AGENDA
August 18, 2021 at 5:30 p.m.
Beginning July 1, 2021, the Board will again meet in person at 2957 Birch Street
Bishop, CA 93514 at 5:30 pm. Members of the public will be allowed to attend in
person or via zoom. Public comments can be made in person or via zoom:
TO CONNECT VIA ZOOM: (A link is also available on the NIHD Website)
https://zoom.us/j/213497015?pwd=TDlIWXRuWjE4T1Y2YVFWbnF2aGk5UT09
Meeting ID: 213 497 015
Password: 608092
PHONE CONNECTION:
888 475 4499 US Toll-free
877 853 5257 US Toll-free
Meeting ID: 213 497 015
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1. Call to Order (at 5:30 pm).
2. Public Comment: The purpose of public comment is to allow members of the public to address
the Board of Directors. Public comments shall be received at the beginning of the meeting and are
limited to three (3) minutes per speaker, with a total time limit of thirty (30) minutes for all public
comment unless otherwise modified by the Chair. Speaking time may not be granted and/or
loaned to another individual for purposes of extending available speaking time unless
arrangements have been made in advance for a large group of speakers to have a spokesperson
speak on their behalf. Comments must be kept brief and non-repetitive. The general Public
Comment portion of the meeting allows the public to address any item within the jurisdiction of
the Board of Directors on matters not appearing on the agenda. Public comments on agenda items
should be made at the time each item is considered.
3. Adjournment to Closed Session to/for:
A. CONFERENCE WITH LEGAL COUNSEL- ANTICIAPTED LITIGATION
Significant exposure to litigation (pursuant to paragraph (2) of subdivision (d) of Government
Code Section 54956.9: (two cases)
B. Public Employee Performance Evaluation (pursuant to Government Code Section 54957 (b))
title: Interim Chief Executive Officer.
Page, 2, Agenda, NIHD Board of Directors Regular Meeting, August 18, 2021
8/12/2021, 10:13 AM
4. Return to Open Session and report of any action taken in Closed Session. (information item)
5. New Business:
A. ACHD Diversity, Equity and Inclusivity Pilot Program (Board will consider the appointment
of a representative)
B. Northern Inyo Healthcare District Annual Report 2019-2020 (Board will receive this report)
C. Northern Inyo Healthcare District Chief Executive Officer Job Description with Physical
Requirements (Board will consider the approval of this Job Description)
D. Northern Inyo Healthcare District Interim Chief Executive Officer Employment
Contract (Board will consider the approval of this Employment Contract)
6. Chief of Staff Report, Sierra Bourne MD:
A. Medical Staff Appointments & Privileges (Board will consider the approval of these Medical
Staff Appointments and Privileges)
1. Siyavash Fooladian, MD (anesthesiology) – appointment to Courtesy Staff
2. Wanda Lam, MD (general surgery) – appointment to Courtesy Staff
B. Request for Additional Privileges (Board will consider the approval of these Additional
Privileges)
1. Truong Quach, MD (family medicine/hospitalist) – request for outpatient Internal Medicine
privileges and additional procedural ‘special privileges’.
C. Change in Medical Staff Category (Board will consider approval of changes to Medical Staff
Category)
1. Jay Harness, MD (breast surgery) – request to change staff category from Active Staff to
Honorary Staff. Privileges will no longer be active.
D. Medical Staff Resignations (Board will consider approval of these Medical Staff Resignations)
1. Charlotte Helvie, MD (Pediatrics) – 5/14/2021
2. Vanessa Blasic, PA-C (Urology) – 9/1/2021
3. Matthew Ercolani, MD (Urology) – 9/1/2021
4. Ali Kasraeian, MD (Urology) – 9/1/2021
5. Jeffrey La Rochelle, MD (Urology) – 9/1/2021
6. Jocelyn Moll, NP (Urology) – 9/1/2021
7. Jason Phillips, MD (Urology) – 9/1/2021
8. Michael Santomauro, MD (Urology) – 9/1/2021
9. Arin Stephens, PA-C (Urology) – 9/1/2021
10. Daniel Su, MD (Urology) – 9/1/2021
E. Policies and Procedures (Board will consider approval of these Policies and Procedures)
1. Medical Staff History and Physical (H&P) Policy
2. Medical Records Delinquency Policy
Page, 3, Agenda, NIHD Board of Directors Regular Meeting, August 18, 2021
8/12/2021, 10:13 AM
F. Updated Privilege Forms (Board will consider approval of updates to these Privilege Forms)
1. Anesthesiology
2. Family Medicine
3. Ophthalmology
G. Biennial Review of Medical Staff Policies (Board will consider approval of these Medical
Staff Polices)
1. Disclosure of Unanticipated Outcome
2. Medical Ethics Referrals and Consultations
3. Pediatric and Newborn Consultation Requirements
H. Medical Executive Committee Meeting Report (Board will receive this report)
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Consent Agenda
7. Pioneer Home Health Quarterly Report (Board will receive this report)
8. Eastern Sierra Emergency Physician Quarterly Report (Board will receive this report)
9. Compliance Department Quarterly Report (Board will receive this report)
10. Approval of minutes of the July 7 2021 special meeting (Board will consider approval of these
minutes)
11. Approval of minutes of the July 21 2021 regular meeting (Board will consider approval of these
minutes)
12. Financial and Statistical Report as of June 30, 2021 (Board will consider accepting this report)
13. Human Resources Employee Handbook Policies (Board will consider approving these policies)
14. Reports from Board members (information item).
15. Adjournment.
