BOARD MEETING:  Regular Meeting   DATE:  August 24, 2021    MEMBERS PRESENT:  Mary Irvin, David Norman, Ronnie Festavan, Michael W. Nation, Sr., Brenda Smith, Pat White.    MEMBERS PRESENT VIA TELECONFERENCE:  Helen Godfrey-Smith   MEMBERS ABSENT:  Kenneth Cochran, Robert T. Green, Jr. (arrived at 4:04 p.m.)  TIME CALLED TO ORDER:  4:01 p.m.    OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Dr. John Woods, Chief of Staff, Walter  D. (Doug) White, Hospital Attorney, Mary Coil, Foundation Executive Director / Marketing Director, Daniel Marze, Ambulance Service Director, Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst.    LOCATION:  NCMC Café and Via Teleconference – Conference ID 216 803 333 #    BOARD CHAIR:   Mary Irvin SECRETARY: David Jones  I.  CALLED TO ORDER – Mary Irvin, Board Chair called the meeting to order at 4:01 p.m.     II. Invocation and Pledge of Allegiance – Brenda Smith offered the Invocation and Ronnie Festavan led the group in the Pledge of Allegiance. Robert Green arrived at 4:04 p.m.  Robert Green offered a word of encouragement.    Helen Godfrey-Smith asked the Board to take a moment to acknowledge the great loss of Reverend Jimmy Carroll, one of our prime community chaplains. He passed away last Tuesday. He was a great supporter of the hospital. Mary Irvin asked for a moment of silence and to say a prayer for his family and his congregation.  III. Approval / Amend Agenda – Mary Irvin stated we need a motion and a second to approve the agenda.  Ronnie Festavan made a motion to approve the agenda.  Robert Green seconded the motion. There was no discussion. The vote: Yeas: Pat White, Ronnie Festavan, Michael Nation, Mary Irvin, David Norman, Brenda Smith, Robert Green, Helen Godfrey-Smith.   Nays: None.  Absent: Kenneth Cochran.  Abstain: None. The vote is unanimous in favor.  IV. Community Comments – Mary Irvin, Chair, inquired if there was anyone from the community logged on.   Dakota Robinson stated there were no visitors logged on. Mary Irvin noted there are no community comments.  V.  Board Education – Mary Irvin stated there will be a slight adjustment on Board Education. We will defer this until the next Board meeting. VI. Minutes – Regular Meeting July 27, 2021 – Mary Irvin stated we need a motion and a second to approve the minutes of the regular meeting held July 27, 2021 with discussion, if any, to follow . David Norman made a motion to approve the minutes of July 27, 2021 as presented. Pat White seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Ronnie Festavan, Michael Nation, Mary Irvin, David Norman, Brenda Smith, Robert Green, Helen Godfrey-Smith. Nays: None.  Absent: Kenneth Cochran.  Abstain: None. The vote is unanimous in favor.  VII. Foundation Report – Mary Coil, Foundation Executive Director, stated we were planning to do an event in September. We were going to have a bingo. We had decided that needed to be rethought due to what’s going on with COVID right now so we will not have the bingo fundraiser in September. We also have two new Foundation members. Heather Courtney. Also, Chief Joey Ryan. He is our Fire Chief here at Fire District 8. We are excited to have them and for our Board to grow.  Todd Hopkins has finished out his term. He had been with the Foundation since the very beginning. He took off for a year in between, which is what is required for our return. He’s been with the Foundation all but one year. He was very happy and proud of the service he’s been able to provide. He’s a believer in fresh ideas and faces and so he’s looking forward to what the new Board members can do for the Foundation. Mary Irvin asked Mary Coil if she would like to tell all the Board what they did. Mary Coil said yes. The members of  the Foundation Board came together and gifted the employees with a bag of sunshine and inside the bag was all things yellow – chips, M&M’s, Butterfingers, etc. Something they felt like, with so much going on, that I just wanted to do something to take a moment to recognize them. We got the bags and passed those out this week. Brenda Smith said that was a very good idea. Thank you!  VIII. Chief of Staff Report – Dr. John Woods, Chief of Staff, stated the biggest thing I can bring up is that we have Regeneron, which is a monoclonal antibody, produced pretty far back into the pandemic and they’ve basically been doing a double blind randomized control trials on it and found out that it is pretty effective. It’s very effective during specific time period. Mary Irvin asked how does that work with people wanting to know more about that. Dr. Woods replied, very simple. If anyone, anyone of the physicians or nurse practitioners deem them as a candidate they can write an outpatient order. We try to fit in as many days as we could. Mary Irvin thanked Dr. Woods.  Dr. Woods said one more thing. We are ramping up the vaccinations.  Dr. Woods gave further information regarding the vaccines.  (Helen-Godfrey Smith exited the meeting at 4:36 p.m.)   IX. Old Business – 1) Update on Building Projects:    David Jones reported on the Dental Expansion. It is almost totally enclosed. There are some updated images on the screen of what it looks like. I think that they’re pretty much online and it should be sometime in the middle of October, late October that should be complete.   David Jones continued stating Blanchard has all the studs up and the frame is actually going up. They actually had the back part of the building somewhat framed. Mary Irvin asked what’s the projected date. David Jones replied completion, probably late December. Benton, on the other hand – it is what it is. Not a lot of activity.   The roof has finally commenced. This will be the first project that’s actually completed.  It’s a 30 day completion job. It should be done very quickly. Brenda Smith commented that is funded by the insurance claim. David Jones said correct.  David Jones asked if there were any questions on those. Mary Irvin said before we leave the construction update I’m sure everyone has notices how beautiful the corner is. The building is gone.    2) Building Purchase Update:  David Jones said hopefully in the next few weeks we’ll be through moving maintenance over to the new building we purchased, which is #2 in Old Business. We closed on it about a week and a half ago. David Jones asked if anybody has any questions on that. Brenda Smith asked did I hear you right that we are going to go ahead and apply for the license but we don’t have to wait to get the approval of the license before we start working on the building. David Jones replied correct.  3) Purchase of Electronic Signage Update: David Jones said about a 10 to 12 week process, there will be something going to the Town for permits to do the sign. I think they are in that process. I signed something today for them to be able to apply for that permit for us to do it.  Ronnie Festavan said on permits it changed a couple of months ago. City of Shreveport is handling all permits for the entire parish including the Town. It will be fairly soon. David Jones said we are going through that process. After that it is a 10 to 12 week process getting it here, installed and programmed.     X. 1) Review July 2021 Statistics – Dakota Robinson:  Dakota said there will be a few interesting things as we roll through the Statistics and Financials today especially when it comes to the outpatient side. There has been a slight trend on Admissions over the past three months. You will see we went from 48 admissions in June to 56 admissions in July. Swingbed is one of those areas that has sort of remained low when you look at comparatively to last year. Remember last year when we were holding a lot of patients due to regulations that they couldn’t go back the nursing homes. Looking at Inpatient Days you’ll see that our average line is pretty much unchanged. We did increase slightly from the previous months of 185 to 202. That’s about a 9% increase. Swingbeds were down significantly though. We had 29 swing days, which if we go back and historically look pre-COVID you know we saw months like that with swing definitely. The Average Daily Census with those increase in admissions, we did see a slight increase in average daily census from 6.1 to 6.5. Surgeries –  you know our threshold here is usually that 10 mark. You can see that we only dipped below that one month. In the past six months we went from 9 surgeries to 20. That includes both inpatient and outpatient, so it’s a significant increase from the month of June. Endoscopies – there was a reduction from 11 to 8 on endoscopies. ER visits – we dive into this quite a bit. We saw a 7% increase month over month. Mammography – You’ve seen 58 the previous month, 53 this month. Newborns – You see we did deliver 11 babies over that time period, which going back in a six month time period is the highest by 4. Vivian Clinic visits, you’ll see that they did 1,727. Plain Dealing you see that they had a slight rise especially over the past three months and they went from 616 last month to a 9% increase to 669. You’ll keep that number in play here in a second. You’ll see that Benton did 443 visits on the month and Blanchard did 615, so Blanchard, you’ll see their progression over history 146 which was a partial month that was only two months back in March, jumped up to 500; sort of hovered around that and then pop – 615 this past month.  Dakota continued stating the Fitness Center – you’ll see they had 310 members come July. They had 23 new members or renewals sign up . They had 1,400 visits. Any questions on the statistics? There were none.     2) Review July 2021 Financials – Dakota Robinson:  Dakota Robinson stated looking through the statistics you can see that there’s really not a ton of change in inpatient / outpatient numbers except maybe a few here and there, especially in the Blanchard area. Looking at page 1 of the Balance Sheet at the very top, you’ll see that the cash balance in the unrestricted portion is $19.7 million. That does equate to about 284 Days Cash on Hand when you combine those CD’s with it. The very bottom of this, you’ll see that these CMS advance payment we should expect, they won’t be in time for this next Board meeting, but probably in the next set of financials, we will pay this amount back. That’s a 9/11 date that that payment repayment has to be made, so we’ll expect a reduction in Days Cash On Hand and we’re also paying construction costs out of the operating account, whereas, we’re used to seeing construction being paid from bond proceeds which never affect days cash on hand. I’ll develop another chart that shows the cash that’s going out for the construction projects so we can see where we’re at in total liabilities with each one of those projects. We move down to Assets Whose Use is Limited you’ll see that the Sales Tax Fund has increased significantly. You can see this time last year it was sitting at $665, 000 in that account and it’s almost $1.1 million. In the Finance Committee we did discuss moving about twice a year we do move those funds a certain portion of those funds over to the operating to cover operations and maintenance for the main build. No other significant changes on page 1 of the Balance Sheet. Looking at page 2 of the Balance sheet you’ll see that Accounts Payable is slightly higher. If we move a little bit further down in the Notes Payable you see that Notes Payable come in at $25.9 million. That’s a pretty decent reduction from the $29 million the previous period.  When we look at the Sales Tax Analysis, I spoke on it that we continually see month over month increases from the previous year.  Looking at the Income Statement on page #3, you’ll see that we had revenues of a little over $4 million, which is good comparative to last year; we saw $3.8 million. One of the areas that I put at the very beginning summary, the contractual adjustments, came in at almost $2.3 million. It’s about a 55% contractual adjustment. Remember, every time we talk about the cost report and contractual adjustments we fully expect that number to be around the 52%. You’ll see that Salaries and Wages went from $1.23 million to $1.35. Total Operating Expenses – you’ll see the total Operating Expenses $2.3 million compared to almost $2.1 the previous year.  Any questions on the Income Statement? There were none. Dakota continued. Turn to page 5. If we look at the one month, remember this is the first month of the year, so we don’t have a comparative over month analysis. If you look at Operating/Recovery, they saw an increase. Inhalation Therapy, Ambulance, Obstetrics, MRI, Plain Dealing Clinic and the Blanchard Clinic.  We’ll get into the outpatient clinics. We’ll look at the Vivian Clinic first.  You’ll see that they did over half a million dollars in revenue. They turned a profit of $75,295 on a little over 1,700 visits. Plain Dealing Clinic did $175,000 in revenue, remember that number, on 669 visits and turned a profit of a little over $7,000. The Benton Clinic saw 443 patients and did right at $100,000 in revenue and turned a profit of $5,800. The Blanchard Clinic did $173,000 in revenue, which is only $2,000 off Plain Dealing Clinic. Any questions on the Financial Statement? There were none. Mary Irvin  said if there are no further questions or discussion on the Statistics or Financial Statement we need a motion and a second to approve our July 2021 Statistical and Financial Statement subject to audit. Robert Green made a motion to approve the Statistical and Financial Statement as presented subject to audit. Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green.   Nays: None. Absent: Kenneth Cochran, Helen Godfrey-Smith Abstained: None.  The motion passed by unanimous vote in favor of approving the July 2021 Statistical and Financial Report as presented subject to audit.   XI. New Business – 1) Purchase of Digital Signage –  David Jones stated the item under new business is the digital signage for our clinic rooms. If I could have a motion and a second I will speak on it and where the funding for that will come from. Brenda Smith made a motion to approve the purchase of digital signage for the clinic rooms. David Norman seconded the motion.  David Jones said this is the second part of the grant that we got to pay for the digital sign out front. We also got enough funds in it to do digital marketing inside our clinic rooms. The purchase price will be $40,000 and that’s for between 60 to 70 screens. They will be outside in the clinic waiting and in the outpatient waiting area. Mary Irvin stated we have a motion and a second. Is there any more discussion. Brenda Smith asked does this include the one that is in the waiting room. Dakota Robinson replied yes. You will see them in any waiting room or lobby. All those screens will be upgraded and they will actually integrate with our new electronic check in so you will be able to see the wait list. David Jones said it will be informational now, not just a TV. Brenda Smith said instead of them calling you name in the hallway it will pop up on the screen. David Jones said yes trying to progress from there. Dakota Robinson stated there will be a lot of changes. Mary Irvin stated we are now ready for a vote. The vote:  Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green.    Nays: None.   Absent: Kenneth Cochran, Helen Godfrey-Smith    Abstained: None.  The motion passed by unanimous vote in favor of approving the purchase of the digital signage as discussed.    XII. Administrative Reports – 1) NCMC – Pandemic Update:  David Jones stated I will give a quick update on the Pandemic and then I have one other item I would like to go over under administrative reports.   One of the victims in this whole COVID era is, as a lot of you know, is supplies and vehicles. We ordered a truck seven months ago that still has not arrived. They gave us a date of sometime in September but I don’t know how hardline that is. EMS wise we had really planned to replace one of our units the latter part of this year. Unfortunately, one of our main units, the transmission went out in it so we have been using our back up unit. Unfortunately for our EMS guys the back unit’s air conditioner went out. We have been using some portable air conditioners to help cool the unit off. We have Daniel Marze, our Ambulance Service Director, here and he can speak on anything you have there.  David Jones said I’m prepping the Board that I will be coming back, more than likely, in the September Board meeting.  Daniel said I have looked a several manufacturers. Mr. Jones has met the sales rep and he is a reputable guy. Balentine has been running these trucks for about 15 years. XIII. Medical Staff Report – 1) Recommendations – Dakota Robinson:  David Jones noted that Dakota had to leave so I will be presenting the Medical Staff recommendations for Board approval.   MEDICAL STAFF APPOINTMENTS:  1.) Danielle Thomas, M.D. – Request Provisional Privileges in the field of Emergency Medicine for the period of August 24, 2021 through August 31, 2022.     2.) Delphia Clarke, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.   3.) Timothy Jan, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.  4.) Naoki Murai, MD. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.  5.) Alan Pratt, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.  6.) Carl Schofield, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.  7.) Sandra Willis Curry, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.   8.) Daniel Winggard, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.   9.) Maryellyn Gilfeather, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.   10.) Christine Lamoureux, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.   11.) Joshua Morais, M.D. – Request Provisional Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2022.     MEDICAL STAFF REAPPOINTMENT:  1.) Daniel Clark, M.D. – Request Courtesy Privileges in the field of Emergency Medicine for the period of August 24, 2021 through August 31, 2023.   2.) Donald Majeste, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2023.  3.) James Price, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2023.  4.) Jamie Salvatore, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2023.  5.) Kurtis Tedesco, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of August 24, 2021 through August 31, 2023.   6.) Gregory Wellman, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of August 24, 2021 through August 31, 2023.    ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS / REAPPOINTMENT:  1.) Candace Funderburk, CRNA Requests Affiliated Privileges in the field of Anesthesia for the period of August 24, 2021 through April 30, 2023.   EXTENSION REQUEST:  None.       VOLUNTARY RESIGNATIONS:  None.      Pat White made a motion to approve the 11) Medical Staff Appointments, (6) Medical Staff Reappointments, and (1) Advanced Practice Professional Reappointment as presented. David Norman seconded the motion. The vote:  Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green.    Nays: None.   Absent: Kenneth Cochran, Helen Godfrey-Smith. Abstained: None.  The motion passed by unanimous vote in favor of approving the Medical Staff recommendations as presented.    XIV. Executive Session:   Mary Irvin stated there is no business to be conducted in an Executive Session. There being no further business Michael Nation made the motion to adjourn the meeting. Robert Green seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green.    Nays: None.   Absent: Kenneth Cochran, Helen Godfrey-Smith. Abstained: None.  The motion passed by unanimous vote in favor. Meeting adjourned at 5:19 p.m.

 

 

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, LA

 

 

 

________________________

David C. Jones, Secretary

Approved by the Board of Directors at the regular meeting held September 28, 2021

 

 

 

 

 

 

 

 

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