KENNEWICK PUBLIC HOSPITAL DISTRICT KENNEWICK, BENTON COUNTY, WASHINGTON BOARD OF COMMISSIONERS

Transcription

1 KENNEWICK PUBLIC HOSPITAL DISTRICT KENNEWICK, BENTON COUNTY, WASHINGTON BOARD OF COMMISSIONERS Trios Mission: We are a publicly sponsored health care system providing a broad range of primary care and selected specialty services to the community in a warm and caring environment 5 p.m. Thursday, July 31, 2014 Administration Conference Room COMMISSIONERS PRESENT: Jim Mefford, Wanda Briggs, Kathy Davidson, Victor V. Johnson, Marvin Kinney, Donna Vance, Richard L. Reil EXECUTIVE STAFF: Glen Marshall, Chuck Barnes, Tony Sudduth, Diane Sanders, Russ Keefer, Gary Chalfant, Dr. Dennis Hayden, Mary T. Schumacher GUESTS: Barb Edwards, Trios Home Health CALL TO ORDER: Jim Mefford, Chairman, called the meeting to order in the Administration Conference Room at 5 p.m. I. EDUCATION PRESENTATION: A. None scheduled through August II. DISTRICT BUSINESS: A. Approval of Consent Agenda* The materials listed under the Consent Agenda are considered routine by the Board of Commissioners, and are adopted by one motion. There will be no separate discussion of the following items: Approval of the previous month s Board minutes Approval of warrant register/revenue fund (outlined below) Approval of construction, Trios Medical Group Funds, medical dental trust, Adult Day Services funds, and other miscellaneous funds (outlined below) Acceptance of financial report Statistics Trios Southridge Naming Opportunities KPHD Write-offs However, an item may be removed from the Consent Agenda and considered separately if the Board members desire further discussion. As of this date, the Board of Commissioners unanimously approves by a majority vote, the payment of those items included in the Consent Agenda and further described as follows: Accounts payable and payroll funds: 1

2 to and to and 6/13/14 to 6/27/14 in the total amounts of $8,801, and $ and $3,831, and $4,429, Construction, KGH Physician Clinics Funds, Medical/Dental Trust, Adult Day Services to in the total amounts of $57, and $8, IT WAS MOVED AND SECONDED TO APPROVE THE CONSENT AGENDA AS PRESENTED. Motion carried. B. Public Comment None C. Trios Construction Projects/Expansion Updates It was reported that: The medical office building (MOB) construction is going well and is on schedule. Fireproofing has begun, and the contractor is working on the 5 th floor. Studs are being constructed on the first floor and electrical boxes will be installed on that floor soon so a lot of progress is underway. D. Membership/Liaison Reports: 1. Tri-Cities Cancer Center Donna Vance reported that the Center is slowly rebuilding their consultation numbers. They experienced 37 radiation treatments per day in July which is excellent. Kadlec Medical Center in Richland just purchased Columbia Basin Hematology/ Oncology (CBHO). It was indicated that the sale may affect CBHO s affiliation with the Seattle Cancer Care Alliance. Our oncology department will open a small satellite office at the Center next month, and the Trios oncologists will take turns staffing it. Discussion followed. It was indicated that Lourdes in Pasco is adding an oncologist to their staff next month, and our CEO may approach them and see if their oncologist would like to share the office space as well. 2. Trios Medical Group Physician Operating Committee Marv Kinney reported that the group discussed the exclusion of Trios Health from the First Choice provider network. The CFO reported to them that it was a unilateral decision on the part of First Choice to sign an exclusive agreement with Kadlec. First Choice then opened the contract to Lourdes since they offer inpatient mental health services. A vehicle was purchased for a nurse practitioner to utilize when rounding at local dialysis centers. As a result of that, the group reviewed and approved a policy about vehicle purchase and use that limits the vehicle s use to Trios employees. Discussions are still underway about the electronic medical records system and physicians are still concerned about the current system. The CFO indicated to them that he will obtain pricing for other modalities to consider. 2

3 It was indicated that in a previous meeting, there was significant discussion on the lack of integration of software packages used by the clinics. The Executive Director for Trios Medical Group was tasked with appointing a subcommittee to review the issue and make recommendations for change. They have now met with McKesson about the software concerns, and a meeting will be scheduled later in the summer when the key players are back from vacation. One item of interest learned at the McKesson meeting, was that we can obtain additional interface by migrating the clinics to the same Practice Management site. Discussion followed. 3. Trios Foundation Kathy Davidson reported that they received an update on the capital campaign which is now in the community phase. Discussion was held at the meeting about this year s Gala d Vine, and all Board members were encouraged to donate an auction item. This invitation extends to the KPHD Board of Commissioners as well. Department managers are also being asked to donate gift baskets from their respective departments for the silent auction as they have done in the past. The Foundation Board is also looking for recommendations of individuals who might like to assist their various committees. If you have suggestions, please submit them to the Foundation Office. The Donor Wall should be completed by January Dennis Maughan, Executive Director for the Foundation, attended the Board meeting and donated $1 million to the District on behalf of the Foundation. This is the first $1 million donated to the District from the capital campaign. To date, they have raised about $2.7 million with the campaign. Camp Trios for children with diabetes was held last week, and there were 40 children in attendance! Donna Vance donated her time to help with the event, and Rick Reil took photos of the participants. The kids really look forward to this event each year and sharing time with children that all have similar issues. They had lots of fun activities to enjoy. 4. Adult Day Services Richard L. Reil reported that their census is up as is their revenue. They have a new candidate for the Adult Day Services Board Sedro Rodriguez longtime Kennewick businessman who is very interested in the opportunity. That recommendation will be sent to the Board for approval next month. III. HOSPITAL BUSINESS: A. Executive Report 1. CEO - Glen Marshall a. Departmental Annual Reports 1) Home Health Barb Edwards, Director 3

4 Due to the quality information in the report, the written report was included with the Executive Session packet. Barb Edwards, Director, was introduced. Ms. Edwards indicated that insurance has been a big challenge for them this year, and they are seeing more Medicaid and Medicare patients. She reviewed the quality indicators and their progress in that area. She indicated that the pay for performance initiative will start next year in the home health arena. They are working hard in the area of readmissions, and their numbers are currently below the national standards. However, many of the patients they care for are very ill and sometimes readmissions cannot be avoided for those patients. When they underwent a recent mock Joint Commission survey, they received compliments on the make-up of their advisory board. It is a multi-disciplinary, very active group. Kathy Davidson and Donna Vance attended the exit conference for the mock survey, and they were very impressed with the results and the comments they heard. Discussion followed on readmissions in general, and it was indicated that we do not have a system for tracking those patients. But Management is focused on the issue and doing what they can to limit readmissions. b. General Update The CEO reported that the Joint Commission may survey both Trios Auburn and Southridge either August 11 th or 18 th, and he feels we are ready. Management countered one of the offers received for purchase of the Grandridge Building, and have received back another counter offer. They plan to review that offer within the next few days. With regard to the litigation between Health Care Development Partners in Chicago and CD Smith, rumor has it that a settlement has occurred, but no official word has been received as yet. Trios Southridge has been open for about 2-weeks. The census has been lower than anticipated. Over the next couple of weeks, Management plans to do a larger media blitz to draw attention to our new site, as well as new signage. Gary Chalfant was asked to report on physician recruitment. Dr. Barooah, internist, and Dr. Boruah, general cardiology will join us in August. Dr. Kanu hospitalist, has worked as a locum tenens, and will join us in September. Three new CRNAs will join us over the next couple of weeks and provide 24/7 coverage. Dr. Ramesh, internist, will join Trios as a hospitalist. Her internal medicine patient panel will be assigned to Dr. Barooah. Dr. Kakumba, urgent care, will join us soon, as will Dr. Roman. John Evans and Kelly Stevenson, nurse practitioners, will also join our cadre of urgent care providers. Dr. Jennifer McNabb, OB, will join Trios Women s Health in October. 4

5 Drs. Morrison and Mayuga signed an agreement with Trios and will join us in October. Two mid-level providers that currently work with them will join us as well. Robert Playo, nephrology nurse practitioner will join Trios to treat dialysis patients. As a result of that, Dr. Matthew Palmblad will move from that responsibility and will join us in family practice. Dr. Cheung will join us as a hospitalist/nocturnist. In light of Drs. Al and Jones leaving, and Dr. Kohan moving to part-time palliative care, recruitment is underway. Negotiations are still underway with a local primary care group. B. Medical Staff Report 1. Hassan Haddadin, MD, Medical Staff President In light of his absence, Dr. Hayden attended the meeting for Dr. Haddadin and indicated there was no report. IV. NEW BUSINESS: A. Committee Reports/Recommendations 1. Planning Vic Johnson, Planning Committee Chairman, reported that the Committee discussed the action below to appoint the construction management team for the medical office building. The Committee also reviewed the tentative construction schedule for the medical office building. The Committee will have a strategic planning retreat October 24 th to 25 th. If Board members have any suggestions of issues they want the group to review, please advise Vic Johnson. A suggestion was made that next year when physicians move into the new building, Management might consider selling the urgent care center west. The joint meeting of the Port of Kennewick/City of Kennewick/Benton County/Trios Health was held recently. They mentioned that a contract has been awarded for construction of a round-about at five corners, and the contracts for 3A and 3B of Steptoe Street were awarded. Question was asked about the land around the urgent care center on Young Street that is being used for construction of a round-about, and it was indicated that the land was under an easement with the City. The volume has dropped somewhat at the urgent care, but it is slower this time of year anyway. It was suggested that someone representing health care be assigned to the committee to develop Vista Field. Rick Reil and Marv Kinney are meeting with one of the City s councilman next week and they will pass on the suggestion. A Board member present indicated that she was at Trios Southridge on Saturday and two of our directors were working at the front reception desk. She asked if hiring for that position had begun so that directors don t have to work the area, and it was indicated that it is in progress. 2. Finance & Audit a. June Financials It was reported that consolidated net loss in June was $2,128,502, and days cash on 5

6 hand were 1.7 at the end of the month. To date, July volumes have been soft and expenses are up. FTEs are up by 30 with the moves between the two campuses. Inpatient volume is steady, but outpatient volume is down. Board members asked what the status was of our receipt of funds from the most recently submitted Medicare cost report. However, it was indicated that our former report was challenged by CMS. As a result of that, we will more than likely have to repay them funds, and we anticipate they will probably take about half of the awaited monies to help settle the amount. Rick Reil indicated his concern at the losses and the days cash on hand. He feels the Board should hire a firm whose task could be to: analyze our financials and make suggestions for operational improvement. review options for the Auburn campus so we can truly develop it into a Women s and Children s Center as we told the community. explore affiliations with other hospitals that may be of mutual benefit and help with our financial position. Discussion followed on the idea, and the following recommendation occurred: IT WAS MOVED AND SECONDED TO RECOMMEND THE APPOINTMENT OF A SUBCOMMITTEE OF THE BOARD OF COMMISSIONERS WHOSE TASK IS TO IDENTIFY A CONSULTANT(S) THAT MAY ANALYZE THE HOSPITAL S CURRENT FINANCIAL POSITION AND MAKE RECOMMENDATIONS. Motion carried with Jim Mefford, Wanda Briggs and Vic Johnson opposed. The Board President asked members to send him suggestions for subcommittee members. b. Consultant to Serve as Owner s Trios Care Center Southridge* The Trios Care Center medical office building that is under development at Southridge by Summit-Smith is a design-build project. As a future tenant of this building, Management feels that we need to employ consultants who can monitor construction and activate all building systems for occupancy/building completion. They would like to continue with the companies below as they did the work for the Southridge hospital, and we have been very happy with their performance. 1. DAY CPM - as owner s representative, monitoring construction practice and compliance with codes, and specifications - $345,807 - covering course of construction. 2. Heery International, Incorporated - as owner s commissioning agent - $94,895 - covering course of construction and start-up. IT WAS MOVED AND SECONDED TO APPROVE A CONTRACT WITH DAY CPM AS OWNER S REPRESENTATIVE FOR $345,807, AND HEERY INTERNATIONAL, INC. AS OWNER S COMMISSIONING AGENT FOR $94,895, AND AUTHORIZE THE CEO TO SIGN THE NECESSARY AGREEMENTS. Motion carried. c. Resolution # Adopt Commercial Master Signature Cards for Bank Accounts/Wire Transfers* 6

7 The Finance Committee recommends to the Board approval of a resolution to adopt commercial master signature cards for bank accounts/wire transfers adding Anthony Sudduth, CFO, to the signing authority. IT WAS MOVED AND SECONDED TO APPROVE RESOLUTION # TO ADD ANTHONY SUDDUTH, CFO, TO THE COMMERCIAL MASTER SIGNATURE CARDS FOR BANK ACCOUNTS/WIRE TRANSFERS. Motion carried. d. Resolution # Appoint Individuals to Execute Benefit Documents* The Finance and Audit Committee recommends to the Board the approval of Resolution # to add Anthony Sudduth, CFO, as a signature authority for all District benefit documents. IT WAS MOVED AND SECONDED TO ADOPT RESOLUTION # TO ADD ANTHONY SUDDUTH, CFO, TO THE SIGNATURE AUTHORITY FOR ALL DISTRICT BENEFIT DOCUMENTS. Motion carried. e. Resolution # Philips Master Lease Schedules Nos. 62 and 63* The Committee recommends approval of Resolution # to approve Master Lease Schedules Nos. 62 and 63. This schedule is part of the original Philips financing for equipment for the Southridge hospital. Action on this item will allow Philips to submit purchase orders for the items included in Schedules No. 62 and 63. IT WAS MOVED AND SECONDED TO APPROVE RESOLUTION # FOR APPROVAL OF PHILIPS MASTER LEASE SCHEDULES N0S. 62 AND 63, AND AUTHORIZE THE CEO TO SIGN THE NECESSARY DOCUMENTS. Motion carried. 4. Executive/Governance a. Provider Contract Language Amendments* These are just a few of the key enhancements to the Physician Employment Agreement, but it is not intended to be an all-inclusive summary. At the June Physician Operating Committee meeting, it was pointed out that the pharmacy benefit outlined on Attachment A did not reflect the current coverage so Attachment A was corrected for the Board packet. Summary of key contractual changes: 1) Enhanced the definition of call for both clinic and hospital obligation. (2.5) 2) Added language to reflect our organizational expectation to achieve/maintain board certification as a condition of employment. (2.6) 3) Enhanced description of compensation/production (methodology has not changed). (3.6) 4) Added non-solicitation of employees or patients upon separation. (4.2) 5) Increased the without cause notice from 90 days to 180 days. (6.1) 6) Compensation methodology amended to be more fluid. Enhanced the language to more accurately reflect the program s intent. Methodology has not changed. (Attachment B). IT WAS MOVED AND SECONDED TO APPROVE THE PROVIDER CONTRACT LANGUAGE AMENDMENTS AS SUBMITTED BY MANAGEMENT. Motion carried. 7

8 5. Joint Conference a. Appointment of 2015 Medical Staff President (included on privilege request memo)* It was indicated that Dr. Haddadin has agreed to serve one more term as Medical Staff President for one year, and that has been recommended for approval by the Medical Staff and the Joint Conference Committee. IT WAS MOVED AND SECONDED TO APPROVE DR. HASSAN HADDADIN AS THE 2015 TO 2016 MEDICAL STAFF PRESIDENT AS RECOMMENDED AND APPROVED BY THE MEDICAL STAFF AND THE JOINT CONFERENCE COMMITTEE. Motion carried. V. BOARD MEETINGS/EVENTS/EDUCATION: A. Next Board Meeting Thursday, August 28 5 p.m. in the Administration Conference Room VI. EXECUTIVE SESSION (RCW and RCW and 2): Per RCWs and and 2, the regular meeting was adjourned to Executive Session for the purpose of reviewing the following: Dashboard Indicator/Clinical Scorecard Report Patient Flow Dashboard Medical Staff Privileges The Session will take about 20- minutes, and when the Session opens, action will be taken on the Medical Staff privileges. The meeting will then close to a 2 nd Executive Session and the staff members will be excused to allow the Board to discuss a legal issue. A short recess was taken at 6:48 p.m. The meeting closed to Executive Session at 6:55 p.m. OPEN FOR ACTION: The Session opened for action at 7:23 p.m. IT WAS MOVED AND SECONDED TO APPROVE THE MEDICAL STAFF PRIVILEGES AS RECOMMENDED BY THE MEDICAL EXECUTIVE AND JOINT CONFERENCE COMMITTEES. Motion carried. The meeting then closed to a 2 nd Executive Session at 7:25 p.m., and the CEO contacted the attorney via phone. OPEN FOR ACTION: The meeting opened at 7:55 p.m. OTHER: Discussion was held on the need to express the Board s appreciation to staff members for all of their help during the move to Southridge. It was indicated that a large ad will be in the local newspaper this weekend thanking all of the staff and providers for their hard work. Board members mentioned that there was an article in yesterday s newspaper that our Marketing Department won three Gold Quill awards for their branding campaign. This is a very prestigious, 8

9 international honor. Representatives of the Marketing Department traveled to Toronto, Canada to be feted for the awards. They received very good coverage of the awards in the local newspaper. ADJOURNMENT: There being no further business, the meeting adjourned at 7:55 p.m. Respectfully submitted, Mary T. Schumacher Recorder Jim Mefford, Chairman Kathy Davidson, Secretary 9