-I- MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT AGENDA. Board Meeting January 27, :00 p.m. Trinity County Library.
|
|
- Brittany Douglas
- 5 years ago
- Views:
Transcription
1 -I- MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT AGENDA Board Meeting January 27, :00 p.m. Trinity County Library Weaverville CA Meetings convene at 6 p.m. on the last Wednesday of the month. Citizens wishing to schedule matters for Board consideration or to appear before the Board must contact the Clerk of the Board in writing stating the action requested. Appropriate requests will be scheduled before the Board as time allows. Deadline for submission of written materials is seven days in advance of the meeting. Public Presentations: The law provides the opportunity for the public to be heard on any item withm the subject matter jurisdiction of the Board, before or during the consideration of that item by the Board. For all items, including items not on the agenda, the public presentation time is appropriate. The President may set time limits as appropriate to manage the Agenda. State law does not allow action to be taken on any item not on the Agenda. The agenda shall be made available upon request in alternative formats to persons with a disability, as required by the Americans with Disabilities Act of 1990 (U.S.C.g 12132) the Ralph M. Brown Act (California Government Code ). Persons requesting a disability related modification or accommodation in order to participate in the meeting should contact the Board Clerk at (530) Ext during regular business hours, at least twenty four hours prior to the time of the meetmg. Pursuant to the Brown Act as codified m Government Code Section , any documents pertaining to a non-closed agenda item distributed to a majority of the Board of Directors in less than 72 hours before a Board meeting shall be available for public inspection. Said documents shall be available for inspection at the Mountain Communities Healthcare District Administrative Office located at 60 Easter Avenue, Weaverville, California, Monday through Friday, except Holidays, between the hours of 9:00 a.m. and 12:00 p.m. The Board may take action on any of the items listed on this agenda regardless of whether the matter is described as action item, a report, a communication, public input, or discussion item. Call to order Report from Closed Session on December 30, 2015 Public Input (3) Minute Time Limit) Reports a. Medical Staff Report - Daniel Harwood, MD/Donald Krouse, MD - No Report b. Chief Executive Officer - Aaron Rogers, CEO c. Financial Report - Jon Marshall, CFO and Jennifer Van Matre, Director of Finance 'd. Chief Nursing Officer - Peggy Manning, RN, Chief Nursing Officer e. Quality Improvement - Sarah Cordtz, RN, Coordinator
2 - Regular Board Meeting January 27,2016 Consent Agenda All matters listed under the Consent Agenda, are considered by the Board to be routine, and will be enacted by one motion in the form listed below. There will be no separate discussion of these items unless a request for discussion is made prior to the time the Board votes on the motion to approve. All policies have been approved by the Manager/Director, Midlevel/Interdisciplinary Practice Committee, Medical Staff/Medical Director, and Chief Executive Officer per policy. The intent is that the MCHD Board of Director's role is to assure the policy approval process for each policy. a. Minutes from November 24, 2015 b. Minutes from December 3 0,2015 c. Policies and Procedures - See Attached Discussion Items a. Clinic Action Items a. Items removed from the Consent Agenda Board Reports a. Board Member Reports Announcement Designated Representatives for Closed Session item "Salaries and Benefits" Close Public Session Closed Session MEDICAL STAFF PRIVILEGES Government Code Section 54962; Health and Safety Code Section 1461 LABOR NEGOTIATIONS Government Code Section Designated Representative: Mark Vegh/Aaron Rogers Employee Organization: Professional Group Adjourn Closed Session and Reconvene in Public Session Report of any actions taken during Closed Session Adjourn Posted: January 22, By: Jeanne Silvers
3 + Mountain Communities Healthcare District Medical Staff Report to the Board of Directors January Appointments - Recommendation for Approval Shan Shan Bao, MD JackSaunders, MD Romeo Abaya, MD Matthew Butler, MD Provisional Staff Provisional Staff Provisional Staff Provisional Staff Specialty: Tele-radiology Specialty: Emergency Medicine Specialty: Family Practice Specialty: Family Practice Resignation - Recommendation for Acceptance Young Song, MD II. Peer Review/Utilization Review: No charts reviewed. Reviewed "MCHD Quarterly Check List" for 2015 (1st and 2" quarter). There are still some charts that still need to be reviewed and staff is working on completing those reviews as quickly as possible. III. Laboratory Consultation Report:. Laboratory Consultation reports from November 13, November 18, December 7, December 15, 2015 and January 11,2016 were reviewed. There were 39 surgical charts reviewed (tissue) and 7 transfusion charts reviewed. Staffing still remains an issue in the laboratory. IV. Items Discussed/approved: Approved policies and procedures- recommend approval by the MCHD Board of Directors Reviewed progress on the plan of correction for skilled nursing survey from January 12, 2016 Medical Staff Officers were elected as follows: Chief of Staff-Daniel Harwood/ MD Vice Chief of Staff-Donald Krouse, MD V. Attendance: Medical Executive Committee -January 20, 2016 Present: Donald Krouse, MD Daniel Harwood, MD (Chief of Staff) Patrick Shipsey, MD (by Phone) Julia Mooney, MD Henry Edelstein, MD Ad Hoc Members: Aaron Rogers, CEO Jeanne Silvers, Executive Assistant Vicky Williams, Director Ancillary Services Kevin Livengood, PharmD Michael Novak, PA Peggy Manning, RN, CNO Guests: Dero Forslund, MCHD Board Member Jerry Cousins, MCHD Board Member Excused Maureen Breese, PA Christen Buirley, PA Clara Gordon, PA
4 r TRINITY HOSPITAL Owned and Operated by Mountain Communities Healthcare District Chief Executive Officer Report to the Board of Directors January 2016 From Aaron Rogers, CEO: The following is an update on the ongoing matters of interest as of this date. I will provide a status update as appropriate, at the Board Meeting on January 27,2016. Employee of the Month: Rebecca Huber Administrative Assistant Rebecca is always extremely polite, helpful, friendly and professional. She goes above and beyond without question and makes everyone's job easier. Whenever it's crunch time we can go to administration and count on Rebecca to help out. Recruitment: Clinical Lab Scientists, Nurses, Physicians, and PA/FNP's are still recruitment needs. Dr. Abaya is still on target to start March 1 We have signed a PA-C that will begin full-time in the clinic in February. Four RNs have been hired in the past few weeks. Physical Therapy: Ryan Rhoads and Jennifer Ferguson have started. We are currently setting up equipment to have a full-service outpatient practice in addition to PT for inpatients, SNF patients, and Home Health patients. Also, we expect to manage the care for the Trinity County Office of Education. Utilization: Census has been very high in January with an average of around 7. We are working on nurse staffing to increase even more. Skilled Nursing Facility: State has resurveyed the SNF. In their exit interview they informed us that we still have some documentation and processes that need to be improved still. They clearly stated that they saw "no patient safety concerns". Currently, we are waiting to hear from CMS regarding next steps, but we have hired an Interim Director of Nursing, done significant staff training, improved orders, improved provider and nursing oversight, and created numerous quality measures to track improvements daily/weekly/monthly/quarterly.
5 TRINITY HOSPITAL Owned and Operated by Mountain Communities Healthcare District Financial Narrative for the month of December 2015 Prepared by Jan Marshall Summary Mountain Communities Healthcare District incurred a loss from operations of ($323,726) for the month, which is ($200,264) lower than the budgeted operating loss of ($123,461). The month includes higher expenses than anticipated, detailed below. For the full year 2015, Operating Income is ($1.43m), which is a $321k improvement compared to a budget of ($1.75m). 500 Operating lncome/(loss) - Month (500) (1,000) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ^Actual 2015»-Budget 2015 "-^^Actual 2014 Volume and Revenue a Patient days are over budget by 5 in Acute and 68 in Swing, but under by 96 in SNF» Outpatient volumes vary compared to budget, with Observation and Home Health significantly under budget/ and Echocardiogram, Physical Therapy, and Top Care significantly over budget» Trinity Clinic visits were over budget by 34, Hayfork Clinic visits were under budget by 110» Total patient revenue is over budget by $54k or 2.5%. a Due to favorable payor mix and service mix. Net Patient Revenues are over budget by $113k or 11.0% <* For the full year 2015, net patient revenues are $13.4 million, which is over budget by $926k 3,000 Gross Revenue - Month ,500, T"*"- A ^ 2, ^'^^^^.^>s..^^ ^^^-^^^^.-^J^^ ^^^^-*; ^3^^-.^,..-. -^y^- ""s~s^' Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 'Actual «Budget =<;-- > Actual 2014 Page 1 of 2
6 Expenses Salaries, benefits, and registry expenses are $817kforthe month, $118k higher than budget Labor costs include $50k for overtime, plus $20k over budget for Registry All other expense categories combined are over budget by $170k SNF fine incurred for $78k, plus $25k in supply/service invoices from prior month orders Physical Therapy program expenses $24k over budget, several other expenses up with patient volumes As a result, total expenses are $1.49 million, $287k higher than budget of $1.21 million For the full year 2015, total expenses are $14.9 million, which is $523k higher than the budget. Totai Expenses - Month ,600 1,400 1,200 1,000 Jan Feb Mar Apr May Jun Ju! Aug Sep Oct Nov Dec Actual 2015 Budget 2015 E^ Actual 2014 Labor Expense - Month Jan Feb Mar Apr May Jun Jui Aug Sep Oct Nov Dec Actual 2015 Budget "&-=> Actuai 2014 Non-Operating Revenue and Expense a Non-operating activity includes $127k for the rebate payment on the Optum loan refinance as well as $131<forgrantfor IT equipment from Trinity County, and $73k for property tax revenue» Net Income for the month is a loss of ($114k) compared to a budgeted loss of ($53k).» For the full year 2015, the Net Income is $4.05 million compared to a budget of $lk. Balance Sheet a Cash remains relatively high at 50 days this month a Accounts Receivable dropped to $3.25 million due to good AR management and lower gross revenue s Days in Accounts Receivable are now down to 44 a Days in Accounts Payable remain low at 44 a No other major fluctuations in the Balance Sheet Page 2 of 2
7 Balance Sheet Dec-15 Nov-15 Dec, 2014 Assets (Unaudited) (Unaudited) (Audited) Current assets: Cash and cash equivalents 1,905,399 2,412, ,795 Gross accounts receivable 3,255,074 3,355,401 3,980,389 Net accounts receivable 1,192,243 1,238,068 1,387,429 Net% of gross 36.63% 36.90% 34.86% Other Receivables 645, , ,287 Estimated third party settlements, net 219,209 Inventories 149, , ,434 Prepaid expenses and deposits 252, , ,522 Total current assets 4,144,431 4,786,875 3,200,676 Assets limited as to use 24,818 40,759 35,072 Total capital assets Total accumulated depreciation Capital assets,net of accumulated depreciation 11,035,291 10,710,446 6,700,727 6,605,525 4,334,564 4,104,921 10,599,676 5,569,061 5,030,615 Total assets 8,503,813 8,932,555 8,266,364 Liabilities and Net Assets Current Liabilities: Line of credit 301,150 Current maturities of debt borrowing 221, , ,430 Accounts payable and accrued expenses 687, ,956 1,704,836 Accrued payroll and related liabilities 655, , ,094 Estimated third party settlements, net 338, ,722 Deferred Revenue 802, , ,408 Total current liabilities 2,706,343 3,002,936 4,104,918 Debt borrowings,net of current maturities 932, , ,135 Total liabilities 3,638,770 3,953,656 4,829,053 Net assets: Invested in capital assets, net of related debt 3,180,315 2,932,379 3,617,051 Unrestricted 1,684,728 2,046,519 (179,740) Total net assets/deficit 4,865,043 4,978,898 3,437,311 Total liabilities and net assets 8,503,813 8,932,555 8,266,364 Days in cash Days in accounts receivable (gross) Days in accounts payable
8 Statement of Operations Dec-15 Dec-15 Monthly YTD YTD YTD Actual Budget Variance Actual Budget Variance Operating Revenues: 1,084,040 1,124, ,642 1,246, ,398 (122,430) Inpatient revenue Outpatient revenue 11,649,356 15,227,663 10,361,795 14,918,565 1,287, ,098 2,208,546 1,038,787 2,154,578 1,098,257 53,368 (59,469) Total gross patient service revenue Contractuals & Bad Debt 26,877,020 13,501,380 25,280,360 12,830,688 1,596, ,691 1,169,759 1,056, ,438 Net patient service revenue 13,375,640 12,449, , % 2,739 1,172, % 23,355 5,493 1,085,170 (23,355) (2,754) 87,328 Net Revenue as a % of gross 340B Revenue EHR incentive revenue Other operating revenue Total operating revenues 49.8% 53,458 91,043 13,520, % 70,065 53, ,096 12,675,291 (70,065) (0) (11,053) 844,850 Operating expenses: 563, ,263 81, , ,461 86,229 23,182 95, ,396 1,496, , ,210 22, , ,112 72,886 29,771 93,644 41,114 1,208,631 45,626 13,053 59,396 22,574 28,349 13,343 (6,589) 1, , ,593 Salaries Benefits Registry Professional fees Supplies Purchased services Utilities Depreciation and amortization Other operating expenses Total operating expenses 6,490,225 1, ,762 1,965,032 1,455, , ,307 1,116, ,928 14,953,664 6,264,599 1,811, ,739 1,780,000 1,345, , ,258 1,122, ,946 14,430, ,626 (132,195) 207, , ,627 (47,479) (94,951) (6,590) 75, ,074 (323,726) (123,461) (200,264) Operating gain/floss) (1,433,523) (1,755,299) 321,776 Non-operating revenues/expenses: 72, ,500 13,605 (4,178) 209,870 70,710 70,710 2, ,500 13,605 (4,178) 139,160 Intergovernmental Transfer Cost Report (prior year) District tax revenue Rebate from Financing Activities Grants and contributions Interest expense Total non-operating revenues/expenses 4,822,661 (271,450) 850, ,500 34,904 (76,436) 5,488, , , ,000 10,089 (36,756) 1,756,868 4,014,645 (271,450) 2, ,816 (39,680) 3,731,217 (113,855) (52,751) (61,104) Net income/floss) 4,054,562 1,569 4,052,992 (87,419) (29,818) (57,601) Trinity EBIDTA 4,342, ,050 4,083, % Staffing costs as a % of net patient revenue 65.3% 67.7% 127.9% 114.4% Total operating expenses as a % of net patient revenue 111.8% 115.9%
9 Cash Projection Cash UecelvecS Actual January, 2015 Actual February, 2015 Actual March, 201S Actual April, 2015 Actual May,2015 Actual June,2015 Actuals July, 2015 Actuals August, 2015 Actual September, 2015 Actual October, 2015 Actual November, 2015 Actual December, 2015 BegInninE Cash Balance Patient Receipts Intergovernmental Transfer Activity AB-97 AB-915/PPS Recons/Cost Report MU Payments/CHAFF Refund Tax Receipts Miscellaneous Cash Receipts Total Cash Collected Total Cash Available 421, , ,916 43,076 1,015 1,190,135 1,612, ,320 29,422 9, ,314,852 54,176 1,246, ,758 58,340 3, ,047 1,607, , , , ,589 36,862 2S,2U 1,896,871 2,282,545 4G , , ,171 1,400,583 1,869, ,410 1,217, ,551 10,097 48,738 1,42<,235 2,001, ,344 1,431,662 20,487 3,835 1,455,984 1,597,328 56,723 1,023, ,495 5,422 55, ,336,636 1,393, ,439, , ,392 1,828 1,703,360 1,704,031 2,176,928 1,179,284 3,450, ,075 4, ,031,217 83,462 1,024, , ,346,373 1,429,835 64,033 1,084, ,974 2S,848 1,221,691 1,285,724 Cash Disbursed Payroll Accounts Payable Notes Payable Una of Credit Cost Report Repayment Intergovernmental Transfer Activity Cash Reserves Total Disbursements 688, ,005 12,2'M 25,000 44,128 1,267, , ,813 12,Z<4 473,439 1,260, , ,431 12,244 75,000 1,221, , ,942 12, ,509 36, ,428 1,813,SZ1 675,768 sys.igo 12,244 28,966 1,292, , ,404 12,246 28, ,545 1,860, , ,641 12,246 28,966 50,000 1,540, , ,244 2B.S66 25,000 1,332, ,443 58G,3<0 41,7«81,065 16,188 1,413, , ,324 1,887/077 1,800,000 5,061, , ,233 1,365, , , ,000 (740,000) 388,688 Cash Position Balance Before Financing Financing Cash Balance 344, ,327 34,175 54, , , , , , , ,344 14I,3«56,729 SC S71 290,252 1,886,676 2, S (1,886,676) B3,4E , , ,036 Financing Activity Trinity Public Utilities District LOC Trinity Public Utilities District Note Payable Total Outstanding 275,000 Outstanding 275,000 Outstanding 200,000 Outstanding 1 ) Outstanding ( ) Outstandlne 1 ) Outstanding (0) Outstanding (0) Outstanding 1,886,676 1,886,676 Outstanding IB) Outstanding 10) Outstanding 10) Cash Reserve Balance (D 1 12,122) (40,372) 0 445, , ,362 2,348,362 2,348,362 1,608,362 Total Cash on Hand 344,986 54, , , , G , ,614 2,431,824 2,412,395 1,9D5,39B
10 Line of Business Analysis with Overhead Allocated December, 2015 Expected Net Revenue SNF Home Health Trinity Hayfork Hospital with Total Community Community Emergency Health Clinic Health Clinic Department attached 229,164 14, ,598 48, ,667 1,169,759 Direct Expense Direct Expense - Net Gain/floss) 173,691 55,474 19,782 (4,834) 110,040 10,558 28,648 19, , , , ,477 Overhead Expense Overhead Expense - Net Gain/(loss) 127,715 (72,242) 10,498 (15,332) 40,043 (29,485) 22,995 (3,260) 368,690 (206,146) 569,941 (326,464) Non Operating Revenue/Expense 47,643 3,916 14,937 8, , ,609 Net lncome/(loss) (24,599) (11,416) (14,547) 5,318 (68,611) (113,855) Note: This supplemental schedule is designed to be an activity statement that shows details and results of the line of business's profit-related activities for a period of time. Overhead and Non Operating Revenue/Expense is allocated based on the most recent as filed Medicare Cost Report. This schedule is not an income statement. This analysis is designed to determine if a line of business is covering direct expenses and is contributing towards overhead expense. Page 4 of 5
11 Monthly Activity Log PATIENT DAYS: MED/SURG INPATIENT SURGERIES SWING BED OBSERVATION 5NF TOTAL PATIENT DAYS: TESTS/V1SITS: CT SCAN TESTS ECHOCa.RDIOGRAM TESTS EMERGENCY ROOM VISITS HAYFORK CLINIC VISITS HOME HEALTH VISITS LABORATORY TESTS PHYSICAL THERAPY RESPIRATORY THERAPY TESTS TOP CARE VISITS TRINIT/CLINIC VISITS ULTRASOUND TESTS X-RAY TESTS TOTAL TESTS/VISITS: Ort D , ,377 iov-u , B ,038 Dec , , , YTD 1, Z , ,698 4,907 1, , , , , ,306 Jan , ,397 Feb , S ,977 Mar S 731 5S G S ,384 Apr S , ,061 Mav S.166 GO ,896 Jun , ,504 Jul , ,192 Aue , , ,689 Sep , ,464 Oct , ,117 Nov D , ,446 Dec , , YTD 1, ,623 8, ,178 4, , , , , , December Budget , , Monthh Average , , Monthh Average , ,776
12 TRINITY HOSPITAL Owned and Operated by Mountain Communities Healthcare District Chief Nursing Officer Report to the Board of Directors January 28, Staff recruitment and retention a. We will be welcoming 4 RNs to MCHD in January b. Cross training has been successful: 2 SNF LVNs and 1 RN have been trained on Med/Surg. 1 RN from Med/Surg trained to ER and 1 RN from Med/Surg to pre/post-surgery. Plan is for 1 RN from Med/Surg to be trained to OR c. OR- recruiting a RN 2. CMS Survey a. Interim DON started 1/9/2016 for Skilled Nursing
13 TRINITY HOSPITAL Owned and Operated by Mountain Communities Healthcare District P.O. Box Easter Avenue Weaverville, CA Phone: (530) To: MCHD Board of Directors 01/20/2016 Re: Quality Assurance Greetings, We are beginning the first quarter of This means that staff is busy working to complete compiling their data for the last quarter of Results are starting to trickle in. In December we have started a Quality Assurance / Risk Management (QA/RM) monthly newsletter. This is to answer commonly asked questions and to provide further education for all staff members. A requirement for CAHs is to have an annual review of services completed. The managers have met to discuss how to divide up the assignments for this. The report is expected to be completed around March, Thank you for your time, Sarah Cordtz, RN Coordinator Quality Assurance / Risk Management.
14 MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING November 24, :00 p.m. Trinity County Library Weave rvi I Ie CA & 29 Parliament Court Chico CA DISTRICT BOARD MEMBERS GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH FRANCIS MOORE Vice-President Clerk President Treasurer Member Note: These minutes contain a description for each item to be considered. Supporting documentation is available in the public packet at the Board meeting or at the Administrative Office at Trinity Hospital. District Board Members Present: Gerald Brasuell, Vice-President Dero Forslund, Clerk Lynn Jungwirth, Treasurer (by Phone) Jerry H. Cousins, President Francis Moore District Board Members Absent: None Staff Present: Aaron Rogers, CEO Christine Blackburn Peggy Manning, RN, Chief Nursing Officer Teresa Couch, CNA Wally Couch, Director of Plant Operations Jennifer Van Matre, Director of Finance Victoria Williams, Director, Ancillary Services Hollie Malloy, Manager TCHC Michael Novak, PA, Director of Clinic Services 4:00 PM CALLS MEETING TO ORDER IN OPEN SESSION Report from Closed Session on October 28, 2015 President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges. For each applicant the following information has been reviewed and/or verified: Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations. Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked.
15 Board of Directors Board Meeting November 24, 2015 On motion of Director Brasuell seconded by Director Moore approves the following reappointments upon the recommendation from the Medical Staff. Appointments/Reappointments: Lisa Taleraco, Psychologies Provisional Staff Specialty: Psychology Mark Hornsby, CRNA Professional Staff Specialty: Anesthesia Resignation Thomas Knutson, MD The motion passed with the following voice vote: Ayes: Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: Dero Forslund Abstain: None President Cousins reported that the Board reviewed the proposed pay scale for non-exempt employees. On motion of Director Brasuell seconded by Director Jungwirth approves the pay scale for non-exempt employees. The motion passed with the following voice vote: Ayes: Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: Dero Forslund Abstam: None President Cousins reported that the Board discussed a case of existing litigation with the following action. On a motion of Director Brasuell and seconded by Director Jungwirth the Chief Executive Officer was given direction and parameters for negotiations in the case of Pamela Balsly vs Mountain Communities Healthcare District: Case No. 2:13-cv GEB-CMK. The motion passed with the following voice vote: Ayes: Gerald Brasuell; Jen'y Cousins; Lymi Jungwu^h; Francis Moore Noes: None Absent: Dero Forslund Abstain: None Public Input - None Reports Medical Staff Report Received written report from Daniel Harwood, MD, Chief of Staff/Donald Krouse, MD, Vice Chief of Staff regarding activities of the Trinity Hospital Medical Staff. Other items discussed in addition to the written report were: Reappointments Utilization Review
16 Board of Directors Board Meeting November 24, 2015 Chief Executive Officer Received written /verbal report from Aaron Rogers, CEO on the current operations of the hospital. Other items discussed in addition to the written report were: Community Surveys - Jerry Cousins would like the surveys distributed to the Golden Age Center and the Moose Lodge in Lewiston. Chief Financial Officer Received written /verbal report from Jan Marshall, CFO and Jennifer Van Matre, Director of Finance, on the current financial status and current status of revenue cycle management and accounts receivable. Other items discussed in addition to the written report were: Gerald Brasuell reported that the roll off of gross charges were related to manpower to support patient intake. Chief Nursing Officer Received written/verbal report from Peggy Manning, RN, CNO on the current status of the nursing departments. Other items discussed in addition to the written report were: Staff RecruitmenVRetention SNF Survey Quality Improvement Received written/verbal report from Sarah Cordtz, RN, Coordinator, Q/RM on the cun-ent status of the Quality Program. MCHD Quarterly Checklist of ongoing professional practice evaluations was reviewed and staff reported that some of the reviews have not been completed. The Board requested of staff and physicians that delinquent reviews are completed immediately and future reviews are done in a timely manner. Staff will report to the medical staff and MCHD Board on a quarterly basis statistics regarding completed ongoing professional practice evaluations. Frank Moore reported that there has been progress regarding new goals being made. One goal is to have better attendance at meetings. There have been missing reports from various departments. Dero Forslund reviewed some of the skilled nursing survey concerns. Consent Agenda All matters listed under the Consent Agenda, are considered by the Board to be routine, and will be enacted by one motion in the form listed below. There will be no separate discussion of these items unless a request for discussion is made prior to the time the Board votes on the motion to approve. On Motion of Director Brasuell seconded by Director Moore approves the following consent items: a. Minutes from October 28, 2015 b. Policies (See Attached) The motion passed with the following voice vote: Ayes: Gerald Brasuell; Dero Forslund; Jeny Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None
17 Board of Directors Board IVIeeting November 24, 2015 Discussion Items a. Clinic Aaron Rogers, CEO discussed overview of the proposed clinic expansion and introduced Michael Novak, PA, Director of Clinic Services. The following issues were reviewed: Size of the current clinic Increased services such as urgent care, physical therapy and dental which would allow us to provide the best care to our community. Business point of view - clinic will generate additional revenue through additional clinic visits and ancillaries. Increased clinic services will promote self-sufficiency. Traffic safety issues - no turn lanes and no sidewalks on Taylor street Physicians would like the lab and radiology department in close proximity to the clinic The MCHD Board of Directors heard concerns regarding traffic on Taylor street and possible traffic safety issues - no turn lanes and no sidewalks on Taylor street from Susan Corrigan Use permits will be submitted to the planning department and will be on the Planning Board of Directors meeting in February or March b. HVAC/DRI Grant Wally Couch reported that we are nearing the end of the project and that the exhaust fan needs to be replaced. Action Items a. Items removed from the Consent Agenda Minutes from October 28, 2015 On Motion of Director Brasuell seconded by Director Moore approves the minutes from October 28, 2015 with the following change: Change Dero Forslund to Absent The motion passed with the following voice vote: Ayes: Gerald Brasuell; Dero Forslund; Jeny Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None b. Consider Approval of Extension of Option Period for Purchase of Property No Discussion or Action taken
18 Board of Directors Board Meeting November 24, 2015 Board Reports None Announcement Designated Representatives for Closed Session item "Salaries and Benefits" Announcement of Designated Representatives for Closed Session item "Salaries and Benefits". Representative is Aaron Rogers, CEO Close Public Session Closed Session The Board entered into closed session at 5:00 pm on the following: MEDICAL STAFF PRIVILEGES Government Code Section 54962; Health and Safety Code Section 1461 QUALITY IMPROVEMENT/RISK MANAGEMENT Government Code Section 54962: Health and Safety Code Section SALARIES AND BENEFITS Government Code Section Designated Representatives: Aaron Rogers PUBLIC EMPLOYEE PERFORMANCE EVALUATION Government Code Section Public Employee Title: Chief Executive Officer The Board came out of Closed Session at 5:15 pm and immediately reconvened in Open Session. President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges. For each applicant the following infomiation has been reviewed and/or verified: Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations. Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked. On motion of Director Moore seconded by Director Brasuell approves the following reappointments upon the recommendation from the Medical Staff. Appointments/Reappointments: Gary Carson, MD Albert Ybasco, MD Mailan Cao, MD Saadet Atay-Rosenthal, MD Harvey Greenberg, MD Consulting Staff Consulting Staff Consulting Staff Consulting Staff Consulting Staff 5 Specialty: Emergency Medicine Specialty: Teleradiology Specialty: Teleradiology Specialty: Teleradiology Specialty: Teleradiology
19 Board of Directors Board Meeting November 24, 2015 Stacy Greenspan, MD Consulting Staff Specialty: Teleradiology Dilan Samarawickrama, MD Provisional Staff Speciality: Radiology The motion passed with the following voice vote: Ayes: Dero Forslund Gerald Brasuell; JeiTy Cousins; Lymi Jungwirth; Francis Moore Noes: None Absent: None Abstain: None QUALITY IMPROVEMENT/RISK MANAGEMENT President Cousins reported that the Board thoroughly reviewed the quality data presented and there no action was taken. SALARIES AND BENEFITS President Cousins reported that Aaron Rogers, CEO reported on the bonuses and wage scale updates. It was reported that the cost to adjust salaries to at least $12.00 per hour was $109,000. CEO EVALUATION President Cousins reported that the Board discussed format for performance evaluations for the chief executive officer. Adjourn: There being no farther business, the meeting was adjourned at 5:55 p.m. Dero Forslund, Clerk of the Board Mountain Communities Healthcare District
20 + MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING December 30, :00 p.m. Trinity County Library Weave rvi I Ie CA DISTRICT BOARD MEMBERS GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH FRANCIS MOORE Vice-President Clerk President Treasurer Member Note: These minutes contain a description for each item to be considered. Supporting documentation is available in the public packet at the Board meeting or at the Administrative Office at Trinity Hospital. District Board Members Present: Gerald Brasuell, Vice-President Dero Forslund, Clerk Lynn Jungwirth, Treasurer (by Phone) Jerry H. Cousins, President Francis Moore District Board Members Absent: None Staff Present: Aaron Rogers, CEO Peggy Manning, RN, Chief Nursing Officer Jeanne Silvers, Executive Assistant Jennifer Van Matre, Director of Finance Victoria Williams, Director, Ancillary Services Michael Novak, PA, Director of Clinic Services Kelly Simpson, Business Services Manager Donald Krouse, MD, Vice Chief of Staff 4:00 PM CALLS MEETING TO ORDER IN OPEN SESSION Report from Closed Session on November 24, 2015 The Board came out of Closed Session at 5:15 pm and immediately reconvened m Open Session. President Cousins reported that the Board reviewed the recommended actions on Medical Staff Privileges. For each applicant the followmg information has been reviewed and/or verified: Privilege List, NPDB Report, and AMA Profile, peer references and verifications of staff privileges at other facility and ongoing professional practice evaluations. Items verified were Liability Insurance Coverage, Licenses, Certifications, and the Medicare exclusion list was checked. On motion of Director Moore seconded by Director Brasuell approves the following reappointments upon the recommendation from the Medical Staff.
21 Board of Directors Board Meeting December 3 0,2015 Appointments/Reappointments: Gary Carson, MD Consulting Staff Specialty: Emergency Medicine Albert Ybasco, MD Consulting Staff Specialty: Teleradiology Mailan Cao, MD Consulting Staff Specialty: Teleradiology Saadet Atay-Rosenthal, MD Consulting Staff Specialty: Teleradiology Harvey Greenberg, MD Consulting Staff Specialty: Teleradiology Stacy Greenspan, MD Consulting Staff Specialty: Teleradiology Dilan Samarawickrama, MD Provisional Staff Speciality: Radiology The motion passed with the following voice vote: Ayes: Dero Forslund Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None QUALITY IMPROVEMENT/RISK MANAGEMENT President Cousins reported that the Board thoroughly reviewed the quality data presented and there no action was taken. SALARIES AND BENEFITS President Cousins reported that Aaron Rogers, CEO reported on the bonuses and wage scale updates. It was reported that the cost to adjust salaries to at least $12.00 per hour was $109,000. CEO EVALUATION President Cousins reported that the Board discussed format for performance evaluations for the chief executive officer. Public Input - None Subsequent Agenda Item Request to add a subsequent agenda item entitled: Resolution Resolution of the Board of Directors of the Mountain Communities Healthcare District Accepting Title to Real Property On Motion of Director Brasuell seconded by Director Forslund approves addition of agenda item "Resolution Resolution of the Board of Directors of the Mountain Communities Healthcare District Accepting Title to Real Property" to the agenda. The motion passed with the following voice vote: Ayes: Dero Forslund; Gerald Brasuell; Jerry Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None Reports Medical Staff Report No Report
22 Board of Directors Board Meeting December 3 0,2015 Chief Executive Officer Received written /verbal report from Aaron Rogers, CEO on the current operations of the hospital. Other items discussed in addition to the written report were: DRI grant construction is complete but have not received sign off as of this date. Staff is actively recruiting Chief Financial Officer Received written /verbal report from Jon Marshall, CFO and Jennifer Van Matre, Director of Finance, on the current financial status and current status of revenue cycle management and accounts receivable. Other items discussed in addition to the written report were: Gerald Brasuell reported that the District continues to work towards a breakeven with patient revenues and the Finance Committee is pleased with the current progress. Chief Nursing Officer Received written/verbal report from Peggy Manning, RN, CNO on the current status of the nursing departments. Items discussed were: Staff Recruitment/Retention. SNF Survey - signed contract with Corky Rockwell, RN as SNF consultant. She will begin on January 11. Staff is developing a plan of correction for the statement of deficiencies. Quality Improvement Received written/verbal report from Sarah Cordtz, RN, Coordinator, Q/RM on the current status of the Quality Program. MCHD Quarterly Checklist of ongoing professional practice evaluations was reviewed and staff reported that some of the reviews have not been completed. The Board requested of staff and physicians that delinquent reviews are completed immediately and future reviews are done in a timely manner. Staff will report to the medical staff and MCHD Board on a quarterly basis statistics regarding completed ongoing professional practice evaluations. Frank IVtoore reported that Aaron Rogers, CEO attended the meeting and there were very dynamic discussions Consent Agenda All matters listed under the Consent Agenda, are considered by the Board to be routine, and will be enacted by one motion in the form listed below. There will be no separate discussion of these items unless a request for discussion is made prior to the time the Board votes on the motion to approve. On Motion of Director Jungwith seconded by Director Forslund approves the following consent items: a. Minutes from December 9, 2015 The motion passed with the following voice vote: Ayes: Gerald Brasuell; Dero Forslund; Jeny Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None
23 Board of Directors Board Meeting December 3 0,2015 Discussion Items a. Clinic The MCHD Board of Directors has taken in to consideration all concerns regarding the expansion of the clinic and traffic issues on Taylor Street. The following items were discussed: Funding sources Architect and need for traffic engineer Scheduling of meeting with Trinity County Planning Department staff With new staff beginning to see patients soon there will be rotations to the Hayfork Clinic Budget update when appropriate regarding clinic expansion needs Action Items a. Items removed from the Consent Agenda None b Budget On Motion of Director Forslund seconded by Director Moore approves the 2016 Budget The motion passed with the following voice vote: Ayes: Dero Forslund; Gerald Brasuell; Jen-y Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None c. Resolution Resolution of the Board of Directors of the Mountain Communities Healthcare District Accepting Title to Real Property On Motion of Director Forslund seconded by Director Moore approves Resolution Resolution of the Board of Directors of the IVIountain Communities Healthcare District Accepting Title to Real Property The motion passed with the following roll call vote: Ayes: Dero Forslund; Gerald Brasuell; Jeiry Cousins; Lynn Jungwirth; Francis Moore Noes: None Absent: None Abstain: None Board Reports Jerry Cousins reported that the Board will be completing a CEO evaluation in February. Trinity Cares would like two Board members to be part of the group going forward.
24 Board of Directors Board Meeting December 3 0,2015 Lynn Jungwirth reported that residents in Hayfork are discussing the clinic expansion, services to be available in Hayfork and the upcoming tax vote and 80% comments are positive. Announcement Designated Representatives for Closed Session item "Salaries and Benefits" Announcement of Designated Representatives for Closed Session item "Salaries and Benefits". Representative is Aaron Rogers, CEO Close Public Session Closed Session The Board entered into closed session at 7:14 pm on the following: QUALITY IMPROVEMENT/RISK MANAGEMENT Government Code Section 54962: Health and Safety Code Section SALARIES AND BENEFITS Government Code Section Designated Representatives: Aaron Rogers CONFERENCE WITH LEGAL COUNSEL EXISTING LITIGATION (Subdivision (a) of Section ) Name of Case: Pamela Balsly vs. Mountain Comraunities Healthcare District: Case No. 2:13-cv GEB-CMK. LIABILITY CLAIMS - Claimant: Patricia McColm. Agency Claimed against: Mountain Communities Healthcare District. Section The Board came out of Closed Session at 8:05 pm and immediately reconvened in Open Session. Jerry Cousins reported that the Board reviewed the quality improvement issues regarding the skilled nursing unit. Jerry Cousins reported that the Board received a report from Aar Jerry Cousins reported that the Board heard a report from Aaron Rogers, CEO regarding 2% increase for employees on their date of hire, settlement of existing litigation and a claim that will be denied due to late filing. Adiourn: There being no further business, the meeting was adjourned at 8:10 p.m. Dero Forslund, Clerk of the Board IVIountain Communities Healthcare District
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING DISTRICT BOARD MEMBERS
+ MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING 6:00 p.m. Trinity County Library Weaverville CA DISTRICT BOARD MEMBERS GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH
More informationMOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING April 29, 2015 DISTRICT BOARD MEMBERS
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT MEETING MINUTES BOARD MEETING Trinity County Library Weaverville CA DISTRICT BOARD MEMBERS GERALD BRASUELL DERO FORSLUND JERRY H. COUSINS LYNN JUNGWIRTH FRANCIS
More informationMichael Anderson, Jim Cavasso and Carol Cullins and Guy Martin Young
REGULAR MEETING MINUTES LAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS Thursday, November 30, 2017 at 1:00 pm Council Chambers, City Hall Alturas, California Directors present: Directors absent:
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationMOUNTAIN COMMUNITIES HEALTHCARE DISTRICT AGENDA
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT AGENDA Board Meeting September 30, 2015 6:00 p.m. Lewiston Community Center Lewiston, CA Meetings convene at 6 p.m. on the last Wednesday of the month. Citizens
More informationLAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES
LAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS MEETING MINUTES Monday, August 3, 2015 Directors present: Directors absent: Staff in attendance: Staff absent: Michael Anderson, Jim Cavasso, Carol
More informationRebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO
Rebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO THE MARKET & PHS S POSITION 2 Progressive Health Systems, Inc. (dba Pekin Hospital) Pekin, IL 3 4 5 Nearby
More informationGREAT PLAINS REGIONAL MEDICAL CENTER UNAUDITED CONSOLIDATED BALANCE SHEET March 31, 2015
1 GREAT PLAINS REGIONAL MEDICAL CENTER UNAUDITED CONSOLIDATED BALANCE SHEET March 31, 2015 ASSETS CURRENT ASSETS: CASH $ 16,545,582 GROSS PATIENT RECEIVABLE 46,060,155 PATIENT RECEIVABLE ALLOWANCES (40,142,691)
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationHow Does Payroll-Based Journal Reporting Impact Your Five Star? Don Feige, ezpbj
How Does Payroll-Based Journal Reporting Impact Your Five Star? Don Feige, ezpbj About Our Speaker ezpbj provides easy-to-use software to manage all aspects of Payroll-Based Journal reporting ezpbj assembles,
More informationActivity Based Cost Accounting and Payment Bundling
Activity Based Cost Accounting and Payment Bundling 1 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost
More informationLoyola University Chicago ~ Archives and Special Collections
UA1980.04-.16, 1980.18-.23 Treasurer s Office Records - Ledgers Dates: 1904-1969 Creator: Loyola University (1870-) Extent: 124 volumes Level of description: Item Processor & date: John L. Daniels, June
More informationSPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES
SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: March 20, 2018 Members Present: Dennis Ernsting, Chris Haury, Gary Stephens, Kay Hapke, Claudia Kerens, Alene Holloway, Lynette Jalivay. Others
More informationWebinar Control Panel
Clear Communications Through Dashboard Reports 1 2012 Community Action Program Legal Services, Inc. Webinar Control Panel Raise your hand to ask a question Only enabled if you have entered your Audio Pin!
More informationSTATEMENT OF FINANCIAL POSITION
STATEMENT OF FINANCIAL POSITION TEMPORARILY TOTAL ACCT DESCRIPTION GENERAL RESTRICTED FUNDS CURRENT ASSETS ASSETS 1030 Cash in Bank - Wells Fargo Operating 77,441 77,441 1031 Deposits in transit 1045 First
More informationMichael Anderson, Jim Cavasso, Carol Cullins, Dick Steyer and Guy Martin Young
REGULAR MEETING MINUTES LAST FRONTIER HEALTHCARE DISTRICT BOARD OF DIRECTORS Thursday, January 26, 2017 at 1:00 pm; Council Chambers, City Hall; Alturas, California Directors present: Directors absent:
More informationSTATEMENT OF FINANCIAL POSITION
STATEMENT OF FINANCIAL POSITION TEMPORARILY TOTAL ACCT DESCRIPTION GENERAL RESTRICTED FUNDS CURRENT ASSETS ASSETS 1030 Cash in Bank - Wells Fargo Operating 44,053 44,053 1031 Deposits in transit 1045 First
More informationRural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas
Rural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas GH Pink and KL Reiter V Freeman, GM Holmes, A Howard, B Kaufman, J Perry, R Randolph, S Thomas, and
More informationWill PBJ erase your star rating?
Will PBJ erase your star rating? How Payroll-Based Journal reporting impacts your Five-Star Carl Moellenkamp, CPA, CliftonLarsonAllen Don Feige, ezpbj Housekeeping 1. If you are experiencing technical
More informationRURAL SWING BED MANAGEMENT (RSBM) TRAINING PROGRAM
RURAL SWING BED MANAGEMENT (RSBM) The Georgia State Office of Rural Health and HOMETOWN HEALTH Present: The Need for Rural Swing Bed Training One of the challenges that rural hospitals face today is a
More informationMEETING MINUTES RECORD
MEETING MINUTES RECORD Meeting: Board of Directors Date: April 27, 2017 Location: Conference Center Start time: 6:30 pm Adjourn time: 8:35 pm Members present: Patricia Christianson, Lynn Clayton, Virginia
More informationUsing Lean Principles to Decrease Outpatient Registration Wait Times. It s a Journey not a Destination
Using Lean Principles to Decrease Wait Times It s a Journey not a Destination 533 Bed Acute Care System 461 Beds at AnMed Health Medical Center 72 Beds at AnMed Health Women s and Children's Hospital 45
More informationCDFA CDBG Workshop - Economic Development
1 "Economic is providing assistance to businesses that are creating (or retaining) i jobs for low- and moderate-income people. In order to meet the National Objective, 51% of the jobs must be filled by
More information10/12/2017 COST REPORTING 201. October 18, Michael K. Westerfield, CPA, FHFMA Senior Manager
COST REPORTING 201 October 18, 2017 Michael K. Westerfield, CPA, FHFMA Senior Manager 1 AGENDA Cost Report 101 Review Wage Index Disproportionate Share S-10 Indirect Medical Education (IME) Graduate Medical
More informationBOARD OF DIRECTOR'S MEETING 2nd LOCATION AGENDA
POSTED THURSDAY, JUNE 7, 2018 Monday, June 11, 2018 6:30 p.m. ` BOARD OF DIRECTOR'S MEETING 2nd LOCATION AGENDA 12093 Caminito Campana San Diego, CA 92128 Time Form A Page I. CALL TO ORDER 6:30 II. ESTABLISHMENT
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More informationChairman Estrada asked the Secretary to call upon the registered public speakers. The Secretary responded that there were none present.
Minutes of the meeting of the Finance Committee of the Board of Directors of the Cook County Health and Hospitals System held Friday, April 21, 2017 at the hour of 8:30 A.M., at 1900 W. Polk Street, in
More informationRESOLUTION NUMBER 2877
RESOLUTION NUMBER 2877 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PERRIS, STATE OF CALIFORNIA SETTING FORTH POLICIES INTENDED TO OBTAIN CONSISTENCY AND UNIFORMITY IN THE ADMINISTRATION OF THE FEDERALLY
More informationDepartments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence
Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationANNUAL REPORT TO THE BOARD
ANNUAL REPORT TO THE BOARD August 2016 PREFACE Fiscal year 2016 (July 1, 2015 June 30, 2016) was a good year. The year brought continued growth in our Hospice and Home Care programs, which enhanced our
More informationSPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES
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
More informationRural Hospital Performance Improvement
Rural Hospital Performance Improvement North Sunflower County Hospital Ruleville, Mississippi July 2003 What Was Needed Business Office Review AR Analysis Clinical Services Evaluation Core Services Planning
More informationMedicare Cost Report Hot Topics!
Medicare Cost Report Hot Topics! Montana HFMA April 2017 Presented by: Shar Sheaffer, Owner Outline Occupational mix Swing bed days Uncompensated care costs Common cost report issues Medicare bad debts
More informationMassachusetts Life Sciences Center Financial Statements with Management s Discussion and Analysis June 30, 2012 and 2011
Massachusetts Life Sciences Center Financial Statements with Management s Discussion and Analysis Index Page(s) Report of Independent Auditors...1 Management s Discussion and Analysis... 2 5 Financial
More informationBoard of Commissioners Meeting April 24, 2014 Summit Pacific Medical Center, Elma, WA
Board of Commissioners Meeting April 24, 2014 Summit Pacific Medical Center, Elma, WA Grays Harbor County Public Hospital District No.1 Agenda 1. 6:00 - CALL TO ORDER a. Introductions as needed b. Business
More information8. Beth Pollard 9. Mee Ling Tung
Measure A Oversight Committee Meeting Minutes Friday, February 24, 2012, 9am-11:30am Attendance: Members Present 1. Barbara Anglin 2. Suzanne Barba 3. John Becker 4. Louis Chicoine 5. Kerry Easthope 6.
More informationBOARD OF TRUSTEES MARCH MEETING MINUTES Wednesday, April 3, :00 P.M. Mike McCafferty and Dr. John Addlesperger
BOARD OF TRUSTEES MARCH MEETING MINUTES Wednesday, 3:00 P.M. MEMBERS PRESENT: MEMBERS ABSENT: Others Present: Ron Mischke, Kevin Bailey, Dixie See, David Smith, Gene Davis, Dr. Strahan, and Gary Miller
More informationTELNET COURSE T2861 PART 1 (WEBINAR) TELNET COURSE T2864 PART 2 (WEBINAR) TELNET COURSE T2866 PART 3 (WEBINAR) DATE: SEPTEMBER 26, 2013
CMS Conditions of Participation (CoPs) for Critical Access Hospitals (CAHS): Ensuring Compliance This is a 3-part series; each program can be taken independent of the others. TELNET COURSE T2861 PART 1
More informationSAN MATEO MEDICAL CENTER
ADMINISTRATIVE AND QUALITY MANAGEMENT - Accounting/Payroll - Finance and Decision Support - Patient Financial Services - Revenue and Reimbursement - Compliance/HIPAA - Materials Management - Community
More informationHB 254 AN ACT. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:
PUBLIC WELFARE CODE - DEPARTMENT OF PUBLIC WELFARE POWERS, DETERMINING WHETHER APPLICANTS ARE VETERANS, MEDICAL ASSISTANCE PAYMENTS FOR INSTITUTIONAL CARE AND STATEWIDE QUALITY CARE ASSESSMENT Act of Jul.
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
More informationHealth Center Staff Documents Checklist
Health Center Program Site Visit Protocol Health Center Staff Documents Checklist NOTE: This consolidated checklist contains documents used to assess multiple program requirements during Operational Site
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationCitigroup Non-Profit Investors Conference
Citigroup Non-Profit Investors Conference May 24, 2017 Maine Health Care Market Hospitals are increasingly consolidated into systems - 36 hospitals in the state all not-for-profit - 84% of state s beds
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationOverview of the Federal 340B Drug Pricing Program
Overview of the Federal 340B Drug Pricing Program Presented by: James A. Raley, CPA Senior Manager Health Care Services Arnett Carbis Toothman LLP 345 340B Program: Overview Provides discounts on outpatient
More informationMinnesota health care price transparency laws and rules
Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health
More information16233 SOUTH 4BTH ST. PHOENIX, AZ HORIZOHCLC.ORG // CERTIFICATE OF UNAUDITED QUARTERLY FINANCIAL STATEMENTS
HDRfiii'NoRS 16233 SOUTH 4BTH ST. PHOENIX, AZ 85048 HORIZOHCLC.ORG // 480.659.3000 CERTIFICATE OF UNAUDITED QUARTERLY FINANCIAL STATEMENTS The Industrial Development Authority of the County of Maricopa
More informationImprove the Efficiency and Service of the Emergency Room at North Side Hospital
Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationMark Stagen Founder/CEO Emerald Health Services
The Value Proposition of Nurse Staffing September 2011 Mark Stagen Founder/CEO Emerald Health Services Agenda Nurse Staffing Industry Update Improving revenue trends in healthcare staffing 100% Percentage
More informationWESTON COUNTY HEALTH SERVICES BOARD OF TRUSTEES MEETING January 21, 2016
WESTON COUNTY HEALTH SERVICES BOARD OF TRUSTEES MEETING January 21, 2016 Present: Georgenna Materi, Secretary of the Board; Barry Peterson, Treasurer; and Connie James, Trustee. Also Present: Maureen Cadwell,
More informationVentura County MediCal Managed Care Commission (VCMMCC) dba Gold Coast Health Plan (GCHP)
Ventura County MediCal Managed Care Commission (VCMMCC) dba Gold Coast Health Plan (GCHP) Regular Meeting Monday, May 22, 2017, 2:00 p.m. Gold Coast Health Plan, 711 East Daily Drive, Community Room, Camarillo,
More informationBEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL
Publication Year: 2004 BEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL Summary: Cape Canaveral hospital implemented a streamlined bedside registration process in order to reduce the time patients spent waiting
More informationThree Rivers Hospital Board of Commissioners Regular Meeting
The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 11:03 a.m. Tuesday, June 22, 2017 in the McKinley Building Conference Room at 507 Hospital Way, Brewster WA 98812.
More informationSchool District of Philadelphia Quarterly School Manager Report
School District of Philadelphia Quarterly School Manager Report May 16, 2016 The School District of Philadelphia s Quarterly School Manager Report for the period ended March 31, 2016 represents forward-looking
More informationCRITICAL ACCESS HOSPITAL SWING BED PROGRAM
CRITICAL ACCESS HOSPITAL SWING BED PROGRAM Operational and Management Strategies March 1, 2016 Andrea Elliott, CPA Senior Managing Consultant aelliott@bkd.com Suzy Harvey, RN-BC, RAC-CT Managing Consultant
More informationCOMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) Subrecipient Workshop
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) Subrecipient Workshop CDBG Subrecipient Training CDBG Overview Grant Requirements Client Files Administration Monitoring Considerations Anticipated Timeline Application
More informationPersonal Information Bank (PIB) Details
Title: Accounts Payable Record Type: GCR - PIB Description: Records relating to processing payments made by the hospital to suppliers of goods and services. Source documents initiating payments include
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationChanges in the School Based Access Program (SBAP)
Pennsylvania Association of School Business Officials Changes in the School Based Access Program (SBAP) April 23, 2013 Webcast (9:30-11:00 AM) Listen to audio over your computer speakers (If you prefer
More information8 Ways to Reduce Bad Debt (ANI)
8 Ways to Reduce Bad Debt (ANI) Kerry Hill, Vice President Finance, Rockford Health System Francis Hollweck, Senior Manager, Crowe Horwath LLP Bi Brian Sanderson, Partner, Crowe Horwath thllp 1 TODAY S
More informationHUMBOLDT STATE UNIVERSITY SPONSORED PROGRAMS FOUNDATION
HUMBOLDT STATE UNIVERSITY SPONSORED PROGRAMS FOUNDATION BASIC FINANCIAL STATEMENTS, SUPPLEMENTARY INFORMATION, AND SINGLE AUDIT REPORTS Including Schedules Prepared for Inclusion in the Financial Statements
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More information2015 Georgia Workforce Report. Published by Compdata Surveys on behalf of the Georgia Hospital Association
2015 Georgia Workforce Report Published by Compdata Surveys on behalf of the Georgia Hospital Association TABLE OF CONTENTS Introduction...1 Labor Force & Employment Levels...2 & Rates by Position...5
More informationUtilizing FPPE and OPPE Effectively OPPE & FPPE. Joint Commission FAQs. Utilizing FPPE and OPPE Effectively. Susan Mellott PhD, RN.
Utilizing FPPE and OPPE Effectively Susan Mellott PhD, RN, CPHQ, FNAHQ OPPE & FPPE For the sake of this presentation, OPPE and FPPE will be discussed as it pertains to physicians. However, all information
More informationPatient Care: Case Study in EHR Implementation. With Help From Monkeys, Mice, and Penguins. Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007
Using Information Technology to Drive Patient Care: Case Study in EHR Implementation With Help From Monkeys, Mice, and Penguins Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007 MIT Medical Staff 122
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More information2016 GEORGIA WORKFORCE REPORT. Published by Compdata Surveys & Consulting on behalf of the Georgia Hospital Association
2016 GEORGIA WORKFORCE REPORT Published by Compdata Surveys & Consulting on behalf of the Georgia Hospital Association TABLE OF CONTENTS Introduction...1 Labor Force & Employment Levels...2 & Rates by
More information2017 HIMSS DAVIES APPLICANT
2017 HIMSS DAVIES APPLICANT Introduction of NOMS Team Members Melissa Thomas IT Project Director Joshua Frederick, CPA, MT Chief Executive Officer Jennifer Hohman, MD Executive Vice President, NOMS Healthcare
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationManaging Receivables Through Patient Access Ingenuity
Managing Receivables Through Patient Access Ingenuity Managing Receivables Through Patient Access Ingenuity About the Organization Cedars-Sinai Medical Center: 886 Licensed Beds in Beverly Hills, California
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationORA Quarterly Meeting October 26, 2016 (Medical) October 28, 2016 (Coral Gables)
ORA Quarterly Meeting October 26, 2016 (Medical) October 28, 2016 (Coral Gables) Agenda Quarterly Updates New Reporting Functionality in RRS (PI Portal) Workday Update ORA Website Presentation PCRF-Updates
More informationPUBLIC UTILITY DISTRICT NO. 1 OF LEWIS COUNTY
PUBLIC UTILITY DISTRICT NO. 1 OF LEWIS COUNTY Board of Commissioners Meeting March 6, 2018 Public Utility District No. 1 of Lewis County Date Time 3/6/2018 10:00 AM Meeting called by Commissioner Dahlin
More informationSecretary s Handbook
Secretary s Handbook Year Club Name District No. Zone No. Club Computer No. Secretary s Name 2018 Ruritan National RURITAN CLUB MEETING PROCEDURE Start On Time. 1. Call to order president. 2. Song: America
More information3 rd quarter results 2009
3 rd quarter results 2009 revenue trend gradually turning; increased gross margin pressure largely offset by continued strong cost management RobertJan van de Kraats, CFO Randstad Holding nv October 29,
More informationMay 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics
Hot Reimbursement Topics Rural Area Hospitals May 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics RICHARD S. REID, MPA, FHFMA, CPA, Director,
More informationCountywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report
Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/28/2017 Patient Transfer
More informationThree Rivers Hospital Board of Commissioners Regular Meeting
The Three Rivers Hospital Board of Commissioners called a regular meeting to order at 8:07 a.m. Tuesday, in the Hillcrest Commons Area, 415 Hospital Way, Brewster, WA 98812. The presiding officer was Vicki
More informationMedicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters. Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014
Medicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014 Agenda Medicare cost report myths Common cost reporting
More informationHospitals and the Economy. Anne McLeod Vice President, Finance Policy California Hospital Association
Anne McLeod Vice President, Finance Policy California Hospital Association American hospitals are financially challenged and the trends in revenues and expenses will put and even greater burden on the
More informationPatient Financial Services Policy
Patient Financial Services Policy Policy: Purpose: Billing & Collection Policy MaineHealth hospitals and physician practices are the frontline caregivers providing medically necessary care for all people
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationAMN Healthcare Investor Presentation
AMN Healthcare Investor Presentation May 2018 The Innovator in Healthcare Workforce Solutions and Staffing Services Forward-Looking Statements This investor presentation contains forwardlooking statements
More information2018 GEORGIA WORKFORCE REPORT. Published by Compdata Surveys & Consulting on behalf of the Georgia Hospital Association
2018 GEORGIA WORKFORCE REPORT Published by Compdata Surveys & Consulting on behalf of the Georgia Hospital Association TABLE OF CONTENTS Introduction... 1 Labor Force & Employment Levels... 2 Vacancy &
More informationAlfalfa House Members Council Meeting - minutes. 1. Attendance and Apologies. 2. Approval of Agenda. 3. Consent Agenda
Alfalfa House Members Council Meeting - minutes Date: 28 November 2017 Time: 7pm Location: Meeting Space, 8-10 Brown Street, Newtown Facilitator: Jonathan Green Minutes: Jenny Millman Timekeeper: Matt
More informationSWING BED (SWB) Rural Hospitals under 100 Beds and Critical Access Hospitals
SWING BED (SWB) Rural Hospitals under 100 Beds and Critical Access Hospitals Federal Regulations Hospitals under 100 Beds Critical Access Hospitals CMS State Operations Manual Appendix T Regulations and
More informationOKLAHOMA HEALTH CARE AUTHORITY
POLICY TRANSMITTAL NO. 11-43 November 9, 2011 HEALTH POLICY OKLAHOMA HEALTH CARE AUTHORITY TO: SUBJECT: STAFF LISTED MANUAL MATERIAL CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE OAC 317:30-5-58 EXPLANATION:
More informationHENDERSHOT, BURKHARDT & ASSOCIATES CERTIFIED PUBLIC ACCOUNTANTS
Young Marines of the Marine Corps League Financial Statements for the Year Ended September 30, 2016 and Independent Auditors Report Dated March 8, 2017 HENDERSHOT, BURKHARDT & ASSOCIATES CERTIFIED PUBLIC
More informationStatus of Implementing Legislation Regarding the Eastern Band of Cherokee Indians
Status of Implementing Legislation Regarding the Eastern Band of Cherokee Indians Session Law 2015 241, Section 12C.10.(h) Report to The Joint Legislative Oversight Committee on Health and Human Services
More informationCritical Access Hospitals & Compliance Programs. Gregory N. Etzel, Esq. B. Scott McBride, Esq. Health Industry Group Vinson & Elkins LLP
Critical Access Hospitals & Compliance Programs Gregory N. Etzel, Esq. B. Scott McBride, Esq. Health Industry Group Vinson & Elkins LLP History and Background Critical Access Hospitals ( CAH )were established
More informationDivision of Health Care Financing and Policy
Division of Health Care Financing and Policy Presentation to the Legislative Subcommittee on Post Acute Care in Nevada February 2016 1 Topics of Discussion Post acute care-types of services Current rate
More informationMORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING April 23, 2013
MORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING Members Present: Patrick Drouhard, Chair Joyce Ray, Vice Chair Carolyn Beal Dennis Leader Brent Winand Brad Wood Absent: Patricia Anthony, Secretary
More informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationThe Green Valley Hospital: Looking Forward
The Green Valley Hospital: Looking Forward Community Forum hosted by: The Green Valley Council Your Community Voice Introduction: Green Valley Hospital Citizen Advisory Committee Green valley Council Health
More informationCity Council Report 915 I Street, 1 st Floor Sacramento, CA
City Council Report 915 I Street, 1 st Floor Sacramento, CA 95814 www.cityofsacramento.org File ID: 2017-01310 Published for 10-Day Review 11/17/2017 Review Item 02 Title: (Agreement/Contract for 10-Day
More information