Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, October 27, 2009
7:00 p.m., Conference Rooms A and B

 

Members Present:

Dale Blohm, Chair

Sandy Alfeldt

David Behr

Greg Engele

Bill Manier

J. W. Metcalf

Diane Nottmeyer

Rich Tomaszewski 

Member Not Present:

Harry Jankowski, absent 

Others Present:

Nancy Newby, CEO

Ruth Kellerman, QA Coordinator (exited 8:03 p.m.)

Elaine Matzenbacher, CFO (exited 8:35 p.m.; returned 8:50p.m.)

Marc Zerbe, M.D., Medical Staff President (exited 8:35 p.m.) 

Others Not Present:

Tammy Amizich, CNE, excused

Kim Larkin, CIO, excused

Melodie Wilkey, HR Director, excused 

Called to Order: 7:10 p.m.

Adjourned:  9:24 p.m. 

Meeting Agenda

The agenda of the October 27, 2009, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Add V., G.  Saturday RHC Hours
• Add VI., F.  Open Meetings Public Act Section 2(C)(11)
  

On a motion by J. W. Metcalf and second by Greg Engele, the Board unanimously voted to approve the October 27, 2009, meeting agenda with the aforementioned amendments.

 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

Personnel, Recruitment and Management Contract Review Committee Meeting Minutes

 

Joint Conference Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, September 22, 2009.
• Finance Committee meeting, September 22, 2009.
• Personnel, Recruitment and Management Contract Review Committee meeting, October 15, 2009.
• Joint Conference Committee meeting, October 15, 2009.
  

On a motion by Diane Nottmeyer and second by David Behr, 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 $2,203,919.  Total Provisions were $1,032,127.  Total Net Operating Revenue was $1,218,001.  Total Operating Expenses were $1,274,662.  Income from Operations was ($56,661), with YTD Income $75,279.  Total Non-Operating Revenue was $79,419, with YTD Total Non-Operating Revenue of $216,161.  Total Income was $22,758, with YTD Total Income of $291,440, as compared to a budgeted $85,455. 

Additional noted items:

• Contractual Adjustments were 11.3% over budget for the month.  This is due largely to an adjustment for the current year's decrease in outpatient Medicare reimbursement.
• Other Operating Revenue was over budget by 45.1% as WCH received its quarterly Medicaid Incentive payments.
• Employee Benefits were 45.4% over budget.  We made an adjustment in September of approximately $59,000 for 1/3 of the quarterly assessment that will be due to Blue Cross in November of $174,000.  This assessment was high claims in July, August and September.
  

On a motion by Rich Tomaszewski and second by David Behr, the Board unanimously voted to approve the September 2009 Financial and Statistical Report. 

Personnel, Recruitment and Management Contract Review Committee Report

Chair J. W. Metcalf gave the following report:

• Committee met October 15, 2009.
• Details of the meeting will be reviewed and discussed in closed session.
  

Joint Conference Committee Meeting Report

Chair Dale Blohm gave the following report:

• Committee met October 15, 2009.
• Topics discussed included:  RHC mid-level provider, expansion of RHC hours, practice growth ideas and transparency (see meeting minutes for details).
  

WCH Annual Golf Tournament Report

Elaine Matzenbacher reported the following:

• Another successful tournament--total donations $6,045.
• Total of 16 teams--two more than last year.
• Received positive feedback; follow-up cards were very nice.
• 2010 WCH golf tournament date:  Friday, October 1.
  

Board Retreat

Board Chair Dale Blohm initiated discussion to schedule the 2010 annual Board retreat.

• Suggested date:  Saturday in January 2010.
• Suggested locations:  Moose Lodge in Nashville or Aviston winery.
• Suggested topics:  marketing, master facility plan, equipment.
  

Linen Services Contract

The Personnel, Recruitment and Management Contract Review Committee received linen services proposals from Faultless, Aramark and Crown.  The Committee recommended the proposal from Crown because it was the lowest bid, it already services hospitals and it had excellent references. 

On a motion by Diane Nottmeyer and second by Bill Manier, the Board unanimously voted to enter into a three- year linen services agreement with Crown, Inc.

Saturday RHC Hours

In an effort to meet community healthcare needs, discussion resumed regarding the expansion of RHC hours to include Saturday hours. 

On a motion by Bill Manier and second by Rich Tomaszewski, the Board unanimously voted to expand RHC hours to include Saturday hours from 9:00 a.m.-3:00 p.m. on a six-month pilot basis with services provided by a mid-level  provider. 

Board Education:  ICAHN Video

The Board viewed an ICAHN video created in response to Illinois legislative requests wanting to know exactly what a critical access hospital is. 

Community Comments/Questions and Answers

In response to inquiries, Nancy provided clarification regarding the hiring of a mid-level provider--the full-time mid-level provider has changed to part-time status; subsequently, interviews are being conducted to cover staffing needs. 

Closed Meeting

At 8:03 p.m. on a motion by David Behr and second by Greg Engele, the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(11)(17)(21).  Alfeldt AYE, Behr AYE, Blohm AYE, Engele AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 8:52 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.  Alfeldt AYE, Behr AYE, Blohm AYE, Engele AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes

Medical Staff Meeting Minutes

 

QA/CQI Meetings Minutes

The following meetings minutes were presented for review and approval:

• Board closed minutes, September 22, 2009.
• Personnel, Recruitment and Management Contract Review Committee closed minutes, October 15 2009.
• Medical Staff minutes, August 12, 2009.
• QA/CQI minutes, July 23 and August 20, 2009.
  

 

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

 

Medical Staff Credentials and/or Privileges

On a motion by Rich Tomaszewski and second by Greg Engele, the Board unanimously voted that credentials and/or privileges be approved/granted as follows:

• William Stafford, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to emergency services.
• Jose Rodriguez, M.D. -- credentials were approved and Provisional Medical Staff privileges were granted specific to teleradiology services.
• Joseph Baima, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
• Russell Bruney, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
• Robert Burke, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
• Naveen Chapa, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
• Angela Schilsky, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
• Daniel Stanton, M.D., - Status change:  from Provisional to Courtesy, teleradiology services.
  

 

Meeting Evaluation

Following discussion, Board consensus was to discontinue use of the Meeting Evaluation form.  Agenda requests, meeting suggestions, etc., may be made by members directly to the Board Chair or CEO. 

Delivery Method of Board Packets

• Although October meeting Board packets were mailed in a timely manner, the majority of members did not receive these until the day of the meeting.  Discussion was held regarding an alternative delivery method, i.e., e-mail.
• Members wanting to continue to receive packet by U.S. postal service:  Sandy Alfeldt, Rich Tomaszewski, Diane Nottmeyer, Dale Blohm--e-mail Management Report, only.
• Members wanting to receive packet by e-mail:  David Behr, Greg Engele, J. W. Metcalf, Bill Manier, Dale Blohm--Management Report, only.
  

 

Adjournment

On a motion by Diane Nottmeyer and second by Sandy Alfeldt, the Board unanimously voted to adjourn the meeting at 9:24 p.m. 

Respectfully submitted,

Richard Tomaszewski, Secretary

 

Board of Directors

Washington County Hospital