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Washington County Hospital
Board of Directors Meeting Minutes
Wednesday, July 31, 2013
Conference Rooms A and B

 

Members Present:
Dale Blohm, Chair
Matt Bierman
Dan Bronke
Greg Engele
Audrey Finke
Victor Lopez
Bill Manier
Diane Nottmeyer

 

Members Not Present:          
J. W. Metcalf, excused

 

Others Present:
Nancy Newby, CEO
Dave Davenport, HR Director (exited 8:21 p.m.)
Kim Larkin, CIO (exited 8:34 p.m.)
Elaine Matzenbacher, CFO

 

Others Not Present:
Tammy Amizich, CNE, excused
Ruth Kellerman, QA Coordinator, excused
Alfonso Urdaneta, Medical Staff President, excused

 

Called to Order:         7:00 p.m.
Adjourned:                 8:40 p.m.

 

Meeting Agenda
The agenda of the July 31, 2013, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

On a motion by Matt Bierman and second by Diane Nottmeyer, the Board unanimously voted to approve the July 31, 2013, meeting agenda.

 

Board of Directors Meeting Minutes
Finance Committee Meeting Minutes
Buildings and Grounds Committee Meeting Minutes
Personnel, Recruitment and Management Contract Review Committee Meeting Minutes
Executive Committee Meeting Minutes
The following meeting minutes were presented for review and approval:

  • Board of Directors, June 25, 2013.
  • Finance Committee, May 28, 2013.
  • Buildings and Grounds Committee, June 25, 3013.
  • Personnel, Recruitment and Management Contract Review Committee, June 25, 2013
  • Executive Committee, June 25, 2013.

On a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously voted to approve the aforementioned meeting minutes.

 

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for June 2013.  Highlights of the report were:

Total Patient Revenue was $1,746,623.  Total Provisions were $792,954.  Total Net Operating Revenue was $967,788.  Total Operating Expenses were $1,112,754.  Income/(Loss) from Operations was ($144,966), with YTD Income/(Loss) ($168,532).  Total Non-Operating Revenue was $46,767, with YTD Total Non-Operating Revenue of $81,305.  Total Income/(Loss) was ($98,199), with YTD Income/(Loss) ($87,227).

Additional noted items:

  • Total Patient Revenues were 9.7% ($187,619) under budget.  All areas but Swing were down.
  • Contractual Adjustments were 8.4% under budget.  Charity was $34,292 as the May write-offs missed the cut off and hit the books in June.
  • Other Operating Revenue was 45.7% over budget as the hospital received some Medicaid assessment money in the month.
  • Salaries were 2.6% under budget in June. 
  • Employee benefits were 34.5% under budget.  This was due to receiving a large stop loss credit in the month.
  • Supplies and Other Expenses were 21.2% over budget in June.  Pharmacy drugs were over budget by $27,000, but pharmacy revenue was significantly higher than budget in the month.  There were some grant related expenses paid in the month and some of that grant revenue is shown in grant income. Some of the grant funds will not be received until later in the year.

On a motion by Audrey Finke and second by Bill Manier, the Board unanimously voted to approve the June 2013 Financial and Statistical Report.

 

IS/CT Update
Kim Larkin, CIO, provided the following IS and CT updates:

  • CT Scanner
    • September 9, CT will be de-installed with new CT installation to follow.  Reps will be on site the following week.
    • Two employees completed training in July.
  • Automated Phone System
    • Since implementation of an automated phone system in the RHC a few months ago, the number of complaints has declined.
    • It was noted that health care offices in the area utilize automated phone systems, and WCH has patterned our phone options accordingly.
    • In response to RHC automated phone system scheduling complaints, options have been modified for the appointments line to be answered by staff; other phone options will remain unchanged, i.e., prescription refills, inquiries/consultations, hospital, etc.
    • Employees and customers are encouraged to utilize the automated system which is linked with the patient portal and will aid in meeting Meaningful Use criteria.
    • This past week the main switchboard made a smooth transition to automated service.  Few, if any, complaints have been received to date.
    • Board members expressed customer service concerns especially regarding our elderly population.  Also, members conveyed community complaints and a few expressed their personal dissatisfaction as well.
    • The automated system will be monitored for another month.
  • WiFi
    • In response to numerous requests by patients, customers, vendors, effective July 31, WCH has WiFi for public access through Charter.  No password is required.  It has minimal filters and, as such, Charter may shut down if inappropriate use is identified.
    • WCH’s internet is separate and will not be affected by the new WiFi service.
    • WiFi availability has yet to be publicized, but will be self evident.

Disaster Drill Report

  • WCH, along with WC Health Department, WC Ambulance Service, 911 dispatch, and the fire chief was on site to observe, participated in a decontamination drill on June 28 with scenario of a chemical spill at Nascote.
  • The triage and decontamination process at the hospital went smoothly. 
  • It was learned that neither the local fire department nor the ambulance service may triage or touch the patients until they are decontaminated by a HazMat unit which has to come from either Mt. Vernon or Centralia—a delay of at least 30-45 minutes.
  • The issue of no local HazMat team will be discussed with the county-wide disaster coordinator.

Ordinances No. 150 and No. 151
In compliance with Illinois Compiled Statutes, Elaine presented for approval Ordinance No. 150, “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, 2013 and ending April 30, 2014;”

and

In compliance with Illinois Compiled Statutes, Elaine presented for approval Ordinance No. 151, “An Ordinance amending the levy and assessment of taxes for the fiscal year beginning May 1, 2013 and ending April 30, 2014.”

On a motion by Audrey Finke and second by Bill Manier, the Board unanimously voted to approve Ordinances No. 150 and No.151 for fiscal year 2013-2014 as presented.

 

Telepsychiatry Services

  • Recent results of WCH’s Community Assessment identified the dire need for mental health services.
  • WCH hosted 15 ICAHN hospitals regarding a telepsychiatry program offered by Centerpointe, a St. Louis-based mental healthcare service.  Two options, in particular, are:
    • By appointment – via telemedicine (laptop) – similar to our current outpatient clinics. 
    • ER (for contracted fee) – addresses patient intake, transport, orders.
  • Board members expressed their sentiments of pros and cons of the service via telemedicine.
  • Administration will explore this opportunity.

Capital Purchase:  Anesthesia Machine

  • The current anesthesia machine is 23 years old which WCH purchased refurbished 10 years ago.  The equipment’s antiquated condition is resulting in higher costs for service contract and replacement parts. 
  • The vendor has offered a refurbished Aestiva machine for $15,500, which would have a three-year ROI compared to expenses of continuing with current equipment.

On a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously voted to approve the purchase of an Aestiva anesthesia machine at a cost of $15,500.

 

Capital Purchase:  IT Infrastructure Equipment

  • Kim Larkin presented a list of IT infrastructure needs which, if bundled—a cost of $109,000, would meet capital purchase criteria (minimum $5,000 required for request) and could be submitted for Meaningful Use reimbursement.  Purchases would need to be made by September 30, attestation submitted in October, with reimburse expected the first quarter of 2014, or may be received as early as the end of December. 
  • CFO Elaine Matzenbacher indicated there’s no reason not to expect reimbursement considering our past MU reimbursements.  If this is not reimbursed, there are funds to cover the purchase.
  • Historically, these purchases have been made as needed with expenses worked into the IT budget.
  • Discussion ensued.

On a motion by Bill Manier and second by Matt Bierman, the Board unanimously voted to approve the purchase of IT infrastructure equipment at a cost of $109,000.

 

Certified Athletic Trainer Opportunity

  • WCH has been approached by Nashville Community High School to consider employment of a certified athletic trainer (ATC) which they would contribute $12,000 for his/her services during football and basketball seasons.
  • WCH’s review of possible duties during the remainder of the year would not seem to justify the rest of the ATC salary expense (base salary $35,000).
  • At one time, WCH had entered into an athletic trainer arrangement with NCHS which was justifiable because the employee was a physical therapist and during the off season he provided PT services.
  • Discussion ensued regarding duties and fiscal stewardship related to the position.

On a motion by Matt Bierman and second by Victor Lopez, the Board unanimously voted to decline employment of a certified athletic trainer in collaboration with Nashville Community High School.

 

HRET Conference

  • For some time, WCH has been submitting quality data in nine of 12 applicable indicators, and has met or exceeded desired thresholds.
  • As a result of our quality improvement efforts, WCH was selected to represent the state of Illinois at the AHA (American Hospital Association) HRET (Health Research & Educational Trust) conference in July which had over 1,000 attendees.
  • Nancy gave poster, audio and video presentations and participated in a panel discussion with national healthcare leaders Don Berwick and Maulik Joshi.
  • As a small, rural hospital, WCH’s performance was recognized and information presented was well received.  This was positive exposure for WCH.

Radio Marketing

  • Starting August 1, WCH “branding” radio ads will air eight to nine time per day on the Nashville station WNSV.
  • Adding a sports package in the future may be considered depending on WCH’s financial picture.
  • Also, WCH plans to set-up FaceBook as another marketing tool.  Board members cautioned to expect negative as well as positive feedback.

Community Questions and Answers
In response to inquiries, Nancy provided clarification regarding telepsychiatry services and annual ordinances.

 

Closed Meeting
At 8:21 p.m. on a motion by Matt Bierman and second by Bill Manier, the Board unanimously approved to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(17)(21).  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Nottmeyer AYE.  Motion carried.

At 8:39 p.m. on a motion by Diane Nottmeyer and second by Victor Lopez, the Board unanimously approved to leave closed session and re-enter open session.  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Nottmeyer AYE.  Motion carried.

 

Board of Directors Closed Meeting Minutes
Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes
Executive Committee Closed Meeting Minutes
The following meeting minutes were presented for review and approval:

  • Board of Directors closed, June 25, 2013.
  • Personnel, Recruitment and Management Contract Review Committee closed, June 25, 2013.
  • Executive Committee closed, June 25, 2013.

On a motion by Bill Manier and second by Diane Nottmeyer, the Board unanimously voted to approve the aforementioned meeting minutes.

 

Adjournment
On a motion by Bill Manier and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:40 p.m.

 

Respectfully submitted,


Victor Lopez, Secretary
Board of Directors
Washington County Hospital

 

 

 

WCH Board

Dale Blohm, Board Chairman
J.W. Metcalf, 1st Vice Chairman
Diane Nottmeyer, 2nd Vice Chairman
Victor Lopez, Secretary
Greg Engele, Treasurer

Bill Manier, Member

Audrey Finke, Member

Matt Bierman, Member

 





Administrative Team

Nancy Newby, Chief Executive Officer

Tammy Amizich, Chief Nurse Executive
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer

Dave Davenport, Human Resources Director
Ruth Kellerman, Quality Coordinator


 

>  2013 board meeting dates
>  Board of Directors agenda & minutes

 

 
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