BOARD MEETING: Regular Meeting DATE: September 25, 2018 MEMBERS PRESENT: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Patricia White. MEMBERS ABSENT: Kenneth Clay (arrived at 5:59 p.m.) TIME CALLED TO ORDER: 5:30 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, Interim CFO, Walter D. (Doug) White, Hospital Attorney, Mary Coil, Foundation Executive Director/Marketing Director, Dr. John Woods, Chief of Staff, Ross Hansen, IT Director, Lanell Audirsch, Admin. Asst., LOCATION: NCMC Events Center BOARD CHAIR: Robert T. Green, Jr. SECRETARY: David Jones I. CALLED TO ORDER – Robert T. Green, Jr., Chairman, called the meeting to order. II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation. Brenda Smith led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – Brenda Smith made a motion to amend the agenda to add an item #3 under New Business – Discussion of the Sales Tax Fund. Ronnie Festavan seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Kenneth Clay 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 August 28, 2018 – The minutes of the August 28, 2018 Regular Board meeting were mailed prior to today’s meeting for review. Mary Irvin made a motion to approve the minutes of the Regular Meeting held on August 28, 2018 as mailed. David Norman seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote. VI. Old Business – 1) Purchase of Coag Machine Update: David Jones, Administrator / CEO, noted that the Coag Machine that was approved at the previous meeting is ordered. It is supposed to be in on Wednesday, which is tomorrow. Maybe at the next Board meeting we can have a demo of it similar to what we had for the piece of Ultrasound equipment. He showed the Board a picture of the equipment on the screen. We will go into what is exactly what is tested on it and show you some of the results that come off it. Hopefully that will be ready by the next Board meeting. 2) Purchase of Portable Ventilator Update: The Portable Ventilator is also scheduled for shipment this week. It has not arrived yet. If it is here and ready, we may do both demonstrations prior to the next Board meeting. We probably won’t have a volunteer to show that one. Helen Godfrey-Smith noted that we have an Executive Session as part of the Board meeting tonight. It is not an addition to the agenda but a change in the order. She wondered if the Board is amenable to having the Executive Session discussion before the end; do it at the top of the agenda so we would have the majority of our Board members here considering that our Chair has to leave early tonight. She would make a motion, if the Board would support it, that we have our Executive Session some place at the top of the agenda rather than at the bottom. Robert Green asked at what point we will move the Executive Session. Mary Irvin and Helen Godfrey Smith noted it will be moved to above #IX. New Business – Robert Green asked Helen Godfrey-Smith if that was a motion. She replied yes Sir. Mary Irvin seconded the motion. Robert Green inquired if there were any questions. There were none. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote. VII. 1) Review August 2018 Statistics – Dakota Robinson: Dakota Robinson asked the Board to open their Statistical Packet. This will be a very similar story as last month. Admissions, you can see in the month of August, were up about 10% to 70. There were 11 Swing Bed Admissions. Newborns – a busy month. You can see the upward trend. There were 10 delivered last month. Last week we had three in one day. In-patient Days – we saw 13% increase to 213. The Average Daily Census, with Acute and Swing combined, we saw an increase of 29% to 10.4. This was a pretty busy month. Endoscopies – 12. You see the upward trend in almost all of these categories. Surgeries – 19 – the highest number of surgeries we have had since August 2013. Emergency Room Visits – 458 – a 7% increase. Mammography stayed the same at 35. There is a big increase across all three clinics. The Vivian Clinic saw 2,277. They had a profit of $105,000. The Plain Dealing Clinic saw 733 with a profit of $6,700. Benton saw 444 and they had a loss of $7,675. Days Cash on Hand rose gradually to right under 65 days Cash on Hand. Not much fluctuation in that category. Ronnie Festavan, I know we are strapped for time. Help him with the loss at Benton again. Pam noted that we do have the rate and we do have the number, but we still have to have all the insurance companies – the MCO’s – each one had to be redone with our new number once we had the rate. Ronnie Festavan asked if this is a logistical adjustment. Pam Hughes replied yes Sir. We have already called all of them and fortunately they are going to let us go back to when we became a Rural Health Clinic in March. We will get paid back to March then we will get the new rate going. Each contract had to be redone with the number with our rate. Dakota Robinson noted we had a profit last month of $61,542, to start the first two months of the year off in the black. AR days did rise a little bit to 52.99. That is not alarming just based on the amount of revenue; we brought in more revenue in July, so it throws that numerator/denominator off a little bit. This is more of a trend graph. If you continue to see that trend up, that is where we may have a problem and need an explanation. As you see the fluctuation is not that big. The Fitness Center memberships were up to 430 last month. He inquired if there were any questions on the statistical piece. There were none. 2) Review August 2018 Financials – Dakota Robinson – Dakota Robinson noted on page #1 of the Balance Sheet – under current assets you will see a category that has been blank for the past year and one half – Cash Certificates of Deposit, you will notice that the $500,000 that the Board instructed to be moved into a CD has taken place and is represented on this set of financials. It has moved from the “Assets Whose Use is Limited” down at the bottom up to the top. That is where you will see that. There is $3.6 million, as of this set of financials, in Unrestricted Cash from North Caddo Medical Center for 64 days, almost 65 days cash on hand. Midway of the page you will see the Sales Tax Fund. That is what we amended the agenda to discuss a little bit later. Dakota asked them to go to the second page, Accounts Payable. You will see that Accounts Payable is $651,000. It is across the board – you can see that it is $800,000 – $900,000 better than the previous year. There is nothing past due for the hospital at this time. This is a strong position. On page #3 – the Income Statement – you will see that compared to August of 2017, revenue was up about $200,000 to put us at total operating revenue of $1.5 million. If you look at the two months combined, we are $409,000 in total operating revenue better than we were last year. Down to Operating Expenses, you will see that salaries and wages, the biggest line item in this, is only a $21,000 difference for the month of August and for the two months only a $23,000 difference; so staying in line with no big fluctuation there. You see the employee benefits and payroll taxes for the two months are down $155,000. We have not seen any large self-funded insurance claims come in and the Parochial Retirement rate has been adjusted from the previous year where it was 8%. It is now 7.5%. Both of those affect that number greatly. Down to the Total Operating Expense of $1,877,000 – it is only $3,000 more than the previous August. If you look at the two months it is only $186,000 more. He points out again, depreciation at this time with the entire building being on it, you can see where that is $136,000 of that difference and the interest expense. Those two line items are the biggest difference in this set of financials. It is estimated that we will receive $782,876 in UCC funds. We will see that on the budget page and how that will affect the budget a little bit. If you go down to Sales Tax Revenue, the sales tax revenue is still coming in great. The 340B revenue of $114,000 puts it in one of the top months of the 340B program. That gives us an increase of $61,542 for the month of August. Included on page 4 is a breakout of Other Direct Expense. There will be a new category next month for Sleep Studies that has the Sleep Studies in it. There was $27,000 in expense in that category. Laundry – the Board approved a change in linen companies about 6 months ago. You will start seeing that take affect where this category should start shrinking. We spent $10,000 as opposed to almost $12,000. That will continue to come down. In the Operating Expenses – if you look at total Operating Expenses – $455,000 less than what was budgeted for; the majority coming from salaries and wages and employee benefits and payroll taxes which those two go hand in hand. He asked if there were any questions. There were none. Going down to the Non-Operating Revenues – this is where he said we would see the biggest difference in grant revenue. It is an educated guess as to what grant revenue is going to come in, specifically relating to the UCC Funds. There is $132,000 allocated in there. That is the accrual of the $780,000 that we now know we have an estimate for. When the budget was produced we were thinking we were going to get a little bit more than that so you will see that budget number will continue to be off in future months. With all things said, even with less revenue in that section, we were budgeted to have an increase in Unrestricted Net Assets of $168,000 and we have seen about $450,000. We are $281,000 more net increase than what we budgeted for. A strong two months. On page 8 you will see the Vivian Clinic had $105,000 profit that was discussed earlier. On page 9, Plain Dealing has a $6,700 profit as discussed earlier. On page 10 the Benton Clinic had a $7,675 loss. He asked them to continue to paying attention to the Contractual Adjustment and Bad Debt section that Mr. Jones referenced earlier. You will see that come down once we start getting the remits that have the higher payments on. That is where the effect on Benton will be seen is in that category. Dakota asked if there were any questions. There were none. Robert Green stated he would entertain a motion to accept the Statistics and Financial reports. Pat White made a motion to accept the Statistical and Financial Reports as presented subject to audit. David Norman seconded the motion. The vote: Yeas: Robert T. Green, Jr., Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White Nays: None. Absent: Kenneth Clay. Abstained: None. The motion passed by unanimous vote. (Kenneth Clay arrived at 5:59 p.m.) VIII. Executive Session: Robert Green stated he would entertain a motion to enter into Executive Session for the purpose of Strategic Planning. Ronnie Festavan made a motion to enter into Executive Session. Helen Godfrey-Smith seconded the motion. The vote: Yeas: Robert Green, Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote. The Executive Session was entered into. (Robert Green departed the meeting at 6:30 p.m.) No action was taken during the Executive Session. Ronnie Festavan made a motion to enter back into regular session. Kenneth Cochran seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert Green. Abstained: None. The motion carried. IX. New Business – 1) Board Selection of Construction Company for Radiology / ER Expansion: David Jones asked for a motion for the Board Selection of our Construction Company for our Radiology/ER Expansion. He will then speak more on it. Brenda Smith made a motion to accept the Lincoln Builders of Ruston as the lowest qualified builder as our construction company for our Radiology / ER Expansion. Kenneth Clay seconded the motion. We had to move to the organization Lincoln Builders of Ruston. They passed all of the background checks. David Jones stated that his recommendation, as CEO, is that we accept the bid of the Lincoln Builders of Ruston to build our Radiology and ER Expansion. Mary Irvin asked for a vote. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert Green,. Abstained: None. The motion passed by unanimous vote to approve Lincoln Builders of Ruston as the construction to build the Radiology and ER Expansion. 2) Board Approval of Third Party Security Assessment Company: David Jones asked for a motion for the Board to Approve as our Third Party Security Assessment Company as Konica Minolta. We have a special visitor that will speak on that and give the Board some more information before the vote. Mary Irvin, Vice-Chair, stated that we need a motion for Board Approval of the Third Party Security Assessment Company of Konica Minolta. Pat White made a motion to approve the Third Party Security Assessment Company of Konica Minolta. David Norman seconded the motion. David Jones stated that our security assessment, that we do every year, we try to curtail cost as much as we can so we have been doing an internal audit. Mrs. Brenda Smith can speak to this as it is a Compliance issue and she is on the Compliance Committee. We try to, every other year, have a third party to come in and do the assessment. Ross Hansen, our Information Technology Director, is going to speak more in detail on what the assessment does and how he selected Konica Minolta for that. Ross Hansen began by asking the Board to stop him if they had any questions. The Security Assessment is a broad assessment of both policies and procedures and our technical infrastructure, also physical infrastructure. They will come in and they will do an onsite visit that is relative to the clinics and they will assess whether or not we have doors that lock in the right locations, privacy screens so the public can’t read HIPAA information. They will also review all of our policies and procedures to make sure that all the HIPAA and hi-tech requirements are met with our existing policies. They will do a GAP analysis to say you are missing one here or you might need to modify this one to meet your current technology because your technology changes every year as do a lot of the regulations. They cover many different entities that provide those. They will do the Office of Civil Rights, HIPAA, High-Tech, DHH, OIG, CMS which all have their own regulations and many of them are covered by the same types of policies but if you word it one way it may not cover all of them. They are so comprehensive that it really takes a third person to look at it. One of the things we are adding on this year that does bring the cost up is vulnerability scanning. Vulnerability scanning is a device that we will put on the network that scans all the equipment that we have attached and tells you what your vulnerabilities are and help prioritize them and which ones you should address and fix. Some things that show up as vulnerabilities will remain that way just because sometimes processes are designed that leave things open but you need to know what all of them are and what your risks are associated with those vulnerabilities and which ones need to be addressed as soon as possible. Helen Godfrey-Smith noted at her previous association, when they would do that sort of audit, there was another layer because the human element is also vulnerable. They would do a test by making phone calls to try to get an employee to give a password or to give some information. They run the machines and test all of the passwords and making sure everyone has changed their passwords. We’ve had those where it looks like it came from Mr. Jones but it doesn’t really and they respond to it like it really is. They will come in and look at your environment and look at what your email signatures look like and they will create a campaign that will help train your users. That is something that we are looking into as well; it is just not included in the security assessment. It is done yearly; it is a requirement. Those are things we are actively pursuing but not tied to this. Helen Godfrey-Smith said she understands. Mary Irvin asked if there were any questions for Ross. There were none. She thanked him for his time and information. Mary Irvin asked if there was any more discussion. There was none. She noted we are accepting the third party assessment company as Konica Minolta in the amount of $19,500. She asked for a vote. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert Green,. Abstained: None. The motion passed by unanimous vote to approve Konica Minolta as the Third Party Security Assessment Company. 3) Discussion of the Sales Tax Fund: David Jones stated this is a discussion of the amount in the Sales Tax Fund. He is going to lean on Dakota Robinson and Helen Godfrey-Smith. It was brought up in the Finance Committee meeting. Helen Godfrey-Smith noted that there are some excess funds in our Sales Tax accumulated fund. There are some covenants that we are required to keep a minimum amount as twelve months of payments on the debt. Dakota said there are no covenants; it was an established amount we were shooting for. We discussed in the Finance Committee the suggestion to move $200,000. The calculation of $205,000 in excess funds, we were making the recommendation to remove $200,000 of that into a CD similar to the CD’s that you approved two Board meetings ago. Ronnie Festavan said when you say similar to, the same? Dakota replied the same rates, and same terms as before. Helen Godfrey-Smith said it will stagger because that was invested a little over month ago. Ronnie Festavan asked if our financial statement reflect $700,000 instead of the $500,000 that we discussed earlier. We have interest accruing on $700,000. Dakota replied yes Sir. Ronnie Festavan commented that is good news. Dakota stated the account has a 1% on it where it currently is. Dakota needs a resolution which will be resolution #8. Helen Godfrey-Smith proposed that we prepare Resolution #8 which will instruct our CFO to transfer $200,000 into a CD for five years at a rate of 3.5% and the CD will be held at First Guaranty Bank. Brenda Smith seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert Green,. Abstained: None. The motion passed by unanimous vote. X. Administrative Reports – 1) NCMC – Current Activity: David Jones stated under current activity, he is thankful for the Board members that showed up to view the ultrasound. He is very thankful for the patient that volunteered. He asked Dr. Woods to speak on some of the things he has seen or heard from the ultrasound. We showed the baby today and the baby is the cute thing but that is not the main use of the ultrasound equipment. The main use of the ultrasound equipment is vascular, gallbladder ultrasounds and echos and on down the line. We have heard some bragging from some Radiologist from Willis Knighton North as discussed in the Medical Staff meeting. Ronnie Festavan inquired if he may ask Dr. Woods a question before he moves forward. What he thinks he would like to get on the record, there may have been some misunderstanding about the ultrasound. Our minutes reflected simply a short statement about being able to view the entire baby and it ended there. You were quiet thorough with it. He asked Mr. Jones if perhaps you could speak to us again, on the record, for the minutes, and elaborate as you did with us, the many different uses and the advantage of us having the 4D ultrasound, the advantage of us spending that kind of money and what we are going to get out of that. It did come up about the insurance for the ultrasound. There were some questions in our public. He is asking Dr. Woods to expand on what we have. Dr. Woods stated the ultrasound is a twentieth century stethoscope for a doctor. As handy as the stethoscope has been for many years, he firmly sees a stethoscope fading out and an ultrasound fading in as far as usefulness. You know a stethoscope has been used for years to glean what is going on in the body – listening to lungs, listening for heart sounds, listening for pulses, listening to an abdomen for sounds and that is only one dimension. Ultrasound basically uses the same technology as echo radar that submarines used to see their surroundings when they can’t actually visualize them. It allows you to peer into the body exactly what is going on and view what is going on. Ultrasound technology and the science of ultrasound has expanded exponentially every year. Every year there is another use for coming out with the ultrasound. It mainly started off with vascular. He has seen ultrasound used from everything from looking at eyes for glaucoma to look for optic disc separations; he has seen it used to potential pneumothorax. He has used it personally to diagnosis an aortic dissection when he was a new doctor here. It is incredible how much you can actually glean from using an ultrasound. It not only gives you real time what is going on. Even in trauma they do what is called a fast scan that allows you to peer into different quadrants of the body to look for fluid and you can do it instantaneously at the bedside and you can see in real time fluid collections that are going on in the body; that is number one – non-invasive, very accurate, just as accurate as the CT and unbelievably fast. You can also look at the volume status. Helen Godfrey-Smith asked Dr. Woods from a diagnostic standpoint – what does it do to your ability to accurately diagnose what is happening in the human body? Dr. Woods responded for a lot of things it is the only way you can diagnose something, especially when you are talking about non-invasive. For instance, you have a child or someone that is pregnant and you need to see what is going on in the body. You have a CT or an X-ray; you are exposing them to an unbelievable amount of radiation. To get the same amount of information you can get with an ultrasound, for example an appendix. If you can see the appendix well you can tell if something is going on with their appendix and it is not harmful to the fetus and it is not harmful to the child. We use it all the time to calculate how bad someone’s heart failure is. He orders that on a regular basis and those are all real time information that you need to know what you are going to do with that patient. Helen Godfrey-Smith commented – so it gives you more accuracy in diagnostic and also safer all the way around for the patient. Dr. Woods relied absolutely. He wishes we had a tech 24/7. He has issues all the time where he would prefer to have an ultrasound and he can’t and he has to ship them south. Every year they are coming up with more and more uses for it. Again, he sees the stethoscope fading out and the ultrasound replacing it. He could sit here for 30 to 40 minutes telling you how many things you can do with an ultrasound that’s pretty helpful. There is not one part of the body that you can’t get instantaneous information; clots in your legs, a DVT, you can get a bedside ultrasound; it will pick it up right away. That pretty much tells you whether that person can go home or whether they need to be on anti-coagulants and possibly be vulnerable to having pulmonary emboli. You can look at the wall motion of the heart to see if it is erratic and see if the heart is having a hard time, whether it is the pump or the pipes. It gives you real time information. Ronnie Festavan said what he hears him saying is it has greatly enhanced our ability for onsite diagnosis which in many cases would allow us to keep our patients here in this hospital and not be shipped off for that same diagnosis. It has added to our capabilities to do that. Dr. Woods said that is correct. David Jones said when it comes to it, to add to what Dr. Woods is saying, when it comes to directly what we do here at North Caddo Medical Center, non-OB ultrasound probably consists of about 95% of the use of that machine. Dr. Woods said he does not know about the baby portion – that is lagniappe. Pat White asked if the tech has to have extensive training to be certified. Dr. Woods replied yes. That is a new expanding field as well. A lot more people are shifting towards doing ultrasound. David Jones stated it is very difficult to find a sonographer. Dr. Woods said if you ever see an ultrasound you see a lot but it takes a lot to learn the anatomy and 2D and 3D and it takes some getting used to. Ronnie Festavan said that was excellent and he appreciates that. Dr. Woods said that was one of the first things he started begging for when he came here was an ultrasound. We did get one and he still uses it a lot. David Jones gave his appreciation to the Foundation who purchased the ultrasound. Mary Irvin thanked Dr. Woods. He noted that they will be impressed with how much we can do with it. He wishes we could use it more. Helen Godfrey-Smith stated it makes our hospital more on the cutting edge and safer for our patients. Dr. Woods said the machine itself is unbelievable what it is capable of doing. The Board expressed their appreciation to Dr. Woods for his time and information. David Jones said along with that from a current activity standpoint, Mary Coil did a lot of ground work on doing some customer satisfaction to begin with. He asked Mary Coil to speak on some of the things she has going on with the Nursing Staff and some of the things she would like to push forward with coming from our Board Retreat. Mary Coil stated that she had placed, at each Board member’s seating, the ER cards that we are currently sending our ER patients; the ones that are being seen and are being discharged to home. The nurses and staff that caring for them are actually signing those cards. The ER card is the card with the floral arrangement on the outside that says Get Well. David Jones stated that we have already gotten multiple responses from that. Mary continued stated that they sent a face book message that was put up; this is just one we used as an example to our staff so they can see what it’s meaning to our patients. We have one that is an employee’s family and they saved the card so that when their family member came home. They were very touched and very excited and it has been a great outreach. We are only sending those to patients who are being discharged to home; some of them may not get home for a while. We have that and we also have a Swing Welcome gift. If you see the card that has WELCOME on it, it has a personal message from David Jones, our CEO. What we do, when you are a Swing patient, the majority of patients stay three nights that you stay as an acute care patient, whether it is here or another facility, then the patient is brought in to what we call Swing Rehab Facility. At that time we have a toiletry bag that includes Mr. Jones’ welcome note and it is taken to the patient. This is just now rolling out and we don’t currently have any feedback on this but we know it is coming. We take this to them when they have their admission packet, it is taken to them. David Jones asked Mary to tell what was in the bag. Mary said it is standard toiletries that we give our patients – Kleenex, shampoo, shaving cream, etc., – things that go in a toiletry bag. She stated her favorite part is the bag hangs up and that is very helpful. Mr. Jones wanted something that was functional and that would really help the patient as well as show our welcome. We are excited to get this started in our Swing Department. We are looking forward to hearing more feedback on that. Some of the other things she has, we have been doing our own research into different survey companies. She has two packets for the Board members. One is a cover letter with CG Caps Survey. This survey would go to our clinic patients. We would like to do this by telephone. It is the greatest response with a 35-40% response rate. When you contact by telephone, you contact a sample of your patients. We would get a group of 15 from each provider and contact those patients with a goal of reaching 65 patients per year per provider. The survey asks some great questions – did they spend enough time with you, were they friendly when you checked in, over all how is your health, do you feel like they answered the questions you that had. Ronnie Festavan said he will have a gentleman to call her tomorrow who had a wait time complaint. What he tells people is he asks them to put it in writing for him and sign it and he will pass it on to someone that can look into it. If you are on the hospital board and you know lots of folks in town you seem to be the person that they grab first on the cereal aisle in Walmart. Mary Irvin commented that is a great opportunity when something is brought to us, as Board members, we definitely want it to be brought back to the right person but we can also refer that person to Mary Coil as the Patient Advocate. We know she is going to want to know and give them her number. We can also do follow up on our end but we should automatically refer them to Mary. Maybe we need to consider having a sign with Mary Coil’s Patient Advocate information. Ronnie Festavan, again, said it is nice to see a sign reminding the patient if they have not been recognized what the procedure is. Mary Irvin asked if Mary Coil’s department could take care of that sign. Pam Hughes said she would be responsible for that. (Helen Godfrey-Smith left at 8:05 p.m.) Pam Hughes explained that when the patient checks in, it automatically registers in the computer. When that patient is taken back to the room, it is automatically registered with the nurse. She can tell you the times for the wait. The only reason anybody would have the wait for a few hours, would be if the patient had to have an x-ray or something else. They are sent to the x-ray and come back and wait for the Radiologist to read the x-ray. She can give you the times. Ronnie Festavan said he remembers when he came on the Board, David Jones encouraged us, if people came to us as Board members, to let the you all know. Mary said they definitely want to know so they can look into it. A lot of times when we have Patient Advocacy issues brought to us, the majority of the times is just talking with someone and education and on our end and communication on theirs. She would be happy to talk to them. Pam said there is no problem with putting the sign in the lobby. Ronnie Festavan said that goes a long way for him if he is there. That will say a whole lot. 2) Foundation: Mary Coil reported they are going to be putting together some small tours – invitation only – to come and talk to some of our donors and people who may not have had a chance to tour the hospital. Other than that all is great. Mary Irvin stated that on behalf of the Board we plan to write, with everyone’s accepting of this, a nice Thank You note to the Foundation, on behalf of the Board, for all their efforts with the Gala and recognizing that and maybe stopping by. Mary Irvin asked Mary Coil when the next meeting would be. Mary Coil stated the meeting will be the second Tuesday of the month at 6:00 p.m. in the Conference Room in Administration. XI. Medical Staff Report – 1) Recommendations – Dakota Robinson: MEDICAL STAFF APPOINTMENTS: None MEDICAL STAFF REAPPOINTMENTS: 1) Alecia Rideau, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through July 31, 2019. 2) Michael Nissenbaum, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through April 30, 2020. 3) Karen Caldemeyer, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through January 31, 2020. 4) Christina Geatrakas, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through July 31, 2020. 5) Vibhu Kapoor, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through May 31, 2020. 6) John Crouch, M.D. Request Courtesy Privileges in the field of Radiology for the period of September 25, 2018 through October 31, 2020. 7) Jeffrey Holt, M.D. Request Courtesy Privileges in the field of Cardiology for the period of September 25, 2018 through September 30, 2020. ADVANCE PRACTICE PROFESSIONALS – APPOINTMENTS / REAPPOINTMENTS: None. EXTENSION REQUEST: 1) Clifton Coffman, M.D. Requests extension in the field of Radiology for incomplete application. 2) Michael Lewis CRNA, Request extension pending completion of credential application. 3) Jason Horn CRNA, Request extension pending completion of credential application. VOLUNTARY RESIGNATIONS: 1) Carrie Bearden M.D. Requests resignation in the field of Pathology effective 06/30/2018. Kenneth Clay made a motion to accept the Medical Staff Reappointments, Extension Requests and Voluntary Resignation. David Norman seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Pat White. Nays: None. Absent: Robert Green, Helen Godfrey-Smith Abstained: None. The motion passed by unanimous vote. 2) Chief of Staff Comments: No Comments. XII. Adjourn: There being no further business Kenneth Clay made a motion to adjourn. Pat White seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Pat White. Nays: None. Absent: Robert Green, Helen Godfrey-Smith. Abstained: None. The motion carried. Meeting adjourned at 8:15 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 October 23, 2018