Skagit County Public Hospital District 2

The board meeting agenda included a call to order, followed by an executive session to review the performance of a public employee pursuant to RCW 42.30.110(1)(g), and concluded with an adjournment.

This document presents the Community Health Needs Assessment for Island Health, conducted to identify and prioritize significant health-related needs within its service area for the 2025-2027 period. It outlines three key community health priorities: Access to Care, Healthcare for Seniors, and Care Coordination through Data-sharing and Electronic Records. The assessment serves to align Island Health's services and strategic focus with these identified needs, guiding the development of an implementation plan to improve community health outcomes.

The meeting centered on the presentation and approval of the 2026 Proposed Operating & Capital Budget, aligning with the Island Health Strategic Plan. Key actions included adopting the 2026 Operating and Capital budgets, establishing the Regular levy amount for 2026, approving and authorizing the excess property levy (UTGO), authorizing the Skagit County Auditor to collect taxes, and directing the CEO to deliver the certified resolution copy to the County. Additionally, the board discussed and approved changes to the Orcas Island Healthcare District Letter of Intent, including provisions for reimbursement of uncompensated care exceeding $155,000 per year at Island Primary Care - Orcas and an increase to the Support Fee to $1.3 million in 2026 to offset higher than anticipated inflation.

The meeting included an update on the Emergency Department Efficiency and Throughput Project, which aims to streamline processes, apply best practices, and improve team communication to reduce patient wait times. A Cardiology Update highlighted the primary service area, inpatient cardiology, community cardiology physician needs, and a multi-phased approach to cardiology care. The Island Health Foundation provided an update on its 2025 operations and activities, including fundraising efforts and support for Island Health departments and staff. Updates were provided on the Quality Management Organization Committee meeting, including the MQI Measure Tracker and safety falls. The Medical Staff Committees meetings, including Quality Assurance, Emergency Department, Surgery, Department of Medicine, and OB/Peds, were also discussed. The board also went into an executive session for a review of the performance of a public employee.

The meeting included presentations and updates on various topics, including robotic surgeries, orthopedics, and breast cancer awareness. The Quality Management Operational Committee meeting was summarized, focusing on improvements to the Emergency Department patient flow. Updates were provided on Medical Staff Committee meetings, and the Credentials list was approved. Administrative updates covered the AWPHD Retreat, diagnostic imaging equipment, and the ultrasound replacement plan. The SEIU Collective Bargaining Agreement was discussed and approved. Commissioner Tessler was appointed as the new Board Secretary, and the Commissioner Officer Rotation was approved.