BOARD MEETING:  Regular Meeting   DATE:  August 23, 2022    MEMBERS PRESENT:  David Norman, Kenneth Cochran, Jennifer Fant, Ronnie Festavan, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Pat White. MEMBERS ABSENT: None.   TIME CALLED TO ORDER:  4:00 p.m.    OTHERS PRESENT: David Jones, CEO, Dr. John Woods, Chief of Staff, Drew Burnham, Attorney, Dakota Robinson, CFO, Kourtney Tyson, Foundation Director, Mary Coil, Marketing 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 – Brenda Smith offered the Invocation and Ronnie Festavan led the group in the Pledge of Allegiance.    III. Approval / Amend Agenda – David Norman stated we need a motion and a second to approve the agenda. Robert Green made a motion to approve the agenda. Ronnie Festavan 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. The agenda was approved as presented.   IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments.   V. Minutes – Regular Meeting July 26, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow.  Ronnie Festavan made a motion to approve the minutes of July 26, 2022 as presented. Brenda Smith 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, stated we are really excited. Our Safari will be this weekend. We sold out of tickets on August 1st. Kourtney said we are really excited and I know that we will see some of you there. David Jones said this is a testament has to how great the Foundation really is and what a great job they do this this event. I can’t tell you how many people out of Shreveport tell me how great the Gala is.  VII. Chief of Staff Report – Dr. John Woods, Chief of Staff, said everything at the hospital is going great. We are getting busier by the day. We are still seeing Covid, however, minimal symptoms and haven’t really hospitalized anyone specifically for Covid. Everybody is real busy. David Norman recognized Ronnie Festavan to speak. Ronnie Festavan said since you brought up Covid, I have one quick question. I noticed last night on the news where Pfizer had asked for approval of another booster.  Ronnie Festavan said so would you say currently we do not have a booster shot available at our hospital.  David Jones said, yes, we do. Dakota Robinson said they are available through the outpatient pharmacy, Community Rx. Ronnie Festavan asked can you tell people to go there? Dakota Robinson replied yes Sir. Anytime it’s open.  David Norman asked if there were any other questions. There were none. He thanked Dr. Woods.    VIII. Old Business – 1) Update Building Projects:  David Jones said I will give you a quick update on our building project. Benton is progressing. We are still considerably behind schedule.  We did have our Grand Opening in Blanchard. It was very well attended. It was a good time even though it was still hot.  Mary Coil and her staff did a great job in setting all that up and I thought it really kicked it off well. Mr. Cochran was there. Kenneth Cochran said I was impressed. If anybody came there and not thought about coming there, and I know there were many of them in that category, they were favorably impressed.  It was well done. David Jones said it was a good time.   IX. Review July 2022 Statistical and Financial Reports:   1) Statistics – Dakota Robinson, CFO, said what we will see this month is we definitely are seeing some good signs in some of the areas and we see some slight decreases that I will explain what we are looking at. Statistical presentation ensued. Any questions on the statistics. There were none.    2) Review July 2022 Financials – Dakota Robinson:   Dakota stated as remember this is the beginning of a new fiscal year, July is the one month. When we look at the Financial Statements we usually have a comparative analysis to either the previous year or the previous month’s cumulative in that year, so we’ll only see one column on some of these because we are only looking at one month.  We haven’t gone down since June much on Days Cash On Hand. We went from 172 to 167; not a huge difference. There were no UCC payments in July so that is part of what we see in reduction of Days Cash on Hand.  The Blanchard Clinic and the Dental Clinic we’ve moved from Assets Not in Service up to the Depreciation Schedule. Looking at Other Assets you’ll see Assets Not in Service there still in a million dollar line item compared to $854,000. That is the construction currently going on at Benton. Once they move into that section we’ll see another shift from that line item up the Balance Sheet.  Under Non-operating Revenue and Expense, you’ll see the Grant line item. We’re used to a really large number there because we book our Uncompensated Care, it continually changes and it’s going to change again. We booked that and accrue that in that line item. That is not done because we do not have a final number.  Sales Tax Revenue, you’ll see there’s a slight change from the previous period, about an $18,000 dollar difference and as we get into 340B Revenue you’ll see there has been a $15,000 increase.  Any questions on the Financial statements?  There were none.  David Norman said I would entertain a motion and a second to approve the Statistical and Financial Reports. Michael Nation made a motion that the Statistical and Financial Report be approved 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 motion passed by unanimous vote in favor of the Statistical and Financial Reports as presented.   X. New Business – 1) Ultrasound Purchase: David Jones said the first order of new business is the purchase of Ultrasound equipment from Philips. For the purpose of the Ultrasound, if I could get a motion and a second I speak more on it. Mary Irvin made a motion to approve the purchase of Ultrasound equipment from Philips. Brenda Smith seconded the motion.  David Jones led discussion pertaining to the purchase. David Norman recognized Brenda Smith to speak. Brenda Smith asked if there’s any possibility of it being less than that since we have so many other things from Philips. David Jones said no we’ve done some pretty aggressive negotiation and that’s about $26,000 less than what it started out.  Brenda Smith said o.k., thank you. David Norman asked if there were any other questions. If not we need a vote.  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 motion passed by unanimous vote in favor of the purchase of the Ultrasound equipment.   2) Resolution to Approve USDA Documents for Grant: David Jones stated the second item of New Business goes along with the USDA Grant that we talked about at the last Board meeting. We need a resolution which will be #9 for the year. That gives me signatory authority to sign for the hospital for that grant. The grant will be in the amount of $871,067. To use it, we will have to go forward and build the building but that will be for much later discussion as we go forward. Ronnie Festavan made a motion to approve Resolution #9 – 2022 granting David Jones signatory authority to sign for the hospital for the USDA Grant. Robert Green seconded the motion. David Norman asked if there was any discussion. He recognized Ronnie Festavan to speak. Ronnie Festavan so tell me, we are applying for the grant but we don’t know quite what we are going to do with it. David Jones replied no. We’ve got the plans and everything to build it, we’ve applied for the grant and we have been awarded the grant. This is just the signing of all the paperwork that goes with it. Now, of course, if we don’t go forward and build the building we won’t get these grant funds. USDA had a timeline to award the grant and they know we are in the process. We haven’t bid the building out but we do have a preliminary drawing and that is it. The USDA wouldn’t let us bid it out until the grant was awarded. A preliminary drawing was presented on the screen.  Ronnie Festavan said was there any matching funds for this grant or does the rest of the building constitute matching funds. Dakota replied no, there is a matching funds portion of it. It’s 20% of the total section. What they do, they basically carved that section out for grant purposes and we match whatever percentage of that section of the building costs. David Jones said it’s slightly over a million dollars is what they tagged for that section of the building and we have to come up with 20% of it. Ronnie Festavan said so are we still going to have to come up with some cash on that grant, we are not going to be able to count what we’ve put into the rest of the building as out match to the total. Is that correct. David Jones said that is correct. Ronnie Festavan said thank you. David Norman recognized Kenneth Cochran to speak. Kenneth Cochran said one additional comment. We’re examining in the early stages some community strategic support that involves many things. This will play well into helping to supply certain aspects of that once we get that in more of a form that we want to look at. This will really fit that.  David Jones said this is the very beginning stages of this whole project. There will be a lot more meetings talking about this in going forward. This is just to procure the $871,000 in the grant as the first stage.  David Norman asked if there were any further discussion or comments. If not, we are now ready to vote. 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 motion passed by unanimous vote in favor of the approval of Resolution #9 – 2022.  XI. Administrative Report – David Jones noted that the C-Arm is here and being installed the rest of this week and maybe early next week and then training will commence. We’ve got Dr. Brian Dupree, he’s an interventional Radiologist who works fulltime at the VA.  He approached us late last year. We’ve been trying to figure out how to do this economically and get everything setup.  What that means for our Medicaid population, if you are a Medicaid patient and you need something like that you’ll looking minimum six months to get scheduled.  If you are in that kind of pain and being told that nobody can do anything for you for half a year is not best care and best practice from our standpoint.  Mary Irvin asked David Jones will you tell us again what he’s going to be doing so we can share it with others. David Jones replied basically nerve injections.  Mary Irvin asked would the patient see their primary care doctor and he would refer. David Jones said he will. We’ll probably have a Nurse Practitioner here that works with Dr. Dupree but that’s just to make sure that any type of insurance has been pre-certified, and make sure health wise that you are exactly where he wants you just to get the actual book of business slated when Dr. Dupree comes.  David Norman asked if there were any other questions or comments. There were none.   XII. Medical Staff Recommendations – August 2022 Medical Staff Recommendations: Dakota Robinson presented the Medical Staff recommendations for Board approval.  MEDICAL STAFF APPOINTMENTS: 1) James Chen, M.D. – Requests Provisional Privileges in the field of Radiology for the period of August 23, 2022 through August 31, 2023. 2) Chase Herrera, D.O. – Requests Provisional Privileges in the field of Emergency Medicine for the period of August 23, 2022 through August 31, 2023. 3) Ravinder Sohal, M.D. – Requests Provisional Privileges in the field of Radiology for the period of August 23, 2022 through August 31, 2023.   MEDICAL STAFF REAPPOINTMENT: 1) Yulia Bronstein, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through August 31, 2024.  2) Delphia Clarke, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through April 30, 2024.  3) Christine Lamoureux, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through June 30, 2023.   4) Maryellyn Gilfeather, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through August 31, 2023.   5) Jousha Morais, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through April30, 2023.  6) Naoki Murai, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through July 31, 2024. 7) Alan Pratt, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through January 31, 2024.   8) Carl Schofield, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through October 31, 2024.   9) Sandra Willis Curry, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through February 28, 2024. 10) Daniel Wingard, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through March 31, 2024.  11) Joseph Heard, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 23, 2022 through July 31, 2023.  ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: None. EXTENSION REQUEST: 1) Chi Tai Peter Lau, M.D. – Requests extension upon completion of reappointment application.    VOLUNTARY RESIGNATIONS: 1) Timothy Jan, M.D Voluntary resigns his privileges in the field of Radiology effective 07/20/2022.    David Norman said we need a motion and a second to approve the Medical Staff recommendations.  Michael Nation made a motion to approve the (3) Medical Staff Appointments, (11) Medical Staff Reappointments, (1) Extension Request and (1) Voluntary Resignation.  Ronnie Festavan 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 of approval of the Medical Staff recommendations as presented.     XIII. Executive Session – David Norman stated he would entertain a motion and a second to enter into a brief Executive Session for Strategic Planning purposes.  Kenneth Cochran made a motion to enter into Executive Session. Ronnie Festavan 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.  Abstain: None. The motion passed by unanimous vote in favor of entering into Executive Session for the purpose of Strategic Planning. The Executive Session was entered 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, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin.  Nays: None.  Absent: Robert Green.  Abstain: None. The motion passed by unanimous vote in favor to entering back into regular session. (Robert Green departed the meeting at 5:00 p.m.)   XIV. Adjourn –   There being no further business Ronnie Festavan made a motion to adjourn. Pat White seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Kenneth Cochran, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Robert Green.  Abstain: None. The motion passed by unanimous vote in favor to adjourn the meeting.  The meeting adjourned at 5:45 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

____________________________

David C. Jones, Secretary

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