BOARD MEETING: Regular Meeting DATE: February 27, 2018 MEMBERS PRESENT: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Patricia White. MEMBERS ABSENT: None TIME CALLED TO ORDER: 5:30 p. m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Allyson Allums, CFO, Dakota Robinson, Controller, Lanell Audirsch, Admin. Asst., Walter D. (Doug) White, Hospital Attorney, Dr. John Woods, Chief of Staff, Mary Coil, Foundation Executive Director/Marketing Director LOCATION: NCMC Events Center BOARD CHAIR: Robert T. Green, Jr. SECRETARY: David Jones I. CALLED TO ORDER –Robert T. Green, Jr., Chairperson called the meeting to order. II. Invocation and Pledge of Allegiance – Kenneth Clay offered the Invocation and Pat White led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – Brenda Smith made a motion to approve the agenda as presented. Kenneth Clay seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. IV. Community Comments – Robert T. Green, Jr., Chairperson, noted there were no signed Visitor Recognition Cards requesting to address the Board. V. Minutes – Regular Meeting January 23, 2018 –The minutes of the January 23, 2018 Regular Board meeting were mailed prior to today’s meeting for review. Robert Green inquired if there were any corrections to be noted. If not, he would entertain a motion to approve the minutes. Pat White made a motion to approve the minutes of the Regular Meeting held on January 23, 2018, as mailed. David Norman seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. VI. Old Business – 1) Radiology and ER Expansion Update: David Jones reported that they met with the architect last week with the Department Heads that are going to be affected, included in the expansion in the renovation areas. We did this when we designed the building itself. They came up with the square footage and then we presented it to the department heads; the department heads said that will work, let’s do this or maybe we need to put that there; looked at the plug areas and data lines, where they preferred to have them and that kind of thing. It was a good meeting. They felt like they have enough information to get the final plans done so we are expecting that to really be done sometime either this week or early next week and then that will be time we will start advertising for bid amounts. It is moving along. Robert Green asked if there were any questions or comments. There were none. 2) Benton Advisory Board Update: David Jones stated an update on the Benton Advisory Board. They did meet on the 21st. It was not a long meeting. They did brag on the community member, Ms. Boyter. She had some ideas for marketing. The Nurse Practitioner there is really business minded and has some good marketing ideas. She really wants the business to thrive and she wants it to grow. Pam and he met with her today to go over goals for the clinic for the future; what her individual comfort level is on patients amounts. For this month, she is closing in on what she wants to average. Midlevels probably shouldn’t average as high as a doctor does because of the complexity of some of the patients who really should be seen by a physician versus a Nurse Practitioner. That is arguable to some degree but, he really feels that is best practice from that standpoint. We are moving to where we are going to be at capacity with her, praise God, before the one year is up. That is a good thing and hopefully we will have to figure out how to maybe expand the clinic and bring another Midlevel in; those kind of things. We are looking at some time in the next 90 days to get that final or one of the final inspections done so they can put the stamp on our new rates. He asked Pam if they had set the 90 day window. Pam Hughes answered yes. It starts March the first, 90 days from there. They can come anytime during that period without any warning. We have to be ready. David Jones noted – which we will be. Robert Green asked if there were any questions or comments about the Benton Advisory Board. If not we will move on to the Statistics. VII. 1) Review January 2018 Statistics – Allyson Allums: Allyson Allums noted it was a good month. There were 72 admissions, 16 Swing Bed admissions; we delivered 2 babies. There was a total of 311 inpatient days. The average daily census was at 10. They performed 10 endoscopies and 13 surgeries – two were C-sections and 11 were performed by Dr. Banda. That was a busy month for surgeries. Our Emergency Room saw 566 patients. We did a look back and that was the busiest month we’ve had in four and one half years. Robert Green asked Allyson to repeat that. She repeated that is the busiest month we’ve had – 566 patients came to the Emergency Room this month and that is the busiest month we’ve had in four and one half years. He thanked Allyson. She continued – we performed 20 Mammographies. 2) Review January 2018 Financials – Allyson Allums: The Medical and Surgical Clinic was busy this month also. They saw 2015 patients. The Plain Dealing Clinic was also busy this month. They saw 761 patients. This was due to an incentive that we paid for the Nurse Practitioner. That is what caused a large expense for the month. Otherwise they would have shown a profit. The Benton Clinic was really busy seeing 380 patients. They had a profit of $352 and that is with moving Dr. Mc Common’s expenses that are based on RV use. We have been putting them all in the Plain Dealing Clinic because that is her home base, but we carved out the part that goes to the Benton Clinic. It was about $8,000 and moved it into the correct cost center. They still had a profit after that. Our Days Cash on Hand, her favorite slide, is at 41.5 days. That is our highest Day’s Cash on Hand since August 2015. She is very proud of that slide. Our revenue was up and we stayed consistent, even though we raised our contractuals last month to get them in line, we still stayed at 51%. We still show a profit. Our days in AR are at 45.4. She is really proud of that slide also. The national average is 45 days and we have worked, ever since we went live with Cerner to try to hit that mark and to get there and we gradually have gotten there. 45.4 days makes her very excited. That means we are collecting our accounts as fast as we can. 340B – Dakota told her today that March 7th is our go live date for Walker Brothers in Plain Dealing. We will add another one to it. The Fitness Center has 392 members for the month. If you will turn in the Financials to page 3 – you will notice that there is a negative number for other operating revenues. We did an audit of the revenues and there was some Dietary money that has been miss-posted in there. We had to do a re-class so that is why that account shows a negative. We moved it out to the cash clearing account. That is why it looks a little different. Our employee benefits and our salaries and wages – about 6 months back we restructured some employees and the way we operate. If we keep going at the rate that we are going, the end number should be about $500,000 – the difference it should make by the end of the year. We are still staying consistent with that and we are headed toward that savings. Our Employee Benefits in payroll taxes – we had some large stop loss claims in there this year, so it is going to look a little high. The Cost Report in accounting is up a little bit. We made some final payments on our Cost Report audit and those agreed upon procedures came in this month so that made that account just a little high. The depreciation and interest expense – those are going to be up from now on because we have the depreciation of the new facility and the interest from the bonds. Those two accounts will be up. That is all that she has unless you have any questions. Ronnie Festavan – on the first sheet on the In-patient Statistics – this may be just a typo at the bottom. Under Fitness Center members – 1274. Allyson responded that the members should be 392 and the member activity should be 1,274. The numbers were transposed. He also stated that on page 2 – under Medical and Surgical Clinic total patients visits – he sees where one doctor was up almost 300 patients in a month. Is that correct? Allyson stated that is what was turned in to her. David Jones stated that the number is correct. That is the largest month we have ever had for a provider. He is working 5 days a week now opposed to most providers working 4 days a week. Ronnie Festavan asked how many hours would be in that 5 day week. David Jones said typically around 9 hours a day – 9 and one half. Ronnie Festavan said 45 hour a week? David Jones said yes. David Jones said we had 2015 total visits which is 300 more than December had for the clinic so it was busy. Ronnie Festavan said maybe Dr. Woods can help him understand. He asked Dr. Woods how you see 300 more people in a week – Pam said it is not in a week – he said he meant a month. He said the flu is a very rapid diagnosis. Ronnie Festavan asked if these are Nurse Practitioners or nurses. David Jones replied nurses. Dr. Woods said a lot of the clinic visit is getting the patient in the room getting all the vitals and getting all the records set up. If all this can be front loaded you can get working the rooms right – you can see them a lot more rapid. That is the key part of having the personnel, even in the Emergency Room. The flu is a clinical diagnosis and you don’t have to sit here and wait on this test. It doesn’t take any time at all. That is what you have to do during the flu season. The best way of diagnosing flu is the way they have been doing it for about 100 years – based off symptomology, running the fever and you can see a lot of patients that way. Ronnie Festavan said so probably just a combination of efficiency, extra staff on hand to adjust for that and that sort of thing. Dr. Woods noted and you know what is coming. You don’t have to sit there and scratch your head a whole lot because it is right there in front of your face. Ronnie Festavan said it sounds like a very efficient operation. David Jones noted that Dr. Taylor had a very significant climb from December to January. Percentage wise he was about 30% more for the month – to give you a clue of the rush of the month. Extremely sick patients. Ronnie Festavan said obviously a very busy month. Thank you Mr. Chairman. Robert Green stated that is definitely a large number. We are definitely for high quantity, but we definitely love high quality. Robert Green asked if there were any other questions concerning the statistics or financials. There were none. Pat White made a motion to accept the Statistical and Financial Reports as presented subject to audit. Bruce Walker seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. VIII. New Business – 1) Board Declaration of Surplus Equipment List: David Jones noted the Board members should have received a copy of the surplus equipment list emailed and with the packets. It is time to remove some of the equipment that we no longer can use. There is a big ticket item on this list so he is going to require the services of Doug White, Hospital Attorney, whenever it rolls around to this fairly large generator out back that is on the list. We feel that we may actually get some bids on that one of some significant amounts. The question was asked if it works. David Jones replied it did that last time it was connected. Pam Hughes noted that there is a lot of diesel in it. Bruce Walker stated one thing he has not seen on the list is what the date these are due by. Pam Hughes noted that she has not put that on it yet because the Board has to vote on it. Then it has to be run in the official journal for three weeks. Pam stated that you have to get it to the paper on Monday before noon then it hits the paper on Thursday. She can’t add that until the Board votes on it saying that it is o.k., then she will add that. Bruce Walker said he noticed that and he was wondering if it was he missed that somewhere. David Jones noted that we needed a motion to approve the list as surplus equipment. Ronnie Festavan asked how does someone know about this. Pam Hughes noted that these items are here, out back where that is and over in the Armory. David Jones noted that typically we note in the ad they can contact us for more information on it and if they want to come view them, then they can make an appointment to come view them and take a look at them. David Jones stated, other than that one piece of equipment, most of this is pretty banged up items. Ronnie Festavan asked, so when the ad for the sale of these, all of these items are posted in the ad so someone can read this and they know what it is. Pam Hughes and David Jones replied yes. All of this list will be listed in the ad. Pam Hughes said most of this computer equipment we have had a while. Ross, our IT Director, had to clear the hard drives before we could list them. David Jones said they are not functional computers, typically, they are pieces. They look like a computer on the outside, on the inside there is not much left of it. Pam Hughes said the phones are phones that we have had. They are old and we have replaced them with new ones as we could. Ronnie Festavan said thank you, Mr. Chairman. Robert Green asked if there were any other questions. None were noted. He asked for a motion. Brenda Smith made a motion to accept the surplus equipment list as presented to be declared surplus. The motion was seconded by David Norman. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. 2) Board Approval of Resolution #2 – 2018 to Authorize the Opening of a New Checking Account at Citizens Bank & Trust of Vivian: David Jones stated that we talked about opening a Contingency Account at the last Board meeting. He knows it was brought up in the Finance Committee meeting, not this past one, but the one before, to create an account that would help us; a rainy day account to help with expenses to be paid going towards our loan that we are repaying. To create another account we have to have a Board Resolution. If we get a motion on it we can talk a little more on it. Robert Green asked what can he hear. Pat White made a motion to approve Resolution #2 – 2018 to authorize the opening of a new checking account at Citizens Bank & Trust of Vivian. Helen Godfrey-Smith seconded the motion. Robert Green asked if there were any questions or discussion at this point on this matter. If not he would entertain a vote. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. 3) Board Approval of Resolution #3 – 2018 for Authorization of the Names to Be on the Signature Card for the Checking Accounts for North Caddo Hospital Service District dba North Caddo Medical Center: David Jones noted that typically we have on our accounts the Board Chair, Board Vice-Chair. It is more of a maintenance type thing to remove Mrs. White and add Mary Irvin to the signatory account at the bank. Dakota Robinson noted that this is at all banks. Robert Green asked what can he hear. Brenda Smith made a motion to approve Resolution #3 – 2018 for Authorization of the Names to be on the signature card for the checking accounts for North Caddo Hospital Service District dba North Caddo Medical Center so we will have the right names on the signature cards at all banks. The motion was seconded by Kenneth Clay. Robert Green asked if there was any discussion or questions on that matter. If not he would entertain a vote. There were none. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. IX. Administrative Reports – 1) NCMC – Current Activity: David Jones noted that one major thing that he arranged for this week was he and Pam Hughes went into the new Dialysis Center. We got our partner there to let us go through it. It is 98% done. There is still some flooring that needs to be done, some equipment put up as far as TV’s, dialysis units and the polishing of it. They built the smaller of the units. It is really extremely functional. They wasted no space as far as fluff room. They have a centralized waiting area but the main space was given to the patients that will be in the stations. It is very nice and still will probably be a couple of months before it is open due to licensing and those kind of things. Redbud is coming around. We will once again have something in it that we will be sponsoring. We are sponsoring the Treasure Hunt. Be listening for that on the radio. This comes with the sponsorship of our name listed on the Louisiana Redbud’s website and face book page of everyday of Redbud week. We will also run this on the radio every day. It is a very popular event each year. There is actually an add-on if you have the T-Shirt and the Redbud card. She was not sure about the Redbud card but she was about the shirt and this runs through Redbud. Brenda Smith inquired if we sponsored it last year. David Jones replied yes; but no one found it. Robert Green asked if there were any other questions about that. Mary Irvin asked if we will be having something else during Redbud. Mary Coil said there are a few things that we will be doing at the hospital for Redbud. First of all, like she said, we will be doing the Treasure Hunt which is the most popular thing. People who don’t live here follow it. Also, for years they have had a pancake breakfast. The Kiwanis Club did it at the Kiwanis Hut. That then changed to the Community Club. They decided to do something different this year. They did not want to pursue that so they offered it to the Chamber of Commerce. The Chamber of Commerce is going to do the Pancake Breakfast but the hospital is going to host it. It will be in our Dietary in our Café. Our ladies are going to cook the breakfast for us. The Chamber members are going to be here serving the breakfast. That is going to be really neat because that is part of the tradition of Redbud Day. Everybody knows the Board but it is hard to see everybody together. She would actually like the Board to consider riding in the parade; for us to get some cars for you to ride in, or maybe two cars to put as many in as we can in one vehicle or get two vehicles. She will be speaking with Reverend Green and Mrs. Mary Irvin and we will go from there. Mary Irvin stated that is awesome on the Pancake Breakfast. How will people know that it is going to be at the hospital? Mary Coil noted they had a Chamber meeting yesterday and we got some fliers that she made and tickets that are available. She will also be sending a mass email out in social media, the radio will do that for us and we will also be advertising in-house on our digital board in the waiting room. If you are on social media please forward it to those on your contact list. Mary Irvin asked if it would be possible for those who are not on social media to have a banner out in front that says “Pancake Breakfast”. Mary Coil said yes – she will have to check with the Chamber. Mary Irvin said just a little banner for the old fashion people. Mary Coil will talk to the Chamber. Pat White asked what this is going to do to the hospital staff as far as breakfast. Is it going to interrupt them? Mary Coil stated that the patients will be taken care of as usual. Pat White said a lot of the staff do eat breakfast here and she was wondering if that was going to cause them to be delayed on being able to eat. Mary Coil said we will be selling pancakes that morning. Pam Hughes noted there is a smaller staff on Saturdays and it should not cause any issues. Mary Coil said she will be there and be certain that any staff member will be able to get this breakfast and be able to get back to their work. Mary Irvin inquired about the time. Mary Coil stated it will be from 7:30 a.m. to 9:30 a.m. and she has tickets if you would like to buy them. Robert Green said that sounds good and they will be visiting with her. While she was talking some ideas popped up. Mary said that is good; she likes ideas. David Jones noted there is one more activity that he wanted to make sure that the Board was aware of. As you know we have been talking about for probably the last 4 – 5 years if not longer. We have had constant issued with this building and we’ve been trying to work with Willis Knighton to reduce the rate of our lease here. We’ve had constant water leak issues. They did try to come and do some work on the roof sometime last year – stopped a few of the leaks; we still have multiple leaks in the building. Each time it rains any decent amount, water actually floods in from the ground into the walkways in the back. We’ve had, that he can recall, three different bat infestations. We have space enough to disperse the employees to different areas. He made the call to move the entire staff that was working over here. We have not moved them all yet, but we are currently in the process of moving all of them out of this work area. He has informed Willis Knighton of that. He told them we would like to keep this as a storage facility for now, but he does not feel keeping employees over here is in the best interest of them or for the hospital for that matter. H-Vac issues; they have had constant H-Vac issues over here. Right now it is warm in here right now. You have to beat on the panel. That is just three pretty major issues. There have been multiple minor issues. We have had door issues going on constantly and every time we try to get them up here they take months to reply. It is just to the point that he does not feel comfortable keeping our employees over here. We moved Medical Records over into the hospital. We moved multiple other staff members. Most of the Business Office is going to go to the HealthPlex. There is still more room that we can put a few more down there. We have plenty of room to move people around, thank goodness. We have a few more up in Administration that weren’t there before. He feels that it is just a move that we almost had to make. Robert Green asked if there was anybody still left over here. David Jones answered for now yes but we are getting them gone. We are trying to get computers set up; computer lines, that kind of thing. Of course moving, each time we try to move something it rains two inches. Pam Hughes said we have about twelve and they are on the front side. Robert Green inquired if the meeting would still be here. David Jones replied more than likely. Pat White asked if we would still be paying the same rent to Willis Knighton. David Jones said if he has to he will cancel the lease. Multiple times, multiple people at Willis Knighton have said they would reduce the rent and they never have. He has brought it up no less than 10 to 15 times and it continues to go the same thing. Pat White said she knows we have tried on several occasions and she did not know if they would continue to charge the same thing or not. Ronnie Festavan asked to be recognized. He asked a follow up questions. So we have a lease agreement, a contract with them, and what are the specifics of that agreement. Can we break it at will? David Jones said he feels we have reason to break it. It is not just an at will thing. We have pictures. We have everything we would need if they would push it to the legal environment where we would then have to. Ronnie Festavan said that would be his concern. Robert Green asked if David Jones had spoken with them since we have made the move. David Jones replied yes. Ronnie Festavan said tailing on to that thank you. He asked David Jones if he was going to bring them up to date tonight on other conversations with past history of this. He knows, seems like to him, going back to the minutes of October, the group talked about your beginning that process to negotiate and then he came on board and there was more talk and we requested, last month, to hear something – Mrs. Smith and he. Are you going to bring us up to date a little bit about that because he does have some things that he has discovered that he is concerned about in that? He just wants to make sure we are on solid ground in that negotiation and it could be cleared up very easily, but he has some questions. So you will be doing that later on? David Jones replied yes sir. Ronnie Festavan thanked Mr. Chairman. 2) Finance Committee Report: Robert Green asked Helen Godfrey-Smith if she was ready to present the Finance Committee Report. Helen Godfrey-Smith asked to defer to the Executive Session during the Strategic Planning. Ronnie Festavan noted that he has several questions for the Finance Committee. 3) Foundation: Mary Coil reported that July 21st will be the date of the Gala to be held at Sam’s Town. She believes she told the Board that this event will be in memory of Billie Vic Van Hoose, who was a founding board member of the Foundation. She loved the Gala and so we are very excited about honoring her with this event. Newsletters will go out next week that will announce save the dates for this event. Also, on the Foundation, we have added two board members who have not made their first board meeting yet. Their acceptance of this is definitely new news. The two of them include Billie Goodson and Jamie LaCaze. We are looking forward to them being more involved. They have obviously have already done so much for our hospital and Foundation; both of them. Of course Mrs. Billie has been hands on for years and Jamie’s first job was here. She definitely has a wide reach in the community as well. We are excited as to what they will bring. She is also not through having meetings about bringing Board members on. She is looking forward to see how those go as well. She has already talked to you about Redbud. Mary Irvin asked if the newsletter will be strictly be focused around the Foundation Board or will it be more inclusive of exciting things that are going on in the hospital. Mary Coil replied that it is very important to let them know what is going on at the hospital because that is the cause they are supporting. There are some thing that she has included that she will discuss with Mr. Jones and will definitely be putting a spotlight on the hospital and different areas as well. Mary Irvin asked how far reaching is that newsletter. Mary Coil said she has about 700 people on her mailing list. If anybody knows someone they want on the mailing list, you can call her to ask if this person is on; that would be confidential between us and that would be greatly appreciated because we want to be sure to reach people who she may not know who they are or they may not live here anymore but they still have a special place in their heart for our area. Be sure to let her know if you have somebody you would like to add to the list. Mary Irvin said people like community leaders, administrative staff of schools and Ministerial Alliance are automatically on there? Mary Coil replied yes. X. Medical Staff Report – 1) Recommendations – Allyson Allums: Dakota Robinson presented the Medical Staff recommendations for the Governing Board Approval: MEDICAL STAFF APPOINTMENTS: 1) Aaron Burgin, M.D. Requests Provisional Privileges in the field of Radiology for the period of February 01/2018 through February 28, 2019. 2) Robert Henry M.D. Requests Provisional Privileges in the field of Radiology for the period of February 01, 2018 through February 28, 2019. 3) Damein Burgess CRNA Request Provisional Privileges in the field of Anesthesia for the period of February 1, 2018 through February 28, 2019. MEDICAL STAFF REAPPOINTMENT: 1) Brian Cornelius CRNA Request Courtesy Privileges in the field of Anesthesia for the period of February 1, 2018 through January 30, 2020. 2) James Turner M.D. Request Courtesy Privileges in the field of Radiology for the period of February 1, 2018 through February 28. 2019. 3) Laurie Gutstein M.D. Request Courtesy Privileges in the field of Radiology for the Period of February 1, 2018 through February 28, 2020. 4) Jason DiPoce M.D. Request Courtesy Privileges in the field of Radiology for the period of February 1, 2018 through September 30, 2019. 5) Julie Shaffrey M.D. Request Courtesy Privileges in the field of Radiology for the period of February 1, 2018 through December 31, 2020. APPOINTMENTS/REAPPOINTMENT: 1) Kayci Wilson FNP Request Active Privileges in the field of Complimentary/Alternative Medicine Provider for the period of February 1, 2018 through June 30, 2019. EXTENSION REQUEST: 1) Mark Banks, M.D. Requests extension pending completion of credential application.
2) Thomas Siskron, M.D., Requests extension pending completion of credential application. Physician will need “PAPA” (Physician Assessment) Per By-Laws. 3) Kevin Nesbit, M.D., Requests extension pending completion of Performance evaluation. 4) Cornelius Bos M.D., Requests extension pending completion of credential application. Physician will need “PAPA” (Physician Assessment) Per By-Laws. 5) James Price M.D, Requests extension pending completion of credential application. VOLUNTARY RESIGNATIONS: None. Mary Irvin made a motion to accept the Medical Staff Appointments, Reappointments, Advance Practice Professionals Appointment/Reappointments and Extension Requests. Ronnie Festavan seconded the motion. Robert Green asked if there was any discussion or questions. There were none. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. 2) Chief of Staff Comments: Dr. John Woods, Chief of Staff, stated that the hospital is running is about as smooth as we can ask for. We have not had any major problems or events. Just trying to press through the flu season. Hopefully it is at its peak or on its way down. One thing that is as far as future planning of the hospital, you always have to be concerned about equipment and updating it at some point. He remembers asking several years ago about getting an ultrasound. We still utilize it and it is great and has really advanced how we do things. Of course, like everything else it ages and so in time we will probably at some time will need to get a new one. The ER could not be busier and we are looking forward to expanding and seeing more patients. We are getting some new residents coming in July. Time goes by quickly. Robert Green thanked Dr. Woods. Brenda Smith asked to be recognized. She said she has a couple of house cleaning things. It’s fine with her if they just get one form of the minutes. She said she does not know what other Board members feel about it. There is no need in printing it in two different ways as far as she is concerned. If it is easier to do it in the narrative form that is fine with her. It seems it is a lot of work on someone to print it double. Robert Green asked how many pages she has in her hand. There were 13 pages. Robert Green asked if everyone had a chance to compare them. Ronnie Festavan spoke up and said since it was kind of his idea, the narrative form is so simple to go through. Take the packet with a highlighter and go through it, work on it making a worksheet out of it making notes in the column and bring it with you. This is burdensome. He is o.k. with whatever you want to do. For his work purpose and going through the minutes word for word the narrative is much easier to work off of. He would hope and encourage the Board to support that we continue to get the narrative because it is so much easier to work off than the column format. Robert Green said that is why he asked individually is that the same for you, it may be easier for you and someone else may like the columns to write in. That is why he asked the Board have they compared and how do they feel. Pat White said it took her about 2 hours to go through the column format. Brenda Smith said 80 pages versus 13. Mary Irvin said she thinks the notes when we first started doing that, we decided if you had this you could still use this to use as your columns, and you can do the same thing without such large column that you don’t use. She doesn’t think anyone uses those. Robert Green said the only difference he sees is that a person with a mind like his, it takes breaks. When it stops that means he can take a break. What he is saying is, he heard Mr. Festavan what he said and he asked an opinion of the rest of the Board how they feel. Are they comfortable with just that form and not have the other. It could cut down on work by not having the other for somebody. David Jones said it is somewhat double work. The format Mr. Festavan wants is far easier to deal with than the other. We will do whatever the Board likes. Robert Green said that is what he is trying to find out. Mary Irvin asked if she may make a motion. Robert Green said that surely can put it to work. Mary Irvin made a motion that we, as the Board, adopt the narrative format as the manner in which we would receive the previous months minutes in the mail out and on email and for those that need it faxed. Ronnie Festavan seconded the motion. Robert Green asked if there was any further discussion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. XI. Executive Session: Robert Green stated we are at the point to enter into Executive Session for Strategic Planning. Ronnie Festavan made a motion to enter into Executive Session for the purpose of strategic planning. Mary Irvin seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Clay, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Bruce Walker, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. The Executive Session was entered into. No action was taken during the Executive Session. Mary Irvin made a motion to enter back into regular session. Ronnie Festavan seconded the motion. The vote: Yeas: Robert T. Green, Jr., Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen-Godfrey-Smith, Bruce Walker. Nays: None. Absent: None. Abstained: None. The motion carried. XII. Adjourn: There being no further business Kenneth made a motion to adjourn. Bruce Walker seconded the motion. The vote: Yeas: Robert T. Green, Jr., Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Helen-Godfrey-Smith, Bruce Walker. Nays: None. Absent: None. Abstained: None. The motion carried. Meeting adjourned at 8:21 p.m.
NORTH CADDO HOSPITAL SERVICE DISTRICT
North Caddo Medical Center
David C. Jones, Secretary
Approved by the Board of Directors at the regular meeting held March 27, 2018