July 18, 2019 NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in an open Board of Directors meeting at 4:00PM on Monday July 22, 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 5:30PM on Monday July 22, 2019 in the Kaweah Delta Medical Center Blue Room {Mineral King Wing – 400 West Mineral King Avenue} pursuant to Government Code 54956.9(d)(1), Government Code 54956.9(d)(2), Government Code 54956.8, Health and Safety Code 32155, and Health and 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 July 22, 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 1/268 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 July 22, 2019 OPEN MEETING AGENDA {4:00PM} 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. MASTER PLANNING – Review and discussion of master planning process and options for Kaweah Delta Health Care District. Kevin Boots, Senior Vice President – RBB Architects, Inc. 5. APPROVAL OF THE CLOSED AGENDA – 5:00PM 5.1. Conference with Legal Counsel – Existing Litigation – Pursuant to Government Code 54956.9(d)(1) – Dennis Lynch, Legal Counsel & Evelyn McEntire, Director of Risk Management 1. Borges – Case VCU278212 2. Sansom – Case VCU27873 3. Ibarra – Case VCU278288 5.2. Conference with Legal Counsel – Anticipated Litigation – Significant exposure to litigation pursuant to Government Code 54956.9(d)(2) – 15 Cases - Evelyn McEntire, Director of Risk Management & Dennis Lynch, Legal Counsel 5.3. Quality Assurance pursuant to Health and Safety Code 32155 and 1461, report of quality assurance committee – Evelyn McEntire, Director of Risk Management Monday, July 22, 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 MISSION: Health is our Passion. Excellence is our Focus. Compassion is our Promise. 5.4. Credentialing - Medical Executive Committee (June 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 – Byron Mendenhall, MD, Chief of Staff 5.5. Conference with Real Property Negotiator {Government Code Section 54956.8}: Property: APN 172-010-034. Negotiating party: Kaweah Delta Health Care District: Deborah Volosin and Marc Mertz and Kyle Rhinebeck, Zeeb Commercial – price and terms - Deborah Volosin, Director of Community Engagement and Marc Mertz, Vice President of Strategic Planning and Business Development 5.6. Approval of closed meeting minutes – June 24, 2019. 6. ADJOURN CLOSED MEETING AGENDA {5:00PM} 1. CALL TO ORDER 2. CONFERENCE WITH LEGAL COUNSEL – EXISTING LITIGATION – Pursuant to Government Code 54956.9(d)(1). a) Borges – Case VCU278212 b) Sansom – Case VCU27873 c) Ibarra – Case VCU278288 Dennis Lynch, Legal Counsel & Evelyn McEntire, Director of Risk Management 3. CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATION – Significant exposure to litigation pursuant to Government Code 54956.9(d)(2) – 15 Cases Evelyn McEntire, Director of Risk Management & Dennis Lynch, Legal Counsel 4. QUALITY ASSURANCE pursuant to Health and Safety Code 32155 and 1461, report of quality assurance committee Evelyn McEntire, Director of Risk Management 5. CREDENTIALING - Medical Executive Committee (June 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 Byron Mendenhall, MD, Chief of Staff Monday, July 22, 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 MISSION: Health is our Passion. Excellence is our Focus. Compassion is our Promise. 6. CONFERENCE WITH REAL PROPERTY NEGOTIATOR {Government Code Section 54956.8}: Property: APN 172-010-034. Negotiating party: Kaweah Delta Health Care District: Deborah Volosin and Marc Mertz and Kyle Rhinebeck, Zeeb Commercial – price and terms - Deborah Volosin, Director of Community Engagement and Marc Mertz, Vice President of Strategic Planning and Business Development 7. APPROVAL OF CLOSED MEETING MINUTES – June 24, 2019. Action Requested – Approval of the closed meeting minutes – June 24, 2019. 8. ADJOURN OPEN MEETING AGENDA {6:00PM} 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. CLOSED SESSION ACTION TAKEN – Report on action(s) taken in closed session. 5. OPEN MINUTES – Request for approval of the June 24, 2019 open board of directors meeting minutes. Action Requested – Approval of the open meeting minutes – June 24, 2019 open board of directors meeting minutes. 6. RECOGNITIONS – David Francis 6.1. Presentation of Resolution 2040 to Darius Mendoza - Service Excellence Award – July 2019. 7. 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. 7.1. REPORTS A. Medical Staff Recruitment B. Cardiovascular Services C. Risk Management D. Medical Education E. Environment of Care Monday, July 22, 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 MISSION: Health is our Passion. Excellence is our Focus. Compassion is our Promise. 7.2. POLICIES A. ADMINISTRATIVE 1. American and California State Flags AP.80 Revised 2. Patient Personal Property and Valuables AP.159 Revised 3. Records Retention and Destruction AP.75 Revised 4. Utilization Review Plan Acute Services AP.111 Revised 5. Communication with law enforcement regarding requests for information and requests to interview interrogate a patient AP.07 Reviewed 6. Nursing Practice: Shared Governance & Decision Making AP.157 Reviewed 7. Visiting Regulations for Kaweah Delta Health Care District AP.119 Reviewed 7.3. RECOMMENDATION FROM THE MEDICAL EXECUTIVE COMMITTEE (JUNE 2019) A. Privilege Forms 1) Critical Care, Pulmonary & Sleep Medicine 7.4. Approve of Resolution 2037 rejecting the application for leave to present a late claim for Yolanda Rodriguez vs. Kaweah Delta Health Care District. 7.5. Approve Resolution 2038, a Resolution of the Board of Directors, Kaweah Delta Health Care District, directing Tulare County, California, to levy a tax to pay the principal of an interest on general obligation bonds for the fiscal year beginning July 1, 2019 and ending June 30, 2020. 7.6. Approve Resolution 2039 for Pam Harder, Bio-Behavioral Therapist, retiring from Kaweah Delta after fifteen (15) years of service. 7.7. Approval of corporate banking resolution for authorized signers and account agreement with BBVA USA. Recommended Action: Approve the July 22, 2019 Consent Calendar. 8. QUALITY – STROKE PROGRAM - A review of quality measures and action plans associated with the stroke population. Sean Oldroyd, DO, Stroke Program Director, Cheryl Smit, RN, Stroke Program Manager 9. FOOD AND NUTRITION SERVICES