Robert M. Blue

Mark T. Bowles

Whittington W. Clement

Elizabeth M. Cranwell

Thomas A. DePasquale

Barbara J. Fried

John A. Griffin

Robert D. Hardie

Maurice A. Jones

C. Evans Poston Jr.

Jeffrey C. Walker

Brendan T. Nigro, Student Member

Margaret F. Riley, Faculty Member

FROM: Susan G. Harris

SUBJECT: Minutes of the Meeting of the Health System Board on December 5, 2018

The Health System Board met, in Open Session, at 1:00 p.m., on Wednesday, December 5, 2018, in the Board Room of the Rotunda. Dr. Britt, Chair, presided.

Committee members present: Frank M. Conner III, Babur B. Lateef, M.D., Tammy S. Murphy, James B. Murray Jr., James V. Reyes, A. Bobby Chhabra, M.D., and Jessica M. Lukacs, M.D.

Public members present: William G. Crutchfield Jr., Eugene V. Fife, and John E. Niederhuber, M.D. Victoria D. Harker monitored by phone.

Ex Officio advisory members present: James E. Ryan, Jennifer Wagner Davis, Dorrie K. Fontaine, Thomas C. Katsouleas, Richard P. Shannon, M.D., Pamela M. Sutton-Wallace, Scott A. Syverud, M.D., and David S. Wilkes, M.D.

Thomas A. DePasquale, Barbara J. Fried, C. Evans Poston Jr., and Margaret F. Riley also were present.

Present as well were Sally N. Barber, Evelyn R. Fleming, Margaret S. Grundy, Susan G. Harris, Timothy J. Heaphy, W. Thomas Leback, David W. Martel, Debra D. Rinker, and Carolyn D. Saint.

Sara M. Brumfield, M.D., Michelle D. Hereford, Tracey R. Hoke, M.D., Susan E. Kirk, M.D., Douglas E. Lischke, and Karen B. Rendleman presented.

Dr. Britt opened the meeting. After brief comments, he gave the floor to Dr. Shannon.

Dr. Shannon spoke about the need to create a respectful organizational culture. In his position, he has two critical responsibilities: to make sure the organization executes its short term strategies with demonstrable results, and to set the long term direction. Given the changing health care environment, the Health System has to be reinvented. Dr. Shannon’s initial focus was on performance with an emphasis on patient safety. The goal was to ensure that no one was hurt while receiving treatment. Although more work is needed, the Medical Center has become one of the safest hospitals in the country.

A cultural transformation is needed to reach the next level of performance. How team members feel impacts their work. Disengaged team members are not likely to perform at a high level. The Health System, therefore, must address the physical, emotional, and psychological well-being of its team members. It must develop a culture of respect. The values are in place, but behavior does not always reflect these values. The goal is to get to the point where every employee can say yes to the following questions: I am treated with dignity and respect regardless of position; I am given the tools needed to contribute; and I am recognized for what I do. To embrace this transformation, staff must see that the entire organization supports it. Approximately 60% of the workforce is fully engaged in the pursuit of this goal. The goal for the next five years is to increase the level of engagement to include the remaining 40%.

The transformation has been and will continue to be difficult for physicians. The practice of medicine has shifted dramatically in the last 20 years. More than half of the physicians were trained prior to 2000 when health care pivoted from a doctor centric discipline to a patient focus. It was a change from individualism to a team care approach. Early efforts to achieve this goal will include a series of frequent communications and meetings with the staff.

Dr. Shannon ended his presentation with a review of the operational goals for FY 2019. The Health System is on track to complete them by the end of the fiscal year.

Mr. Lischke reviewed the fiscal year performance as of September 30. The balance sheet remained strong with assets totaling $4.8 billion. Operating income was $2.7 million, which was below the $6.5 million budget, but compared favorably to last year. The reduced operating income was driven by a case mix index (CMI) of 2.07 instead of the 2.10 target and a shortfall in the operations of the Transitional Care Hospital and Home Health Care. These units, which have volume and staffing challenges, have plans in place to improve their operations and are expected to recover. Operating cash flow was $35 million. Operating margin is 0.4% versus the budgeted 1%. The School of Medicine is in line with its budget and the prior year. The University Physicians Group is strong to budget and the prior year.

Adjusted discharges were favorable to budget and to the prior year. Surgeries did well. Inpatient and outpatient numbers were above last year, but below budget. The School of Medicine saw a year-over- year growth in research expenditures.

The second quarter is off to a good start. October set records for volumes and cash collections. The monthly operating income was $10 million, which resulted in the operating income for the year being favorable to budget by $5 million. The CMI target of 2.10 was met. November volumes appear to be in line with budget. The Health System is on track to meet budget by the end of the second quarter.

Dr. Shannon offered introductory comments on the Health System’s efforts to build a culture of diversity and inclusion. While it performs reasonably well in terms of headcount, the idea of everyone being equally capable of succeeding has not been hardwired in the way individuals are mentored. The Health System’s search for a Chief Diversity and Inclusion Officer has been placed on hold. An offer was made and accepted, but the individual backed out for personal reasons. Given that the University’s search for a Vice President and Chief Officer for Diversity and Equity was underway, the Health System decided to assess its next steps after this individual was in place.

Before giving the floor to Ms. Sutton-Wallace, Dr. Shannon said the Health System’s workforce must reflect the composition of the community it serves in order to create a community of trust. Ms. Sutton-Wallace said demographics in the United States were shifting. As of 2016, the minority was the majority in kindergarten classes. She said data shows that high performing organizations are racially and gender diverse. While the diversity of the Health System’s staff reflects that of the Thomas Jefferson Health District, the diversity of the management team does not. To improve diversity and inclusion, the Health System is pursing five areas of focus: Enterprise Education; Policy and Procedural Changes; Vendor/Supply Diversity; Recruitment/Retention/Succession Planning; and Patient Outcomes/Health Care Disparities.

Ms. Sutton-Wallace said that during the debrief of operations related to the events of August 11 and 12, 2017, the Medical Center received comments about discrimination and micro-aggressions. To respond, the Medical Center hosted a leadership summit on February 7, 2018 to initiate a dialogue. She showed a video “Declaration of Interdependence.” She said physicians struggle with patient rights versus caregiver rights. She then gave the floor to Dr. Wilkes.

Dr. Wilkes said the high level of student diversity was one of the elements that attracted him to the School of Medicine. This level of diversity, 23% - 24% African American or Latino, does not occur at the national level and is in the top 15% - 16% of all U.S. medical schools. Diversity among residents, fellows, and faculty, however, was much lower. In response, a climate assessment was conducted in 2016. Its findings included the need to value diversity as a strategic imperative at all levels, to seek community engagement, to support students when dealing with racial or gender issues, to build infrastructure for an office of diversity, and to provide tools for chairs and program directors. The efforts undertaken since 2016 have been effective. Each department now has a diversity plan and a dashboard where progress can be monitored. The number of under-represented minority (URM) faculty, residents, and fellows has increased. While the percentage of URM faculty still lags the national average, 4.5% versus 6.2%, the percentages of URM residents and fellows now exceed the national average.

Dr. Chhabra said his department’s diversity and inclusion efforts have been challenged by the events of August 2017. His program has the most competitive residency program in the country; this year there were 875 applicants for five residency spots. Thirty URM candidates were accepted for interviews, but only five accepted. He called the applicants who declined to find out why and was told it was the August events. His department also lost two faculty recruits for the same reason.

The rector asked about the reason for the high diversity among medical students. Dr. Wilkes said it was due to Dr. Canterbury, who created a more holistic admissions process focusing on more than just test scores. This approach increased diversity while not impacting quality. When asked about impacts of the events of August 2017, Dr. Wilkes said there was a decline of over 10% last year with the biggest decline in out-of-state applicants, but there was not a decline in URM applicants. During the application process, the School discussed the August events up front. This proactive approach appears to have been effective.

Mr. Crutchfield said the University wrestled with the problem of attracting URM faculty when he was on the Board of Visitors from 1997 to 2005. From a recent conversation, it appears the small size of Charlottesville’s community of minority professionals is a drawback. He suggested the University use groups of diverse individuals to invite URM candidates to dinners in their homes to show the diversity of the Charlottesville community.

Dr. Lukacs said URM students do not always feel welcomed by patients. Dr. Wilkes used this comment as a segue for a film clip titled “Addressing bigotry and prejudice when it is exhibited by a patient.” This was one of eight videos produced to address diversity. They are based on actual experiences and are used to help educators deal with awkward situations and to teach patients how to respond differently. A number of schools have expressed interest in them.

Dr. Kirk reviewed the tactics used in 2018 to improve diversity in the Graduate Medical Education program. The School, with its history of strong residency programs, had developed an attitude of “we are really good and you should come here.” Starting in 2016, it became more proactive. The events of August 2017 led to a number of tactics. These included Diversity Days coinciding with residency and fellowship interviews, visits to historically black colleges to recruit their medical students, and support of the House Staff Council for Diversity and Inclusion. The School is also focused on resident wellness. Dr. Kirk said the residency period is the most physically and emotionally challenging time a doctor faces. The burnout rate during this period is 70%.

Ms. Fontaine said the morale among UVA physicians is at an all-time low. Dr. Britt said he will talk to the leadership about morale and will have an update at the next meeting.

Ms. Rendleman reviewed the results for FY 2018, goals for FY 2019, and the plans for the University’s Honor the Future capital campaign. FY 2018 was the best year the Health System has had since it started counting towards the campaign. A total of $67.7 million was raised, which was 9% over the $62 million goal. This included $17.6 million in investigator-initiated philanthropic grants. The goal for FY 2019 is $100 million. As of November 22, $31.7 million has been raised.

The Health System has raised $337.5 million of its $1 billion share of the University’s capital campaign, which ends in 2025. To be successful, the Health System must focus on leadership gifts in excess of $1 million, pursue new prospects, and leverage resources and volunteer networks. Initial areas of focus will be on biomedical research, medical education and faculty support, nursing education and faculty support, and patient care initiatives. The Health System will use a “Care and Cure” messaging theme in support of its three missions: putting the patient first; cures within reach; and transforming nursing and medical education.

Dr. Wilkes reported on research. Recent increases in research funding should move the School up in the new rankings, which will be released in January. He highlighted Dr. Jose Oberholzer’s article in Nature Biomedical Engineering and Mr. Jonathan Kipnis’s receipt of the National Institute of Health Director’s Pioneer Award, which is the NIH’s most prestigious award. He said the Cancer Center should receive a comprehensive status designation in three years. The School is expecting a notice of a NIH Clinical and Translational Science Award (CTSA) around the first of the year. This will be a joint collaboration with Virginia Tech, Carilion Clinic, and Inova, and will be focused on utilizing data science for health research on large populations.

The committee’s attention was directed to the written reports in the meeting materials.

Consent Agenda: Authorization for the Medical Center to make an Additional Capital Investment for a new Rehabilitation Hospital

On motion duly seconded, the committee approved the following resolution and recommended it for Finance Committee and full Board approval:

AUTHORIZATION FOR THE MEDICAL CENTER TO MAKE AN ADDITIONAL CAPITAL INVESTMENT FOR A NEW REHABILITATION HOSPITAL

WHEREAS, in order to proceed with the development and construction of a new 70-bed rehabilitation hospital to be located on land in the UVA Research Park, the Medical Center will be required to make an additional capital investment in an existing joint venture known as UVA Encompass Health Rehabilitation Hospital, LLC; and

WHEREAS, the Board of Visitors previously approved the Medical Center’s participation in this joint venture and agrees with the determination for the need for a new rehabilitation hospital to be located on the UVA Research Park campus;

RESOLVED, the Board of Visitors authorizes the Medical Center to invest additional capital into UVA Encompass Health Rehabilitation Hospital, LLC in an amount up to $20 million for the purposes set forth herein; and

RESOLVED FURTHER, the Board of Visitors authorizes the Executive Vice President for Health Affairs to execute one or more amendments to the Operating Agreement for UVA Encompass Health Rehabilitation Hospital, LLC and any and all other documents necessary, all on such terms as the Executive Vice President for Health Affairs deems appropriate, and to take all other actions necessary and appropriate to effectuate the foregoing.

The Committee’s attention was directed to the written reports in the meeting materials.

At 2:50 p.m., the committee went into closed session upon the following motion made by Dr. Lateef, duly seconded, and approved.

“Mr. Chair, I respectfully move the Health System Board into closed meeting to discuss proprietary, business-related information pertaining to the operations of the Medical Center and the Transitional Care Hospital including strategic personnel, investment, facility needs, growth initiatives, financial and market and resource considerations and efforts in light of market and regulatory changes, update on joint ventures, affiliations, and partnership strategies, proprietary improvement initiatives for patient care, employee performance and other proprietary metrics; to consider confidential information and data related to the adequacy and quality of professional services, competency and qualifications for professional staff privileges, patient safety in clinical care and evaluation of the performance of specific personnel all for the purpose of improving patient care; and, in consultation with legal counsel, to discuss compliance with relevant federal and state legal requirements, licensure, legislative and accreditation standards, which involve proprietary business information of the Medical Center and Transitional Care Hospital and where disclosure at this time would adversely affect the competitive position of the Medical Center and Transitional Care Hospital. The foregoing motion is authorized by Sections 2.2-3711 (A) (1), (6), (8) and (22) of the Code of Virginia. The closed meeting of the Health System Board is further privileged under Section 8.01-581.17 of the Code of Virginia.”

At 4:55 p.m., the committee concluded closed session by the following motion made by Mr. Murray and duly seconded, and approved by roll call vote.

“Mr. Chair, I move that we vote on and record our certification that, to the best of each Board member’s knowledge, only public business matters lawfully exempted from open meeting requirements and which were identified in the motion authorizing the closed session, were heard, discussed or considered in closed session.”

NOVEMBER 20, 2018 CREDENTIALING AND RECREDENTIALING ACTIONS – MEDICAL CENTER – APPROVED DECEMBER 5, 2018

RESOLVED, the recommendations of the Clinical Staff Executive Committee for appointment to the Clinical Staff of the University of Virginia Medical Center and the granting of specific privileges to the following practitioners are approved:

Amarante, Iris, M.D., Obstetrician and Gynecologist in the Department of Obstetrics and Gynecology; Attending Staff Status; Period of Appointment: October 22, 2018, through October 21, 2019; Privileged in Obstetrics and Gynecology.

Eccher, Matthew, M.D., Neurologist in the Department of Neurology; Attending Staff Status; Period of Appointment: October 12, 2018, through October 11, 2019; Privileged in Neurology.

Henry, Ann, M.D., Rheumatologist in the Department of Medicine; Attending Staff Status; Period of Appointment: November 1, 2018, through October 31, 2019; Privileged in Medicine.

Miller, Sarah, D.O., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Appointment: November 1, 2018, through October 31, 2019; Privileged in Pediatrics.

Rizvi, Tanvir, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Appointment: December 1, 2018, through November 30, 2019; Privileged in Radiology and Medical Imaging.

Shneker, Bassel, M.D., Neurologist in the Department of Neurology; Attending Staff Status; Period of Appointment: October 16, 2018, through October 15, 2019; Privileged in Neurology.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for reappointment to the Clinical Staff of the University of Virginia Medical Center and the granting of specific privileges to the following practitioners are approved:

Alarini, Mahmoud, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: December 26, 2018, through December 25, 2019; Privileged in Radiology and Medical Imaging.

Anderson, Susan, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Barcia, John, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Barros, Diane, M.D., Physician in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Becker, Robert, M.D., Hospitalist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Behm, Brian, M.D., Gastroenterologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Bergman, Michael, M.D., Pulmonologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Bilchick, Kenneth, M.D., Cardiologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Boggs, Sarah, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Borowitz, Stephen, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Bose, Subhasish, M.D., Nephrologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Brown, Sue, M.D., Endocrinologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Carlson, Adam, M.D., Rheumatologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2019; Privileged in Medicine.

Castro, Barbara, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Cooper, Minton, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Deal, Dylan, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Druzgal, Thomas, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Elmore, Brett, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Erickson, Sarah, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Fang, Gary, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Froh, Deborah, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Fuchs, Kathleen, Ph.D., Psychologist in the Department of Neurology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Psychology.

Gaughan, Elizabeth, M.D., Hematologist Oncologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Gaughen, John, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Govindan, Priyanka, M.D., Nephrologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Hall, Richard, M.D., Hematologist Oncologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Hassanzadeh, Hamid, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Hryvniak, David, D.O., Physiatrist in the Department of Physical Medicine and Rehabilitation; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Physical Medicine and Rehabilitation.

Huffmyer, Julie, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Iezzoni, Julia, M.D., Pathologist in the Department of Pathology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pathology.

Jones, Connie, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Kirby, Jennifer, M.D., Endocrinologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Kripalani, Sanjay, M.D., Physician in the Department of Emergency Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Emergency Medicine.

Krish, Sonia, M.D., Neurologist in the Department of Neurology; Attending Staff Status; Period of Reappointment: December 8, 2018, through February 27, 2020; Privileged in Neurology.

Lambert, Drew, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Loughran, Thomas, M.D., Hematologist Oncologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Lunardi, Nadia, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Critical Care Medicine.

Matsumoto, Julie, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

McLaughlin, Timothy, M.D., Physician in the Department of Family Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Family Medicine.

McNamara, Coleen, M.D., Cardiologist in the Department of Medicine; Administrative Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020.

Mehta, Rahul, M.D., Hospitalist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Mutter, Mary, M.D., Physician in the Department of Emergency Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Emergency Medicine.

Netland, Peter, M.D., Ophthalmologist in the Department of Ophthalmology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Ophthalmology.

Noland, Mary-Margaret, M.D., Dermatologist in the Department of Dermatology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Dermatology.

Overby, Terry, M.D., Nephrologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2019; Privileged in Medicine.

Padia, Shetal, M.D., Endocrinologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Penberthy, Jennifer, Ph.D., Psychologist in the Department of Psychiatry and Neurobehavioral Sciences; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Psychology.

Perumal, Venkat, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Platts-Mills, Thomas, M.D., Allergist and Immunologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Pinkerton, JoAnn, M.D., Obstetrician and Gynecologist in the Department of Obstetrics and Gynecology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Obstetrics and Gynecology.

Powell, Steven, M.D., Gastroenterologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Powers, Robert, M.D., Physician in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Prum, Bruce, M.D., Ophthalmologist in the Department of Ophthalmology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Ophthalmology.

Ragosta, Michael, M.D., Cardiologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Rehm, Patrice, M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Reynolds, Pamela, M.D., Physician in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Riordan, John, M.D., Physician in the Department of Emergency Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Emergency Medicine.

Roberson, Porsche, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Rogers, Elisabeth, M.D., Physician in the Department of Emergency Medicine; Attending Staff Status; Period of Reappointment: October 31, 2018, through October 30, 2020; Privileged in Emergency Medicine.

Scharf, Rebecca, M.D., Pediatrician in the Department of Pediatrics; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pediatrics.

Shaffrey, Catherine, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Shah, Neeral, M.D., Gastroenterologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Singh, Karen, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Anesthesiology.

Siragy, Helmy, M.D., Endocrinologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Solorzano, Guillermo, M.D., Nephrologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Statuta, Siobhan, M.D., Physician in the Department of Family Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Family Medicine.

Streich, Heather, M.D., Physician in the Department of Emergency Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Emergency Medicine.

Theodore, Danny, M.D., Anesthesiologist in the Department of Anesthesiology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Critical Care Medicine.

Tillack, Thomas, M.D., Pathologist in the Department of Pathology; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Pathology.

Yang, Zequan, M.D., Surgeon in the Department of Surgery; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Surgery.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for the resignation and expiration of privileges to the following Clinical Staff are approved:

Cagnina, Rebecca E., M.D., Pulmonologist in the Department of Medicine; Attending Staff Status; Effective Date of Resignation: October 14, 2018.

Murphy, Jessica E., M.D., Obstetrician and Gynecologist in the Department of Obstetrics and Gynecology; Attending Staff Status; Effective Date of Resignation: October 10, 2018.

Moore, Preska M.., M.D., Psychiatrist in the Department of Psychiatry and Neurobehavioral Sciences; Attending Staff Status; Effective Date of Resignation: September 30, 2018.

Nicholson, Brandi T., M.D., Radiologist in the Department of Radiology and Medical Imaging; Attending Staff Status; Effective Date of Resignation: October 26, 2018.

Shaffrey, Christopher I., M.D., Neurosurgeon in the Department of Neurosurgery; Attending Staff Status; Effective Date of Resignation: October 31, 2018.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for new privileges to the following member of the Clinical Staff:

Bergman, Michael, M.D., Pulmonologist in the Department of Medicine. Additional Privileges for Whole Lung Lavage. Effective Date: November 9, 2018, through November 29, 2020.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for the granting of privileges to the following Allied Health Professionals are approved:

Baxter, Barbara A., R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: November 4, 2018 through November 3, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Goldfuss, Jaclyn, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Period of Privileging: November 5, 2018 through November 4, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Kassay-McAllister, Jessica, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Period of Privileging: November 5, 2018 through November 4, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Little, Michael, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Period of Privileging: October 7, 2018 through October 6, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Meyer-Speth, Shirley, R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Period of Privileging: November 4, 2018 through November 3, 2019; Privileged as a Family Nurse Practitioner.

Pillow, Kieth, P.A., Physician Assistant in the Department of Dermatology; Period of Privileging: October 15, 2018 through October 14, 2019; Privileged as a Physician Assistant.

Reynolds, Jessica., R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: October 22, 2018 through October 21, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Shannon, Paige, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: November 5, 2018 through November 4, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Sweet, Casandra, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: November 4, 2018 through November 3, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Topley, Darla, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Period of Privileging: November 4, 2018 through November 3, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Wiseman, Steven, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Period of Privileging: November 5, 2018 through November 4, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for the renewal of privileges to the following Allied Health Professionals are approved:

Benes, Judith, R.N., N.P., Certified Nurse Anesthetist in the Department of Anesthesiology; Period of Privileging: December 5, 2018 through December 4, 2020; Privileged as a Certified Nurse Anesthetist.

Bledsoe, Johnnie K., R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Period of Privileging: December 7, 2018 through December 6, 2020; Privileged as a Family Nurse Practitioner.

Gilday, Emily P., R.N., N.P., Family Nurse Practitioner in the Department of Otolaryngology; Period of Privileging: December 27, 2018 through December 26, 2020; Privileged as a Family Nurse Practitioner.

Gordon, Caitlin R., R.N., N.P., Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: December 9, 2018 through December 8, 2020; Privileged as an Acute Care Nurse Practitioner.

Gyampoh, Julia., R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: December 3, 2018 through December 2, 2020; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Hand, Rebecca L., R.N., N.P., Acute Care Nurse Practitioner in the Department of Otolaryngology; Period of Privileging: December 22, 2018 through December 21, 2020; Privileged as a Family Nurse Practitioner.

Hooper, Elizabeth W., R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: December 7, 2018 through December 6, 2020; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Hughes, Veronica, R.N., N.P., Adult Nurse Practitioner in the Department of Medicine; Period of Privileging: December 4, 2018 through December 3, 2020; Privileged as an Adult Nurse Practitioner.

Jackson, Mary Jane, R.N., N.P., Family Nurse Practitioner in the Department of Pediatrics; Period of Privileging: December 20, 2018 through December 19, 2020; Privileged as a Family Nurse Practitioner.

Jett, Lisa, R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Period of Privileging: December 6, 2018 through December 5, 2020; Privileged as a Family Nurse Practitioner.

Karns, Logan B., G.C., Genetic Counselor in the Department of Obstetrics and Gynecology; Period of Privileging: December 13, 2018 through December 12, 2020; Privileged as a Genetic Counselor.

Leake, Kimberly F., R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Period of Privileging: December 7, 2018 through December 6, 2020; Privileged as a Family Nurse Practitioner.

Nail, Carmel J., R.N., N.P., Family Nurse Practitioner in the Departments of Medicine and Surgery; Period of Privileging: December 9, 2018 through December 8, 2020; Privileged as a Family Nurse Practitioner.

Peregoy, Leslie S., R.N., N.P., Pediatric Nurse Practitioner in the Department of Pediatrics; Period of Privileging: December 20, 2018 through December 19, 2020; Privileged as a Pediatric Nurse Practitioner.

Roberts, Connie L., R.N., N.P., Adult Nurse Practitioner in the Department of Surgery; Period of Privileging: December 9, 2018 through December 8, 2020; Privileged as an Acute Care Nurse Practitioner.

Robertson, Matthew P., R.N., N.P., Acute Care Nurse Practitioner in the Department of Surgery; Period of Privileging: December 12, 2018 through December11, 2020; Privileged as an Acute Care Nurse Practitioner.

Salajegheh, Elizabeth, R.N., N.P., Pediatric Nurse Practitioner in the Department of Surgery; Period of Privileging: December 4, 2018 through December 3, 2020; Privileged as a Pediatric Nurse Practitioner.

Thomas, Martha H., G.C., Genetic Counselor in the Department of Obstetrics and Gynecology; Period of Privileging: December 21, 2018 through December 20, 2020; Privileged as a Genetic Counselor.

Thomas, Matthew J., G.C., Genetic Counselor in the Department of Pediatrics; Period of Privileging: December 13, 2018 through December 12, 2020; Privileged as a Genetic Counselor.

Sembrowich, Sean, R.N., N.P., Psychiatric Mental Health Nurse Practitioner in the Department of Psychiatry and Neurobehavioral Sciences; Period of Privileging: January 1, 2018 through December 31, 2020; Privileged as a Psychiatric Mental Health Nurse Practitioner.

Ventura, Karen, G.C., Genetic Counselor in the Department of Obstetrics and Gynecology; Period of Privileging: December 21, 2018 through December 20, 2020; Privileged as a Genetic Counselor.

Yowell-Many, Alycia A., R.N., N.P., Family Nurse Practitioner in the Department of Obstetrics and Gynecology; Period of Privileging: December 15, 2018 through December 14, 2020; Privileged as a Family Nurse Practitioner.

RESOLVED that the recommendations of the Clinical Staff Executive Committee for the status change in clinical privileges to the following practitioner are approved:

Hannah, Elaine, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine; Date Change effective October 29, 2018, through October 14, 2019; Privileged as an Adult Gerontology Acute Care Nurse Practitioner.

Riley, Dorothy, R.N., N.P., Certified Nurse Anesthetist in the Department of Anesthesiology; Date Change effective December 4, 2018, through November 4, 2020; Privileged as a Certified Nurse Anesthetist.

RESOLVED the recommendations of the Clinical Staff Executive Committee for the resignation and expiration of privileges to the following Allied Health Professionals are approved:

Graham, Kellie R, R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Effective Date of Resignation: October 1, 2018.

Ottinger, Daniele, R.N., N.P., Neonatal Nurse Practitioner in the Department of Pediatrics; Effective Date of Resignation: October 3, 2018.

Royston, Barbara L., R.N., N.P., Certified Nurse Midwife in the Department of Obstetrics and Gynecology; Effective Date of Resignation: November 2, 2018.

Stanley, Melissa, R.N., N.P., Family Nurse Practitioner in the Department of Medicine; Effective Date of Resignation: September 26, 2018.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for new procedural privileges to the following Allied Health Professional are approved:

Higginson, Kate, P.A., Physician Assistant in the Department of Medicine. Additional Privileges for Central Line Pulls. Effective Date: October 6, 2019, through July 29, 2019.

Mazimba, Christine, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine. Additional Privileges for Adjustment of Infusions, Bone marrow Aspirations, and Bone Marrow Biopsies. Effective Date: October 6, 2019, through July 29, 2020.

Miller, Joy, R.N., N.P., Pediatrics Nurse Practitioner in the Department of Pediatrics. Additional Privileges for NG tube placement. Effective Date: October 6, 2019, through November 13, 2020.

Newberry, Yvonne, R.N., N.P., Family Nurse Practitioner in the Department of Obstetrics and Gynecology. Additional Privileges for Hyfrecations. Effective Date: October 6, 2019, through September 30, 2020.

Ralston, Nikki, P.A., Physician Assistant in the Department of Medicine. Additional Privileges for Epicardial Pacing Wire Removal, Plueral Chest Tube Removal, and Mediastinal Chet Tube Removal. Effective Date: October 6, 2019, through July 15, 2019.

Rivera, Glen, P.A., Physician Assistant in the Department of Obstetrics and Gynecology. Additional Privileges for Procedural Sedation. Effective Date: October 6, 2019, through September 30, 2020.

Strickler, Kathryn, R.N., N.P., Adult Gerontology Acute Care Nurse Practitioner in the Department of Medicine. Additional Privileges for Bone Marrow Aspirations. Effective Date: October 6, 2019, through August 12, 2019, 2020.

NOVEMBER 28, 2018 CREDENTIALING AND RECREDENTIALING ACTIONS – TRANSITIONAL CARE HOSPITAL – APPROVED DECEMBER 5, 2018

RESOLVED, the recommendations of the Clinical Staff Executive Committee for appointment to the Clinical Staff of the University of Virginia Transitional Care Hospital and the granting of specific privileges to the following practitioners are approved:

Rizvi, Tanvir, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Appointment: December 1, 2018, through November 30, 2019; Privileged in Radiology and Medical Imaging.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for reappointment to the Clinical Staff of the University of Virginia Transitional Care Hospital and the granting of specific privileges to the following practitioners are approved:

Becker, Robert, M.D., Hospitalist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Behm, Brian, M.D., Gastroenterologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Bergman, Michael, M.D., Pulmonologist in the Department of Medicine; Attending Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Brown, Sue, M.D., Endocrinologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Carlson, Adam, M.D., Rheumatologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2019; Privileged in Medicine.

Cooper, Minton, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Deal, Dylan, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Druzgal, Thomas, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Erickson, Sarah, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Fuchs, Kathleen, Ph.D., Psychologist in the Department of Neurology; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Psychology.

Gaughen, John, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Hassanzadeh, Hamid, M.D., Orthopedic Surgeon in the Department of Orthopedic Surgery; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Orthopedic Surgery.

Hryvniak, David, D.O., Physiatrist in the Department of Physical Medicine and Rehabilitation; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Physical Medicine and Rehabilitation.

Janowski, Einsley-Marie, M.D., Ph.D., Radiation Oncologist in the Department of Radiation Oncology; Consulting Staff Status; Period of Reappointment: December 23, 2018, through April 29, 2019; Privileged in Radiation Oncology.

Kirby, Jennifer, M.D., Endocrinologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Lambert, Drew, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Larner, James, M.D., Radiation Oncologist in the Department of Radiation Oncology; Consulting Staff Status; Period of Reappointment: December 30, 2018, through July 30, 2019; Privileged in Radiation Oncology.

Matsumoto, Julie, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Mehta, Rahul, M.D., Hospitalist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Netland, Peter, M.D., Ophthalmologist in the Department of Ophthalmology; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Ophthalmology.

Padia, Shetal, M.D., Endocrinologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Penberthy, Jennifer, Ph.D., Psychologist in the Department of Psychiatry and Neurobehavioral Sciences; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Psychology.

Powers, Robert, M.D., Physician in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Powell, Steven, M.D., Gastroenterologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Rehm, Patrice, M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Radiology and Medical Imaging.

Shah, Neeral, M.D., Gastroenterologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Showalter, Timothy, M.D., Radiation Oncologist in the Department of Radiation Oncology; Consulting Staff Status; Period of Reappointment: December 23, 2018, through July 30, 2019; Privileged in Radiation Oncology.

Siragy, Helmy, M.D., Endocrinologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Solorzano, Guillermo, M.D., Nephrologist in the Department of Medicine; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Medicine.

Yang, Zequan, M.D., Surgeon in the Department of Surgery; Consulting Staff Status; Period of Reappointment: November 30, 2018, through November 29, 2020; Privileged in Surgery.

RESOLVED, the recommendations of the Clinical Staff Executive Committee for the resignation and expiration of privileges to the following Clinical Staff are approved:

Cagnina, Rebecca E., M.D., Pulmonologist in the Department of Medicine; Consulting Staff Status; Effective Date of Resignation: October 14, 2018.

Matherne. Gaynell P., M.D., Pediatric Cardiologist in the Department of Pediatrics; Consulting Staff Status; Effective Date of Resignation: October 31, 201.

Nicholson, Brandi T., M.D., Radiologist in the Department of Radiology and Medical Imaging; Consulting Staff Status; Effective Date of Resignation: October 26, 2018