BOARD MEETING: Regular Meeting     DATE: July 26, 2016 PRESENT: Robert T. Green, Brenda Smith, Pat White, Kenneth Clay, David Norman, Helen Adger, Bruce Walker, Mary IrvinMEMBERS ABSENT:Helen Godfrey-Smith OTHERSDavid Jones, CEO, Pam Hughes, COO, Allyson Allums, CFO, Lanell Audirsch, Human Resources Director, Doug White, Hospital Attorney BOARD CHAIRPERSON: Robert Green, Jr.     SECRETARY: David Jones     I. Called to Order:Robert T. Green- Chairperson, called the meeting to order.

  1. Invocation and Pledge of Allegiance: Robert T. Green offered the Invocation and Mary Irvin led the group in the Pledge of Allegiance. III. Approval /Amend Agenda – Pat White made a motion to approve the agenda as mailed. Brenda Smith seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Bruce Walker; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith; Abstained: None The motion passed.   IV. Community Comments:Robert Green noted no visitors present at the meeting.
  2. Approval of Amended Meeting June 28, 2016 –The minutes of the June 28, 2016 regular Board meeting were mailed prior to today’s meeting for review.   Pat White made a motion to approve the minutes as mailed. Mary Irvin seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Bruce Walker; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith; Abstained: None The motion passed.   VI. Old Business 1) Construction Update –Pam Hughes stated the second floor is almost complete. On the first floor the mill work and flooring are going in. The OR’s look great. There is still a lot of electrical work to be done. All the plumbing fixtures have been installed on the second floor; they have not started on the first floor. Pam stated the estimated completion date for section B is August 29, 2016. The next phase will require a lot of dirt work and more demolition. Once section B is complete, construction crews will start on the front entrance, chapel, gift shop and parking lot.. Jones said by the next board meeting section B should be 90-95% complete and that would be a perfect time for the Board members to take a tour. He suggested everyone come a little early for a tour.    2) Walter D. White, White, Hospital Attorney, Renewal of Ambulance Tax –Doug White stated we are on course for the December election. Doug stated he had heard back from Foley and Judell and we provided them everything they asked for. A notice will be published about the election and this item will be on the August agenda. Mrs. Brenda stated last month she discussed setting up a meeting with Doug White to go over the bylaws. Mrs. Brenda said after giving it a second thought, it might be more time efficient if they met first and hammered out the details and then presented to Doug White.     3) Walter D. White, Hospital Attorney, Other Related Issues Update – Doug White noted he had nothing new to report on this matter.

VII. 1) Review June 2016 Statistics – Allyson Allums –Allyson Allums presented the June Statistical Report. There were 77 Admissions and 76 Discharges with Total Days Stayed –220. The Average Length of Stay – 2.9 Days. Total In-patient Days – 190. The average Daily Census – 6.3 Our Total Occupancy Rate was 42.20%. Total Surgeries for June (In-patient – 2 / Outpatient – 1). Endoscopies performed in June –3. The total Emergency Room patients seen – 391. Swing Bed Admission – 13. There were 159 Total E.M.S. runs in June. Observation Patients for June – 42. There were 11 Newborns in June. The total Patient Visits for the Medical & Surgical Clinic is 1928. The Plain Dealing Clinic saw 495. Benton Medical saw 71. There were 18 Mammograms for June. 2) Review June 2016 Financials – Allyson Allums –Allyson Allums presented the Financials. She reported Bad debt was 9.0% Days cash on hand 34.7. Hospital Revenue over Expense. Revenue –$2,786,000 Expense – $1,535,000 with a profit of $15,543. AR Days 73.3 days. The AR Days for all three facilities – 60.7 Plain Dealing Clinic – Revenue over Expense. Revenue –$96,700 Expense – $46,796 with a profit $28,363. Medical and Surgical Clinic – Revenue over Expense. Revenue – $409,026 Expense – $81,248 with a loss of $13,117. Benton Clinic – Revenue over Expense. Revenue –$12,450 Expense – $5,400 with a loss of $1,758. Self-Funded Insurance – Total Net Insurance Expense – $117,000. VII. New Business – 1) Resolution #3 – Adoption of Adjusted Millage Rate After Reassessment of 4.770 mills For 2016 –The resolution was presented. It is a property reassessment year and the millage went up to 4.770 mills. Bruce Walker made a motion to accept Resolution #3 – Adoption of Adjusted Millage Rate after reassessment of 4.770 mills for 2016. Pat White seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Kenneth Clay, Bruce Walker; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. 2) Public Announcement of Plans to Consider Adopting a Resolution Ordering and Calling An Election to be Held in the North Caddo Hospital Service District to Authorize the Renewal of an Ad Valorem Tax –David Jones read aloud the public announcement for plans to consider adopting a resolution for Ordering and Calling An Election to be Held in the North Caddo Hospital Service District to Authorize the Renewal of an Ad Valorem Tax. This notice will be posted in our official journal.

3) Consideration of Meeting Date Change of August 2016 –David Jones stated our Bond Commission attorney thought our meetings are held on the last Tuesday every month and not the fourth Tuesday. The notice Mr. Jones previously read has to run for a full 30 days. Our regular scheduled meeting on the 4th Tuesday of every month would not allow for a full 30 days. We need to move the meeting date to August 30, 2016.   Pat White made a motion to change the meeting date in August from the 23rd to the 30th. Pat White seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Kenneth Clay, Bruce Walker; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed.   IX. Administrative Reports NCMC – 1) Current ActivityMr. Jones said we had a lot of activity. Saturday, we had another retirement get together for Dr. Haynes. It was very well attended. We had resolutions from the State House, State Senate and Caddo Parish Commission. Other speakers were Amanda Murray and Dr. Haynes’ nurse of 23 years, Roxie LeBleu Davis. Ms. Billie Goodson made an outstanding cake. Pastor Green was the MC for the event. Tomorrow Rick Rowe will be coming to do a story on what will be his last working day.  2) ADP Payroll System Update –Lanell Audirsch stated we are moving forward with payroll system. 3) Dialysis Clinic Partnership –Mr. Jones said we have some options moving forward with the partnership. Mr. Jones said he would like to get with Doug White and go over some of these options before any further discussion.  4) Provider Contract Committee UpdateMr. Jones said the provider contract committee met, with the exception of Mrs. Brenda Smith. The committee discussed the way the Providers were reimbursed. Mr. Jones said coming up with a different way to pay providers is not the easiest thing to do. Mr. Jones said he spoke with consultants that have been helping us with coding and asked if they knew of anyone who comes up with contract methods for Providers. Mr. Jones said they put him in contact with a consultant who specializes in Provider contracts. Mr. Jones asked what the main methods used for payment to Providers. The way we are currently doing it is one way and the other is paying them a rate off of WRVU. 5) Foundation –Mary stated Denim and Derby is 3 weeks away. Mary said there are great prizes for the night: green egg smoker, high dollar deer stand, and a private racing suite for 20 people with food and beverage included. Mary stated in July the Foundation had a board development retreat with a consultant Katy Merriman. They went over fundraiser 101. It was very similar to the retreat the Board of Directors had.  X. Medical Staff Report – a) Recommendations – Allyson Allums –Allyson Allums presented the Medical Staff recommendations for the Governing Board approval: MEDICAL STAFF APPOINTMENTS: 1) Steven B Edson, M.D. – Requests Provisional Privileges in the field of Radiology for the period of July 1, 2016 through July 31, 2017. 2)Timothy Donovan, M.D. – Requests Provisional Privileges in the field of Emergency Medicine for the period of June 1, 2016 through June 30, 2017.  MEDICAL STAFF   REAPPOINTMENTS: 1)Clifton Coffman, M.D. – Request Courtesy privileges in the field of Radiology for September 01, 2016 through September 30, 2018.   2)Carrie Bearden, M.D. – Request Courtesy privileges in the field of Pathology for September 01, 2016 through September 30, 2018. EXTENSION REQUESTS:   1) Donald Majeste, M.D. – Request extension due to a leave of absence.ADVANCED PRACTICE PROFESSIONAL: 1)Kevin McElhaney, CRNA – Requests Courtesy Privileges in the field of Anesthesia for the period of July 1, 2016 through July 30, 2018. VOLUNTARY RESIGNATIONS:None at present   Brenda Smith made a motion to accept the medical staff recommendations for medical staff reappointments, extension requests and voluntary resignations. Mary Irvin The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Kenneth Clay, Bruce Walker; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. 2) Chief of Staff Comments –Mr. Jones said Dr. Taylor had a family emergency and would not be here tonight. XI. Adjourn –There being no further business Kenneth Clay made a motion to adjourn. Bruce Walker seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Robert T. Green, Kenneth Clay, Bruce Walker; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed.

 

NORTH CADDO HOSPITAL SERVICE DISTRICT
North Caddo Medical Center
Vivian, Louisiana

                                                                       

David C. Jones, Secretary

Approved by the Board of Directors at the meeting held August 30, 2016