Montrose Memorial Hospital, Incorporated

Transcription

1 Montrose Memorial Hospital, Incorporated BOARD OF DIRECTORS A regular meeting of the Board of Directors of Montrose Memorial Hospital, Inc. was held June 23, 2014, at 5:20 p.m. in Conference Room A of the Hospital. Present: RON COURTNEY STEVEN HANNAH TRICIA DICKINSON MARY SNYDER STEVE GLASMANN AL WHITE DEBI HARMON JOAN NAPOLILLI LANCE LEHIGH JOHN BROOKS MARY VADER DAVID DREITLEIN, M.D. JIM WHITTICOM MIKE MULLINS, QHR AARON BROOKS LARK JACOBSEN Visitors: Leann Tobin Ms. Harmon called the meeting to order. PUBLIC COMMENTS Ms. Harmon announced that no one signed in for public comments. Ms. Harmon welcomed Dr. Tiffany Sturgeon, a new physician with the San Juan Family Medicine group. Dr. Sturgeon provided a brief introduction noting that she started her medical school with geriatrics and then discovered she liked developmental pediatrics. Dr. Sturgeon is licensed as an Internal Medicine/Pediatrics physician. Dinner Program Presentation from the Olathe Community Clinic Debbie Zarkis, CEO and Jeremy Carroll, CFO. Ms. Zarkis presented a short video regarding the need for the new location for the clinic in Olathe which is scheduled to open in August and announced that the new name for the clinic is River Valley Family Health Center. She noted that 46% of the clinic patients come from Montrose, 60% of the patients are uninsured, and 8% of the clinic patients are on Medicaid although the number of Medicaid patients is increasing. Ms. Zarkis explained that for the new building, 47% of the money is coming from grants and the current capital campaign is to raise the balance of the funds needed for the new clinic. A brief discussion ensued on services provided by the clinic, including mental health and the expansion of dental services in the future. Ms. Zarkis noted that Ms. Linda Pecore is the Clinic s grant writer and has been doing a great job. In response to an inquiry from Ms. Dickinson, Ms. Zarkis noted that the Clinic would like to expand into Montrose with an FQHC satellite and was open to suggestions for possible locations in MMHI Board of Directors Meeting Page 1 of 7

2 Montrose. She noted that the Olathe Clinic has a good relationship with the FQHC in Norwood. Ms. Zarkis encouraged the Board members to view the Olathe Clinic website and left brochures with donation cards regarding the new clinic location. SET AGENDA Ms. Napolilli noted that the clinical quality patient issues will be included in next month s Board agenda. Action: Motion was made by Mr. Lehigh, seconded by Dr. Vader, and passed to set the agenda as presented. CONSENT AGENDA Action: Motion was made by Mr. Whitticom, seconded by Ms. Dickinson, to approve the Consent Agenda as presented. The motion passed without opposition. OPERATIONAL REPORTS CEO MONTHLY REPORT: There were no questions from the Board regarding the CEO Monthly Report. Mr. Hannah noted that additional help from QHR has been requested for the Leap Frog application and for analyzing the current issues with increasing deductions from revenue. Regarding strategic planning, Mr. Hannah reported that the Management Action Plan (MAP) was included in the Board packet which is a tracking tool for strategic planning. He stated that the MAP is based on the previously Board approved Strategic Plan and will be provided quarterly to the Board for review. Mr. Hannah reported that the CFO, Norilina Harvel, will start on July 1. Mr. Hannah thanked Mr. White for his service to the Hospital. Mr. White related that MMH is a great hospital with a committed and involved Board. He added that many good things are happening for the Hospital. Ms. Harmon expressed appreciation to Mr. White noting that he has helped to educate all of the Board members. Mr. Hannah reported that our new Quality Director is starting on July 14 th and is coming with experience from larger systems including experience with structure and processes that will be helpful to Montrose Memorial Hospital. MMHI Board of Directors Meeting Page 2 of 7

3 Regarding a physician alignment statement, Mr. Hannah noted that it was still a work in progress which will, in the end, be a statement of Management s perspective of alignment with physicians. Regarding the Human Resources Report, Mr. Glasmann questioned the high number of terminations in Surgery. A brief discussion ensued on the importance of continuity in Surgery. Ms. Napolilli noted that additional information will be gathered and provided to the Board. Mr. Whitticom commented on the article in the Denver Post related to Hospital Acquired Conditions (HAC). A brief discussion ensued with Mr. Hannah noting that the April report from CMS was not widely disseminated and scoring details could not be found on the CMS website. Mr. Hannah in addition to the information provided in his CEO Report to the Board stated that the Senior Leadership Team would keep the Board informed as more detail regarding the report was forthcoming. Mr. Brooks indicated that due to the penalties involved, research will be done regarding appeals once there is more information available on this subject. CHIEF OF STAFF REPORT: Regarding the Chief of Staff Report, Dr. Dreitlein reported that volumes are down slightly but the Emergency Room volume was up 20% for the month. RECOMMENDATION FOR APPROVAL OF DR. REID BRECKWOLDT TO THE PHYSICIAN CREDENTIALING AND PRIVILEGEING AGREEMENT WITH VIRTUAL RADIOLOGIC CORPORATION: Dr. Dreitlein reported that the Virtual Radiologic Corporation has requested the addition of Dr. Reid Breckwoldt as a new provider to the Physician Credentialing and Privileging Agreement with privileges in Telemedicine Radiology. In response to an inquiry from Mr. Glasmann, Dr. Dreitlein noted that the insurance requirements for the Virtual Radiologic physicians are the same as for all physicians approved for privileges at MMH. Action: Motion was made by Dr. Vader, seconded Mr. Courtney, to approve the addition of Dr. Reid Breckwoldt to the Virtual Radiologic Corporation s Physician Credentialing and Privileging Agreement as presented by Dr. Dreitlein and recommended by the Medical Executive Committee. Motion passed without opposition. REQUEST FOR ACTIVE MEDICAL STAFF PRIVIILEGES - DR. ZACHERY BARTON: Dr. Dreitlein reported that Dr. Barton will be joining San Juan Family Medicine group and the Medical Executive Committee has reviewed and approved Dr. Barton s application for Active Medical Staff with privileges as requested in Family Medicine. Action: Motion was made by Ms. Dickinson, seconded by Mr. Lehigh, to approve Zachery W. Barton, M.D., for membership to the Active Medical Staff with privileges in Family Medicine as recommended by the Medical Executive Committee. Motion passed without opposition. MMHI Board of Directors Meeting Page 3 of 7

4 REQUEST FOR ACTIVE MEDICAL STAFF PRIVILEGES DR. RANDAL SHELTON: Dr. Dreitlein reported that Dr. Shelton will be joining San Juan Family Medicine group. He explained that Dr. Shelton s malpractice insurance is still pending but no concerns on the insurance are anticipated. Dr. Dreitlein reported that the Medical Executive Committee has reviewed and approved Dr. Barton s application for Active Medical Staff with privileges as requested in Family Medicine pending verification of his malpractice insurance. Action: Motion was made by Ms. Dickinson, seconded by Dr. Vader, to approve Randal C. Shelton, D.O., for membership to the Active Medical Staff with privileges in Family Medicine pending verification of his malpractice insurance as recommended by the Medical Executive Committee. Motion passed without opposition. REQUEST FOR PRIVILEGES ELIZABETH MALLOY, CRNA: Dr. Dreitlein reported that Ms. Malloy, CRNA, will be joining the Hospital s Anesthesia Group. He noted that her malpractice insurance is still pending but no problems are anticipated in obtaining the insurance coverage. Dr. Dreitlein reported that the Medical Executive Committee has reviewed and approved Ms. Malloy s application for anesthesia privileges as a Certified Registered Nurse Anesthetist in collaboration with Dr. Paul Rinne, M.D. Action: Motion was made by Dr. Vader, seconded by Mr. Glasmann, to approve Elizabeth Malloy, CRNA, for privileges as a Certified Registered Nurse Anesthetist in collaboration with Dr. Paul Rinne, M.D., as recommended by the Medical Executive Committee. Motion passed without opposition. DISCUSSION TRUSTEE COMMENTS: It was noted that there were not a representative in attendance from the Board of Trustees for a presentation to the Board of Directors. QHR REPORT: Mr. Mullins related that the QHR QView this month addresses the importance of Home Health as hospitals get pressure to reduce costs. Mr. Mullins encouraged the Board members to attend the upcoming Board Essentials training in Nashville in August. The Board wished Mr. Mullins well on his upcoming change in organizations. MMHI Board of Directors Meeting Page 4 of 7

5 REPORT ON THE WESTERN REGIONAL TRUSTEE SYMPOSIUM: Ms. Harmon noted that 3 Directors, Mr. Glasmann, Mr. Whitticom, and Mr. Lehigh, attended the Western Regional Trustee Symposium (WRTS) in Henderson, NV in June and requested a brief synopsis of the event. Mr. Glasmann indicated that the conference had a slow start, but the second day and the afternoon of the 3 rd day were beneficial. He noted that he spent time talking with the American Hospital Association (AHA) representatives and added that AHA offers educational resources that the Board should take advantage of. Another opportunity through iprotrean offers a series of 30-minute courses for Board members that Mr. Glasmann suggested the Board follow up on. Other items touched on at the symposium included patient satisfaction, patient quality and patient safety; hospital mission statement; transition from inpatient to outpatient services; capital equipment; readmission rates from post acute; post discharge phone calls; let good physicians know they are appreciated; pay attention to the patients; and education is an investment. Mr. Whitticom indicated that there should always be at least 3 Board members going to the conference. He explained that items he took away from the conference were: secrets to success is lowering costs; LEAN means more about changing the process; build a culture of continuous improvement; team culture of zero waste; more transparency; and quality. Mr. Whitticom encouraged more interaction with the American Hospital Association (AHA). Mr. Glasmann noted that important issues include the growing outpatient business, employee leadership development, refinancing, quality, and return on investment. He added that overall it was a good meeting. Mr. Lehigh noted that items he took away from the Symposium included: clarity regarding Board roles and goals, build solid partnerships, understand strategic issues, disciplined decisions with follow up, and know why making choices. Mr. Lehigh indicated that it was a good meeting and he appreciated the opportunity for attending the symposium. Ms. Harmon thanked the three Board members for attending the symposium. FINANCE COMMITTEE RECOMMENDATION TO APPROVE THE MAY FINANCIAL REPORT: Action: Upon recommendation from the Finance Committee, motion was made by Mr. Whitticom and seconded by Dr. Vader to approve the May Financial Report as presented at the June 18 th Finance Committee meeting. Motion passed without opposition. APPROVAL OF CAPITAL EQUIPMENT: Action: Upon recommendation from the Finance Committee, motion was made by Mr. Whitticom and seconded by Mr. Lehigh to approve the Capital Equipment items for the MMHI Board of Directors Meeting Page 5 of 7

6 month of June at total cost of $35,000 as presented at the June 18, 2014, Finance Committee meeting. Motion passed without opposition. FINANCE COMMITTEE RECOMMENDATION TO APPROVE THE PROPOSAL FROM STOCKMAN KAST RYAN + CO FOR THE AUDIT OF THE MMHI RETIREMENT SAVINGS PLAN: Action: Upon recommendation from the Finance Committee, motion was made by Mr. Whitticom and seconded by Ms. Dickinson to approve the proposal from Stockman Kast Ryan + Co for the audit of the MMHI Retirement Savings Plan. Motion passed without opposition. MEDICAL DIRECTOR CARDIOPULMONARY REHAB TERMINATION NOTICE AND MEDICAL DIRECTOR ICU AND MED/SURG TERMINATION NOTICE: Mr. Hannah explained that the roles for the two terminated Medical Directors, Medical Director Cardiopulmonary Rehab and Medical Director ICU and Med/Surg, were roles transferred to other groups or providers. Action: Motion was made by Mr. Glasmann and seconded by Mr. Lehigh to approve the termination notices for the Medical Director Cardiopulmonary Rehab and the Medical Director ICU and Med/Surg. Motion passed without opposition. OTHER BUSINESS BOARD ITEMIZED EXPENSES: Ms. Harmon reviewed Board Itemized expenses for Mr. Hannah and Mr. White. Action: Motion was made by Dr, Vader and seconded by Mr. Whitticom, to approve the Board Itemized Expenses as submitted. Motion passed without opposition. NEXT MEETING DATES / PLANNING DATES: A San Juan Healthcare Foundation Meeting will be held on Thursday, July 10 th at 12:30 p.m. A QHR Trustee Webinar will be held on Tuesday, July 8 th at 11:00 a.m. A Physician Recruitment and Retention Committee meeting is scheduled for Thursday, July 10 th at 7:30 a.m. A Quality Council meeting is scheduled for July 14 th at 12:30 p.m. An Executive Committee meeting is scheduled for Wednesday, July 23 rd at 3:00 p.m. The Finance Committee meeting will be held on Monday, July 23 rd at 4:00 p.m. MMHI Board of Directors Meeting Page 6 of 7

7 The Executive Session of the Board of Directors will be held on Monday, July 28 th at 4:00 p.m. The Board of Directors Meeting will be held on Monday, July 28 th at 5:15 p.m. Ms. Harmon confirmed that time spent on various topics was sufficient and there were appropriate opportunities for comments. At 6:50 p.m. the meeting was adjourned. James E. Whitticom Secretary/Treasurer Debra A. Harmon Chairperson These June Board minutes were approved at the 7/28/14 Board meeting and signed by Debra Harmon, Chairperson and James Whitticom, Secretary/Treasurer. MMHI Board of Directors Meeting Page 7 of 7