Governance

Washington County Hospital
Board of Directors Meeting Agenda
Tuesday, April 27, 2010
7:00 p.m., Conference Rooms A and B

Members Present: 

Dale Blohm, Chair

Jim Cange

Greg Engele

Bill Manier

J. W. Metcalf

Diane Nottmeyer

Rich Tomaszewski 

Members Not Present: 

David Behr, absent 

Others Present:

Nancy Newby, CEO

Ruth Kellerman, QA Coordinator (exited 7:45 p.m.)

Kim Larkin, CIO (exited 7:45 p.m.)

Elaine Matzenbacher, CFO

Tammy Amizich (exited 7:45 p.m.)

Christine Bening, HR Coordinator (exited 7:45 p.m.)

Marc Zerbe, M.D., Medical Staff President 

Others Not Present:

Melodie Wilkey, HR Director, excused

Called to Order: 7:07 p.m.

Adjourned:  8:44 p.m. 

Meeting Agenda

The agenda of the April 27, 2010, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

Correct: V.  C.  WCH Annual Health Fair:  Wednesday, May 13 12 – Nancy Newby

Correct: V.  D.  Auxiliary Annual Luncheon Meeting:  Thursday, May 14 13 – Nancy Newby 

Nancy noted that in the back of the Board books is the IHA 2010 Federal Advocacy Agenda for Board members’ information/review. 

On a motion by J. W. Metcalf and second by Bill Manier, the Board unanimously voted to approve the April 27, 2010, meeting agenda with the aforementioned amendments. 

New Board Member Welcome

Nancy introduced returning Board member Jim Cange.  Initially, Jim was appointed to the Board in September 2005 and, due to family needs, resigned in May 2009. Board members then introduced themselves.  Jim expressed his appreciation to Dale and Nancy for updating him on the past year’s events during his recent orientation. 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

Joint Conference Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, March 23, 2010. 
• Finance Committee meetings, March 11 and 23, 2010.
• Joint Conference Committee meeting, March 25, 2010.
  

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve the aforementioned meetings minutes. 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical Report for March 2010.  Highlights of the report were: 

Total Patient Revenue was $2,481,699.  Total Provisions were $1,133,718.  Total Net Operating Revenue was $1,409,893.  Total Operating Expenses were $1,371,629.  Income from Operations was $38,264, with YTD Income ($627,288).  Total Non-Operating Revenue was $27,868, with YTD Total Non-Operating Revenue of $466,945.  Total Income was $66,132, with YTD Total Income of ($160,343), as compared to a budgeted $188,001. 

Additional noted items:

• Total Patient Revenues were 19.3% ($401,421) over budget for the month of March.  
• Contractual Adjustments were 22.3% over budget in the month.  This was in line with the month’s revenue.  Charity for the month of March was $11,462.
• Salaries were 11.7% over budget in March as there was annual inservice that all employees attended in the month, and a lot of overtime due to high census and several employees off on extended sick leaves. 
• Employee benefits were 50.7% ($57,307) over budget this month.  WCH received a small credit in the month for claims over the stop loss.  There will be more stop-loss credits in the month of April. 
• Bad debts were 56.1% over budget in March. 
• Non-operating income was 20.2% under budget as there was no grant or donation income in the month.

On a motion by Diane Nottmeyer and second by J. W. Metcalf, the Board unanimously voted to approve the March 2010 Financial and Statistical Report. 

Quality Report

Ruth Kellerman, quality coordinator, deferred her report to Nancy as it would be included in the Strategic Plan and Financial Quarterly Report. 

Strategic Plan and Financial Quarterly Report

• Nancy reviewed in detail the Strategic Plan and Financial Quarterly Report, which is based on the calendar year rather than the fiscal year, as in the past.
• A quarterly “WCH Report Card” will be published in the Nashville News.
• Nancy also reviewed in detail the Annual Employee Survey.
• 86 of 190 survey results were returned.
• Of these, based on a 1-5 scale with 1 being “very dissatisfied” and 5 being “very satisfied,” response percentages ranged between 3.5% and 4.5%--well above average.
• Two new questions related to age and length of tenure alienated some employees, subsequently, responses were lower.
• Discussion ensued regarding processes/incentives/mandates for survey completion.

WCH Annual Health Fair

• The WCH Annual Health Fair will be held on Wednesday, May 12, from 7:00-10:00 a.m. 
• It will feature a reduced priced blood chemistry profile, vitamin D screening, PSA and free finger sticks.  Blood pressure checks will be offered at no charge and additional stations will provide information and/or health services. 
• An American Red Cross blood drive will be held the same day from 1:00-6:00 p.m. 
• Historically, we have had a high community turnout, and it promotes positive public relations for WCH.
  

WCH Annual Auxiliary Luncheon Meeting

• The WCH Annual Auxiliary Appreciation Luncheon will be held on Thursday, May 13, at noon in conference rooms A and B. 
• This is our opportunity to recognize our volunteers’ many hours of dedicated service and express our appreciation.  Board members were invited to attend this event.
  

Budget FY2008-09 Presentation

The FY2010-11 Budget was presented, and discussion followed regarding:

• Charity care, salaries, employee benefits and depreciation.
• In response to Diane’s inquiry, Nancy stated that memorials to WCH go into the general fund unless specified otherwise by the donor.
  

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve FY2010-11 Budget as presented. 

New Board Member Appointment

Nancy reported that a second candidate, Victor Lopez, has been selected and is in the 30-day community comment period.  Upon approval by the Washington County Board, we anticipate that Mr. Lopez will attend the May WCH Board meeting. 

IHA S&R Annual Meeting

• IHA holds the S&R (Small & Rural) Annual Meeting each year, and this year’s dates are June 22-24, at the Crowne Plaza Hotel in Springfield. 
• Nancy will apply for two of the allotted IHA “registration grants” for Board members to attend. 
• Interested Board members should complete and return the registration form to Nancy for enrollment.
• Dale highly recommended it and encouraged Board members to attend.
• Diane commented she went to school with one of the speakers and presumes she will be very good.
  

Community Comments/Questions and Answers

In response to reporters’ requests, copies of the (1) Quarterly Strategic Plan and Financial Report and the (2) FY2010-11 Budget will be provided. 

Closed Meeting

At 7:45 p.m. on a motion by Greg Engele and second by Bill Manier, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(5)(11)(12)(17)(21).  Blohm AYE, Cange AYE, Engele AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 8:41 p.m. on a motion by J. W. Metcalf and second by Greg Engele, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Cange AYE, Engele AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Medical Staff Meeting Minutes

QA/CQI Meetings Minutes

The following meetings minutes were presented for review and approval:

• Board closed meeting, March 23, 2010.
• Medical Staff meeting, February 3, 2010.
• QA/CQI meetings, January 21 and February 18, 2010.
  

On a motion by Diane Nottmeyer and second by Bill Manier, the Board unanimously voted to approve the aforementioned meetings minutes. 

Medical Staff Credentials and/or Privileges

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted that

credentials and/or privileges be approved/granted as follows:

• Marc Apostol, M.D. – Provisional staff specific to teleradiology services.
• Muhammad Jamil, M.D. – Provisional staff specific to emergency services.
• Sharma Saith, M.D. - Provisional staff specific to cardiology services.
• Jose Rodriguez, M.D., teleradiology services – status change from Provisional to Courtesy.
  

Allied Health Professional Staff Credentials and/or Privileges

On a motion by Greg Engele and second by Bill Manier, the Board unanimously voted that

credentials and/or privileges be approved/granted as follows:

• Patricia “Pat” Carr, APN – Allied Health Professional provisional staff specific to family medicine services.
  

Insurance Issues

Amendments to Dr. Zerbe’s malpractice insurance coverage were discussed:

• Base premium for OB/GYN coverage = $54,012; changing to GYN only = $34,321 base premium.
• WCH is currently contracted to provide “tail” coverage at $115,646 per standard reporting endorsement filing.  Tailing out over three years would add $27,906 to the $34,321 base premium for an annual premium of $62,227.  If WCH chooses to pay out over five years, it would pay $50,207, or $15,886 added to base annually over five years.
• Coverage of incidents would change from “claims made” to “occurrence.”
  

On a motion by Bill Manier and second by Rich Tomaszewski, the Board unanimously voted to approve an amendment to Dr. Zerbe’s malpractice insurance coverage electing the three-year pay-out plan at a cost of $62,227 per year. 

Adjournment

On a motion by J. W. Metcalf and second by Jim Cange, the Board unanimously voted to adjourn the meeting at 8:44 p.m. 

Respectfully submitted,

Richard Tomaszewski, Secretary

Board of Directors

WCH Board

Administrative Team

Nancy Newby, Chief Executive Officer

Tammy Amizich, Chief Nurse Executive
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer
Melodie Wilkey, Human Resources Director

Ruth Kellerman, Quality Coordinator

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