BOARD MEETING: Regular Meeting DATE: April 26, 2016 PRESENT: Brenda Smith, Robert T. Green, Pat White, Kenneth Clay, David Norman, Helen Adger, Helen Godfrey-SmithMEMBERS ABSENT: Bruce Walker, Mary Irvin OTHERS David Jones, CEO, Pam Hughes, COO, Dakota Robinson, Controller, Lanell Audirsch, Human Resources Director, Doug White, Hospital Attorney, Dr. Taylor BOARD CHAIRPERSON: Robert Green, Jr. SECRETARY: David Jones I. Called to Order: Robert Green, Jr., Chairperson, called the meeting to order. II. Invocation and Pledge of Allegiance: Robert Green, Jr., offered the Invocation and Pat White led the group in the Pledge of Allegiance. III. Approval /Amend Agenda Pat White made a motion to approve the agenda as presented. Brenda Smith seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Helen Adger; Nays: None; Absent: Kenneth Clay, Bruce Walker, Mary Irvin; Abstained: None The motion passed. IV. Community Comments: Robert Green noted no visitors present at the meeting. V. Approval of Amended Meeting March 22, 2016 – The minutes of the March 22, 2016 regular Board meeting were mailed prior to today’s meeting for review. Brenda Smith made a motion to approve the minutes as mailed. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Helen Adger; Nays: None; Absent: Kenneth Clay, Bruce Walker, Mary Irvin; Abstained: None The motion passed. VI. Old Business 1) Construction Update – Pam Hughes reported the construction progress is going well. The sheetrock is going up on the second floor in section B. The glass was being installed today. Hopefully by the next Board meeting we will be able to take a tour of section B.
Helen Godfrey-Smith inquired about insurance covering the damage incurred by the recent rain. Pam stated our insurance will not be liable of this damage. This liability will be on McInnis Brother’s. 2) Walter D. White, White, Hospital Attorney, Renewal of Ambulance Tax – Doug White, Hospital Attorney, reported he spoke with Todd Hopkins, clerk of the Caddo Parish Commission, regarding the Resolution for the approving of the holding of a special election being placed on their agenda. The Resolution will be on the Caddo Parish Commissions agenda for the meeting to be held on May 5, 2016. Doug White noted that David Jones had visited with Doug Dominik by phone. Once the Resolution is approved, Doug White plans to mail copies to Folley and Judel, Secretary of State – Election Division, Bond Commission and Caddo Registrar of Voters. 3) Walter D. White, Hospital Attorney, Other Related Issues Update – In regards to the subcommittee which would review contracts that John Wells previously mentioned there were concerns about the law regarding False claims. The subcommittee would review and approve contracts as necessary. Doug White has also been working on the revision of the Board Bylaws and hopes to be present the Board Bylaws next month. Doug is asking for Board approval for Resolution #3 2016 – for creation of the Board subcommittee. Pat White made a motion to approve Resolution #3 2016 – Creation of Board Subcommittee. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Helen Adger; Nays: None; Absent: Kenneth Clay, Bruce Walker, Mary Irvin; Abstained: None The motion passed. VII. 1) Review March 2016 Statistics – Dakota Robinson – Dakota Robinson presented the March Statistical Report. There were 55 Admissions and 54 Discharges with Total Days Stayed –251. The Average Length of Stay – 4.7 Days. Total In-patient Days – 249. The average Daily Census – 8 Our Total Occupancy Rate was 53.60%. Total Surgeries for March (In-patient – 4 / Outpatient – 3). Endoscopies performed in March – 11. The total Emergency Room patients seen – 441. Swing Bed Admission – 11. There were 146 Total E.M.S. runs in March. Observation Patients for March – 34. There were 3 Newborns in March. The total Patient Visits for the Medical & Surgical Clinic is 1908. The Plain Dealing Clinic saw 548. Benton Medical saw 71. There were 44 Mammograms for March.
2) Review March 2016 Financials – Dakota Robinson – Dakota Robinson presented the Financials. He reported Bad debt was 2.0% Days cash on hand 32.8. Hospital Revenue over Expense. Revenue –$3,571,672 Expense –$1,836,798 with a loss of $162,666. AR Days 82.25 days. The AR Days for all three facilities – 62.98 Plain Dealing Clinic – Revenue over Expense. Revenue –$104,665 Expense – $114,183 with a profit $123. Medical and Surgical Clinic – Revenue over Expense. Revenue – $397,253 Expense – $263,558 with a profit of $3,871. Benton Clinic – Revenue over Expense. Revenue –$13,014 Expense – $5,498.42 with a profit of $4,094.28. Self-Funded Insurance – Total Insurance Expense – $139,701.35. VII. New Business – 1) Consider Fulltime Provider for Benton Clinic – Mr. Jones reported that Benton Medical Clinic made a profit this month. Mr. Jones said he feels that it is time to commit to a full time Mid-Level Provider for Benton. Discussion was held regarding the full time position. Helen Godfrey-Smith made a motion to grant the Administrator authority to expand services at the Benton Clinic to full time and bring on the necessary staff subject to adequate financial information that it will be profitable. Pat White seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Kenneth Clay, Helen Adger; Nays: None; Absent: Bruce Walker, Mary Irvin; Abstained: None The motion passed.
- Administrative Reports NCMC – 1) Current Activity – David Jones said the crawfish boil was a tremendous success this year. Previously there was not good attendance by employees, employees did not feel it was for them. There was a great family atmosphere and the employees and their families enjoyed the food, fun and fellowship. There were about 200 people in attendance. Mr. Jones noted we might expand the time frame next year. 2) ADP Payroll System Update – Lanell Audirsch, Human Resources Director, stated we have weekly conference calls on Monday with the project manager (Mary Boss). We are still on track to go live on the second pay period in June. 3) Dialysis Clinic Partnership – Mr. Jones said there were bumps in the planning of the Dialysis Clinic. He feels like there is a lack of communication. He voiced his opinion that there was no one person to contact. Once Mr. Jones was given a good contact, progress has been made. Fresenius is getting estimates on cost to build. 4) Foundation – Mary Coil reported that stone marquee was one of the Foundations first projects, therefore the foundation wants to reuse the stone for an outdoor sitting garden. This will be an opportunity for the employees donate to. Mary stated the Foundation reviewed the Department Head needs list and $42,000 in projects has been approved. They approved 3 Stryker air pumps for patients beds (this reduces moisture on the skin), mobile OB heart and contraction monitor, handicap scale for Plain Dealing Clinic and a newborn warmer for Labor and Delivery. These are all worthwhile projects. Mary noted Denim and Derby will be August 13, 2016. X. Medical Staff Report – a) Recommendations – Allyson Allums – Allyson Allums presented the Medical Staff recommendations for the Governing Board approval: MEDICAL STAFF APPOINTMENTS: None at Present MEDICAL STAFF REAPPOINTMENTS: 1) William Allen Wesche, M.D. – Reappointment for Courtesy Medical Staff privileges for Pathology for July 01, 2016 through July 30, 2018.
2) James Price, M.D. – Reappointment for Courtesy Medical Staff privileges for Radiology for February 01, 2016 through February 28, 2018. 3) Brent Boudreaux, M.D. – Reappointment for Courtesy Medical Staff privileges for Radiology for March 01, 2016 through March 31, 2018. 4) Wayne Homza, M.D. – Reappointment for Courtesy Medical Staff privileges for Radiology for February 01, 2016 through October 31, 2018. EXTENSION REQUESTS: 1)Travis Henley, M.D. – Request extension due to information not being completed in a timely manner. 2) Donald Majeste, M.D. – Request extension due to a leave of absence. ADVANCED PRACTICE PROFESSIONAL: 1) Brain Cornelius, CRNA – Provisional Privileges in the field of Advance Practice Professionasl as Certified Registered Nurse Anesthetist for the period of March 01, 2016 through March 31, 2107.
VOLUNTARY RESIGNATIONS: 1) Ryan McMorries, M.D. – Voluntary resigns privileges in the field of Emergency Medicine as of March 29, 2016 due to relocation to Mississippi. 2) Phillip Rozeman, M.D. – Voluntary resigns privileges in the field of Cardiology as of May 01, 2016. Brenda Smith made a motion to accept the medical staff recommendations for medical staff reappointments, extension requests and voluntary resignations. Kenneth Clay seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Kenneth Clay, Helen Adger; Nays: None; Absent: Bruce Walker, Mary Irvin; Abstained: None The motion passed. Dr. Taylor commented on the Residency program. We will be getting 3 new residents in July. Brenda Smith asked about the CRNA’s. Dr. Taylor stated we have 2 CRNA’s now and they are working 7 on 7 off. These are two very solid individuals. The Board we reminded to complete their personal financial disclosure statement. This is due by May 15, 2016. They were advised to send this information by certified mail for proof that it had been submitted. XI. Executive Session – Helen Godfrey-Smith made a motion to enter into Executive Session for the purpose of discussing a personnel matter. Kenneth Clay seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Kenneth Clay, Helen Adger; Nays: None; Absent: Bruce Walker, Mary Irvin; Abstained: None The motion passed. Executive session was entered into. The meeting was reopened to the public. No action was taken during the Executive Session. Pat White made a motion to enter back into regular session. Kenneth Clay seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Kenneth Clay, Helen Adger; Nays: None; Absent: Bruce Walker, Mary Irvin; Abstained: None The motion passed. XII. Adjourn – There being no further business Kenneth Clay made a motion to adjourn. Pat White seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Helen Godfrey-Smith, Kenneth Clay, Helen Adger; Nays: None; Absent: Bruce Walker, Mary Irvin; Abstained: None The motion passed.
NORTH CADDO HOSPITAL SERVICE DISTRICT
North Caddo Medical Center
Vivian, Louisiana