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Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, May 28, 2013
Conference Rooms A and B

 

Members Present:
Dale Blohm, Chair
Matt Bierman
Dan Bronke
Greg Engele
Audrey Finke
Victor Lopez
Bill Manier
Diane Nottmeyer

 

Member Not Present:
J. W. Metcalf, excused

 

Others Present:
Nancy Newby, CEO
Tammy Amizich (exited 8:29 p.m.)
Dave Davenport, HR Director (exited 8:29 p.m.)
Kim Larkin, CIO (exited 9:06 p.m.)
Elaine Matzenbacher, CFO
Howard Davis, Facilities Management Supervisor (exited 8:29 p.m.)

 

Other Not Present:
Ruth Kellerman, QA Coordinator, excused
Alfonso Urdaneta, Medical Staff President, excused

 

Called to Order:         7:07 p.m.
Adjourned:                 9:19 p.m.

 

Meeting Agenda
The agenda of the May 28, 2013, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

On a motion by Diane Nottmeyer and second by Victor Lopez, the Board unanimously voted to approve the May 28, 2013, meeting agenda.

 

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

  • Board of Directors, April 23, 2013.

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

 

Financial and Statistical Report
Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for April 2013.  Highlights of the report were:

Total Patient Revenue was $1,941,722.  Total Provisions were $733,165.  Total Net Operating Revenue was $1,165,012.  Total Operating Expenses were $1,164,285.  Income from Operations was $727, with YTD Income ($124,225).  Total Non-Operating Revenue was $32,283, with YTD Total Non-Operating Revenue of $588,355.  Total Income was $39,010, with YTD Income $464,130.

Additional noted items:

  • Salaries were 1.8% over budget in April, due to 6 new staff members hired and in orientation and additional hours related to annual inservices.  Year-to-date Salaries were 2% ($123,190) under budget.
  • Employee benefits were 3.4% over budget this month.  This category was 6.9% ($124,595) under budget year-to-date.
  • There was an income from Operations of $727 in the month.  Year-to-date there was an operating loss of $124,225 which is actually $278,615 less than was budgeted.
  • The Net Income for April was $39,010. Year-to-date net income was $464,130 ($441,582 over budget).  There were two unusual items contributing to this:  the construction grant funds of $173,510 and additional Meaningful Use monies of $145,810.  Without these amounts, WCH still had $144,000 net income for FY 2013. 
  • Awaiting chargemaster review results from consultant group Eide Bally.  Administration was impressed with the quality of consultants and their thorough review process.  They focused on compliance, accuracy, improving reimbursement, and sessions with each department were very educational.
  • Victor noted that three years ago WCH’s finances were poor.  A year ago hard decisions were made to address our dire financial condition resulting in a more positive picture.  Thanks were expressed to Administration for their role in this significant turnaround. 

On a motion by Audrey Finke and second by Matt Bierman, the Board unanimously voted to approve the April 2013 Financial and Statistical Report.

 

IS/CT Update
Kim Larkin, CIO, provided the following IS and CT updates:

  • CT Scanner
    • Installation by Siemens is on schedule for mid-September.
    • Have been in contact with GE for removal of equipment.
    • Two technicians will receive training in July.
  • Star Garden – Payroll, Timekeeping and Human Resources
    • Completed first actual payroll run which went well with one glitch related to call pay.  Employees have done extremely well with clocking in/out and accessing/printing out pay stubs.
    • After second successful payroll run, then will move toward implementation of staff scheduling module.

Data/Storage Facility

  • WCH met with DePew and Owen (D&O), and they have committed to honor their bid submitted in October 2012.  D&O wants our business, has put labor into this project, and has worked with us on several other projects. 
  • Again, design specs were reviewed in detail, including the Board’s expressed concerns. 
  • D&O recommended the addition of an $11,350 alteration to add plumbing, a sink and floor drain in the maintenance storage area (cheaper to do during initial construction).
  • Building construction will be the same as the energy center and able to withstand 90 mph winds.
  • When remaining grant fund earmarked for this project are received, they will be put back into reserves.

On a motion by Victor Lopez and second by Matt Bierman, the Board voted to accept DePew and Owen bid of $220,416.00 to construct a data/storage facility including Alteration 1 at an additional cost of $11,350.00.

Motion carried with an opposing vote by Bill Manier.

 

WCH Annual Health Fair Report

  • Very positive feedback was received about the WCH’s Annual Health Fair on Wednesday, May 16, 7:00-10:00 a.m.
  • 225 lab panels were done.
  • 20 informational/educational booths were available to the community which included the pillcam, new endoscopy equipment, patient portal and vision testing. 
  • Tours were provided of the sleep studies room, the PFT room and the digital mammography center.

EHR Connect
Kim Larkin, CIO, presented the following purchase request:

  • EHR Connect, at a total cost of $10,950.00, would bundle all interfaces to enable connection with a health information exchange (HIE) of our choice.
  • This HIE is required criteria for Meaningful Use Phase 2.
  • WCH is approved as an early adopter for the Illinois HIE (ILHIE) which means we get some financial incentives—such as no interface fees from ILHIE as well as a two-year exemption on support fees for the HIE.
  • WCH has been awarded a $15,000 White Space Grant from ICAHN (funded by federal and state monies) and would cover the entire product cost.

On a motion by Diane Nottmeyer and second by Victor Lopez, the Board voted to purchase EHR Connection at a cost of $10,950.00 using ICAHN White Space Grant.

Motion carried with an opposing vote by Bill Manier.

 

REDOC
Kim Larkin, CIO, presented the following purchase request:

  • REDOC is an electronic health record niche product for therapy services and will allow physical therapy and occupational therapy and speech therapy to chart their clinical record electronically and will interface with NextGen (NG).  Currently, the therapy departments are still charting on paper and this is the only vendor found which provides for documentation for all three therapies.
  • With the new Medicare requirements regarding G-codes and modifiers, the documentation requirements for therapy billing have escalated to the point that it will be very difficult if not impossible to complete the documentation manually and to get the correct codes on the bills. 
  • Total purchase cost of $29,695.00 would be offset by ICAHN grant award of $7,500.00 and by NG site visit credits of $12,000.00; resulting in a final purchase price of $10,195.00 in addition to a monthly subscription expense (license users fee) of $2,100.00.
  • Discussion ensued.

On a motion by Victor Lopez and second by Audrey Finke, the Board unanimously voted to revisit at the next Board meeting at which time Administration will provide a financial analysis regarding the required monthly subscription expense and its impact on physical therapy, occupational therapy and speech therapy revenue and profitability.

 

Annual Board Strategic Planning Retreat

  • Consensus was that a Board Strategic Planning Retreat needs to be scheduled before another Joint Conference Committee meeting.  Subsequently, a Board Retreat will be held on Tuesday, June 11, 2013, 6:00-9:00 p.m. in conference rooms A and B. 
  • Discussion will focus on community assessment results, physician succession and affiliation. 

Executive Committee Meeting for Biannual Review of Closed Meeting Minutes Scheduled
June Board Meeting Time Adjusted

The Board Executive Committee will meet on Tuesday, June 25, 2013, at 7:00 p.m. in the boardroom to complete a biannual review of Board closed meetings minutes, as mandated by the Illinois Open Meetings Act.

Subsequently, the June 25, 2013, Board meeting will follow at 7:15 p.m.

 

Quarterly Status Report
Nancy reviewed the fourth quarter status report (copy on file).  The year ended positively and all should be pleased with accomplishments.

 

Marketing Update

  • Billboard: new ad is up and is noticeably more visible and brighter.
  • Radio:  about five years ago, radio ads were discontinued due to WCH’s poor financial situation.  Victor Lopez conveyed his exchange with Brad Meyer, WNSR manager, to reactivate radio ads for a 12-month period at $450 and about 25 spots per month.  Discussion ensued.

On a motion by Victor Lopez and second by Matt Bierman, the Board unanimously voted to enter into a one-year radio ads agreement with WNSR at a cost of $450 per month, to be reviewed after one year.

 

Community Questions and Answers

  • Clarification was given regarding the data/storage facility.
  • Nancy distributed Illinois Hospital Association brochure of updated health care facts.

Closed Meeting
At 8:29 p.m. on a motion by Matt Bierman and second by Greg Engele, the Board unanimously approved to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(21).  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Nottmeyer AYE.  Motion carried.

At 9:18 p.m. on a motion by Victor Lopez and second by Matt Biermann, the Board unanimously approved to leave closed session and re-enter open session.  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier 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 23, 2013.

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

 

Adjournment
On a motion by Matt Bierman and second by Audrey Finke, the Board unanimously voted to adjourn the meeting at 9:19 p.m.

 

Respectfully submitted,


Victor Lopez, Secretary
Board of Directors

Washington County Hospital

 

WCH Board

Dale Blohm, Board Chairman
J.W. Metcalf, 1st Vice Chairman
Diane Nottmeyer, 2nd Vice Chairman
Victor Lopez, Secretary
Greg Engele, Treasurer

Bill Manier, Member

Audrey Finke, Member

Matt Bierman, Member

 





Administrative Team

Nancy Newby, Chief Executive Officer

Tammy Amizich, Chief Nurse Executive
Kim Larkin, Chief Information Officer
Elaine Matzenbacher, Chief Financial Officer

Dave Davenport, Human Resources Director
Ruth Kellerman, Quality Coordinator


 

>  2013 board meeting dates
>  Board of Directors agenda & minutes

 

 
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