Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, June 28, 2011, 7:00 p.m.
Conference Rooms A and B

Members Present:
Dale Blohm, Chair
Bill Manier
Jim Cange
Greg Engele
Audrey Finke
Victor Lopez
J. W. Metcalf (arrived 7:12 p.m.)
Diane Nottmeyer

Member Not Present:
David Behr, excused

Others Present:
Nancy Newby, CEO
Ruth Kellerman, QA Coordinator (exited 7:46 p.m.)
Chris Bening, HR Coordinator (exited 7:46 p.m.)
Elaine Matzenbacher, CFO

Others Not Present:
Tammy Amizich, CNE, excused
Kim Larkin, CIO, excused
Alfonso Urdaneta, M.D., Medical Staff President, excused

Called to Order:         7:06 p.m.
Adjourned:                 8:29 p.m.

Meeting Agenda
The agenda of the June 28, 2011, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendment was made:

• Correction: VI. B. 1.  Board Closed, April May 26, 2011

On a motion by Greg Engele and second by Victor Lopez, the Board unanimously voted to approve the June 28, 2011, meeting agenda with the aforementioned amendment.

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

• Board of Directors, May 26, 2011.
• Finance Committee, May 13 and 26, 2011.
• Personnel, Recruitment and Management Contract Review Committee, May 26, 2011.
• Executive Committee, June 21, 2011.
• Joint Conference Committee, June 21, 2011.

The following amendment was made:

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to approve the aforementioned meetings minutes with the recommended amendment.

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for May 2011.  Highlights of the report were:

Total Patient Revenue was $1,894,583.  Total Provisions were $753,800.  Total Net Operating Revenue was $1,143,330.  Total Operating Expenses were $1,279,081.  Income/(Loss) from Operations was ($135,751), with YTD Income/(Loss) ($135,751).  Total Non-Operating Revenue was $46,364, with YTD Total Non-Operating Revenue of $46,364.  Total Income/(Loss) was ($89,387) as compared to a budgeted ($826).

Additional noted items:

• Volume was below budget in most areas; surgery cases were significantly low as a physician was on vacation for two weeks.
• Total Patient Revenues were 10.8% ($229,822) under budget for the month of May.  Most of this deficit was in the Outpatient areas.
• Contractual Adjustments were 11.2% under budget in the month.  Charity care was $17,758.
• Other Operating Revenue was under budget ($25,341) in the month as we have received all of our Medicaid incentives for the state’s fiscal year. 
• Salaries were 1.2% over budget in May.  This overage can be attributed to the Inpatient areas that were over budget on revenue.   
• Employee benefits were 16.3% over budget this month as the health insurance claims were over the prefunding in the month.
• WCH Auxiliary donated $16,000 for IV replacement pumps throughout the hospital.

On a motion by Audrey Finke and second by Victor Lopez, the Board unanimously voted to approve the May 2011 Financial and Statistical Report.

Introduction and Welcome to New Med-Surg Nursing Supervisor
Nancy introduced and welcomed Melissa Hall, new med-surg nursing supervisor.  Board members introduced themselves. Melissa gave a brief self-bio:  She was a CNA at the age of 17 and received her RN degree at Kaskaskia College.  She’s had 22 years of long-term care experience during which time she was an assistant director of nursing for three years and most recently a director of nursing for five years.  Employment at WCH has afforded a career change opportunity to med-surg nursing.  She was very complimentary of our staff and the patient care provided.

Joint Conference Committee Report

• The Joint Conference Committee meets quarterly and is composed of three Board members—Dale Blohm, Bill Manier and J. W. Metcalf—and Medical Staff officers—Alfonso Urdaneta, M.D., president; Mohammed Siddiqui, M.D., vice president; Robert Davidson, M.D., secretary—for the purpose of addressing issues, practices, etc.
• This was a first-time meeting with the new MS officers and discussion included Meaningful Use, IT, financials, IHA education programs, Accountable Care Organizations, impact of Healthcare Reform, and other topics.
• Dr. Davidson was very complimentary of the patient care, hospital cleanliness and dietary. Dr. Siddiqui agreed that he had found no fault with the patient care at WCH.

IHA Small & Rural Hospital Annual Meeting Report

• Dale Blohm, Jim Cange and Nancy Newby attended the IHA Small & Rural Hospital Annual Meeting in Springfield on June 14-16. 
• Nancy presented an overview of the program.
• Jim was impressed with the entire IHA presentation and its efforts to represent hospitals at the state and federal legislative levels.  IHA recognized WCH and Nancy’s accomplishments and participation and positions in various committees and boards at the local, state and national levels.
• Regarding EHRs, Dale noted that WCH is on the leading edge of this technology, especially among other S&R hospitals.
• Meeting materials are available upon request.  Members were encouraged to attend future meetings.

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 Victor Lopez, 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.

WCH Medical Staff Bylaws Review
Nancy reported the following:

• A change related to The Joint Commission (TJC) standards incorporated material on Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).
• Required applicant photo identification.
• Medical Executive Committee (MEC) now includes Medical Staff Officers, Clinical Chiefs and Medical Directors (in essence, all physicians attending MS meetings will also attend MEC meetings).

On a motion by Jim Cange and second by Diane Nottmeyer, the Board voted to approve the revised WCH Medical Staff Bylaws as presented.

Capital Campaign for Digital Mammography

• WCH Auxiliary is launching a capital campaign to purchase CR digital mammography equipment which will improve healthcare services and benefit the community.  WCH Board, staff and community support will be vital to make this a success.
• We have about $20,000 designated for equipment and need to raise $90,000-100,000, with a goal date of October 2011.
• A kick-off dinner/dance to educate, raise community awareness and encourage county-wide participation in funding this need.  The event will be the evening of Saturday, July 30, at the Nashville American Legion Hall with Twilight Jazz Club Band (Steve Brown).  Details will be published in the newspaper, flyers posted and a dedicated website BOOSTWCH.org
• The website also offers fundraising ideas for community members.

Dr. Kilgore’s Retirement Reception
WCH will host a retirement reception for Dr. Kilgore in recognition of his 23 years of service to Washington County residents.  The event will be Tuesday, July 12, from 4:00-6:00 p.m. in conference rooms A and B, and will be publicized in the paper and via flyers.  Dr. Kilgore is discontinuing private practice, however, he will continue to serve in an administrative capacity at the Heart Institute in St. Louis.  All were encouraged to attend to convey their appreciation.

Case Management Meetings
On 6/27/11, Nancy and WCH rehab services staff met with SSM-St. Louis case management staff to get acquainted and discuss improving transition strategies between facilities.  Also, in May a meeting was held with staff from SMGSI-Mt. Vernon for the same purpose.  Both meetings were very positive.

Community Comments/Questions and Answers
In response to reporters’ questions, Nancy provided clarification related to the Capital Campaign kick-off event.

Closed Meeting
At 7:46 p.m. on a motion by Victor Lopez and second by Greg Engele, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(11)(17)(21).  Blohm AYE, Cange AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

At 8:27 p.m. on a motion by Jim Cange and second by Audrey Finke, the Board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Cange AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

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

• Board of Directors closed, May 26, 2011.
• Personnel, Recruitment and Management Contract Review Committee closed, May 26, 2011.
• Executive Committee closed, June 21, 2011.
• Medical Staff, April 20, 2011.
• QA/CQI, March 17 and April 21, 2011.

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

Medical Staff Membership Status Change
Board members reviewed the Medical Executive Committee’s recommendation and information received during the probationary processes.  Based on this review, it was the Board’s opinion that the applicant has met the requirements for Medical Staff change of status as recommended. 

On a motion by Bill Manier and second by Greg Engele, the Board unanimously voted to approve the following Medical Staff changes of status:

• Rodger Hanko, M.D. – Change of Status from Provisional to Courtesy, Emergency Department Services.

WCH Medical Staff Biennial Reappointments
Board members reviewed the Medical Executive Committee’s recommendations and information received during the biennial reappointment process.  Based on this review, it was the Board’s opinion that the remaining applicant has met the requirements for Medical Staff reappointment and clinical privileges as recommended. 

On a motion by Bill Manier and second by Audrey Finke, the Board unanimously voted to approve the biennial reappointment of WCH Medical Staff member, Nadeem Ahmed, M.D., as presented.

Adjournment
On a motion by Jim Cange and second by Bill Manier, the Board unanimously voted to adjourn the meeting at 8:29 p.m.

Respectfully submitted,

James Cange, Secretary
Board of Directors
Washington County Hospital

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

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