Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, July 1, 2008, 7:00 p.m.

(Postponed from June 24, 2008)

Conference Room A and B 

Members Present:

Dale Blohm, Chair

Greg Engele

Ken Harre

Diane Nottmeyer

Rich Tomaszewski 

Members Not Present: 

David Behr, excused

Jim Cange, excused

Harry Jankowski, excused

J. W. Metcalf, excused 

Others Present:

Nancy Newby, CEO

Tammy Amizich, CNE (exited 7:59 p.m.)

Ruth Kellerman, Quality Coordinator (exited 7:59 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 7:59 p.m.)

Kim Larkin, CIO (exited 7:59 p.m.)

Marc Zerbe, M.D., Medical Staff President

Howard Davis, WCH Facilities Maintenance Manager (exited 7:37 p.m.) 

Called to Order: 7:03 p.m.

Adjourned:  8:56 p.m. p.m. 

Meeting Agenda Additions/Corrections

The agenda of the July 1, 2008, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were recommended:

• Add immediately following Agenda approval - Tour of C/T and Pharmacy
• Add  III., B. Buildings and Grounds Report – Motion
• Add VI. Closed Meeting, E. Personnel Issue
• Add VI.  Closed Meeting, F. Review of Medical Staff and QA/CQI meeting minutes - Motion

 

On a motion by Greg Engele and second by Ken Harre, the Board unanimously voted to approve the July 1, 2008, meeting agenda with the aforementioned amendments. 

Tour

 

Board members toured the hospital to view the newly installed C/T scanner and pharmacy hood.  The second hood is due to be delivered and installed on July 2. 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

Executive Committee Meeting Minutes

Joint Conference Committee Meeting Minutes

 

The following meetings minutes were presented for review and approval:

• Board meeting, May 27, 2008.
• Finance Committee meetings, May 14 and 27, 2008.
• Executive Committee meeting, June 11, 2008.
• Joint Conference Committee meeting, June 19, 2008.

 

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to approve the above referenced meetings minutes 

Financial and Statistical Report

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

Total Patient Revenue was $1,929,600.  Total Provisions were $902,515.  Total Net Operating Revenue was $1,051,017. Total Operating Expenses were $1,140,148.  Income from Operations was ($89,131), with YTD Income ($89,131).  Total Non-Operating Revenue was $67,716, with an YTD Total Non-Operating Revenue of $76,716.  Income prior to Depreciation was $38,491, resulting in a Total Income of ($21,415) with an YTD Total Income of ($21,415) as compared to a budgeted $11,161.   

Additionally noted:

• May was a very good month; high volume in all areas.
• Although Outpatient Visit volume appears lower, it is because it no longer includes Outpatient Specialty Clinic visits; the projected budget will be amended to reflect this data tabulation change.  This has no effect on revenue.
• Contractuals were up, and this is related to the State continuing to hold reimbursement funds.

 

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve the May 2008 Financial and Statistical report. 

Buildings and Grounds Committee Report

• Chair Greg Engele reviewed Curry and Associates report regarding recommendations for boiler room repair of antiquated pipes which burst in November 2007 resulting from the City’s increased water pressure to accommodate new construction sites west of Nashville. 
• Howard Davis presented and reviewed drawings of the project.
• Initially, the boiler room piping was projected to cost $80,000-100,000; however, Miller Plumbing estimates expenses will be $50,000.
• The City of Nashville will cover expenses—approximately $10,000—of piping from the main valve to the hospital building, including the meter.
• WCH will cover expenses—approximately $500—of piping from the meter to inside the building.

 

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve plans as presented and have Curry and Associated develop and distribute Requests for Proposals. 

Joint Conference Committee Report

Chair Dale Blohm reported/reviewed the minutes of the July 11 Joint Conference Committee meeting minutes which included discussion as follows:

• Review of radiology night coverage
• Strategic Planning and related Board Retreat
• Electronic health record (EHR) update
• Master Facility Plan/building code issues
• Marketing ideas

 

IHA Small & Rural Hospitals Annual Meeting Report

• Board members Dale Blohm, David Behr, Diane Nottmeyer and Rich Tomaszewski, Nancy Newby, CEO, Kim Larkin, CIO attend this year’s IHA Small & Rural Hospital Annual Meeting. 
• Attendees reported on the meeting and encouraged all Board members to attend next year.  The speakers were excellent.
• David Behr submitted a written report in his absence.
• IHA lobbyist provided “talking points” opposing the Governor’s plan to extend the Medicare payment cycle from 70 to 90 days, and asked attendees to contact their Congressmen.

 

Annual Board Retreat

As discussed at the recent Joint Conference Committee meeting, tentative plans for this year’s Board Retreat are as follows:

• Location:  Okawville golf course or Du Bois Center
• Possible date – October 24-25; include a social with spouses
• Recommended topics:
  • Future of healthcare
  • Basics of Strategic Planning for new members
  • Education
  • Master Facility Plan update
  • Establishing a WCH foundation

 

Prevailing Wage Rates Resolution Annual Review

As a district hospital, WCH is required to annually review and approve A Resolution Determining the Prevailing Rate of Wages and publishing a Notice regarding the adoption of same.   

On a motion by Diane Nottmeyer and second by Ken Harre, the Board voted unanimously to approve A Resolution Determining the Prevailing Rate of Wages for Washington County Hospital District pursuant to 820 ILCS 130/1 et seq. 

Capital Equipment Purchases

The WCH Auxiliary donated $15,000 for the purchase of capital equipment items as follows:

• Pediatric resuscitation system
• Long-term care med cart
• Physical therapy upright bike
• Cardiac rehab upright bike
• Cardiac rehab upper body cycle exerciser
• Bariatric scale
• Vital signs monitor – 2

 

On a motion by Ken Harre and second by Diane Nottmeyer, the Board unanimously voted to approve the aforementioned capital equipment items for purchase.  

ICAHN Grants

WCH has received the following ICAHN grants:

• Men s Health - $1,000 - two programs will be presented:  1) Couples program and 2) Men’s program
• Recruitment and Retention - $5,000 - will be used for managers education on topics of 1) merit increases and 2) leadership training
• Board Education - $2,500 - will be used for the Board Retreat and education

 

Vijay Aher, M.D., Urology Clinic

Nancy reported that Vijay Aher, M.D., a new urologist, will begin conducting clinics on Thursday, July 31, and continue the last Thursday of each month from 9:00 a.m. to 12:00 p.m.  If volume dictates, additional clinic days may be scheduled. 

Community Comments/Questions and Answers

There were no questions from the press. 

Closed Meeting

At 7:59 p.m. on a motion by Ken Harre and second by Diane Nottmeyer the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(17)(21). Blohm AYE, Engele AYE, Harre AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 8:47 p.m. on a motion by Ken Harre and second by Rich Tomaszewski, the Board took a roll call vote to leave closed session and re-enter open session. Blohm AYE, Engele AYE, Harre AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Executive Committee Meeting Minutes

Medical Staff Meeting Minutes

 

QA/CQI Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board closed meeting, May 27, 2008.
• Executive Committee closed meeting, June 11, 2008.
• Medical Staff meeting, April 2, 2008.
• QA/CQI meetings, March 25 and April 17, 2008.

 

On a motion by Diane Nottmeyer and second by Ken Harre, the Board unanimously voted to approve the aforementioned meetings minutes. 

Medical Staff Credentials and/or Privileges

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted the following credentials/privileges be approved/granted: 

• Joseph Baima, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.
• Naveen Chapa, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.
• Angela Schilsky, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.

 

Pinckneyville Community Hospital (PCH) Skilled Care Unit

Nancy reported that PCH received a CON from the State to close their 50-bed skilled care unit.  The PCH Board will vote on the future of the unit at their July 7 meeting.  Depending on the vote, the unit could close as early as mid-September. 

IHA PAC (Political Action Campaign)

IHA PAC raffle tickets are available.  This is the only means this group has of funding its activities. 

Annual Audit Report

The annual audit report will be presented at the August 2008 Board meeting. 

Adjournment

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:56 p.m. 

Respectfully submitted,

 

J. W. Metcalf, Secretary, Board of Directors