Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, March 22, 2011, 7:00 p.m.
Conference Rooms A and B

Members Present:
Dale Blohm, Chair
David Behr, via teleconference
Jim Cange
Greg Engele
Victor Lopez
J. W. Metcalf
Diane Nottmeyer
Rich Tomaszewski

Member Not Present:
Bill Manier, excused

Others Present:
Nancy Newby, CEO
Christine Bening, HR Coordinator (exited 7:31 p.m.)
Ruth Kellerman, QA Coordinator (exited 7:31 p.m.)
Kim Larkin, CIO (exited 7:31 p.m.)
Elaine Matzenbacher, CFO

Others Not Present:
Marc Zerbe, M.D., Medical Staff President, absent
Tammy Amizich, CNE, excused

Called to Order:         7:03 p.m.
Adjourned:                 8:29 p.m.

Meeting Agenda
The agenda of the March 22, 2011, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendment was made:

• Add:          IV.  G.  Reschedule May 24 Board Meeting – Nancy Newby

On a motion by Victor Lopez and second by J. W. Metcalf, the Board unanimously voted to approve the March 22, 2011, meeting agenda with the aforementioned amendment.

Board of Directors Meeting Minutes
Finance Committee Meetings Minutes

Personnel, Recruitment and Management Contract Review Committee Minutes
The following meetings minutes were presented for review and approval:

• Board of Directors, February 22, 2011.
• Finance Committee, February 9 and 22, 2011.
• Personnel, Recruitment and Management Contract Review Committee Minutes, March 9, 2011

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

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

Total Patient Revenue was $1,727,077.  Total Provisions were $799,026.  Total Net Operating Revenue was $943,187.  Total Operating Expenses were $1,280,093.  Income/(Loss) from Operations was ($336,906), with YTD Income/(Loss) ($1,075,366).  Total Non-Operating Revenue was $28,900, with YTD Total Non-Operating Revenue of $348,352.  Total Income/(Loss) was ($308,006) as compared to a budgeted $6,957; with YTD Total Income/(Loss) of ($727,014), as compared to a budgeted $69,570.

Additional noted items:

• Total Patient Revenues were 20.2% ($436,817) under budget for the month of February.  Acute and Swing revenue were over budget, but all of the Outpatient areas were significantly below budget.
• Contractual Adjustments were 13.7% under budget in the month.   Charity care was $8,237.
• Employee benefits were 38% over budget this month as the health insurance claims were much higher in February and our BCBS firm failed to process claims for a portion of the last two months so that this month has significantly higher numbers as they “catch up.”
• Other Operating Revenue was under budget ($27,021) in the month as we have previously received all of our Medicaid incentives for the fiscal year. 
• Total Operating Expenses were 2.1% under budget in February.
• Clarification was provided on the difference between Observation patient status and Outpatient patient status and charges which may be generated.

On a motion by Diane Nottmeyer and second by David Behr, the Board unanimously voted to approve the February 2011 Financial and Statistical Report.

Proposed Slate of Board Officers FY2011-12
Nominating Committee Chair Diane Nottmeyer reported that the Committee met in March and recommended the following slate of officers for FY2011-12.

• Chair – Dale Blohm
• First Vice Chair – J. W. Metcalf
• Second Vice Chair – Diane Nottmeyer
• Treasurer – Greg Engele
• Secretary – Jim Cange

On a motion by David Behr and second by Victor Lopez, the Board unanimously voted to approve the aforementioned slate of Board officers for FY2011-12.

Board Committees Appointments FY2011-12
Chair Dale Blohm made the following Board Committees appointments for FY 2011-12:

• Executive Committee
• Dale Blohm - Chair
• J. W. Metcalf- First Vice Chair
• Diane Nottmeyer - Second Vice Chair
• Greg Engele - Treasurer
• Jim Cange - Secretary
• (Past Chair - Vacant)
• Nancy Newby - Ex-officio Member

• Finance Committee
• Greg Engele - Chair
•             b.         David Behr
• c.         Victor Lopez
•             d.         Diane Nottmeyer
•             e.         Nancy Newby - Ex-officio Member

• Buildings and Grounds
• Jim Cange - Chair
• Greg Engele    
• c.         J. W. Metcalf
• d.         Nancy Newby - Ex-officio Member

• Joint Conference Committee
• a.         Dale Blohm - Chair
•             b.         Bill Manier
•             c.         J. W. Metcalf
•             d.         Marc Zerbe, M.D. - Medical Staff President
•             e.         Robin Biermann, M.D. - Medical Staff Vice President
•             f.          Alfonso Urdaneta, M.D. - Medical Staff Secretary
•             g.         Nancy Newby - Ex-officio Member

• 5.   Nominating Committee
• Diane Nottmeyer - Chair
• Victor Lopez
• Bill Manier
• Nancy Newby - Ex-officio Member

6.   Personnel, Recruitment & Management Contract Review Committee
            a.         J. W. Metcalf - Chair
            b.         Jim Cange
            c.         Greg Engele

• d.         Nancy Newby - Ex-officio Member

OPUS Update
Kim had provided a detailed report in the Management Report and highlighted the following:

• Pharmacy was taken off line on February 25 because it was not properly interfacing.  Soon a QA analysis will be done to insure accuracy, followed by testing and, if acceptable, will be back online.
• After pharmacy is back online, additional functionalities will be implemented, e.g., exit care/discharge, surgical services, rehabilitation services, etc.
• Order Entry is going well.
• Overall, most of the staff and physicians have transitioned well to the EHR; subsequently, support calls have decreased immensely.
• The bottleneck issue discussed at the previous meeting has been resolved with some data retrieval reprogramming.

Illinois Budget Impact
Nancy reviewed:

• An IHA statement on Governor Quinn’s budget proposal for across-the-board rate cuts of 6 % ($552 million; $300 million to hospitals) and the resulting severe negative impact on health care.
• A task force has been developed to review the reasons for rising costs and methods to address same, and two IHA representatives are task force members.  It has been agreed not to implement the 6% rate cut—very good news.
• IHA has launched an initiative, “Preserve Health Care—Attend Lobby Days March 30 and 31,” an effort to show strength in numbers and meet with legislators to share our concerns and views.
• Also, with the change in CAH Medicaid reimbursement formula, reimbursements will be at the Medicare reimbursement rate.  WCH is expecting a Medicaid reimbursement payment in April 2011 which will be retroactive to January 2011.

WCH Annual Inservice

• WCH’s Annual Inservice will be held on Thursday and Friday, March 31 and April 1, and will have a “Wild, Wild West” theme.
• Competency testing will be conducted in compliance with TJC standards.
• This year each employee will receive a 2010 Total Compensation Statement which outlines his/her total income opportunity and benefits provided by WCH as well as the cost of those benefits.

WCH Annual Health Fair:  May 11

• WCH’s Annual Health Fair will be Wednesday, May 11, 7:00-10:30 a.m.
• Lab tests will be offered at a reduced rate.
• Information/education booths will be available also.

Date Change:  May Board Meeting
Board consensus was to reschedule the Tuesday, May 24, Board meeting to Thursday, May 26, so that Chair Dale Blohm and Nancy may attend the SSM Annual Leadership Summit in St. Louis on May 24-26.

Community Comments/Questions and Answers
In response to a reporter’s inquiry, Nancy provided information on her participation in healthcare organizations at the state and local levels.  Nancy was recently appointed by Governor Quinn to the newly formed Board of the Illinois Health Information Exchange which will hold its first meeting in April 2011.

Closed Meeting

At 7:31 p.m. on a motion by Jim Cange and second by Victor Lopez, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(17)(21).  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

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

Board of Directors Closed Meeting Minutes

Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes
The following meetings minutes were presented for review and approval:

• Board of Directors closed, February 22, 2011.
• Personnel, Recruitment and Management Contract Review Committee closed, March 9, 2011.

On a motion by J. W. Metcalf and second by Jim Cange, the Board unanimously voted to approve the aforementioned meetings minutes.

Employment Agreement
On a motion by Rich Tomaszewski and second by Victor Lopez, the Board unanimously voted to approve the Personnel, Recruitment and Management Contract Review Committee’s recommendation to amend the employment agreement of Robert Davidson, M.D., to increase his number of hours to include Thursdays in WCH RHC at his current hourly salary.

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

Respectfully submitted,

Richard Tomaszewski, 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

>  2011 board meeting dates
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