Governance

 

Members Present:

Dale Blohm, Chair

David Behr

Jim Cange

Greg Engele

Ken Harre

Harry Jankowski

J. W. Metcalf

Diane Nottmeyer

Rich Tomaszewski 

Others Present:

Nancy Newby, CEO

Tammy Amizich, CNE (exited 7:45 p.m.)

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

Kim Larkin, CIO (exited 8:15 p.m.)

Elaine Matzenbacher, CFO

Melodie Wilkey, HR Director (exit 7:45 p.m.)

Marc Zerbe, M.D., Medical Staff President 

Called to Order: 7:10 p.m.

Adjourned:  8:47 p.m. 
 

Meeting Agenda Additions/Corrections

The agenda of the September 23, 2008, meeting of the Washington County Hospital Board of Directors was presented for review and approval.   

The following amendments were made:

• Add under Board Meeting Minutes, Buildings and Grounds Committee Meeting, August 26, 2008 - Motion
• Add under Business, CON Update
• Add under Closed Meeting, Building and Grounds Committee Meeting Closed Minutes, August 26, 2008 - Motion
• Add under Closed Meeting, Donald C. Burr, M.D.

 

On a motion by Harry Jankowski and second by Greg Engele, the Board unanimously voted to approve the September 23, 2008, meeting agenda with the aforementioned amendments. 

Previous Board Meeting Minutes

Finance Committee Meetings Minutes

 

Buildings and Grounds Committee Meeting Minutes

The following meetings minutes were presented for review and approval:

• Board meeting, August 26, 2008.
• Finance Committee meetings, August 6 and 26, 2008.
• Buildings and Grounds meeting, August 26, 2008.

 

On a motion by Rich Tomaszewski and second by Diane Nottmeyer, the Board unanimously voted to approve the above referenced meetings minutes. 

Financial and Statistical Report

Elaine Matzenbacher presented the Financial and Statistical report for August 2008.  Highlights of the report were: 

Total Patient Revenue was $1,752,998.  Total Provisions were $835,583.  Total Net Operating Revenue was $925,709. Total Operating Expenses were $1,190,353.  Income from Operations was ($264,644), with YTD Income ($607,673.)  Total Non-Operating Revenue was $277,956, with an YTD Total Non-Operating Revenue of $413,510.  Income prior to Depreciation was $75,908, resulting in a Total Income of $38,992 with an YTD Total Income of $13,312 as compared to a budgeted $44,644. 

Additional discussion:

• Volume was low due to physician vacations and new mid-level provider orientation.
• Medicaid was above budget.  CFO will run a search of visits by county to identify where patients are coming from.
• Grant receipts were above budget because the HIT grant fund was received for software licenses and EHR installation.
• Net Income was above budget.

 

On a motion by Ken Harre and second by David Behr, the Board unanimously voted to approve the August 2008 Financial and Statistical report. 

Financial Assistance Application Policy Revision

Elaine presented a Financial Assistance Application policy revision which requires applicants to have a minimum balance due of $500.  This policy revision was presented and approved by the Finance Committee and forwarded to the full Board for approval. 

Nancy and Elaine reported that today the Illinois House and Senate voted to override the Governor’s veto and passed into law the Hospital Uninsured Patient Discount Act which will incorporate certain applicant parameters, such as eligibility tied to income, residency, medical necessity, consideration of assets, fair discount level, patient responsibility and other protections.  WCH’s current related policy will be amended in accordance with this new legislation. 

On a motion by Greg Engele and second by Rich Tomaszewski, the Board unanimously voted to approve the Financial Assistance Application policy revision which requires applicants to have a minimum balance due of $500. 

Donald C. Burr, M.D., Retirement and Resignation

• Nancy reviewed Dr. Burr’s letter of retirement and resignation from WCH’s Medical Staff effective immediately.
• WCH was aware of Dr. Burr’s intended retirement and this has not resulted in any issues in coverage.
• Dr. Biermann will continue his current schedule as an independent contractor. 
• Clinical Radiologists, S.C., our current after-hours teleradiology service, will cover Dr. Burr’s vacated schedule until such time when permanent arrangements are made for radiologist coverage.
• Mammography patients may experience a slight scheduling adjustment as this service may only be done when a physician is on site.

 

WCH Golf Tournament Update

Elaine gave a WCH Golf Tournament update:

• Friday, October 3, 2008, 12:00 noon at the Nashville golf course.
• Proceeds will go toward the CT scanner replacement project.
• To date 12 teams have registered, compared to a total of 11 last year.
• Almost $7,750 gross income has been received to date, compared to last year’s total of $11,700.
• WCH has no tournament sponsor at this time.
• Elaine will contact those who have not responded yet.

 

WCH Board Retreat

Following a brief discussion regarding the annual Board Retreat, Board consensus was:

• Date -- Saturday, November 15, 2008.
• Location – Okawville golf club.
• Time: -- 10:00 a.m.-5:00 p.m.
• Dinner social with spouses -- 5:00 p.m.
• Board members were asked to contact Nancy with topic suggestions.
• A board education grant will cover the costs of the program and speaker(s).

 

CON Update

Nancy gave a CON update:

• WCH received a call from the Illinois Health Facilities Planning Board (IHFPB) of the Illinois Department of Public Health (IDPH) that our Certificate of Need (CON) application to close the OB unit has been accepted and deemed complete.
• A hearing date has been scheduled for December 16-17, 2008, in Springfield regarding approval of the project.
• Nancy will attend the hearing and be available to answer any questions.

 

Community Comments/Questions and Answers

Clarification was given on the following:

• Radiology services.
• Uninsured patient discount legislation.
• CON.

 

Closed Meeting

At 7:45 p.m. on a motion by Ken Harre and second by David Behr the Board took a roll call vote to enter closed session under Open Meetings Public Act 88-621 Sections 2(C)(11)(17)(21). Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

At 8:46 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.  Blohm AYE, Behr AYE, Cange AYE, Engele AYE, Harre AYE, Jankowski AYE, Metcalf AYE, Nottmeyer AYE, Tomaszewski AYE.  Motion carried. 

Board Closed Meeting Minutes

Buildings and Grounds Committee Meeting Minutes

The following closed meetings minutes were presented for review and approval:

• Board closed meeting, August 26, 2008.
• Buildings and Grounds Committee closed meeting, August 26, 2008.

 

On a motion by Ken Harre and second by Rich Tomaszewski, the Board unanimously voted to approve the aforementioned meetings minutes. 

Adjournment

On a motion by Harry Jankowski and second by Diane Nottmeyer, the Board unanimously voted to adjourn the meeting at 8:47 p.m. 

Respectfully submitted, 

J. W. Metcalf, Secretary, Board of Directors

Washington County Hospital