Proposed Agenda for a Regular Board of Directors Meeting on

PIONEERS MEMORIAL HEALTHCARE DISTRICT
207 West Legion Road, Brawley, CA 92227
SPECIAL MEETING OF THE BOARD OF DIRECTORS
Thursday, December 18, 2014
6:00 pm
Stockman’s Club
275 Marjorie Ave., Brawley, California
Meeting Shall Be Located West of the Main Dining Room;
Enter Using Main Entrance, Through Lobby and Main Dining Room
AGENDA
I.
CALL TO ORDER
A.
Roll Call
B.
Approval of Agenda
II.
BOARD MEMBER COMMENTS – Katy Santillan, President
III.
PUBLIC COMMENTS – At this time, the Board will hear comments
on any agenda item and on any item not on this agenda. If any
person wishes to be heard, he or she shall stand, address the
chairperson, stating the subject or subjects upon which he or she
desires to comment. Time limit for each speaker is 5 minutes. A total of
15 minutes shall be allocated for each item.
IV.
CHIEF OF STAFF REPORT AND POSSIBLE ACTION
The Board will consider and may take action on the following:
A.
Authorize Recommendations for the Respective Clinical
Department/Chiefs and Credentials Committee for
Reappointment & Renewal/Revision of Clinical Privileges
under Active Medical Staff for the following:
Name
Specialty(ies)
1.
Welim Azinge, MD
Hospitalist
2.
Diana Paddock, PA-C
Allied Health (ER)
Category
Initial Appointment to the
Provisional Staff
Initial Appointment to the
Provisional Staff
PMHD SPECIAL BOARD MEETING AGENDA
DECEMBER 18, 2014
3.
Ramiah Indudhara, MD
Urology
4.
Steven Feick, MD
Teleradiology
5.
Christopher Lai, MD
Orthopedic Surgery
6.
Gregory Mack, MD
Orthopedic Surgery
7.
Christopher Thompson, PA-C
Allied Health
8. Mark Whyte, MD
9. Christopher Thompson, PA-C
10. Anooshirvan Bozorgmehr, DO
General Surgery
Allied Health
Hospitalist
11. Mehboob Ghulam, MD
Hospitalist
12. Natalia Babkina, MD
OB/GYN
13. Sogba Bosu, MD
14. Uberto Muzzarelli, MD
15. Catherine Zavala, MD
Pediatrics/Neonatology
B.
Recommendation of Form to be approved:

C.
Reappointment to the Medical
Staff/Renewal of Clinical
Privileges without changes
Reappointment to the Medical
Staff/Renewal of Clinical
Privileges without changes
Reappointment to the Medical
Staff/Renewal of Clinical
Privileges without changes
Reappointment to the Medical
Staff/Renewal of Clinical
Privileges without changes
Reappointment to the Medical
Staff/Renewal of Clinical
Privileges without changes
Change in Privileges
Change in Privileges
Release from Proctoring/
Advancement to Staff
Release from Proctoring/
Advancement to Staff
Release from Proctoring/
Advancement to Staff
Accept Resignation
Extend Leave of Absence
Reinstatement of Leave of
Absence
Core Privilege – Nurse Practitioner (Emergency Department)
Policies/Procedures/Forms/Pre-printed Orders/Rules &
Regulations:
1. Adverse Drug Events/Medication Errors ADR (CLN-02997)
2. Bio-Ethics Case Referrals/Committee (CLN-00007)
3. Borrow/Loan Process for Emergency Procurement (CLN02955)
4. Care of Patient in Hypovolemic Shock (CLN-00929)
5. Chest Tube Insertion (CLN-00223)
6. Circumcision (CLN-00234)
7. Critically Ill Patient Whose Physician is not Available (CLN00120)
8. Detention of Mentally Ill Patients in ER (CLN-01926)
9. Discharge Criteria/Discharge Planning of the Neonate (CLN00209)
10. Disclosure of Communication of Unanticipated
Outcomes/Events (ADM-00134)
11. Emergency Treatment of Minors (CLN-00903)
12. Home BiPAP/CPAP Use (CLN-01224)
13. Hypoglycemia in the Newborn (CLN-02506)
PMHD SPECIAL BOARD MEETING AGENDA
DECEMBER 18, 2014
14. Infection Control Isolation Guidelines – Neonatal Nursery (CLN00244)
15. Multi-dose Vials and Single Dose Containers (CLN-02821)
16. Neonatal Screening Test PKU (CLN-00261)
17. Neonatal Sepsis (CLN-00259)
18. Patient Safety Evaluation System (CLN-00199)
19. Pediatric Medication Use (CLN-02866)
20. Physician Suspension for Non-completion of Records (DPS00318)
21. Quality Review Report (ADM-00127)
22. Referral For Home Health and Skilled Nursing Facilities (DPS00081)
23. Release of Open Medical Records (ADM-00068)
24. Screening and Imaging of Pregnant Adolescents/Women with
Ionizing Radiations (CLN-00878)
25. Sentinel Event (ADM-00480)
26. Standardization of Color Coding of Wristbands (CLN-00036)
27. Surfactant – Artificial Surfactant Administration (CLN-00227)
28. Surgical Emergencies/Neonatal (CLN-00254)
29. Therapeutic Interchange H2 Antagonists to Famotidine (Pepcid)
(CLN-02957)
30. Therapeutic Interchange Proton Pump Inhibitors Interchanged
to Pantoprazole (CLN-02959)
31. Transport Ventilator (CLN-01223)
32. Unapproved and DO NOT USE Abbreviations (CLN-02963)
33. Utilization and Case Management Plan (ADM-00029)
34. Venipuncture (PHB-040)
D.
Chief of Staff Report – Travis Calvin, MD

Performance Improvement and Subcommittee Reports were
reviewed by MSQC from the Patient Safety & Quality Council.

Medical Staff election of Officers (Chief of Staff and Vice-Chief
of Staff) will take place 12/17/2014 for the 2015/2016 term.

Ratification: Medical Staff Clinical Service Chairmen (and ViceChairmen) have been elected by members in their services as
follows:
Anesthesia Services
Jaime Englea-Larra, M.D.
Chairman
Emergency Medicine
James Nelson, M.D.
Brent Butcher, M.D.
Megan DeMott, M.D.
Chairman
Vice-Chairman
Co-Vice Chairman
PMHD SPECIAL BOARD MEETING AGENDA
V.
1
DECEMBER 18, 2014
Medical Imaging
John Hadorn, M.D.
Ramon Pasqual, M.D.
Chairman
Vice-Chairman
Medicine
Michael Krutzik, M.D.
Jose Rocamora, M.D.
Chairman
Vice-Chairman
OB/GYN
Ajanamjot Grewal, M.D.
Chairman
Pathology
Helen Yen, MD
Chairman
Pediatrics
Merging with Medicine Committee at this time
Surgery
Mark Whyte, M.D.
Susan Hahm, M.D.
Chairman
Vice-Chairman
ADJOURNMENT1
Note: This Special Meeting is being held at a location within the
Boundaries of Pioneers Memorial Healthcare District other than the
location designated by the Pioneers Memorial Healthcare District By-Laws
at the direction of the Board President, Catalina Alcantra-Santillan, in
order to accommodate attendance at the meeting of a quorum of the Board
Members.

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