Governance

Washington County Hospital

Board of Directors Meeting Minutes

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

Members Present:

Dale Blohm, Chair

David Behr

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

Diane Nottemeyer Nottmeyer* 

Members Not Present: 

J. W. Metcalf, excused*

Rich Tomaszewski, excused* 

Others Present:

Nancy Newby, CEO

Tammy Amizich, CNE (exit 8:20 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 8:20 p.m.) 

Others Not Present:

Ruth Kellerman, Quality Coordinator, excused

Kim Larkin, CIO, excused

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

Called to Order: 7:07 p.m.

Adjourned:  9:00 p.m. 
 

Introductions and Welcome

      Chair Dale Blohm introduced and welcomed new Board member Diane Nottemeyer Nottmeyer*, a math teacher who recently retired after 30 years.  The other newly appointed Board member is Rich Tomaszewski, former Nashville News owner, who was out of town. Then, remaining Board members and Administrative members introduced themselves. 

Meeting Agenda Additions/Corrections

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

      The following amendments were made:

 

Add: III. Board Meeting Minutes, D.  Marketing Committee Meeting, February 25, 2008 - Motion

• Add: III. Board Meeting Minutes, D.  Marketing Committee Meeting, February 25, 2008 - Motion

• Amend to read: V. Business, C. Chargemaster Review – Elaine Matzenbacher - Motion

      On a motion by Harry Jankowski and second by Greg Engele, the Board voted unanimously to approve the February 26, 2008, meeting agenda with the aforementioned amendment. 

Previous Board Meeting Minutes

 

Finance Committee Meetings Minutes

 

Marketing Committee Meetings Minutes

      The following meetings minutes were presented for review and approval:

• Board meeting, January 22, 2008.
• Finance Committee meetings, January 9 and 22, 2008.
• Marketing Committee meetings, January 21 and February 25, 2008.

 

   Marketing Committee meeting minutes of February 25 were reviewed in more detail as these were not included in the Board packets due to the meeting date:

• Name change for RHC to be more professional – Physicians initiated this topic during a Joint Conference Committee meeting to more accurately portray medical services offered.  Resulting changes from a name change were discussed. At the Board’s direction, Nancy will create a list and present it at the March Board meeting for review.  Board suggestions are welcome.

• Explore use of focus groups for community engagement – Following discussion, Board consensus was that utilizing WCH’s various health education programs—men’s, women’s, community--would be most effective and efficient at this time.  An open house may be held after the installation of PACS and the CT scanner.

• Logo Shirts for doctors, Board and staff – Wearing WCH logo shirts makes a positive statement to the community.  WCH may consider giving shirts to doctors on Doctors Day in March and to employees during Hospital Week in May.

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

Financial and Statistical Report

      Elaine Matzenbacher presented the Financial and Statistical report for January 2008.  Highlights of the report were:  Total Patient Revenue was $1,774,914.  Total Provisions were $747,710.  Total Net Operating Revenue was $1,017,885.  Total Operating Expenses were $1,109,594.  Income from Operations was ($91,709), with YTD Income ($530,756).  Total Non-Operating Revenue was $99,620, with an YTD Total Non-Operating Revenue of $448,829.  Income prior to Depreciation was $61,375, resulting in a Total Income of $7,911 with an YTD Total Income of ($81,927) as compared to a budgeted ($513,855). 

     Additional remarks:

• In reference to the February Management Report under Nursing Service it stated, “Patient Satisfaction will mimic some of Quint Studer’s approach to patient and staff satisfaction,” and Jim Cange questioned who/what was Quint Studer. 

• Tammy Amizich responded that Quint Studer is a CEO of a company which has developed customer satisfaction methodology based on proven data and statistics with the basis that if the employee is happy then it will have a ripple effect to internal and external customers. 

• Quint Studer has authored Hard Wiring Excellence which details this customer satisfaction methodology.

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

Pharmacy Capital Equipment Purchase for Compliance with USP 797 Regulations

      The Finance Committee reviewed equipment bids, which were enclosed in the February Board packets (copy on file), and recommended that Life Scientific equipment be purchased at a cost of $29,700.  This is also the brand our pharmacist recommended.  Purchase of this brand will not require any building modification and installation may be done in one day.  A 90-day ordering lead time will be required by all vendors.

      On a motion by Greg Engele and second by David Behr, the Board voted unanimously to approve the purchase of Life Scientific pharmacy equipment at a cost of $29,700. 

Discount Policy

• Discount Policy was reviewed.

• WCH will allow a percentage discount off of balances due in a fair and consistent manner as outline in the policy (copy on file).

• This policy has been in practice at WCH and is now in written form. 

• It is in compliance with Stark III laws whereby discounts will be consistent and not in any way based on business generated/provided between parties—no special preferences will be given to Board members, non-employed health care providers, business associates, etc.

      On a motion by Ken Harre and second by Harry Jankowski, the Board voted unanimously to approve the Washington County Hospital Discount Policy as presented. 

Chargemaster Review

     Elaine Matzenbacher presented a request for review of WCH’s chargemaster:

• Review is usually completed every over year; WCH’s last review was in 2002.

• Proposed vendor is G2N (located in St. Louis) at a total cost of $12,400.

• Scope of proposal includes chargemaster description and code review, market pricing in comparison with critical access hospitals and area hospitals, and on-site review to confer with staff.

• WCH will make final decision on any pricing changes.

• SHIP (Small Hospital Improvement Project) grants are available in the amount of $9,000 and, upon receipt, WCH would earmark it for this need.

• The Finance Committee has reviewed the G2N proposal and recommended it to the Board.

      On a motion by Ken Harre and second by Greg Engele, the Board voted unanimously to approve the G2N proposal to conduct a review of WCH’s chargemaster at a total cost of $12,400. 

Quarterly Status Report on Strategic Plan and Quarterly Financial Update

      Nancy reported on the Strategic Plan as follows:

• Reviewed in detail.
• WCH is on target or has surpassed its goals.

      Elaine reported on the Financials as follows:

• Reviewed in detail.
• WCH is waiting on $1 million in Medicaid payments.
• Also, WCH is waiting on $165,000 in Medicare payments, which is at an all-time high of 168 days waiting period.  This is a state-wide issue.
• It was emphasized that the bottom line is up 89% compared to a year ago.

 

Nominating Committee

• In response to Chair Dale Blohm’s request for volunteers to fill vacancies, Harry Jankowski and David Behr will serve on the Nominating Committee the remainder of this year.  

 

• The Nominating Committee develops a slate of Board Officers for the upcoming year and presents it to the Board.

• Board members need to complete the Polling Survey enclosed in the February Board packet and return to Dale Blohm.

• The Nominating Committee will meet on Tuesday, March 18, 2008, at 7:00 p.m. in the boardroom.

Orthopedic Physician:  Angela Freehill, M.D.

• Angela Freehill, M.D., orthopedic surgeon, will conduct additional orthopedic outpatient clinics beginning Wednesday, 3/5/08, which will alternate with the weeks of Dr. Houle’s orthopedic clinic (both physicians are associates of the OrthopaedicCenter of Southern Illinois in Mt. Vernon), resulting in weekly orthopedic clinics at WCH.  

 

• The Medical Staff will hold an informal “welcome” breakfast for Dr. Freehill on 3/5/08 before she starts her first clinic.

Community Comments/Questions and Answers

      Dale Blohm announced that Nancy has been appointed by the Governor to the State’s Hospital Report Card Advisory Committee.  Dave Volz, Nashville News reporter, will schedule an interview with Nancy regarding this appointment.

      In response to inquiries from Dave Volz, clarification was given regarding:

• Dr. Freehill’s start date and frequency of orthopedic outpatient clinics.
• Chargemaster vender and related costs.
• Pharmacy equipment vendor and related costs.
• Discount policy.

 

Closed Meeting

      At 8:20 p.m. on a motion by Greg Engele 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)(17)(21). Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Nottemeyer Nottmeyer* AYE.  Motion carried.

      At 8:55 p.m. on a motion by Jim Cange and second by Ken Harre, the Board took a roll call vote to leave closed session and re-enter open session.  Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Nottemeyer Nottmeyer* 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, January 22, 2008.
• Medical Staff meeting, December 5, 2007.
• QA/CQI meetings, November and December, 2007.

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

Medical Staff Credentials and/or Privileges

      On a motion by Ken Harre and second by Jim Cange, the Board unanimously voted the following credentials/privileges be approved/granted:

• Tamara Boore, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services;
• Lucy Christopherson, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services;
• Kevin Coakley, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services;
• John Felker, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services; and
• Vladislav Gorengaut, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Robert Haag, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Mary Ludolph, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• George Magre, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• William Moore, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Charles Neal, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Robert Nordstrom, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Craig Russo, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Daniel Shekleton, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Andrew Sherrick, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• John Snodsmith, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Ryan Watson, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Patricia Whitworth, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.
• Lisa Wichterman, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services

 

WCH Foundation

      On a motion by Harry Jankowski and second by Ken Harre, the Board voted unanimously to authorize Nancy Newby to contact foundation development consultants, obtain proposals and report findings to the Board. 

News Article

      Nancy reported that a second IT grant article has been published by the Centralia Sentinel, which was triggered by the St. Louis article (enclosed in Board book). 

Adjournment

      On a motion by Greg Engele and second by Harry Jankowski, the Board voted unanimously to adjourn the meeting at 9:00 p.m.

 

Respectfully submitted, 

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital