Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, December 29 2009, 7:00 p.m.

Conference Rooms A and B 

Members Present:

J. W. Metcalf, Acting Chair

David Behr

Greg Engele

Harry Jankowski

Bill Manier

Diane Nottmeyer

Rich Tomaszewski 

Members Not Present:

Sandy Alfeldt, absent

Dale Blohm, excused 

Others Present:

Nancy Newby, CEO

Ruth Kellerman, QA Coordinator (exited 8:00 p.m.)

Elaine Matzenbacher, CFO

Tammy Amizich, CNE, (exited 8:00 p.m.)

Kim Larkin, CIO (exited 8:00 p.m.)

Melodie Wilkey, HR Director (exited 8:00 p.m.) 

Others Not Present:

Marc Zerbe, M.D., Medical Staff President, absent 

Called to Order: 7:00 p.m.

Adjourned:  9:20 p.m. 
 

Meeting Agenda

The agenda of the December 29, 2009, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Add VI., F.  Pharmacy Agreement -- Motion
  

 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to  approve the December 29, 2009, meeting agenda with the aforementioned amendment. 

 

Previous Board Meeting Minutes

 

Buildings and Grounds Committee Meeting Minutes

 

The following meetings minutes were presented for review and approval:

• Board meeting, November 24, 2009.  In response to negative remarks about the $9,000 conference room tables purchase at the November Board meeting, Nancy reiterated that this was a Board* an Administration* recommended and Board approved purchase.
• Buildings and Grounds Committee meeting, December 8, 2009.
  

 

On a motion by Rich Tomaszewksi 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 November 2009.  Highlights of the report were: 

Total Patient Revenue was $1,823,882.  Total Provisions were $761,388.  Total Net Operating Revenue was $1,121,946.  Total Operating Expenses were $1,313,941.  Income from Operations was ($191,995), with YTD Income ($190,308.)  Total Non-Operating Revenue was $70,067, with YTD Total Non-Operating Revenue of $326,774.  Total Income was ($121,028), with YTD Total Income of $136,466, as compared to a budgeted ($186,812). 

Additional noted items:

• Total Patient Revenues were 12.3% ($256,396) under budget for the month of November.  Swing and Extended Care were over budget for the month, but Inpatient was very low.
• Contractual Adjustments were 17.9% under budget in the month.  Charity for the month of November was $12,344. 
• Other Operating Revenue was over budget by 74% as we received our quarterly incentives from Medicaid in the month.
• Employee Benefits were 79% over budget.  We made the final adjustment in November of approximately $59,000 for the third installment of the quarterly assessment due to Blue Cross.  This assessment was for high claims in July, August and September.  Employee insurance claims continue to run significantly over budget and, as WCH is self-insured, we will pay for these claims with the quarterly adjustments to actual.  Our monthly pre-funding with the Blue Cross continues to increase and we are anticipating another large quarterly adjustment for the last quarter of 2009.
• Non-Operating Income is 103.3% over budget as we recognized some additional Grant Revenue in the month.

 

On a motion by Diane Nottmeyer and second by Harry Jankowski, the Board unanimously voted to approve the November 2009 Financial and Statistical Report. 

Quality Report

Ruth Kellerman, quality coordinator, gave a presentation on central/PICC line catheters and the prevention of bloodstream infections:

• This is a National Patient Safety Goal.
• WCH contracts with Summit Vascular Services to insert PICC lines; WCH rarely inserts central lines.
• Summit has completed WCH staff education.
• Proper handwashing technique during this procedure was found to significantly reduce the infection rate and result in financial savings.
• Preparation for PICC, central and IV lines changed from alcohol to chlorhexadine.

 

Capital Equipment Request:  Refrigerator and Stove Replacement

Melodie Wilkey presented two bids (copies on file) to replace the Dietary refrigerator and stove, which date prior to 1971.  Auxiliary donations will purchase this equipment. 

On a motion by Harry Jankowski and second by Bill Manier, the Board unanimously voted to approve the purchase of a refrigerator from J&R Appliances at a cost of $3,340 (lowest bid). 

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve the purchase of a stove from Bear Distributing at a cost of $4,561 (lowest bid). 

Interim Cost Report

WCH has submitted information to the auditors.  WCH should receive a completed report within the next few weeks. 

Emergency Capital Equipment Request:  Central Monitoring Telemetry System Replacement

Tammy Amizich presented four bids (copies on file) to replace Nursing’s central monitoring telemetry system:

• The current Datascope system has been problematic since its purchase six years ago. 
• frequent repairs have been required
• two hard drives have been replaced this year
• a mother board is starting to fail
• equipment is unreliable and has resulted in the loss of data configurations posing critical patient care issues
• Bids reflect a central station and six heart monitors; however, following discussion, the Board preferred five heart monitors and one SaO2 monitor which costs at least $500 more.
  

 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to approve the emergency purchase of a central monitoring telemetry system from Fukuda Denshi at a cost of $31,087, plus the additional cost difference for one SaO2 monitor. 

 

Community Comments/Questions and Answers

In response to inquiries, Nancy answered questions regarding equipment purchases. 

Closed Meeting

At 8:00 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).  Behr AYE, Engele AYE, Jankowski AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 9:16 p.m. on a motion by Harry Jankowski and second by Diane Nottmeyer, the Board took a roll call vote to leave closed session and re-enter open session.  Behr AYE, Engele AYE, Jankowski 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 minutes, November 24, 2009.
• Medical Staff minutes, October 7, 2009.
• QA/CQI minutes, September 17 and October 15, 2009.

 

On a motion by Greg Engele 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:

• John Coe, M.D. – Provisional staff specific to emergency services.
• David Gerdt, M.D. – Provisional staff specific to emergency services.
• Charles Sims, M.D. – Provisional staff specific to emergency services.
• Zoglu Chowdhury, M.D., emergency services – status change from Provisional to Courtesy.
• Mark Freeman, M.D., psychiatry services – status change from Provisional to Courtesy.
• Mark Napier, M.D., psychiatry services – status change from Provisional to Courtesy.
• Syed Shah, M.D., neurology services – status change from Provisional to Courtesy.
• Anthony Vacca, D.O., pulmonary services – status change from Provisional to Courtesy.
  

 

Professional and General Liability Insurance

The Board reviewed two bids for WCH professional and general liability insurance:

• IPT at $154,430.
• MedPro at $110,000—current insurer.
  

 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to accept the $110,000 bid from MedPro for professional and general liability insurance. 

 

Pharmacy Agreement

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to enter into an agreement with Doehring’s Pharmacy, as discussed in closed session, for the use of WCH pharmacy hood in exchange for their PRN pharmacist coverage at WCH. 

 

Adjournment

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 9:20 p.m. 

Respectfully submitted,

Richard Tomaszewski, Secretary

 

Board of Directors

 

Washington County Hospital 

*Action taken at 1/29/10 WCH BOD meeting