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Washington County Hospital
Board of Directors Meeting Minutes
Thursday, September 26, 2013
Conference Rooms A and B

 

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

 

Board Member Not Present:
Diane Nottmeyer, excused

 

Others Present:
Nancy Newby, CEO
Ruth Kellerman, QA Coordinator (exited 8:15 p.m.)
Dave Davenport, HR Director
Kim Larkin, CIO (exited 8:15 p.m.)
Elaine Matzenbacher, CFO

 

Others Not Present:
Tammy Amizich, CNE, excused
Alfonso Urdaneta, Medical Staff President, absent

 

Called to Order:         7:02 p.m.
Adjourned:                 8:44 p.m.

 

Meeting Agenda
The agenda of the September 26, 2013, meeting of the Washington County Hospital Board of Directors was presented for review and approval.  

The following amendments were made:
Add:                            IV. H.  Phone Service – Bill Manier
Add:                            IV. I.  Thank You – Dale Blohm

On a motion by Victor Lopez and second by Audrey Finke, the Board unanimously voted to approve the September 26, 2013, meeting agenda with the aforementioned amendments.

 

Board of Directors Meeting Minutes
Finance Committee Meeting Minutes
Personnel, Recruitment and Management Contract Review Committee Meeting Minutes
The following meeting minutes were presented for review and approval:

  • Board of Directors, August 27, 2013.
  • Finance Committee, July 31, 2013.
  • Personnel, Recruitment and Management Contract Review Committee, September 19, 2013.

On a motion by Greg Engele and second by J. W. Metcalf, the Board unanimously voted to approve the aforementioned meeting minutes.


 

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

Total Patient Revenue was $1,749,658.  Total Provisions were $755,793.  Total Net Operating Revenue was $1,011,752.  Total Operating Expenses were 1,127,438.  Income/(Loss) from Operations was ($115,686), with YTD Income/(Loss) ($330,041).  Total Non-Operating Revenue was $72,182, with YTD Total Non-Operating Revenue of $205,103.  Total Income/(Loss) was ($43,504), with YTD Income/(Loss) ($124,938).

Additional noted items:

  • Total Patient Revenues were 9.5% ($184,584) under budget for the month of August.  All areas were below budget except LTC and OP rehab.
  • Contractual Adjustments were 12.7% under budget in the month.  Charity was $24,444.
  • Employee benefits were 17.2% over budget as claims were higher than our prefunding.
  • Professional Fees were 29% over budget as the CRNA was on vacation and we paid for the replacement and the final payment to KEB was made. 
  • Non-Operating Income was $37,221 over budget in August.  This was due to grant income recognized in the month for a Financial Assessment Grant ($5,000), a Hospital Services Improvement Grant ($7,500) and a Trauma Grant ($20,814).
  • The Net Loss for August was $43,504.

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

 

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

  • PACS - The earlier PACS upgrade offers an additional functionality whereby providers have remote access to view imaging records.  WCH staff is training providers.  Feedback has been positive.
  • Meaningful Use - This MU year is almost over with an attestation report to go out October 1.  We foresee no problems.
  • Storage/Data Center – Preparations to move into the new building are underway. 

C/T Upgrade
Kim Larkin, diagnostic imaging manager, provided the following report:

  • The CT service was down for a week with the new CT operational by Friday afternoon.
  • Three ER patients went to Pinckneyville, and WCH was responsible for expenses of roundtrip transports.
  • Following installation, CT representatives were on site for a week to train staff.
  • The lease for the new 64-slice CT is less than the expense of the old 16-slice CT.  The new CT requires less time, radiation and maintenance.  The technology is cheaper, faster, better and aids to address radiation safety.

Eide Bailly Report Findings and Action Plan
Elaine Matzenbacher, CFO, reported the following:

  • WCH was very impressed with the thorough review and education offered by Eide Bailly (EB) consultants.
  • The first report has been received.  The revenue cycle team met and reviewed EB’s findings and recommendations.  Some items have already been addressed.
  • The second part relates to charges.  Managers will be involved with this review and give input.
  • After completion, the revenue cycle team will continue to meet periodically.

Golf Tournament Update
Dave Davenport gave the following update of the Friday, September 27, WCH Annual Golf Tournament:

  • Final count of 19 teams (had 21 at one time) with two gold, two silver and six bronze sponsors, and 20 tee signs.
  • A total of $10,150 has been received, to date. 
  • Proceeds will go toward patient room renovations, and photos of this project were available.

Joint Conference Committee Meeting Scheduled
A Joint Conference Committee meeting will be scheduled the first week in November following a review of Committee members’ schedules.

 

Radio Marketing

  • Nancy was contacted by Brad Meyer of WNSV Radio, who was under the impression that WCH was interested in expanding its marketing to include the sports package.  Discussion ensued.
  • Board consensus was to maintain the current one-year radio ads contract at a cost of $450 and decline an additional sports package for a total cost of $900.  Nancy will notify Brad Meyer.
  • Increasing the number of ads may be reconsidered at the expiration of the current contract.

CEO Annual Evaluation
Dale Blohm reminded Board members to turn in their completed CEO evaluations to him this evening or as soon as possible before the October Board meeting.

 

Phone System

  • Board member Bill Manier conveyed his dislikes of the automated phone system and his experience of attempting to schedule an appointment. 
  • He expressed concerns of alienating customers, difficulty of use by the elderly and losing our “hometown” image.  A few other Board members expressed similar concerns.
  • Administration reported that feedback has been more positive, and the system has significantly improved staff efficiency.
  • After a lengthy discussion, administration was directed to continue to evaluate the service and modify accordingly.

Thank You

  • Dale Blohm expressed appreciation for Roland Meyer’s donation of his time, materials and equipment in leveling and seeding the ground where the house was demolished.  Nancy will send a note of thanks.
  • Also, Dale Blohm expressed appreciation to Nick Howes, WNRV reporter, for his years of service covering WCH Board meetings.  This is Nick’s last meeting as he is relocating.

Tour of C/T Suite and Storage/Data Center
The Board, community members and staff were invited to tour the C/T suite.  There was not adequate lighting to tour the storage/data center.  It will be toured at a later date.

 

Community Questions and Answers
There were no questions from community members.

 

Closed Meeting
At 8:15 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)(1)(17)(21).  Bierman AYE, Blohm AYE, Bronke AYE, Engele AYE, Finke AYE, Lopez AYE, Manier AYE, Metcalf AYE.  Motion carried.

At 8:40 p.m. on a motion by J. W. Metcalf and second by Greg Engele, 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, Metcalf AYE.  Motion carried.

 

Board of Directors Closed Meeting Minutes
Personnel, Recruitment and Management Contract Review Committee Closed Meeting Minutes
The following meeting minutes were presented for review and approval:

  • Board of Directors closed, August 27, 2013.
  • Personnel, Recruitment and Management Contract Review Committee closed, September 19, 2013.

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

 

Employment Agreements
On a motion by Greg Engele and second by Matt Bierman, the Board unanimously voted to allow the employment agreements of Mohammed Siddiqui, M.D., and Alfonso Urdaneta, M.D., to evergreen for another year.

 

Employee Merit Raises
On a motion by J. W. Metcalf and second by Victor Lopez, the Board unanimously voted to approve a 0-4% merit wage increase at a cost of $81,608, which is less than the approved budget amount.

 

Medical Staff Membership 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 has met the requirements for Medical Staff change of status as recommended. 

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

  • Anish Thomas, M.D. – Change of Status from Provisional Staff to Courtesy Staff, Cardiology Services

Adjournment
On a motion by Victor Lopez and second by Matt Bierman, the Board unanimously voted to adjourn the meeting at 8:44 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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