Mrs. Cloar nominated Mrs. Holness for Chairman. Mr. Giles seconded the motion.

Transcription

1 ... HALIFAX HOSPITAL MEDICAL CENTER BOARD OF COMMISSIONERS MEETING Held at 303 North Clyde Morris Boulevard, France Tower, Daytona Beach, FL VVednesday,October14,2009 Present: Also Present: Pam Carbiener, Secretary Vivi Cloar, Member Art Giles, Member Betty Holness, Vice Chairman Blaine Lansberry, Treasurer Tim Phillips, Member Glenn Ritchey, Member Laura Cason, Assistant Administrator David Davidson, General Counsel Lori Delone, Chief Information Officer Jeff Feasel, President & Chief Executive Officer Bill Griffin, Director of System Research & Planning Dan Lang, HHMC, Administrator Arvin Lewis, Vice President, Patient Business & Financial Services Ann Martorano, Chief Marketing Officer & HHPO Administrator Mike Morgan, Manager Facilities Gerry Neff, Director, Finance Eric Peburn, Chief Financial Officer Joe Petrock, Executive Director, Foundation & Governmental Affairs Audrey Pike, Associate General Counsel Tammy Rice, Director, Audit Services Fe Roster, Interim Chief Nursing Officer Dee Schaeffer, CEO, Healthy Communities Don Stoner, M.D., Chief Medical Officer The meeting was called to order by Vice-Chair Betty Holness at 4:00 p.m. The invocation was given, the Mission Statement read, Pledge of Allegiance recited, and roll recorded. ELECTION OF OFFICERS Mrs. Holness advised that following the reappointment of Mr. Giles and the appointment of Mr. Phillips, elections of officers will be held. The floor was op.ened for nominations. Mrs. Cloar nominated Mrs. Holness for Chairman. Mr. Giles seconded the motion. Dr. Carbiener nominated Mr. Ritchey for Chairman. Mr. Phillips seconded the motion. Ballots were submitted to Mr. Davidson. Results were read and recorded into the record - three votes for Mrs. Holness; four votes for Mr. Ritchey. Mr. Giles nominated Mrs. Holness for Vice Chairman. Mrs. Cloar seconded the motion. Carried unanimously. Dr. Carbiener nominated Mr. Phillips for Treasurer. Mrs. Lansberry seconded the motion. Carried unanimously. HHMC Board of Commissioners Meeting- October 14,2009 Page 1 of 6

2 Mrs. Cloar nominated Mrs. Lansberry for Secretary. Dr. Carbiener seconded the motion. Carried unanimously. Mrs. Lansberry nominated Mrs. Cloar for Assistant Secretary. Dr. Carbiener seconded the motion. Carried unanimously. MEDICAL STAFF REPORT - Credentials Committee Action Items - October Mrs. Holness welcomed Dr. Billmeier as the new President of the Medical Staff. Dr. Billmeier requested approval of associate staff privileges for Daniel V. Patel. M.D., Nephrology Motion was made and seconded to approve associate staff privileges for Dr. Daniel Patel. Carried unanimously. Dr. Billmeier requested approval of associate staff privileges for Kathryn S. Villano, M.D., Maternal-Fetal Medicine. Motion was made and seconded to approve associate staff privileges for Dr. Villano. Carried unanimously. Dr. Billmeier requested approval of Appointment of Specified Professional Personnel and Reappointments to the Medical staff (attached) as recommended by the Credentials Committee. Motion was made and seconded to approval appointment of Specified Professional Personnel and Reappointments to the Medical Staff. Carried unanimously. Dr. Billmeier requested approval of Requests for Additional Privileges (attached) as recommended by the Credentials Committee. Motion was made and seconded to approval requests for additional privileges. Carried unanimously. Dr. Billmeier requested approval of Change in Sponsoring Physician, Locum Tenens Privileges, and Resignations as recommended by the Credentials Committee (attached). Motion was made and seconded to approve change Sponsoring Physician, Locum Tenens Privileges, and Resignations as presented. Carried unanimously. MANAGEMENT REPORT Mr. Feasel and Mrs. Holness presented a Resolution of Appreciation from the board to Dr. Jamidar for service as President of the Medical Staff Mr. Feasel reported on the following items: Kidnev Transplant -On September 29, 2009 we imported a kidney from a 15 year old deceased donor in New York City. Our recipient was a 61 year old female who lives with her husband in Port Orange. She received her HHMCBoardof CommissionersMeeting- October14,2009 Page2 of

3 ' !ransplant on the evening of September 30, She was discharged in four days and is doing very well. This was her first major surgery. She has young grandchildren that she enjoys playing with. She is no longer on dialysis. She and her husband are very happy with the care. On October 11, 2009 we received a kidney from a 46 year old deceased donor in Melbourne, FL. Our recipient was a 69 year old male who lives with his wife in Jacksonville. After waiting for three years with the Mayo Clinic he transferred his wait time to us and was transplanted within six days in the early morning hours of October 12, He is still an inpatient, is doing very well, and is expected to be discharged within a few days. He has five children and grandchildren. His wife states that she is very happy with the care of her husband by the transplant team. We currently have 18 people on our waitlist and 60 patients in one of the several work-up phases. France Tower -Patient Reaistration -Effective Monday, October 5, the mainregistrationarea movedfromthe 1st floor of the FountainBuildingto the ground floor main lobby of the France Tower. The following services will register in the France Tower:. Cardiology/Echo. Radiology/ROPU. Pulmonary Function/EEG/EKG. Endoscopy (GI Lab)/Whirlpool. Center for Women & Infant Health. Lab (stat tests after the Professional Building is closed for the day). Direct Admits - non scheduled (France Tower) The following services will register in the Professional Building:. Same Day Surgery (Halifax Health Medical Center, Professional Building). Pre-Op Services. Scheduled AM Admissions. Outpatient Lab Patients who are in active labor will be instructed to enter through the Fountain entrance and proceed directly to the 1st floor of the Center for Women & Infant Health in the Fountain Building. Center for Oncoloav - The Halifax Health Center for Oncology's Radiation Oncology has implemented a paperless medical record system called ARIA. This system is a comprehensive information and image management system that provides on-demand access to oncology specific patient information and images. The system incorporates image processing and review tools to support image guided radiation therapy (IGRT) treatment techniques along with an interface to Meditech. The ARIA system records electronic information from the patient's interaction during the initial consult, thru the planning process, during the daily administering of treatments, and through the post treatment follow-up. In addition to providing easy and efficient access to the patient's information and radiation treatment records, the ARIA system provides essential quality assurance tools supporting chart review and HHMC Board of Commissioners Meeting- October 14, 2009 Page 3 of

4 .._u radiation plan checks along with point of service charge capture. The implementation of the Radiation Oncology specific electronic medical record and the interfaces with Meditech provide an efficient tool for an enhanced process, communication, patient safety and work environment. Psychiatric Center -The Psychiatric Center's new Emergency Room Screening Area was opened to patients on in September. This is a state of the art screening area has five Psychiatric Evaluation Rooms and three secure holding rooms. Law enforcement and EVAC have direct access to the area for patients that need immediate screening for security reasons. In addition, the specialized rooms have cameras for observation and cushioned floors, walls and doors to maintain patient safety. All access doors are badge or key pad coded for entry. There is a consultation room for the physicians and psychiatrists with computer access, a large safety glass enclosed nursing station that contains the latest monitoring equipment, emergency call system, computers and medication dispenser. Another important feature is that one of the secure holding rooms has the capability to be a negative pressure room for airborne pathogens. Nursina DeDartment - A representative from the Southeast Tissue Alliance (SETA), presented the nursing department on August 19, 2009 with the "Exemplary Commitment to Tissue Donation" award. The nursing staff received the award as evidenced by our staff's commitment in being proponents for tissue donation, not only in numbers of donors but by individual attitudes toward donation. They were also awarded for their interest in learning what they could do to help support donation and make sure that every family has the opportunity to make the choice if their loved one will become a donor, if medically possible. In 2008, there were a total of 47 donors. That could potentially translate to 4,700 people being positively impacted from tissue donation just out of Halifax for that year, as each tissue donor can help up to 100 people. Year to date for 2009 there have been 23 tissue donors so far. Medical Matters - Halifax Health has partnered with WDSC Channel 15 to present "Medical Matters." This program provides an educational forum for the community to learn and ask questions about pertinent healthcare topics. The 30-minute show airs every Thursday beginning at 7:30 pm and will feature a panel of healthcare experts and a call-in opportunity for viewers at the end of each show. UDcomina TODics: October 15 - Cancer Series: Breast Cancer October 22 - Cancer Series: Prostate Cancer & Gynecologic Cancer/Robotic Surgery October 29 - Neuroscience Series: Stroke November 5 - Neuroscience Series: Neurodegenerative Disease (Multiple Sclerosis, Alzheimer's, etc.) November12- NeuroscienceSeries:SpineSurgery November 19 - Bariatric Surgery November 26 - Medical Miracles: Thanksgiving Day show December 3 - Heart Series: Cardiac Cath/EP December 10 - Heart Series: Open Heart Program December 17 - Orthopedic Surgery: Partial and Total Joint Replacement HHMC Board ot Commissioners Meeting - October 14,2009 Page 4 ot6

5 Health Information Manaaement - Electronic Birth Certificates In September Halifax Health implemented the process of completing birth certificates on-line with the State. The HIM staff are able to collect most information on the phone with the parents, then go to the patient's room for completion and signing, using a laptop computer with a signature pad. As soon as the information is complete and reviewed by the parents, the certificate is electronically signed, and the document electronically sent to the Bureau of Vital Statistics, where it is certified by the State, making it almost immediatelyavailableto the parents.. Information Technoloav - Chief Information Officer, Lori Delone, provided an update on E-Halifax and the implementation of paperless medical records, advising that Halifax is currently in the top 1% of hospitals that have reached Stage 6 (of 7 Stages) toward having medical records fully electronic (see attached presentation). AUDIT & FINANCE COMMITTEE REPORT- Financial Statements - Auaust Mr. Peburnreviewedthe financialstatementsendedaugust31t 2009 and reported that operating performance was above budget targets. Mr. Peburn further advised that year-to-date performance, budget targets, long-range targets and year-to-date performance, relative to the various targets for key financial indicators, is as follows: Year-ta-Date FY09 Total Margin 3.4% Days Cash on Hand 216 Cash to Debt 88.0% Debt to Capitalization 48.3% MADS Coverage 1.81 YTD vs. Budget FY09 Budget 2.1% Favorable 195 Favorable 81.6% Favorable 49.1% Favorable 1.83 Unfavorable YTD vs. S&P"A" S&P"A" 5.8% Unfavorable 173 Favorable 113.8% Unfavorable 41.1% Unfavorable 4.06 Unfavorable Included on Consent Agenda for approval. CONSENT AGENDA Mrs. Holness advised that the following items were presented for approval on the consent agenda:. Minutes - Board of Commissioners Meeting - 9/9/09. Minutes - Board of Commissioners First Public Hearing 9/9/09. Appointment of Halifax Associate Members. Financial Statements Ended August Capital Expenditures $50,000 and over ~ Replacement Cooling Tower for 201 Building - $111, Halifax Management Master Lease Appropriation Motion was made and seconded to approve the consent agenda. Carried unanimously. OLD BUSINESS Mr. Feasel advised the board that they will be receiving some information on board education provided by Governance Institute. HHMC Board of Commissioners Meeting - October 14, 2009 Page 5 of 6

6 .' ' NEW BUSINESS Mr. Giles distributed a report on CRA (Community Redevelopment Area) fees (attached) advising that in FY 2010 Halifax will have contributed over $2.4 million in CRAs to cities within its taxing district with no reportable benefit or input as to how those funds are used. Mr. Giles further suggested that, since most CRAs do not sunset for another 20 to 25 years (which at the current rate would cost Halifax more than $50 million) suggested that Halifax explore moving toward mitigating or eliminating CRAs or have input into how these contributions are spent. Mr. Giles introduced friend and former consultant on CRAs and Economic Development for Volusia County, Mr. Rick Michael, and asked the board to consider engaging Mr. Michael and his company to study and possibly, redirect or eliminate CRAs paid by Halifax. Mrs. Holness stated that the Volusia County Council was currently studying CRAs and the final report is expected to be available sometime the end of Mr. Ritchey advised that CRA's are governed under Florida Statute and would require legislative action to change. Consensus was reached by the board that they needed further education on CRAs prior to moving forward and that hospital procurement and bid processes and policies should be followed if services of an outside firm are required to assist with this process. PUBLIC PARTICIPATION Mr. Tom McGurn, Daytona Beach resident, advised that this was an election year and that the CRA issue could be addressed by approaching and speaking to candidates on an individual basis. ADJOURN There being no further business, a motion was made and seconded to adjourn. Blaine Lansberry, Secreta HHMC Board of Commissioners Meeting - October 14,2009 Page 6 of 6