Governance

Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, October 25, 2011, 7:00 p.m.
Conference Rooms A and B

Members Present:                             
Dale Blohm, Chair                              
David Behr via phone                         
Greg Engele                                        
Audrey Finke                                      
Victor Lopez                                       
J. W. Metcalf                                      
Diane Nottmeyer                                
                                                           
Members Not Present:                                  
Jim Cange, excused
Bill Manier, excused

Others Present:

Nancy Newby, CEO

Alanna Barker, HR Director (exited 7:45 p.m.)

Ruth Kellerman, QA Coordinator (exited 7:45 p.m.)

Kim Larkin, CIO (exited 7:55 p.m.)

Elaine Matzenbacher, CFO

Others Not Present:

Tammy Amizich, CNE, excused

Alfonso Urdaneta, M.D., Medical Staff President, absent

Called to Order:         7:00 p.m.
Adjourned:                 8:35 p.m.

Meeting Agenda

The agenda of the October 25, 2011, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

The following amendments were made:

• Deletion:    II.  D.  Joint Conference Committee, October 20, 2011 – meeting cancelled
• Correction: IV.  Business  F.  The Joint Commission Site Survey Report – Tammy Amizich Nancy Newby
• Addition:   IV.  G.  Radio Clip – Nancy Newby
• Correction: VI.  C.  1.  Board Closed, August 23, 2011 September 27, 2011

On a motion by J. W. Metcalf and second by Audrey Finke, the Board unanimously voted to:

Approve the October 25, 2011, meeting agenda with the aforementioned amendments.

Board of Directors Meeting Minutes
Finance Committee Meetings Minutes
Personnel, Recruitment and Management Contract Review Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board of Directors, September 27, 2011.
• Finance Committee, September 8 and 27, 2011.
• Personnel, Recruitment and Management Contract Review Committee, September 27, 2011.

On a motion by Victor Lopez and second by Diane Nottmeyer, the Board unanimously voted to:

Approve the aforementioned meetings minutes.

Financial and Statistical Report

Elaine Matzenbacher, CFO, presented the Financial and Statistical Report for September 2011.  Highlights of the report were:

Total Patient Revenue was $1,796,272.  Total Provisions were $720,031.  Total Net Operating Revenue was $1,150,266.  Total Operating Expenses were $1,310,058.  Income/(Loss) from Operations was ($159,792), with YTD Income/(Loss) ($405,705).  Total Non-Operating Revenue was $32,892, with YTD Total Non-Operating Revenue of $213,031.  Total Income/(Loss) was ($126,900) as compared to a budgeted ($192,674).

Additional noted items:

• Volume was below budget in all areas except long-term care.  Two physicians were on vacation during September.
• Total Patient Revenues were 15.4% ($328,133) under budget.  All areas except for Extended Care were down.
• Contractual Adjustments were 15.1% under budget.  Charity care was $185 for September.
• Other Operating Revenue was over budget by $28,564 in the month as we are now receiving the Medicaid “double” assessment payments. 
• Salaries were 7.1% under budget.  Supervisors continue giving “low census” days to staff to control salaries, as well as controlling overtime. 
• Employee benefits were 72.4% over budget due to high health insurance claims.
• Non-Operating Income was 4.6% under budget as there were no donations in the month and interest was below budget.

On a motion by Greg Engele and a second by Diane Nottmeyer, the Board unanimously voted to:

Approve the September 2011 Financial and Statistical Report.

Meaningful Use Update

Kim Larkin, CIO, presented the following Meaningful Use (MU) update:

• On October 6, 2011, successfully completed the online attestation process on behalf of WCH with CMS (Medicare).
• Last week WCH filed expenses for reimbursement.  Reimbursement is expected six to eight weeks after submission, and this will replenish WCH funds.
• WCH must continue to meet Stage 1 criteria.  With each additional stage, additional criteria will need to be met and maintained. 
• WCH selected immunization criteria to submit to ICARE (state agency) which was successful and must be documented.  Staff will be trained in this process.
• On behalf of the Board, Dale Blohm expressed appreciation to Kim Larkin all staff involved in this massive undertaking and accomplishment—all are to be commended.

Golf Tournament Report

Elaine Matzenbacher provided the following final report:

• Annual golf tournament was held Friday, September 30, 2011, at Nashville Community Golf Course.
• Very successful with over $14,000 cleared.  There was one $5,000 donation, four tournament ($1,000) sponsors and several prize winners donated their winnings.
• 19 teams played.
• Elaine was commended for coordinating and completing the bulk of the work.

Quarter Auction Results

Nancy Newby provided the following report:

• Quarter Auction was held Sunday, October 16, 2011, at Nashville Community Center.
• It was very successful with over $3000 cleared.
• The event started with a luncheon during which Patricia Whitworth, M.D., from Clinical Radiologists, S.C., gave a brief presentation on digital mammography.  She was very impressed with over 100 attendees show of support.
• There were 24 vendors and 80 auction items.
• Community feedback has been very positive.

Digital Mammography Total

Nancy Newby provided the following report:

• To date, over $70,000 has been raised.
• If WCH is able to raise another $40,000 in the next six weeks, we could have the equipment by the end of January 2012.
• The next phase of the campaign is for Board members to distribute corporate letters to businesses and individuals soliciting their support.  In order to not duplicate efforts, Nancy will keep a master contact list, and Board members will notify Nancy of contacts made.
• Any additional fundraising events will be scheduled after the Christmas holidays.

IDPH Hospital Capital Investment Program Construction Grant

Nancy Newby provided the following report:

• WCH’s Letter of Intent was approved.  The grant will be submitted after a 10-day waiting period.
• WCH requested the following items:
• Omnicell medication cabinet - $114,010
• Pre-fab building for storage and to house IT server room - $214,332
• West Wing patient rooms renovation - $18,678
• A Buildings and Grounds Committee meeting will be scheduled to discuss the building project and patient room renovation.  The house and garage on campus will need to be razed and holes filled in which will cost approximately $10,000 not covered by the grant. 

Quarterly Status Report

Nancy reviewed in detail the third Quarterly Status Report (copy on file). 

The Joint Commission Site Survey Report

Nancy Newby provided the following report:

• The Joint Commission, accreditation organization, conducted a site survey of the long-term care (LTC) unit and critical access hospital (CAH) on Thursday-Friday, October 6-7, 2011.  Surveyors included a nurse for LTC, a physician for CAH and an engineer for the life safety survey.
• The surveyors overall were very complimentary of the Hospital and its efforts to maintain the building, the cleanliness of the facility and of the electronic health record. 
• The findings and final recommendations were received and a Plan of Correction with Monitors of Success will be written and submitted to The Joint Commission in the next 45-60 days.
• LTC – had three identified items which have been resolved.
• CAH – had some policy items identified which have been resolved or in the process of being resolved.
• Life safety – had several items identified which have been resolved or are in the process of being resolved.  However, a major issue was the inability to access 11 smoke dampers for testing purposes.  A consultant will be required to address this issue.  Due to financial hardships, WCH is to complete this over a five-year period.  We will await a cost analysis of the project from Bertolini Construction.
• The lab survey is still pending.

Radio Clip

• SMGS is covering the expenses of two radio clips of a joint marketing effort of SMGS and WCH regarding our collaboration of care and services.  Ads are being run in Mt. Vernon, Centralia and Nashville.
• One ad is about women’s health services and the other is about cardiology services.
• The radio clips were played.

Community Questions and Answers

In response to reporter’s question, Nancy provided clarification related to the grant.

Closed Meeting

At 7:45 p.m. on a motion by Audrey Finke 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)(1)(11)(17)(21).  Behr AYE, Blohm AYE, Engele AYE, Finke AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

At 8:32 p.m. on a motion by Diane Nottmeyer and second by David Behr, the Board took a roll call vote to leave closed session and re-enter open session.  Behr AYE, Blohm AYE, Engele AYE, Finke AYE, Lopez AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

Board of Directors Closed Meeting Minutes
Personnel, Recruitment and Contract Management Committee Closed Meeting Minutes
Medical Staff Meeting Minutes
QA/CQI Meetings Minutes

The following meeting minutes were presented for review and approval:

• Board of Directors closed, September 27, 2011.
• Personnel, Recruitment and Contract Management Committee closed, September 27, 2011.
• Medical Staff, August 3, 2011.
• QA/CQI, July 21 and August 18, 2011.

On a motion by Greg Engele and second by Audrey Finke, the Board unanimously voted to:

Approve the aforementioned meeting minutes.

Medical Staff Credentials and Privileges
Allied Health Professional Staff Credentials and Privileges

Board members reviewed the applications, the supporting documentation, the Medical Executive Committee’s recommendations, and information received during the credentialing and privileging processes.  Based on this review, it was the Board’s opinion that the following applicants have met the requirements for Medical Staff appointment and clinical privileges as recommended. 

On a motion by Diane Nottmeyer and second by Victor Lopez, the Board unanimously voted to:

Approve the following Medical Staff appointments and clinical privileges:

• Jane Barker, D.O.  – Provisional staff, emergency services.
• Mustafa Hindi, M.D.  – Provisional staff, emergency services.
• Ryan Johnson, M.D.  – Provisional staff, emergency services.
• Jamie Plett, M.D. – Provisional staff, gyn services.

and

Board members reviewed the applications, the supporting documentation, the Medical Executive Committee’s recommendations, and information received during the credentialing and privileging processes.  Based on this review, it was the Board’s opinion that the following applicants have met the requirements for Allied Health Professional Staff appointment and clinical privileges as recommended. 

Approve the following Allied Health Professional Staff appointment and clinical privileges:

• Melinda Crain, ACNP – Provisional Allied Health Professional Staff under the supervision of Phillip Apprill, M.D., Mark Friedman, M.D., and Madhu Kancherla, M.D., Cardiology Services.

and

Board members reviewed the Medical Executive Committee’s recommendations and information received regarding Allied Health Professional Staff member’s request for a change in clinical privileges.

Approve the following Allied Health Professional Staff member’s request for a change in clinical privileges:

• Devin Haertling, PA-C – Change of clinical privileges to include rounds on inpatients and writing orders, under the supervision of Ben Houle, M.D., Orthopedic Services.

Adjournment

On a motion by David Behr and second by Audrey Finke, the Board unanimously voted to adjourn the meeting at 8:35 p.m.

                                                                        Respectfully submitted,

                                                                        ______________________________________
                                                                        James Cange, Secretary Board of Directors
                                                                        Washington County Hospital
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WCH Board

Administrative Team

Nancy Newby, Chief Executive Officer

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

Alanna Barker, Human Resources Director
Ruth Kellerman, Quality Coordinator

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