Governance

May Minutes

Washington County Hospital
Board of Directors Meeting Agenda
Tuesday, May 1, 2007
7:00 p.m.


Members Present:

Dale Blohm, Chair

Carol Bishop

Penny Brinkman (arrived 7:10 p.m.)

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

J. W. Metcalf  

Members Not Present:

Fred Klug, excused 

Others Present:

Nancy Newby, CEO

Elaine Matzenbacher, CFO (exited 8:29 p.m.)

Ruth Kellerman, CNE (exited 8:15 p.m.)

Melodie Wilkey, HR Director (exited 8:15 p.m.)

Kim Larkin, CIO (exited 8:15 p.m.)

Marc Zerbe, M.D., Medical Staff President 

Called to Order: 7:06 p.m.

Adjourned:  8:44 p.m. 

Meeting Agenda Additions/Corrections

The agenda of the May 1, 2007 meeting of the Washington County Hospital Board of Directors was presented for review and approval.  The following amendments were requested:

• Add in open session under Business:  Financial Assistance Applications – Elaine Matzenbacher
• Add in closed session:  Litigation - Nancy Newby

On a motion by Ken Harre and second by Carol Bishop, the board voted unanimously to:  Approve the May 1, 2007 meeting agenda with the aforementioned amendments.

Previous Board of Directors Meeting Minutes

Finance Committee Meetings Minutes

Special Board Meeting Minutes

Nominating Committee Meeting Minutes

Joint Conference Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, February 27, 2007;
• Finance committee meetings, March 14 and 27, 2007;
• Special board meeting, March 26, 2007;
• Nominating committee meeting, March 29, 2007; and
• Joint conference committee meeting, April 2, 2007.

On a motion by Jim Cange and second by Greg Engele, the board voted unanimously to:  Approve the aforementioned meetings minutes as presented. 

Financial and Statistical Report

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

Total Patient Revenue was $1,599,838.  Total Provisions were $676,953.  Total Net Operating Revenue was $965,710.  Total Operating Expenses for March were $1,020,660.  Income from Operations was ($54,950), with YTD Income ($457,132).  March’s total Non-operating Revenue was $3,535.  Income prior to Depreciation was ($51,415), with an Excess of Revenues over Expenses ($110,097), with YTD of ($661,374). 

Additional discussion:

• Patient Revenues were at budget for the month of March.  Outpatient visits were 4.5% over budget for the month.
• Contractual Adjustments were 5% over budget in March primarily due to additional payments received in the month.
• Other Operating Revenue reflects $38,433 in Medicaid and Medicare Incentive Payments received in the month.
• Salaries are over budget due to Annual Inservice training for staff which added an additional $15,800 in cost.
• Employee benefits are over by $5,000 due to actual health insurance claims that were higher than anticipated.  
• Supplies and Other Expenses are 12% over budget due largely to increases in oncology drug costs. Oncology revenue is appropriately reflecting a higher than budget month, also.
• The Net Loss of $110,097 is due mainly to additional expenses in the month. The loss prior to depreciation is $51,415 for the month of March.

On a motion by Greg Engele and second by Ken Harre, the board voted to:  Approve the March 2007 financial and statistical report. 

Nominating Committee Report

Proposed Slate of Officers FY2007-08

Committee Chair Carol Bishop reported that the committee met in March, and that it recommended the following slate of officers for FY2007-08:

• Dale Blohm, Chair
• Harry Jankowski, First Vice Chair
• Greg Engele, Second Vice Chair
• Ken Harre, Treasurer
• J. W. Metcalf, Secretary

On a motion by Carol Bishop and second by Jim Cange, the board voted unanimously to:  Accept the aforementioned slate of officers for FY2007-08. 

Committee Appointments

Chair Dale Blohm made the following committee appointments for FY 2007-08:

Executive Committee

Dale Blohm - Chair

Harry Jankowski- First Vice Chair

Greg Engele - Second Vice Chair

Ken Harre - Treasurer

J. W. Metcalf - Secretary

(Past Chair - Vacant)

Nancy Newby - Ex-officio Member

Finance Committee (also acts as MIS Committee)

Ken Harre - Chair

Jim Cange

Greg Engele

Harry Jankowski

Nancy Newby - Ex-officio Member

Buildings and Grounds

Jim Cange - Chair

Greg Engele

J. W. Metcalf

Nancy Newby - Ex-officio Member

Joint Conference Committee

Dale Blohm - Chair

Penny Brinkman

Fred Klug

Carol Bishop

Medical Staff President

Medical Staff Vice President

Medical Staff Secretary 

Nancy Newby - Ex-officio Member

Nominating Committee

Carol Bishop - Chair

Dale Blohm

Penny Brinkman

Nancy Newby - Ex-officio Member

Personnel, Recruitment & Management Contract Review Committee

J. W. Metcalf - Chair

Jim Cange

Greg Engele

Nancy Newby - Ex-officio Member

Budget FY2007-08 Presentation

The budget was presented.   

Harry Jankowski conveyed his concerns and objections as follows, and J. W. Metcalf supported these concerns:

1. Third consecutive year that the presented budget has a negative bottom line.
2. No capital equipment is included in the budget; concerned that no money is available if equipment repairs are needed.
3. Wants all employee names, positions, wages and input into raises.
4. Wants immediate termination of OB services--the unit is an ongoing financial drain.
5. Feels a sense of responsibility to community to maintain financial stability.

Dale Blohm responded:

1. Budget has been in process and available to the board for the past six months; Harry has been absent several months.
2. Budget expenses may be amended as needed as the year progresses.
3. Purpose and vision of WCH is to provide a wide-range of quality health services to the community.  Termination of any service requires thorough examination and planning.  Harry was directed to refer stated OB issues to the finance committee.

On a motion by Penny Brinkman and second by Jim Cange, the board took a roll call vote to*:Adopt FY2007-08 budget.* 

Engele AYE, Harre AYE, Jankowski NAY, Bishop AYE, Cange AYE, Brinkman AYE, Metcalf NAY.  Motion carried.

G2N Proposal

Elaine Matzenbacher presented a proposal by G2N to review the ER and OR chargemasters at a total cost of $5,500.  G2N was selected by ICAHN to be the network’s vendor of choice.  Outcomes of this review will be:

• Compliance with the new Fair Patient Billing Act which requires that “time” charges will be discontinued and “procedure” charges will be implemented.
• Increased revenue resulting from more accurate and appropriate billing methods.
• Bills will be more “patient friendly” (more easily understood).
• G2N will also review WCH’s managed care contracts.

On a motion by Greg Engele and second by Ken Harre, the board voted unanimously to:  Approve the G2N proposal to review the ER and OR chargemasters at a total cost of $5,500. 

WCH Medical Staff Bylaws

Harry questioned the appeals process time frame and Nancy provided clarification.  Nancy noted that the Illinois State Medical Society sample bylaws were the primary guidelines for the bylaws revisions.  On a motion by Penny Brinkman and second by Carol Bishop, the board voted unanimously to:  Approve revisions to the WCH Medical Staff Bylaws as presented. 

Board members will receive final copies of the revised bylaws. 

Financial Assistance Applications

In April, four applications were received for financial assistance, and Elaine reviewed each in detail.  Three of four applicants qualified, which resulted in a total charity disbursement of $6,800.

Community Comments/Questions and Answers

There were no community comments/questions. 

Closed Meeting

At 8:13 p.m. on a motion by Ken Harre 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)(1)(11)(17)(21). Blohm AYE, Bishop AYE, Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE.  Motion carried. 

At 8:40 p.m. on a motion by Penny Brinkman and second by Jim Cange, the board took a roll call vote to leave closed session and re-enter open session.  Blohm AYE, Bishop AYE, Brinkman AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE.  Motion carried. 

Board Closed Meeting Minutes

Special Board Closed Meeting Minutes

Medical Staff Meeting Minutes

QA/CQI Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board closed minutes, March 27, 2007;
• Special board closed minutes, March 26, 2007;
• Medical Staff minutes, March 7, 2007; and
• QA/CQI minutes, February 15, 2007.

On a motion by Greg Engele and second by Ken Harre, the board voted unanimously to:  Approve the aforementioned meetings minutes as presented. 

Medical Staff Biennial Reappointments

Limited Time Extension of Privileges/Credentials

On a motion by Carol Bishop and second by Ken Harre, the board voted unanimously to:  Approve the biennial reappointment of medical staff members as listed (see attachment); and

Grant a limited time extension (through May 30, 2007) of privileges as listed (see attachment) in order to complete the reappointment process.

Adjournment

On a motion by Harry Jankowski and second by Penny Brinkman, the board voted unanimously to adjourn the meeting at 8:44 p.m. 

Respectfully submitted,

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital

Attachment - Medical Staff Reappointments and Extension of Privileges/Credentials

2007-2009 MEDICAL STAFF BIENNIAL REAPPOINTMENT 

Active Members

Biermann, Robin, M.D.

Burr, Donald, M.D. 

Associate Member

JenKins, Keith, M.D.

Courtesy Staff Members

Haacke, Linda, M.D.

Habib, Asif, M.D.

Tucker, Gladstone, M.D. 

Courtesy Staff Members -- ER

Barnhart, Randall, M.D.

Gill, William, Jr., M.D.

Modi, Chandra, M.D.

Wood, Bradley, M.D. 

REQUEST FOR LIMITED TIME EXTENSION OF PRIVILEGES/CREDENTIALS

(extension through May 30, 2007) 

Courtesy Members -- ER

Datzman, Matthew, M.D.

Moy, Edward, M.D.

Parikh, Rakesh, M.D.

Witkop, Philip, M.D. 

WCH Board

Dale Blohm, Board Chairman
Harry Jankowski, 1st Vice Chairman

Greg Engele, 2nd Vice Chairman
J.W. Metcalf, Secretary
Ken Harre, Treasurer
Jim Cange, Member
Carol Bishop, Member
Fred Klug, Member
Penny Brinkman, Member

Administrative Team