July 26, 2018 Thursday 4:00 PM Commissioners Present: Pamela Breland Tammy Magruder Lavern Jenkins William Ferrante, M.D. John Nichols Richard Watts Lori Schilling Cynthia August Eric Payne. M.D. Commissioners Absent: James Thomas CALL TO ORDER/OPENING PRAYER A meeting of the was convened on Thursday, June 28, 2018 at 4:00 p.m. The opening prayer was led by Board Member Nichols. The Pledge of Allegiance was led by Board Chairman Jenkins. WELCOME AMENDMENT OF AGENDA Board Chairman Jenkins requested the agenda be amended to remove Public Participation from the agenda. Action: A motion to amend the agenda was made by Board Member Magruder, duly seconded by Board Member Payne, Unanimously approved. APPROVAL OF MINUTES The minutes of the June 28, 2018 Board of Commissioners meeting were presented for approval. Action: A motion to approve the minutes as presented was made by Board Member Payne duly seconded by Board Member Breland, unanimously approved. CHIEF FINANCIAL OFFICER S REPORTS Page 1
Statistics/Financial Indicators; Year to Date Income Statement Balance Sheet Cash Flow Summary Capital Expenditures Bad Debt Summary Benefit Summary Payroll Summary Capital Budget Summary Mr. Anzaldua provided graphs and charts. Mr. Anzaldua provided a Financial Summary spreadsheet for Board Members to view, a copy of which is on file with the minutes. O.R. SINK Mr. Sullivan presented three (3) quotes for new sink in the O.R. of Riverside Medical Center. The current sink was put into place when Riverside was originally built. We have received recommendations for replacement of the sink unit from both JCAHO and LHA Risk & Assessment Survey. Due to the condition of the old sink it will be placed on the surplus list and disposed of. The three (3) quotes are as follows: 1. Kent Medical: $26,265.20 2. Pure Processing: $22,010.50 3. TBJ Incorporated: $22,127.00 The recommendation from Riverside Medical Center s Surgical Committee is to accept the bid from TBJ Incorporated in the amount of $22,127.00. The committee noted that TBJ representatives responded promptly to their request for a bid and sent a representative to the hospital to assure the proper specifications. It is their opinion that this vendor would provide prompt and comprehensive follow-up regarding any issues that may arise. The installation of the unit will be provided by the hospital maintenance staff; therefore, no installation costs will be incurred. Action: A recommendation was made by Riverside Medical Center s Finance Committee to approve the purchase of a new sink unit for the O.R. from TBJ Incorporated in the amount of $22,127.00, as recommended by Riverside Medical Center s Surgical Committee, unanimously approved. CERNER MIPS MACRA REPORT Mr. Anzaldua presented the MIPS Eligible Clinician Report Professional Consulting Service Quote. The quote is for 250 hours of service at $90.00 an hour totaling $22,500.00. Action: A recommendation was made by Riverside Medical Center s Finance Committee to approve the MIPS Eligible Clinician Report Professional Consulting Service Quote from Cerner as presented in the amount of $22,500.00, unanimously approved. Page 2
. RIVERSIDE MEDICAL CENTER MEDICAL STAFF MEETING Medical staff conducted its monthly scheduled meeting on July 19, 2018. Those in attendance approved the minutes from the last scheduled meeting, which occurred on June 21, 2018. The Medical Staff reviewed the Quality Council meeting and Quality Dashboard for the month. Dr. Nicholson reviewed the Surgery Committee report and infection control report. Mr. Sullivan gave the administrative report. INITIAL APPOINTMENTS: Dr. Alvarado offered motion, seconded by Dr. Nicholson for the approval of the following reappointments to Riverside Medical Center: The following have been recommended by the Medical Staff for approval of privileges. Katie Schloegel, NP- Would Care- Allied Health Thomas Bowden, M.D.- Emergency Medicine John Sfondouris, M.D.- Radiology- Consulting REAPPOINTMENTS: Dr. Alvarado offered motion, seconded by Dr. Nicholson for the approval of the following reappointments to Riverside Medical Center: The following have been recommended by the Medical Staff for approval of privileges. Steffan Sernich- Children s Cardiology- Consulting Action: A motion was made by Board Member Watts, duly seconded by Board Member Breland to accept Riverside Medical Center s Medical Staff recommendation to approve the Initial Appointments and Reappointments, unanimously approved. CLINICAL SERVICES MANAGEMENT REPORT The Clinical Departments report for June 2018 is as follows: Operational The cath lab performed 45 procedures on 21 patients. *2-Device Removals/Implants *28-Diagnostic Procedures *15-interventions The OR performed 187 surgical procedures on 65 patients **25-surgical **162-endoscopy Emergency Department had 1086 visits. The average length of stay was 2 hrs 28 minutes. Door to Doc average time was 16 minutes.. The left without being seen rate was 0.28%. Page 3
Telestroke Data: 6 telestroke patients in June. 1 of these patients met criteria to receive TPA and received the medication within the 60 minute threshold. Swing Bed- 3 patients. A total of 17 benefit days were used in caring for these patients. Average length of stay was 5.7 days. Rehab Dept had 705 patient visits- 74 new out patient referrals and 360 Wellness visits Education and Training The Education Department held Annual Education during the months of June and July. There were a total of 317 team members that completed and passed RMC s Annual Education Exam online, with a passing average score of 98%. This includes all full time, PRN, contract employees and volunteers. Members of Nursing Services completed additional competency requirements including, Glucometer checkoff, restraints and conscious sedation, as well as multiple online Nursing exams. Annual Education was overall very successful this year. There was a 95% participation rate. Team members who have not completed all components of Annual Education will be required to attend a make-up session. CPOE rate for June was at 96%. We continue to work with Cerner representatives for HIMSS 7 designation and they will be here for mock survey walk through on July 31 st. LEAN training/project is continuing in various departments and will be completed soon Care Learning Platform is in final stages of implementation. Annual Training completed Performance and Risk Management Post ED phone calls: 19% of patients were contacted. Overall satisfaction was 96% of patients that were contacted. 100% understood their discharge instructions and 100% were kept informed during their stay. Current inpatient satisfaction is 96% Contacted 100% of LWBS. *Contact made with 3 of 3 patients *1 patient left for personal reasons, 2 patients felt the wait was too long * 1 of these patients received care at another facility *1 patient returned to RMC ER for treatment the next day Med verify rate was 95.6% with the threshold being 95% Blood administration verification was at 100% with the threshold being 100% Hand hygiene was 100% compliant. Page 4
OUTPATIENT CLINIC REPROT The Riverside Medical Center Outpatient Clinic report for May 2018 was presented by Ms. Kristina Knight. The report is as follows: Operational: The month of March had 21 clinic days. Pediatrics and Internal Medicine Clinic had a total of 352 patient visits, 24 were new patients. Family Care Clinic had a total of 397 patient visits, 67 were new patients. Internal Medicine Clinic had a total 290 of patient visits, 32 were new patients. Specialty Clinic had a total of 31 patients, 11 were new patients. Surgery Practice had a total of 52 patient visits, 8 in office procedures. Thomas Clinic had a total of 647 patient visits, 33 were new patients. Ancillary charges (laboratory, microbiology, radiology, IV therapy, pharmacy): Pediatrics and Internal Medicine Clinic had a total of $1,222,185 in ancillary charges. Family Care Clinic had a total of $735,447 in ancillary charges. Internal Medicine Clinic had a total of $872,959 in ancillary charges. Specialty Clinic had a total of $38,497 in ancillary charges. Thomas Clinic had a total of $579,657 in ancillary charges. MANAGEMENT REPORT Mr. Sullivan provided the following report: Our follow-up visit from the Joint Commission last Monday, July 16 th. The surveyor was here for about 2 ½ hours and left with no findings. All measures that he was here to review had been addressed. We will file our corrective action report next week and should receive our certification for the next 3 years shortly after filing the report. Mr. Sullivan reported he and Riverside Medical Center s Finance Committee met with the Washington Parish Council Finance Committee to provide them with a review of our 2017 audit and our June financial statement. The discussion went well. Riverside Medical Center s ED management transition took place beginning at 7 AM on Monday, July 16 th. It went very well. We are now into our second week and have had all good reports. After a few weeks to allow them to settle in we will begin our marketing campaign informing the community of the transition. The fire door repair and replacement process is almost complete. We expected it to be completed several weeks ago. However, the frame of the door was warped. Rather than cut the doors to fit, we have ordered a new frame in order to have no issues with compliance at our next inspection. The architects for the laboratory relocation returned the construction estimate. It was higher than we anticipated. Our team met with them last week and have asked them to attempt to get a better number. We will also have some discretion as to work we can do ourselves rather than having a contractor do it which will also provide a more reasonable estimate. Page 5
We have conducted a Patient Safety Survey and are currently analyzing the results. This will help identify areas for focus as we move forward with our culture at safety initiative. There are a number of activities that Riverside will be involved with over the coming weeks: o Tomorrow from 8:30 AM to 2:00 PM we will host Extreme Kids Camp. It will include education on CPR, 911, hand hygiene, healthy eating, car safety, and a providers versus kids water war. o We will host a blood drive on August 2nd from 1 PM to 6 PM and August 3rd from 12 PM to 5 PM for blood replacement for Stanley Seal (Sheriff Seal s brother.) o August 6th we will be providing CPR training for 50 employees of Franklinton Dietary Department o August 25th we will be partnering with Franklinton Fire Department for a car seat safety event. o September 8th from 7 AM to 1 PM there will be a Stand With Jan Benefit in front of the hospital. It will include a garage sale, food vendors, Joel Galloway entertainment from 11 AM to 1 PM, a biker parade through downtown at 9 AM, a Corn Hole Tournament, fun and games with all proceeds going to help Jan Allen. There are also stand with Jan T-shirt order forms in your binder if you would like to purchase one. FOUNDATION COMMITTEE REPORT Ms. Clair Maguire represented Riverside Medical Center s Foundation. Ms. Maguire reported the plans for the Riverside Medical Center s Tailgate for Tata s is underway for the Fall. This year will be better than last year. Action: A motion to dismiss the meeting into Executive Session was made by Board Member Watts, duly seconded by Board Member Breland, unanimously approved, at 5:32 p.m. After executive session was adjourned, Board Chairman Jenkins declared the Board meeting back in regular session with a motion by Board Member Watts, duly seconded by Board Member August, unanimously approved. There being no further business meeting was adjourned at 6:14. Respectfully Submitted, Date: By: Angella Rosa Executive Assistant Lavern Jenkins, Chairman Riverside Medical Center Peter Sullivan CEO/Secretary Page 6
(All Resolutions, Affidavits, Correspondence and Attachments in its entirety are available of the Board at Riverside Medical Center 1900 South Main Street, Franklinton, LA) This meeting was held in accordance with the Americans Disabilities Act, if you need special assistant please contact Angella Mayfield Rosa, Clerk to the Board at 985-839-4431 describing the assistance that is necessary. Page 7