Chairman Tom Search called the meeting to order at 6:40 p.m. and asked for a reading of the minutes.

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1 Minutes of the regular meeting of Memorial Hospital s Board of Directors held Tuesday, September 2, 2014, in the Board Room. Present: Tom Search, Mike Vasquez, Jack Link, Evelyn Schuwerk, Richard Allison, Bill Rabe, and Ken Buch. Present for a portion of the meeting: James Krieg, M.D.; and Debbie Rohlfing, Director of Physical Therapy; and Becky Bunselmeyer, Director of Information Technology. Also Present: May Rose, Human Resources Director; Susan Diddlebock, Director of Nursing; Gail Miesner, Controller; Dave Smith, Attorney; Brett Bollmann, CEO; and Apryl Bradshaw, Executive Assistant. Chairman Tom Search called the meeting to order at 6:40 p.m. and asked for a reading of the minutes. To dispense with the reading of the minutes and accept them as printed and distributed prior to the meeting. Motion made by Vasquez and seconded by Schuwerk. Capital Expenditures Debbie Rohlfing was present to give a brief overview on the VibraFlex A Physical Therapy exercise machine for $15,599. This will be a replacement of the current VibraFlex machine (purchased in Aug 2006) that is broke and beyond repair. To accept and move forward with VibraFlex at a cost of $15, Motion made by Link and seconded by Allison. Becky Bunselmeyer, Director of Information Technology, was present to give an overview of a replacement computer server for $19,035. The replacement server will function in a virtual environment that will allow one physical server to replace two servers that are 8 years old.

2 To make the purchase of a replacement server at a cost of $19, subject to price comparison with other suppliers. Motion made by Vasquez and seconded by Schuwerk. Chief Executive Officer s Report 1. Memorial Hospital will be hosting a Federal Emergency Management Agency training course during the week of Sept This 5-day course is activity intensive and designed to better prepare emergency response personnel to manage large complex incidents effectively by using the functional components of the Incident Command System. The focus of the course is to enhance the skills necessary to operate as a team in various Command and General Staff positions and to promote a better understanding of the team operations through applications during various simulations. Several from Memorials Emergency Management team will be participating in the training along with other area agencies involved in emergency response preparedness. 2. We have been in contact with a potential Family Practice candidate. Dr. Muhammad Islam is a 3 rd year Family Medicine Resident at the Lutheran Medical Center in Brooklyn, NY. Dr. Islam is interested in a traditional Midwest rural opportunity and has family living in Salem, IL, Jefferson City and St. Louis MO. He and his wife are both US citizens and spend the majority of their spare time raising two young children. 3. Joint Commission Update: One of the challenging deficiencies that was identified during the recent Joint Commission Survey was with the positive/negative airflow in the OR area. Mike Feaman and the Maintenance Department have been working diligently to bring the OR area up to date to meet the standards of Joint Commission and CMS. Medical Staff Report Dr. Krieg was present and reported from the August Medical Staff minutes. Financial Report Gail Miesner presented financial activities for the month of July, Inpatient and outpatient revenue statistics were discussed along with operating expenses. Financial statistics for the Chester Medical Group were reviewed and discussed in detail.

3 Requiring Board approvals are: Accounts Payable of $805,374.50; and Salary & Benefits of $1,048, To approve the Finance Report and the Accounts Payable and Salary & Benefits figures. Motion made by Rabe and seconded by Schuwerk. Nursing Report Susan Diddlebock, Director of Nursing, was in attendance to present the Nursing Report. The Infection Control Committee reviewed the necessity to provide shingles vaccinations to hospital employees. decided that at this time the shingles vaccinations will not be offered by the hospital to employees due to most insurances covering this vaccine now and also it is not on the CDC recommendation for healthcare worker list of vaccinations. The bedside reporting was discussed and the process is still going very well. There has been good patient feedback on the new reporting process. The hospital is currently evaluating a new patient bed. Periodically, the hospital receives complaints with the comfort of our current beds and we are in the process of evaluating options for improvement. We have had an increase in our daily census for the month of August. The average daily census was 9 compared to last year of 5.5. Memorial Hospital will be receiving a little over $22,000 from the EMS Trauma Fund for 2014 to be used in This money comes from DUI fines and can be used to purchase any item used for trauma. Convenient Care hours will be extended through ER by the end of September. Sundays will be included. Exact hours will be released soon. OLD BUSINESS Labor Relations

4 Discussion was held regarding the upcoming Nursing Contract negotiations. Dave Smith also gave a report on potential pending litigation cost. To approve the Nursing Contract as drafted. Motion made by Vasquez and seconded by Allison. Clark-Schaefer-Hackett Discussion was held regarding physician practice support services provided by Clark- Schaefer-Hackett. To reduce the visits from Clark-Schaefer-Hackett from monthly to quarterly and to review again in November Motion made by Rabe and seconded by Buch. NEW AND OTHER BUSINESS Employee Benefits May Rose was present to discuss New Hire Employee Benefits. To accept Ammendment number one to the Memorial Hospital Employees Pension Plan as presented. Motion made by Vasquez and seconded by Schuwerk. Motion carried. Review/Revisions to Hospital Plans & Policies

5 1. Medical Staff Rules and Regulations. To approve the revisions to the Medical Staff Rules and Regulations. Motion made by Allison and seconded by Buch. 2. Medical Staff Bylaws. To approve the revisions to the Medical Staff Bylaws. Motion made by Link and seconded by Rabe. 3. Construction, Interim Life Safety Policy. To accept revisions to the Construction, Interim Life Safety Policy. Motion made by Schuwerk and seconded by Allison. Mullins Scholarship Discussion was held regarding the revisions to the Mullins Scholarship. recommended that the restriction be further defined as employment take place at Randolph Hospital District. To approve the language restricting loan forgiveness to Randolph Hospital District for 5 years. Motion made by Allison and seconded by Vasquez. Contract Services

6 Cardiology Dr. Groll EKG and Holter Interpretation Cardiology Dr. Reilly EKG and Holter Interpretation Cardiology Dr. Krikorian EKG and Holter Interpretation Network Reference Lab/Analytical Pathology Pathology Services Clinical Reference Laboratory Drug Screens, Toxicology Services American Red Cross Blood Products (Collects, Tests, Distributes) Telmedx EEG Services To approve the Contract Services Evaluations of Cardiology Dr. Groll; Cardiology Dr. Reilly; Cardiology Dr. Krikorian; Network Reference Lab/Analytical Pathology; Clinical Reference Laboratory; American Red Cross; and Telmedx EEG Services. Motion made by Vasquez and seconded by Link. Medical Staff Privileges The Medical Staff reviewed the below applications, the supporting documentation, and information received during the credentialing and privileging processes. Based on this review, it is the Medical Staff's opinion that the following applicants meet the requirement for Medical Staff appointment and have documented appropriate education, training, experience, current competency, clinical judgment, professionalism, and health status to perform the privileges requested. To grant Privileges to Christian Binder, M.D., Read Only Radiologist; Nirmit Goel, M.D., Read Only Radiologist; Vikram Sobti, M.D., Teleradiologist; and Parmjit Singh, M.D., Emergency Medicine. Motion was made by Rabe and seconded by Buch. Adjournment The next Board of Directors meeting will be Monday, October 6, 2014.

7 To adjourn the Board meeting at 8:15 p.m. Motion made by Vasquez and seconded by Rabe. Evelyn Schuwerk, Secretary Tom Search, Chairman

Chairman Tom Search called the meeting to order at 6:43 p.m. and asked for a reading of the minutes.

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