hington Township Health Care District - Fremont, … · hington Township Health Care District ... II. CALL TO ORDER & PLEDGE OF ALLEGIANCE ... Dr. Bhaskari Peela, pediatrician,

hington Township Health Care District 2000 MowryAvenue,Fremont,California 94538-1716 • (510) 797-1111

Nancy Farbe1; Chief Executive Officer

Board of Directors Patricia Danielson, RHIT jacob Eapen, M.D. William E Nicholson, M.D. Bemard Stewart, D.D.S. Michael j Wallace

BOARD OF DIRECTORS' MEETING

Wednesday, August 12, 2015- 6:00P.M. Conrad E. Anderson, MD Auditorium

I.

II.

CALL TO ORDER & PLEDGE OF ALLEGIANCE

ROLLCALL

AGENDA

III. EDUCATION SESSION:

Ivly Chart Update

IV. CONSIDERATION OF MINUTES

July 8, 20, 22, 27, 2015

V. COMMUNICATIONS

VI.

A. Oral

B. Written

From Kranthi Achanta, MD Chief of Staff, dated July 27, 2015 requesting approval of Medical Staff Credentialing Action Items.

INFORMATION

A. Service League Report

B. Medical Staff Report

PRESENTED BY:

Patricia Danielson, RHIT Board Member

Christine Flores Executive Services Manager

John Lee Chief Information Officer

Motion Required

Motion Required

PRESENTED BY:

Debbie Jackson Service League President

Kranthi Achanta, MD Chief of Staff

Board Meeting Agenda August 12, 2015 Page 2

VII.

VIII.

C.

D.

E.

F.

G.

Hospital Calendar

Construction Report

Quality Report

National Surgical Quality Improvement Program (NSQIP)

Finance Report

Hospital Operations Report

ACTION

A. Consideration of Transphenoidal Instrument Tray

B. Consideration of Compact Digital Ultrasound Console

c. Consideration of Aneurysm Clip Set

D. Consideration of Patient Temperature Management System

E. Consideration of OR Table

F. Consideration of Rigid Containers for Orthopedic Trays

G. Consideration of Micro Decompression Sets

H. Consideration of Resolution No. 1157, Boardroom Expansion and Administration Upgrades

I. Consideration of Resolution No. 1158, Pension Administration and Asset Management

ADJOURN TO CLOSED SESSION

In accordance with Section 1461, 1462, 32106 and 32155 of the California health & Safety Code and Sections 54962 and 54954.5 ofthe California Government Code, portions of this meeting may be held in closed session.

Nancy Farber Chief Executive Officer

Ed Fayen Senior Associate Administrator

Mary Bowron, DNP, RN, CIC Senior Director of Quality & Resource Management

Chris Henry Associate Administrator Chief Financial Officer

Nancy Farber Chief Executive Officer

Motion Required

Board Meeting Agenda August 12, 2015 Page 3

IX.

X.

A. Report and discussion regarding California Government Code section 54957: Personnel matters

B. Report involving a trade secret pursuant to Health & Safety Code section 32106

New Program

Estimated date of public disclosure: August 2016

C. Conference regarding medical audit reports, quality assurance reports and privileging pursuant to Health & Safety Code Section 32155.

D. Consultation with Legal Counsel concerning potential litigation.

RECONVENE TO OPEN SESSION & REPORT ON CLOSED SESSION

ADJOURNMENT



A meeting of the Board of Directors of the Washington Township Health Care CALL TO ORDER

District was held on Wednesday, July 8, 2015 in the Conrad E. Anderson, MD Auditorium, 2500 Mowry A venue, Fremont, California. Director Danielson called the meeting to order at 6:03 p.m. and led those present in the Pledge of Allegiance.

Roll call was taken. Directors present: Patricia Danielson, RHIT; Michael ROLL CALL

Wallace; William Nicholson, MD; Bernard Stewart, DDS; Jacob Eapen, MD

Also present: Nancy Farber, Chief Executive Officer; Peter Lunny, Chief of Medical Staff; Debbie Jackson, Service League President; Christine NguyenFlares, Executive Services Manager

Guests: Kimberly Hartz, Ed Fayen, Chris Henry, Bryant Welch, Stephanie Williams, Kristin Ferguson, Mary Bowron, John Lee, Albert Brooks, MD, Cindy Noonan, Chris Brown, Gisela Hernandez, Bill Emberley

Director Danielson took action item, Consideration of Commendation for Paul Kelley COMMENDATION FOR out of agenda order. PAUL KELLEY

Director Wall ace moved for the presentation of the Commendation for Paul Kelley and read the Commendation in its entirety. A copy of the commendation is attached.

Director Nicholson seconded the motion.

Roll call was taken: Patricia Danielson, RHIT - aye Michael Wall ace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD- aye

The motion unanimously carried.

Nancy Farber introduced Chris Henry, Chief Financial Officer. Mr. Henry presented the 4H Junior Live Auction held at the 2015 Alameda County Fair.

The livestock will be processed and served to patients and staff at the hospital.

Director Nicholson moved for approval of the minutes of June 10, 15, 22, and 24, 2015.

Director Stewart seconded the motion. Roll call was taken:

Patricia Danielson, RHIT - aye Michael Wallace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD- aye


There were no oral communications.

EDUCATION SESSION: ALAMEDA COUNTY 4-H AUCTION

APPROVAL OF MINUTES OF JUNE 10, 15, 22, AND 24, 2015

COMMUNICATIONS ORAL

Board of Directors' Meeting July 8, 2015 Page 2

The following written communication received from Peter Lunny, M.D., Chief of Staff, dated June 22. 2015 requesting approval of Medical Staff Credentialing Action Items as follows:

Appointments: Cambronero, Neil; MD, Elias, Christine, MD; Wong, Candy, MD; Le, Benjamin, PA-C; Tafti, Mona, MD

Temporary Privileges: Cambronero, Neil, MD; Wong, Candy, MD; Le, Benjamin, PA-C

Reappointments: Alpert, Marjorie, MD; Ashouri, Judith, MD; Bawden, Gina, PA-C; Cheng, Paul, MD; Chu, Jason, MD; Deck, Joseph, MD; Dobbs, Sara, MD; Ghimire, Shankar, MD; Gregori, Jeffrey, DPM; Kopelnik, Alexander, MD; Lada, Samuel, MD; Meyer, Edward, MD; Noronha, Michael, MD; Puplampu, Ouanza, MD; Roth, Robert, MD; Sandhu, Sukwinder, MD; Van Gompel, Joshua, MD; Van Tassel, Jason, MD; Velkuru, Vani, MD; Wouden, Jacob, MD

Transfer in Staff Category: Carpenter, Christopher, MD

Completion of Proctoring & Advancement in Staff Category: Bawden, Gina, PA-C; Fiore, Darren, MD

Completion of Proctoring prior to Eligibility for Advancement in Staff Category: Gay, Andre, MD; Tang, Heng, MD

Resignations: Whalen, Joelle, PA-C; Sinha, Sidhartha, MD

Director Wallace moved for approval of the credentialing action items presented by Dr. Achanta/


Roll call was taken: Patricia Danielson, RHIT - aye Michael Wallace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD- aye


Debbie Jackson, Service League President presented the Service League Report. Ms. Jackson shared that the Service League held their first reception in the Anderson Auditorium on June 16th, 2015. Donald Pipkin, Chief of Strategic Management gave the Service League a sneak peak about the Lean program to the volunteers attending. During the event, the volunteers were recognized for their hours of service. In addition, Angus Cochran, Executive Director, Washington Hospital Healthcare Foundation and Service Leagues liaison for the hospital along with the 2nd Vice President, Pooja Mammen recognized the volunteer awardees for their hours of service for the past 6 months. Ms. Jackson reported that the Service

COMMUNICATIONS WRITTEN

SERVICE LEAGUE REPORT


League participated in the City of Fremont's July 4th Parade. Laura Pessagno Chapter/Honorary member and Pat Danielson, President of the Washington Hospital Board of Directors rode in a 194 7 Packard during the parade.

Dr. Achanta reported there are 541 Medical Staff members.

The Hospital Calendar video highlighted the following events:

Past Health Promotions & Outreach Events On Tuesday, July 7th, as part of the Stroke Education Series, Doug VanHouten, R.N. presented "Introduction- Stroke" and "Risk Factors for Stroke"; 20 people attended.

Upcoming Health Promotions & Community Outreach Events The 2015 Central Park Summer Concert Series kicks off on Thursday, July 9th. Washington Hospital is a co-presenting sponsor.

This six week concert series is free and open to the public and will be held at the Central Park Performance Pavilion on Thursdays from 6:00 to 8:00p.m.

Washington Hospital will be providing health information and health screenings during this six week concert series.

On Tuesday, July 14th, from 2:00p.m. to 6:00p.m., Washington Hospital will be participating in the Sysco Corporation Employee Health Fair. Washington Hospital employees will provide health insurance information, along with blood pressure screenings.

Sysco Corporation is a food distribution company located in Fremont.

On Monday July 20th, the Washington Community Health Resource Library in collaboration with nursing students from California State University, East Bay will be hosting two mini health fairs.

Beginning in August, the Washington Women's Center will revamp Ladies Choice. Ladies Choice is a fitness program for women who would like individualized guidance with exercise. The program includes aerobic endurance training, strength training, hand weights, stretching, and other mat exercises.

On Tuesday, August 4th from 1:00 to 3:00p.m., Dr. Carmencita Agcaoili, critical care medicine, will present "Learn the Signs and Symptoms of Sepsis."

Also on Tuesday, August 4th from 6:00 to 8:00p.m. Washington Hospital will launch the Family Caregiver Educational Series. This six-week comprehensive series will provide educational opportunities for family caregivers to learn about resources and strategies in providing quality care for their loved ones.

Additionally on Tuesday, August 4th from 6:00 to 7:00p.m., as part of the Stroke Education Series, Dr. Ash Jain, cardiologist, Doug VanHouten, R.N., and Luanne

MEDICAL STAFF REPORT

HOSPITAL CALENDAR: Community Outreach

Board of Directors' Meeting July 8, 2015 Page4

Sadueste, R.N., will be presenting "Acute management of Stroke and Chronic Care and Stroke Rehabilitation"

On Thursday, August 6th from 7:00 to 8:00p.m., as part of the Diabetes Matters Series, Rowena Sigler, physical therapist, will be presenting, "Strategies for Incorporating Physical Activity When You Have Diabetes Complications."

On Friday, August 14th from 11:30 a.m. to 1:30 p.m., Washington Hospital will be participating in the Synnex Health & Wellness Expo. Washington Hospital employees will provide health information and body mass index screenings.

On Tuesday, August 18th from 1:00 to 3:00p.m., Dr. Bhaskari Peela, pediatrician, and Dr. Amy Tun, pediatrician will be presenting "Understanding the Basics of Pediatric Immunizations."

Washington Hospital Healthcare Foundation Report On October lOth, the Washington Hospital Healthcare Foundation will host the 29th annual Top Hat dinner dance. This year's gala will be co-chaired by Garrett and Maria Yee and by Dr. David and Laura Orenberg. Dr. Orenberg is the medical director of Emergency Services.

The trustees of the Foundation have designated the proceeds from this year's Top Hat gala towards the development of trauma rooms in the new Morris Hyman Critical Care Pavilion. These treatment rooms in the emergency department will house the latest life-saving technology, allowing physicians to resuscitate critical patients brought to the hospital by ambulance. With this life-saving facility in place, Washington Hospital will be in the position to apply to the Alameda County Board of Supervisors for designation as a trauma center.

On June 30th, the Foundation received a donation of 50 handmade heart-shaped pillows from the AT&T Pioneers, a volunteer group of retired and active AT&T employees. Made up of 16,000 volunteers, the California chapter of the AT&T Pioneers makes pillows and blankets for patients around the state and also makes Christmas stockings for the homeless. The pillows will be distributed to cardiac and pediatric patients at Washington Hospital.

On July 6th, the Foundation received a donation of baby clothes from a high school group called Wooly Warmth. Based in San Jose, this group partners with seniors in the community to create baby clothes that they distribute throughout the South Bay. The president of the group, ninth grader Mythri Ambatipudi, presented the collection of baby caps, socks and sweaters to the Foundation.

The Washington Township Healthcare District Board of Directors Report Washington Township Healthcare District Board Members attended the retirement reception for Paul Miller, hosted by Kidango on June 29th and the Fremont 4th of July Parade on July 4th.

HOSPITAL CALENDAR: Washington Hospital Foundation Report

HOSPITAL CALENDAR: The Washington Township Healthcare District Board of Directors Report


The Washington Hospital Employee Association, W.H.E.A. WHEA selected three recipients of the annual Don Pickinpaugh Memorial Scholarship. Alejandro Sanchez, son of Monica Sanchez from Labor and Delivery, received a $2000 scholarship. Brianna Engle, Daughter ofMichael Engle from Ambulatory Care Services, received a $1000 scholarship and Diane Perez, Daughter of Ann Marie Perez from Rehab and Education, received a $500 scholarship. All three awardees will receive a certificate of award on Monday, July 13th during a special reception.

During the month of July, WHEA will host the Fill a Backpack- Back to School drive event. WHEA members will collect school supplies and monetary donations to support children and college students at ABODE Services & SAVE. Both agencies provide housing for families who do not have a permanent home.

Washington On Wheels Mobile Health Clinic, W.O.W. During the month of June, the Washington On Wheels Mobile Health Clinic (W.O.W.) continued to serve community members at the. Fremont Family Resource Center, the Fremont Senior Center, the Ruggieri Senior Center as well as Centro de Servicios in Union City and Brier Elementary School in Fremont.

W.O.W. also provided occupational health services at Tesla Motors Auto Manufacturing Plant in Fremont.

In addition, Washington on Wheels conducted hearing and vision screenings for students of the Fremont Unified School District State Preschool Program.

Washington On Wheels kicked off the Summer's free glucose screenings. W.O.W. provided 141 screenings in June and found 15 people that were unaware of their elevated blood glucose. They are undergoing further testing. Screenings are provided at all community sites and will continue through August.

The total number of community members receiving healthcare at the Washington On Wheels Clinic during the month of June was 258.

Internet Marketing There were over 53,661 visits to the hospital website in the month of June. The hospital's Physician Finder section was the most viewed webpage with 14,871 page views, followed by the Employment section with 10,410 page views and the Volunteers section had 10,210 page views. The About WHHS section had 8,570 views and the Women's Health and Pregnancy with 2,350 page views.

InHealth - Channel 78 During the month of June, Washington Hospital's cable channel 78, InHealth, captured new programming including a Health and W ellness Programs entitled "The Real Impact of Hearing Loss and the Latest Options for Treatment" and a Diabetes Matters program "Diabetes Ups & Downs: Troubleshooting High and Low Blood Sugar Levels."

HOSPITAL CALENDAR: The Washington Hospital Employee Association, W.H.E.A.

HOSPITAL CALENDAR: Washington On Wheels Mobile Health Van

HOSPITAL CALENDAR: Internet Report

HOSPITAL CALENDAR: InHealth


In addition, InHealth aired a new Health and Wellness program titled "Treatments for Hip Pain", a Diabetes Matters program called "Eating for Heart Health by Reducing Sodium", and the June Board of Directors meeting

Additional Events

Washington Hospital is the recipient of a $2,000.00 grant from the California HOSPITAL CALENDAR:

Health Care Foundation for the Being Mortal project. The goal of the project is to Additional Events

contribute to the knowledge and understanding of advance health care planning, and to add to the groundswell of Californians who are completing Advance Health Care Directives (AHCD). This project ties-in with Washington Hospital's ongoing initiative of encouraging advance health care directives in the community.

As part of the Being Mortal grant, Washington Hospital will be screening the Frontline presentation of Atul Gawande' s "Being Mortal" video, which will be open to the community. Washington Hospital is one of 38 not-for-profit health care facilities in the state who received the Being Mortal grant. The grant is supported by Diana Dooley, Secretary of Health and Human Services for the State of California.

Washington Hospital has been accepted to the ABCDEF Bundle Improvement Collaborative, organized by Society of Critical Care Medicine (SCCM) and funded by the Gordon and Betty Moore Foundation. This 18 month project, which starts this September, has 60 participating hospitals nationwide. The goal of the collaborative is to improve outcomes for ICU patients and families. Employee of the Month

Staff Nurse II, Deborah Hunt is July's Employee of the Month. Debbie joined Washington Hospital in 1992 and has exhibited many roles on the Maternal/Child Health Unit. She is skilled in pediatric and postpartum nursing and is also a certified lactation consultant. Just recently, Debbie chaired the Baby Friendly Committee and due to her countless hours of dedication ensuring every aspect of the journey for Baby Friendly was complete; adding Washington Hospital to the list of prestigious hospitals with the Baby Friendly designation. Debbie is valued and highly regarded by her colleagues and has the ability to have her patients feel as though they are the only patient she has. Her gracious smile and soft spoken words assure them that they are in competent hands. When Debbie is not at work, she enjoys spending time with her husband, two adult children, and friends.

Nancy Farber, Chief Executive Officer introduced Robert Alfieri, Chief of Facilities Services. Mr. Alfieri presented the construction update on the parking garage and the Morris Hyman Critical Care Pavilion. Mr. Alfieri shared photos of the slab on grade and ramp, as well as the rebar, conduit, and post-tension cables for the 2nd level of the parking garage. Photos of the first concrete placement, placing of column forms were shared. Mr. Alfieri continued by sharing photos of work being done for the Morris Hyman Critical Care Pavilion, North End, which included: Soil Stabilization, Geo-Fabric and form savers for foundation, building of the rebar mat for foundations, excavation and preparations for the foundations.

HOSPITAL CALENDAR: Employee of the Month -Deborah Hunt

CONSTRUCTION REPORT Construction Update


Mary Bowron, Senior Director of Quality and Resource Management presented the Washington Hospital Intensivist Program- Annual Update 2015. Ms. Bowron discussed the goals of the Intensivist Program which included: identify and improve condition of deteriorating patients, provide appropriate, reliable and timely care to critically ill patients, create a highly effective multidisciplinary care team headed by an Intensivist and integrate and engage patient/family into care. The Critical Care Clinical Operations Committee was created in January 2015 and is co-chaired by the ICU Director and the ICU Nurse Manager, Ms. Bowron shared strategies for best practice at Washington Hospital, evidence based practice: decreasing ICU Readmissions, results of Palliative Care, patient centered Care, preliminary results, pain management, and hand hygiene.

Chris Henry, Chief Financial Officer, presented the Finance Report for May 2015. The average daily census was 162.7 with admissions of997 resulting in 5,044 patient days. Outpatient observation equivalent days were 280. The average length of stay was 4.68 days. The case mix index was 1.524. Deliveries were 137. Surgical cases were 371. Joint Replacement cases were 116. Neurosurgical cases were 23. Cardiac Surgical cases were 7. The Outpatient visits were 7,221 and Emergency visits were 4,602. Total productive FTEs were 1 ,202.1. FTEs per adjusted occupied bed were 6.11

Ms. Farber presented the Hospital Operations Report for June. There were 956 patient admissions with an average daily census of 151. This was higher than the budget of 913 admissions. Preliminary information indicated inpatient revenue for the month of June at approximately $116,400,000; 54.0% was Medicare and 15.9% was Medi-Cal, for a total of 69.9% in government program revenue. There were 141 deliveries in the Hospital resulting in 299 baby days. There were 396 surgical cases at the Hospital and 553 cases at the Outpatient Surgery Center. The Emergency Room saw 4,286 patients. The clinics saw approximately 3,614 patients. FTEs per Adjusted Occupied Bed were 6.4.

Director Wallace moved that the Eighth Amendment to the Employment Agreement of the Chief Executive Officer be approved and the President of the Board be authorized to executive the Eight Amendment consistent with the actions taken at the Board meeting this evening.

Director Nicholson seconded the motion. Roll call was taken:

Patricia Danielson, RHIT - aye Michael Wallace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD - aye


QUALITY REPORT: Washington Hospital Intensivist Program -Annual Update 2015

FINANCE REPORT

HOSPITAL OPERATIONS REPORT

APPROVAL OF AMENDMENT TO EMPLOYMENT AGREEMENT OF CHIEF EXECUTIVE OFFICER


In accordance of District Law, Policies and Procedures, Director Wallace moved the Chief Executive Officer be authorized to proceed with the purchase of equipment, implementation services, software upgrades, and project management services for the implementation of McKesson/ Aesynt Med Carousel in the Hospital's central Pharmacy for an amount not to exceed $160,000.00. This purchase is not included in the FY 15 or FY 16 Capital Budget.


Roll call was taken: Patricia Danielson, RHIT - aye Michael Wallace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD- aye

The motion unanimously carried In Accordance of District Law, Policies and Procedures, Director Wallace moved the Chief Executive Officer be authorized to proceed with the purchase of the Maquet Alphamaxx OR Table for an amount not to exceed $58,000.00.

Director Nicholson seconded the motion. Roll call was taken:

Patricia Danielson, RHIT - aye Michael Wall ace - aye William Nicholson, MD - aye Bernard Stewart, DDS- aye Jacob Eapen, MD- aye


In accordance with Health & Safety Code Sections 1461, 1462, and 32106 and Government Code Section 54954.6(h). Director Danielson adjourned the meeting to closed section at 7:26p.m. as the discussion pertained to Hospital trade secrets, human resources matters and risk management.

Director Danielson reconvened the meeting to open session at 8:24p.m. and reported no action was taken in closed session.

There being no further business, Director Danielson adjourned the meeting at 8:25p.m.

Patricia Danielson, RHIT President

Bernard Stewart, DDS Secretary

APPROVAL OF MED CAROUSEL

APPROVAL OF OR TABLE

ADJOURN TO CLOSED SESSION

RECONVENE TO OPEN SESSION & REPORT ON CLOSED SESSION

ADJOURNMENT

~sincere appreciation, Washington Hospital Healthcare System and the

Washington Township Health Care District acknowledge and praise Paul I<:.elley, for

his continued commitment to Practice Greenhealth, a source for environmental solutions

for the health care sector and lends support to create better, safer, greener workplaces and

communities. This is the 5th year Washington Hospital has received the Greenhealth Partner for

Change Award for significant achievement in sustainability. Paul has played an instrumental role in

Washington Hospital achieving this award. Paul Kelley is a certified Biomedical Equipment Technician

and has been an employee of Washington Hospital for more than 15 years. Paul became the Green

Initiative Manager and Green Team Chairperson in November 2007 and is currently

the Director of the Biomedical Engineering Department.

He is very active in many professional societies in the Biomedical and Green Hospital fields.

~highest regards and accolades, Washington Hospital Healthcare System

and the Washington Township Health Care District

proudly present this certificate in honor of

Paul Kelley, CBET Certificate of Commendation

Duly bestowed upon Paul Kelley, CBET on this 8th day of July, 2015

by Washington Hospital Health care System and

Washington Township Health Care District

Memorandum

DATE: July 20, 2015

TO: Nancy Farber, Chief Executive Officer

FROM: Ed Fayen, Sr. Associate Administrator

SUBJECT: Transphenoidal Instrument Tray

Washington Hospital Healthcare System s N C E 9 4 8

The Transphenoidal lnstrument'Tray is used by our neurosurgeons to remove pituitary tumors deep in the brain. Currently, we have only one tray. When an instrument(s) is out for repair or is damaged during a case, there is no back-up which may be critical to the case and a safety issue for the patient.

In the last several months there have been instances where the neurosurgeon books two Transphenoidal Hypophosectomy cases back-to-back. Due to the number of instruments used in these cases, the turnaround time to decontaminate, set up the tray(s) and sterilize to make ready for the next patient can be as long as two hours. This is unacceptable to the surgeons and certainly is wasting OR time that could be used more efficiently.

With a second instrument tray we will be able to meet the surgeon's requests on more of a routine basis to schedule two cases back-to-back and meets the needs of our patients. This purchase is an approved equipment line item in the 2016 Capital Budget.

In accordance with District Law, Policies and Procedures, it is requested that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the Transphenoidallnstrument Tray for an amount not to exceed $48,500.00.

Washington Township Health Care District, 2000 Mowry Avenue, Fremont CA (510) 797-1111 Nancy Farber, Chief Executive Officer

Washington Hospital Healthcare System

Memorandum s N C E 9 4 8

DATE: July 20, 2015



SUBJECT: G. E. NextGen Logiq Compact Digital Ultrasound Console

An ultrasound uses high-frequency sound waves to make images of organs and structures inside the body. A computer receives the waves and uses them to create a picture. There is no radiation and it is a non-invasive procedure. Used to view the heart, blood vessels, kidneys, liver and other organs, this ultrasound will allow routine use for central venous and arterial access. We currently have one Ultrasound in the Operating Room.

An ultrasound is used frequently and predominately by Anesthesiologists, Vascular Surgeons, Cardiac Surgeons and Gynecologic Surgeons. Having only one ultrasound in the operating room creates frequent conflicts with surgeons having to wait, often with patients under anesthesia, for one surgeon to finish using it before it can be used for another patient. Having a second Ultrasound in the Operating Room will increase the safety factor for our patients and the satisfaction level for our surgeons. This purchase is an approved equipment line item in the 2016 Capital Budget.

In accordance with District Law, Policies and Procedures, it is requested that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the G.E. NextGen Logiq Compact Digital Ultrasound Console for an amount not to exceed $49,000.00.




DATE: July 20, 2015



SUBJECT: Aneurysm Clip Set

An aneurysm clip is used to treat a balloon-like bulge of an artery in the brain. As an aneurysm grows, it becomes thinner and weaker placing the patient at risk for it to leak or rupture. To prevent this, a neurosurgeon places a tiny clip across the neck of the aneurysm to stop or prevent it from bleeding. There are many different sizes and angles available in order to get the best result possible.

We currently have one set of aneurysm clips. Once used on a case, the clips have to be washed, sorted, sterilized, and reordered ·before the set can be used again. There have been at least three 'close calls' this last year where a second aneurysm patient arrived in the ED needing . emergency aneurysm surgery while the set was down due to having to reorder more clips. Since these cases can be 'life or death' cases, especially if the aneurysm ruptures, it is critical we have enough aneurysm clips to allow each patient access to these life-saving measures. We are therefore requesting approval to purchase a second Aneurysm Clip Set.

This purchase is an approved equipment line item in the 2016 Capital Budget.

In accordance with District Law, Policies and Procedures, it is requested that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the Mizuho America Inc. Aneurysm Clip Set for an amount not to exceed $266,125.52.

Washington Township Health Care District, 2000 Mowry Avenue, Fremont CA (510) 797-1111 Nancy Farber, ChiefExecutive Officer



DATE: July1,2015



SUBJECT: Arctic Sun Patient Temperature Management System

In December 2012, the BOD approved the purchase of an Arctic Sun cooling unit and pad that is utilized to initiate therapeutic hypothermia for post-cardiac arrest patients in the Emergency Room and Cath Lab prior to ICU Admission.

With the increase of critically ill neurosurgical patients that are coming in and being treated for stroke by Dr. Thomas, we now have the need to increase the number of Arctic Sun units for neuro patients as well as cardiac patients.

The Arctic Sun system has proven to be efficient and an improvement over the former method we utilized to control the temperature of these critically ill patients. It is technology that both the Cath Lab and Critical Care staff are knowledgeable of and can be adapted immediately to the neurosurgical service.

The Foundation is donating funds to cover this purchase. This purchase was not included in either the Fiscal Year 15 or Fiscal Year 16 Capital Budgets.

In accordance with District Law, Policies and Procedures, it is requested that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the Arctic Sun Patient Temperature Management System for an amount not to exceed $48,000.


Memorandum

DATE: July 20, 2015



SUBJECT: Maquet Alphamaxx OR Table


In June, 2015, the Board approved the purchase of a Maquet Alphamaxx OR Table to replace a Trumpf table that was broken beyond repair. Dr. Dearborn and Dr. Sah tria led several OR tables and, together with staff, recommended the Maquet table as comparable or superior to Trumpf.

We need to purchase a second Maquet Alphamaxx OR Table to replace an Amsco table originally purchased in 1996 that is broken and unrepairable. The new table offers maximum height adjustment, lateral tilt, and special positions as well as a load capacity of up to 990 pounds. While it will be utilized for total joints, it can quickly and easily be adapted to different specialties. This could lead to less movement of the table into and out of operating rooms. The cost of the Maquet Alphamaxx OR Table is $58,000.

The Washington Foundation has offered to fund the purchase of the table with funds earmarked for surgical services. This table is not included in the FY 16 Fixed Asset Capital Budget.

In accordance with District Law, Policies and Procedures, I request that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the Maquet Alphamaxx OR Table for an amount not to exceed $58,000.


Memorandum

DATE: July 20, 2015



SUBJECT: Rigid Containers for Orthopedic Trays


We currently use rigid containers for some of our orthopedic instruments for the Operating Room, but there are many trays that are still wrapped for sterilization. We have identified an issue related to these trays in that they are quite heavy and are moved multiple times prior to use in surgery. The combination of the weight and the frequent movement can result in small tears in the wrappers. These tears/holes render the trays unsterile; such trays must be returned to Sterile Processing to be rewrapped andre-sterilized. Repeating this work increases labor and can result in delay of surgery for the patient.

We would like to like to purchase Aesculap containers that would replace the need for wrapping trays for sterilization. Once the rigid containers are in place, there will be a 90°/o reduction in the use of large wrap which equates to a savings of $49K annually. This is also a "green" purchase as we currently send a lot of wrap to landfill.

This purchase is an approved item in the FY 16 capital budget.

In accordance with District Law, Policies and Procedures, I request that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of the Aesculap Rigid Containers for Orthopedic Trays for an amount not to exceed $62,994.48.


Memorandum

DATE: July 20, 2015



SUBJECT: Nuvasive Micro Decompression Sets (2)


Dr. Kunwar uses a Micro Decompression Tray on every Anterior Cervical Discectomy and Fusion as well as every laminectomy or discectomy that he performs. Due to his volume, we made the determination that we needed a second tray.

We contacted the vendor and received a quote in the amount of $25,832 for one Tray. During the course of negotiations with the vendor, it was discovered that our original tray was seven years old and at the end of useful life. We were able to return the original Micro Decompression Set and purchase two new and complete Micro Decompression Sets for $29,964.

One Micro Decompression Tray was approved in the FY 16 Fixed Asset Capital Budget in the amount of $25,000. The total purchase price, including tax and freight, is $33,062.16. The Washington Foundation has offered to cover the balance of $8,062.16 with funds earmarked for surgical services.

In accordance with District Law, Policies and Procedures, I request that the Board of Directors authorize the Chief Executive Officer to proceed with the purchase of two Nuvasive Micro Decompression Sets for an amount not to exceed $33,062.16.

Washington Township Health Care District, 2000 Mowry A venue, Fremont CA (51 0) 797-1111 Nancy Farber, Chief Executive Officer


Memorandum DATE: July 20, 2015



SUBJECT: Administrative Office and Kaizen Promotion Office Build Out

In order to expand the Executive Office suite to allow for a larger Board Room and relocate executive offices to the suite, this construction project is necessary. Some of the space allocated to Medical Records will be incorporated into the expansion plan. The relocated offices include the Associate for Patient Care Services, her Executive Assistant, and the Lean Promotion Office.

The following is an outline of the Boardroom Expansion and Administration Upgrades construction budget estimate:

I. Construction Direct Construction Costs $ 550,000 Design and Owner Contingency 82,500 Construction Contingency 551000 Sub-Total $ 687,500

II. Equipment Budget Furniture and Fixtures $ 45,000 A V /IT /Telecom 30,000 Security 251000 Sub-Total $ 100,000

Ill. Consulting Fees Architect and Engineering Fees $ 83,000 Other Special Consultants (AV/IT) 15,000 Construction Management 60,000 Permit fees- OSHPD 11,292 Inspection and Testing 71500 Sub-Total $ 176,792

PROJECT TOTAL $ 964,292

I am recommending that the board of Directors adopt Resolution # 1157 which will provide for the implementation of the Boardroom Expansion and Administration Upgrades for an amount not to exceed $ 964,292.

In accordance with District Law, Policies and Procedures, please approve this project to include the authorization for completion of construction documents by the Hospital design team and the


authorization by the Secretary of the Board of Directors to accept bids for this project from firms that have pre-qualified to bid on WHHS projects as a result of a publicly advertised prequalification process.

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RESOLUTION NO. 1158

RESOLUTION OF THE BOARD OF DIRECTORS OF WASHINGTON

TOWNSHIP HEALTH CARE DISTRICT AUTHORIZING CHIEF

EXECUTIVE OFFICER TO ENTER INTO AGREEMENTS WITH

TRANSAMERICA CORPORATION AND WILSHIRE ASSOCIATES

WHEREAS, the Washington Township Health Care District is a local health care

district (“District”) which owns and operates a general acute care hospital and provides

essential healthcare services to the population residing within the District’s political

boundaries, including the cities of Fremont, Newark, Union City, parts of South Hayward and

Sunol;

WHEREAS, the District maintains a pension program for employees and retirees

pursuant to section 401(a) of the Internal Revenue Code (“Code”);

WHEREAS, the District believes that diversifying the pension plan investments is

prudent to enhance the long-term viability of the pension program;

WHEREAS, the District previously authorized the creation of a new trust arrangement

that complies with the requirements of Code section 401(a) (the “Trust”);

WHEREAS, the Board previously authorized the Chief Executive Officer to investigate

different options regarding the administration of and investments within the Trust; and

WHEREAS, the Board has determined that it is in the best interest of the District to

enter into agreements with Transamerica Corporation and Wilshire Associates, under which

Transamerica Corporation would serve as the plan administrator for the Trust and Wilshire

Associates would serve as the professional investment manager and actuary for the Trust.

NOW THEREFORE, be it resolved that:

1. The Chief Executive Officer is hereby authorized, on behalf of the District, to

enter into an agreement with Transamerica Corporation under which Transamerica

Corporation will serve as the plan administrator for the Trust.


enter into an agreement with Wilshire Associates under which Wilshire Associates will serve as

the professional investment manager for the Trust.

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enter into an agreement with Wilshire Associates under which Wilshire Associates will serve as

the actuary for the Trust.

4. The Chief Executive Officer is hereby authorized to update any agreements or

documents pertaining to the Trust to maintain compliance with applicable laws, policies and

procedures.

5. The Chief Executive Officer is hereby authorized to take any and all actions

necessary to execute any and all instruments and do any and all things deemed by her to be

necessary, or desirable, to carry out the intent and purposes of the foregoing resolutions.

Passed and adopted by the Board of Directors of the Washington Township Health Care

District this _____ day of ______, 2015 by the following vote:

AYES:

NOES:

ABSENT:

_________________________________________ PATRICIA DANIELSON, RHIT President, Board of Directors Washington Township Health Care District

_________________________________________ BERNARD STEWART, D.D.S. Secretary, Board of Directors Washington Township Health Care District

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