SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING. SPH Conference Rooms November 15, *****Into Executive Session 5:17 p.m.

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1 SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING SPH Conference Rooms November 15, 2016 Call to Order The BOD went into Executive Session to discuss personnel and financial matters prior to the start of the regular meeting. *****Into Executive Session 5:17 p.m. ***** *****Out of Executive Session 6:55 p.m.***** *****Into Regular Session 7:05 p.m.***** President Matt Hambrick called the regular meeting to order at 7:05 p.m. Present: Matt Hambrick Vickey Hodnik Tom Clark Bernadette Wilson Julie Woodworth Matt North Matt North Susan Drathman David Groesbeck Excused: Also Present: Lane Chesley Ralph Broshes, SAB Representative Rhonda Bradshaw, Manager, Homer Medical Center Jason McCormick, B2B CFO, Financial Analyst, by phone Robert Letson, CEO Leslie Haynes, QI/UR/RM Director Derotha Ferraro, Marketing / Public Relations Director Shelly Allain, Chief Human Resources Officer Shara Sutherlin, Patient Care Services Director Glenn Radeke, Support Services Director Laura Hansen, Strategic Initiatives Director Donna Rollins, Psychiatric Nurse Practitioner. Nancy Chastain, Recording Secretary A quorum was present. Announcements, Welcome Guests & Public President Hambrick welcomed everyone. He took a moment to reflect on Living our Values, mentioning Teamwork, We strive to always recognize and acknowledge the contributions and achievements of the group. He thanked the board for their work. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 1 of 9

2 Approval of the Agenda Ms. Woodworth moved to approve the agenda as written. Mr. Groesbeck seconded. There was no dissent and the motion carried. Comments of the Audience There were no audience members. Approval of the Consent Calendar Groesbeck/Woodworth moved/seconded: Consideration to Approve the Consent Calendar as written: Ms. Wilson read the consent calendar into the record. a. Consideration to Approve the minutes of September 28, 2016 Board of Directors meeting b. Consideration to Approve the minutes of October 17, 2016 Board of Directors meeting c. Consideration to Approve Family Practice Physician Agreement Discussion: None further. Motion carried unanimously. Presentations: a. Homer Medical Center Manager Presentation Rhonda Bradshaw Where We Have Been, Where We Are Going Ms. Bradshaw reviewed recent history of HMC, including larger staff and more practitioners, increased hours, and improvements in services provided. She described EpiFix, a remarkable new product for wound care. She discussed the new EMR being implemented, Athena Health Services. Ms. Woodworth asked about after hours pharmacy practices. The walk-in clinic was discussed. The expansion plans were discussed, with emphasis on the center remaining open while constructions takes place. Ms. Bradshaw thanked everyone for listening. b. Quarterly Kenai Peninsula Borough Presentation Bob Letson, CEO Mr. Letson read from the report he will give to the Assembly on December 6. His overview covered TeleStroke in the ER, charge master changes, HVAC and HMC change bids. He reported Dr. Rob Downey will be the new chief of staff, and thanked Dr. Sarah Spencer for her service in the position. He reviewed Medicare DRG pricing comparisons with other Alaska hospitals, demonstrating SPH is less costly than the others. There was a long discussion about the content of the presentation. Public Comments Mr. Letson introduced Donna Rollins, Behavioral Health. He had requested her to be available for questions on the agenda. Reports: a. Chief of Staff Dr. Sarah Spencer was not present. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 2 of 9

3 b. Service Area Board Representative Ralph Broshes reported that the three SAB members on the ballot Doris Cabana, Clyde Boyer and Ralph Broshes were all reelected. The BOD congratulated the SAB. Election of officers was completed, choosing Chairperson Carrie Ann Baker, Vice Chair Ralph Broshes, Treasurer Judith Lund, and Secretary Jacque Lenew. Things have quieted down after the business of the last year. He was thanked for attending the BOD meeting. c. Chief Executive Officer CEO Letson s report was included in the packet. He highlighted the following: Jill Rife, nurse practitioner at Homer Medical Center, is now a certified wound care provider. Home Health has 52 clients now. They also were profitable this month. Lab has a new chemistry analyzer. SVT Clinic is working with imaging department for possibly interpreting SVT radiology studies. There were no further questions or comments. d. LTC Report Mr. Letson s report was included in the packet. He mentioned; Point-Click-Care EHR implementation which will be very helpful. 27 residents Good activities for Halloween. New federal regulation requiring staffing information to be reported. e. Chief Financial Officer Mr. McCormick s report was included in the packet. He attended the meeting by telephone. Mr. McCormick summarized overall revenue and expenses. Financial improvement plan was prepared per request of the mayor and has been sent to him. There were no comments or questions. f. Patient Care Services Ms. Sutherland s written report was provided in the meeting packet. She added the following. Kudos to Ivy Betts, who stepped into a fill-in role, and has done a great job. Home Health financials were reported. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 3 of 9

4 g. Quality Improvement/Utilization Review Ms. Haynes written report was provided in the meeting packet. She stated her appreciation of everyone who showed up last week to participate in risk management plan, interviews, input, and helping to put together a good end product. She is looking forward to sharing that next meeting. h. Marketing Report Ms. Ferraro s written report was provided in the packet. She thanked everyone for the help with the Health Fair. HMC administered 194 flu shots at the health fair. Thursday night Dr. Ross Tanner will present, Know Your Numbers, and will review health fair blood results. Ms. Wilson complimented the HMC brochure from the Health Fair. There were no further questions or comments. i. Human Resources Ms. Allain s written report was in the packet. She mentioned the following. New computer program up and running. Reduced travelers by half in the last month. Currently have 25 openings. Ms. Wilson complimented HR on their table being pictured in Alaska Nurses Magazine. j. Support Services Mr. Radeke s written report was included in the packet. He commented on how Support Services sends s hospital-wide to notify staff ahead of any service disruptions. k. Strategic Initiatives and Planning Ms. Hansen s report was provided in the packet. l. Board President Mr. Hambrick had no report. m. Mayoral Task Force Update Ms. Woodworth s written report of the last task force meeting was included in the packet. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 4 of 9

5 n. Board Committees: Finance There was no written report on Finance. Mr. Groesbeck reminded all of the Finance committee s commitment to the bottom line. Governance Ms. Drathman s report was included in the packet. She reminded Mr. Chesley, Mr. Clark and Mr. North to please fill out BOD membership applications and submit them. There were no further questions or comments. Education Ms. Wilson s report was in the packet. Ms. Wilson reported the committee did not meet. She mentioned the brochures in the packet on upcoming conferences with discounts and early deadlines. Ms. Woodworth complimented the quality of the iprotean classes. She mentioned CPH is sending their entire board to Rural Health Conference. There were no further questions or comments. Pension Plan The Pension Plan report was included in the packet. Mr. North pointed out a new page included in the report. The committee met with Wells Fargo. The next committee meeting is December 6. There was discussion on how well the plan was working. There were no further questions or comments. BOD Representative to Service Area Board Meeting Mr. Clark attended the meeting, and gave a brief summary. He thanked Mr. Broshes and the SAB for their support on the Bond issues and help with Borough issues. Unfinished Business No items. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 5 of 9

6 New Business a. Consideration to Approve Behavioral Health Clinic Expansion Discussion: Donna Rollins, psychiatric nurse practitioner from Behavioral Health, spoke, saying her work has increased to the point she needs help in the form of a licensed professional counselor. The hospital could bill for these services. This is in line with task force recommendations. There was a long discussion. North/Groesbeck moved/seconded: To Approve Hiring a Licensed Professional Counselor for the Behavioral Health Clinic. Discussion: Ms. Woodworth queried Mr. Radeke about space for this, and discussion ensued. Mr. Letson was asked for an update on any building to be done. Ms. Rollins thanked the board. Mr. Clark requested a roll call vote be taken. The Vote: Yes: Wilson, Groesbeck, Drathman, Hambrick, Hodnik, Clark, North No: 0 Abstain: Woodworth Excused: Chesley Motion carried. b. Consideration to Approve Long Term Care HVAC Control Replacement. Discussion: Mr. Letson explained the situation with old air handlers in LTC. Mr. Radeke further explained the problem. Mr. Letson told of the plan to assess all areas of the hospital for this type of equipment problems to plan for replacement in the capital budget. Discussion ensued. Discussion: Clark/Groesbeck moved/seconded: To Approve Replacing the SPH SF-1 & 3 Direct Digital controls using Operating Funds not to exceed $76,000. In addition, management will embark on a Facility Assessment and provide a subsequent plan.. Discussion: The discussion continued. Mr. Clark requested a roll call vote. The Vote: Yes: Clark, Hodnik, Groesbeck, Wilson, North, Drathman, Hambrick, Woodworth No: 0 Excused: Chesley Motion carried. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 6 of 9

7 a. CPH & SPH joint meeting Ms. Woodworth s minutes of the meeting are included in the packet. Ms. Woodworth, Mr. Letson, Mr. Chesley and Ms. Drathman attended the meeting October 26 in Soldotna. Ms. Drathman felt the two boards had identified similar concerns. The next meeting will be at the Rural Health Conference in February. Mr. Broshes said SAB members may also attend. Mr. Hambrick thanked the attendees. b. Doctor s Dinner Follow-up report Ms. Woodworth suggested that every agenda for the doctor s dinner should include a recap from the previous meeting for followup. She said it was well attended and the food was good. Mr. Hambrick was thanked for his efforts in the matter. Comments from the Chief of Staff Dr. Sarah Spencer was not present. Comments from Jason McCormick Mr. McCormick had no comments. Comments from the CEO Mr. Letson enjoyed the Homer Medical Center presentation. He thanked all senior managers for their hard work, and the SAB for all their help. He also thanked the Board. He wished all a good holiday season. Comments from the Recording Secretary No comments. Comments from the Service Area Board Representative Mr. Broshes complemented the board on its good work, and said to contact SAB for any help needed. Comments from Board Members Ms. Drathman stated she enjoyed the presentations, and the board was doing good work on the risk assessment. Mr. Clark complimented Ms. Bradshaw on her presentation, and is looking forward to the HMC expansion. Ms. Woodworth felt Ms. Bradshaw made an excellent presentation, and thanked Ms. Betts for stepping up on the billing side. She congratulated Colleen James for getting an award. She thanked Derotha for her hard work on the Health Fair. She thanked the board members for their hard work as well. Mr. Groesbeck had no comments. Mr. Hambrick appreciated all the board s efforts, and looked forward to serving in 2017 with all the current board members. South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 7 of 9

8 Mr. North stated the Health Fair got rave reviews from attendees. Ms. Wilson appreciated Ms. Bradshaw s presentation. She said the Health Fair got lots of appreciative community comments. She thanked Derotha for spearheading the event. Dr. Hodnik thanked everyone for their efforts and wished them a great Thanksgiving. Announcements as a Result of the Executive Session After review of the applicants files in Executive Session, Ms. Wilson moved to approve the following positions in the medical staff as requested and recommended by the Medical Executive Committee: Appointment Dodge, Ross MD Pediatric Neurology Courtesy Staff Martynowicz, Marek MD Pulmonology and Courtesy Staff Internal Medicine Providence e-stroke: Atkinson, Benjamin MD Neurology Telemedicine (e-stroke) Atwal, Sarabjit MD Neurology Telemedicine (e-stroke) Bhatt, Archit MD Neurology Telemedicine (e-stroke) Czartoski, Todd MD Neurology Telemedicine (e-stroke) Judd, Lilith MD Neurology Telemedicine (e-stroke) Kansara, Amit MD Neurology Telemedicine (e-stroke) Lowenkopf, Theodore MD Neurology Telemedicine (e-stroke) Marvi, Michael MD Neurology Telemedicine (e-stroke) McClenathan, Bethany MD Neurology Telemedicine (e-stroke) Menon, Ravi MD Neurology Telemedicine (e-stroke) Pary, Jennifer MD Neurology Telemedicine (e-stroke) Rontal, Andrew MD Neurology Telemedicine (e-stroke) Sampson, Tomoko MD Neurology Telemedicine (e-stroke) Sapkota, Biggya MD Neurology Telemedicine (e-stroke) Yanase, Lisa MD Neurology Telemedicine (e-stroke) Zurasky, John MD Neurology Telemedicine (e-stroke) Reappointment of: Hahn, Kenneth MD Family Medicine Active Staff Roberts, Sarah MD Family Medicine Active Staff Discussion: Ms. Woodworth seconded the motion to approve. Motion carried. Adjournment: Groesbeck/North moved/seconded: South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 8 of 9

9 To Adjourn. Discussion: None further. Motion carried. Meeting Adjourned at 8:32 p.m. Respectfully Submitted, Accepted: Nancy M. Chastain Recording Secretary Matt Hambrick, President Minutes Approved: Bernadette Wilson, Secretary South Peninsula Hospital, Inc., Regular Board Meeting, November 15, 2016 Page 9 of 9