+MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT

MEETING MINUTESBOARD MEETING

July 27, 20166:00 p.m.

Trinity County LibraryWeaverville CA

DISTRICT BOARD MEMBERS

GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH FRANCIS MOOREVice-President Clerk President Treasurer Member

Note: These minutes contain a description for each item to be considered. Supporting documentation isavailable in the public packet at the Board meeting or at the Administrative Office at Trinity Hospital.

District Board Members Present:

Dero Forslund, ClerkGerald Brasuell, Vice-President

Jerry H. Cousins, President

Lynn Jungwirth, TreasurerFrancis Moore

District Board Members Absent:

None

Staff Present:

Aaron Rogers, CEO

Jon Marshall, CFO (by phone)Peggy Manning, RN, Chief Nursing OfficerJeanne Silvers, Executive Assistant

Jennifer Van Matre, Director of Finance

Michael Novak, PA, Director of Clinic ServicesVictoria Williams, Director Ancillary Services

Kelly Simpson, Manager Business Services

Donald Krouse, MD, Vice Chief of Staff

Corky Rockwell, RN, SNF Director

Kevin Livengood, PharD

6:00 PM CALLS MEETING TO ORDER IN OPEN SESSION

Report from Closed Session onjune^9^2016

The Board entered into closed session at 6:55 pm on the following:

• MEDICAL STAFF PRIVILEGESGovernment Code Section 54962; Health and Safety CodeSection 1461

The Board came out of Closed Session at 6:58 pm and immediately reconvened in Open Session.

Mountain Communities Healthcare District

Board of Directors Board Meeting

July 27, 2016

President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges.

For each applicant the following information has been reviewed and/or verified: Privilege List, NPDB Report, and AMA

Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations.

Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked.

On motion of Director Moore seconded by Director Forslund approves the following appointments/reappomtments andaccepts the resignations upon the recommendation from the Medical Staff.

Appomtments/Reappointments:

Bhargay Raman, MD Provisional Staff Specialty: TeleradiologyRussell Kosik, MD Provisional Staff Specialty: Teleradiology

Resignation

Marc Montella, MD

The motion passed with the following voice vote:

Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Francis MooreNoes: None

Absent: Lynn JungwirthAbstain: None

Public Input - Jo Ehler spoke regarding the reopening of the skilled nursing facility and that formerresidents who were transferred still want to come "home".

Reports

Medical Staff ReportReceived written/verbal report from Daniel Harwood, MD, Chief of Staff and/or Donald Krouse, MD,

Vice Chief of Staff on the Trinity Hospital Medical Staff.

Chief Executive OfficerReceived written /verbal report from Aaron Rogers, CEO on the current operations of the hospital.

Other items discussed:

• There may be an appeal to the decision made by the Trinity County Planning Commissionregarding the use permit for the clinic expansion. An appeal would be heard by the Trinity

County Board of Supervisors in August.

Chief Financial OfficerReceived written /verbal report from Jon Marshall, CFO and Jennifer Van Matre, Director of Finance,

on the current financial status and current status of revenue cycle management and accounts receivable.

Chief Nursing OfficerReceived written/verbal report from Peggy Manning, RN, CNO on the current status of the nursing

departments.

Quality Improvement

Received written/verbal report from Sarah Cordtz, RN, Coordinator, Q/RM on the cuiTent status of the

Quality Program.

Mountain Communities Healthcare DistrictBoard of Directors Board Meeting

July 27, 2016

Consent AgendaAll matters listed under the Consent Agenda, are considered by the Board to be routine, and will beenacted by one motion in the form listed below. There will be no separate discussion of these items

unless a request for discussion is made prior to the time the Board votes on the motion to approve.

On Motion of Director Jungwirth seconded by Director Brasuell approves the following consent

items:

a. Policies and Procedures - See Attached

The motion passed with the following voice vote:

Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis

Moore

Noes: None

Absent: None

Abstain: None

Discussion Itemsa. Clinic

• There is good public support of the clinics and the direction we are headed with staff

and expansion

• The Trinity Community Health Clinic is fally staffed and providers are rotatingbetween here and the Hayfork Community Health Clinic

• New Providers: Chelsea Wood, PA and Beth Cohen, PA who will begin in September

• Mary Baracco, CNM is working with staff from Public Health regarding services that

she would be able to provide in a clinic setting

• Open house at the Hayfork Clinic was well attended. There are patients moving theircare back to the clinic. There will be two front desk receptionists in Hayfork as soon

as another window can be installed

Action Itemsa. Items removed from the Consent Agenda

None

b. Minutes from June 29, 2016

On Motion of Director Brasuell and seconded by Director Forslund accepts Minutes from

June 29, 2016

The motion passed with the following voice vote:

Ayes: Dero Forslund; Gerald Brasuell; Jeny Cousins; Francis Moore

Noes: NoneAbsent: None

Abstain: Lynn Jungwirth

c. Minutes from May 25,2016

On Motion of Director Brasuell and seconded by Director Forslund accepts Minutes from

3

Mountain Communities Healthcare District

Board of Directors Board Meeting

July 27, 2016

May 25, 2016

The motion passed with the following voice vote:

Ayes: Dero Forslund; Gerald Brasuell; JeiTy Cousins

Noes: None

Absent: NoneAbstain: Lynn Jungwirth; Francis Moore

c. Approve Resolution 2016-3: Resolution to Continue Voter Approved Funding

On Motion of Director Brasuell and seconded by Director Moore approves Resolution

2016-3: Resolution to Continue Voter Approved Funding

Competing motion of Director Forslund to amend the rates and add another decrease after

two years failed due to lack of second.

Modification to motion of Director Brasuell and seconded by Director Moore approvesResolution 2016-3: Resolution to Continue Voter Approved Funding with the amount for

undeveloped parcel being changed to $30 per parcel.

The motion passed with the following roll call vote:

Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis

Moore

Noes: NoneAbsent: None

Abstain: None

Board Reports

Director Forslund reported that he has heard good reports regarding the care in the emergency room andthat family members are being kept abreast of the patient's condition.

Director Jungwirth reported that she will submit here paperwork to be placed on the ballot for theMCHD Board of Directors open position but would like to resign from the Finance Committee next

year. She also stated that we should use the phrase "Small Hospital with a big Heart".

Director Cousins thanked everyone for their work on the clinic expansion and for presenting at the

Trinity County Planning Commission to obtain approval for the use permit.

Close Public Session

Closed SessionThe Board entered into closed session at 7:23 pm on the following:

• MEDICAL STAFF PRIVILEGESGovernment Code Section 54962; Health and Safety Code

Section 1461

Mountain Communities Healthcare DistrictBoard of Directors Board Meeting

July 27, 2016

The Board came out of Closed Session at 7:27 pm and immediately reconvened in Open Session.

President Cousins reported that the Board reviewed the recommended actions on Medical Staff

Privileges. For each applicant the following information has been reviewed and/or verified:

Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at

other facility and ongoing professional practice evaluations. Items verified were Liability Insurance

Coverage, Licenses, Certifications, and the Medicare exclusion list was checked.

On motion of Director Brasuell seconded by Director Forslund approves the following

appointments/reappointments and accepts the resignations upon the recommendation from the Medical

Staff.

Initial Appointment

Randall Hrabko, MD Provisional TeleradiologyChelsea Wood, PA-C Provisional Family Practice

Sarah Miller, PA-C Provisional Family Practice

ReappointmentsRay Miller, MD Consulting Emergency Medicine

Parina Cho, MD Consulting Teleradiology

Lisa Finch, MD Consulting TeleradiologyNirmit Goel, MD Consulting Teleradiology

Christopher Hurt, MD Consulting TeleradiologyShelly Jain, MD Consulting TeleradiologyBenjamin Strong, MD Consulting Teleradiology

Resignation—Recommendation for Acceptance

Doris Hansen, PA-C

The motion passed with the following voice vote:

Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; FrancisM'oore

Noes: NoneAbsent: None

Abstain: None

Adfourn:There being no further busii^ss, the meeting was adjourned at 7:30 p.m.

D^rcf^orslund, Cleric off(;he Board

Mountain Communities Healthcare District