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January Minutes

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, January 23, 2007, 7:00 p.m.


Members Present:
Dale Blohm, Chair
Carol Bishop
Penny Brinkman
Jim Cange
Greg Engele
Ken Harre
Harry Jankowski (via phone)
Fred Klug
J. W. Metcalf

 

Others Present:
Nancy Newby, CEO
Elaine Matzenbacher, CFO
Ruth Kellerman, CNE
Kim Larkin, CIO
Melodie Wilkey, HR Director
Marc Zerbe, M.D., Medical Staff President
Bruce Conners, Consultant

 

Called to Order: 7:05p.m.
Adjourned: 8:40 p.m.

 

Meeting Agenda Additions/Corrections
The agenda of the January 23, 2007 meeting of the Washington County Hospital Board of Directors was presented for review and approval. The following amendments were requested during closed session:

 

• Add: Emergency Personnel Committee Closed Meeting Minutes, January 3, 2007 - Motion
• Add: Dashboard

 

On a motion by Penny Brinkman and second by Ken Harre, the board voted to: Approve the January 23, 2007 meeting agenda with the aforementioned amendments.

 

Previous Board of Directors Meeting Minutes
The minutes of the December 19, 2006 meeting of the Washington County Hospital Board of Directors were presented for review and approval. The following amendment was made:

 

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

 

 

WCH Board

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



Administrative Team

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

>  2008 board meeting dates
>  Board of Directors agenda & minutes

 

 
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