Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, June 26, 2007, 7:00 p.m. 

Members Present:

Dale Blohm, Chair

Penny Brinkman

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

Fred Klug, Ph.D.

J. W. Metcalf 

Member Not Present:

Carol Bishop, excused 

Others Present:

Nancy Newby, CEO

Ruth Kellerman, CNE (exited 8:09 p.m.)

Kim Larkin, CIO (exited 8:09 p.m.)

Elaine Matzenbacher, CFO (exited 8:40 p.m.)

Melodie Wilkey, HR Director (exited 8:09 p.m.)

Marc Zerbe, M.D., Medical Staff President 

Called to Order: 7:05 p.m.

Adjourned:  9:00 p.m. 

Meeting Agenda Additions/Corrections

      The agenda of the June 26, 2007 meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

      The following amendments were made:

• Add: Closed Business, Medical Staff Meeting Minutes, April 4, 2007 - Motion
• Add: Closed Business, QA Meetings Minutes, March 15 and April 19, 2007 - Motion

      On a motion by Greg Engele and second by J. W. Metcalf, the board voted unanimously to approve the June 26, 2007 meeting agenda with the aforementioned amendments. 

Previous Board of Directors Meeting Minutes

 

Finance Committee Meetings Minutes

 

Joint Conference Committee Meeting Minutes

 

Executive Committee Meeting Minutes

 

Buildings and Grounds Committee Meeting Minutes

 

Special Board Meeting Minutes

      The following meetings minutes were presented for review and approval:

• Board meeting, May 22, 2007;
• Finance committee meetings, May 9, 22 and June 6, 2007;
• Joint conference committee meeting, June 5, 2007;
• Executive committee meeting, June 6, 2007;
• Building and grounds committee meeting, June 6, 2007; and
• Special board meeting, June 12, 2007.

      The following amendments were recommended:

 

      On a motion by Penny Brinkman and second by Jim Cange, the board voted unanimously to approve the aforementioned meetings minutes with the aforementioned amendments. 

Financial and Statistical Report

      Elaine Matzenbacher presented the financial and statistical figures for May 2007.  Highlights of the report were:

      Total Patient Revenue was $1,573,415.  Total Provisions were $613,748.  Total Net Operating Revenue was $983,238.  Total Operating Expenses for May were $1,023,474.  Income from Operations was ($40,236), with YTD Income ($40,236).  May’s total Non-Operating Revenue was $28,874.  Income prior to Depreciation was $46,799, with an Income of ($11,362), with YTD of ($11,362).

      Elaine noted the format change to the Statement of Revenue and Expenses report.

      On a motion by Ken Harre and second by Greg Engele, the board voted unanimously to approve the May 2007 financial and statistical report. 

Building and Grounds Committee Report

• Oxygen storage upgrade project was recommended to the board for approval.
• Pergo flooring has been installed in the elevator and will be monitored for durability.
• Remaining carpet replacement:
  • Bids have been obtained for the remaining carpet replacement project (including tile abatement); however, this has been on hold due to hospital finances.
  • A vendor from the IHA S&R Annual Meeting has agreed to provide test flooring for WCH and will help locate a floor installer. 
  • WCH will be responsible for the expense for tile abatement and floor installation. 
  • Recommended location of the test flooring is from the front lobby entrance to the public restroom. 
  • At Greg’s suggestion, Nancy is searching for an EPA grant which may be used for the project.  However, these grants are usually more specific to air-borne environmental hazards.

 

Marketing Committee Report

      Chair Fred Klug reported that a meeting will be scheduled. 

Finance Committee Report

• At Chair Ken Harre’s request, Elaine explained in detail the new format of the Statement of Revenue and Expenses report.  Several positive comments were made regarding this new format. 
• Jim Cange noted that the report had last FY year’s report headings.  Elaine will update the headings.

 

Board Planning Calendar

• Dale Blohm distributed a sample calendar of events related to board/hospital activities to aid in annual board planning. 
• Members were asked to review and give input to the executive committee. 
• The executive committee will meet in a few weeks to further develop the calendar and present for board review.

 

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 Ken Harre and second by Penny Brinkman, 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. 

Oxygen Storage Upgrade

      On a motion by Jim Cange and second by Greg Engele, the board voted unanimously to award the contract to Praxair to perform the oxygen bulk tank storage area upgrade to meet code requirements at a cost of $16,933.91.

      WCH staff will transform a former dumpster into storage area to house oxygen bottle tanks to meet code requirements. This project will cost $3,947.00. 

Immigration Physicals

• Dr. Urdaneta has been recertified as a civil surgeon authorizing him to do immigration physicals (he did this at his former practice location). 
• There are only a few civil surgeons in the Southern Illinois area.
• This information has been posted on the immigration website, and the rural health clinic has been overwhelmed with calls.
• The process is on a cash basis.
• A news article regarding this new service will be published in the local papers.

 

HIT Federal Grant Update

• A federal grant program has been established to jumpstart the use of electronic health records (EHR). 
• It is available to states with a FLEX program.
• Of 45 potentials states, it’s been narrowed to 30, with final awards to only 15 states in the amount of up to $1.6 million each.
• For the state of Illinois, IDPH through ICAHN selected WCH as a pilot hospital in conjunction with Salem hospital, with Good Sam/Mt. Vernon being the tertiary facility.  WCH is the primary grant writer for this project.
• WCH completed the grant application and forwarded to IDPH 6/26/07.  Grant awards are to be made 9/1/07.  Recipients will have 14 months to implement the system and 18 months to have all participants utilizing it.
• Kim and Nancy provided additional details of the proposed project for Illinois.
• Jim reported that, at the IHA S&R Annual Meeting, Nancy and Kim spent their spare moments working with Salem hospital administration on this project, and commended them for their tireless efforts.

 

IHA Small & Rural Hospitals Annual Meeting

• Nancy, Kim, Dale and Jim attended this annual meeting June 19-21.
• Dale stated that the speakers were very good and inspirational.  Dale distributed an article of one of the speakers, from Board Brief, “Leadership Habits of Highly Successful Governing Boards.”
• Jim very much appreciated the meetings which focused on board governance, and the opportunities to network with other hospitals of like size.  He encouraged other board members to attend in the future.  Jim offered to share his program materials with the board.
• Jim reported that WCH’s has a reputation as an IT cutting-edge hospital as a result of our administration’s hard work and commended Nancy for her leadership and efforts in helping to make WCH a success.

 

Community Comments/Questions and Answers

      In response to Dave Volz’s inquiry, Elaine Matzenbacher defined “Depreciation” and the related process. 

Closed Meeting

      At 8:09 p.m. on a motion by Jim Cange and second by Ken Harre the board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(21).  Blohm AYE, Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Klug AYE, Metcalf AYE.  Motion carried.

      At 8:59 p.m. on a motion by Greg Engele and second by Fred Klug, the board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Klug AYE, Metcalf AYE.  Motion carried. 

Board Closed Meeting Minutes

 

Executive Committee Closed Meeting Minutes

 

Special Closed Meeting Minutes

 

Medical Staff Meeting Minutes

 

QA/CQI Meetings Minutes

      On a motion by Ken Harre and second by Fred Klug, the board voted unanimously to approve the following closed meetings minutes:

• Board closed meeting, May 22, 2007;
• Executive committee closed meeting, June 6, 2007;
• Special board closed meeting, June 12, 2007, with amendment;
• Medical staff meeting, April 4, 2007; and
• QA/CQI meetings, March 15 and April 19, 2007.

 

Adjournment

      On a motion by J. W. Metcalf and second by Fred Klug, the board voted unanimously to adjourn the meeting at 9:00 p.m. 

Respectfully submitted, 

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital 

* Amended per action at 5/22/07 WCH BOD meeting

** Amended per action at 6/26/07 WCH BOD meeting

Nancy M. Newby, CEO
Kim Larkin, CIO
Elaine Matzenbacher, CFO
Ruth Kellerman, CNE
Melodie Wilkey, HR Director