Seneca Healthcare District- Agenda

Board of Directors
President Jerri Nielsen • Vice President Sherrie Thrall • Secretary Kenneth Crandall • Treasurer Rich Rydell • Assistant Secretary/Treasurer Shelley Stelzner

RULES AND PROCEDURES OF THIS BOARD

Our Mission: Seneca Healthcare District's mission is to provide our community members and visitors with outstanding health care and quality care through dedicated and compassionate staff, providers, and innovative technology.

We welcome public participation in our meetings. It is customary for members of the public to stand or raise a hand to be recognized by the Board President before speaking on any agenda item. Please state your name for the record and limit comments to three (3) minutes. Written comments should be submitted to the Board Clerk at least twenty-four (24) hours prior to the meeting to allow for distribution.

If you would like to watch the meeting or provide a public comment virtually, as a courtesy you can also access the meeting remotely. You may raise your hand online at any time to indicate that you wish to speak; please wait to speak until you are recognized by the Board President.

Although the Board strives to offer remote participation, be advised that remote participation is provided for convenience only. In the event of a technological malfunction, the only assurance of live comments being received by the Board is to attend in-person or submit written comments as outlined above. The Board reserves the right to conduct the meeting without remote access if we are experiencing technical difficulties.

Please use the web link below to join the Zoom webinar:

https://us06web.zoom.us/j/84534016754?pwd=flx04td8E6rfLjVaDmWnPPNn2Xwbca.1

Meeting ID: 845 3401 6754 | Passcode: 144401

Mobile:+16694449171,, 84534016754#,,,,*144401# US

Find your local number: https://us06web.zoom.us/u/kbCJNCPXP5

REASONABLE ACCOMMODATIONS

In compliance with the Americans with Disabilities Act, if you require special accommodations to participate in a board meeting, please contact Seneca Healthcare District at (833) 227-3743, or email board@senecahospital.org within 72 hours prior to a Regular Meeting, or 24 hours prior to a Special Meeting.

Call to Order
- Roll Call
- Pledge of Allegiance
Modification to, or Deletions from the Agenda
Discussion Possible Action Comment
Approval of the Agenda
Discussion Possible Action Comment
Public Comments
Discussion Comment
This is an opportunity for public attendees to address the Board regarding items which are not on the agenda. Please state your name for the record. Comments are limited to three (3) minutes. Written comments should be submitted to the Board Clerk 24 hours prior to the meeting to allow for distribution. Under Government Code Section 54954.2 - Brown Act, the Board cannot act on any item that is not listed on the agenda. The Board Chair may choose to acknowledge the comment. When appropriate, the Board Chair may briefly answer a question; refer the matter to staff; or move to set the item for discussion at a future meeting.
The Board Responds to Public Comment(s).
Discussion Comment
Closed Session
Discussion Comment
- Litigation - Pending/Existing Litigation
  Conference with Legal Counsel - Existing Litigation Pursuant to Gov. Code Section 54956.9 (d)(1)
  Robles vs SHD - Case: #CV22-00177
- Litigation - Anticipated Litigation (Significant Exposure to Litigation)
  Conference with Legal Counsel - Anticipated Litigation Pursuant to Gov. Code Section 54956.9 (d)(2) or (3)
- Trade Secrets
  Health and Safety Code Section 32106
Report on Closed Session
Discussion Possible Action Comment
The Board President will report on any actions taken.
Approval of the Special Board Meeting Minutes - Tab A
Discussion Possible Action Comment
The Board will review for approval, the Minutes of the October 24th, 2023, Special BoardMeeting as submitted by Deborah Housen, Board Clerk.
Approval of the Regular Board Meeting Minutes - Tab B
Discussion Possible Action Comment
The Board will review for approval, the Minutes of the October 26th, 2023, Regular Board Meeting as submitted by Deborah Housen, Board Clerk.
Reassignment of the December 2023 Regular Board Meeting Date.
Discussion Possible Action Comment
A Special Board Meeting has been scheduled for December 20 th , 2023.
Discussion and approval. Presented by Jerri Nielsen, President.
Proposed Changes to Salary and/or Fringe Benefits of the Chief Executive Officer. - Tab C
Discussion Possible Action Comment
- Oral recommendation regarding proposed changes to salary and/or fringe benefitsof the Chief Executive Officer. Presented by President Jerri Nielsen and SecretaryKen Crandall.
- Board discussion and possible approval of changes to salary and/or fringe benefits ofthe Chief Executive Officer, and execution of the new contract.
Medical Staff Report
Discussion Possible Action Comment
Requesting Board approval, Marc Nielsen, DO, Chief of Staff, submitted the following Medical staff Appointments as approved at the Medical Staff held on November 14th, 2023
Reappointment of Medical Staff:
 Peter Magnusson, MD - Cardiology - 60 days - 10-28-2023 to 12-28-2023
 Joseph Russo, DO - Clinic FP - 2 years - 12-05-2023 to 12-05-2025
 David Walls, DO - Administrator - 60 days - 11-10-2023 to 01-10-2024
 David Walls, DO - Administrator - 2 years - 01-10-2024 to 01-10-2026
 Dana Ware, MD - Clinic, IP, LTC - 60 days - 11-10-2023 to 01-10-2024
 Dana Ware, MD - Clinic, IP LTC - 2 years - 01-10-2024 to 01-10-2026
 Kevin Donaghy, MD - ER - 2 years - 01-01-2024 to 01-01-2026

Initial Appointment Medical Staff:
 Deborah Conway, MD - Radiologist-VRAD - 1 year - 11-14-2023 to 11-14-2024
 Salah Sherif, MD-ER - Locum - 60 days - 10-28-2023 to 12-28-2023
 Salah Sherif, MD ER - Locum - 1 year - 12-28-2023 to 12-28-2024
 Muhammad Adul-Wahab, MD - Radiologist-VRAD - 1 year - 11-14-2023 to 11-14-2024
 Kimberly Burkholz, MD - Radiologist-VRAD - 1 year - 11-14-23 to 11-14-2024

Initial Allied Health Practitioner: N/A
Reappointment of Allied Health Practitioner:
 Clay Craig, PA - Clinic - 60 days - 11-01-2023 to 01-01-2024
 Margaret Main, LCSW - Clinic - 60 days - 12-19-2023 to 02-19-2024
Policies and Procedures - Tab D
Discussion Possible Action Comment View Item
Submitted for Board Approval by Charlene Almocera, RHIA, CHC. The following were approved at the Policy & Procedures Committee Meeting on November 14, 2023 - Please see attachment to agenda item.

DSS-013.002 Drinks Available to Meet Resident Needs/Preferences/Sufficient Hydration
FIN-014.001 Cash, Investments & Board Restricted Funds
HR-###.001 Diversity Equity and Inclusion
HR-032.002 COVID19 Vaccine Mandate
IT-001.005 Acceptable Use
IT-014.002 Password
IT-017.005 Portable Devices
IT-023.005 Equipment Hardening
IT-031.003 Workstation & Laptop Hardening
IT-033.003 Switch Hardening
NSG-072.001 Charting by Nursing Personnel
NSG-074.001 Transfer and Discharge Residents
RT-003.006 Arterial Blood Gas Drawing
RT-041.001 Cardiac Monitor Set-Up
RX-005.002 Departmental Controls
RX-006.002 Equipment and Formulary
RX-018.001 Dispensing Medication to Discharged Patients
RX-022.001 Compounding Sterile Preparations (CPS)
RX-023.001 Acute Automated Drug Dispensing System (AD) Utilization by the Skilled Nursing Facility
RX-030.001 Banana Bags
RX-033.001 Nursing Orientation and In-service
RX-PRO-001.002 Authorized Access
RX-PRO-003.002 Discrepancy Reports
RX-PRO-004.002 Entering Patient Information
RX-PRO-005.002 Inventory Count
RX-PRO-006.002 Medication Removal
RX-PRO-009.002 Poison Control Information
RX-PRO-010.002 Power Outage/Emergency Backup Procedure
RX-PRO-011.002 Problem Solving
RX-PRO-012.002 Pyxis Failure Procedure
RX-PRO-013.002 PYXIS Med Station
RX-PRO-017.002 Returning Medications
RX-PRO-018.002 Stock Replenishments
RX-PRO-019.002 Wasting Medications
Introduction to CivAssist.
Discussion Possible Action Comment
Discussion and request for approval of new software specifically designed for streamlining the Board Meeting Agenda’s, Minutes, and more. NTE $1,299 per year. Presented by JonKennedy, Founder & CEO, CivAssist (joining the meeting via ZOOM).
Establish Investment Account with California CLASS. Tab E
Discussion Possible Action Comment
The Board will review, for approval, the request to establish an account with the publicagency investment fund California CLASS and designate the SHD CEO, CFO, and BoardPresident as authorized signers on the account. Presented by Steve Boline, CFO.
Contract for Coding Services from R1 RCM, Inc. Tab F
Discussion Possible Action Comment View Item
For Discussion and Approval - The contract for coding services from R1 RCM, Inc. Presentedby Steve Boline, CFO. Tab F.a (redline tracking change copy) / Tab F.b (cleancopy)
September 2023 Financial Report (in Draft Form) Tab G
Discussion Possible Action Comment View Item
Submitted for discussion and acceptance (draft form), the September 2023 Financial Report.Presented by Steve Boline, CFO.
FY 2024 Cash Flow Report - Tab H
Discussion Possible Action Comment View Item
Presented by Steve Boline, CFO
Medical Equipment Overview. Tab I
Discussion Possible Action Comment View Item
Medical Equipment overview with request for approval for Canon Imaging EquipmentPurchase Order and for Needed Early Procurement Items – only.Presented by Donna Huntingdale, Building, Rx.
New CAH Board Updates - Plus 2 medical equipment Reports - Tab J
Discussion Comment View Item
Presented by Donna Huntingdale, Building Rx.
R1 Accounts Receivable and Revenue Cycle Report. - Tab K
Discussion Comment View Item
Presented by Steve Boline, CFO
CEO Report - Tab L
Discussion Comment View Item
Presented by Shawn McKenzie, CEO
CNO Report - Tab M
Discussion Comment View Item
Presented by Judith Cline, CNO
Departmental Documents/Reports - Tab N
Discussion Comment View Item
- Compliance - Charlene Almocera, HIM Director - Report via Closed Session
- IT/Clinical Informatics - Brian Churchill, IT Director - No Report submitted
- Human Resources Report - Jennie Mathews, HR Manager - Report submitted
- Marketing / PR - Chelssa Outland, PR Manager - Report submitted.
The 4th Quarter Joint Committee Meeting.
Discussion Comment
The 4 th Quarter Joint Committee Meeting is on December 7 th , 2023, at 11:30am, in the LACConference Room. Board Members (previously) assigned to this meeting are:Kenneth Crandall and Rich Rydell. Confirmation requested by Deborah Housen, EA, BoardClerk.
Next Special Board Meeting Announcement
Discussion Comment
Date: December 20th, 2023
Time: 3:00 p.m.
Location: LAC-Conference Room
Next Regular Board Meeting Announcement
Discussion Comment
Date: TBD
Time: TBD
Location: LAC-Conference Room
This agenda has been electronically mailed to the following newspaper publishers:
Plumas Sun
Intermountain News
This agenda has been posted at the following public places:
Seneca Healthcare District Hospital's Bulleting Board
U.S. Post Office - Chester Branch
Hamilton Brach Fire District
Lake Almanor West Fire District
This agenda has been mailed to the following radio station:
KSUE/JDX

Certificate of Posting: I, Deborah Housen, hereby certify, I posted the foregoing Agenda on thebulletin board, located at the front door entrance of Seneca Healthcare District Hospital, and theLake Almanor Clinic Walk-In bulletin board at front entrance on: November 27th , 2023.

By: Deborah Housen, 11/27/2023
Deborah Housen, Board Clerk