2021-06-10 special meeting of the truckee surgery center

Agenda

6. Approval of Minutes

7. Items for Action

2021-06-10 REVISED Special Meeting of Truckee Surgery CenterBoard_Agenda.pdf

1 - 4. See Agenda

5. CLOSED Session

6. 2021-03-31 Regular Meeting of Truckee Surgery CenterBoard_DRAFT Minutes.pdf

7.1 Cosmetic Fee Schedule *

8. Items for Next Meeting

9. Adjourn

2021-06-10 Special Meeting of the Truckee Surgery Center Board of Managers

of 2

Denotes Action Item

TRUCKEE SURGERY CENTER SPECIAL MEETING OF THE

BOARD OF MANAGERS

AGENDA

Thursday, June 10, 2021 at 12:00 p.m. Agenda Revised on 06/07/2021

Pursuant to Section 3 of Executive Order N-29-20, issued by Governor Newsom on March 17, 2020, a Special Meeting of the Truckee Surgery Center Board of Managers for June 10, 2021 will be conducted telephonically through Zoom. Please be advised that pursuant to the Executive Order, and to ensure the health and safety of the public by limiting human contact that could spread the COVID-19 virus, the Eskridge Conference Room will not be open for the meeting. Board Members will be participating telephonically and will not be physically present in the Eskridge Conference Room. If you would like to speak on an agenda item, you can access the meeting remotely: Please use this web link: https://tfhd.zoom.us/j/96197415052 Or join by phone: If you prefer to use your phone, you may call in using the numbers below (346) 248 7799 or (301) 715 8592 Meeting ID: 961 9741 5052

1. CALL TO ORDER

2. ROLL CALL

3. CLEAR THE AGENDA/ITEMS NOT ON THE POSTED AGENDA

4. INPUT – AUDIENCE

This is an opportunity for members of the public to address the Board on items which are not on the agenda. Please state your name for the record. Comments are limited to three 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 take action on any item not on the agenda. The Board may choose to acknowledge the comment or, where appropriate, briefly answer a question, refer the matter to staff, or set the item for discussion at a future meeting.

5. CLOSED SESSION

5.1. Approval of Closed Session Minutes

03/31/2021 5.2. Hearing (Health & Safety Code § 32155)

Subject Matter: Medical Staff Credentials Report

6. APPROVAL OF MINUTES OF: 03/31/2021 ......................................................................... ATTACHMENT

7. ITEMS FOR BOARD ACTION 7.1. Cosmetic Fee Schedule

Truckee Surgery Center Board of Managers will review and consider approval of the following:

https://tfhd.zoom.us/j/96197415052

Special Meeting of the Truckee Surgery Center Board of Managers June 10, 2021 AGENDA – Continued

Page 2 of 2

Denotes Action Item

7.1.1 Cosmetic Fee Schedule .......................................................................................... ATTACHMENT* 8. ITEMS FOR NEXT MEETING 9. ADJOURN

*Denotes material (or a portion thereof) may be distributed later.

Note: It is the policy of Tahoe Forest Hospital District to not discriminate in admissions, provisions of services, hiring, training and employment practices on the basis of color, national origin, sex, religion, age or disability including AIDS and related conditions.

Equal Opportunity Employer. The meeting location is accessible to people with disabilities. Every reasonable effort will be made to accommodate participation of the disabled in all of the District’s public meetings. If particular accommodations for the disabled are needed (i.e., disability-related aids or other services), please contact the Executive Assistant at 582-3481 at least 24 hours in advance of the meeting.

of 4

TRUCKEE SURGERY CENTER REGULAR MEETING OF THE

BOARD OF MANAGERS

DRAFT MINUTES

Wednesday, March 31, 2021 at 12:00 p.m.

Pursuant to Section 3 of Executive Order N-29-20, issued by Governor Newsom on March 17, 2020, a Regular Meeting of the Truckee Surgery Center Board of Managers for March 31, 2021 will be conducted telephonically through Zoom. Please be advised that pursuant to the Executive Order, and to ensure the health and safety of the public by limiting human contact that could spread the COVID-19 virus, the Eskridge Conference Room will not be open for the meeting. Board Members will be participating telephonically and will not be physically present in the Eskridge Conference Room.

1. CALL TO ORDER Meeting was called to order at 12:03 p.m. 2. ROLL CALL Board of Managers: Dr. Jeffrey Dodd, Judy Newland, Crystal Betts, Harry Weis Staff in attendance: Karen Baffone, Chief Nursing Officer; Karla Weeks, Director of Surgical Services; Matt Mushet, TFHD In-House Counsel; Courtney Leslie, TSC Administrator; Heidi Fedorchak, TSC Nursing Supervisor; Martina Rochefort, Clerk of the Board 3. CLEAR THE AGENDA/ITEMS NOT ON THE POSTED AGENDA No changes were made to the agenda. 4. INPUT – AUDIENCE No public comment was received. Open Session recessed at 12:04 p.m. 5. CLOSED SESSION

5.1. Approval of Closed Session Minutes

01/08/2021 Discussion was held on a privileged item.

5.2. Hearing (Health & Safety Code § 32155)

Subject Matter: Third & Fourth Quarter 2020 Infection Control Data Summary Number of items: One (1)

Discussion was held on a privileged item.

5.3. Hearing (Health & Safety Code § 32155) Subject Matter: Third & Fourth Quarter 2020 Quality Assessment Performance Improvement Data

Regular Meeting of the Truckee Surgery Center Board of Managers March 31, 2021 DRAFT MINUTES – Continued

Page 2 of 4

Number of items: Three (3) Discussion was held on a privileged item.

5.4. Hearing (Health & Safety Code § 32155) Subject Matter: 2020 Quality Improvement Annual Evaluation Number of items: One (1)


5.5. Hearing (Health & Safety Code § 32155) Subject Matter: 2020 Annual QA/PI Report Number of items: One (1)


5.6. Hearing (Health & Safety Code § 32155) Subject Matter: Radiation Detection Report Number of items: One (1)

Discussion was held on a privileged item. Open Session reconvened at 12:18 p.m.

6. APPROVAL OF MINUTES: 01/08/2021

ACTION: Motion made by Dr. Dodd, seconded by Judy Newland, to approve the Truckee Surgery Center Open Session Minutes of January 8, 2021 as presented. Roll call vote taken. Dodd – AYE Newland – AYE Betts – AYE Weis – AYE

7. ITEMS FOR BOARD ACTION

7.1. Policy Review Truckee Surgery Center (TSC) Board of Managers reviewed the following policies:

7.1.1. Bylaws Matt Mushet, TFHD In-House Counsel, did not have any additional changes on the Bylaws. Board of Managers did not have any additional edits and agreed to approve all policies in one motion.

7.1.2. Antibiotic Intravenous Administration 7.1.3. Perioperative Pregnancy Screening 7.1.4. Interpretation/Language line 7.1.5. Consent


Page 3 of 4

ACTION: Motion made by Dr. Dodd, seconded by Judy Newland, to approve items 7.1.1. through 7.1.5. as presented. Roll call vote taken. Dodd – AYE Newland – AYE Betts – AYE Weis – AYE

8. ITEMS FOR BOARD DISCUSSION

8.1. Financial Reports Truckee Surgery Center Board of Managers reviewed the following financial report:

8.1.1. Q4 2020 Medbridge Report No discussion was held.

8.2. Billing Update Courtney Leslie, Truckee Surgery Center Administrator, provided an update on aging Accounts Receivable, billing audit, and HELP Financial. Accounts Receivable days have been high. Administrator is waiting to hear back from National on the billing audit. HELP Financial has been implemented for patient payment plans. Administrator will have a conference call with Medbridge and HELP tomorrow to finalize data. There are several accounts with the collections agency.

8.3. Contracted Services Review TSC Board of Managers conducted a semi-annual review of contracted services. Administrator has been working closely with Aramark District Manager. The issues were with the delivery driver so the route and delivery days have been switched. TFHD Facilities Department has been working on Emcor. Other contractors are being sought to replace Emcor.

8.4. Facility/Equipment Update TSC Administrator provided an update on facility and equipment needs. Anesthesia machine trials begin on April 5, 2021. TSC will trial with Dräger for two weeks and then Getinge for two weeks. GE may trial at TFH. HVAC in Sterile Processing continues to be a problem. It is consistently hot and humidity levels are always low.


Page 4 of 4

8.5. Staffing Update TSC Administrator provided an update on staffing. Heidi Fedorchak started on March 1, 2021 as Nursing Supervisor. The following positions are currently on leave:

OR Circulating RN is on Maternity leave and will return on April 27, 2021.

Preop/PACU RN will go on maternity leave on April 26, 2021. We have secured a temporary part-time RN to cover this leave.

Sterile Processing Lead/Clerical Support is on a leave of absence returning 5/24/2021. TFH is filling in for sterile processing in the meantime.

There is a per diem person that can help with front office tasks. TSC has a part-time OR Circulating RN position open. Administrator has connected with TFHS Human Resources but there are no available applicants at this time.

8.6. Marketing TSC Administrator would like to resume marketing efforts for TSC. President & CEO commented the revenues per visit are low. CFO said Kelly has continued to work on this and she had not commented the revenues are unusually low. CNO noted there have been a lot of discussions on ENT but the service line has not yet been added. President & CEO would like to have additional sidebar discussions on marketing to ensure the operating room space is used. 9. ADJOURN Meeting adjourned at 12:40 p.m.

2021-06-10 special meeting of the truckee surgery center

Documents