Governance

Washington County Hospital
Board of Directors Meeting Minutes
Thursday, May 26, 2011, 7:00 p.m.
Conference Rooms A and B

Members Present:
Dale Blohm, Chair
David Behr
Jim Cange
Greg Engele
Audrey Finke
Victor Lopez
J. W. Metcalf (exited 8:12 p.m.)
Diane Nottmeyer

Member Not Present:
Bill Manier, excused

Others Present:
Nancy Newby, CEO
Ruth Kellerman, QA Coordinator (exited 7:50 p.m.)
Kim Larkin, CIO (exited 8:30 p.m.)
Elaine Matzenbacher, CFO

Others Not Present:
Tammy Amizich, CNE, excused
Christine Bening, HR Coordinator, excused
Alfonso Urdaneta, M.D., Medical Staff President, excused

Called to Order:         7:00 p.m.
Adjourned:                 8:58 p.m.

Meeting Agenda
The agenda of the May 26, 2011, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:

• Add:          V. G.  WCH Auxiliary Annual Report and Luncheon
• Add:          V. H.  Dr. Kilgore
• Add:          V. I.  SSM Leadership Conference

On a motion by David Behr and second by J. W. Metcalf, the Board unanimously voted to approve the May 26, 2011, meeting agenda with the aforementioned amendments.

Introduction and Welcome to New Board Member
Dale Blohm introduced and welcomed new Board member Audrey Finke.  Board members and Administrative Council members introduced themselves. 

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

• Board of Directors, April 26, 2011.
• Finance Committee, April 17 and 21, 2011.

On a motion by Diane Nottmeyer and second by Greg Engele, 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 2011.  Highlights of the report were:

Total Patient Revenue was $2,076,834.  Total Provisions were $839,609.  Total Net Operating Revenue was $1,259,106.  Total Operating Expenses were $1,389,612.  Income/(Loss) from Operations was ($130,506), with YTD Income/(Loss) ($1,303,196).  Total Non-Operating Revenue was $24,262, with YTD Total Non-Operating Revenue of $404,204.  Total Income/(Loss) was ($106,244) as compared to a budgeted $6,957; with YTD Total Income/(Loss) of ($8989,992)* ($898,992)*, as compared to a budgeted $83,484.

Additional noted items:

• Volume was below budget in most areas. 
• Total Patient Revenues were 4.0% ($87,060) under budget.
• Contractual Adjustments were 9.3% under budget.  Charity care was $678.
• Total Operating Expenses were 6.2% over budget primarily due to employee benefits (health insurance).
• Employee benefits were 83.5% over budget as the health insurance claims were significantly higher.
• Other Operating Revenue was under budget ($27,835) as we have received all of our Medicaid incentives for the fiscal year.

On a motion by Diane Nottmeyer and second by Greg Engele, the Board unanimously voted to approve the April 2011 Financial and Statistical Report.

Joint Conference Committee Meeting
The Joint Conference Committee will meet on Tuesday, June 21, 2011, at 7:00 p.m. in the boardroom.

Board Executive Committee Biannual Review of Closed Meeting Minutes
The Board Executive Committee will meet on Tuesday, June 21, 2011, at 6:30 p.m. in the boardroom to complete a biannual review of Board closed meetings minutes, as mandated by the Illinois Open Meetings Act.

Meaningful Use Update

• Kim reviewed in detail WCH status of compliance with Meaningful Use (MU) Core Criteria (19 indicators).
• WCH has officially registered to receive ARRA funding when MU has met compliance for 90 days which will enable WCH to receive 100% reimbursement of MU expenses.  CAH hospitals have been granted an expedited payment cycle with the remainder of reimbursement to be received when the Cost Report is submitted.  WCH has depleted its funds to comply with mandated MU, and reimbursement payments will replenish them.
• Assessment of compliance involves WCH attestation and submission of data generated from our system.

RHC Saturday Hours
The Board concurred with Nancy’s recommendation to discontinue RHC Saturday hours for the summer due to low volume.  Saturday hours may resume in the fall when patient volume can support it.

WCH Annual Health Fair

• Excellent turnout with over 300 in attendance, and a lab draw increase of more than 40 over last year.
• Community feedback has been very positive.
• National Hospital Week was May 8-14, 2011.  Daily employee activities were successful.
• At the May 10 American Red Cross (ARC) blood drive, WCH was recognized for its Silver level of achievement in the ARC “Champions for Life” Recognition Presentation. 

New West Wing Supervisor
Nancy announced that Melissa Hall, RN, has been hired as the new west wing supervisor.  She comes with years of experience as an assistant director of nursing and an assisted living facility director.  Due to family commitments this evening, she will be introduced at the next Board meeting.

WCH Auxiliary Annual Report and Luncheon

• The Annual 2010 WCH Auxiliary Annual Report was reviewed.
• This past month, the Auxiliary donated $16,000 for the purchase of replacement IV pumps.
• The Annual Auxiliary Luncheon will be Thursday, June 9, at noon in rooms A and B, and Board members are welcome to attend.

Dr. Kilgore

• After 23 years of service at WCH, John Kilgore, M.D., cardiologist with Metro Heart Group of St. Louis, is retiring from patient practices; however, he will continue in an administrative capacity.
• WCH will host an event in appreciation and recognition of Dr. Kilgore’s years of service, and at the same time, promote Metro Heart Group’s continued cardiology services of Phillip Apprill, M.D., and a new replacement.
• The event will be funded by Metro Heart Group.

SSM Annual Leadership Conference

• Nancy and Dale attended the SSM Annual Leadership Conference in St. Louis and reported that the topics and speakers were excellent.  Topics covered:  how to recover from mistakes; eliminating barriers, influence and power; embrace the world and find the leader within; as well as others. 
• SSM has facilities in Missouri, Illinois, Wisconsin and Oklahoma.
• Sister Mary Jean is leaving SSM corporate office; however, she will continue as chairman of the Board at SSM.
• Dale and Nancy also had dinner with some SSM corporate staff and discussed interaction between WCH and SMGSI and the impact of the new MOB.

Community Comments/Questions and Answers
In response to reporters’ questions, Nancy provided clarification related to Dr. Kilgore’s retirement and the new west wing supervisor.

Closed Meeting
At 7:50 p.m. on a motion by Greg Engele 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)(11)(21).  Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Finke AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE,  Motion carried.

At 8:55 p.m. on a motion by David Behr and second by Diane Nottmeyer, the Board took a roll call vote to leave closed session and re-enter open session.  Behr AYE, Blohm AYE, Cange AYE, Engele AYE, Finke AYE, Lopez AYE, Nottmeyer AYE,  Motion carried.

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

• Board of Directors closed, April 26, 2011.

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

Julie Aulds, CRNA, Employment Agreement
On a motion by Greg Engele and second by David Behr, the Committee unanimously voted to approve Julie Aulds’s employment agreement with amendments related to weekend call coverage, vacation and phone service and offer a three-year contract extension.

Harmony Program
On a motion by Diane Nottmeyer and second by Jim Cange, the Board unanimously voted to approve to exercise the Premiercare contract 90-day notice of termination clause because the low patient volume cannot financially support the program.

Adjournment
On a motion by David Behr and second by Greg Engele, the Board unanimously voted to adjourn the meeting at 8:58 p.m.

Respectfully submitted,
James Cange, Secretary

*Amendments made per action at 6/28/11 WCH BOD meeting

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
>  Board of Directors agenda & minutes