Upper San Juan Health Service District

The board meeting covers administrative matters including quorum confirmation and director conflict of interest disclosures. The agenda includes oral and written reports from the executive committee, foundation board, facilities committee, strategic planning committee, finance committee regarding monthly financials, and the medical staff. Additionally, the board will address a consent agenda encompassing provider privileges and other routine matters, followed by an executive session and potential future agenda items.

The strategic plan for Pagosa Springs Medical Center for 2024-2028 aims to establish the organization as the provider of choice in the region. This is achieved through five key strategic pillars: Quality & Patient Safety, Strategic Growth, Financial Sustainability, Community Relationships, and Culture & Talent. The plan focuses on improving patient outcomes, expanding sustainable service offerings, ensuring financial stability, strengthening community ties, and fostering an inclusive culture for both patients and staff, ultimately leading to exceptional patient service, access to superior technology, efficient care, competitive pricing, and strong community partnerships.

The meeting agenda included administrative matters such as confirming quorum and addressing conflicts of interest. Key discussions involved a presentation on the Quality Assurance and Performance Improvement (QAPI) Program requirements and the 2026 QAPI Plan priorities. Reports were given by the Chair, CEO (focusing on 2025 accomplishments in quality of care, financial management, operational leadership, and community relationships), Executive Committee, Foundation Board, Facilities Committee, and Strategic Planning Committee. The Board considered resolutions for approving the QAPI Program and accepting the 2025 peer review report. The Finance Committee reported on the January 2026 financials, noting a typical seasonal loss for the month but overall positive gross charges and improved days of cash on hand year-to-date. The Facilities Committee discussed timing and budgets for 2026 projects, including the East Side EMS facility, the Dodie Cassidy Remodel, and the ED Safety and Efficiency Remodel. The Strategic Planning Committee discussed potential impacts of Medicaid changes and upcoming 2026 Capital Budget adjustments. The meeting included an executive session to discuss confidential quality and peer review statistics.

The regular board meeting agenda included administrative matters such as confirming quorum and addressing director conflicts of interest. Key discussions centered on a presentation of the Master Nursing Staffing Plan, including minimum staffing requirements for Inpatient and Emergency Departments, and various committee reports (Chair, CEO, Executive, Foundation, Facilities, Strategic Planning, and Finance). The Finance Committee reported on the December 2025 financials, noting a positive bottom line of $574,699 for the month and good standing for Accounts Receivable and Cash on Hand. The Decision Agenda addressed the resolution for accepting the Nursing Master Staffing Plan. The Facilities Committee report covered updates on the 302 San Juan St. EMS building, the Dodie Cassidy Remodel, and the ED Safety and Efficiency Remodel, including associated budget items and grant awards. The Strategic Planning Committee reviewed comparisons of PSMC 2024 data against national Critical Access Hospital data via Chartis and discussed an operational initiative regarding external provider referrals. The meeting reserved time for an executive session regarding potential litigation and concluded with annual business items.

The meeting agenda included administrative matters such as confirming a quorum and approving the agenda. Key discussions involved a public comment period, a presentation on the Pain Management Service Line, and various oral and written reports from the Chair, CEO, and several committees (Executive, Foundation, Facilities, Strategic Planning, and Finance, including October 2025 Financials). The Board reserved time for an executive session to discuss confidential personnel matters, specifically the extension of the CEO's employment agreement, and legal matters concerning potential title defects for newly acquired property at 302 San Juan Street. The decision agenda addressed resolutions to authorize negotiations for the CEO's contract extension and to authorize actions regarding the San Juan Street property title defects and associated fundraising. Another resolution concerned authorizing notice to terminate the existing 911 dispatch Intergovernmental Agreement and entering a new agreement with the Archuleta County Sheriff's Office effective January 1, 2026. The consent agenda covered approval of absences and minutes from the October 28, 2025 meeting, along with medical staff privilege recommendations.