Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, December 18, 2007 7:00 p.m.,

Conference Rooms A and B 

 

Members Present:

Dale Blohm, Chair

Jim Cange

Greg Engele

Ken Harre

Fred Klug (exit 7:58 p.m.)

J. W. Metcalf 

Not Present: 

Harry Jankowski, excused   

Others Present:

Nancy Newby, CEO

Melodie Wilkey, HR Director (exit 7:51 p.m.)

Kim Larkin (exit 7:53 p.m.)

Elaine Matzenbacher, CFO

Marc Zerbe, M.D., Medical Staff President (arrival:  7:15 p.m.; exit 8:01 p.m.) 

Others Not Present:

Ruth Kellerman, excused 

Called to Order: 7:09 p.m.

Adjourned:  9:07 p.m. 

Meeting Agenda Additions/Corrections

The agenda of the December 18, 2007, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Add: VI.  Closed Meeting - Personnel Committee Closed Minutes, December 12, 2007 - Motion
• Move: IV.  Business, B.  Health Insurance to Closed Meeting
• Delete VI.  Closed Meeting, E., 5.

 

On a motion by Greg Engele and second by Ken Harre, the Board voted unanimously to approve the December 18, 2007, meeting agenda with the aforementioned amendments. 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

Buildings and Grounds Committee Meeting Minutes

Marketing Committee Meeting Minutes

 

Personnel, Recruitment and Management Contract Review Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, November 27, 2007;
• Finance Committee meetings, November 7 and 27, 2007;
• Buildings and Grounds Committee meeting, November 27, 2007;
• Marketing Committee meeting, December 11, 2007; and
• Personnel, Recruitment and Management Contract Review Committee meeting, December 12, 2007.

 

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

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical report for November 2007.  Highlights of the report were: 

Total Patient Revenue was $1,758,733.  Total Provisions were $701,784.  Total Net Operating Revenue was $1,065,824.  Total Operating Expenses were $1,074,401.  Income from Operations was ($8,577), with YTD Income ($295,278). Total Non-Operating Revenue was $51,388, with an YTD Total Non-Operating Revenue of $263,666.  Income prior to Depreciation was $96,275, resulting in a Total Income of $42,811 with an YTD Total Income of ($31,592) as compared to a budgeted ($399,665).   

Also noted:

• As HIT grant products are received, these will be recorded as Income.
• To date, December patient census has been up, as well as the number of surgeries and swing bed patients.  However, during the holidays, Dr. Ramirez will not be performing surgery for two weeks.
• Five extended care beds are vacant; marketing efforts continue.

 

On a motion by Ken Harre and second by Jim Cange, the Board voted unanimously to approve the November 2007 Financial and Statistical report. 

JCAHO Laboratory Survey Results

The laboratory’s biennial unannounced JCAHO survey was conducted November 28-29, 2007, utilizing the “tracer methodology.”  The JCAHO Survey Executive Summary reported there were absolutely no Recommendations or Improvement Plans required. The surveyor did inform us of the need of a process change which will go into effect January 1, 2008; subsequently, Dr. Gronemeyer has developed an education program and will inservice the medical staff and nursing staff. 

Overview of WCH Disaster Plan

This topic was postponed to the next Board meeting because presenter Ruth Kellerman was ill. 

Electronic Health Records (EHR)

Kim Larkin discussed the Illinois FLEX Patient Health Information Network Implementation Project as follows:

• A schematic model which showed the scope of the entire project (copy on file).
• A detailed quarterly report for the period of September 5-November 30, 2007 (copy on file).
• In the future, after execution of contracts and implementation of software, an EHR demonstration will be presented.

 

Community Comments/Questions and Answers

There were no inquiries. 

Closed Meeting

At 7:45 p.m. on a motion by Jim Cange and second by Ken Harre the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(16)(21). Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Klug AYE, Metcalf AYE.  Motion carried. 

At 9:04 p.m. on a motion by Ken Harre and second by Jim Cange, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Metcalf AYE.  Motion carried. 

Board Closed Meeting Minutes

Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes

Medical Staff Meeting Minutes

 

QA/CQI Meetings Minutes

The following meetings minutes were presented for review and approval:

• Board closed meeting, November 27, 2007;
• Personnel, Recruitment and Management Contract Review Committee closed meeting, December 12, 2007;
• Medical Staff meeting, October 3, 2007; and
• QA/CQI meetings, September 20 and October 18, 2007.

 

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

Medical Staff Credentials/Privileges

Allied Health Professionals Staff Credentials/Privileges

On a motion by J. W. Metcalf and second by Ken Harre, the Board unanimously voted the following credentials/privileges be approved/granted:

• Donald Renk, CRNA, Allied Health Professional Staff, specific to anesthesia services.
• Angela Freehill, M.D., Courtesy Medical Staff, specific to orthopedic services.
• Kevin Wright, M.D., Courtesy Medical Staff, specific to radiology services.
• David Alexander, M.D., Courtesy Medical Staff, specific to teleradiology services.
• Todd Anderson, M.D., Courtesy Medical Staff, specific to teleradiology services.
• David Ayoub, M.D., Courtesy Medical Staff, specific to teleradiology services.
• John Becker, M.D., Courtesy Medical Staff, specific to teleradiology services.

 

CEO Employment Agreement

On a motion by Ken Harre and second by Jim Cange, the Board unanimously voted to accept the Personnel, Recruitment and Management Contract Review Committee’s recommendation to approve a 4% salary increase for CEO Nancy Newby. 

Employee Health Insurance

On a motion by Ken Harre and second by Greg Engele, the Board unanimously voted to renew the contract with Blue Cross Blue Shield through MCHC with the Baldwin-House Agency, Inc. 

Adjournment

On a motion by Jim Cange and second by Ken Harre, the Board voted unanimously to adjourn the meeting at 9:07 p.m. 

Respectfully submitted,

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital