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January Minutes
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Page/Location |
Drafted Minutes and/or Remarks | Final Minutes (recommended changes in bold and underscored) |
| Page 3, Strategic Plan Presentation...., first paragraph, second sentence |
In response to board request, Nancy will provide a status report to be board on a quarterly basis. | In response to board request, Nancy will provide a status report to the board on a quarterly basis. |
On a motion by Penny Brinkman and second by J. W. Metcalf, the board voted
to: Approve the minutes of the December 19, 2006 board meeting with the
aforementioned amendment. Harry Jankowski abstained. Motion carried.
Finance Committee Meetings Minutes
The minutes of the December 6, 13, 19, 2006 and January 3, 2007 meetings
of the Washington County Hospital Finance Committee were presented for
review and approval. On a motion by Penny Brinkman and second by Greg
Engele, the board voted to: Approve the minutes of the December 6, 13,
19, 2006 and January 3, 2007 finance committee meetings. Harry Jankowski
abstained. Motion carried.
Emergency Personnel Committee Meeting Minutes
The minutes of the January 3, 2007 emergency meeting of the Washington
County Hospital Personnel Committee were presented for review and approval.
On a motion by Ken Harre and second by Jim Cange, the board voted to:
Approve the minutes of the January 3, 2007 emergency meeting of the personnel
committee. Harry Jankowski abstained. Motion carried.
Introduction of New Chief Financial Officer
Dale Blohm introduced and welcomed WCH’s new chief financial officer
Elaine Matzenbacher. Elaine is a CPA and holds a BS from Eastern Illinois
University. She has 20 years of hospital finance experience and one to
two years for-profit experience. She’s been married 23 years and
has an 18-year-old and a 13-year-old. Board members then introduced themselves.
Financial and Statistical Report
Nancy Newby presented the financial and statistical figures for December
2006. Highlights of the report were: Total Patient Revenue was $1,470,170.
Total Provisions were $604,474. Total Net Operating Revenue was $870,375.
Total Operating Expenses for December were $1,019,034. Income from Operations
was ($148,658), with YTD Income ($543,625). December’s total Non-operating
Revenue was $48,448. Income prior to Depreciation was ($100,211), with
an Excess of Revenues over Expenses ($157,335), with YTD of ($656,129).
Additional discussion:
• Volume was down in all areas except ER.
• Salaries were up because of employee Christmas bonuses and the
new physician’s salary.
• Professional fees were up because of recruitment fees related
to the new physician.
• WCH received an anonymous $50,000 donation.
• Administration will review the need for an interim cost report,
in addition to the annual cost report. (Historically, this has been done
annually; however, in 2006 two cost reports were done because of WCH’s
financial condition.)
On a motion by Greg Engele and second by Ken Harre, the board voted to: Approve the December 2006 financial and statistical report. Harry Jankowski abstained. Motion carried.
FY2007-2008 Budget Process
Nancy Newby provided a status report of the FY2007-08 budget process as
follows:
• Managers have submitted their expenses, staffing requests and
list of capital equipments needs.
• This data has been compiled and compared with actual dollars of
the current fiscal. Administrative council will continue to review and
work with managers to create a realistic balanced expense budget.
• Capital expenditures: A three-year equipment plan is being developed--prioritizing
items needed to be purchased this year, and then plan for purchases the
next few years.
• Salary expenditures: These will reflect the increasing minimum
wage and salary adjustments to remain competitive in market areas.
• Revenue and volume statistics: The past few years of data are
being reviewed to project realistic growth in: 1) rural health clinic
and outpatient clinic visits as related to new full-time practitioners;
2) ER visits, swing days and inpatient days; 3) the addition of the Dexascan
and ICAD. This data has been compiled.
• With the new CFO here, projections and analyses will be finalized.
The budget will include financial targets and contingency plans if targets
are not met.
• A draft of the budget will be presented at the next board meeting.
Penny Brinkman questioned whether the updated FY2006-07 capital equipment list would be provided tonight as recommended by the finance committee. Nancy will present with finance committee reports. Penny Brinkman questioned grant funding for order entry software as discussed in the CEO’s January Management Report. Kim Larkin clarified that software negotiations were contingent upon her (Kim Larkin) doing much of the implementation which reduced the project cost by at least $20,000.
Annual Review of Hospital Board Membership
An annual review of board membership terms was conducted. Carol Bishop,
Jim Cange and Harry Jankowski’s terms expire April 30, 2007, and
all agreed to reappointment. Nancy will convey this information to Washington
County Board Chairman Dave Meyer to submit to the Washington County Nominating
Committee.
2006 Laboratory Competency Report
The board reviewed the 2006 Laboratory Staff Competency Report, which
is required by JCAHO. On a motion by Jim Cange and second by Penny Brinkman,
the board voted to: Approve the 2006 Laboratory Staff Competency Report.
Harry Jankowski abstained. Motion carried.
Community Comments/Questions and Answers
Dave Volz, Nashville News reporter, requested a copy of the financial
and statistical report, and this will be provided.
Closed Meeting
At 7:30 p.m. on a motion by Jim Cange and second by Penny Brinkman, the
board took a roll call vote to enter closed session under Open Meetings
Public Act 88-621 Sections 2(C)(1)(7)(17)(21). Blohm AYE, Bishop AYE,
Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Klug AYE,
Metcalf AYE. Motion carried.
At 8:31 p.m. on a motion by Harry Jankowski and second by Ken Harre, the board took a roll call vote to leave closed session and re-enter open session. Blohm AYE, Bishop AYE, Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Klug AYE, Metcalf AYE. Motion carried.
Board Closed Meeting Minutes
Emergency Personnel Closed Meeting Minutes
Medical Staff Meeting Minutes
QA/CQI Meeting Minutes
The following meetings minutes were presented for review and approval:
• Board closed meeting, December 19, 2006;
• Emergency personnel committee closed meeting, January 3, 2007
• Medical staff meeting, December 6, 2006; and
• QA/CQI meeting, November 16, 2006.
On a motion by Penny Brinkman and second by Greg Engele, the board voted to: Approve the aforementioned meetings minutes as presented. Harry Jankowski abstained. Motion carried.
Medical Staff Credentials/Privileges
On a motion by Ken Harre and second by J. W. Metcalf, the board voted
to: Approve the credentials of Vilray Blair III, M.D., and grant courtesy
medical staff privileges in orthopedic services and surgery. Harry Jankowski
abstained. Motion carried.
Donation
On a motion by Harry Jankowski and second by Penny Brinkman, the board
unanimously voted to: Approve to allocate the $50,000 donation for capital
expenses and/or special projects as designated by this board.
Okawville Medical Office Lease
On a motion by Penny Brinkman and second by Greg Engele, the board unanimously
voted to: Accept the amendment to the Okawville medical office lease as
presented in closed session.
Response to Former CFO’s Letter
On a motion by Fred Klug and second by Carol Bishop, the board unanimously
voted to: Approve sending a letter of response as drafted by legal council
as presented in closed session.
Nurse Mid-Wife Services Proposal
Nancy was asked to get specific cost of malpractice insurance for the
certified nurse mid-wife (CNMW) and to see if it would impact malpractice
coverage for Drs. Zerbe and JenKins to supervise the CNMW. This topic
was tabled to the February board meeting.
Committees Guidelines
Guidelines for the personnel committee and the building and grounds committee
were developed by Nancy; however, discussion at the 12/16/06 board strategic
planning meeting resulted in the need to revamp the guidelines. Nancy
will have these available for the next board meeting.
Board Agenda Format
Penny Brinkman questioned changes to the board agenda format as a “consent”
agenda. Nancy replied that several of consultant Bruce Conners’
recommended changes have been implemented. Additional amendments, as deemed
necessary, will be made incrementally. Mr. Conners reiterated that any
amendments should promote positive PR of the hospital.
FY2007-08 Board Officers
Carol Bishop, nominating committee chair, stated that a FY2007-08 board
officers polling letter will be included in the February board packets.
The nominating committee will meet in March to develop a slate of board
officers.
Adjournment
On a motion by J. W. Metcalf and second by Harry Jankowski, the board
voted unanimously to adjourn the meeting at 8:41 p.m.
Respectfully submitted,
W. Metcalf, Secretary, Board of Directors
Washington County Hospital
Dale Blohm, Board Chairman
Harry Jankowski, 1st Vice Chairman
Fred Klug, 2nd Vice Chairman
J.W. Metcalf, Secretary
Ken Harre, Treasurer
Carol Bishop, Member
Penny Brinkman, Member
Jim Cange, Member
Greg Engele, Member
Nancy Newby, Chief Executive Officer
Ruth Kellerman, Chief Nurse Executive
Kim Larkin, Chief Information Officer
Elaine Matzenbacher,Chief Financial Officer
Melodie Wilkey, Human Resources Director
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