Sherry Wieters, Executive Assistant

St. John s Medical Center P.O. Box 428 Jackson, Wyoming 83001 307-733-3636 Committee: Board of Trustees Monthly Meeting - Public Session Meeting Date: October 30, 2012 Minutes Prepared By: Sherry Wieters, Executive Assistant Members Present: Members Absent: Others Present: Michael Tennican Bruce Hayse, MD Joe Albright Barbara Herz (via phone) George Poore, MD Zach Hall Scott Gibson Lou Hochheiser, MD, CEO John Payne, DO John Kren, CFO Gary Trauner, COO Karen Connelly, Communications Director Rick Stuck Alisa Lane Jim Eden Pat Weber Bruce Hawtin Paul Vogelheim Ann King White, BKD Kathy Byron Franci Tryka, MD Marty Trott, MD Call to Order The public Board meeting was called to order at 3:06 p.m. by the Board Chair, Michael Tennican. The public meeting was immediately adjourned to convene in executive session. The public Board meeting was reconvened at 4:03 p.m. Special Announcements Report from the Chair

of 5 Minutes Dr. Poore moved to approve the minutes from the meeting held on September 27, 2012. Mr. Gibson seconded the motion, which passed unanimously. Old Business Board Committees and Medical Staff Reports and Action Items Finance Committee Mr. Kren gave a brief overview of the FY 2012 year end key financial statistics then introduced Ann King White from BKD to present the FY 2012 Financial Audit Report. Ms. White stated that St. John s received a clean unqualified opinion with no material weakness or significant deficiencies and no audit adjustments recorded. Total assets ended at $127,459,000 with 231 days cash on hand and 56 days in accounts receivable. Mr. Albright moved to approve the audit as presented. Mr. Gibson seconded the motion which passed unanimously. JCC Committee Mr. Tennican stated that the JCC meeting went quickly to core business and reviewing of credentialing items and medical policies so he asked Dr. Payne to move forward with presenting these items for approval. Approval of Credentialing Items Dr. Payne presented the credentialing recommendations that were approved at the October 2012 MEC and JCC meetings and included in the JCC report to the Board dated October 29, 2012: Reappointments: 1. Vaughn Morgan, MD, Consulting Staff, Emergency Medicine 11/1/12 10/31/14 2. Mary Neal, MD, Active Staff, Spine Surgery, 11/1/12 10/31/14 3. Richard Ofstein, MD, Active Staff, Radiology, 11/1/12 10/31/14 4. Geoffrey Skene, DO, Active Staff, Physiatry, 11/1/12 10/31/14 5. Laura Vignaroli, MD, Active Staff, Family Practice with Obstetrics, 11/1/12 10/31/14 The JCC recommends approval of a one month reappointment for James Revenaugh, MD, Courtesy, Cardiology Clinic and Telemedicine, 11/1/12 11/30/12. New Appointments: 1. Preceptee David Higueria MS-3, WWAMI, Pediatrics, 11/12/12 12/21/12, Dr. Riddell sponsor

of 5 2. Preceptee Kara Sawywe MS-3, WWAMI, Internal Medicine, 11/11/12 12/21/12, Drs. Butcher & Stearn sponsors 3. Richard Carver, CRNA, AHP, Nurse Anesthetist (Locumtenens.com), Dr. 4. Mark Wilson, CRNA, AHP, Nurse Anesthetist (Locumtenens.com), Dr. 5. Tracy Casper, CRNA, AHP, Nurse Anesthetist (Locumtenens.com), Dr. 6. George Linhardt, MD, General Surgery & Critical Care, Courtesy Staff, 11/1/12 10/31/13. Mr. Gibson moved to approve the credentialing recommendations as presented. Ms. Herz seconded the motion, which passed unanimously. Dr. Payne presented a change to the Medical Staff Bylaws regarding the composition of the Medical Executive Committee which would be effective for the upcoming elections this year. This change was unanimously approved by MEC and JCC. Dr. Poore moved to approve the Medical Staff Bylaws X1.B.1 as presented. Mr. Gibson seconded the motion which passed unanimously. Dr. Payne presented a revised Telemedicine Services policy which was approved at both MEC and JCC. Mr. Albright moved to approve the Telemedicine Services policy as presented. Ms. Herz seconded the motion which passed unanimously. Dr. Payne last presented a revised Non-Credentialed Allied Health Professionals policy which was approved at both MEC and JCC. Dr. Poore moved to approve the Non-Credentialed Allied Health Professionals policy as presented. Mr. Gibson seconded the motion which passed unanimously. Dr. Payne had no further medical staff report. Facilities Committee Mr. Albright stated that the committee met twice this month and all is moving forward on schedule with the expansion. Organization Committee Mr. Hall stated that this committee is charged with reviewing the policies and procedures to allow the board to work more effectively. Mr. Albright gave a brief overview of the changes that have already been approved then presented the new changes for the board s approval. The new revisions include the following: Chapter II new Section 3(b) Acknowledgement, Chapter II new Section 9 Board Advisors, Chapter III Section 3(d)

of 5 change from twenty-four (24) hours notice to eight (8) hours notice for a special meeting to comply with the revised public meeting laws, Chapter III new Section 3(g) Attendance by Alternative Means, Chapter III add new committee Personnel as a standing committee and change name of the Finance Committee to the Finance and Audit Committee. Mr. Albright stated that the recommended changes have been reviewed and approved by the board attorney as being compliant with new public open meeting laws. Mr. Gibson made the motion to approve the Hospital Bylaws changes as presented. Mr. Tennican seconded the motion which passed 6 to 1 with Ms. Herz opposed. Report from County Commission Mr. Vogelheim announced that next Monday at 9:00 am the county commissioners would be recognizing Ms. Maggie Land for her work with the Title 25 Partnership and for her years of Service to St. John s Medical Center and the community. He acknowledged Dr. Hochheiser for his proactive communications and the community outreach he is doing. He also noted that Dr. Hochheiser asked for a meeting with the commissioners which he hoped to facilitate at the beginning of next year. Report from the CEO Dr. Hochheiser announced that we had a visit from Mountain-Pacific Quality Heath, a group that addresses quality complaints and reviews discharge appeals from hospitals in Montana, Wyoming, Hawaii and Alaska. The goal is to reduce hospital acquired infections, adverse drug events, and encourage hospital reporting. St. John s has lower readmission rates in most categories than the state average. He next gave an overview of the Med/ICU core measures for heart failure, VTE, pneumonia and IMM. We are doing well in all categories. A state grant from CMS will allow a case manager to be placed in Jackson to coordinate with our discharge planners, home health and hospice for care transitions. The Associate Satisfaction Survey has been completed with 66% of our employees participating in the survey. Dr. Hochheiser was pleased to announce that the results show our employees have a high level of satisfaction with their job, benefits, view of peers and commitment to St. John s. Scores relating to satisfaction with leadership are not as high. Administration is reviewing the results and planning meetings with individual departments to discuss results and ideas for improvement. Dr. Hochheiser and Mr. Kren took a trip to the University of Utah and met with senior leadership. They are looking for collaboration with hospitals such as ours to try new models of integrating their many services through telemedicine.

of 5 Last he noted there have been discussions regarding the potential for a regional pediatric audiology center here to assure infants and children with significant hearing loss are identified and treated. We have had three successful conferences and have funding from local donors with support by Teton County schools for this project. Foundation Report Mr. Eden announced that Ms. Finegan and Dr. Hochheiser accepted $175,000 from Old Bill s Fun Run for the hospital. This is the largest amount the hospital has received to date from this event. New Business Public Comments and other Announcements Next Meeting The next regular monthly meeting will be Thursday, November 29, 2012 with public session at 4:00pm. Adjournment Mr. Gibson moved for adjournment of the public session. Dr. Poore seconded the motion, which passed unanimously and the meeting ended at 5:29 pm with no return to executive session. Respectfully submitted, Sherry Wieters, Executive Assistant