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 8:05 p.m.)
Christine Bening, HR Coordinator (exited 8:05 p.m.)
Ruth Kellerman, QA Coordinator (exited 8:05 p.m.)
Kim Larkin, CIO (exited 8:05 p.m.)
Elaine Matzenbacher, CFO
Marc Zerbe, M.D., Medical Staff President
Robin Biermann, M.D., Jill, Katy and Andrew Biermann

Called to Order:         7:03 p.m.
Adjourned:                 8:57 p.m.

Meeting Agenda
The agenda of the May 25, 2010, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:
Add:                Global Ambassadors for Children Presentation – to follow Welcome of New Board
                        Member
Add:                V., F. 2010 WCH Annual Golf Tournament – Elaine Matzenbacher

On a motion by Diane Nottmeyer and second by J. W. Metcalf, the Board unanimously voted to approve the May 25, 2010, meeting agenda with the aforementioned amendments.

New Board Member Welcome
Dale introduced and welcomed new Board member Victor Lopez.  He is executive director of Prophecy 1, LLC, which is a leading provider of logistics management, custom web application and consulting services.  Board members then introduced themselves.

Global Ambassadors for Children Presentation
Katy and Andrew Biermann gave a presentation on Global Ambassadors for Children (GAFC) regarding its current Malawi Mattress Project (detailed flier on file).  If interested in donating to this project, contact Katy or Andrew, or send donation to address on distributed flier.

Previous Board Meeting Minutes
Finance Committee Meetings Minutes
The following meetings minutes were presented for review and approval:

• Board meeting, April 27, 2010. 
• Finance Committee meetings, April 14 and 27, 2010.

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 April 2010.  Highlights of the report were:

Total Patient Revenue was $2,481,699.  Total Provisions were $1,133,718.  Total Net Operating Revenue was $1,409,893.  Total Operating Expenses were $1,371,629.  Income from Operations was $38,264, with YTD Income ($627,288).  Total Non-Operating Revenue was $27,868, with YTD Total Non-Operating Revenue of $466,945.  Total Income was $66,132, with YTD Total Income of ($160,343), as compared to a budgeted $188,001.

Additional noted items:

• Total Patient Revenues were 11.1% ($231,091) over budget for the month of April.  
• Contractual Adjustments were 4.9% over budget in the month.  We recognized $100,482 of our interim cost report settlement in the month.
• Salaries were 5.4% over budget in April which is in line with the increased volumes.
• Employee benefits were 84.4% ($95,487) over budget this month.  We accrued 1/3 of the next quarterly health insurance settlement due to Blue Cross of $122, 322 which is due 6/25/10.
• Bad debts were 32.6% over budget in the month. 

On a motion by Bill Manier and second by Greg Engele, the Board unanimously voted to approve the April 2010 Financial and Statistical Report.

Quality Report
Ruth Kellerman, quality coordinator, reported on IHA Quality Care Institute proposed three-year Raising the Bar:  Call to Action campaign to reduce readmissions and hospital-acquired conditions.  Reviewed in detail were (copy of detailed report on file):

• Background and Action Plans.
• Advocacy and Key Policy Issues.
• Other proposed initiatives for the Quality Care Institute.
• Communications Strategy:  Launching the Institute.

Capital Equipment:  Patient Lift Assist
Discussion was held regarding an emergency request for the purchase of patient lift assist equipment:

• Patient safety and employee health issues:
• This device will assist in easily transferring patients and ensuring additional patient safety.  East and west wings currently share this model of lift, and a second lift is needed to address the increasing number of obese patients.
• It will reduce employee lift-related injuries (several reported in the past few months).  Exact cost of impact was unavailable.
• Three bids have been received.
• WCH physical therapy department recommended the Sara Plus model (highest bid) because of its superior body mechanics.  A $2,000 savings on the demo model has been offered, and additional slings and a battery will be included free of charge.
• If demo is purchased, we need to ensure same type of warranty as with a new model.

On a motion by David Behr and second by Rich Tomaszewski, the Board unanimously voted to approve the purchase of the Sara Plus demo model at $5,474 if available, not to exceed $7,474 for a new model, with a full warranty.

Collection Agency Analysis
Discussion was held regarding collection agency services:

• CACi has been WCH’s collection agency since 2002.  In the fall of 2009 collections dropped significantly—CACi said this was due to a new computer system—and WCH has monitored closely since then.
• RFP’s were mailed and three bids were received.  Site visits were made by WCH’s CFO, business office manager and collections agent.
• A detailed analysis (copy on file) was reviewed and addressed the areas of security, technology, reports, physical location, staffing and employee relations, CAH’s, price and references.
• In response to J.W.’s inquiry, Elaine stated that each agency’s percentage of collections received on outstanding bills cannot be readily produced because of numerous variables (type of account, age of account, etc.).
• The Finance Committee has recommended continuing with CACi.

On a motion by Greg Engele and second by Diane Nottmeyer, the Board unanimously* voted to enter into an agreement with CACi at a 21% collection rate, a three-year term with an annual renewal option, and a 30-day termination notice.  Motioned carried with an opposing vote from J. W. Metcalf.*

Joint Conference Committee Meeting
A quarterly Joint Conference Committee meeting will be held on Tuesday, June 8, 2010, at 7:00 p.m. in the boardroom. 

Board Executive Committee in June for Biannual Review of Closed Meeting Meetings
The Board Executive Committee will meet on Tuesday, June 29, 2010, at 6:30 p.m. in conference room B to complete a biannual review of Board closed meetings minutes, as mandated by the Illinois Open Meetings Act. 

June Board Meeting Date Change
Finance Committee Meeting Date Change

• The June 22 Board meeting was rescheduled to Tuesday, June 29, at 7:00 p.m. in rooms A and B.  This will allow Board members and Administrative staff to attend the IHA Small & Rural Hospitals Annual Meeting on June 22-24.
• Subsequently, the June 22 Finance Committee meeting was rescheduled to Tuesday, June 29, at 6:00 p.m. in the boardroom.

2010 WCH Annual Golf Tournament

• Elaine announced that the 2010 WCH Annual Golf Tournament date has been set for Friday, October 1, at the Nashville Municipal Golf Course.
• Diane Nottmeyer and Victor Lopez volunteered to represent the Board on the 2010 WCH Golf Committee, which will meet within the next month.

Community Comments/Questions and Answers
In response to a reporter’s request, Nancy provided clarification regarding the collection agency analysis.

Closed Meeting
At 8:05 p.m. on a motion by Jim Cange 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)(21).  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Lopez AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

At 8:55 p.m. on a motion by J. W. Metcalf and second by Greg Engele, 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, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried.

Board Closed Meeting Minutes
The following meeting minutes were presented for review and approval:

• Board closed meeting, April 27, 2010.

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

ER Physicians Services
On a motion by Rich Tomaszewski and second by Bill Manier, the Board unanimously voted to refer to the Personnel, Recruitment and Management Contract Review Committee the review of ER physicians’ services with the recommendation to pursue an agreement between WCH and MEDS (Midwest Emergency Department Services).

Adjournment
On a motion by J. W. Metcalf and second by Bill Manier, the Board unanimously voted to adjourn the meeting at 8:57 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

>  2010 board meeting dates
>  Board of Directors agenda & minutes