Governance

Washington County Hospital

Board of Directors Meeting Agenda

Tuesday, May 27, 2008

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

Members Present:

 

Dale Blohm, Chair

David Behr

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

J. W. Metcalf

Diane Nottmeyer

Rich Tomaszewski 

Others Present:

Nancy Newby, CEO

Tammy Amizich, CNE (exited 8:40 p.m.)

Ruth Kellerman, Quality Coordinator (exited 8:40 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 8:40 p.m.)

Marc Zerbe, M.D., Medical Staff President (exited 8:00 p.m.;

      re-entered 8:48 p.m.)

Kim Larkin, CIO (exited 8:40 p.m.)

Robin Biermann, M.D., Radiologist (arrived 8:15p.m.; exited 8:40 p.m.) 

Called to Order: 7:05 p.m.

Adjourned:  9:12 p.m. 

Meeting Agenda Additions/Corrections

The agenda of the May 27, 2008, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendment was recommended:

• Add under VI.  Closed Meeting, F.  Update:  Legal Issue

 

On a motion by Harry Jankowski and second by Ken Harre, the Board unanimously voted to approve the May 27, 2008, meeting agenda with the aforementioned amendment. 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

Buildings and Grounds Committee Meeting Minutes

Personnel, Recruitment and Management Contract Review Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, April 29, 2008.
• Finance Committee meetings, April 9 and 23, 2008.
• Buildings and Grounds Committee meeting, May 6, 2008.
• Personnel, Recruitment and Management Contract Review Committee meeting, May 6, 2008.

 

The following amendment was recommended for the April 29, 2008, Board meeting minutes:

• Correction:  Change all “Greg” Malawy to “Gary” Malawy.

 

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

 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical report for April 2008.  Highlights of the report were: 

Total Patient Revenue was $1,714,519.  Total Provisions were $755,750.  Total Net Operating Revenue was $1,193,751. Total Operating Expenses were $1,186,964.  Income from Operations was $6,787, with YTD Income ($808,708).  Total Non-Operating Revenue was $62,386, with an YTD Total Non-Operating Revenue of $828,498.  Income prior to Depreciation was $128,240, resulting in a Total Income of $69,173 with an YTD Total Income of $19,790 as compared to a budgeted ($685,140).   

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve the April 2008 Financial and Statistical report. 

NextGen Electronic Health Record

Nancy reported on the progress of the implementation of the electronic health record in the Rural Health Clinic.

• Initially, patient visits were reduced for system implementation; however, this week RHC has resumed its regular patient load.
• A primary challenge has been workflow issues, which are being addressed with staff education and given time they will become familiar with the new system.
• On Thursday, May 28, a representative will meet with RHC providers for additional training and to discuss their concerns/issues.  RHC providers have been given a contact list of current users at other facilities which may be called to aid them in navigating the new program. 
• Overall, the process has gone smoothly, and staff should be commended for the efforts.

 

Quarterly Status Report on WCH Strategic Plan

Nancy reported on the Strategic Plan as follows:

• Reviewed in detail.
• WCH is on target or has surpassed its goals.

 

Quarterly Financials Update

Elaine reported on the Financials as follows:

• Reviewed in detail.
• Compared to a year ago, there has been an improvement in all areas, in particular, that the bottom line is up 89%.

 

Capital Purchase:  Flooring Replacement

Buildings and Grounds Committee Chair Greg Engele reported on the May 6, 2008, meeting, and the Committee recommended that the Board approve a flooring replacement purchase which includes the following:

• Replace remaining upper level carpet of hospital, except front entrance lobby area, with wood laminate tile - $12,035.
• Asbestos abatement - $18,684.
• Flooring installation - $4,350.

 

On a motion by Diane Nottmeyer and second by J. W. Metcalf, the Board unanimously voted to approve the aforementioned flooring replacement purchase recommendation of the Buildings and Grounds Committee. 

Capital Purchase:  Lawn Tractor

Also from the May 6, 2008, Buildings and Grounds Committee meeting Chair Greg Engele conveyed the Committee’s recommendation to purchase a new lawnmower which includes the following:

• Current mower is 12 years old and needs to be replaced.
• The recommended model is 25HP with front attachment which would aid staff with loading/unloading needs, e.g., deliveries, equipment, etc.
• Four bids were received. Diedrich’s was the lowest bid of $8,869 after a $3,500 trade-in of the old mower.

 

On a motion by Rich Tomaszewski and second by Harry Jankowski, the Board unanimously voted to approve the aforementioned lawn mower and attachment purchase recommendation of the Buildings and Grounds Committee. 

WCH Golf Tournament

• WCH will hold a golf tournament at the Nashville Community Golf Course on Friday, October 3.
• Offering 18 holes with carts, goodie bags, lunch, refreshments on the course followed by dinner.
• “Save the Date” notes will go out within the next few weeks, and formal invitations will be mailed closer to the event date.
• J. W. Metcalf volunteered as Board representative to serve on the Golf Committee.

 

C/T Scanner Replacement

Kim Larkin distributed information on bids received, stating that GE was the lowest bidder on all three--16-, 32- and 64-slice--scanners.

• As lowest bidder, GE bids were reviewed in detail and a lengthy discussion ensued.
• Although higher technology, i.e., 32- or 64-slice, was desired, affordability was a concern.  WCH’s finances are narrowly in the black again, and reimbursements from the State are not reliable given its financial picture.
• Dr. Biermann noted:
  • 64-slice -- enable cardio imaging capabilities and that even at smaller facilities this could become more commonplace.
  • 16- and 32- slice – probably would not be the addition of various procedures; however, these would afford improved image quality, patient comforts satisfaction and avoid repeated exams at other facilities if patients are transferred, which would aid in less costs to the patient.
• Pinckneyville Community Hospital (PCH) has not yet decided on their C/T scanner purchase; WCH’s purchase may have a bearing on the equipment purchase by PCH.

 

On a motion by J. W. Metcalf and second by Harry Jankowski, the Board took a roll call vote was to approve the purchase of a GE 16-slice C/T scanner with the option to buy for $1 at the end of five years at a total monthly payment of $14,803; a five-year cost of $888,180. 

Behr NAY, Cange NAY, Engele NAY, Harre NAY, Jankowski AYE, Metcalf AYE, Nottmeyer NAY, Tomaszewski ABSTAINED.  Motion failed. 

On a motion by David Behr and second by Rich Tomaszewski, the Board took a roll call vote to approve entering into GE True Lease five-year agreement for a 16-slice C/T scanner at a total monthly payment of $13,456; five-year cost of $807,369. 

Behr AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Community Comments/Questions and Answers

In response to inquiries from Nashville News reporter Dave Volz, clarification was provided regarding the flooring replacement purchase, the lawn mower/attachment purchase and the C/T scanner lease. 

Closed Meeting

At 8:40 p.m. on a motion by Ken Harre 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)(1)(17)(21). Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 9:10 p.m. on a motion by Greg Engele and second by Ken Harre, the Board took a roll call vote to leave closed session and re-enter open session.  Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board closed meeting, April 29, 2008.
• Personnel, Recruitment and Management Contract Review Committee closed meeting, May 6, 2008.

 

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

CRNA Employment Agreement

On a motion by Ken Harre and second by David Behr, the Board unanimously voted to accept the Personnel, Recruitment and Management Contract Review Committee’s recommendation to offer Julie Aulds, CRNA, a three-year employment agreement with an incremental salary increase over the three-year period. 

Medical Staff Credentials and/or Privileges

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted the following credentials/privileges be approved/granted:

• Darrel Anderson, M.D. -- credentials were approved and Courtesy Medical Staff privileges were granted specific to teleradiology services.

 

Adjournment

On a motion by J. W. Metcalf and second by Harry Jankowski, the Board unanimously voted to adjourn the meeting at 9:12 p.m. 

Respectfully submitted, 

J. W. Metcalf, Secretary, Board of Directors

 

Washington County Hospital