Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, April 26, 2011, 7:00 p.m.
Conference Rooms A and B

Members Present:
Dale Blohm, Chair
David Behr, via teleconference
Jim Cange
Greg Engele
Victor Lopez
Bill Manier, via teleconference
J. W. Metcalf
Diane Nottmeyer
Rich Tomaszewski

Others Present:
Nancy Newby, CEO
Tammy Amizich, CNE, (exited 7:31 p.m.)
Christine Bening, HR Coordinator (exited 7:31 p.m.)
Kim Larkin, CIO (exited 8:44 p.m.)
Elaine Matzenbacher, CFO

Others Not Present:
Marc Zerbe, M.D., Medical Staff President, absent
Ruth Kellerman, QA Coordinator, excused

Called to Order:         7:04 p.m.
Adjourned:                 8:50 p.m.

Meeting Agenda
The agenda of the April 26, 2011, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

On a motion by Greg Engele and second by David Behr, the Board unanimously voted to approve the April 26, 2011, meeting agenda.

Board of Directors Meeting Minutes
Finance Committee Meetings Minutes

Nominating Committee Meeting Minutes
The following meetings minutes were presented for review and approval:

• Board of Directors, March 22, 2011.
• Finance Committee, March 9 and 22, 2011.
• Nominating Committee, March 22, 2011.

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

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for March 2011.  Highlights of the report were:

Total Patient Revenue was $2,044,549.  Total Provisions were $745,709.  Total Net Operating Revenue was $1,314,657.  Total Operating Expenses were $1,402,840.  Income/(Loss) from Operations was ($87,183), with YTD Income/(Loss) ($1,162,549).  Total Non-Operating Revenue was $31,590, with YTD Total Non-Operating Revenue of $379,942.  Total Income/(Loss) was ($55,593) as compared to a budgeted $6,957; with YTD Total Income/(Loss) of ($782,607), as compared to a budgeted $76,527.

Additional noted items:

• Volume was below budget in most areas.  The decline in ER visits, especially since the change in ER physician services, is being monitored.  It is speculated that repeat, drug-seeking patients are not receiving their drug of choice; subsequently, a decrease in volume.
• Total Patient Revenues were 5.5% ($119,345) under budget.
• Contractual Adjustments were 19.5% under budget.  Charity care was $8,316.
• Salaries were 1.3% over budget.  Mainly, these were in non-productive wages and due to our annual inservice in the month.
• Total Operating Expenses were 7.2% over budget primarily due to employee benefits (health insurance).
• Employee benefits were 62.8% over budget as the health insurance claims were significantly higher.
• In the FY2012 Budget, employee benefits have been increased because of the past two year’s increase in this area.

On a motion by J. W. Metcalf and second by Greg Engele, the Board unanimously voted to approve the March 2011 Financial and Statistical Report.

Staff Education
Tammy Amizich, CNE reported the following:

• The Southern Illinois Perinatal Program staff of Springfield provides obstetrical training at no expense for those hospitals which don’t have OB units. 
• On April 6, 2011, WCH emergency room nursing staff received annual training for emergency childbirth.  Subsequently, related policies and procedures have been updated and our ER has been properly equipped.

WCH Annual Health Fair and National Hospital Week

• The WCH Annual Health Fair will be held on Wednesday, May 11, 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. 
• Historically, we have had a high community turnout, and it promotes positive public relations for WCH.
• National Hospital Week is May 8-14, 2011.  Flyers of daily activities were included in the Board book.
• An American Red Cross (ARC) blood drive will be held on Tuesday, May 10, 2011, from 1:00-6:00 p.m. in conference rooms A and B.  At that time, the ARC will also make a “Champions for Life” Recognition Presentation in which WCH will be recognized for its Silver level of achievement.  Donors will also receive special recognition. 

Reminder Date Change:  May Board Meeting
The May Board meeting has been rescheduled to Thursday, May 26, so that Dale and Nancy may attend the SSM Annual Leadership Summit in St. Louis on May 24-26.

WCH Medical Staff Officers FY2011-2013
At the April Medical Staff meeting, members elected officers as follows:   Alfonso Urdaneta, M.D., president; Mohammed Siddiqui, M.D., vice president; and Robert Davidson, M.D., secretary.

On a motion by Jim Cange and second by Victor Lopez, the Board unanimously voted to approve the aforementioned election of Medical Staff officers for FY 2011-2013.

Budget FY2011-12 Presentation

• The FY2011-12 Budget was presented to the Finance Committee in detail at their meeting on April 21. 
• The FY2011-12 Budget Summary was presented to the Board.  The Capital Equipment List will be prioritized according to standard maintenance needs and availability of funds.

On a motion by Greg Engele and second by Victor Lopez, the Board unanimously voted to approve FY2011-12 Budget as presented.

Board Service Appreciation:  Rich Tomaszewski
On behalf of the Board, Chair Dale Blohm expressed his thanks and appreciation to Rich Tomaszewski for his three years of service on the Board.  Rich declined reappointment due to personal commitments.

The Joint Commission
Tammy reported the following:

• WCH’s survey window opens in May.
• Surveys will be conducted in four areas using tracer methodology:  (1) Critical Access Hospital, (2) Long-Term Care, (3) Life Safety/Building and (4) Lab.
• Staff have been preparing utilizing periodic performance review (PPR).
• The last survey was conducted in October 2008 by three surveyors over a two-day period.

SSM Case Management Visit
On April 26, WCH’s case management team hosted a breakfast meeting with St. Mary’s-Good Samaritan’s team in an effort to improve communications, make SMGS aware of WCH services and increase SMGS referrals to WCH. 

It is anticipated that new medical staff member Dr. James Stiehl, orthopedic physician in Centralia, will refer patients to WCH for rehab needs.

Quarterly Status Report
Nancy reviewed in detail the first Quarterly Status report.  Each department manager has developed goals for the new year which have been shared with staff and posted in their department.

Community Comments/Questions and Answers

• Copy of the FY2011-2012 Budget was provided to reporters.
• Dave Volz, Nashville News reporter, shared the positive ER experience he and his wife had with Dr. Alonso.  They were pleased with her services and were very complimentary.
• J. W. supported Dave’s remarks and conveyed his past ER experience.
• Nancy provided clarification regarding WCH fiscal year start date and the IHA S&R annual meeting.

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

At 8:48 p.m. on a motion by Rich Tomaszewski and second by Victor Lopez, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

Board of Directors Closed Meeting Minutes
Medical Staff Meeting Minutes

QA/CQI Meetings Minutes
The following meetings minutes were presented for review and approval:

• Board of Directors closed, March 22, 2011.
• Medical Staff, February 2, 2011.
• QA/CQI, January 20 and February 17, 2011.

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

Medical Staff Membership Status, Credentials and Clinical Privileges
Board members reviewed the Medical Executive Committee’s recommendations and information received during the probationary processes.  Based on this review, it was the Board’s opinion that the applicants have met the requirements for Medical Staff appointment and clinical privileges as recommended, and the following members have met the requirements for Medical Staff change of status as recommended. 

On a motion by Victor Lopez and second by Diane Nottmeyer, the Board unanimously voted to approve the following Medical Staff changes of status and approve the following appointments and clinical privileges:

• John Crowe, M.D. – Change of Status from Provisional to Courtesy, Emergency Department Services
• Daniel Kim, M.D. – Change of Status from Provisional to Courtesy, Emergency Department Services
• Haresh Motwani, M.D. – Change of Status from Provisional to Courtesy, Emergency Department Services
• Jae Yang, M.D. – Change of Status from Provisional to Courtesy, Emergency Department Services
• James Stiehl, M.D. – Provisional, Orthopedic Services
• Gerald Riley, M.D. – Provisional, Telerad Services
• Syam Vasireddy, M.D. – Provisional, Telerad Services
• Kenneth Winkler, M.D. – Provisional, Telerad Services
• Devin Haertling, PA-C – Provisional Allied Health Professional Services under the supervision of Ben Houle, M.D., Orthopedic Services
• Allan Schwartz, CRNA, Locum Tenens Allied Health Professional, Anesthesia Services

WCH Medical Staff and Allied Health Professionals Staff Biennial Reappointments
Board members reviewed the Medical Executive Committee’s recommendations and information received during the biennial reappointment process.  Based on this review, it was the Board’s opinion that the applicants have met the requirements for Medical Staff reappointment and clinical privileges as recommended.  One staff member was recommended to be granted a limited time extension to complete the reappointment process.

On a motion by Rich Tomaszewski 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), and

Grant a limited time extension (through June 30, 2011) of privileges as presented (see attached list) in order to complete the reappointment process.

Adjournment
On a motion by Jim Cange and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:50 p.m.

Respectfully submitted,
James Cange, Secretary
Board of Directors

2011-2013 MEDICAL STAFF BIENNIAL REAPPOINTMENT

REQUEST FOR LIMITED TIME EXTENSION OF PRIVILEGES/ CREDENTIALS
(extension through June 30, 2011)
Courtesy

WCH Board

Administrative Team

Nancy Newby, Chief Executive Officer

Tammy Amizich, Chief Nurse Executive
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer

Christine Bening, Human Resources Coordinator
Ruth Kellerman, Quality Coordinator

>  2011 board meeting dates
>  Board of Directors agenda & minutes