Board of Directors Formal Meeting

September 22, 2010 1:00 pm

Agenda

Board Members Elbert Bicknell, Chair, District 4 Susan Gerard, Vice Chair, District 3 William Bruno, District 1 Greg Patterson, District 2 Alice Lara, District 5

AGENDA Formal Meeting

Board of Directors of the Maricopa County Special Health Care District

Maricopa Medical Center Administration Building Auditoriums 1 and 2 2601 E. Roosevelt Phoenix, AZ 85008 Clerks Office 602-344-5177 Fax 602-344-0892

Wednesday, September 22, 2010 1:00 p.m.

If you wish to address the Board, please complete a speakers slip and deliver it to the Clerk of the Board. If you have anything you wish distributed to the Board and included in the official record, please hand it to the Clerk who will distribute the information to the Board Members and Maricopa Integrated Health System Senior Staff. Speakers are limited to (3) three minutes. (NOTE: One or more of the members of the Board of Directors of the Maricopa County Special Health Care District will attend either in person or by telephone conference call or video communications.) Pursuant to A.R.S. 38-431.03(A)(3), or any applicable and relevant state or federal law, the Board may vote to recess into an Executive Session for the purpose of obtaining legal advice from the Boards attorney or attorneys on any matter listed on the agenda. Pursuant to A.R.S. 38-431.03(A)(4), or any applicable and relevant state or federal law, the Board may vote to recess into an Executive Session for the purpose of consulting with its attorneys to consider its position and instruct its attorneys regarding the Boards position regarding any contracts that are subject to negotiations, in pending or contemplated litigation, or in settlement discussions conducted in order to avoid or resolve litigation, and that are listed on the General Session agenda for discussion or action or both. The Board also may wish to discuss any items listed for Executive Session discussion in General Session, or the Board may wish to take action in General Session on any items listed for discussion in Executive Session. To do so, the Board will recess Executive Session on any particular item and reconvene General Session to discuss that item or to take action on such item.

ITEMS MAY BE DISCUSSED IN A DIFFERENT SEQUENCE

Call to Order Roll Call Pledge of Allegiance

Agendas are available within 24 hours of each meeting in the Clerk of the Boards Office, Maricopa Medical Center, Administration Bldg, 2nd Floor 2601 E. Roosevelt, Phoenix, AZ 85008, Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. Accommodations for individuals with disabilities, alternative format materials, sign language interpretation, and assistive listening devices are available upon 72 hours advance notice through the Clerk of the Boards Office, Maricopa Medical Center, Administration Bldg, 2nd Floor 2601 E. Roosevelt, Phoenix, Arizona 85008, (602) 344-5177. To the extent possible, additional reasonable accommodations will be made available within the time constraints of the request. 9/16/2010 2:23 PM

2

Call to the Public This is the time for the public to comment. The Board of Directors may not discuss items that are not specifically identified on the agenda. Therefore, pursuant to A.R.S. 38-431.01(H), action taken as a result of public comment will be limited to directing staff to study the matter, responding to any criticism or scheduling a matter for further consideration and decision at a later date. General Session Presentation, Discussion and Action: 1. Reports to the Board of Directors: 5 min

a. Accrediting Bodies Standards Update 2. Approval of Consent Agenda: 10 min

Note: Approval of contracts, minutes, IGAs, proclamations, etc. Any matter on the Consent Agenda will be removed from the Consent Agenda and discussed as a regular agenda item upon the request of any Board member.

a. Minutes: Review and Approve Special Health Care District Board of Directors Meeting Minutes

dated:

i. August 25, 2010 - Formal Meeting ii. August 31, 2010 - Special Meeting

b. Contracts:

i. Approve Amendment No. 3 to the Contract (C-90-06-049-1-03) between University

Physicians Healthcare and Maricopa County Special Health Care District dba Maricopa Integrated Health System for Health Plan Administrative Services. This amendment will extend the contract term for an additional six months, April 1, 2011 to September 30, 2011.

ii. Approve an Intergovernmental Agreement (IGA) (90-11-057-1) between Phoenix

Area Indian Health Service and Maricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS) for inpatient and outpatient services for eligible Native American beneficiaries of Indian Health Service.

c. Board Governance:

i. Accept Quick Claim Deed for all rights, title or interest in the real property and improvements to the Avondale Family Health Care Center.

ii. Approve registration fees and mileage, not to exceed rates allowable under

applicable District practices or policies, for Vice Chairman Gerard and Chairman Bicknell to attend Arizona Hospital and Healthcare Associations 2010 Annual Membership Conference in Tempe, Arizona, October 14-15, 2010. NOTE: Reduced registration fee rate was given to hospital trustees.

iii. Ratify the appointment of Director Bruno as the ex-officio, non-voting, District Board representative on the Maricopa Health Centers Governing Council d. Medical Staff:

i. Approve Maricopa Integrated Health System Medical Staff Appointments, Reappointments, FPPE, Change of Privileges/Status, Waiver Requests and Resignations for September 2010

3

General Session Presentation, Discussion and Action (cont): 2. Approval of Consent Agenda (cont.): d. Medical Staff (cont):

ii. Approve Maricopa Integrated Health System Allied Health Professional Staff Appointments, Reappointments, and Resignations for September 2010

iii. Approve Revisions to the Department of Internal Medicine/Cardiology Delineation

of Privileges

_________________________End of Consent Agenda_________________________ 3. Discuss and Review August 2010 MIHS Key Indicator Dashboards and Financial Report 15 min

MIHS Senior Administration 4. Presentation on Performance Improvement and Quality Management; Approval of Maricopa

Integrated Health Systems Annual Performance Improvement Plan for Fiscal Year 2011 and Approve Indicators on which to Measure Quality for Fiscal Year 2011 15 min

Sherry Stotler, MIHS, Chief Nursing Officer Robert E. Fromm, Jr., M.D., M.P.H., MIHS, Chief Medical Officer

5. Review Arizona Ballot Measures Potentially Affecting Maricopa Integrated Health System 10 min Doug Cole, Lobbyist, HighGround

Michael R. Fronske, MIHS, Director, Government Affairs Warren Whitney, MIHS, Chief External Affairs Officer

6. Consideration, Discussion and Possible Action on the Performance Evaluation for Fiscal Year

2010 for Melanie Talbot 10 min Elbert Bicknell, Chair 7. Consideration, Discussion and Possible Action on the Performance Evaluation for Fiscal Year

2010 for Betsey Bayless 10 min Elbert Bicknell, Chair 8. Concluding Items

a. Future Agenda Item/Report Calendar

i. October a. Quarterly Reports:

Capital Expenditures for 1st Quarter FY 2011 Contract Approvals and Asset Disposal, 1st Quarter, FY 2011

b. Other:

Graduate Medical Education Report Exam Results Progress Report on the Fiscal Year 2010 External Audit

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General Session Presentation, Discussion and Action (cont): 8. Concluding Items (cont.):

a. Future Agenda Item/Report Calendar (cont.):

ii. November

a. Quarterly Reports: Patient Satisfaction Survey Results 3rd Quarter CY 2010

Quality - Whole Systems Measures Dashboard Compliance Officers Report on Activities, Quality and Effectiveness Internal Auditors Report on Activities, Quality and Effectiveness Performance on Investment of Funds Report on Foundations Affiliated with the District Report on President & CEO Performance Goals 1st Quarter FY 2011

b. Other:

Presentation on Nursing and Patient Services Non-Privileged Patient Care Staff Competency Report Report from Audit and Compliance Committee Approve External Audit for Fiscal Year 2010 Review Management Letter

b. Board Member Requests for Future Agenda Items or Reports c. Comments i. Chairman and Member Closing Comment ii. President & Chief Executive Officer Summary of Current Events

Adjourn

Board of Directors Formal Meeting

September 22, 2010 1:00 pm

Item 1.a.

DNV Accreditation Survey Visit

A survey team from Det Norske Veritas Healthcare (DNV) completed a survey of Maricopa Integrated Health System in July 2010.

The survey team spent three days at MIHS, assessing and verifying compliance with the Centers for Medicare and Medicaid Services (CMS) and ISO 9001 standards.

The survey team offered many very positive comments as well as some suggestions for improvement.

Accrediting Bodies Standards Update

ISO 9001: Certification

The Quality Management Council will be working over the next twelve months to ready the organization for ISO 9001:2008 certification in 2012. The goal for Fiscal Year 2011 is for the organization to reach 80% compliance with the ISO 9001:2008 elements. Two major requirements of the ISO certification are the development of a System-wide Quality Manual and an Internal Audit Plan.

ISO 900