North Caddo Medical Center
BOARD MEETING: Regular Meeting DATE: February 28, 2023 MEMBERS PRESENT: David Norman, Kenneth Cochran, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Michael W. Nation, Sr., Brenda Smith, Pat White. MEMBERS ABSENT: Mary Irvin (arrived at 4:03p.m.) TIME CALLED TO ORDER: 4:00 p.m. OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dr. John Woods, Chief of Staff, Dakota Robinson, CFO, Brent Leonard, NCMC Controller, Stacy Alexander, RN, CNO, Kourtney Tyson, Foundation Director, Britney Stringham, Administrative Assistant LOCATION: NCMC Café Board Chair: David Norman SECRETARY: David Jones I. CALLED TO ORDER – David Norman, Board Chair called the meeting to order at 4:00 p.m. II. Invocation and Pledge of Allegiance – Michael W. Nation, Sr. offered the Invocation and Ronnie Festavan led the group in the Pledge of Allegiance. (Mary Irvin arrived at 4:03 p.m.) III. Approval / Amend Agenda – David Jones noted the agenda needed to be amended. We need to strike Item #1 under New Business from the agenda. We are not ready to bring this to the Board’s attention just yet. There will be no new business. David Norman stated we need a motion and a second to approve the amendment to the agenda. Michael Nation made a motion to approve the amendment to the agenda as presented. Brenda Smith seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The vote was unanimous in favor. IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments. V. Minutes – Regular Meeting January 24, 2023 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Kenneth Cochran made a motion to approve the minutes of January 24, 2022 as presented. Michael Nation seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The vote was unanimous in favor. VI. Foundation Report – Kourtney Tyson, Foundation Director, reported that the Foundation is currently working on a Raffle fund raiser. We are currently working with the Louisiana Department of Revenue to get a charitable gaming license. We have also submitted a packet to First Guaranty Bank Community Charitable Funds Board. They are asking for a donation to help fund a Tele-Med program for the schools. We are working with them on that. Hopefully by next month I’ll be able to tell you we are getting a check from First Guaranty Bank. VII. Chief of Staff Report – Dr. John Woods said all is well. No complaints and no problems. I came to see if anyone had any questions for me. There were none. VIII. Old Business – 1) Update Building Projects: David Jones, Administrator, CEO, said our current building projects, really the only outstanding one that we’ve gotten well under way, Benton has been put in the paper for bid. Opening of the bids for Benton will be held March 29th. Opening of bids for the South Bossier Clinic is set for March 14th. We should have that one to present at the next Board meeting. We do, of course, have some site prep, parking lot build, that kind of thing, but I’m going to be very, very optimistic thinking maybe by the end of the year we could have a clinic open in south Bossier. An update on the Extended Services Building, remember we voted to accept a grant from the USDA to the tune of about $900,000 to help us to redo our multipurpose event center, which will house the new pharmacy, dental and an educational area. Once you accept money from USDA you then have to comply with USDA rules. They have been reviewing our submittal for the design for months, probably going on 12 weeks. We have to wait on them. IX. Review January 2023 Statistics and Financials – 1) Statistics: Brent Leonard, NCMC Controller, stated looking at January Statistics – a fairly solid month when you break out Inpatient and Outpatient you’ll see Inpatient numbers are on the lower end and but we did see Outpatient numbers really pick up the slack and I think it’s a good month to really see the importance of our Outpatient services. Inpatient Admissions, we are at 37 in January and Swing Beds at 7. Inpatient Days, you’ll see that trend line is trending down slightly, but we did have November and December pulling that down. You did an increase to 145 impatient days in January and Swing Days are at 93 and the same thing there. November was a low month of Swing Days wise of 45. Swing year to date, we are at 753 days and Inpatient Days of 976. Our Average Daily Census was 7.7 in January. That’s averaging around 8 for this fiscal year and we are right at the same number as this time last year and Average Length of Stay, right at 4 days. Newborns – we did see a good increase there from 3 in December to 6 in January. Year to date we are at 29, ER visits – fairly steady since August. We kind of went below that 500 mark that we typically been above but 468 in January and 3,669 year to date, which is a 5% drop from the previous year. More outpatient statistics were given. 2) Financials: Dakota Robinson, CFO, stating as you saw through the statistics it’s sort of a mixed bag. It’s been like that for the past few months, at least, but we do see some pretty good things when it comes to Outpatient Revenue increase in total Net Patient Revenue and we’ll talk a little bit about Contractual Adjustments and the Cost Report and some of the things that have changed in the past month. There’s about 146 Days Cash on Hand. All together it’s a really good spot. All in all Net Operating Revenue, we’re are about $1.4 million better than where we were at last year. When we look at Salaries and Wages you’ll see that Salaries and Wages through the one month is less than the prior period. The largest increase across the Income Statement comes under Medical Supplies and Drugs. Any questions on the Income Statement. There were none. I won’t spend a lot of time on the Departmental Revenue and Expense. What you’ll see here is sort of a mixed bag when we look at statistics, in and out patient, but when you get to the seven month, what you’ll see with the seven months revenue and expense you’ll see that a lot of the outpatient categories have increased dramatically where some of our inpatients have either remained the same or seen some slight decrease in utilization. Any questions on the financials or statistics. There were none. David Norman said if are no questions or discussion I would entertain a motion and a second to approve the Statistical and Financial reports as presented. Kenneth Cochran made a motion to approve the Statistical and Financial reports as presented. Pat White seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The vote was unanimous in favor. X. New Business – None. XI. Administrative Report – David Jones said I want to give a brief insight to the no new business. We had hoped to have something to come to the Board for that potential expansion on our property there in Blanchard. It’s just not to the point to where it’s time to report. Hopefully by the next Board meeting it will be. David Norman recognized Ronnie Festavan to speak. Ronnie Festavan asked are they clearing that property of ours down there on the right. David Jones said we’ve cleared as much as we are going to. It’s cleaned off. There’s a lot of expansion going on down there now. Ronnie Festavan said I noticed that work going on. I didn’t know exactly if it was ours. David Jones replied yes Sir. Kenneth Cochran said so there’s still some that we own that haven’t cleared. David Jones said it’s not 100% clear but it looks attractive. Most of it. David Norman asked if there were any other questions or comments. There were none. XII. Medical Staff Recommendations – February 2023 Medical Staff Recommendations were presented by Dakota Robinson for Board approval. MEDICAL STAFF APPOINTMENTS: 1) Robert Vanderburg, M.D. – Requests Provisional Privileges in the field of Radiology for the period of February 28, 2023 through February 28, 2024. 2) Douglas Hughes, M.D. – Requests Provisional Privileges in the field of Radiology for the period of February 28, 2023 through February 28, 2024. MEDICAL STAFF REAPPOINTMENT: 1) Michael Banda, M.D. – Requests Active Privileges in the field General Surgery for the period of February 28, 2023 through January 31, 2025. 2) Jody Chance, M.D. – Requests Active Privileges in the field of Family Medicine for the period of February 28, 2023 through February 31, 2025. 3) Kimberely Miller, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 28, 2023 through February 28, 2025. 4) James Turner, M.D. –Requests Courtesy Privileges in the field of Radiology for the period of February 28, 2023 through February 28, 2025. 5) Kirtesh Patel, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of February 28, 2023 through January 31, 2025. 6) Carlos Encarnacion, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 28, 2023 through January 31, 2024. 7) Jennifer Ngo, M.D Requests Courtesy Privileges in the field of Radiology for the period of February 28, 2023 through June 30, 2024. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1)Pamela Hall, CST. Requests Affiliated Privileges in the field of General Surgery Asst. for the period of February 28, 2023 through January 31, 2025. EXTENSION REQUEST: 1) Kevin McElhaney, CRNA – Requests extension upon completion of his reappointment application. VOLUNTARY RESIGNATIONS: 1) Steven Mszyco, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 01/30/2023. 2) Troy Armand, CRNA – Voluntary resigns his Privileges in the field of Anesthesia effective 02/28/2023. David Norman said we need a motion and a second to approve the Medical Staff recommendations. Robert Green made a motion to approve the (2) Medical Staff Appointments, (7) Medical Staff Reappointments, (1) Advance Practice Professional Reappointment, (1) Extension Requests and (2) Voluntary Resignations. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor of the approval of the Medical Staff recommendations as presented. XIII. Executive Session: David Norman stated we need to enter into Executive Session for the purpose of Strategic Planning. I would entertain a motion and a second. Ronnie Festavan made a motion to enter into Executive Session. Robert Green seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote to enter into Executive Session. The Executive Session was enter into. No action was taken during the Executive Session. Ronnie Festavan made a motion to enter back into regular session. Michael Nation seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote to enter back into regular session. David Norman stated we are now back in our regular Board session. XIV. Adjourn – There being no further business Ronnie Festavan made a motion to adjourn. Kenneth Cochran seconded the motion. The vote: Yeas: Pat White, Robert Green, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: None. Abstained: None. The motion passed by unanimous vote in favor to adjourn the meeting. The meeting adjourned at 5:07 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
___________________________
David C. Jones, Secretary
Reg Bd Mtg 02/28/2023