Palomar Pomerado Health
BOARD OF DIRECTORS
REGULAR BOARD MEETING
Pomerado Hospital, Meeting Room E, Poway
Monday, September 12, 2005
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| CALL TO ORDER | 6:35 pm
Quorum comprised Directors Bassett, Greer, Kleiter, [(rider, Larson, Rivera and Scofield. |
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| OPENING CEREMONY
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The Pledge of Allegiance was recited in unison, followed by an inspirational reading by Ch~plain Walden (attached). | ||
| MISSION AND VISION STATEMENTS | |||
| The PPH mission and vision statements were
read by Director Greer, as follows:
The mission of Palomar Pomerado Health is to heal, comfort and promote health in the communities we serve. The vision of PPH is to be the health system of choice for patients, physicians and employees, recognized nationally for the highest quality of clinical care and access to comprehensive services. |
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| NOTICE OF MEETING | Notice of Meeting was mailed consistent with legal requirements | ||
| DEVASTATION OF HURRICANE KATRINA | Chairman Rivera called for a one minute silence
following the recent devastation caused
to life and property by Hurricane Katrina in New Orleans, Louisiana and surrounding areas and states. |
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| PUBLIC COMMENTS | Two public comments were received as follows: | ||
| Mr. Robroy Fawcett Development Agreement | Mr. Robroy Fawcett of Escondido, representing himself, distributed an informational leaflet to the Board, and referred to the Development Agreement for Palomar Medical Center between PPH and JRM (developer), and para. 42.6 regarding the |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| exercise of the Option to Purchase dated March
18, 2005, which he felt appeared to grant JRM
the right to build 300,000 square feet along with
associated structures at the proposed new ERTC
site. From what he had read in the newspapers
he understood that we had not reached
agreement. He continued that March 18, 2005
was the date of the Agreement, with a
termination clause of thirty days beyond that
which would be April 17, 2005 when either
party has the right to terminate, and questioned
JRM in terms of such an option, noting that he
understood the close of escrow was to be
January, 2006 which appeared to be an
unnecessary delay.
He referred to a Special Board Meeting held June 28, 2005 during which apparently no action was taken, and requested that he be advised when such agreement is reached. Mr. Fawcett commented that the Facilities Master Plan appeared 10 have shorted PMC of 100,000 square feet of conformant space, noting that he had e-mailed everyone in this -regard, but no-one wished to acknowledge this. He felt the size of Palomar Medical Center in the Facilities Master Plan must be clarified before PPH dismantles our hospital at the current PMC site. On behalf of the Board, Mr. Fawcett was thanked by Chairman Rivera for his comments. |
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| • Stuart N. Graham, M.D. Center for HealthCare -- Pomerado campus | Stuart N. Graham, MD, President of the Centre for HealthCare, addressed the Board regarding their medical office move to Pacific Medical Building on the campus of Pomerado Hospital, noting that they are very close to completion of the lease with PMB and looked forward to a long-term association with PPH. |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| Chairman Rivera responded that the Centre for HealthCare has a well-trained group of approximately thirty physicians within the community, and that this is another example of Administration and Staff working in cooperation to achieve such a joint venture at Pomerado. He thanked Dr. Graham for attending the meeting and addressing the Board. | |||
| APPROVAL OF MINUTES
• Regular Board Meeting -- August 15, 2005 |
MOTION:by Scofield, 2~ by [(rider and carried to approve the minutes of the Regular meeting of August 15, 2005, as submitted. All in favor. None opposed. | ||
| APPROVAL OF AGENDA to accept the Consent Items as listed including Group Purchasing Organization (GPO) Affiliation; Physician Recruitment Agreement with Josue Leon, MD., and Escondido OB/GYN; and Professional & Medical Director Services Agreement with Valley Pathology Medical Associates, Inc. | MOTION: by Kleiter, 2~ by Bassett
and carried to approve the Consent Items as submitted. All in favor. None opposed. |
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| PRESENTATION | |||
| 4th Qtr/Annual
Compliance Report |
Mr. Jim Neal, Compliance Officer, presented to the Board via handouts, a review of the 4th Quarter/Annual Compliance Report. He noted that all compliance aspects were falling into place and training was being undertaken at the Department level. | The Board thanked Mr. Neal for his excellent and detailed report. | |
| REPORTS | |||
| Medical Staff | |||
| Palomar Medical Center
' Credentialing |
Robert Triftinovic, MD., on behalf of James S. Otoshi, MD., Chief of PMC Medical Staff, presented PMCs requests for approval of Credentialing Recommendations. | MOTION: by Scofield, 2~ by
Bassett and carried to approve the PMC Medical Staff Executive Committee credentialing recommendations for the PMC Medical Staff, as presented. None opposed. |
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| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| Director Larson abstained to avoid potential conflict of interest. Director Greer declined to vote. | |||
| Escondido Surgery Center | |||
| Credentialing | Marvin W. Levenson, MD., Administrator/
Medical Director of the Escondido Surgery Center, presented requests for approval of Credentialing Recommendations. |
MOTION:by Bassett, 2nd by
Scofield and carried to approve the PMC Medical Staff Executive Committee credentialing recommendations for the Escondido Surgery Center, as presented. None opposed. Director Larson abstained to avoid potential conflict of interest. Director Greer declined to vote. |
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| Pomerado Hospital | |||
| Credentialing | Paul E. Tornambe, MD., Chief of
Pomerado
Medical Staff, presented Pomerado Hospitals requests for approval of Credentialing Recommendations. |
MOTION: by Scofield, 2" by
Bassett and carried to approve the Pomerado Hospital Medical Staff Executive Committee credentialing recommendations for the Pomerado Medical Staff, as presented. None opposed. Director Larson abstained to avoid potential conflict of interest. Director Greer declined to vote. |
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| Administrative | |||
| Chairperson - Palomar Pomerado Health Foundation | On behalf of Ms Pauline Getz, PPFIF
Chairperson, Mr. Bob Wells presented
highlights on the Foundations recent
activities. Chairman Rivera welcomed Mr.
Wells as a local businessman and
appreciated his time.
Mr. Wells reported that the "Swing For Health" golf tournament check presentation was made September 7 when Marti Hale presented Dr. Leahy with a mock big check for $160,000 raised from the tournament to |
Informational |
AGENDA ITEM DISCUSSION CONCLUSIONS/ACTION FOLLOW-
UP/RESPONSIBLE
___________________________ ______________________ PARTY
support the Cardiac Alert Program.
He further stated that Foundation staff were currently working with Gerald Bracht, Dr. Moir and Lone Shoemaker on two separate proposals for interested donors -- one for Cardiology, and one for Nursing activities.
In addition, Marilyn Johnson and various members of the Nominating Committee had met with four potential new Board members the previous week. The Foundation Board would vote on new members at their September 22 Board meeting.
All were asked to "save the date" of Thursday, December 15 from 5pm-- 7pm as the Foundation was hosting a Holiday Party at donor Martha Normans home in Pauma Valley during which Michael Covert would provide a brief update on the expansion plan. "Save the date" cards to be mailed next week.
The Foundation will host the Escondido Rotary luncheon on September 13 when
Dr. Moir and Marilyn Johnson will share information on Foundation activities.
The Foundation Staff was finalizing the search Chairman Rivera thanked Mr. Wells for a Director of Business Operations with for his update and appreciated his interviews having taken place that morning. A time in the meeting.
second round for finalist candidates would occur the following week.
| Chairman of the Board -- Palomar Pomerado Health | Chairman Marcelo R. Rivera, MD
-______________________________________ |
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| ERTC sitefDowntown campus | Chairman Rivera referred to the two items held | Informational |
| - City of Escondido | in Closed Session at the prior Special Board Meeting that evening, and read out to the audience those items as stated on that agenda as follows: |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
1. CONFERENCE WITH REAL
PROPERTY NEGOTIATORS -
pursuant to Government Code Section 54956.8
Property: Escondido Research &
Technology Site (ERTC)
Agency Negotiators: Bob Hemker, CFO, PPH
Negotiating Parties: James McCann and
Bob Hemker
Under Negotiation: Instruction to Negotiator
will concern price and
terms
2. CONFERENCE WITH REAL
PROPERTY NEGOTIATORS
pursuant to Government Code Section 54956.8
Property: That certain portion of Valley Boulevard between East Grand Avenue and Hickory Street and the associated right of way, and the 600 East Block of East Pennsylvania Avenue, located between East Valley Parkway and North Fig Street and the associated right of way
Agency Negotiators:Bob Hemker, CFO, PPH
Negotiating Parties:City of Escondido and
PPH
Under Negotiation:Instruction to
Negotiator will concern
price and terms
Chairman Rivera relayed for information that
the Board had asked our negotiators to
continue in positive negotiations with the City
______________________________ of Escondido.
u\my docs\pph bd mtgs 2005\reg bd mtg 09.12-05\reg bd mins 09-12-05:cdm '16
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| • Resolution No.
09.12.05(0 1 )-17 Requesting Amendment to change the Regular Meeting of the Board of Directors from October 10 to October 17, 2005 |
Chairman Rivera e,~plained his need for personal reasons, to change the date of the regular Board Meeting from October 10 to October 17 if possible, and requested the Boards understanding in the matter. | MOTION: by Kleiter, 2" by
Scofield and carried to approve Resolution No. 09.12.05(0l)-17 Requesting Amendment to change the Regular Meeting of the Board of Directors from October 10 to October 17, 2005. Director Greer noted with regret that she would not be here to attend October 17. There being no further comments, all in favor. None opposed. Chairman Rivera sincerely appreciated the Boards flexibility. |
Regular Board Meeting
date change from
October 10, 2005 to
October 17, 2005 to be
noted by all.
This date change to be notified by Board Assistant including the press/public. |
| • Board Retreat | Chairman Rivera referred to the upcoming Annual Conference on Healthcare Design and PPH Board Retreat to be held Nov 6-9, 2005. He noted that the Conference on Healthcare Design was a leading non-profit organization with professionals from all over the world, and it was hoped that most Board members would be able to attend. | ||
| • "Swing For Health" Golf Tournament | Chairman Rivera wished to again sincerely thank Mr. Bob Wells, the Foundation Staff, Marti Hale and Ted Odmark for organizing the Golf Tournament which raised $160,000. This money would support the Cardiac Alert program and cover all outlying areas. | ||
| President and CEO
• JCAHO Survey |
Michael H. Covert, FACIlE Michael Covert acknowledged the leadership of our Administrative Team regarding the JCAHO survey process undertaken earlier this year, noting that we had now received | ||
| confirmation of our accreditation in writing, including the selection by JCAHO of PPH for their "tracer" methodology which was very unusual and encouraging as we continue |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| accreditation over the next few years. Mr. Covert thanked our Medical Staffs and all Staff involved throughout PPH in attaining this high standard of accreditation. Follow-up would continue through the Board Quality Review Committee, etc. | |||
| • Stuart N. Graham, MD Centre for HealthCare | Mr. Covert thanked Dr. Graham for the cooperation extended between the Centre for HealthCare, Jim Flinn, Chief Administrative Officer of Pomerado Hospital and Bob Hemker, CFO and the excellent support by the City of Poway. PPH looked forward to growing with the CHC and thanked Dr. Graham for his time that evening. | ||
| • MSA update between
PPH and PPHF |
It was reported we were close to finalizing our Management Services Agreement (MSA) between PPH and the Foundation, and anticipated there being a document for submission through the October Finance Committee and thence to the Board. | ||
| • PPHF and PPH Board Committee representation | Mr. Covert announced interest on the part of the Foundations Executive Committee for potential Foundation representation on PPH Board Committees and which he would discuss with Dr. Rivera and Ms Pauline Getz, with the intention of bringing this item to the PPH Governance Committee, noting that some Foundation members had served on our PPH Board Committees. | ||
| • Recruitment for Foundation
Director
• Acknowledgements 4th Qtr/FYO5 Patient Loyalty; Employee Engagement |
Michael Covert relayed that Ms Pauline Getz,
Mr. Harold Dokmo, Dr. Steahly, Mr. Bob Crouch, PPH Director Bruce Krider, PPH Director Alan Larson and he comprised the Search Committee, noting that recommendation would be made to the Board. Michael Covert acknowledged Ann Koeneke of PMC Rehab, Nancy Ravelo of PMC Med Oncology, and Pam Hoppie of PMC Observation Unit; together with Ann Moore of Pomerado Wound Care Center, Gloria Austria, Pomerado Outpatient Lab, and Tern Scherl of Pomerado Birth Center. - |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| Congratulations also to the Medical Oncology
team at PMC for earning "Highest to Goal"
score for patient loyalty with best Support
Department being Sterile Processing. Pomerado
Lab was acknowledged for maintaining the
Most Improved Score with best Support
Department being Pomerado ED.
Pomerado Hospitals Birth Center achieved "Highest to Goal" Patient Loyalty Award and chose FANS as their Support Department. |
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| • Physician Engagement | Results to be presented to Human Resources Committee Tuesday, September 13 and to Strategic Planning Committee, but would initially be visited with our Medical Staffs, and shared with the Board. Results would also be conveyed through the Quality Review Committee. | ||
| • Innovation Week of Aug 15
• New hospital site location |
Michael Covert informed that the Executive
Management Team and groups from each of
the respective institutions spent the entire week
of August 15 at an "innovation week" to which
the Board was invited.
The process involved listening to our Champion Teams regarding PPHs Facilities Master Plan with the results being reported out through the Strategic Planning Committee and Centre for Health Design, noting that Carrie Frederick, Ruth Szakaly and Marcia Jackson had been asked to make presentations for the Centre. He continued that many good things were happening in future hospital design. We were on the cutting edge and making good progress. The CEO reported we would continue to meet with City of Escondido Staff per the Boards request regarding the downtown campus development agreement, and the ERTC development agreement, and looked forward to a further update next month. |
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| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| • Mr. Steve Gold,
Administrator SNF Services (PCCC and Villa Pomerado) |
Ms Sheila Brown welcomed Mr. Steve Gold as
the new Administrator for SNF Services for
PCCC and Villa Pomerado.
Mr. Covert was very proud that Mr. Gold had agreed to join PPFI, noting that he had been nationally recognized at Centara, Virginia where he had put together a special program. We will expect a lot of him as we continue to grow our programs. |
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| • Mr. Wallie George, Chief
Human Resource Officer |
Mr. Covert sincerely welcomed Mr. Wallie
George, the new Chief Human Resource Officer who had been the Regional leader for CHC Partners in Ohio, and formerly CHRO in Sarasota, Florida. He looked forward to working with Mr. George, and wished to acknowledge Ms Brenda Turner for all her work during this interim period. He noted that we now have a good HR team. Mr. George thanked Mr. Covert for his remarks. |
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| • Mr. Stonish Pierce, Administrative Fellow | The CEO then introduced Mr. Stonish Pierce, PPH Administrative Fellow/Intern. Mr. Pierce was a graduate of USC and would work closely under Mr. Covert for the next year. He had been asked to spend time with Board Members and to attend the various Board Committee meetings etc. | ||
| • Hurricane Katrina | Mr. Covert introduced Ms Tina Pope and
Mr. Andy Hoang, noting that Tina was
helping to coordinate local efforts in response
to Hurricane Katnina and that Andy was
assisting in coordination of national efforts.
In response to how PPH could help, our mission was going to spread beyond our 800 square miles. Ms Sarah Gordon of Pomerados MedlSurg would, on Wednesday, September 13, leave for Jackson, Mississippi and travel on to Natchez |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW
UPIRESPONSIBLE PARTY |
County where she will spend two weeks working with a local nursing school treating thousands of people who did not have access to medical care and where the American Red Cross was unavailable. This had been made possible by "International Relief Teams". They will also be sending more teams earliest September27 when Sarah returns. She will send Andy Hoang a daily journal and be visited on the website.
e-mail and HotNews updates would be provided to PPH and information was available from the American Heart Association, the Healthcare Association of San Diego & Imperial Counties, with local help through the American Red Cross.
Mr. Covert stated that all of the area hospitals
were participating, but it was a major process.
Tina Pope explained that she is a National Responder for the American Red Cross and worked at a local center with seven different families over the Labor Day weekend. The devastation was incredible and we have an estimated 2,000 evacuees in this area. She continued that she is maintaining a list of volunteers requesting training amounting to 5-10 people per day, noting that we can be a valuable resource locally.
Mr. Covert announced that donated pto would be available to assist volunteer staff, and donations may also be made through the Foundation earmarked for the Red Cross, etc.
He then referred to the tragic events of 9-1 1, the October, 2003 fires in the San Diego area, and Hurricane Katnina. This was what made health workers great as they always rose to the occasion, and it emphasized the spirit of
u\my docs\pph bd mtgs 2005\reg bd mtg 09-12-05\reg bd mins 09.l2-05:cdm 11
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| America. We would make a meaningful contribution, as that was what PPH is all about. Ms Tina Pope and Mr. Andy Hoang were each thanked by Chairman Rivera for their efforts in this tragic situation. | |||
| INFORMATION ITEM S | Discussion by exception only | ||
| • Human Resources | |||
| • Joint BOD/Strategic Planning | |||
| N Finance | |||
| COMMITTEE REPORTS | |||
| Finance | Approved under Agenda liem V (Consent liems) | ||
| BOARD MEMBER
COMMENTS/AGENDA ITEMS FOR NEXT MONTH |
Director Krider wished all to understand how
significant it was that PPH had been selected
as one of the 25 hospitals to teach the
JCAHO to undertake a survey and felt that
our Staff deserved a real hand of
acknowledgement for this (applause).
Director Bassett sincerely thanked the Board for their get-well gesture of flowers recently received. Director Greer thanked Ms Brenda Turner for handling the Human Resource Department until a CHRO was appointed. Director Larson stated that he was proud of what PPH was doing concerning the help being provided in the aftermath of Hurricane Katrina. Director Kleiter referred to a funeral he had recently attended of a lady who had been with the educational system in Escondido, stating that her husband had asked Director K leiter to sincerely thank the nurses on the 6th Floor at PMC for their compassionate care provided to this lady. |
| AGENDA ITEM | DISCUSSION | CONCLUSIONS/ACTION | FOLLOW-
UP/RESPONSIBLE PARTY |
| Chairman Rivera commented that he looked
forward to working with Mr. Wallie George
and Human Resources as there were some
matters that required attention.
Chairman Rivera then welcomed Mr. Steve Gold, Director of SNF Services, noting the tragic situation that had occurred in a nursing home during the Louisiana hurricane devastation, and that it was important to have someone in charge who can make good decisions immediately, particularly in a crisis. Chairman Rivera also welcomed Mr. Stonish Pierce, Administrative Fellow, noting that it was a particularly interesting time for him to be with PPH due to our Master Facilities Plan and that he could learn a great deal from Mr. Covert, our Hospitals, Departments, and Medical Staffs. Chairman Rivera again thanked the Board for agreeing to his request to change the next regular board meeting date from October 10 to October 17, 2005 at Palomar Medical Center, Graybill Auditorium. The 6:30 pm start time would remain the same. |
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| ADJOURNMENT | 7:45 p.m. | MOTION: by Kleiter, 2"" by Rivera and carried that the meeting be adjourned. | |
| SIGNATURES
• Board Secretary • Board Assistant |
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| Nancy H. Scofield | |||
| Christine D. Meaney |
PASTORAL CARE-CHAPLAINCY
Chaplain Dr. David M. Chappy Walden
POMERADO
Palomar Pomerado Health H 0 S P I TA L
Board of Directors
Monday, September 12, 2005
Dr David M Walden -- Chaplain -- Pomerado Hospital
Recitation
Love Never Fails
Goodness and acts of kindness energizes the souL The whole person becomes aflame with passion for the needs of others. Self-love is turned outward to selfless love. Love suffers long and is kind; love does not envy, love does not parade itself, does not sing its own praises, does not seek its own acclamation and love thinks no evil. Love is slow to anger and quick to listen. It hopes and endures all things ... even
when outward circumstances would suggest otherwise.
The reports given to us by our major networks do not demonstrate the character and compassion of this mighty nation. A nation of Americans who are putting their
faith into action and not just by words ... but by acts of love.
Goodness and acts of kindness are being reported through personal testimonies whose souls have been energized. The churches and parishes, synagogues and mosques, Red Cross - Kwanis - Rotaries and thousands of families have come together in a common goal of love that is ablaze ... with passion towards others who are Americans, who are our fellow citizens ... who are our neighbors. As the
1828 hymn "From Every Stormy Wind That Blows, song writer Hugh Stowell
penned these treasured words:
From every stormy wind that blows, From every swelling tide of woes,
There is a calm, a sure retreat -- Tis found beneath the mercy seat
There is a scene where spirits blend,
Where friend hold fellowship with friend
The sundered far, by faith they meet -- Around one common
mercy seat.
Love bears all things, believes all things, hopes all things, endures all things. LOVE never fails.
15615 Pomerado Road Poway, CA 92064-4824 Tel 858.613.4848 Fax 858.613.4189 Web Www.pph.org
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