Governance

Washington County Hospital

Board of Directors Meeting Minutes

Tuesday, November 24 2009, 7:00 p.m.

Conference Rooms A and B 

Members Present:

Dale Blohm, Chair

Sandy Alfeldt

Greg Engele

Bill Manier

Rich Tomaszewski 

Members Not Present:

David Behr, excused

Harry Jankowski, absent

J. W. Metcalf, excused

Diane Nottmeyer, excused 

Others Present:

Nancy Newby, CEO

Ruth Kellerman, QA Coordinator (exited 7:52 p.m.)

Elaine Matzenbacher, CFO Tammy Amizich, CNE, (exited 7:52 p.m.)

Kim Larkin, CIO (exited 7:52 p.m.)

Melodie Wilkey, HR Director (exited 7:52 p.m.) 

Others Not Present

Marc Zerbe, M.D., Medical Staff President, absent 

Called to Order: 7:00 p.m.

Adjourned:  8:02 p.m. 

Meeting Agenda

The agenda of the November 24, 2009, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Add V., E.  The Joint Commission Lab Survey
• Add V., F.  Interim Cost Report - Motion
  

 

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted to approve the November 24, 2009, meeting agenda with the aforementioned amendments. 

 

Previous Board Meeting Minutes

 

Finance Committee Meetings Minutes

 

The following meetings minutes were presented for review and approval:

• Board meeting, October 27, 2009.
• Finance Committee meeting, October 15 and 27, 2009.

 

On a motion by Greg Engele and second by Sandy Alfeldt, the Board unanimously voted to approve the aforementioned meetings minutes. 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical Report for September 2009.  Highlights of the report were: 

Total Patient Revenue was $2,097,616.  Total Provisions were $870,736.  Total Net Operating Revenue was $1,264,508.  Total Operating Expenses were $1,338,098.  Income from Operations was ($73,590), with YTD Income $1,691.  Total Non-Operating Revenue was $39,646, with YTD Total Non-Operating Revenue of $255,807.  Total Income was ($33,944), with YTD Total Income of $257,498, as compared to a budgeted $102,546. 

Additional noted items:

• Total Patient Revenues were 8% ($17,338) over budget for the month of October.
• Contractual Adjustments were 6.1% over budget for the month. 
• Employee Benefits were85.1% over budget.  We made another adjustment in October of approximately $59,000 for the second 1/3 of the quarterly assessment that will be due to Blue Cross in November of $174,000.  This assessment was for high claims in July, August and September.  Blue Cross also increased our monthly prefunding amount due to the previous high claims.
  

 

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted to approve the October 2009 Financial and Statistical Report. 

 

Quality Report

Ruth Kellerman, quality coordinator, provided the following:

• Reviewed an article on the role of the Board in overseeing Quality.
• Demonstrated the new IDPH Patient Portal for Quality Reporting as mandated by the Report Card Act.
• Reviewed the ICAHN Benchmark Quality Program
• Reviewed an article of Board responsibilities related to electronic health records implementation and safety.
  

 

Conference Room Tables Replacement

Nancy presented four bids to replace 12 conference room tables (bid spreadsheet on file) with the recommendation to purchase the higher quality nesting tables (Perpetual HON tables) which are on wheels, lock securely and are easy to move and nest for storage.  The cost per table is $759; total price for 12 tables is $9,108.  Conference room tables are moved frequently and these tables will be less likely to cause back injuries for housekeeping staff. 

On a motion by Sandy Alfeldt and second by Bill Manier, the Board unanimously voted to approve the recommended purchase of 12 Perpetual HON conference room tables at a total cost of $9,108. 

Board Executive Committee Biannual Review of Closed Meeting Meetings

 

The Board Executive Committee will meet on Tuesday, December 29, 2009, 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.

December Board Meeting Date

 

Finance Committee Meeting Date 

Following discussion regarding holiday schedules, Board consensus was to change the meeting date to Tuesday, December 29, 2009, (from December 22, 2009) at 7:00 p.m.  If Chair Dale Blohm is not present, then First Vice Chair J. W. Metcalf will oversee the meeting. 

Subsequently, the Finance Committee will also meet on Tuesday, December 29, 2009, at 6:00 p.m. in the boardroom.  

Board Buildings and Ground Committee Meeting

The Buildings and Grounds Committee will meet on Tuesday, December 8, 2009, at 6:00 p.m. in the boardroom to discuss repair/replacement options for the house on campus. 

The Joint Commission (TJC) Lab Survey

• Survey results were shared with the Board.
• Nancy and Dale commended the laboratory staff for their hard work and the successful results of this survey.
  

 

Interim Cost Report

In order to project future Medicare costs, Elaine and Nancy requested funding for McGladrey to complete a six-month interim cost report, at an approximate cost of $6,500. 

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted to approve McGladrey to complete an interim cost report at an approximate cost of $6,500. 

Community Comments/Questions and Answers

Nancy answered several questions related to current Healthcare Reform issues currently being debated in the U.S. Senate, and what the impact would be on WCH. 

Closed Meeting

At 7:52 p.m. on a motion by Greg Engele and second by Sandy Alfeldt, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(21).  Alfeldt AYE, Blohm AYE, Engele AYE, Manier AYE, Tomaszewski AYE.  Motion carried. 

At 8:00 p.m. on a motion by Rich Tomaszewski and second by Sandy Alfeldt, the Board took a roll call vote to leave closed session and re-enter open session.  Alfeldt AYE, Blohm AYE, Engele AYE, Manier AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board closed minutes, October 27, 2009.

 

On a motion by Greg Engele and second by Sandy Alfeldt, the Board unanimously voted to approve the aforementioned meetings minutes. 

 

Adjournment

On a motion by Sandy Alfeldt and second by Bill Manier, the Board unanimously voted to adjourn the meeting at 8:02 p.m. 

Respectfully submitted,

 

Richard Tomaszewski, Secretary

 

Board of Directors

Washington County Hospital