Public Meeting Notice  Board of Trustees Operations Committee Meeting

Operations Committee Agenda (4^th Tuesday Month)

Chair: Trustee Sean T. Collins

Member: Trustee Mark Bigda

Member: Trustee Carmen Ostrander

Final Posted Agenda

Date: Tuesday January 31, 2023

Start: 6:00 PM

1-617-315-0704

Access Code: 2531 853 6317

OPEN SESSION

1. Call to order

2. Pledge of Allegiance

3. Approval of Minutes of November 22, 2022 Operations Committee Meeting.

4. Old Business

a. CMS Mock survey – Matrix Development

b. Elopement policy -- update

5. Standard Agenda Items (Updates) / Dashboards

a. KPI Updates

b. Medical Staff Update / Review of minutes

c. Outside Agency Audits / Inspections /  Review of trackers

d. Supporting Patients / Families / Staff / Community Stakeholders

e. Census Update

f. New building update / Status

6. New Business / Interest Items

a. Ombudsmen Quarterly Report (Oct-Dec 2022)

b. Impact of new Board of Trustees and Future Committee Structure

c. Credentialing

Reappointment Credentials

Michelle Camano-CNP /Active Staff

Diane Dietzen, M.D.-CMO/Active Medical Staff

Neil Moreau, RDA-Consultant

Jason St. Peter, OD-Consultant

New Appointment

Vicki Tsai, M.D. - Wound Consultant telemedicine

d. New Policy review

ADMIN-065 Social Media Policy

ADMIN-129 Administrator On-Call Policy

NSG-073 Pass, Veteran Resident Leave of Absence Policy

NSG-079 Restraint Policy

NSG-129 Dialysis Policy

7. Wrap up / Adjournment