECONVENE OPEN Nandini Tandon, PhD 10:05 – 10:06 SESSION/REPORT OUT Board Vice Chair To report any required disclosures regarding permissible actions taken during Closed Session. 15. CONSENT CALENDAR ITEMS: Nandini Tandon, PhD public motion required Any Board Member or member of the Board Vice Chair comment 10:06 – 10:11 public may remove an item for discussion before a motion is made. Approval: a. Minutes of the Regular Hospital Board Meeting (October 8, 2014) b. Draft Revised Community Benefit Advisory Council Charter c. Appointment of Laura Macias to the Community Benefit Advisory Council d. Draft Revised Board Advisory Committee Charters e. Passport Health Communication, Inc.- Master Customer Agreement Reviewed and Recommended for Approval by the Quality, Patient Care, and Patience Experience Committee f. Appointment of Quality, Patient Care, and Patient Experience Committee Members Reviewed and Forwarded to the Board without Recommendation by the Finance Committee g. ECH Los Gatos - OR Room 4 Conversion Final Funding Request Reviewed and Recommended for Approval by the Medical Staff Executive Committee h. Medical Staff Report Acceptance: i. Quality Committee Minutes - September 15, 2014 - October 1, 2014 - October 7, 2014 j. Foundation Report k. Auxiliary Report For Information, Not Approval: l. Organizational Quality: Corporate Scorecard m. September 2014 Financials n. CEO Report ATTACHMENT 15 Agenda: El Camino Hospital Board Regular Board Meeting November 12, 2014 Page 4 AGENDA ITEM PRESENTED BY 16. iCARE AD HOC COMMITTEE Patricia A. Einarson, MD information REPORT Secretary/Treasurer, ECHB 10:11 – 10:26 ATTACHMENT 16 and Chair, iCare Ad Hoc Committee 17. ANNUAL ECHD REPORT TO THE Patricia A. Einarson, MD information ECH BOARD Chair, ECHD Board 10:26 – 10:41 ATTACHMENT 17 18. BOARD COMMENTS Nandini Tandon, PhD information Board Vice Chair 10:41 – 10:46 19. ADJOURNMENT Nandini Tandon, PhD 10:46 – 10:47 p.m. Board Vice Chair Upcoming FY 2015 Hospital Board Meetings: - November 19, 2014 - Semi-Annual Board and Committee Education Session - January 14, 2015 - February 11, 2015 Separator Page Att 15a - ECH Board Open Hospital Minutes 10 8 14 (2) Cindy's version.docx Draft: Subject to Board of Directors Consideration Minutes of the Regular Meeting Board of Directors of El Camino Hospital Wednesday, October 8, 2014 El Camino Hospital, 2500 Grant Road, Mountain View, California Conference Rooms F and G Jeff Davis participated via teleconference from: Marriott Courtyard Hotel 401 North Riverpoint Blvd, Spokane, WA 99202 1. Call to Order. The Open Session meeting of the Board of Directors of El Camino Hospital (the “Board”) was called to order at 5:30 p.m. by Board Chair, Neal Cohen, MD. 2. Roll Call. Roll call was taken. Board Members Present: Dennis Chiu; Neal Cohen, MD; Patricia Einarson, MD; Julia Miller; David Reeder; Tomi Ryba; Nandini Tandon; and John Zoglin. Teleconference: Jeffrey Davis, MD participated via teleconference until 8:30 pm. 3. Potential Conflict of Interest Disclosures. Chair Cohen asked if any Board member or anyone in the audience believes that a Board member may have a conflict of interest on any of the items on the agenda. No conflict was reported. 4. Board Recognition. Motion: To approve Resolution 2014-9. Movant: Tandon Second: Ryba Ayes: Chiu, Cohen, Davis, Einarson, Miller, Reeder, Ryba, Tandon and Zoglin Noes: None Abstentions: None Absent: None Recused: None Mick Zdeblick, the Chief Operating Officer, presented the Resolution to members of the Medication Communication Task Force, Medication Side Effects Rapid Process Improvement Workshop and Pharmaceutical Services for implementing a medication education program at ECH. These teams established standard work for all inpatient nursing units to utilize when communicating medication information to patients in order to help them understand their medications upon discharge. 5. Consent Calendar. Chair Cohen asked if anyone wished to remove any items from the consent calendar. Director Zoglin requested that items “b” (Resolution 2014-10 re: Draft Revised Section 7.6 El Camino Hospital Bylaws) and “e” (Interventional Radiology Draft: Subject to Board of Directors Consideration Minutes: Meeting of the El Camino Hospital Board October 8, 2014 Page 2 Renewal) be removed from the consent calendar; and Director Einarson requested that item “h” (Telepsychiatry Contracting for Emergency Department) be removed from the consent calendar. Motion: To approve the consent calendar: Minutes of the Regular Meeting of the Board – September 10, 2014;; FY 2014 Community Benefit Plan Report; FY 2014 Organizational Goal Achievement; Utilization Management Contract; Traditions Behavioral Health Contract; Appointment of New Finance Committee Member – Kathleen Cain; Draft Revised Investment Committee Charter; Draft Revised 403(b) Plan Policy; Draft Semi-Annual Board and Committee Educational Session Agenda; Draft FY 2015 Group Board Education Plan; Annual 403(b) Retirement Plan Audit; Participant Cash Balance Plan Audit; Medical Staff Report; and to accept the following items on the consent calendar: Corporate Compliance Committee Minutes – August 21, 2014; Executive Compensation Committee Minutes – May 15, 2014; Finance Committee Minutes – July 28, 2014; Governance Committee Minutes – August 5, 2014; Quality Committee Minutes – August 18, 2014; Foundation Report; and Auxiliary Report. Movant: Miller Second: Tandon Ayes: Chiu, Cohen, Davis, Einarson, Miller, Reeder, Ryba, Tandon and Zoglin Noes: None Abstentions: None Absent: None Recused: None Item b – Resolution 2014-10 re: Draft Revised Section 7.6 El Camino Hospital Bylaws. Director Zoglin noted that the Board previously discussed the subject matter of the proposed amendment to the bylaws, he voted against it at the time, and he will oppose the amendment now. Item e – Interventional Radiology Renewal Director Zoglin commented that the Board should have a policy discussion around what level ECH should pay medical directors as compared to the market.

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