Seneca Healthcare District
Agenda

Regular Meeting
January 25, 2024 03:00 PM
Lake Almanor Clinic (LAC) Conference Room, 199 Reynolds Road, Chester, CA 96020
 https://senecahospital.org/

Board of Directors
 President Jerri Nielsen • Vice President Sherrie Thrall • Secretary Kenneth Crandall •  Joining the Meeting via ZOOM @ 2 Via Olas, San Clemente, CA 92673 / Ph: 530.258.6767 / Rich Rydell, Treasurer • 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.


  1. Call to Order

    • Roll Call

    • Pledge of Allegiance

  2. Modifications to, or Deletions from the Agenda
    DiscussionDiscussion Possible ActionPossible Action CommentComment
    • Approval of the Agenda
      DiscussionDiscussion Possible ActionPossible Action CommentComment
      • Public Comments
        DiscussionDiscussion CommentComment
        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 President may choose to acknowledge the comment. When appropriate, the Board President may briefly answer a question; refer the matter to staff; or move to set the item for discussion at a future meeting.
      • Closed Session
        DiscussionDiscussion Possible ActionPossible Action CommentComment
        • Conference with Legal Counsel

          Closed Session pursuant to Government Code Section 54956.9 – Conference with Legal Counsel. Existing Litigation. Robles vs SHD - Case: #CV22-00711.

        • 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 32106 - Report(s) involving Trade Secrets.

      • Report on Closed Session
        DiscussionDiscussion Possible ActionPossible Action CommentComment

        The Board President will announce any reportable actions taken.

        • Election of Officers
          DiscussionDiscussion Possible ActionPossible Action CommentComment

          The Board will discuss and elect its officers for the calendar year 2024:

          President

          Vice-President

          Secretary

          • The Board President will subsequently appoint for the calendar year 2024:

            Treasurer

            Assistant Secretary/Treasurer

        • Board Committee Assignments
          DiscussionDiscussion Possible ActionPossible Action CommentComment

          The Board will review current committee assignments and the Board President will appoint two Board Members to each of the following committees:

          • Standing Board Committees:

            1. Strategic Planning

            2. Finance

            3. Bylaws

          • Ad-Hoc Committee(s)

            1. Facility Repurpose

            Repurposing the old (current) Hospital and Skilled Nursing facilities

            2. Others?

        • Quarterly Joint Committee Conference Meetings
          DiscussionDiscussion Possible ActionPossible Action CommentComment

          For discussion and assignment of Board Members to attend quarterly meetings.

          Joint Conference Committee meetings are required per Medical Staff Bylaws to be held Quarterly per Medical Staff Rules. The committee is composed of 7 members: Chief of Staff, Vice Chief of Staff, immediate past Chief of Staff, Secretary/Treasurer, two Board members, and the CEO. The person serving as Committee Chair shall alternate annually between the Chief of Staff and one of the Governing Body representatives. The Board will determine and assign Board members that will be attending each meeting. 

          The following (quarterly) dates have been set: 

          March 7, 2024 

          June 6, 2024 

          September 5, 2024 

          December 5, 2024

          • Approval of Regular Board Meeting Minutes - January 4th, 2024
            DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

            The Board will review for approval, the Minutes of the January 4th, 2024 Regular Board Meeting, as submitted by Deborah Housen, Board Clerk.

            • Chief Operating Officer/Clinic Manager - Brady Haynes -Introductions
              DiscussionDiscussion CommentComment

              Introduction to Board Members by Shawn McKenzie, CEO.

              • Medical Staff Report
                DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                Submitted for Board approval by Dr. Marc Nielsen, Chief of Staff, as approved at the Medical Staff Meeting held on January 9th, 2024.

                • Staff Reports
                  DiscussionDiscussion CommentComment    View Item

                  • Chief Executive Officer - January 2024 Report. Presented by Shawn McKenzie, CEO.

                  • Chief Nursing Officer - January 2024 Report. 

                    Presented by Judith Cline, CNO.

                  • Chief Operating Officer/Clinic Manager - January 2024 Report. 

                    Verbal presentation by Brady Haynes, COO.

                  • Information Technology - January 2024 Report. 

                    Verbal presentation by Brian Churchill, IT Director.

                  • Human Resources - January 2024 Report. 

                    Presented by Jennie Mathews, HR Manager.

                  • Marketing/Public Relations - January 2024 Report. 

                    Presented by Chelssa Outland, PR Manager.

                • October 2023 - November 2023 Financial Reports (Draft Form)
                  DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                  The Board will review for acceptance the October 2023 - November 2023 Financial Reports. 

                  Presented by Steve Boline, CFO.

                  • December 2023 Revenue Cycle Performance & KPI (R1 Report)
                    DiscussionDiscussion CommentComment    View Item

                    Presented by Steve Boline, CFO.

                    • Medical Equipment - Early Procurement Items
                      DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                      The Board will review additional information and request(s) regarding early procurement medical equipment. 

                      Presented by Judith Cline, CNO, and Donna Huntingdale, BuildingRx.

                      • New CAH/SNF Construction Contract
                        DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                        Exploring a change of direction, includes estimated schedule.

                        Presented by Donna Huntingdale, Building Rx.

                        • New CAH/SNF Change Order
                          DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                          Requesting Board consideration/approval of authorization, with respect to the Seneca Healthcare District Replacement Critical-Access Hospital, Skilled Nursing Facility and Outpatient Services Building Project, to District Chief Executive Officer or designee to enter into change order, amendment, or other legal instrument approved by District legal counsel and District Chief Executive Officer or designee amending value for Notice to Proceed 2 to The Boldt Company (“Contractor”) to include additional costs identified through 11/30/23, and upon the full execution of same and receipt of Contractor application for associated payment, to issue payment for same value, all in a form approved by District legal counsel and the District Chief Executive Officer or designee.

                          • New CAH/SNF Medical Equipment
                            DiscussionDiscussion Possible ActionPossible Action CommentComment    View Item

                            PO for Stryker Equipment due to price increase after 1/31/24, includes quote and supplemental financing option document.

                            Presented by Donna Huntingdale, Building Rx.

                            • New Critical Access Hospital (CAH) Update - January 2024 Report
                              DiscussionDiscussion CommentComment    View Item

                              Presented by Donna Huntingdale, BuildingRx.

                              • Foundation/Direct Giving
                                DiscussionDiscussion Possible ActionPossible Action CommentComment

                                The Board will consider for approval the establishment of a Foundation for the purpose of receiving direct giving through a 501(c)3.

                                • Regular Board Meeting Dates - Confirmation/Edits for the 2024 Calendar Year
                                  DiscussionDiscussion Possible ActionPossible Action CommentComment

                                  The Board will review the dates for the Regular Board Meetings in 2024 and decide whether to make any modifications.

                                  November 28th, 2024 Regular Board Meeting date falls on Thanksgiving.

                                  December 26th, 2024 Regular Board Meeting date falls on the day after Christmas.

                                  Any other changes needed?

                                  • Agenda Items for the Next Board Meeting
                                    DiscussionDiscussion CommentComment

                                    • New Hospital Build - Citizens' Bond Oversight Committee

                                    • Updated Cash Flow Analysis

                                    • Finance Investment Policy

                                    • Grant Prospecting Agreement

                                    • Cerner - Analysis of System Edits Delivered/Undelivered as part of initial build.

                                    • Others?

                                  • Next Regular Board Meeting Announcement
                                    DiscussionDiscussion CommentComment

                                    Date: February 29th, 2024

                                    Time: 3:00pm

                                    Location:  Lake Almanor Clinic Conference Room

                                    • Adjournment
                                      DiscussionDiscussion CommentComment
                                      • Certificate of Posting

                                        I, Deborah Housen, hereby certify, I posted the foregoing Agenda on the bulletin board, located at the front door entrance of Seneca Healthcare District Hospital, and the Lake Almanor Clinic Walk-In bulletin board at front entrance on or before: 3:00pm, Monday, January 22, 2024.

                                        By: Deborah Housen,EA, Board Clerk 

                                        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 Boards

                                        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