BOARD MEETING: Regular Meeting     DATE: September 27, 2016     MEMBERS PRESENT: Brenda Smith, Pat White, Kenneth Clay, David Norman, Helen Adger, Bruce Walker, Mary Irvin     MEMBERS ABSENT:Robert T. Green, Helen Godfrey-Smith   OTHERS PRESENT:David Jones, CEO, Pam Hughes, COO, Allyson Allums, CFO, Lanell Audirsch, Human Resources Director, Doug White, Hospital Attorney, Mary Coil, Foundation Executive Director/Marketing Director, Dr. Taylor and Dr. Woods   BOARD CHAIRMAN: Robert Green SECRETARY: David Jones TIME CALLED TO ORDER: 5:30 p.m. LOCATION: NCMC Events Center I. Called to Order:Pat White – Vice-Chairperson, called the meeting to order. II. Invocation and Pledge of Allegiance:David Jones offered the Invocation and David Norman led the group in the Pledge of Allegiance. III. Approval /Amend Agenda –Brenda Smith made a motion to approve the agenda as mailed. Helen Adger seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith, Robert T. Green; Abstained: None. The motion passed. IV. Community Comments – Pat White noted no visitors present at the meeting. V. Minutes – Regular Meeting August 30, 2016 –The minutes of the August 30, 2016 regular Board meeting were mailed prior to today’s meeting for review. Brenda Smith made a motion to approve the minutes as mailed. Bruce Walker seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith, Robert T. Green; Abstained: None. The motion passed. VI. Old Business – 1) Construction Update –Pam Hughes stated we have moved into part B. Pam noted for the most part everything is operational. There are a few minor things that need attention. Pam said the building where the old event center was housed has been torn down. The old ambulance shack will come down and then the demolition of the old hospital will begin. Brenda Smith stated she would like to have a brick from the old hospital as a memento. Pam stated we are looking at January 2017 for total completion. Pam said parking will continue to be an issue for a while. The grey doors at the clinic are the now the main entrance to the hospital and clinic. 2) Walter D. White, Hospital Attorney, Renewal of Ambulance Tax – Doug White reported the election is still on course for December 10, 2016. Doug stated after his telephone conversation with members of the Board regarding by-laws, he thought he transmitted the by-laws with all the corrections. Doug stated the bi-laws are correct except for one typographical error. 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 August 2016 Statistics – Allyson Allums –Allyson Allums presented the August Statistical Report. There were 71 Admissions and 76 Discharges with Total Days Stayed –239. The Average Length of Stay – 3.1 Days. Total In-patient Days – 222. The average Daily Census – 7.7 Our Total Occupancy Rate was 47.70%. Total Surgeries for August (In-patient – 1 / Outpatient – 3). Endoscopies performed in August –30. The total Emergency Room patients seen – 458. Swing Bed Admission – 13. There were 149 Total E.M.S. runs in August. Observation Patients for August – 32. There were 7 Newborns in August. The total Patient Visits for the Medical & Surgical Clinic is 2347. The Plain Dealing Clinic saw 727. Benton Medical saw 95. There were 35 Mammograms for August. 2) Review August 2016 Financials – Allyson Allums – Allyson Allums presented the Financials. She reported Bad debt was 5.0% Days cash on hand 24.8. Hospital Revenue over Expense. Revenue –$2,786,628 Expense – $1,821,460 with a loss of $351,325. AR Days 76.18 days. The AR Days for all three facilities – 65.4 Plain Dealing Clinic – Revenue over Expense. Revenue –$96,700 Expense – $61,137 with a profit $28,991. Medical and Surgical Clinic – Revenue over Expense. Revenue – $393,313 Expense – $209,886 with a profit of $64,575. Benton Clinic – Revenue over Expense. Revenue –$17,842.82 Expense – $4,847.28 with a profit of $5,810.10. Self-Funded Insurance – Total Net Insurance Expense – $117,000. Bruce Walker made a motion to accept the Statistical and Financial Reports as presented pending the audit. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith, Robert T. Green; Abstained: None The motion passed. VIII. New Business – 1) Approval of Medical Staff By-Laws – Mr. Jones noted that the approval of the Medical Staff By-Laws needs to be deferred until the October meeting. Mr. Jones stated it was just brought to his attention the Board did not receive the Medical Staff By-Laws. Mr. Jones said the By-Laws will be mailed out tomorrow to the Board for review and we will be on the agenda in October for approval. 2) Review of Revised Board By-Laws – Ms. White noted Doug White passed out the revised Board By-Laws. This item will be on October agenda for approval. IX. Administrative Report 1) NCMC – Current Activity – Mr. Jones said the new hospital is open. The only thing that is not open is two rooms upstairs, the gift shop and chapel. Mr. Jones told the board to please take time to make a tour, either on their own or call him and he would be happy to take them on a tour. Mr. Jones said it was interesting how quickly they tore down the old event center. 2) ADP Payroll System Update –Mr. Jones stated that Amy Maxell is transitioning over to processing payroll.3) Dialysis Clinic Partnership –Mr. Jones said there will be a meeting Friday at 10:00. Mr. Jones said hopefully after this meeting we will have an outline to share at the next board meeting. 4) Contract Committee Update:Pat White stated the committee is meeting regularly and everything is going well. There are still a few figures to gather in regards to the administrator contract. 5) Foundation: Mary Coil presented some statistics from the Denim and Derby.

  1. Medical Staff Report: 1) Recommendations – Allyson Allums –Allyson Allums presented the Medical Staff recommendations for the Governing Board approval: MEDICAL STAFF   APPOINTMENTS: None at Present   MEDICAL STAFF REAPPOINTMENTS:Jeffrey Goorland, M.D. – Request Courtesy privileges in the field of Emergency Medicine for July 01, 2016 through July 31, 2018. EXTENSION REQUESTS: 1) John Thomas, M.D. – Request extension for Privileges in the field of Orthopedic Physician / Surgery due to incompletion of application at time of reappointment date. 2) Michael “Jeff” Lewis, CRNA – Request extension for Privileges in the field of Certified Registered Nurse Anesthetist due to incompletion of application at time of reappointment date. 3) David Remedios, M.D. –Request extension for Privileges in the field of General Surgery and Wound Care Physician due to incompletion of application at time of reappointment date. 4) James Thomson, CRNA –Request extension for Privileges in the field of Certified Registered Nurse Anesthetist due to incompletion of application at time of reappointment date. ADVANCED PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENTS None at Present.     VOLUNTARY RESIGNATIONS:   1) Todd Bruno, M.D. – Voluntary Resignation of Privileges in the field of OB/GYN as of September 1, 2106 (Physician is relocating to Texas).   Kenneth Clay made a motion to accept the medical staff recommendations for medical staff reappointments, extension requests and voluntary resignations. Bruce Walker seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith, Robert T. Green; Nays: None; Abstained: None The motion passed.     2) Chief of Staff Comments:Dr. Woods is the new Chief of Staff. Dr. Woods said there was a Med Staff meeting a couple weeks ago. At that meeting they voted on new members. Dr. McCommon is Vice-Chief of Staff and Dr. Chance is the Secretary. The 340B drug program is up and running. Dr. Woods said this is a great program that benefits the patient. Mr. Jones said that Dakota Robinson and the pharmacy team have worked hard getting this program implemented. This program is a cash draw that could equate to several hundred thousand dollars in the next fiscal year. Allyson noted that in the board packets that direct deposit is now available for Board members. XI. Executive Session:Mary Irvin made a motion to enter into Executive Session for the purpose of discussing a personnel matter. Kenneth Clay seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith, Robert T. Green; Nays: None; Abstained: None The motion passed.   Executive session was entered into. No action was taken during the Executive Session.   Kenneth Clay made a motion to enter back into regular session. Brenda Smith seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith, Robert T. Green; Nays: None; Abstained: None The motion passed.   XII. Adjourn: There being no further business Bruce Walker made a motion to adjourn. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Helen Adger, Mary Irvin, Bruce Walker, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith, Robert T. Green; Nays: None; Abstained: None The motion passed. The meeting adjourned at 9:22 p.m.

 

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 October 25, 2016