Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, April 28, 2009, 7:00 p.m.
Conference Rooms A and B

 

Members Present:
Dale Blohm, Chair
David Behr
Jim Cange
Greg Engele
Harry Jankowski
J. W. Metcalf
Diane Nottmeyer
Rich Tomaszewski

 

Others Present:
Nancy Newby, CEO
Tammy Amizich, CNE, (exited 8:10 p.m.)
Kim Larkin, CIO, (exited 8:32 p.m.)
Ruth Kellerman, Quality Coordinator (exited 8:10 p.m.)
Elaine Matzenbacher, CFO
Melodie Wilkey, HR Director (exited 8:10 p.m.)
Marc Zerbe, M.D., Medical Staff President

 

Called to Order:         7:05 p.m.
Adjourned:                 8:45  p.m.

 

Meeting Agenda Additions/Corrections
The agenda of the April 28, 2009, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:

• Amend:      IV.  I.  CDC Update – Ruth Kellerman
• Add:          IV.  J.  IHA S&R Annual Meeting – Nancy Newby

On a motion by Diane Nottmeyer and second by Rich Tomaszewski, the Board unanimously voted to  approve the April 28, 2009, meeting agenda with the aforementioned amendments.
                                                                                                    
Previous Board Meeting Minutes
Finance Committee Meetings Minutes
The following meetings minutes were presented for review and approval:

• Board meeting, March 24, 2009.
• Finance Committee meetings, March 12 and 24, 2009.

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

 

Financial and Statistical Report
Elaine Matzenbacher presented the Financial and Statistical Report for March 2009.  Highlights of the report were:

Total Patient Revenue was $2,018,386.  Total Provisions were $917,751.  Total Net Operating Revenue was $1,136,063.  Total Operating Expenses were $1,139,227.  Income from Operations was $16,532, with YTD Income ($630,674).  Total Non-Operating Revenue was $33,308, with an YTD Total Non-Operating Revenue of $710,828.  Income prior to Depreciation was $117,696.  Total Income was $49,840 with an YTD Total Income of $80,154 as compared to a budgeted $122,771.

Additional noted items:

• Key Statistics Report – Outpatient surgeries were noticeably below budget because a surgeon was on vacation for two weeks.
• Total Patient Revenues were 8% ($149,268) over budget for the month of March.  Outpatient and Swing revenue were over budget.  Extended Care was at budget and Acute Inpatient continued to decline.
• Other Operating Revenue was 10.6% under budget.
• Employee benefits were .1% over budget.
• Supplies and Other Expenses were 9.1% over budget which is consistent with volume.
• Salaries were 4.1% under budget.
• Bad debts were 27.7% over budget; this continues to fluctuate dramatically.
• Total Operating Expenses were 1.7% under budget.
• Balance Sheet – Total Noncurrent Cash and Investments  was back up to $1,135,562.

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to approve the March 2009 Financial and Statistical Report.

 

Departments Tour—OB Renovation
Board members toured the newly renovated areas of the chemo room and Harmony (gero-psych program) offices.  Nancy commended WCH facilities management staff on their work.  The procedure room and pharmacy are near completion.

 

Proposed Slate of Board Officers FY2009-10
Nominating Committee Chair Diane Nottmeyer reported that the Committee met in March and recommended the following slate of officers for FY2009-10:

• Chair – Dale Blohm
• 1st Vice Chair – J. W. Metcalf
• 2nd Vice Chair – Greg Engele
• Treasurer – Harry Jankowski
• Secretary – Rich Tomaszewski

On a motion by Diane Nottmeyer and second by David Behr, the Board unanimously voted to approve the aforementioned slate of Board officers for FY2009-10.

 

Board Committees Appointments FY2009-10
Chair Dale Blohm made the following Board Committees  appointments for FY 2009-10:

 

1. Executive Committee

a. Dale Blohm - Chair

b. J. W. Metcalf- First Vice Chair

c. Greg Engele - Second Vice Chair

d. Harry Jankowski - Treasurer

e. Rich Tomaszewski - Secretary

f. (Past Chair - Vacant)

g. Nancy Newby - Ex-officio Member

2. Finance Committee

a. Harry Jankowski - Chair

b. David Behr

c. Greg Engele

d. Diane Nottmeyer

e. Nancy Newby - Ex-officio Member

3. Buildings and Grounds

a.Greg Engele - Chair

b.Jim Cange       

c.Rich Tomaszewski

d. Nancy Newby - Ex-officio Member

4. Joint Conference Committee

a. Dale Blohm - Chair

b. David Behr

c. Diane Nottmeyer

d. Rich Tomaszewski

e. Marc Zerbe, M.D. - Medical Staff President

f.  Robin Biermann, M.D. - Medical Staff Vice President

g. Alfonso Urdaneta, M.D. - Medical Staff Secretary

h. Nancy Newby - Ex-officio Member

5. Nominating Committee

a. Diane Nottmeyer - Chair

b. Harry Jankowski

c. J. W. Metcalf

d. Nancy Newby - Ex-officio Member

6.   Personnel, Recruitment & Management Contract Review Committee

a.  J. W. Metcalf - Chair
b.  Jim Cange
c. David Behr

d. Nancy Newby - Ex-officio Member

2009-11 Medical Staff Officers, Clinical Service Chiefs, Departments Directors,
Committees Chairmen and Committees
Medical Staff President Marc Zerbe, M.D., reported that the Medical Staff Nominating Committee and Medical Executive Committee recommend the following WCH Medical Staff Officers, Clinical Service Chiefs, Departments Directors, Committees Chairmen and Committees for 2009-11:

 

1. Medical Staff Officers

 

President                                                                   Marc Zerbe, M.D.
Vice President                                                          Robin Biermann, M.D.
Secretary                                                                   Alfonso Urdaneta, M.D.

 

2. Clinical Service Chiefs

 

Medicine                                                              Mohammed Siddiqui, M.D.
Surgery                                                                Alfonso Urdaneta, M.D.
Long-Term Care                                                Gary Goforth, D.O.

 

3. Department Directors

 

Medical Director Physical Therapy                Keith JenKins, M.D.
Medical Director Radiology                             Robin Biermann, M.D.
Medical Director Laboratory                            Aiman Hawasli, M.D.
Medical Director Anesthesia                          Marc Zerbe, M.D.

 

4. Committees Chairmen

 

Chairman of Pharmacy & Therapeutics        Gary Goforth, D.O.
Chairman CQI/QA                                             Gary Goforth, D.O.
Chairman of Medical Records/UR                Gary Goforth, D.O.
Chairman Tissue/Transfusion &

Infection Control Committee                          Pamella Gronemeyer, M.D.

 

5.   Medical Executive Committee
President                                                            Marc Zerbe, M.D.
Immediate Past President                              Vacant
Vice President                                                   Robin Biermann, M.D.
Secretary                                                            Alfonso Urdaneta, M.D.
Radiologist                                                        Robin Biermann, M.D.
Pathologist                                                        Pamella Gronemeyer, M.D.
CEO Ex-Officio                                                  Nancy Newby, Ph.D.

 

6.   Joint Conference Committee
President                                                                  Marc Zerbe, M.D.
Vice President                                                         Robin Biermann, M.D.
Secretary                                                                  Alfonso Urdaneta, M.D.

 

On a motion by Harry Jankowski and second by Rich Tomaszewski, the Board voted unanimously to approve the aforementioned WCH Medical Staff Officers, Clinical Service Chiefs, Departments Directors, Committees Chairmen and Committees for 2009-11.

 

WCH Annual Health Fair
The WCH Annual Health Fair will be held on Wednesday, May 13, from 6:30-9:30 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.  An American Red Cross blood drive will also be held the same day from 7:00 a.m.-12:00 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 14, 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.

 

HARMONY Update
Nancy Newby gave the following report:

• Start date was May 14th when Mark Napier, M.D., program medical director, saw our first patient.
• To date, there are eight registered patients in the program.  There has been a high level of community interest and inquiries.
• Referrals may be made by a physician or self-referred.
• Individual assessments may be done free of charge in the home.
• Treatment plans may include individual and group therapies/activities.
• The contracted management group has purchased a van and transportation is provided as needed.
• Recruitment efforts continue for an RN with psych background.
• Dr. Napier will be meeting with RHC physicians next week and additional physicians as opportunities arise.
• Date of an open house will be announced.

Budget FY2009-10 Presentation
The FY2009-10 Budget was presented.  Nancy Newby reviewed in detail a breakdown of the Capital Budget with items categorized as high/moderate/low priority.  Some items were also identified as 1) Auxiliary donations (the Auxiliary has committed to purchase four items), 2) grant potential or 3) will get additional bids.

Harry Jankowski commended Administration on diligently reviewing programs this past fiscal year and taking necessary steps which have resulted in a significant improvement in the bottom line; a marked change from three years ago.

Harry Jankowski requested clarification of depreciation expense as a “cash” item.  Elaine explained that in terms of an expense, depreciation was not an outgoing cash expense.  However, we show depreciation added back to net income on our income statement to represent that there is that much additional “cash” in the month.

On a motion by Harry Jankowski and second by J. W. Metcalf, the Board unanimously voted to approve FY2009-10 Budget as presented.

 

CDC Update
Ruth Kellerman, infection control coordinator, is registered with IDPH (Illinois Department Public Health) mass communication system and has been receiving e-mail notices/updates and has participated in teleconferences regarding the recent outbreak of swine flu.  She reported the following:

• WCH has posted at all entrances CDC (Center for Disease Control) recommendations.  Ruth will consult with the Washington County Health Department and the Washington County Disaster Coordinator regarding a similar posting community-wide.
• This is a respiratory transferred flu.  Good handwashing technique is being promoted.  Stay at home if you have any flu-like symptoms.
• On 4/27/09 IDPH released SNS (Strategic National Stockpile) supplies of which 25% will go to hospitals and nursing homes.  Supplies include gowns, gloves, goggles, masks and Tamiflu, which is only to be administered to patients with symptoms.
• All testing will go through the State lab; results should be available within 1-3 days.
• To date, no cases have been reported in Illinois.

IHA Small & Rural Hospitals Annual Meeting
Nancy Newby distributed brochures on the Illinois Hospital Association (IHA) Small & Rural Hospital Annual Meeting which will be held June 23-25 in Springfield.  Meetings focus on board education.  Board members were asked to check their schedules and notify Nancy if they’re interested in attending.  Dale stated he would attend and encouraged all Board members to do so.  Historically, IHA has offered Board Education grants on a first-come, first-served basis and, over the past few years, WCH Board members have taken advantage of this offer. 

 

Community Comments/Questions and Answers
Dave Volz also commended Administration regarding WCH’s dramatic financial turnaround from five years ago.

 

Closed Meeting
At 8:10 p.m. on a motion by Greg Engele and second by Rich Tomaszewski, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(17)(21).  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

At 8:44 p.m. on a motion by Diane Nottmeyer and second by Harry Jankowski, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Jankowski 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 minutes, March 24, 2009.
• Medical Staff minutes, February 11, 2009.
• QA/CQI minutes, January 15 and February 19, 2009.

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

 

Medical Staff Credentials and/or Privileges
On a motion by Harry Jankowski and second by David Behr, the Board unanimously voted the following credentials/privileges be approved/granted:

• Zoglu Chowdhury, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to emergency services.
• Derek Fimmen, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.
• Mark Freeman, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to psychiatry services.
• Mark Napier, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to psychiatry services.

WCH Medical Staff and Allied Health Professionals Staff Biennial Reappointments
On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to approve the biennial reappointment of WCH Medical Staff members and Allied Health Professionals Staff members as presented (see attached list).

 

Limited Time Extension of Privileges/Credentials
On a motion by Harry Jankowski and second by Diane Nottmeyer, the Board unanimously voted to grant a limited time extension (through May 31, 2009) of privileges as presented (see attached list) in order to complete the reappointment process.

 

New WCH Board Member
The Washington County Board Nominating Committee Chairman conveyed to Nancy Newby that they have talked with several prospects.  It is expected that a final candidate will be presented at the upcoming WC Board meeting.

 

Adjournment
On a motion by Harry Jankowski and second by J. W. Metcalf, the Board unanimously voted to adjourn the meeting at 8:45 p.m.

 

Respectfully submitted,
J. W. Metcalf, Secretary, Board of Directors

 

2009-2011 MEDICAL STAFF AND ALLIED HEALTH
PROFESSIONALS STAFF BIENNIAL REAPPOINTMENT

Active
Biermann, Robin, M.D.
Goforth, Gary, D.O.
Gronemeyer, Pamella, M.D.
Hawasli, Aiman, M.D.
JenKins, Keith, M.D.
Siddiqui, Mohammed, M.D.
Urdaneta, Alfonso, M.D.
Zerbe, Marc, M.D.

Courtesy
Aher, Vijay, M.D.
Apprill, Phillip, M.D.
Funk, Erik, M.D.
Gabel, Michael, M.D.
Goldmeier, Michael, M.D.
Gueco, Vicente, M.D.
Habib, Asif, M.D.
Houle, Ben, M.D.
Jones, Brian, M.D.
Kancherla, Madhu, M.D.
Kilgore, John, M.D.
Kirisits, Thomas, DPM
Nandkumar, Steve, M.D.
Ramirez, Jose, M.D.
Treschuk-Bahn, Jackie, M.D.
Tucker, Gladstone, M.D.
Wright, Kevin, M.D.

Courtesy—ER
Barnhart, Randall, M.D.
Chiou, Y. Norman, M.D.
Modi, Chandra, M.D.
Wood, Bradley, M.D.

Courtesy—Teleradiology
Alexander, David, M.D.
Anderson, Darrell, M.D.
Anderson, Todd, M.D.
Ayoub, David, M.D.
Becker, John, M.D.
Boore, Tamara, M.D.
Christopherson, Lucy, M.D.
Coakley, Kevin, M.D.
Cullen, Jeffrey, M.D.
Felker, John, M.D.
Gupta, Kanchan, M.D.
Haag, Robert, M.D.
Knudson, Robert, M.D.
Kraudel, Kenneth, M.D.
Lee, Raymond, M.D.
Ludolph, Mary, M.D.
Magre, George, M.D.
Moore, William, M.D.
Muehle, Casey, M.D.
Neal, Charles, M.D.
Nordstrom, Robert, M.D.
Reda III, Frank, M.D.
Ruskey, D. Randal, M.D.
Russo, Craig, M.D.
Shekleton, Daniel, M.D.
Sherrick, Andrew, M.D.
Snodsmith, John, M.D.
Watson, Ryan, M.D.
Whitworth, Patricia, M.D.
Wichterman, Lisa, M.D.

Provisional--Teleradiology
Baima, Joseph, M.D.
Bruney, Russell, M.D.
Burke, Robert, M.D.
Chapa, Naveen, M.D.
Schilsky, Angela, M.D.
Daniel Stanton, M.D.

Provisional
Vacca, Anthony, D.O.

AHP STAFF REAPPOINTMENT
Aholt, Rachel, APN
Aulds, Julie, CRNA
Fair, Kent, CRNA
Gewe, Michael, OD
Klug, Fred, PhD
Lynch, Ron, CRNA
Rakey, Dave, CRNA

 

REQUEST FOR LIMITED TIME EXTENSION
OF PRIVILEGES/CREDENTIALS
(extension through May 31, 2009)

Provisional
Davidson, Robert, M.D.

Courtesy—ER
Chavez, Salvador, M.D.
Datzman, Matthew, M.D.
Gill, William, M.D.
Moy, Edward, M.D.
Velez, Kenneth, M.D.

AHP STAFF
Renk, Don, CRNA