Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, July 22, 2008, 7:00 p.m.

Conference Room A and B 
 

Members Present:

Dale Blohm, Chair

David Behr

Greg Engele

Ken Harre

Harry Jankowski

J. W. Metcalf

Rich Tomaszewski 

Members Not Present: 

Jim Cange, excused

Diane Nottmeyer, excused 

Others Present:

Nancy Newby, CEO

Kim Larkin, CIO (exited 8:15 p.m.)

Ruth Kellerman, Quality Coordinator (exited 8:15 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 8:15 p.m.)

Marc Zerbe, M.D., Medical Staff President 

Called to Order: 7:10 p.m.

Adjourned:  8:57 p.m. 
 

Meeting Agenda Additions/Corrections

The agenda of the July 22, 2008, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendment was recommended:

• Move  IV. Business, E. Payment for Prisoners’ Care to VI. Closed Meeting, G.
• Add “(11)” to VI. Closed Meeting….Sections 2(C)(1)(21)

 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to approve the July 22, 2008, meeting agenda with the aforementioned amendment. 

Previous Board Meeting Minutes

Special Board Meeting Minutes

Finance Committee Meetings Minutes

Buildings and Grounds Committee Meeting Minutes

 

The following meetings minutes were presented for review and approval:

• Board meeting, July 1, 2008.
• Special Board meeting, July 8, 2008.
• Finance Committee meetings, June 11 and 25, 2008.
• Buildings and Grounds Committee meeting, July 1, 2008.

 

On a motion by Rich Tomaszewski and second by Harry Jankowski, the Board unanimously voted to approve the above referenced meetings minutes. 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical report for June 2008.  Highlights of the report were: 

Total Patient Revenue was $1,772,434.  Total Provisions were $885,001.  Total Net Operating Revenue was $893,639. Total Operating Expenses were $1,125,134.  Income from Operations was ($231,495), with YTD Income ($320,627).  Total Non-Operating Revenue was $28,574, with an YTD Total Non-Operating Revenue of $96,290.  Income prior to Depreciation was ($155,598), resulting in a Total Income of ($202,921) with an YTD Total Income of ($224,337) as compared to a budgeted $22,322.   

Additionally noted:

• June was a low volume month in all areas except ER; one physician was on vacation two weeks and the mid-level provider position was still vacant.
• Contractuals were up, and this is related to the State continuing to hold reimbursement funds. 
• An $80,000 Medicaid payment was received.
• Comparatively, July numbers are looking good.

 

On a motion by Greg Engele and second by David Behr, the Board unanimously voted to approve the June 2008 Financial and Statistical report. 

Ordinance No. 140

In compliance with Illinois Compiled Statutes, Elaine presented for approval Ordinance No. 140, “An Ordinance making appropriations to defray all necessary expenses and liabilities of Washington County Hospital District, of Washington County, Illinois, for the fiscal year commencing May 1, 2008 and ending April 30, 2009.” 

On a motion by Harry Jankowski and second by Rich Tomaszewski, the Board unanimously voted to approve Ordinance No. 140 for fiscal year 2008-2009. 

Ordinance No. 141

In compliance with Illinois Compiled Statutes, Elaine presented for approval Ordinance No. 141, “An Ordinance amending the levy and assessment of taxes for the fiscal year beginning May 1, 2008 and ending April 30, 2009.” 

On a motion by Ken Harre and second by Greg Engele, the Board unanimously voted toapprove Ordinance No.141 to tax at $310,040.00 for fiscal year 2008-2009.

 

Cy Pres Grant

Nancy reported the following:

• Two years after the announcement that ICAHN was a Cy Pres Grant recipient, ICAHN has recently received these grant funds and is in the process of distributing them to participating hospitals, which includes WCH.
• ICAHN’s deadline for receipt of all hospitals’ paperwork is August 15, so ICAHN can meet its deadline of August 30.
• WCH’s initial project was to implement a lab system to interface with the electronic health record (EHR); however, our award of $31,500 does not cover the entire cost of this project.
• WCH approached SIU School of Medicine for additional needed funding of $70,000, and SIU has been willing to help; however, SIU funds cannot be released until January 2009.
• Subsequently, a substitute project has been submitted by WCH and accepted by ICAHN.
• WCH will implement an automatic administration medication system, which will eventually tie-in with our EHR.
• All aspects of the alternative project have been going smoothly, the August 15 deadline will be met, and a good portion of the project will be implemented by August 30.
• This system will aid to prevent medication errors and support WCH efforts to comply with JCAHO patient safety goals.
• Also, it would dovetail into a night pharmacy service which will eventually be required in order to meet patient safety mandates.
  

Balance Score Card

• Nancy reviewed a sampling of the newly developed Balance Score Card (BSC) which incorporate WCH’s Strategic Plan.
• To tie-in with BSC, Nancy presented in detail recommended Dashboard indicators. 
• “ER visits” will be included as an indicator.
• Indicators will be monitored and may be amended as needed.
• The August Dashboard will include information retro to May 1, 2008—the start of the current fiscal year.

 

Flooring Project Update

Nancy reported:

• Asbestos abatement was completed without incident.
• All new flooring installation has been completed.
• Maintenance staff are painting hallways and putting down rubber baseboards.

 

Health Care Services

Nancy reported the following:

• Presented and reviewed the press release for the new urologist, Vijay Aher, M.D., which will conduct his first clinic July 31.  Clinics will be held the last Thursday of each month in the morning.
• Rachel Aholt, APN, has been hired as the mid-level provider for the WCH Rural Health Clinic and will start August 4.  She will be introduced to the Board at their August meeting.

 

Community Comments/Questions and Answers

Clarification was given regarding the substitute project for the Cy Pres Grant and the new mid-level provider. 

Closed Meeting

At 7:50 p.m. on a motion by Ken Harre and second by J. W. Metcalf the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(11)(21). Blohm AYE, Behr AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Tomaszewski AYE.  Motion carried. 

At 8:52 p.m. on a motion by Rich Tomaszewski and second by Ken Harre, the Board took a roll call vote to leave closed session and re-enter open session. Blohm AYE, Behr AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Special Board Closed Meeting Minutes

 

The following meetings minutes were presented for review and approval:

• Board closed meeting, July 1, 2008.
• Special Board closed meeting, July 8, 2008.

 

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

Payment for Prisoners’ Care

On a motion by Greg Engele and second by Ken Harre, the Board unanimously voted to send the response letter of a counter proposal, as drafted, to the Washington County Board. 

Nancy will hand-deliver a copy of WCH’s response to Alan Holt as a courtesy of his initial gesture to visit with Nancy regarding the issue. 

Physician Contract Issue

On a motion by Harry Jankowski and second by Ken Harre, the Board unanimously voted to approve the CEO’s recommendation that, on behalf of Dr. JenKins, WCH continue to participate in the Illinois National Health Service State Corps Loan Repayment program (school loan assistance program) for another two years, and this will be incorporated into his employment agreement as part of his benefits package. 

Adjournment

On a motion by J. W. Metcalf and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:57 p.m. 

Respectfully submitted,

 

J. W. Metcalf, Secretary, Board of Directors