[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6659966,"mediaKeyId","2439599-280563bae3a4d57e0dc24996fbafd34c","parentId",2439599,"title","Board reports closed‑session approvals, adopts mission resolution; consent calendar and CIIO report pass 5-0","audioSeconds",5646,"startMs",1566000,"endMs",7212000,"viewUrl","/Search/View?dp=1&key=2439599-280563bae3a4d57e0dc24996fbafd34c&start=1566&end=7212","thumbnailUrl","https://assets.pipeline.soar.com/2439599-280563bae3a4d57e0dc24996fbafd34c/thumbnail_1566000.jpg","articleUrl","/articles/6659966/California/Board-reports-closedsession-approvals-adopts-mission-resolution-consent-calendar-and-CIIO-report-pass-5-0","mediaUrl","https://secure.pipeline.soar.com/6659966-09f9ead548c5c36fa39aba4e4a49eecc/orig.mp4?Expires=1771113548&Signature=fepwl~jIPMrHTJVNrKbjcCTiv7Mim2QQltrsabqNY~AapBpoUGJo1r9OE90RiPYi2Qq9WyC~x0zXn-hJ7FNxH1nke3KNtf6u~e~5vAoRcm4vuBUWkSlVRmivZeY~3Vgl-~U-UIJBukdNf8DcrrJZD-REQDXOTwZJfloR~ZEe28a1w43NXKc4nfZGEvTVew0x6adocUAGmGxNWl1LhVTqJOLMrM56vnq-vlsfX0D64cevGneXLsMXuLVsnTcG6tZrDP3wHnNh8W1bpDdq1lYwbHSZCTrOKW3zFQFpmkXrxRT74gv~OlKjXYXrPr5RfEgWb3pXx6pBnHRhwjc5Fb-Msg__&Key-Pair-Id=KUT5TJCACFTXG","author","Tahoe Truckee Media","date","2025-02-28T04:50:19.477Z","article","The Tahoe Forest Hospital District board reported multiple closed‑session actions and approved a public mission resolution and routine business at its Feb. 27 open meeting.

Legal counsel told the board it had considered six items in closed session. The board approved a fourth‑quarter corporate compliance report and a 2024 peer‑review summary report, each by a 5‑0 vote, and approved its closed‑session minutes for the Jan. 23, 2025 special meeting by a 5‑0 vote. A claim by Forrest Rossman, a minor represented by guardian Haley Burcotte Rossman and alleging malpractice against Tahoe Forest Hospital District, was rejected by a reported 4‑0 vote with Director Chamblin recusing and abstaining from that item. The board also approved the 2024 annual quality assurance and performance improvement report and unanimously approved medical‑staff credentialing as presented.

In open session the board approved the consent calendar, excluding one item pulled for later discussion, by a 5‑0 vote. Later in the meeting the board voted 5‑0 to accept the previously pulled CIIO (chief information and innovation officer) report.

The board also passed Resolution 2025‑04 affirming the district’s mission “to enhance the health of our communities through excellence and compassion in all we do,” and explicitly stated that care will be provided “without regard to a patient’s ethnicity, national origin, or citizenship status.” The resolution passed by a 5‑0 roll call vote.

The board’s legal summary of closed‑session actions referenced hearings conducted under section 32155 of the Health and Safety Code and noted administrative follow‑up on the credentialing and compliance items.

The meeting recorded no additional formal, nonprocedural votes on ordinances or contracts. Several informational presentations and reports were discussed but did not require board action.","mediaType","Video","parentTitle","Tahoe Forest Hospital District Board Meeting, February 27, 2025","oneSentenceSummary","The Tahoe Forest Hospital District board reported multiple closed‑session actions and approved a public mission resolution and routine business at its Feb. 27 open meeting.","taxTitle","Tahoe-Truckee Unified, School Districts, California","taxId",46654,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6659951,"Resident urges Tahoe Forest to adopt climate action plan and address health impacts of climate change",293,867000,1160000,"/Search/View?dp=1&key=2439599-280563bae3a4d57e0dc24996fbafd34c&start=867&end=1160","https://assets.pipeline.soar.com/2439599-280563bae3a4d57e0dc24996fbafd34c/thumbnail_867000.jpg","/articles/6659951/California/Resident-urges-Tahoe-Forest-to-adopt-climate-action-plan-and-address-health-impacts-of-climate-change","https://secure.pipeline.soar.com/6659951-e917100e0c69395c2df64f308cac395f/orig.mp4?Expires=1771113548&Signature=dwPHFwylj-7AOrwLIj1YT-Ae~UXUK~-JlNQw07F36cTvq9mt1RMrg~CoP~~q1nkOLVpdNoDmKrs6joSKHarIjLsW-7DyEDIaND9tzskO74PWIOyeB6pW9neJK8DOXqCvnGqkpl9SfK0LQLq0IQ03bUGZZ0uD77JVgfvvk5epJosYkfEmqgkcGItbhXcEnGMmr6kJ1w0GgxtXhEKo0vvWlV1Y7wnxlKkQtIITl5IxUa42ZvciZSxitDmv6LdEHc4DCX1u97~bJNto1Wh5TO9PgoNKMoOryjkH0OXkjJRiyJXcbMssuxwpQjPXCAa5xHGNcubGNOqx4W0OFOdRAgAtIg__&Key-Pair-Id=KUT5TJCACFTXG","Deirdre Henderson, a Truckee resident and patient, used the public comment period at the Tahoe Forest Hospital District board meeting on Feb. 27 to urge the district to adopt a formal climate action plan and to address health effects of climate change in clinical settings.

Henderson identified herself as co‑lead of 100 Percent Renewable Truckee and of the North Tahoe chapter of Citizens' Climate Lobby. She said the district has taken steps such as joining the Climate Transformation Alliance and conducting a waste audit, but “you still need that overriding plan so that you can measure what your accomplishments have been and demonstrate them to the community.”

She asked the board to develop specific objectives, timelines and metrics tied to the district’s greenhouse‑gas inventory and called for greater attention from clinicians to climate‑related health effects such as heat, wildfire smoke and planned power shutoffs. Henderson referenced a four‑day conference, Our Planet, Our Health, and described Climate Rx, an EcoAmerica program used by physicians to open conversations with patients about climate risks.

Henderson said she looked at Contra Costa Health's Climate and Health web materials to learn whether the district's incoming CEO, Anna Roth, had prior experience on the topic and urged the board and the new CEO to prioritize patient education about climate‑related health risks. Her remarks were given during the public comment period; the board did not take formal action in response during the meeting.","A Truckee resident and patient told the board the health system should adopt a climate action plan with measurable objectives and communicate climate‑related health risks to patients; she cited membership in national climate‑and‑health initiatives and urged the new CEO to prioritize the issue.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6659956,"CMO reports progress on culture, management systems and falls reduction at extended care center",124,3542000,3666000,"/Search/View?dp=1&key=2439599-280563bae3a4d57e0dc24996fbafd34c&start=3542&end=3666","https://assets.pipeline.soar.com/2439599-280563bae3a4d57e0dc24996fbafd34c/thumbnail_3542000.jpg","/articles/6659956/California/CMO-reports-progress-on-culture-management-systems-and-falls-reduction-at-extended-care-center","https://secure.pipeline.soar.com/6659956-077c1f36a8532a385729d78592c5457a/orig.mp4?Expires=1771113548&Signature=lIgMDEC0DQJHYdhFQnNqxda34D6q1d4Ly3kKzgFSmCL-sQKH3Ons0Cu5tUJfngizPHBCrGOUpwgRovut64YzNxqNr0IESOTffgDdWv7969mwNoRj23J46lznCYtH0vBYys2~pH8cfg1HH7Ka8dBiJ3zSj5KzwoXYPH~gjP5IIljBrN0m0kmiC3CFvoUJpSIBVB7B-4dFtu-biwq-oVYZysEJOcTtAIEKrtzO6XQ5jCD3Ahxydxo68CAOYTjBSfVmRNkWPxjPHlUh66JTaHEBB7~UMyIaEpXVSO36TiAyMzLmfjtb23d7tB95YX4bFsmfwNRSULAmMQtol3N0dIkp5g__&Key-Pair-Id=KUT5TJCACFTXG","Tahoe Forest Health System's chief medical officer, Brian Evans, briefed the board on Feb. 27 about the scope of the CMO role at a small integrated health system, efforts to improve culture and accountability among employed medical staff, and examples of management‑systems process improvement that the system is using to address operational and clinical quality problems.

Evans told directors the CMO role at Tahoe Forest differs from hospital‑only CMOs because the district directly employs most physicians and operates multiple outpatient and inpatient sites across two states. He said the role involves credentialing oversight, clinical quality and safety, and coordination across 27 service lines.

On culture, Evans said the system has “made significant improvement” but still faces challenges because the organization has grown rapidly and moved from independent to primarily employed physicians. To measure clinician well‑being, he referenced the Mayo Well‑Being Index and said burnout remains “a significant problem.” He told the board the system has a range of wellness resources and will measure changes with another survey in May.

Evans described two management‑systems examples. In pediatrics, staff used process‑improvement tools and an A3 problem statement to pilot changes to Saturday clinics to address underutilization and staff scheduling burdens; the pilot will be monitored against measures such as urgent‑care volume and staff engagement. In the Extended Care Center (ECC), teams investigated a higher‑than‑expected resident fall rate, identified environmental contributors including dark floor tiles, and applied a mix of physical changes and standard work for staff; Evans said falls have come down since those interventions.

On accountability, Evans acknowledged the difficulty of aligning medical staff and enforcing standards in an employed‑physician model but said the system has elevated medical directors and increased transparency; he said an outside consultant (ECG) will help with physician employment and payments. Evans also noted a recent physician death in the South Lake Tahoe area and said it underscored the importance of continued focus on clinician wellness and support resources.

The CMO report did not require board action; Evans encouraged directors to visit units where A3s and improvement projects are posted and said the system intends to continue expanding management‑systems work.","Chief medical officer Brian Evans briefed the board on the CMO role, efforts to align and hold medical staff accountable, management‑systems projects using process improvement, and a falls‑reduction effort at the Extended Care Center that reduced fall rates after environmental and standard‑work changes.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6659961,"Consultants outline new physician compensation models, implementation plan and transparency tools",949,4356000,5305000,"/Search/View?dp=1&key=2439599-280563bae3a4d57e0dc24996fbafd34c&start=4356&end=5305","https://assets.pipeline.soar.com/2439599-280563bae3a4d57e0dc24996fbafd34c/thumbnail_4356000.jpg","/articles/6659961/California/Consultants-outline-new-physician-compensation-models-implementation-plan-and-transparency-tools","https://secure.pipeline.soar.com/6659961-ce19f56885ec8628a32d5930ed59a35d/orig.mp4?Expires=1771113548&Signature=UqXZRO87ojRXjcchl4tFNK8T9J52r4gqRh6wyzk79n6AjA~dPA0tG71oxhbNYfFusQSpqr9pNa-YXb~XYp9s7u30I5Y3GtP2SpoZ0UAIUtxwClJocgW3d62rlQLZG9WU0U21VV17gAaSXo5QzvmJfXWI~x2OoUmPm6B8kP4qK3P~S5Yote7ECyuvKkNZfcEwPM-trrV2MT2n0mqwXwBLcC1M7y2MYdePr5PrdRaLRNxXZmr0qoIPMVOd0rG3sI~8jckliBLrGDQ9c1xMSNo6bJyQsfkpYW9Z6HFal4TWbIZD6YcJ6VO5B5aoVEsupTRmOjkdzJFo1MRRkmA5Ebvwww__&Key-Pair-Id=KUT5TJCACFTXG","ECG management consultants presented a redesign of physician compensation to the Tahoe Forest Hospital District board and staff on Feb. 27, proposing three practice‑type compensation models, a staged implementation plan and administrative changes intended to increase transparency and trust.

Tony Cobalt and Tanner Heady of ECG described a future‑state plan with three primary models: a salary/shift‑based model for coverage specialties such as hospitalists and emergency medicine; a productivity‑based model with variable incentives for specialties that do not provide continuous emergency coverage; and a productivity model that separately recognizes intensive 24/7 on‑call specialties with daily stipends for on‑site call, intended for services such as orthopedics and obstetrics.

Tanner Heady said the redesign aims to “pay competitively to local market benchmarks,” account for Tahoe Forest’s higher local cost of living, and expand opportunities to reward quality, access and patient experience in addition to work RVUs. The consultants told the board a steering group of seven physicians had reviewed the proposed changes and that individualized “before and after” compensation snapshots for each physician would be distributed to reduce surprises.

Trevor Clifton of ECG described steps to build compensation administration capacity, including a plan to stand up a dedicated team, implement a compensation administration platform called Simplify and create a joint compensation committee with clinical and administrative membership to govern changes and adjudicate disputes. Clifton said the intent is to provide physicians with monthly visibility into productivity, accruals and incentive calculations.

Board members asked about trust and staging. Scott Baker, vice president of physician services, told directors the organization has increased transparency and is providing “shadow reports” that compare current and proposed pay so physicians can see expected results before the new model goes live. Director McGarry asked whether the district could run new and old calculations in parallel; consultants said that shadow reporting is planned and that some groups have already expressed interest in earlier adoption. Radiology, the presenters said, began a new compensation program in December and is already operating under the updated structure.

Consultants said target next steps include specialty‑level work to define quality measures (anticipated to take around a year in some service lines), deployment of the Simplify platform between summer and fall, standing up a compensation committee, and a proposed implementation target of July 1 for initial plan elements. They emphasized staged rollout and ongoing physician engagement.","ECG management consultants presented a redesigned physician compensation program for Tahoe Forest physicians, proposing three models (salary/shift, productivity with call recognition, and productivity with daily call stipends), a target implementation date of July 1, and a compensation administration platform for transparency.","actionData","errors"]

Article not found

Board reports closed‑session approvals, adopts mission resolution; consent calendar and CIIO report pass 5-0

Resident urges Tahoe Forest to adopt climate action plan and address health impacts of climate change

CMO reports progress on culture, management systems and falls reduction at extended care center

Consultants outline new physician compensation models, implementation plan and transparency tools