Public Hospital District 3 of Pacific County Ocean Beach Hospital and Medical Clinics BOARD OF COMMISSIONERS MEETING July 28, 2015

Transcription

1 Public Hspital District 3 f Pacific Cunty Ocean Beach Hspital and Medical Clinics BOARD OF COMMISSIONERS MEETING July 28, 2015 AGENDA DISUSSION / CONCLUSION RECOMMENDATIONS / ACTION / FOLLOW-UP CALL TO ORDER The Public Hspital District 3 f Pacific Cunty Bard f Cmmissiners Meeting was called t rder July 28, 2015 at 5:30 pm Cmmissiners present: Nancy Grshe, Chairman f the Bard; Alan Jhnsn, Suzanne Staples, Secretary f the Bard; Darren Thrsen & Steven Linhart Als Present: Kendall Sawa, CEO Richard Gertz, CFO Linda Kain, CNO Tammie Jefferies, Executive Assistant AGENDA Nancy Grshe requested apprval fr the agenda. A mtin t apprve the agenda was made by Steven Linhart; Suzanne Staples secnded. The mtin passed by unanimus vte. MINUTES Nancy Grshe requested apprval fr the May minutes. A mtin t apprve the minutes f the June bard meeting was made by Steven Linhart; Suzanne Staples secnded. The mtin passed by unanimus vte. Bard Reprt Chapter 16 was reviewed by Alan Jhnsn. the next Chapter 8 will be ut f the new bk this will be reviewed by Suzanne Staples Cnsent Agenda Leadership Team Department cmmunicatin Questin asked abut future leadership training Kendall shared that Beth fund an executive caching persn but wants t seek ut ther ptins t fit ur rganizatin better financially and Suzanne Staples mved t apprve the Leadership Cmmunicatin. Steven Linhart secnded. The mtin passed by unanimus vte.

2 Apprval f Vuchers June Financials persnality. Kendall als shared with all the transitins ging n this mnth they have decided hld ff n the staff survey. The plan is t send this ut in Octber. Vuchers June Richard Gertz presented the June Financials. See attached. Financial Summary June 2015 Revenue in the Clinic fr the mnth was $217K less than the avg. fr the year. This was due t the implementatin f the EMR fr the clinic. Patient Visits in the Clinic were dwn by 257 frm the avg. this year. This had an effect n the Hspital Ancillary revenue fr Lab and X ray. On the Hspital side Inpatient revenue was dwn abut $154K frm the avg. fr the year. This was due t the lwer Acute Care and Swing bed patient days. The days fr the mnth were 72 cmpared t the avg mnthly this year f 138. Hspital utpatient visits were dwn by 122 this mnth cmpared t the avg. Expenses were ver the avg. fr the year by $127K. The areas that were ver were: Salaries due t paying ut PTO fr emplyees wh had quit r retired and PTO cash uts. Supplies due t a lt f Expired Drugs in the Pharmacy and Purchase Service which was in HIM due t paying the Cding Fees. The lss f $603K was made up f $100K frm peratins and the rest was due t having t pay back Medicare fr the 2012 Cst reprt in the amunt f $454K and bking $50K fr FY 2015 Cst Reprt estimated payback at this time. Kendall presented the budget timeline fr Cst Reprt Repened July 24, Pssibility f $300,000-$400,000 in reimbursement. MU Incentive - $604, in reimbursement A mtin t apprve the June vuchers was made by Darren Thrsen; Steven Linhart secnded. The mtin passed by unanimus vte. Medical Staff Reprt Appintments / Re-appintments Gerge Biancarelli, MD 6 Mnths Prvisinal Emergency Medicine Michael Pawlik, MD 6 Mnths Prvisinal Tele Steven Linhart made a mtin t apprve the Medical Staff appintments. Darren Thrsen secnded the mtin. All in favr.

3 Tyler Gibb, MD 6 Mnths Prvisinal Tele Stanley Hick, MD 6 Mnths Prvisinal Tele Duane Wilsn, MD 6 Mnths Prvisinal Tele Orhan Knez, MD 6 Mnths Prvisinal Tele Hasan Ozgur, MD 6 Mnths Prvisinal Tele Strategic Planning Cmmittee CEO reprt by Kendall Sawa Nancy shared they are readying themselves t meet with ptential affilatin partners. There is a grid she wuld like the bard t cmplete. The grid shws 1-19 which is mst imprtant t least imprtant. Steven asked where we are at with Ocean Park area. Kendall shared that he has nt received any return calls r s frm the prt. They may have ther prjects taking pririty. Business Office Restructure: Insurance Billing: - August 1, 2015 CBO assumes all insurance billing Health Infrmatin Management - July 15, 2015 HIM reductin in frce frm 3 FTE dwn t 1 FTE Finance - Beth Hash will mve t Accunting/Vendr Management psitin August 1, 2015 Emergency Dept Pr-fee billing review f payr mix, revenue and reimbursement. (see attached) Leadership Team restructure Situatin: - Increasingly finding the need t extend timelines f present and future initiatives that are part f the OBH Strategic Plan. - OBH is in active cnversatins with ther ptential health partners t explre service line partnership and/r affiliatin pprtunities. - Lack resurces t effectively supprt medical grup Nancy will cntinue t update as these meetings happen.

4 infrastructure. - OBH Fundatin currently in rebuilding phase, but des have significant funds available fr discretinary use. - Need t prepare fr upcming shifts in payr strategies and care mdels Accuntable Care Organizatins and Ppulatin Health mdels f care. Backgrund: - Deliberate decisin made t hld n replacement f several leadership psitins ver past tw years. - Fundatin, Marketing & Cmmunicatins, Quality/Educatin, Surgery, Ancillary Services, Reduced Dietician expenses Leadership Team Exp = $1,632, Psitining Ourselves fr the Future - Replace Surgery manager with peratinal lead. Nursing Manager t prvide managerial versight. - Replace Kitchen Manager with peratinal lead. CNO currently prviding primary versight. - Hld n hiring f 0.5 FTE Fundatin supprt apprved by OBH Bard in January Hld n replacing Marketing, Cmmunicatins, and Educatin manager. - Add Chief Operating Officer t Leadership Team Additin f Chief Operating Officer t OBH Leadership Team. Primary Respnsibilities - Business Develpment, Marketing, Cmmunicatins, Fundatin, Ancillary Services, Cntract Management/Negtiatin, Strategic Planning, Medical Grup Management. Secndary Respnsibilities - Integratin f finance and budgeting with strategic planning at an peratinal level. Leadership Team Restructure: Benefits: - Make available skills and experiences necessary t meet the needs f the rganizatins present situatin, and future bjectives. - Cntributes t the develpment f a highly effective and efficient leadership team.

5 PUBLIC PARTICIPATION Adjurnment - Reductin in verall expense f replacing vacant leadership psitins. and/r - Prevents additinal respnsibilities being added t an already stretched leadership team. Prjected Leadership Team exp = $1,608, Patient Experience: Phase 1 Initiatives - Bed Side Reprting - Leadership Team Runding - Use f Whitebards in Rms (Initiatives g t Prfessinal Practice Cmmittee August 12,2015) Phase 2 Initiatives - Discharge fllw up Calls - Discharge Cards Nancy Grshe pened it fr public participatin. The meeting adjurned at 6:45pm N actin required.