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Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, April 29, 2014
Conference Rooms A and B

 

Members Present:
Dale Blohm, Chair
Dan Bronke
Audrey Finke
Victor Lopez
J. W. Metcalf
Diane Nottmeyer

 

Member(s) Not Present:
Matt Bierman, excused
Greg Engele, excused
Bill Manier, excused

 

Others Present:
Nancy Newby, CEO
Dave Davenport, HR Director
Candice Hawley, CNE
Ruth Kellerman, QA Coord.; Safety/Disaster Coord. (exited 8:26 p.m.)
Elaine Matzenbacher, CFO
Elaine Matzenbacher, CFO
Alfonso Urdaneta, M.D., Medical Staff President
Community Members (attendance list on file; exited 7:43 p.m.)

 

Other(s) Not Present:
Kim Larkin, CIO, excused

 

Called to Order:         7:00 p.m.
Adjourned:                 10:04 p.m.

 

Moment of Silence
A moment of silence was held in memory of Gary Goforth, D.O.

 

Meeting Agenda
The agenda of the April 29, 2014, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:

  • Add                       Immediately following Meeting Agenda - Community Comments
  • Add                       III. D. Joint Conference Committee, April 23, 2014
  • Delete                    IV. B. IS Update – Kim Larkin
  • Delete                    V. G. Reminder:  JCC meeting, April 23, 2014
  • Add                       V. J. Patient/Resident TV Issues
  • Add                       V. K. IHA Advocacy Day
  • Add                       V. L. Town Hall Meeting

On a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously voted to approve the April 29, 2014, meeting agenda with the aforementioned amendments.

 

Community Comments
Over 25 community members were present to speak on various topics related to WCH as follows.  Chair Dale Blohm welcomed all comments but was unable to assure any response from the Board at this time.

 

Cardiac Rehab (CR) Services - Phyllis Shubert, Roseann Kujawa, Alice Schmittler, Lloyd Riechmann and Charlie Rachelle made remarks on behalf of the majority of community members present:

  • Commendations/Concerns –
    • Jill Biermann is leaving after several years as CR nurse.  Patients received no letter of her departure. The group wanted WCH to get Jill back and give her a more qualified supervisor—the relationship between Jill and Megan is strained.
    • Jill helped to build CR to present level of service.  A CR boycott by current patients would be a great financial loss to WCH and negative PR in community.
    • Jill is attentive to patient health needs and work responsibilities while on duty.  She’s compassionate and cares for patients on a personal level, as well. 
    • Several patients’ personal experiences were shared.
  • Complaints –
    • Megan Stanley is unqualified as rural health clinic (RHC) supervisor—does not have skills or experience for position responsibilities.
    • While covering in CR, she was inattentive to patients’ needs, and distracted by other job responsibilities and personal matters.
    • Nepotism – The group claimed Megan was awarded position because her mother is CEO.
    • Group wanted Megan removed from CR.
  • Chair Dale Blohm reminded all that Jill Biermann resigned.  She is welcome to reapply for the CR nurse position.  Efforts will be made to resolve this matter by Friday, May 2, 2014.

MRI and Diagnostic Imaging Services – Jane Kujawa

  • Shared her husband’s MRI procedure experience and her efforts to obtain these records.  She alleged that the MRI, hospital and doctor’s office staff lied to her. 
  • Nancy Newby will investigate her concerns and respond.

Personnel – Sue Goforth

  • Expressed concern that a nurse may have been terminated resulting from overtime and visitors policy violation while giving care to her husband, Dr. Goforth.

Recess:  7:43-7:50 p.m.

 

Board of Directors Meeting Minutes
Finance Committee Meeting Minutes
Nominating Committee Meeting Minutes
The following meeting(s) minutes were presented for review and approval:

  • Board of Directors, March 25, 2014.
  • Finance Committee, February 25, 2014.
  • Nominating Committee, March 25, 2014.
  • Joint Conference Committee, April 23, 2014.

On a motion by Victor Lopez and second by Audrey Finke, the Board unanimously voted to approve the aforementioned meeting minutes.

 

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for March 2014.  Highlights of the report were:

Total Patient Revenue was $1,884,149.  Total Provisions were $925,503.  Total Net Operating Revenue was $1,130,330.  Total Operating Expenses were $1,054,655.  Income from Operations was $75,675, with YTD Loss $328,184.  Total Non-Operating Revenue was $33,032, with YTD Total Non-Operating Revenue of $645,364.  Total Income was $108,707, with YTD Income $317,180.

Additional noted items:

  • Other Operating Revenue was $155,786 over budget in March. The hospital received $138,107 in reimbursement for meaningful use.
  • Salaries were 4.9% over budget in the month. 
  • Employee benefits were 47.0% under budget.  This was due to a refund on workers comp of $48,898.
  • Non-operating revenue was slightly under budget in March as there were no donations and no grant income received in the month.

On a motion by J. W. Metcalf and second by Victor Lopez, the Board unanimously voted to approve the March 2014 Financial and Statistical Report.

 

Board Committees Appointments FY2014-15
Chair Dale Blohm made Board Committees appointments for FY 2014-15 (copy on file).

 

Budget FY2014-15 Presentation

  • The FY2014-15 Budget was presented to the Finance Committee in detail at their meeting on April 29. 
  • The FY2014-15 Budget Summary was presented to the Board, as well as the Capital Equipment List.

On a motion by Audrey Finke and second by Victor Lopez, the Board unanimously voted to approve FY2014-15 Budget as presented.

 

WCH Auxiliary Annual Luncheon
WCH Annual Health Fair
National Hospital Week

  • WCH Auxiliary’s Annual Luncheon will be Thursday, May 8, at noon.  Board members are welcome to attend.
  • WCH’s Annual Health Fair will be Wednesday, May 14, 7:00-10:00 a.m.  Lab tests will be offered at a reduced rate.  Information/education booths will be available, also.
  • National Hospital Week will be May 11-17, and we will have some celebration activities for staff.

Executive Committee Meeting Scheduled
The Board Executive Committee will meet on Tuesday, Ma272014, immediately following the monthly Board meeting to complete a biannual review of Board closed meetings minutes, as mandated by the Illinois Open Meetings Act.

 

IHA Small & Rural Hospitals Annual Meeting

  • Reminder:  This annual conference for hospital trustees and administrative staff is scheduled this year for June 17-19 at the Crowne Plaza in Springfield. 
  • Interested members should contact Nancy in order to complete meeting registrations and hotel accommodations.  Dale Blohm and Victor Lopez said they would attend.
  • Historically, IHA has offered two or three grants to hospitals to cover registration fees.  We are waiting for information regarding any assistance for this year. 

Capital Requests
The following requests were approved earlier, but were postponed due to these being seasonal-related work.

On a motion by J. W. Metcalf and second by Diane Nottmeyer, the Board unanimously voted to approve the following capital requests:

  • Parking lot sealing and striping at a cost of $17,450.02
  • Replacement of concrete parking blocks (crumbling) with recycled rubber tire blocks at a cost of $10,606.26.

 

White Space Grant

  • Nancy Newby reported that WCH has received a portion—$27,000—of the White Paper Grant for federal funding submitted a few years ago with other downstate ICAHN hospitals to connect with the Illinois Health Information Exchange (ILHIE).
  • WCH will use the funds for interface costs with ILHIE.

Kaskaskia College Resolution of Support
On a motion by Diane Nottmeyer and second by Audrey Finke, the Board voted to approve a resolution of support for the construction of the Kaskaskia College Nashville Education Center serving Washington County and beyond.  Motion passed with an opposing vote by Victor Lopez.

 

Patient/Resident TV Issue

  • Charter has changed its cable TV service, and WCH was not notified because we’ve been receiving TV service on a complimentary basis.
  • Subsequently, WCH is without TV service which has caused hardships, in particular, among extended care residents because for many this is their livelihood, and their families have been very vocal.
  • Other service providers have been explored but installation wait times would be months.  Administration continues its efforts to resolve this issue with Charter shortly.  Victor Lopez will also explore digital vendors and report findings.

IHA Advocacy Day

  • IHA Advocacy Day is Wednesday, April 30, in Springfield where over 80 hospital leaders will lobby legislators urging them to enact a state budget that maintains the current tax rates and avoids harmful cuts to hospitals.
  • Nancy will participate in a TV press conference conveying the impact of cuts on small rural hospitals.

Town Hall Meeting
On Tuesday, May 20, 2014, at 6:30 p.m. WCH will host a Clinton and Washington Counties Town Hall meeting which will focus on finding solutions to the complex problems of underage drinks and substance use.

 

Board Service Recognition
Chair Dale Blohm presented a plaque to J. W. Metcalf in recognition of 12 years of Board service.  J. W.’s term will end April 30, 2014, or until another member is appointed.  All expressed their appreciation and wished him well.

 

Community Questions and Answers
Per reporter’s request, WCH will provide copies of FY14-15 Budget and Board Committees Appointments.

 

Closed Meeting
At 8:25 p.m. on a motion by Diane Nottmeyer and second by Victor Lopez, the Board unanimously approved to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(17)(21).  Blohm AYE, Bronke AYE, Finke AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

At 10:02p.m., on a motion by Audrey Finke and second by Diane Nottmeyer, the Board unanimously approved to leave closed session and re-enter open session.  Blohm AYE, Bronke AYE, Finke AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

 

Board of Directors Closed Meeting Minutes
Medical Staff Meeting Minutes
QA/CQI Meetings Minutes
The following meeting(s) minutes were presented for review and approval:

  • Board of Directors closed, March 25, 2014.
  • Medical Staff, February5, 2014.
  • QA/CQI, January 16 and /February 20, 2014.

On a motion by Victor Lopez and second by Diane Nottmeyer, the Board unanimously voted to approve the aforementioned meeting minutes.

 

Medical Staff Credentials and Clinical Privileges
Board members reviewed the Medical Executive Committee’s recommendations and information received during the credentialing processes.  Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Medical Staff appointment and clinical privileges as recommended. 

On a motion by Audrey Finke and second by Victor Lopez, the Board unanimously voted to approve the following Medical Staff appointment(s) and clinical privileges:

  • Fazle Yasin, M.D. – Provisional Staff, Telepsychiatry Services.

Allied Health Professionals Staff Credentials and Clinical Privileges
Board members reviewed the Medical Executive Committee’s recommendations and information received during the credentialing processes.  Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Allied Health Professionals Staff clinical privileges as recommended. 

On a motion by Victor Lopez and second by Audrey Finke, the Board unanimously voted to approve the following Allied Health Professionals Staff clinical privileges:

  • Patrick Lillard, CRNA – Locum Tenens privileges, Anesthesia Services.

Medical Staff Membership Status Change
Board members reviewed the Medical Executive Committee’s recommendations and information received during the credentialing and probationary processes.  Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Medical Staff change of status as recommended. 

On a motion by Dan Bronke and second by Victor Lopez, the Board unanimously voted to approve the following Medical Staff change(s) of status:

  • Stephanie Swope, M.D. – Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services.

Adjournment
On a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously voted to adjourn the meeting at 10:04 p.m.

 

Respectfully submitted,
Victor Lopez, Secretary

 

 

 

WCH Board

Dale Blohm, Board Chairman
J.W. Metcalf, 1st Vice Chairman
Diane Nottmeyer, 2nd Vice Chairman
Victor Lopez, Secretary
Greg Engele, Treasurer

Daniel Bronke, Member

Bill Manier, Member

Audrey Finke, Member

Matt Bierman, Member

 





Administrative Team

Nancy Newby, Chief Executive Officer
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer

Dave Davenport, Human Resources Director
Ruth Kellerman, Quality Coordinator

Candice Hawley, Chief Nurse Executive


 

>  2014 board meeting dates
>  Board of Directors agenda & minutes

 

 
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