ECTOR COUNTY HOSPITAL DISTRICT BOARD OF DIRECTORS ector county hospital district board of directors

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  • ECTOR COUNTY HOSPITAL DISTRICT

    BOARD OF DIRECTORS REGULAR MEETING NOVEMBER 6, 2018 – 5:30 p.m.

    MEDICAL CENTER HOSPITAL BOARD ROOM (2ND FLOOR) 500 W 4TH STREET, ODESSA, TEXAS

    AGENDA

    I. CALL TO ORDER ......................................................................... Mary Thompson, President II. INVOCATION ........................................................................................... Chaplain Farrell Ard

    III. PLEDGE OF ALLEGIANCE ........................................................................... Mary Thompson IV. MISSION/VISION/VALUES OF MEDICAL CENTER HEALTH SYSTEM Mary Thompson, p.3 V. EMPLOYEE RECOGNITION

    A. November 2018 Employees of the Month .................................................... Rick Napper

     Clinical: Danya Alvarado, Orthopedic Technologist, MCH ProCare Orthopedics

     Non-Clinical: Veronica Castro, Housekeeper, Environmental Services Department

     Nurse: Elizabeth “Liz” Ibarra, Registered Charge Nurse, Intensive Care Unit

    B. Productivity Team Presentation ........................................................... Christin Timmons VI. CONSENT AGENDA ......................................................................... Mary Thompson, p. 4-16

    (These items are considered to be routine or have been previously discussed, and can be approved in one motion, unless a Director asks for separate consideration of an item.) A. Minutes for Regular Meeting – October 2, 2018

    B. MCHS Compliance Program Reaffirmation and Compliance Committee Charter

    VII. COMMITTEE REPORTS

    A. Finance Committee .......................................................................... David Dunn, p.17-99 1. Quarterly Investment Report - Quarter 4, FY 2018 2. Quarterly Investment Officer’s Certification 3. Financial Report for Twelve Months Ended September 30, 2018

    B. Joint Conference Committee .............................. Fernando Boccalandro, MD, p.100-106 1. Medical Staff or AHP Initial Appointment/Reappointment 2. Change in Clinical Privileges/or Scope of Practice/or Supervisor 3. Change in Medical Staff or AHP Staff Status 4. Change in Medical Staff or AHP Staff Category 5. Change in Medical Staff Bylaws/Policy/Privilege Criteria

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  • Page 2 of 2 ECHD Board of Directors November 6, 2018

    VIII. TTUHSC AT THE PERMIAN BASIN REPORT........................................... Gary Ventolini, MD

    IX. PRESIDENT/CHIEF EXECUTIVE OFFICER’S UPDATE ......................... Rick Napper, p. 107

    A. End of Year Financial Report B. Quarterly Marketing Report C. Delta Dental Insurance Agreement

    X. EXECUTIVE SESSION

    Meeting held in closed session as to (1) Consultation with attorney regarding legal matters and legal issues pursuant to Section 551.071 of the Texas Government Code; (2) Deliberation and evaluation of officers and employees of Ector County Hospital District pursuant to Section 551.074 of the Texas Government Code; and (3) Deliberation regarding negotiations for health care services, pursuant to Section 551.085 of the Texas Government Code.

    XI. ITEMS FOR CONSIDERATION FROM EXECUTIVE SESSION .................................. p. 108-109

    A. TriMedx, Inc. Clinical Equipment Management Agreement

    B. MCH ProCare Provider Agreements

    XII. ADJOURNMENT ................................................................................................ Mary Thompson

    If during the course of the meeting covered by this notice, the Board of Directors needs to meet in executive session, then such closed or executive meeting or session, pursuant to Chapter 551, Texas Government Code, will be held by the Board of Directors on the date, hour and place given in this notice or as soon after the commencement of the meeting covered by this notice as the Board of Directors may conveniently meet in such closed or executive meeting or session concerning any and all subjects and for any and all purposes permitted by Chapter 551 of said Government Code.

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  • MEMORANDUM

    TO: Ector County Hospital District Board of Directors FROM: Gingie Sredanovich, Chief Compliance and Privacy Officer through Rick Napper, President and Chief Executive Officer SUBJECT: ECHD/MCHS Compliance Committee – Reaffirmation – 2018 (In conjunction with the Reaffirmation of Corporate Compliance Program

    Resolution)

    DATE: November 6, 2018

    Background:

    On July 14, 1998, the Ector County Hospital District Board of Directors directed the

    establishment and maintenance of a Corporate Compliance Program as a continuous process

    for the improvement of its business policies and practices, and oversight of its responsibilities

    under local, state and federal rules, laws and regulations.

    Objective:

    To reaffirm the Ector County Hospital District/Medical Center Health System’s (ECHD/MCHS)

    commitment to the Board approved Compliance Committee which will oversee the

    implementation, operation and effectiveness of the ECHD/MCHS Corporate Compliance

    Program, and assist the ECHD/MCHS Board in fulfilling is fiduciary responsibility and

    accountability relating to its compliance oversight responsibilities, the Mission and Values of

    MCHS and the MCHS Compliance Standards of Conduct.

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    November 2018

    MEDICAL CENTER HEALTH SYSTEM

    COMPLIANCE COMMITTEE CHARTER

    I. PURPOSE

    As an expression of our commitment to act with integrity and ethics and to institute a

    program to ensure compliance with all applicable laws, Medical Center Health System

    (“MCHS”) has created a Board approved Compliance Committee to (i) oversee the

    implementation, operation, and effectiveness of MCHS’s Compliance Program and the

    performance of the Compliance Officer in effectuating the Compliance Program, and

    (ii) assist the Board in fulfilling its fiduciary responsibility and accountability relating to

    its compliance oversight responsibilities, the Mission and Values of MCHS and the MCHS

    Standards of Conduct.

    II. AUTHORITIES AND RESPONSIBILITIES

    The Compliance Committee is continuously composed of representatives from multiple

    disciplines. At a minimum, the Compliance Committee will include the Chief Compliance

    and Privacy Officer, President and Chief Executive Officer (Pres./CEO), Chief Legal

    Counsel, Chief Financial Officer, Chief Nursing Officer, Chief Medical Officer, Vice

    President of Support Services and Clinical Operations, Vice President of Human

    Resources, Executive Director of Revenue Cycle and Patient Accounts, and an Ector

    County Hospital District Board Member. The Pres./CEO shall also appoint such ex officio

    members of the Compliance Committee as he or she deems necessary or advisable to assist

    the committee in the performance of its duties. Ex officio members of the committee may

    not vote on matters before the committee.

    III. DUTIES OF THE COMPLANCE COMMITTEE

    The duties of the Compliance Committee shall include:

    1. Advising the Chief Compliance Officer and assisting in the implementation and maintenance of the Compliance Program;

    2. Working with appropriate departments of the Health System to develop standards of conduct and policies and procedures to promote adherence to the Compliance Program;

    3. Recommending and monitoring, in conjunction with the relevant departments, the development of internal systems and controls to carry out MCHS’s standards, policies

    and procedures;

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    4. Determining the appropriate strategy and/or approach to promote adherence to the Compliance Program and the detection of potential violations;

    5. Developing a system to solicit, evaluate and respond to complaints and problems; 6. Overseeing the education and training of employees and systems for communication

    with and by employees;

    7. Analyzing the legal requirements with which MCHS must comply and locating and analyzing specific risk areas within the Health System; and

    8. Establishing confidentiality standards and requirements for committee members and those persons requested to provide assistance to the committee.

    IV. MEETINGS

    The Committee shall meet at least quarterly in order to perform its responsibilities. The

    Committee shall keep agendas, minutes and attendance of its meetings.

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  • MEMORANDUM

    TO: Ector County Hospital District Board of Directors FROM: Gingie Sredanovich, Chief Compliance and Privacy Officer through Rick Napper, President and Chief Executive Officer SUBJECT: ECHD/MCHS Compliance Program Resolution – Reaffirmation