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Washington County Hospital
Board of Directors Meeting Minutes
Tuesday, October 22, 2013
Conference Rooms A and B

 

Members Present:
Dale Blohm, Chair
Matt Bierman
Dan Bronke
Greg Engele
Audrey Finke
Bill Manier
J. W. Metcalf
Diane Nottmeyer

 

Board Member Not Present:
Victor Lopez, excused

 

Others Present:
Nancy Newby, CEO (exited 8:24 p.m.; returned 8:41 p.m.)
Dave Davenport, HR Director (exited 7:51 p.m.)
Kim Larkin, CIO (exited 7:51 p.m.)
Elaine Matzenbacher, CFO (exited 8:24 p.m.)

 

Others Not Present:
Tammy Amizich, CNE, excused
Ruth Kellerman, QA Coordinator, excused
Alfonso Urdaneta, Medical Staff President, excused

 

Called to Order:         7:06 p.m.
Adjourned:                 8:44 p.m.

 

Meeting Agenda
The agenda of the October 22, 2013, meeting of the Washington County Hospital Board of Directors was presented for review and approval. 

On a motion by Greg Engele and second by Audrey Finke, the Board unanimously voted to approve the October 22, 2013, meeting agenda.

 

Introduction and Welcome
New WNSV Radio news reporter, Jim Dalaviras, was introduced and welcomed.  He replaced former long-time reporter Nick Howse, who recently relocated.

 

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

  • Board of Directors, September 26, 2013.
  • Finance Committee, August 27, 2013.

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

 

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

Total Patient Revenue was $1,706,898.  Total Provisions were $759,857.  Total Net Operating Revenue was $1,174.054.  Total Operating Expenses were 1,012,767.  Income/(Loss) from Operations was $161,287, with YTD Income/(Loss) ($168,754).  Total Non-Operating Revenue was $33,078, with YTD Total Non-Operating Revenue of $238,180.  Total Income/(Loss) was $194,365, with YTD Income/(Loss) $69,426.

Additional noted items:

  • Total Patient Revenues were 11.8% ($227,344) under budget.  All areas except for LTC were down.
  • Other Operating Revenue was significantly over budget in September as HFS announced the Enhanced Assessment Program (in addition to our current assessment program) was approved and was retroactive to July 2012.  KEB notified their clients that they needed to book this money as a receivable.  The amount we are to receive through September 30 is $195,206. We will accrue a monthly amount of $12,540 until it is received.
  • Contractual Adjustments were 12.2% under budget.  Charity was $6,671.
  • Salaries were 2.2% under budget.
  • Employee benefits were 21.2% under budget as claims were lower than our prefunding.
  • Total Operating Expenses were 9.6% under budget. 

On a motion by J. W. Metcalf and second by Diane Nottmeyer, the Board unanimously voted to approve the September 2013 Financial and Statistical Report.

 

IS Report
Kim Larkin, CIO, provided the following report:

  • REDOC - Super user training has begun and staff is being scheduled for training.  The interface work is progressing and we are targeting November 18 for a soft go live where the two super-users (manager and a therapist) will begin using the system and then the rest of the staff will join in beginning December 2.
  • Meaningful Use – After some unsuccessful attempts, Kim finally accessed the attestation site today and submitted WCH data.  Invoices will be submitted by the end of this year.
  • Storage/Data Center – On October 22, IT started moving into the new center.  Over the next 1 ½ weeks, systems will be down for short periods of time to keep interruptions to a minimum.

Golf Tournament Report
Dave Davenport reported:

  • There was a total count of 19 teams.  After expenses, $8,500 was raised ($200 above last year’s funds)—almost enough to renovate another patient room.
  • Feedback has been very positive, and appreciation was expressed to all involved who helped to make it another successful year.

Capital Equipment:  C-Arm
Kim Larkin, Diagnostic Imaging supervisor, reported the following:

  • The C-arm (portable x-ray machine) is used to give visual aid to surgeons during procedures.  The vendor, Philips, is unable to locate replacement computer board, therefore, it is irreparable. It was purchased new in 2000 with no issues over the years. 
  • A two-year financial analysis was presented.  Although revenue is not actually generated for the C-arm, it may be included in the OR charge if its use is integral to the OR procedure.  During this analysis period a net of approximately $44,000 annually was yielded of which some portion was for the C-arm.  If the C-arm is not replaced, some cases cannot be done at WCH. 
  • Pricing for a refurbished C-arm ranges from $20,000 to $48,000 with new ones exceeding $100,000. 
  • A proposal for two refurbished C-arms from Electromek was presented:  (1) 2000 Philips C-arm is $20,500—which is identical to our current equipment with same possibility of being irreparable; and (2) 2001 Ziehm C-arm is $47,000. NOTE:  A podiatry case was scheduled for October 21 and Electromek agreed to loan us a C-arm (the Ziehm mentioned above) for that case.  If we choose to purchase it, then there will be no charge for the loan.  If not purchased, they will charge us for the delivery and pick up of the C-arm and a weekly rental amount. 
  • Kim recommended purchase of the Ziehm C-arm and highly praised Electromek as being a trustworthy vendor for over 15 years.  Discussion ensued.

On a motion by J. W. Metcalf and second by Diane Nottmeyer, the Board unanimously voted to approve the purchase of a 2001 Ziehm C-Arm at a cost of $47,000.

 

2013 Employee Satisfaction Survey
Dave Davenport, Human Resources Director, provided the following report:

  • Of 156 surveys, 76/49% were returned—a very good response rate.
  • Dave presented a composite report (on file) of all reporting groups and condensed comments—the majority was positive concerns and there were some communications issues, all of which will be considered.
  • Overall satisfaction with employment at WCH was rated at 67%.

Illinois Health Insurance Marketplace
Nancy Newby, CEO, reported:

  • The Illinois Health Insurance Marketplace has opened in Illinois and Washington County Hospital has registered as a Certified Application Entity. 
  • Two of our billing staff, Tere Wisniewski and Patty Donoho, have been training on-line and are registered as Certified Application Counselors (CAC). 
  • Patients in need information or assistance in signing up for the exchange may make an appointment and one of our CACs will assist them. 
  • Brochures detailing the Illinois Health Insurance Marketplace are available in our patient waiting areas and will be distributed throughout the community.

Kaskaskia College Nashville Education Center

  • On October 11, Dale and Nancy attended the kick-off luncheon for the Kaskaskia College Nashville Education Center which will be built on the lot between Alco and Community Trust Bank. 
  • The Foundation of KC has donated funds for half of the $3.2 million construction and is asking the community to assist in raising the remaining funds. 
  • The new site will have CNA classes and some of the nursing and paramedic classes which will increase opportunities for additional student clinicals at WCH.
  • New facility floor plans and drawings were circulated.
  • Fundraising options for WCH to support this project were discussed.

Buildings and Grounds Committee Meeting Scheduled

  • A Buildings and Grounds Committee meeting was scheduled for Thursday, November 14, at 5:00 p.m. in the boardroom (meal provided). 
  • Discussion will include review of hospital-wide emergency back-up power energy study and HVAC insurance survey.

Joint Conference Committee Meeting Scheduled
A Joint Conference Committee meeting was scheduled for Wednesday, December 4, at 6:30 p.m. in the boardroom.

 

Annual WCH Employee Picnic

  • Annual picnic will be Monday, October 28, 5:00-7:00 p.m. in the new storage/data center for all to view before move-in, and our theme will be “block party”.
  • Festivities will include food, blow-ups for kids, pumpkin decorating contest judging, and attendance prizes.  Bring lawn chairs because hay bale seating will be limited.
  • As always, Board members and families are most welcome to attend and our backyard neighbors have also been  invited.

Community Questions and Answers
Clarification was provided regarding certified application counselors and the C-arm purchase.

 

Closed Meeting
At 7:51 p.m. on a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously approved to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(1)(17)(21).  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

At 8:42 p.m. on a motion by J. W. Metcalf and second by Audrey Finke, the Board unanimously approved to leave closed session and re-enter open session.  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Manier AYE, Metcalf AYE, Nottmeyer AYE.  Motion carried.

 

Board of Directors 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, August 27, 2013.
  • Medical Staff, August 7, 2013
  • QA/CQI, July 18 and August 15, 2013.

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

 

Medical Staff Focused Professional Practice Evaluation (FPPE) Review and Change of Status
Board members reviewed the Medical Executive Committee’s recommendations and information received during the probationary processes.  Based on this review, it was the Board’s opinion that the applicant(s) has met the requirements for Medical Staff change of status as recommended. 

On a motion by Diane Nottmeyer and second by Audrey Finke, the Board unanimously voted to approve the following Medical Staff change of status:

    • Matthew Donaldson, M.D. –Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services
    • Chester Harrison, Jr., M.D. –Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services
    • Lance Luka, M.D. –Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services
    • Melissa McGettigan, M.D. –Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services
    • David Spirer, M.D. –Change of Status from Provisional Staff to Courtesy Staff, Teleradiology Services
    • Terry Brown, D.O. –Change of Status from Provisional Staff to Courtesy Staff, Psychiatry/Sleep Studies Services
    • Dawn Miesner, D.O. –Change of Status from Provisional Staff to Associate Staff, Family Medicine Services

 

Employment Agreement
On a motion by Bill Manier and second by Audrey Finke, the Board unanimously voted to renew the employment agreement of Nancy Newby, CEO, as discussed in closed session.

 

Adjournment
On a motion by J. W. Metcalf and second by Diane Nottmeyer, the Board unanimously voted to adjourn the meeting at 8:44 p.m.

 

Respectfully submitted,
Victor Lopez, Secretary
Board of Directors

 

WCH Board

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

Daniel Bronke, Member

Bill Manier, Member

Audrey Finke, Member

Matt Bierman, Member

 





Administrative Team

Nancy Newby, Chief Executive Officer
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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