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MARIN HEALTHCARE DISTRICT
100B Drakes Landing Road, Suite 250, Greenbrae, CA 94904
Website: www.marinhealthcare.org
Telephone: 415-464-2090
Fax: 415-464-2094
Email: info@marinhealthcare.org
CLOSED SESSION @ 5:30 PM
REGULAR MEETING @ 7:00 PM
TUESDAY, JANUARY 13, 2015
Board of Directors
Chair:
Harris Simmonds, MD
Vice Chair:
Ann Sparkman, JD
Secretary:
Jennifer Rienks, MD
Directors:
Larry Bedard, MD
Jennifer Hershon, RN
Location:
Marin General Hospital, Conference Ctr.
250 Bon Air Road
Greenbrae, CA 94904
Staff:
Lee Domanico, CEO
Louis Weiner, Executive Assistant to BOD
Colin Coffey, District Counsel
Tab
AGENDA
CLOSED SESSION
1.
2.
3.
4.
Call to Order
Announcement – Purpose of Closed Meeting
Conference with real estate negotiators, Government Code Section 54956.8 regarding
negotiations with Marin County re terms of location of new Hillside Garage lot boundary.
Negotiators: Domanico, Friedenberg
Adjournment of Regular Session
Simmonds
Simmonds
Domanico/Friedenberg
REGULAR MEETING
5.
Roll Call
Simmonds
6.
7.
Approval of Agenda (action)
Approval of Consent Agenda
a. Minutes of the Regular Meeting of December 9, 2014 (action)
General Public Comment
Simmonds
8.
Simmonds
Simmonds
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Any member of the audience may make statements regarding any items NOT on the agenda. Statements are limited
to a Maximum of three (3) minutes. Please state and spell your name if you wish it to be recorded in the minutes.
9. Safety Update
10. On Campus Vehicle Circulation Update
11. Appointment and approval of District Board Committee Members
a. MHD Finance and Audit Committee (action)
b. MHD Lease and Building Committee (action)
12. Committee Meeting Reports
a. MHD Finance and Audit Committee (met on 12/16/2014)
b. MHD Lease and Building Committee (to meet on 01/27/2015)
13. Reports
a. District CEO’s Report
b. Hospital CEO’s Report
c. Chair’s Report
d. Board Members’ Reports
14. Adjournment of Regular Meeting
Next Regular Meeting: Tuesday, February 10, 2015 @ 7:00 p.m.
Domanico
Domanico/Coss
Simmonds
Sparkman
Simmonds
Domanico
Domanico
Simmonds
All
A copy of the agenda for the Regular Meeting will be posted and distributed at least seventy-two (72) hours prior to the meeting.
American Sign Language Interpreters may be requested by calling (415) 464-2090 (voice) or (415) 464-2094 (facsimile) at least 48 hours in advance of this meeting.
MARIN HEALTHCARE DISTRICT
100B Drakes Landing Road, Suite 250
Greenbrae, CA 94904
REGULAR MEETING MINUTES and SPECIAL STUDY SESSION
Tuesday, December 9, 2014
Marin General Hospital, Conference Center
.
1. Roll Call
BOARD MEMBERS PRESENT: Chair Larry Bedard, MD; Vice Chair Ann Sparkman;
Secretary Harris Simmonds, MD; Director Jennifer Rienks, Director Jennifer Hershon
ALSO PRESENT: Lee Domanico, Chief Executive Officer; Colin Coffey, District
Counsel; Renee’ Toriumi, EA to the CEO
2. Approval of Agenda
Director Simmonds moved to approve the agenda as presented. Director Sparkman
seconded. Vote: all ayes.
3. Approval of Consent Agenda
a. Minutes of the Regular Meeting of November 11, 2014
Director Simmonds moved to approve the minutes (following Tab 1) as presented. Vice
Chair Sparkman seconded. Vote: all ayes.
4. General Public Comment
No public comments.
5. Safety Update
CEO Domanico reported last year’s focus on improving patient safety record has improved
scores by 300% based on YTD averages. He added that all meetings held at the hospital start
with a safety discussion and update. Executives and managers are rounding daily to reinforce the
behavior required to provide safe communications and care for all patients. Charge nurses and
department directors meet each day at 8:45 am to review the previous 24-hour safety issues and
any risks observed or risks prevented.
Public comment - Barb Ryan, CNA Representative stated that she plans to submit a monthly
objection form to the board members concerning staffing issues.
6. Oath of Office for Newly Elected Board Members, Dr. Larry Bedard, Jennifer Hershon,
Jennifer Rienks
District Counsel Colin Coffey provided the Oath of Office for the three (3) new board members,
Dr. Larry Bedard, Jennifer Rienks and Jennifer Hershon. Each member verbally recited their
Oath and was asked to sign the original form. Ms. Toriumi will process the fully executed Oath
with the County of Marin.
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7. Election of District Board Officers for 2014
Chair Bedard asked for nominations for the position of Chair for 2015. Director Rienks
nominated Director Simmonds as the Chair. Director Simmonds accepted the nomination. With
no other nominations, Chair Bedard asked for a vote. Vote: all ayes.
Chair Bedard asked for nominations for the position of Vice Chair. Director Rienks nominated
Director Sparkman as Vice Chair. Director Sparkman accepted the nomination. With no other
nominations, Chair Bedard asked for a vote. Vote: all ayes.
Chair Bedard asked for nomination for the position of Secretary. Director Simmonds nominated
Director Rienks as Secretary. Director Rienks accepted the nomination. With no other
nominations, Chair Bedard asked for a vote. Vote: all ayes.
The new Marin Healthcare District Officers for 2015, by unanimous vote, are as follows:
Chair, Dr. Harris Simmonds
Vice Chair, Ann Sparkman
Secretary, Jennifer Rienks
8. Q3 2014 MGH Performance Metrics & Core Services Report (following Tab 2)
CEO Domanico reviewed the following schedules from the MGH Performance Metrics and Core
Services Report :
Schedule 1: HCAHPS
Schedule 2: Finances
Schedule 3: Clinical Quality Reporting Metrics
CEO Domanico reported that MGH had received an “A” rating from the LeapFrog safety
results. The Joint Commission listed MGH in the top third of hospitals, achieving > 95%
compliance in at least 4 areas (heart attack, stroke, pneumonia, Surgical Care
Improvement Project (SCIP).
Schedule 4: Community Benefit Summary
Schedule 5: Nursing Turnover, Vacancies, Net Changes
Schedule 6: Ambulance Diversion
CEO Domanico will report more details on the bad debt trends at the January meeting. He will
also review and report the turnover rates for full-time nurses with benefits in January.
Barb Ryan – Discussed concerns with benefitted nurses, use of per diems and needs or fallouts of
nurses with benefited positions.
Steve Lamb of San Anselmo – Inquired about traveler and float staff status.
9. MGH Employee Lease and Midlevel Services Agreement
Simmonds moved to approve and Director Rienks seconded.
CAO Friedenberg reviewed the information (following Tab 3) and asked board members to
approve the terms of the Professional Services Agreement and Employee Lease for midlevel
professionals with Marin General Hospital, as presented.
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After discussion, the roll was taken and was reflected as follows:
Yes votes by Dr. Bedard, Jennifer Rienks, Dr. Simmonds, Ann Sparkman. Jennifer Hershon
abstained from the vote.
10. Public Works Policy
Director Sparkman moved to approve the Policy for Bidding for Public Works Contracts.
Director Simmonds seconded the motion. District Counsel Colin Coffey reviewed the intent of
the Board of the MHD to provide an equal opportunity to all qualified and responsible parties
wishing to participate in the bidding process with respect to the construction process of MGH.
This policy (following Tab 4) is consistent with the District’s obligations. Vote: all ayes.
11. District 2015 Regular Board Meeting Schedule
CEO Domanico reviewed the draft calendar (following tab 5) which had been included as
information only. He stated that several revisions would be made to the committee schedules
and updates would be emailed to all board members prior to the next regular meeting. It was
noted that the District Board meetings would be held on the second Tuesday of each month. The
Hospital Board meetings will be held on the first Tuesday on a quarterly basis.
12. Committee Meeting Reports
a. MHD Finance and Audit Committee (December 16, 2014)
Chair Sparkman stated that there was nothing to report since the meeting had not occurred
prior to this date. Public comment – none.
b. MHD Lease and Building Committee ( November 19, 2014)
Chair Simmonds stated that the committee acknowledged the passing of Measure R and
suggested that the committee participate more actively in upcoming projects relating to the
Measure R funds. He suggested we use community members to assist on various
committees wherever possible. Public comment – none.
13. Reports
a. District CEO’s Report
CEO Domanico provided an update on the hospital replacement project. A Deep Dive
Discussion will take place at the February Retreat. Mr. Domanico agreed to provide an
update on the handicap access for patient at the January meeting. Mr. Coss reported that
weekly meetings are held with the County to address the project requirements and
community concerns. Public comment – none.
b. Hospital CEO’s Report
He stated that the new Chief Financial Officer, James McManus, will be starting the first of
the year. We are close to selecting a Vice President of Nursing Services. Members of the
executive team, physicians and board members have participated in the interview process.
Ebola preparation and training continues with mock drills on a regular basis. Quality of
care has been excellent with the (look at CEO Report) Marin Specialty Center selected to
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receive an award. Dr. Peter Eisenberg is to be congratulated for his center’s excellence.
CNA negotiations have begun. Public comment – none.
c. Chair’s Report
Chair Larry Bedard acknowledged the significant accomplishment of passing Measure R,
with 78% of the vote during his term. He extended a welcome to Ms. Jennifer Hershon,
who now participates as a member of the District Board. He reported that Dr. Willis is
spearheading the safe return of medications at hospital facilities (24/7), which will help
reduce the accidental overdose of patients. He reported that pharmacies are now allowed to
dispense Narcam, without requiring the needs for a physician prescription. Several
students are working together to adopt a policy to address the acceptance of donor
transplants who use medicinal marijuana.
CEO Domanico thanked Chair Bedard for his dedication and service to the Board during
2014. Public comment – none.
14. Adjournment of Regular Meeting
Director Simmonds moved to adjourn the regular meeting. Vote: all ayes.
Next Regular Meeting: Tuesday, January 13, 2015 @ 7:00 pm.
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