Governance

Washington County Hospital
Board of Directors Meeting Agenda
Tuesday, May 25, 2010
7:00 p.m., Conference Rooms A and B

Members Present:
Dale Blohm, Chair
Jim Cange
Greg Engele
Victor Lopez
Bill Manier
J. W. Metcalf
Diane Nottmeyer
Rich Tomaszewski

Member Not Present:
David Behr, absent

Others Present:
Nancy Newby, CEO
Tammy Amizich (exited 7:40 p.m.)
Christine Bening, HR Coordinator (exited 7:40 p.m.)
Ruth Kellerman, QA Coordinator (exited 7:40 p.m.)
Kim Larkin, CIO (exited 7:40 p.m.)
Marc Zerbe, M.D., Medical Staff President Elaine Matzenbacher, CFO

Called to Order:         7:03 p.m.
Adjourned:                 8:59 p.m.

Meeting Agenda
The agenda of the June 29, 2010, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:
Add:                IV.,  F.  Grants – Nancy Newby

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted to  approve the June 29, 2010, meeting agenda with the aforementioned amendment.

Previous Board Meeting Minutes
Finance Committee Meetings Minutes
Joint Conference Committee Meeting Minutes
Personnel, Recruitment and Management Contract Review Committee Meeting Minutes
The following meetings minutes were presented for review and approval:

• Board meeting, May 25, 2010. 
• Finance Committee meetings, May 13 and 25, 2010.
• Joint Conference Committee meeting, June 8, 2010.
• Personnel, Recruitment and Management Contract Review Committee meeting, June 10, 2010.

Recommended amendments:

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted to approve the aforementioned meetings minutes with the aforementioned amendments.

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for May 2010.  Highlights of the report were:

Total Patient Revenue was $1,997,649.  Total Provisions were $892,962.  Total Net Operating Revenue was $1,156,299.  Total Operating Expenses were $1,296,196.  Income from Operations was ($139,897), with YTD Income ($139,897).  Total Non-Operating Revenue was $31,492, with YTD Total Non-Operating Revenue of $31,492.  Total Income was ($108,405), with YTD Total Income of ($108,405), as compared to a budgeted $6,957.

Additional noted items:

• Total Patient Revenues were 7.7% ($166,245) under budget for the month of May--the Outpatient volume was significantly below budget.
• Contractual Adjustments were 3.6% under budget in the month.  Charity care was $3,304.
• Employee benefits were 1.9% under budget this month.  We took approximately $45,000 in stop loss credits in the month; otherwise, May’s insurance claims continue to be significantly over our prefunded amount. 
• Non-Operating Income was 14.1% under budget as there was no grant income recognized in the month.
• The Net Loss for May is $108,405.  This was primarily due to a drop in patient volumes in the month.

On a motion by Rich Tomaszewski and second by Victor Lopez, the Board unanimously voted to approve the May 2010 Financial and Statistical Report.

Quality Report
Ruth Kellerman, quality coordinator, reported on the following:

• WCH will have new QA measures which will align with all core measures of CMS (Centers for Medicare and Medicaid Services) and TJC (The Joint Commission).
• These were reviewed in detail and will be reported on the Balanced Score Card effective with the new fiscal year.

IHA Small & Rural Hospitals Annual Meeting Report

• Board members Dale Blohm, Jim Cange and Diane Nottmeyer 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 included trends in quality care and patient safety, information technology, evolving healthcare law, programs for small and rural hospitals and updates from IHA president.
• Meeting materials are 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 J. W. Metcalf and second by Jim Cange, 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 Second Annual Open House
Harmony will hold a second annual Open House on Tuesday, July 13, from 2:00-4:00 p.m. in their department.  Board members were encouraged to attend as schedules permit.

ER Physician Services Agreement
Nancy reported the following:

• After additional review by the Personnel, Recruitment and Management Contract Committee, WCH finalized the agreement with Midwest Emergency Department Services (MEDS) effective October 1, 2010.
• Alfonso Urdaneta, M.D., will retain the ER Medical Director position.

Omnitech and OPUS Updates
Kim provided the following updates:

• Omnitech – LIS (laboratory information system)
• System went live on Monday evening, June 28.  Implementation went exceptionally well with a few minors issues which are being addressed. 
• Lab staff were prepared and trained which aided the smooth transition.
• After the initial week of implementation, remote support will be available.
• OPUS – IP (inpatient) EHR (electronic health record)
• Kick-off meeting was the end of May and workflow processes were reviewed.
• OPUS will be on site again July 13-14 for system orientation for department managers and directors.
• “Superuser” training is scheduled for late August.
• Mid-September:  Phase I go-live of nursing documentation—nursing charting, lab, and x-ray interfaced.
• Mid-November:  Bedside medication administration with barcoding--will pass charges close to real time; supplies will be charged through barcoding.  Also, computerized provider order entry (CPOE) will be implemented.

Grants
Nancy reported that WCH had applied for four grants and had been awarded two as follows:

• Leadership Recruitment and Retention – $5,000 – will be used for managers’ continuing education. 
• Board Education - $3,000 – will be used for Board continuing education.

Community Comments/Questions and Answers
In response to a reporter’s request, Nancy provided clarification regarding the ICAHN grants, Harmony program and ER physicians services group—Midwest Emergency Department Services.

Closed Meeting
At 7:40 p.m. on a motion by Greg Engele 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)(5)(11)(17)(21).  Blohm AYE, Cange AYE, Engele AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

At 8:56 p.m. on a motion by Jim Cange and second by Rich Tomaszewski, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Cange AYE, Engele AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

Board Closed Meeting Minutes
Medical Staff Meeting Minutes
QA/CQI Meetings Minutes
Personnel, Recruitment and Management Review Contract Committee Closed Meeting Minutes
The following meeting minutes were presented for review and approval:

• Board closed meeting, May 25, 2010.
• Personnel, Recruitment and Management Review Contract Committee closed meeting, June 10, 1020.
• Medical Staff meeting, April 7, 2010.
• QA/CQI meetings, March 18 and April 15, 2010.

On a motion by Bill Manier and second by Victor Lopez, the Board unanimously voted to approve the aforementioned meeting minutes

.

Medical Staff Credentials and/or Privileges
On a motion by J. W. Metcalf and second by Bill Manier, the Board unanimously voted that
credentials and/or privileges be approved/granted as follows:

• Eileen Figuerres, M.D. – Provisional staff specific to teleradiology services.
• Gene Spector, M.D. – Provisional staff specific to teleradiology services.
• Brandon Wynn, D.O. – Provisional staff specific to teleradiology services..
• Charles Sims, M.D., Status change from Provisional to Courtesy, emergency medicine services.
• Alfonso Urdaneta, M.D., Provisional TIF Procedure Privileges, surgical services.

Facilities/Capital Planning Meeting
Dale initiated Board discussion regarding space issues, growth opportunities, the house and garage on campus, IT trends and the need for a Board facilities/capital planning meeting.  Nancy will compile data and then schedule a meeting.

Adjournment
On a motion by J. W. Metcalf and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:59 p.m.

Respectfully submitted,

WCH Board

Administrative Team

Nancy Newby, Chief Executive Officer

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

Christine Bening, Human Resources Coordinator
Ruth Kellerman, Quality Coordinator

>  2010 board meeting dates
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