BOARD MEETING: Regular Meeting DATE: February 23, 2016 PRESENT: Brenda Smith, Robert T. Green, Pat White, Kenneth Clay, David Norman, Helen Adger, Bruce Walker, Mary Irvin MEMBERS ABSENT: Helen Godfrey-Smith OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Allyson Allums, CFO, Lanell Audirsch, Human Resources Director, Doug White, Hospital Attorney, Dr. Taylor, Dr. Chance 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: Mary Irvin offered the Invocation and David Norman led the group in the Pledge of Allegiance. III. Approval /Amend Agenda: David Norman made a motion to approve the agenda as mailed. Mary Irvin seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith; Abstained: None The motion passed. IV. Community Comments: Robert Green noted no visitors present at the meeting. V. Approval of Amended Meeting January 26, 2016 – The minutes of the January 26, 2016 regular Board meeting were mailed prior to today’s meeting for review.
Lanell Audirsch noted that corrections had been made to the minutes after they were mailed. The corrections had to do with absentee voting for the approval of the previous meetings minutes – Helen Adger was present for the meeting, but had not arrived at the meeting when the voting for the approval of minutes took place. This error was caught after minutes were mailed out and corrected for tonight’s meeting. Bruce Walker made a motion to approve the amended minutes. Pat White seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger; Nays: None; Absent: Kenneth Clay, Helen Godfrey-Smith; Abstained: None The motion passed. VI. Old Business 1) Construction Update – Pam Hughes reported rain which has the project behind schedule. There were several areas that weren’t sealed and some of the hospital flooded. She gave kudos to our crew for getting the water cleaned up. Pam stated hopefully it will not be much longer and section B will be in the dry.
Mr. Jones stated he and Pam had a conference call with the head of McInnis Construction regarding the flooding and damage. VII. 1) Review January 2016 Statistics – Allyson Allums Allyson Allums presented the January Statistical Report. There were 61 Admissions and 60 Discharges with Total Days Stayed –262. The Average Length of Stay – 4.4 Days. Total In-patient Days – 261. The average Daily Census – 8.4 Our Total Occupancy Rate was 56.10%. Total Surgeries for January (In-patient – 1 / Outpatient – 6). Endoscopies performed in January – 22. The total Emergency Room patients seen – 510. Swing Bed Admission – 15. There were 165 Total E.M.S. runs in January. Observation Patients for January – 43. There were 3 Newborns in January. The total Patient Visits for the Medical & Surgical Clinic is 1920. The Plain Dealing Clinic saw 593. Benton Medical saw 64. 2) Review January 2016 Financials – Allyson Allums – Allyson Allums presented the Financials. She reported Bad debt was 7.8% Days cash on hand 22. Hospital Revenue over Expense. Revenue –$3,596,731 Expense – $1,858,214 with a loss of $367,407. AR Days 89.72 days. The AR Days for all three facilities – 72.88. Plain Dealing Clinic – Revenue over Expense. Revenue –$118, 734 Expense – $73,207 with a profit $14,179. Medical and Surgical Clinic – Revenue over Expense. Revenue – $433,426 Expense – $247,958 with a profit of $89,011. Benton Clinic – Revenue over Expense. Revenue –$14,622 Expense – $6364.13 with a loss of $1,894.77. Self-Funded Insurance –
Total Health Premiums – $33,995 Total Medical Claims – Total Paid Claims – $188,287.47 Pat White made a motion to accept the Statistical and Financial Reports as presented pending the audit. Bruce Walker seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed.
VII. New Business – 1) Walter D. White, Hospital Attorney – Discussion Regarding Renewal of Ambulance Tax and Other Related Issues – Doug White, Hospital Attorney, stated the last time the Board met there was some question as to when the Ambulance tax expires. Mr. White said he spoke with Caddo Parish Assessors office and collection will cease at the end of December 2016. Mr. White reported that when he received this information he called the Secretary of State and Registrar’s of Voters and started inquiring as to what it would take to get the matter on the ballot. One choice we had for election was the General Election on November 4th. There is a place on the December 10th ballot. Doug said in order to get this on the ballot we have to pass a Resolution. Then forward the Resolution to the Caddo Parish Commission for them to pass. The Caddo Parish Commission will then forward to the Secretary of State and the Bond Commission to get it on the December ballot. The assessor wants it to go out to them no later than July 1. Doug said we do have a little time to breathe. Doug said he has put together a Resolution and notice for review by the Board. 2) Board Declaration of Surplus Equipment – Mr. Jones said everyone was given a copy of the surplus equipment list. There are 2 lists. One contains computer equipment: printers, monitors and such. The other has some hospital items: beds, stretchers, waiting room chairs and such. Pat White made a motion to declare the list of equipment presented to the Board as surplus equipment. Kenneth Clay seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. 3) Purchase of (5) Alaris PC Units, (5) Pump Modules, License for Alaris System Software, Including Upgrade of Current Units, with Annual Maintenance and Support Fee – $32,000.00 – Mr. Jones said approximately 5 years ago we purchased 18 PC units and 25 pumps. These were the medication pumps. Mr. Jones said we have PC units and pumps that are in need of replacement and some that need to be upgraded. Mr. Jones said in talking with Stacy Alexander, Director of Nursing, we are in need of 5 stations. The Alaris PC units and pumps modules, you basically have pumps that you hook into the PC units. With what we have, there has to be a software upgrade to them for them to be serviced. Mr. Jones said it was more cost efficient to upgrade what we had than to purchase all new. Mr. Jones noted we already have 18 units. Brenda Smith made a motion to accept the recommendation to purchase 5) Alaris PC Units, (5) Pump Modules, License for Alaris System Software, including Upgrade of Current Units. Mary Irvin seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. IX. Administrative Reports NCMC – 1) Current Activity – David Jones stated we have nailed down a date for the Board Retreat. It will be held on March 17th-18th in Many, LA. Mr. Jones said we start in the afternoon of March 17th. John Matessino, the former head of LHA, will be the Facilitator for the Board Retreat. Mr. Jones said there will be a pre-assessment that John Matessino will send out. Mr. Jones asked that the Board fill it out and return it to John Matessino. 2) ADP Payroll System Update – Lanell Audirsch, Human Recourses Director, stated we have weekly conference calls on Monday with the project manager (Mary Boss). We are still on track to go live pay period ending May 31, 2016. 3) Dialysis Clinic Partnership – Mr. Jones stated our partner in this project is currently reviewing some of their financial issues. Initially they agreed on the corner of Airport and Dr. John Haynes Drive as potential sight. They wanted a smaller clinic with the same number of stations. The clinic is targeted to be around 5,000 square feet. He said there is a cost factor included in it. Their reimbursement is based off how much it cost them in rent and direct cost that they can expense out. The Fresenius representative said there are some things they could change in regards to at home dialysis. Mr. Jones said he has not heard back from the Fresenius representative since this conversation. He will be getting in touch with the representative to see if there is any new information. Mr. Jones noted that he hoped to have an update at the Board Retreat. 4) Foundation – Mr. Jones said that our very own Mary Coil will MC tonight’s Chamber Banquet. The Foundation is looking for a secondary project. The Foundation is currently looking at nuclear medicine to see what benefit it would be to our hospital and Physicians. Doug White noted that a claim has been filed against the hospital and Dr. Lau. This claim occurred in March of 2015. A medical review panel has been requested on this claim. Doug noted Mr. Jones will be contacting the carrier to notify them in accordance with the malpractice policy. Doug stated all we know about the claim is that this was a case of someone who was treated, released and then later died. 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) Nicole McCommon, M.D. – Reappointment to the Active Medical Staff of North Caddo Medical Center for the period of March 01, 2016 through May 31, 2018.
2) Thomas H Vreeland, M.D. – Reappointment for Courtesy Medical Staff privileges in the field of Radiology for the period of May 01, 2016 through May 31, 2018. 3) Michael Futrell, M.D. – Reappointment for Courtesy Medical Staff privileges in the field of Cardiology for the period of April 01, 2016 through April 30, 2018. 4) Zamani Ramin, M.D. – Reappointment for Courtesy Medical Staff privileges in the field of Radiology for the period of February 01, 2016 through December 31, 2018. EXTENSION REQUESTS: 1) Wayne Homza, M.D. – Request extension due to requested information not being completed in a timely manner. 2) Travis Henley, M.D. – Request extension due to requested information not being completed in a timely manner. 3) Donald Majeste , M.D. – Request extension due leave of absence. 4) James Price, M.D. – Request extension due to requested information not being completed in a timely manner. ADVANCED PRACTICE PROFESSIONAL: None at Present VOLUNTARY RESIGNATIONS: None at Present. VOLUNTARY RESIGNATIONS of ADVANCE PRACTICE PROFESSIONALS: None at Present Pat White made a motion to accept the medical staff recommendations for medical staff reappointments, extension requests and voluntary resignations. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. b) Recommendations/Corrections/Approval of Medical Staff Minutes – October 6, 2015, November 17, 2015 November 30, 2015 – The Medical Staff Minutes for October 6, 2015, November 17, 2015 November 30, 2015 were mailed for review prior to tonight’s meeting for review, recommendation, corrections and approval. Kenneth Clay made a motion to accept the Medical Staff Minutes for October 6, 2015, November 17, 2015 November 30, 2015 as presented and without Correction or Recommendations. Brenda Smith seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. XI. Adjourn – There being no further business Kenneth Clay made a motion to adjourn. David Norman seconded the motion. The vote: yeas: Pat White, David Norman, Brenda Smith, Robert T. Green, Bruce Walker, Mary Irvin, Helen Adger, Kenneth Clay; Nays: None; Absent: Helen Godfrey-Smith; Abstained: None The motion passed. The meeting adjourned.
NORTH CADDO HOSPITAL SERVICE DISTRICT
North Caddo Medical Center
Vivian, Louisiana