BOARD MEETING:  Regular Meeting   DATE:  January 23, 2024    MEMBERS PRESENT: David Norman, Jennifer Fant, Robert T. Green, Jr., Mary Irvin, Michael W. Nation, Sr.  Brenda Smith, Thomas Tebbe.  MEMBERS ABSENT: Kenneth Cochran.   TIME CALLED TO ORDER: 4:00 p.m.   OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dakota Robinson, CFO, Brent Leonard, NCMC Controller, Dr. John Woods, Chief of Staff, Kourtney Tyson, Foundation Director, Stacy Alexander, Chief Nursing Officer/Foundation Vice-Chair, Ross Hansen, CIO, Britney Stringham, Administrative Assistant.   LOCATION:  NCMC Multipurpose Room (Second Floor) 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 AllegianceBrenda Smith offered the Invocation and Robert Green led the group in the Pledge of Allegiance. III. Approval / Amend AgendaDavid Norman stated we need a motion and a second to approve the agenda. Brenda Smith made a motion to approve the agenda. Robert Green seconded the motion. There was no discussion. The vote: Yeas: David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to approve the agenda as presented.  IV. Community Comments – David Norman. Board Chair, stated there was no one present requesting to make community comments.  V. Minutes – Regular Meeting December 22, 2023:  David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Robert Green made a motion to approve the minutes of December 22, 2023 as presented. Michael Nation seconded the motion. There was no discussion or corrections noted. The vote: Yeas: David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to approve the minutes of December 22, 2023.  VI. Foundation Report – Kourtney Tyson, Foundation Director, said I wanted to go back over the results of the Christmas Auction. For a pretty easy task we were pleased with the outcome. We are now getting ready for our Gala which will be in August at the Horse Shoe Casino in the River Dome. Please put August 24th on your calendars. We’d love to have all of you there. David Norman thanked Kourtney for her report. VII. Chief of Staff Report – Dr. John Woods, Chief of Staff, stated we are coming out of the strep epidemic we had and kind of walking into the flu season. It’s kind of sporadic. The Residents are doing fine. Within a matter months you will be seeing new Residents. Besides that, everything is fine. VIII. Old Business – 1) Update Building Projects: David Jones stated I was hoping to have a little better update for the building projects and then we got an ice storm and now a monsoon back to back. Benton Medical, as you see on the Board, is extremely close to being done. We do have an open house slated for February 10th. Jennifer Fant asked what time is the open house. David Jones replied it starts at 10:00 a.m. and goes until 12:00 p.m. Thomas Tebbe said the roof has been tested. David Jones replied yes, definitely tested right now. The Medical Arts project, it doesn’t really look like they done a lot but they are doing a lot of prep work to really get started on the building. Once it gets in the dry, of course, your predicted date should be fairly close anyway. We’ll see. South Bossier – the building itself it all but done. There’s still water pump things that have to be hooked up, internet, those kind of things finished off. Blanchard Community Rx – of course they were trying to finish the parking lot off, that one side that’s got our medical parking kind of stunted on the west side. The date for the building to be finished is in April. David Norman had a question about the water and plumbing issues at the Blanchard clinic. David Jones said we are still functional, but there are some issues we are working through. We are looking at ways to circumvent that in the future.  We think we’ll have water tomorrow, according to the Mayor of Blanchard. Robert Green stated that’s another reason that we need to make sure we continue to let them know that we want to keep our water on this end because we could have been hooked to that. David Jones said we agree with you 100%. David Jones said that’s all I have.   IX. Review December Statistics and Financials – 1) Statistics:  Brent Leonard, NCMC Controller, stated looking at the statistics for December I think it’s a common thing that we say with statistics, at least your past few months is Inpatient is kind of down historically.  A lot of the outpatient services we have take up the slack there. The clinics had a pretty average month. There were some providers out so you will see a few clinics with slight decline but nothing major. Brent gave an overview of the December 2023 statistics with discussion to follow.    2) Financials:  Dakota Robinson, CFO, stated in the Financial Analysis there will be a few big line items. Specifically the construction projects impact, we’ve all seen pictures but the impact financially on the facility or system and we’ll look at what that looks like to our revenue. We’ll talk about some of the outpatient areas where I think that’s affecting it and then one of the items that we’ve talked about significantly in the past few months is the Health, Dental, Life insurance line item on the Income Statement, and review the budget, which is in great shape. The Financial Analysis review followed. Dakota asked if there were any questions on the financial statements. There were none. David Norman said if there are no questions or discussion, I would entertain a motion and a second to approve the Statistical and Financial Reports as presented. Michael Nation made a motion to approve the Statistical and Financial reports as presented. Thomas Tebbe seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to approve the December 2023 Statistical and Financial Reports as presented.  X. New Business – 1) Resolution #1 – Bank Account Community Rx Blanchard:  David Jones, CEO, noted we have one item of new business which is Resolution #l – Bank Account Community Rx Blanchard. David Jones stated every time we open up a new location we separate the revenue coming in to be able to track it and we need a resolution to open a bank account for Community Rx in Blanchard. Mary Irvin made a motion to accept Resolution #1 to open a Bank Account for Community RX Blanchard. Michael Nation seconded the motion. There was no discussion. The vote: Yeas: David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to approve Resolution #1 – 2024 as presented.    XI. Administrative Report – David Jones said I just wanted to say kudos to a few people; Stacy and her staff. We don’t have the option of closing for business during inclement weather. Her staff and several department heads stayed here, as well, to make sure that our patients were being seen. As Dakota mentioned earlier, the hospital is pretty full. Whenever the ice storm hits that kind of complicated things a little bit. We always have people willing to shuttle people back and forth if needed. The dietary ladies were here, which food becomes a big thing. It’s just always great to see the team chip in and this was definitely no exception for that. We got through it and now it’s raining and we will deal with those issues as well. Brenda Smith spoke up and thank you to all of you. I know he just gave you kudos but thank you to all of you, absolutely.  XII. Medical Staff RecommendationsDecember Medical Staff Recommendations were presented by Dakota Robinson for Board approval.  MEDICAL STAFF APPOINTMENTS: 1) Deborah Wynn, M.D. – Requests Active Privileges in the field of Emergency Medicine and Family Medicine for the period of January 23, 2024 through January 31, 2025.  MEDICAL STAFF REAPPOINTMENT: 1) Marshall Byun-Andersen, M.D. – Requests Courtesy Privileges in the field of Emergency Medicine for the period of January 23, 2024 through January 31, 2026.    2) Fredric Siskron, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of January 23, 2023 through December 31, 2025.  3) Alan Pratt, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of January 23, 2023 through January 31, 2026.   4) Carlos Encarnacion, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of January 23, 2023 through January 31, 2026.  5) Bernadette McLarenm M.D. – Requests Courtesy Privileges in the field of Pathology for the period of January 23, 2024 through December 31, 2025.  ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: None.   EXTENSION REQUEST:  None.    VOLUNTARY RESIGNATIONS:  1) Sijo Joseph, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 12/31/2023.  2) Douglas Hughes, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 12/27/2023.  3) Daniel Wingard, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 01/07/2024.   David Norman asked if there was any discussion. There was none. David Norman said I would entertain a motion and a second to approve the Medical Staff recommendations.  Robert Green made a motion to approve the (1) Medical Staff Appointment, (5) Reappointments and (3) Voluntary Resignations. Jennifer Fant seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to approve the Medical Staff Recommendations as presented.  XIII. Executive Session – David Norman stated there is no business to be discussed for strategic planning. David Norman said before we adjourn, we, as a group, want to welcome our new Board member Mr. Thomas Tebbe. We, also, want to thank our Nominating Committee. They worked tirelessly to find the right candidate and got him welcomed yesterday. We want to take our hats off to them. They did well. We appreciate that. Thomas Tebbe asked may I speak. I want to thank you. I do take serving on the Board seriously. I’ll give it 100%. We are all volunteers but we all have a lot to offer with our expertise in various areas. I just want everybody to know I take it seriously and I appreciate it and I will do everything I can to continue helping you make the hospital a big success in our community. It’s a vital part of our community and we need out there promoting it very day. Thank you for the opportunity to serve. David Norman thanked Mr. Teebe. Mary Irvin said on behalf of the Nominating Committee we are very fortunate to have people of his caliber to want to serve and yesterday was our first day together and it was a wonderful day together. We already feel a lot of comradery with him. I know some of you may have already know him. All of us connect somewhere and we are so glad to have you. David Norman thanked Mary Irvin. David Norman said I tried to call all the board members and inform them about Mr. Festavan’s resignation. We want to wish him well in the future. He played a good part on this Board and he did tell me that when he came on the Board he came for a particular purpose and when he resigned last Friday, he said you know, I have a whole different respect for the Board now. He said you all are doing well, everybody gets along, but when I came on the Board I didn’t expect that, but now I’m leaving, I feel good that you are all on the same page. David Norman said I regretted that he had to make this move at this time. I told him that I think all the Board members respected him a lot and we are going to move forward and keep going but he was a valuable asset to this Board. You all keep him in your prayers and we will move forward. XIV. Adjourn – There being no further business David Norman said I would entertain a motion to adjourn.  Robert Green made a motion to adjourn.  Michael Nation seconded the motion. The vote: Yeas:  David Norman, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None.  Absent: Kenneth Cochran.  Abstain: None.  The vote was unanimous in favor to adjourn the meeting. The meeting adjourned at 4:46 p.m.

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

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David C. Jones, Secretary

1

Bd Mtg 01/23/2024

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