Governance

Washington County Hospital

Board of Directors Meeting Meeting

Tuesday, June 30, 2009

7:00 p.m., Conference Rooms A and B 
 

Members Present:

Dale Blohm, Chair

Greg Engele

Harry Jankowski

J. W. Metcalf

Diane Nottmeyer

Rich Tomaszewski 

 

Members Not Present:   

David Behr, excused 

Others Present:

Nancy Newby, CEO

Elaine Matzenbacher, CFO

Marc Zerbe, M.D., Medical Staff President 

Others Not Present:

Tammy Amizich, excused

Ruth Kellerman, excused

Kim Larkin, excused

Melodie Wilkey, excused 

Called to Order: 7:07 p.m.

Adjourned:  8:11 p.m. 

Meeting Agenda Additions/Corrections

The agenda of the June 30, 2009, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Delete: II.  Board Education
• Add: III.  D.  Special Board Meeting, June 25, 2009
• Add: V.  E.  Golf Tournament – Elaine Matzenbacher
• Add: VII.  B.  5.  Special Board Closed Meeting, June 25, 2009
• Add: VIII.  Requests for Agenda Items for Next Board Meeting – Dale Blohm

 

On a motion by Harry Jankowski and second by Greg Engele the Board unanimously voted to approve the June 30, 2009, meeting agenda with the aforementioned amendments. 

Board Education

Due to the illness of the presenter, this topic was postponed to the July Board meeting. 

Previous Board Meeting Minutes

 

Special Board Meeting Minutes

 

Finance Committee Meetings Minutes

 

Executive Committee Meeting

The following meetings minutes were presented for review and approval:

• Board meeting, May 26, 2009.
• Special Board meeting, June 25, 2009.
• Finance Committee meetings, May 13 and 26, 2009.
• Executive Committee meeting, June 9, 2009.

 

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

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical Report for May 2009.  Highlights of the report were: 

Total Patient Revenue was $2,071,458.  Total Provisions were $871,118.  Total Net Operating Revenue was $1,256,229.  Total Operating Expenses were $1,247,661.  Income from Operations was $8,568, with YTD Income $8,568.  Total Non-Operating Revenue was $29,644, with an YTD Total Non-Operating Revenue of $29,644.  Income prior to Depreciation was $100,454.  Total Income was $38,212 with an YTD Total Income of $38,212 as compared to a budgeted $17,091. 

Additional noted items:

• Key Statistics Report – One area was near budget with all other areas exceeding budget.
• Charity Care continues to run below budget, again, because patients are not applying.

 

On a motion by Harry Jankowski and second by Rich Tomaszewski, the Board unanimously voted to approve the May 2009 Financial and Statistical Report. 

IHA Small & Rural Hospitals Annual Meeting Report

• Board members Dale Blohm, Diane Nottmeyer and Rich Tomaszewski and Nancy Newby, CEO, attended this year’s IHA Small & Rural Hospitals Annual Meeting. 
• Attendees reported on the meeting and encouraged all Board members to attend next year.  The speakers were excellent.
• Topics covered trends in leadership (including importance of attitude), governance, health care in Illinois (not only local and national competition, but foreign competition), generational differences and rural physicians.
• Nancy offered to make her meeting materials available to Board members interested in more details.

 

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 Greg Engele and second by Harry Jankowski, 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. 

HARMONY Open House

Nancy reported the following for June:

• Open House was held June 25th with over 100 attendees.  Refreshments and tours were provided as well as gift drawings.  Dr. Napier, program medical director, was able to attend for a period of time.  PremierCare’s corporate HR director was also present.
• There were 22 therapy days in June.
• There were 209 patient billable hours.
• Numbers increased 30% above May.
• Receiving first revenue payment.
• In May, WCH made its first management fee payment.

 

Lab Change to Gel Reagents

As reported in the June Board Management Report, Nancy Newby reviewed the following information:

• SSM lab group approached WCH with an offer to reduce the cost of our Blood Bank reagents by switching to a gel method.
• WCH’s five-year cost savings by switching to gel would be $46,339.
• Gel method is cheaper, little human intervention--more reliable because it’s automated, better patient safety.
• Requires an initial capital outlay of $3,500 to purchase the needed incubator and centrifuge.

 

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to approve the purchase, from Ortho Clinical Diagnostics, of an incubator and centrifuge at a cost of $3,500 for the Lab Blood Bank to change to a reagents gel methodology. 

WCH Third Annual Golf Tournament

• Date set for Friday, October 2, 2009.
• J. W. Metcalf volunteered to be the Board representative on the Golf Committee.

 

Community Comments/Questions and Answers

• Clarification was given regarding the lab equipment purchase.

 

Closed Meeting

At 7:43 p.m. on a motion by Greg Engele 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)(11)(17)(21).  Blohm AYE, Engele AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 8:07 p.m. on a motion by Rich Tomazewski and second by Harry Jankowski, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Engele AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE  Motion carried. 

Board Closed Meeting Minutes

 

Board Executive Committee Meeting Minutes

 

Medical Staff Meeting Minutes

 

QA/CQI Meetings Minutes

The following meeting minutes were presented for review and approval:

• Board closed minutes, May 26, 2009.
• Special Board closed minutes, June 25, 2009.
• Board Executive Committee closed meeting, June 9, 2009.
• Medical Staff meeting, April 8, 2009.
• QA/CQI meetings, March 19 and April 16, 2009.

 

On a motion by Greg Engele and second by Harry Jankowski, the Board unanimously voted to approve the aforementioned meetings minutes. 

Medical Staff Credentials and/or Privileges

On a motion by Diane Nottmeyer and second by Harry Jankowski, the Board unanimously voted: 

That credentials/privileges be approved/granted for:

• Mary Joelle Curry, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.
• Jennifer Sharp, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.

 

WCH Medical Staff Limited Time Extension of Privileges/Credentials

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to: 

Grant a limited time extension (through August 31, 2009) of privileges/credentials as listed in order to complete the reappointment process:

• Salvador Chavez, M.D.
• Matthew Datzman, M.D.
• Robert Davidson, M.D.
• Kenneth Velez, M.D.

 

Physician Recruitment

The Personnel, Recruitment and Management Contract Committee will meet on Tuesday, June 7, 2009, at 7:00 p.m. in room B to review an independent contractor agreement with Robert Davidson, M.D. 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted that in the interest of time, the Board grant the Personnel, Recruitment and Management Contract Committee authorization to execute an independent contractor physician agreement with Robert Davidson, M.D.; any deviations from prior Board discussions would require Board consultation. 

 

Requests for Agenda Items for Next Board Meeting

• Dale called for agenda items for the next Board meeting.  This will become a regular agenda item.
• Also, future meetings will conclude with members completing a brief evaluation of each meeting.  Evaluations will aid the Board in meeting goals and responsibilities.

 

Adjournment

On a motion by Diane Nottmeyer and second by J. W. Metcalf, the Board unanimously voted to adjourn the meeting at 8:11 p.m. 

Respectfully submitted,

 

Richard Tomaszewski, Secretary, Board of Directors

 

Washington County Hospital