SOUTHWEST HEALTH SYSTEM, INC.
SOUTHWEST MEMORIAL HOSPITAL
BOARD OF DIRECTORS MEETING
Date: July 23, 2003
Present: Also Present: Roles:
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Charles Hubbard,
Chairperson |
Bob Peterson, CEO |
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Leader: Charles Hubbard |
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Joan Luhman,
Vice-Chairperson |
Mike Anderson, Interim CFO |
Lisa LaPlante, Admin.
Nursing Assist. |
Timekeeper: Joan Luhman |
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Susan Hatter,
Secretary/Treasurer |
Dianna Fury, M.D., Medical
Director |
Lionel Montoya, Accounting |
Facilitator: Don Lipari |
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Terri Forth, Director |
John Petty, M.D. Chief of
Staff |
Anne Schuenemeyer, Director
Med/Surg |
Recorder: Jan Saunders |
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Jim Hanosh, M. D., Director |
Kyle Cruzan, OR Director |
Tye Sprague, Coordinator
FBC |
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Bruce Johnson, Director |
Stephen Day, IS Director |
Vonnie Tanner, Coordinator
FBC |
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Don Lipari, Director |
John Greenemeier,
Foundation Director |
Duane Neal, Chairman, MCHD
Board |
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Chuck McAfee, Director |
Kathy Greenlee, CNO |
Kent Williamson, Attorney |
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Spencer Smith, Director |
Janet Knisley, Director ICU |
Jan Saunders, Executive
Assistant |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Call to order |
Charles Hubbard called the
meeting to order at 6:00 p.m. |
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Public Comment |
There was none. |
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Board Education |
Kathy Greenlee, CNO, has
been a nurse for 34 years and at SWMH for 30 years. She started as a
pediatric nurse, worked in the OR, and has worked in all departments, but
really likes obstetrics. She has almost completed her BSN. She has a really good team
of leaders in OB: Jamie Ritthaler, Tye Sprague, and Vonnie Tanner are OB
Coordinators. After giving the Board her
background, she then gave a presentation on the
changes that are happening in nursing at SWMH:
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Board Education (continued) |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or Motions |
Follow-up Responsible Party |
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Board Education (continued) |
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Medical staff driven:
patient care and pharmacy and therapeutics ·
Interdisciplinary
nature of nursing department |
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Report by MCHD Chairman |
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Duane Neal, MCHD
Chairman, and Charles Hubbard, SHS Chairperson, have agreed to have a monthly
luncheon. ·
The TEFRA hearing went
smoothly due to all the work that preceded it. ·
We are getting closer
to the $10 million loan. ·
At a meeting the other
day, the MCHD Board discussed the PUD and a new street name. ·
MCHD has agreed to
purchase the property on the south side of Dr. Heyl's property and to
straighten out the street. ·
At their meeting, the
Board discussed the PUD covenants. ·
MCHD has been
contacted again by Valley Inn as an option for the nursing home; feasibility
study still on- going. ·
MCHD is excited about
getting close to signing something for the building project. ·
FYI - there may be a
segment of the population that wants to know how we are getting around TABOR. |
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Review Agenda |
There was one information
item added to the agenda. |
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Review of Minutes (Enclosure 1) Financial Notes for the Month of June 2003 (Enclosure 2) |
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The SHS Board of
Directors reviewed the minutes of the SHS regular Board Meeting of June 25,
2003. Under "Medical Staff Credentials" add the verbiage, "As
recommended by the Medical Executive Committee, a motion was made…"
Also, on the motion to reappoint Kurt Rohren, M.D., to the Active Medical
Staff, the "e" was left off of the word "one" in the last
sentence. There was no Finance Committee
Meeting in June. However, the Interim CFO, Mike Anderson, presented a
synopsis of the June financials: |
A motion was made to
approve the minutes of the SHS regular Board Meeting of June 25,2003, as
corrected and amended. The motion was seconded and carried. There was a motion to
approve the financials as presented. The motion was seconded and carried. |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Financial Notes for the Month of June 2003 (continued) |
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The key element for
the month was that we were budgeted to lose $72,000, but instead made
$64,000; the swing came from patient revenue. ·
Med/Surg was up due to
patient days. ·
CT revenues were up
$21,000. ·
Pharmacy was up
$11,500, but that was driven by the price of drugs. ·
PT was up. ·
Outpatient revenues
and Same Day Surgery were up. ·
Home Health was up. ·
Medical Imaging was up
by $34,000. ·
Benefits were down. ·
Medical Specialty fees
were up, driven by Anesthesia fees. ·
Purchased Services
were on budget. ·
Supplies were slightly
above budget. ·
Utilities were up due
to a price increase that had not been anticipated during the budgeting
process. ·
Repairs and
maintenance were down. ·
Rentals and leases
were up. ·
Insurance is about
right on budget. ·
Bad debt expenses were
down. ·
Cash on hand remains
stable. ·
Ratios are between the
50th and 75th percentile. ·
Paying off the bond
hurt the ratios, but they remain constant. ·
Had more Med/Surg
days. |
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Quorum Management Report (Enclosure 3) |
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Harry Jarvis from QHR
was supposed to be here tonight, but got tied up interviewing CFO candidates. ·
QHR is interviewing 5
candidates for the CFO position; three are good, viable candidates. ·
It will be another
month or two before we look at them. Bob will invite members of the Board to
interview them. |
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Southwest Healthnet (Enclosure 4) |
This is for information
only; there were no additions. |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Board Calendar - August (Enclosure 5) |
Nothing further to add. |
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Revised Bylaws from June 25, 2003, Meeting |
This is for information
only; the changes voted in at the June 25, 2003, meeting are reflected in the
Bylaws enclosed. |
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Scholarship Program |
The Foundation Director,
John Greenemeier, reported on the scholarship recipients:
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Special Meetings in Annex Community Room - MUST
check ACR calendar first |
The Annex Community Room
schedule MUST be checked before Special Meetings of either Board are
scheduled. The room is being highly utilized by the community, and there have
been a couple of cases already where we have had to bump community
organizations to accommodate Board meetings. We would like to minimize this
happening. |
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TEFRA Meeting |
As already reported by
Duane Neal, the meeting went well. |
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Patient Call System |
Responding to a Board
member's concerns about the call light system, the following was discovered:
When the new system was originally installed in February, the transmitters
were not working. They have now been fixed, and the response times to patient
calls can now be tracked. |
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Final Cost Estimate for Building and Renovation
Project with 60% Drawings Completed (Enclosure 7) |
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We are currently at a
cost of $9,395,822 for the building renovation and expansion project, but are
trying to pare off another $100,000. |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Final Cost Estimate for Building and Renovation
Project with 60% Drawings Completed (continued) |
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We have ordered the
steel and will order the dirt work at the July 30 meeting. |
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Customer Service Program (Enclosure 8) |
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The Customer Service
Program is off and running. ·
The kick-off was fun. ·
People are signing and
returning the Customer Service Standards. ·
The goal is to have
everyone trained by some time in August. ·
The program will make
a difference in the hospital, not only in how we treat patients, but in how
we treat each other -- and it's fun! |
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Additional Information Item |
Dr. Karen Libsch is
currently a Resident at SWMH who can do C-sections. We need to take her to
dinner and convince her to stay on here after her residency. We need people who
would be interested in taking her to dinner and convincing her to stay here. |
Susan Hatter, Joan Luhman,
Bruce Johnson, Chuck McAfee, Jim Hanosh, Terri Forth, Charles Hubbard, Dianna
Fury, and Duane Neal all volunteered. |
Jan Saunders will arrange. |
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Quality Council Minutes (Enclosure 9) |
The Quality Council Minutes
for June were reviewed. |
It was moved and seconded
to accept the Quality Council Minutes for June as presented. The motion was
seconded and carried. |
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Resolution regarding Enterprise Zones (Enclosure 10) |
John Greenemeier drew up a
resolution regarding Enterprise Zones and updated the Board on his progress
in getting this designation. ·
Both Montezuma and
Dolores Counties have bought into this, which is a prerequisite. ·
John is meeting with
Ed Morlan, Director - Region 9 Economic Development Council, Friday in
Durango to present the resolution to him. ·
The resolution
indicates that there is a need to reimburse providers who perform their
healthcare service free-of-charge. (We hope to retain physicians by
reimbursing them for this donated care.) ·
There is also a need
to reward community members for donating to the Foundation. |
A motion was made to accept
the resolution on "Enterprise Zone Contribution Project" as
presented. The motion was seconded and carried. |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Resolution regarding Enterprise Zones (continued) |
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After Region 9
approves the resolution, it will be forwarded to the State. John Greenemeier went on to
explain the hospital's and his involvement in the Montezuma/Dolores Community
Summit Healthcare Committee. ·
The committee has put
together a list of medically related services provided in our community -- 70
organizations. ·
This committee will
develop a matrix to see if there are duplications or holes in the services
provided. ·
Caring for Colorado,
which provides significant funding for healthcare organizations, contacted
the Community Summit and allowed them to put together a presentation last
Tuesday night through a statewide teleconference. ·
In that presentation,
John outlined the greatest unmet healthcare needs in our community, the
budget cuts in our community, and how Caring for Colorado could help us in
solving these problems. ·
The presentation went
well, and a state agency wants to come down and visit with hospital
representatives. ·
We may get financial
assistance for the Community Summit, the hospital, and for healthcare-related
organizations in our community. |
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PHO Representatives from SHS (Enclosure 11) |
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The current PHO
representatives from the hospital are Bob Peterson, Mike Anderson, Rhonda Van
Dover, and 2 Board members -- Susan Hatter and John Greenemeier. ·
The commitment to be
on the PHO Board is normally one monthly meeting which is held from 7:30 -
9:00 a.m. on a Monday morning. ·
The meetings deal with
employer-owned groups with whom we have agreements and discounts. ·
We need to appoint one
new Board member since John Greenemeier is no longer on the Board. ·
Susan Hatter said she
would continue, but she may have to leave the meeting early for work. |
A motion was made to
reappoint Susan Hatter and to appoint Don Lipari to the PHO Board and to
specifically name the CEO, CFO, and Compliance Officer as required members of
the Board. The motion was seconded and carried. |
Laura Rice |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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PHO Representatives from SHS (continued) |
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Don Lipari volunteered
to be the other Board representative. |
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Draft Covenants for MCHD PUD (Enclosure 12) |
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Kelly McCabe drew up
the draft covenants for the MCHD PUD. ·
MCHD's position was to
make them pretty stringent -- they can always back out of them, but it is
harder to tighten them up. ·
SHS attorney, Kent
Williamson, had a couple of comments: ·
Page 2, paragraph # 3
regarding architectural control committee: it does not specify where the
other two committee members come from. ·
Page 5, subsection ix
regarding Medicare/Medicaid patients: Kent suggested that the language should
not limit a physician's acceptance of Medicaid/Medicare patients. Putting in
a percentage may prevent a physician from buying there. A physician must
accept a reasonable number of Medicare/Medicaid patients based on the community
average. He suggested the same verbiage be used as is in the Physician
Recruitment Contract about having to "participate" in
Medicare/Medicaid. He did not think it would be possible to enforce
percentages. |
A motion was made to
support the MCHD PUD Draft covenants as presented and to look further at the
two items in question. The motion was seconded and approved. |
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CER for Anesthesia machines (Enclosure 13) |
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During the budget
process, the anesthesiologists were asked if the anesthesia machines were all
right, and they said they were. ·
Now they are breaking
down, and one can't be fixed. ·
Our current machines
are 7 and 9 years old. ·
After the building
project, we will have three operating rooms, and we need 2 anesthesia
machines. ·
The current request is
to purchase one anesthesia machine now, unbudgeted, and we will buy the
second one in January after the new capital budget comes out. |
A motion was made to
authorize the expenditure of $165,000 for one anesthesia machine to be
purchased now. The motion was seconded and carried. |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Insurance Renewal Costs and Coverage (Enclosure 14) |
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The Board of Directors
authorized the CEO to negotiate insurance renewal costs and to look at other
carriers. ·
The enclosure is a
summary of the renewal costs and coverage which the hospital now has. ·
We took out optional
coverage for "non-certified terrorism," meaning that any type of
terrorist attack on the hospital will be covered even though the person or
organization is not a known terrorist or terrorist organization |
A motion was made to
approve the insurance renewal costs and coverages as summarized on the
enclosed sheet. The motion was seconded and carried. |
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The Board took a break at
7:50 p.m. |
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The Board adjourned into
Executive Session at 8:05 p.m. |
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The Board came out of
Executive Session at 8:35 p.m. |
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Medical Staff Credentials |
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As recommended by the
Medical Executive Committee, a motion was made to reappoint Terry R. Cook,
DPM, to the Medical Associate Staff with clinical privileges in Podiatry as
requested with the restriction as noted. The motion was seconded and carried.
There was one abstention. As recommended by the
Medical Executive Committee, a motion was made to appoint Walter Patrick
Haney, M.D., to the Provisional Active Medical Staff with clinical privileges
in Diagnostic Radiology. The motion was seconded and carried. There was one
abstention. As recommended by the
Medical Executive Committee, a motion was made to reappoint Alan F. Houston,
M.D., to the Active Medical Staff with clinical |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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privileges in Emergency
Medicine as requested, including the deletions and one addition. The motion
was seconded and carried. There was one abstention. As recommended by the
Medical Executive Committee, a motion was made to reappoint Tracy Lippard,
M.D., to the Active Medical Staff with clinical privileges in Internal
Medicine as requested. The motion was seconded and carried. There was one
abstention. As recommended by the
Medical Executive Committee, a motion was made to reappoint Jonathan Delacey,
M.D., to the Active Medical Staff with clinical privileges in Diagnostic
Radiology as requested. The motion was seconded and carried. There was one
abstention. |
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Personnel Issues |
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A motion was made to have
the CEO write a letter to Michael Woods, M.D., expressing our sincere
interest in his locating to this area. The motion was seconded and carried.
There was one abstention. A Board member requested
that the job description for Director, Strategic Quality Management/ Marketing be put in the
parking lot. |
Bob Peterson Jan Saunders |
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Agenda Item/Topic |
Findings and Discussions |
Conclusions, Recommendations, Actions, and/or
Motions |
Follow-up Responsible Party |
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Parking Lot |
1) Invite the Board to any tabletop disaster drills,
provide them a copy of the new emergency preparedness plan, and invite them
to be victims in the next emergency preparedness drill. 2) Human Resources monthly report regarding
evaluations. |
As this is a regular part
of the QHR Report under Human Resources, this will be dropped from the
parking lot. |
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The Board adjourned into
Special Executive Session at 8:40 p.m. |
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Adjournment |
The meeting adjourned at
10:15 p.m. |
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Respectfully submitted:
_____________________________ ________________________________
Susan Hatter, Secretary Charles
Hubbard, Chairman