Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, July 1, 2014
(Rescheduled from June 24, 2014)
Conference Rooms A and B
Diane Nottmeyer, Chair
J. W. Metcalf
Nancy Newby, CEO
Dave Davenport, HR Director (exited 8:20 p.m.)
Ruth Kellerman, QA Coord.; Safety/Disaster Coord. (exited 7:46 p.m.)
Kim Larkin, CIO (exited 7:46 p.m.)
Elaine Matzenbacher, CFO
Alfonso Urdaneta, M.D., Medical Staff President (arrived 7:06 p.m.; exited 8:35 p.m.)
Mariah Sisson, Medical Student
Community Members (attendance list on file; exited 7:46 p.m.)
Other(s) Not Present:
Candice Hawley, CNE, excused
Called to Order: 7:00 p.m.
Adjourned: 9:20 p.m.
The agenda of the July 1, 2014, meeting of the Washington County Hospital Board of Directors was presented for review and approval.
On a motion by Greg Engele and second by Audrey Finke, the Board unanimously voted to approve the July 1, 2014, meeting agenda.
Board Chair Resignation
- Diane Nottmeyer read Dale Blohm’s letter of resignation as chair of WCH Board of Directors. She read WCH Bylaws, Section 4.5 Officer Resignation and Section 4.6 Officer Vacancy. Diane accepted Dale’s resignation and expressed thanks for his 16-plus years of service on the Board.
- As first vice chair, Diane Nottmeyer assumed the office of Board chair.
- Diane appointed J. W. Metcalf as first vice chair.
WCH Guidelines for Board of Directors Meetings
- Diane Nottmeyer read aloud WCH policy, “Guidelines for Board of Directors Meetings,” and reiterated that this will be followed.
WCH Board of Directors Responsibilities
- J. W. Metcalf reviewed WCH Board of Directors responsibilities highlighting the appointment process, length of terms and members serve voluntarily/without compensation.
- Also, the WCH Board oversees the budget and expenditures and is not responsible for day-to-day operations.
- He noted that the community sees one side of issues. The Board reviews both sides of issues whereby decisions are made.
Over 35 community members were present and some spoke on various topics related to WCH as follows.
- Spoke favorably of Elaine Brammeier,
- Felt Lisa Halfacre’s, nursing supervisor, questioning of Sharon was an effort to obtain information to terminate Elaine.
- Reported that a patient was not provided care because of inability to pay. Elaine Matzenbacher, CFO, responded there is a charity care policy which is implemented if a patient meets criteria.
- Questioned when a cardiac rehab (CR) nurse will be hired. Nancy reported that a med-surg nurse is transferring to CR. However, she cannot transfer until her new nurse replacement has completed orientation.
- Cited a recent incident when her husband arrived for a cardiac rehab class to learn that it had been canceled—he received no notice. Nancy stated that CR patients are notified as soon as possible. The incident referenced was a late call-in from the CR nurse due to illness.
- Questioned CR remodeling. Nancy stated that inpatient room renovations are going on now, but no CR remodeling is scheduled at this time.
- Community members have organized and identified themselves as the Concerned Supporters of Washington County Hospital with Charles Braley as their spokesperson. The group submitted a petition, signed by about 185 community members, to the Board with reply deadline of 7/15/14.
- The Board will review and respond.
- Conveyed that he’s heard in the community that WCH patient care is not good.
- Conveyed that some in the community are going elsewhere for care.
- Expressed that WCH does have problems.
WCH Board members:
- Diane stated that WCH Board members have received hateful, threatening mail.
- J. W. stated, and Board members affirmed, that unsigned letters are not read and discarded.
- Bill Manier stated it’s inappropriate for the community to show up unannounced at Board members’ homes regarding WCH business—this is trespassing and action will be taken accordingly at his residence. The Board is receptive to written, signed correspondence but not calls or home visits. Board meetings are the forum for Hospital discussion.
Board of Directors Meeting Minutes
Special Board of Directors Meeting Minutes
Executive Committee Meeting Minutes
Finance Committee Meeting Minutes
The following meeting(s) minutes were presented for review and approval:
- Board of Directors, May 27, 2014.
- Special Board of Directors, June 11, 2014.
- Executive Committee, June 11, 2014
- Finance Committee, April 29, 2014.
On a motion by Greg Engele and second by Victor Lopez, the Board unanimously voted to approve the aforementioned meetings minutes.
Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for May 2014. Highlights of the report were as follows:
Total Patient Revenue was $2,116,283. Total Provisions were $944,248. Total Net Operating Revenue was $1,209,304. Total Operating Expenses were $1,220,896. Income from Operations was ($11,592), with YTD Income ($11,592). Total Non-Operating Revenue was $33,843, with YTD Total Non-Operating Revenue of $33,843. Total Income was $22,251, with YTD Income $22,251.
Elaine reiterated that it was a very good month financially and statistically.
On a motion by Audrey Finke and second by Matt Bierman, the Board unanimously voted to approve the May 2014 Financial and Statistical Report.
Kim Larkin, CIO, reported:
- In initial stages of implementing e-prescribing which is required by Meaningful Use.
- The software vendor has approached WCH to be a validation test site in exchange for a discount.
IHA Small & Rural Hospital Annual Meeting Report
Nancy reported this year’s annual meeting was excellent and some topics covered were:
- ACO (Accountable Care Organization) – transforming Medicare fee-for-service model through a coordinated effort of healthcare providers to deliver high-quality care and spend health care dollars more wisely.
- Physician contracts.
- During the Rural Hospital Quality Initiatives Panel, Nancy presented WCH’s “Eliminating Harm Across the Board” documenting our quality improvement monitoring of pressure ulcers. The storyboard of this is on display in the Hospital lobby.
- Board members interested in reviewing the detailed meeting program information may contact Nancy.
Joint Conference Committee Meeting Scheduled
- It was recommended that Joint Conference Committee (JCC) physician members participate in the Board Strategic Planning Retreat and forego a quarterly JCC meeting;
- Nancy’s office will survey attendees and coordinate a meeting date.
Auxiliary Donation—Capital Item: EKG Equipment
- The WCH Auxiliary donated $12,600 for the purchase of a new EKG machine to replace the current 16-year-old machine.
- The WCH Auxiliary is a group of volunteers who sponsor the gift shop, thrift shop, crafts, fundraisers, blood drives and other activities, with an ongoing open membership enrollment. Our volunteers are vital to the success of WCH and their efforts are greatly appreciated.
- WCH participated in a week-long—June 16-21—Capstone earthquake drill, sponsored by the Medical Reserve Corp (MRC) of Clinton and Washington County. The scenario was a large catastrophic earthquake (8.0) which occurred along the New Madrid Seismic Zone.
- Injects were sent to all facilities throughout the week, and we responded to coordinate tabletop efforts.
- On Friday, WCH received word that we would be receiving multiple evacuees and had our tent team respond, and we set up the disaster tent without incident.
- On Saturday, WCH and WC Health Department participated in the full scale Capstone Response exercise at the fairgrounds in Carlyle from 8:00 a.m.-12:00 p.m.
Nascote Health Fair
- Nascote held an all-day health fair on Tuesday, June 17.
- WCH participated with education booths and information about diagnostic imaging, outpatient specialty clinics, rural health clinic and rehab services, and 250 lab draws.
Okawville Senior Fair: August 29
- Okawville Senior Fair will be held the morning of Friday, August 29, at the Okawville Community Center sponsored by Senators Meier and McCarter.
- WCH will participate and provide blood pressure readings and Hospital services information.
Dr. Ginger Fewell “Meet and Greet”
- A “Meet and Greet” for Ginger Fewell, M.D., WCH’s new employed physician, will be held on Monday, July 7, 5:00-7:00 p.m. in the conference rooms.
- Dr. Fewell recently passed her Family Medicine Board Certification and is scheduled to begin her practice the week of July 14.
Relay for Life
- The annual Washington County Relay for Life event was held Friday evening to Saturday morning, June 27-28. Although rain moved the event indoors, it didn’t dampen the community’s exceptional response, and appreciation was expressed to all.
- Thirty-one (31) teams participated with a goal of $70,000.
- WCH’s Relay team raised $5,000—our highest amount, yet.
Clarification was provided regarding Financial Report key statistics.
At 7:46 p.m. on a motion by Greg Engele and second by Victor Lopez, the Board unanimously approved to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(17)(21). Bierman, AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE. Motion carried.
At 9:18 p.m., on a motion by J. W. Metcalf and second by Audrey Finke, the Board unanimously approved to leave closed session and re-enter open session. Bierman, AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE. Motion carried.
Board of Directors Closed Meeting Minutes
Special Board of Directors Closed Meeting Minutes
Executive Committee Closed Meeting Minutes
Medical Staff Meeting Minutes
QA/CQI Meeting Minutes
The following meeting(s) minutes were presented for review and approval:
- Board of Directors closed, May 27, 2014, with correction.
- Special Board of Directors closed, June 11, 2014.
- Executive Committee closed, June 11, 2014.
- Medical Staff, April 9, 2014.
- QA/CQI, March 20 and April 17, 2014.
On a motion by J. W. Metcalf and second by Bill Manier, the Board unanimously voted to approve the aforementioned meeting minutes.
Medical Staff Credentials and Clinical Privileges
Board members reviewed the Medical Executive Committee’s recommendations and information received during the credentialing processes. Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Medical Staff appointment and clinical privileges as recommended.
On a motion by Audrey Finke and second by J. W. Metcalf, the Board unanimously voted to approve the following Medical Staff appointment(s) and clinical privileges:
- Ginger Fewell, M.D. – Associate Provisional Staff, Family Medicine Services.
Allied Health Professionals Staff Credentials and Clinical Privileges
Board members reviewed the Medical Executive Committee’s recommendations and information received during the credentialing processes. Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Allied Health Professionals Staff clinical privileges as recommended.
On a motion by Matt Bierman and second by Victor Lopez, the Board unanimously voted to approve the following Allied Health Professionals Staff clinical privileges:
- Thomas Cain, CRNA – Locum Tenens privileges, Anesthesia Services.
- Corey Van Natta, CRNA – Locum Tenens privileges, Anesthesia Services.
On a motion by Greg Engele and second by Victor Lopez, the Board unanimously voted to adjourn the meeting at 9:20 p.m.
Victor Lopez, Secretary
J. W. Metcalf, Chair
Victor Lopez, 1st Vice Chair
Matt Bierman, 2nd Vice Chair
Audrey Finke, Secretary
Greg Engele, Treasurer
Dan Bronke, Member
Bill Manier, Member
Nancy Newby, Chief Executive Officer
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer
Dave Davenport, Human Resources Director
Ruth Kellerman, Quality Coordinator
Candice Hawley, Chief Nurse Executive
board meeting dates
of Directors agenda & minutes