SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES

Transcription

1 SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: January 20, 2015 Members Present: Claudia Kerens, Gary Stephens, Chris Haury, Dennis Ernsting and Alene Holloway, Kay Hapke, Kevin Wilson Members Absent: Nathan Lee, Vanessa Tinsley, Others Present: Joann Emge, Paul Mueller, Angela Oathout, and Ruth Holloway Meeting called to order at 7:00 p.m. by Mr. Ernsting. Item Discussion Action, Resolution, or Follow-up Approval of Minutes Treasurer s Report Financials Mr. Ernsting introduced Kevin Wilson as the newly appointed member of the Board. Mr Ernsting presented Board minutes from December 16, 2014 for review. Mr. Stephens presented the Treasurer s Report. Joann explained to Mr. Wilson the Caldwell and Beaver accounts. Paul Mueller reviewed the financials and reported: Cash decreased $950,297 or 11% in comparison to November. Day s cash on hand decreased to 114 Hospital Days n A/R decreased from 92 in November to 90 days in December. Hospital gross receivables from State of Illinois self-funded plan for employees and retirees is $1,118, Total system gross A/R increased to $1,160,215. Hospital patient gross A/R increased $414, Hospital Medicaid gross receivables are $4,840,865 Clinic Gross accounts receivable decreased to $48,033. Or 5%Overall revenues decreased except for the Emergency Department that saw an increase by $158,287 or 13% A/P decreased $219,574 Overall the hospital saw an increase in revenues except for the Emergency Department that decreased by $11,623. Or 1% Total expense per calendar day is $72, Expenses year-to-date are $787, or 5% under budget. Bad debt measured favorably (-1.2%) to the 5% indicator Mr. Stephens made a motion to approve with Ms. Kerens seconding to approve minutes as presented. Motion carried. Ms. Kerens made a motion to approve the Treasurer s Report as presented and file subject to audit. Ms. Hapke seconded. Motion carried.

2 Physician s Report CEO Report Dr. Preuss was not present. Joann discussed departmental activity as follows: Med-Surge Activity Up ED Volume 12 Month Peak 989 Visits OR Volume 117 Cases Home Health 45 Admissions MRI 95 Exams 24% annualized Increase Lab 12 Month Peak Convenient Care 1040 sick visits Project Update MRI Update: The project is moving forward, the MRI Scanner was delivered on January 23, 2015 with installation to be completed within 4-6 weeks. Ready for IDPH Survey March 9, Pay Application: #3- balance remaining $182, UPS/Generator: Installation is complete Expenditures: Property Insurance due in February, increased by $2, or 1.8% with the addition of the new MRI suite, the cost of the renewal is $52,968 T-System Server Replacement: The Emergency Dept. Server system is in need of replacement, following are details regarding the Server Replacement: One time License Renewal: $ 23, Annual Maintenance: $ 9, Bus. continuity annual fee $ 2, There are various drainage/sewer pipes that are deteriorating and will be in need of immediate replacement. Three bids were received from the following: $16, Jany Plumbing $15, Haury Plumbing $10,800 PSI

3 CEO Report Cont d The board members approved the lower bid contingent that the Plumbing contractor has a complete understanding of the job. The board also requested that the contractor be questioned as to why he desires to leave a section of pipe rather than removing or replacing 340b-Retail Program: Joann discussed the 340B retail drug program with the members and shared the potential financial benefits by participating. Joann continued to share that there has been discussion with our local pharmacies and that Paul Mueller is working with Well-Partners to use as our program contractor. Specialty Services: Communication continues with Dr. Abdo, Surgical Podiatrist who has expressed interest in providing Podiatry services here in Sparta. Under the terms of the agreement, patients will be seen in our RHC with SCH billing the physician services in the clinic as well as in surgery. The physician will provide his own medical liability coverage and will receive a daily compensation rate for his professional services. Accountable Care Organization(ACO) Letter will be sent to Medicare patients explaining the Coordinated Care program. Posters and information will be in each physician office. Internal Processes: Meaningful Use: Joann shared the progress and that the hospital did attest to stage II of Meaningful Use. Pain Management: Dr. Manchanda started providing Pain Management Services here at January 15, 2015 Health fair: To be held Saturday January 24, 2014 at the WSC. Fundamentals: Employee Appreciation Event Was held January 17, 2015

4 at the Lion s Club. Staff Stuff Newsletter Was distributed to the group for review. Executive Session Paul Mueller left the meeting at 7:20 p.m. Ms. Kerens made a motion to go into Executive Session at 7:25 p.m. for the purpose of discussing Personnel Matters and Litigation Mr. Stephens seconded. Motion carried. Regular Session Ms. Kerens moved to return to Regular Session at 7:45 p.m. Mr. Wilson seconded. Motion carried. Minutes Mr. Ernsting stated that the Executive Session minutes from December 16, 2014 and, July 15, were reviewed in Executive Session. Ma. Kerens made a motion approving Executive Session minutes from December 16, 2014; Ms. Holloway seconded. Motion carried. Committee Reports Mr. Stephens shared the highlights of the Finance Committee meeting. Mr. Stephens made a motion to release Executive Session minutes from July 15, 2014 Ms. Kerens seconded. Motion carried. Ms. Holloway shared the Quality Council Highlights from January. Home Health- Volume is climbing. Satisfaction scores are above Region 5 average and are in top 20% of National scores. ED- Average length of stay- 109 min. Time to be seen by provider 15 min. 27/27 Chest pain EKG s were completed within 10 minutes. ED transfer rate decreased to 5.9%; Physician s efforts to explain information 92%. Transfer data for MBQIP indicators is being pulled for 4Q2014. Med/Surg Medication errors reaching patient- 8. No restraints were used last month. 100% of wound risk assessments and interventions were completed.

5 Readmissions for Nov were 0, Dec had 3 (5%). Physicians are encouraged to use CPSI to enter orders. Options are being reviewed to determine means to improve medication reconciliation process in CPSI. New Business Pharmacy Quotes for replacement mixing hood options have been received and are being evaluated to meet HFAP criteria and regulations for chemotherapy medications. Surgery Call back contact rate 57%. Overall satisfaction rate 92%. Screening process for patients to see Dr. Quader is being revised to allow him to see patients timely. PQRS indicators are being reviewed to determine which indicators can be reported from SCH. Infection control hospital acquired infection rate is 0.55%. Ebola training continues with staff. Radiology MRI addition is in progress. IT- Meaningful use stage 2 attestation was completed Grievance log 5 complaints were received during November. Complaints were investigated and addressed with patients. Expenditures Approval of Capital Expenditures: Property Insurance $ 52, T-System Server 23, Annual Maintenance 9, Bus. Continuity Annual Fee 2, Plumbing Pipes 10, Podiatry Compensation per day 2, Ms. Kerens made a motion to approve the following Expenditures: Property Insurance $ 52,968.00; T-System Server 23,000.00; Annual Maintenance 9,250.00; Bus.

6 Adjournment Approval of Medical Staff Applications: Ms. Hapke presented on behalf of the Credentialing Committee the following Providers: Physicians: Neal Neuman, M.D. Urologist Meher Mallick, M.D. Nephrology Mid-Level Providers: Natascha Rice, NP Candace Cook, NP Beth Kraus, NP The Following contracts were brought to the board for approval: Dr Kugler, General Surgeon Continuity Annual Fee 2,250.00; Plumbing Pipes 10,800.00; Podiatry compensation per terms of the agreement. On Roll Call: YEA: Ms. Holloway, Mr. Stephens, Mr. Haury abstained from voting on plumbing project, Mr. Ernsting and Ms. Kerens, Ms. Hapke. NAY: None. ABSENT: Lee, and Tinsley. Motion carried. Mr. Ernsting made a motion approving the following applications for appointment, reappointment, Ms. Hapke, motion carried. Ms. Kerens made a motion to approve the contracts presented and Alene Holloway seconded. Motion Carried. A motion was made by Mr. Stephens to adjourn at 8:00 p.m. Mr. Wilson seconded. Motion carried. Dennis Ernsting, Chairman Chris Haury, Secretary