Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, August 26, 2008, 7:00 p.m.

Conference Room A and B 
 

Members Present:

Dale Blohm, Chair

David Behr

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

J. W. Metcalf 

Diane Nottmeyer

Rich Tomaszewski 

Others Present:

Nancy Newby, CEO

Tammy Amizich, CNE (exited 8:45 p.m.)

Ruth Kellerman, Quality Coordinator (exited 8:45 p.m.)

Kim Larkin, CIO (exited 8:45 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 8:45 p.m.)

Rachel Aholt, APN (exit 7:10 p.m.) 

Others Not Present

Marc Zerbe, M.D., Medical Staff President 

Called to Order: 7:04 p.m.

Adjourned:  9:05 p.m. 
 

Introduction and Welcome

CEO Nancy Newby introduced and welcomed Rachel Aholt, family nurse practitioner, who joined the WCH Rural Health Clinic staff August 4, 2008.  Rachel received her bachelor of science degree in nursing from the University of Tennessee-Knoxville, and attended Vanderbilt University in Tennessee where she earned her master of science degree in nursing.  She has experience as a nurse practitioner with nine years of nursing in women’s and newborn health.  Rachel is married and has two children. Board members introduced themselves. 

Meeting Agenda Additions/Corrections

The agenda of the August 26, 2008, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

On a motion by Harry Jankowski and second by Ken Harre, the Board unanimously voted to approve the August 26, 2008, meeting agenda. 

Previous Board Meeting Minutes

 

Finance Committee Meetings Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, July 22, 2008.
• Finance Committee meetings, July 8 and 22, 2008.

 

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

 

 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical report for July 2008.  Highlights of the report were: 

Total Patient Revenue was $1,842,648.  Total Provisions were $770,660.  Total Net Operating Revenue was $1,156,150. Total Operating Expenses were $1,178,552.  Income from Operations was ($22,402.), with YTD Income ($343,028.)  Total Non-Operating Revenue was $39,264, with an YTD Total Non-Operating Revenue of $135,554.  Income prior to Depreciation was $80,191, resulting in a Total Income of $16,862 with an YTD Total Income of ($207,474) as compared to a budgeted $33,483. 

A few contributing factors for decreased revenue:

• Physicians’ vacations.
• Vacant mid-level provider position.
• Continue to wait on State reimbursement payments.
• Employee benefits quarterly adjustment.

 

On a motion by Harry Jankowski and second by Ken Harre, the Board unanimously voted to approve the July 2008 Financial and Statistical report. 

 

Equity Based Performance Program

Nancy reviewed in detail the new Equity Based Performance System policy and related forms which will be go into effect September 1, 2008.  Grant funds have been utilized to conduct two leadership development sessions to aid management staff in the implementation of the new system. 

Capital Equipment Lease:  Hematology Analyzer

A capital equipment lease proposal for a hematology analyzer in the lab was reviewed in detail. 

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to  approve to enter into a six-year lease with Abbott for a hematology analyzer for a monthly payment of $1,022--$67,500 price per unit; and extended warranty coverage at a monthly payment of $550--$11,000 price per year. 

Quarterly Status Report on WCH Strategic Plan

Nancy reviewed in detail the quarterly report on the Strategic Plan.  WCH is on target or has surpassed its goals. 

Quarterly Financials Update

Elaine reviewed in detail the quarterly report on the Financials. 

Buildings and Grounds Committee Report

Chairman Greg Engele gave the following report of the August 26, 2008, Buildings and Grounds Committee meeting.

• One bid was received from Miller Plumbing of Nashville for the water pipeline replacement project.
• Total cost:  $40,193.52:
  • Miller’s expense -- $30,900.00.
  • City of Nashville expense -- $9,293.52; full payment to be made at start of project.
• Committee recommendation:  Accept bid and submit to Board for approval.

 

On a motion by Rich Tomaszewski and second by David Behr, the Board unanimously voted to  accept the Miller Plumbing bid for the water pipeline replacement project in the total amount of $40,193.52: Miller’s expense--$30,900.00; City of Nashville’s expense--$9,293.52 with full payment to be made at start of project. 

WCH Golf Tournament Update

Elaine gave an update on the WCH Golf Tournament:

• Friday, October 3, 2008, 12:00 Noon at Nashville golf course.
• Proceeds will go toward the CT scanner replacement project.
• Three teams have registered.
• Almost $2,000 has been received to date.
• Marketing:  Ads in local papers; fliers posted in local businesses.

 Community Health Education:  Couples Program

Nancy reported the following:

• Thursday, September, 18, 2008, at 6:00 p.m. in the lower level conference rooms with complimentary meal.
• Focus:  Couples’ health issues.
• All WCH RHC providers will present health topics.
• Marketing:  Ads in local papers, fliers posted in local business.

 Community Comments/Questions and Answers

Clarification was given regarding the following:

• Water pipeline project bid.
• Financials—with reiteration that July’s bottom line was in the black.
• Lab equipment.
• Nurse practitioner.

 
 Closed Meeting

At 8:19 p.m. on a motion by Ken Harre 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)(1)(5)(17)(21). Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 9:04 p.m. on a motion by Greg Engele and second by Ken Harre, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Harre 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 meeting, July 22, 2008.
• Medical Staff meeting, June 18, 2008.
• QA/CQI meetings, May 15 and June 19, 2008.

 

On a motion by Harry Jankowski and second by J. W. Metcalf, the Board unanimously voted to  approve the aforementioned meetings minutes. 

Medical Staff Membership Changes of Status

On a motion by Ken Harre and second by J. W. Metcalf, the Board unanimously voted to  approve the following Medical Staff membership changes of status as recommended by the Medical Executive Committee: 

• Pamella Gronemeyer, M.D. – Associate to Active.
• Aiman Hawasli, M.D. – Courtesy to Active.
• Michael Hatlelid, M.D. – Courtesy to Resign.
• Cheryl Faber, M.D. – Courtesy to Resign.

 Adjournment

On a motion by Harry Jankowski and second by J. W. Metcalf, the Board unanimously voted to adjourn the meeting at 9:05 p.m. 

Respectfully submitted,

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital