Hospital Committee Meeting Minutes April 2014



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Hospital Committee Meeting Minutes April 2014 Meeting Date April 1, 2014 Meeting Time 6:00 p.m. Meeting Location Hospital Conference Room B Members: P-present, A-absent, E-excused P Jerry Britton Chair P Bryan Knapp P Sue Pettit Ex - Officio P Mike Hobbs P Ron King P Tom Butcher P Chelsea Musgrave-Minutes P Darla Hout P Ted Whitehead P Amanda Goostree A Dr. Maneja (Med Staff Rep) P Jamie Veach P Gary Milone (Attorney) P Julie Long- Guest Agenda Item Discussion Follow Up Welcome Amanda welcomed everyone to the meeting. Amanda Goostree Call to Order Jerry Britton called the meeting to order at 6:00 p.m. Jerry Britton Roll Call of Committee Chelsea Musgrave performed roll call. Members Approval of Agenda (Action) The agenda for the meeting was presented for approval. Motion by Bryan Knapp. Seconded by Ron King. Motion carried. Approval of Minutes (Action) Minutes from the March 4, 2014 regular committee meeting were presented for approval. Finance Mike Hobbs Financial Review and Statistics Investments (Follow Up) Edward Jones Financial Assistance Policy (Action) Motion by Tom Butcher. Seconded by Byran Knapp. Motion Carried Mike Hobbs, CFO, presented financial data for February 2014. Mike presented the cash and investments maturity schedule. There are currently investments with Edward Jones and Fora Bank & Trust that have matured and will continue to mature in the upcoming months. Mike recommends investing money not needed for capital request purchases with SSM s Funded Depreciation

Collections and Bad Debt Policy Investment Program. Mike will present SSM s Funded Depreciation Investment Program to the full County Board. A discussion on Edward Jones investment money with possible action to be added to the County Board agenda. The Corporate Authorization Resolution specifies designated agents and their respective powers for deposits and signatures authority for checking/savings accounts. Currently, Amanda Goostree and Mike Hobbs are the authorized signers on the resolution. Edward Jones is not honoring the Corporate Resolution. They are requiring personal information from Amanda Goostree and another signer on the Corporate Resolution. It was determined that the Clay County Treasurer, Jana Tolliver, will be asked to be added to the Edward Jones account. Corporate Authorization Resolution for Jana Tolliver to be added to the Edward Jones account will to be added to the County Board agenda for their consideration. Mike presented the current Collections and Bad Debt Policy that has been in effect since 2009. Mike does not recommend making any changes to the policy. The policy will be followed much closer from this point forward. This was presented as informational only.

Joint Leadership Report Ted Whitehead President s Report Amanda Goostree Surgical Statistics Review Physician Recruitment Physical Therapy Department Changes M/S Manager Turnover Mike presented a copy of the current Financial Assistance Policy along with a copy of SSM s Financial Assistance Policy. Mike recommends adopting the SSM Financial Assistance Policy that will increase the financial assistance qualification from 200% of the federal poverty level to 400% of the federal poverty level. This will increase the amount of charity care and decrease the amount of bad debt, which will save on administrative overhead. This has been tabled until next month s Hospital Committee Meeting when further research will be presented by Mr. Hobbs. Ted Whitehead presented the Joint Leadership Council Minutes from the March 25 th, 2014 meeting. Ted reported that Dr. Murphy has been selected to be the new Chief of Medical Staff. Ted announced that he has witnessed many positive reactions in the community regarding the new surgeon, Dr. Schulz. Jerry Britton also reported that he has had conversations with several current hospital staff members that have reflected positive attitudes about the direction of the hospital and the current working environment at the hospital. Surgical statistics for January, February, and March were added to the financial report. The surgical statistics for each month will be presented by Mike Hobbs as part of the financial report. Amanda Goostree announced that a potential Family Practice Physician, Dr. Terry Reznick, met with the CCH Mike will research the effect of increasing the financial assistance qualification standards and bring to next month s Hospital Committee Meeting.

ACI Update Capital Request- ER Stryker Beds (Action) Medical Staff and Administration on March 27 th. Amanda will keep the Hospital Committee updated on any decisions made regarding Dr. Reznick. Amanda discussed the recent resignation of the Physical Therapy Department Manager. Positions have been posted for a manager of the Physical Therapy Department and a Physical Therapist. Amanda explained that a Physical Therapist might be utilized best seeing patients and not performing managerial duties. A decision has not been made at this time regarding the two positions. Amanda announced the current Med/Surg. Nurse Manager has resigned her position to stay at home with her children. Tammy Bayless, an experienced Med/Surg. Nurse Manager has been hired to fill this position. Amanda is waiting to hear back from ACI on contract buy out. Amanda requested guidance on further action that will be needed. The Hospital Committee will call a Special Committee Meeting to determine a price for negotiating the contract buy out. Amanda to contact Jerry Britton when there is need for special meeting based on ACI response. Capital Equipment Request Stryker Beds (Action)- Stryker The ER Department submitted a request to purchase 3 new ER Stryker stretcher beds from at a cost of $20,665.53. Information related to this purchase was presented. Motion by Bryan Knapp to approve for the capital

Credentials Committee (Action) Amanda Goostree COO s Report Jamie Veach Compliance Report Clay City request to be submitted to the Clay County Board. Seconded by Ted Whitehead. Motion carried. After review and approval of the application by the Credentials Committee, the Medical Staff Executive Committee recommends appointment for the following health professionals: Reappointment: Richard Katholi, MD Courtesy Internal Medicine Douglas Combs, MD Courtesy OB/GYN Elizabeth Beyer Nolen, MD Courtesy OB/GYN (requested information received) Initial Appointment: Jeanne Holdren, APN Provisional Specified Professional Affiliate Stephanie Van Ulft, MD Professional Courtesy Psychiatry Jamie Veach discussed opening a clinic in Clay City that will provide comprehensive care which will include primary care as well as mental health. There are many possibilities available with the building available in Clay City. An architect will be hired to design a layout for the building. Jamie announced the visits for both clinics are up 20% from last year. A report on total clinic volume was presented. The number of visits for the Louisville Clinic on Saturdays was discussed. Those numbers vary depending on the time of year.

Open Discussion All Present Jamie announced the Compliance Committee Meeting scheduled for this Thursday will include a review of the updated Compliance Policy. The new policy will be presented to the Hospital Committee when it is completed. Amanda gave a detailed report on the additional FTE s that have been added in the past 6 months. This was for informational purposes only. Amanda announced that CCH will be opening a Heartburn Center in the near future. Amanda briefly discussed the procedures that will be involved in the testing and treatment. A full procedure ROI will be brought to next month s Hospital Committee Meeting. Amanda to bring a full Heartburn Center ROI to next month s Hospital Committee Meeting. Adjournment (Action) Darla Hout, HR Director, provided an update on the Employee Health Insurance. At this time, 8 employees have been moved to the Health Insurance Exchange. Amanda asked for input from the Hospital Committee on writing the ICAHN Hospital Board Education Grant for 2014. The purpose of the grant is for Board training. It was suggested to use the grant for FOIA/OMA training for the entire County Board. Motion to adjourn by Red Whitehead. Seconded by Tom Butcher. Motion carried. Meeting was adjourned at 7:47 p.m.