BOARD MEETING:  Regular Meeting   DATE:  January 28, 2020    MEMBERS PRESENT:  Mary Irvin, Kenneth Cochran, Ronnie Festavan, Robert T. Green, Jr., David Norman, Brenda Smith, Patricia White.      MEMBERS ABSENT: Kenneth D. Clay (arrived at 4:22 p.m.), Helen Godfrey-Smith (arrived at 4:22 p.m.)  TIME CALLED TO ORDER:  4:00 p.m.   OTHERS PRESENT: David Jones, CEO,  Pam Hughes, COO, Dakota Robinson, CFO, Dr. John Woods, M.D., Chief of Staff, Walter D. (Doug) White, Hospital Attorney, Mary Coil, Foundation Executive Director / Marketing Director, Pastor Michael Nation, Lanell Audirsch, Admin. Asst.  LOCATION:  NCMC Events Center   BOARD CHAIR: Mary Irvin    SECRETARY:  David Jones    I.  CALLED TO ORDER – Mary Irvin, Board Chair called    the   meeting to order.   II. Invocation and Pledge of Allegiance – Pastor Michael Nation offered the Invocation.  Ronnie Festavan asked Mary Irvin, Madam Chair, before we have the pledge let me mention this. Pastor Nation, before you leave, I just want to remind everybody or mention to everybody he has recently lost a family member and I’m going to ask that all our prayers be for your family during your time of grief. Pastor Nation thanked Ronnie Festavan and said I appreciate it.   Dr. John Woods led the group in the Pledge of Allegiance.    III. Approval / Amend Agenda – David Jones requested an amendment to strike #4 from New Business and we will discuss that during Executive Session.  Robert Green made a motion to approve the agenda with the amendment to remove item #4 under New Business as requested. Ronnie Festavan seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Pat White. Nays: None.  Absent: Kenneth Clay, Helen Godfrey-Smith.  Abstain: None.  The motion passed by unanimous vote in favor.   IV. Community Comments – Mary Irvin, Chair, noted there were no signed Visitor Recognition Cards requesting to address the Board.  V. Minutes – Regular Meeting January 28, 2020:  The minutes of the Regular Meeting held January 28, 2020 were mailed prior to today’s meeting for review.  Brenda Smith made a motion to approve the minutes of the Regular Meeting held January 28, 2020 as mailed. Robert Green seconded the motion.   The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Pat White. Nays: None.  Absent: Kenneth Clay, Helen Godfrey-Smith.  Abstain: None.  The motion passed by unanimous vote in favor.  VI. Foundation Report – Mary Coil, Foundation Executive Director / Marketing Director, said we will also go with Marketing by introducing the Board, via a marketing visual, to Devon Washington, our new Fitness Center Director and we wanted to show you the information that went out this past week. On a Foundation note, I wanted to let you know that we have started 2020 and we started that with reaching out to our employees, once again, to sign up to renew their pledges or sign up for new pledges for the year to give. It has been a very successful campaign. We are excited to sign on the employees to have that buy in. That is great for our donors as well. We are looking forward to what this year has to unfold.  Kenneth Cochran said he just had to mention about Devon. He is a local guy. He went to North Caddo. I am so happy to see him so motivated – he is motivated. Mary Coil stated yes Sir he is busy. He has definitely been in our community and gone head first into everything that he has worked at and had great success. Ronnie Festavan said question for me. Have we partner with him or what is the relationship? Can somebody explain it? Pam Hughes stated yes Sir. He is an employee. Ronnie Festavan said so we have now employed him to be in charge of our Fitness Center. Pam Hughes said yes, as the Director. Ronnie Festavan said but he also is going to continue operation of his own Fitness Center, is that correct. David Jones replied not to do fitness work. He is selling sports and nutrition drinks. Pam Hughes said he is doing fitness consultations after his hours at the Fitness Center. Ronnie Festavan said our thought process of this move, didn’t we sort of design it around that we would pick up some enrollment at our Fitness Center with him moving over and perhaps bringing some of his fitness family with him to our Fitness Center. Was that sort of the strategic plan of doing what we did? David Jones replied yes Sir. I could not imagine that we would have him there and competing with him across the street. So it is not the situation. David Jones replied no Sir. That is the question that has come up from several people. Mary Coil said that was all that she had.    VII. Chief of Staff Report –   Dr. John Woods, Chief of Staff, said we have finished up our match and we won’t know the results of that until next month. We will have some recent graduates coming up here fairly soon. Some going out and some coming in. That is the usual thing. The only other thing, I brought up with David yesterday is our CT machine is starting to break down more and more. That is something that is probably going to need to be tended to but it sounds like they have a plan. Mary Irvin asked Dr. Woods how many Residents do we run in the hospital. Dr. Woods replied it has been fluctuating but I think the current number right now is five. David Jones said our affiliation with Ochsner actually has helped that. Soon it will go back to six with our three coming up. Dr. Woods has mentioned before and we have some really good candidates. Dr. Woods said an unbelievable amount this year. David Jones said it is very optimistic looking as far as a crop goes through and as all of you know our current medical staff is littered with graduates of that program. Kudos will always be to Dr. Haynes and Dr. Taylor for starting that program and getting it to where it is. A good future ahead. Dr. Woods said just for a little bit of knowledge the reason why they call it a match is because they, the Residents, have to make a dream list of where they want to go and we have to make a dream list of the people that we want to come here and it has to be a match. They have to say they want to come here and we have to say we want them to come here. It is kind of a complex thing and when people don’t match then there is what is called a scramble and then everybody scrambles to come where they want to go. It is not all – I want to go there and you go there type of scenario. It has a methodical process. Brenda Smith asked if there is an interview process or something that you go through. Dr. Woods said there is absolutely an interview process. They come here and they see whether they like whether they want to come. David Jones said it is a twofold interview process. They are interviewing us and we are interviewing them. Dr. Woods said it is almost like a marriage. We got to say that we want you to come here and they have to say they want to come. We get people from all over the world. I think there were at least twenty-five applicants that we looked at. Mary Irvin asked if they are all coming out of the Ochsner or LSU training. Dr. Woods said no they are coming from everywhere. Mary Irvin said well Dr. Woods we are glad that you came out at North Caddo Medical Center. Dr. Woods said I’m glad it worked that way. Mary Irvin said we appreciate your commitment to us and your commitment to that program and all that you invest in those Residents. We recognize the time that it requires. Mary Irvin thanked Dr. Woods.    VIII. Old Business – 1) Purchase of ADP HR System Update:   David Jones said I will give a quick update and then turn it over to Dakota. I understand they have had some calls and system setups and some libraries being created and such. Dakota do you have a roll out complete date yet? Dakota replied no we have a call this week that we will see the roll out of one piece of it. They have broken implementation up into about three different stages depending on what was most important to us to least important. They are thinking anywhere to 60 to 90 days for total implementation. We are still on our timeline that they set out for us when we first signed the contract. Everything is going well and hopefully we get in the system and see some of those first live roll outs start this week. Mary Irvin said that is good news for the HR Department.  Are there any questions? There were none.      IX. 1) Review January 2020 Statistics – Dakota Robinson: Dakota Robinson noted that the Statistical Report Analysis would be under one of the tabs in the Board packet – Financial Tab. We will see a lot of the ancillary departments and including inpatient stats picked up and was more in line of the typical winter month that we expect to see. On the first page you will see that Admissions did go down slightly of 59 Acute Admissions and 11 Swing Bed Admissions, but with less admissions we wind up having more inpatient days. The length of stay was longer. We went from 217 days to 238 days. If you will look at the Average Daily Census between Acute and Swing, those are the two added together, we have less Swing stays which are typically our longer stays, but our Acute days made up some of that gap even though it went down from the previous month that was 11.1. You can see on average that is above our typical average, especially for the fiscal year of 2020. Moving to Surgeries – when you look at surgeries we went from 8 surgeries in the month of December up to 16. The good thing about fiscal year in 2020 we have averaged almost 13 surgeries a month. When we employed Dr. Banda that was our goal was to get that average above 10 and I believe that we are hitting those goals and we are seeing some pretty good returns from it. Endoscopies went up slightly. A bright spot in the ER – we’ve been tracking this number for over a quarter now. You will see that we had about a 7% increase from 518 visits to 554.  Mammograms – we went from 36 in December to 40 in January. Newborns – this is another one of the ancillary services that can range all over the board. There were 5 in January. I think we will see an uptick in February even where we are at right now. Looking at the Vivian Clinic visits you will see some pretty big changes there. I think Pam could probably answer it, but the acuity in the clinic we’ve seen a lot more patients. We sent from 1,818 – we did have a vacation from a provider in December so that is part of the reason why that number went down, but we were up to 2,323 in Vivian for the month of January. That puts us on the year’s total we’ve seen a little over 14,000 patients in that clinic alone. Plain Dealing also saw sort of that same increase. They saw 620 in December and they are up to 720 in January. At this point last year Plain Dealing had seen 3,930 patients and this year they are at 4,400. They have seen an increase from the previous year as well. Benton – you will see that they went from 473 to 538 visits in January. Once again, if we look at the year numbers, at this point in 2019 they were at almost 2,500 visits and they are at a little over 3,300 visits of this year. Looking at the Fitness Center membership you will see reported in December was 403. Actual in January – 318, we believe is close to the actual. We are still trying to work out some of the details in that number. Mr. Jones will want to speak on that. David Jones said if we could, in Executive Session, we will discuss that in detail as to what those numbers truly look like and then going forward what we expect them to look like.  (Kenneth Clay arrived at 4:22 p.m.) (Helen Godfrey-Smith arrived at 4:22 p.m.).   Dakota asked if there were any questions on the statics portion for January. There were none.    2) Review January 2019 Financials – Dakota Robinson:   Dakota Robinson said in January we saw an uptick in most of our service lines. It is a very, very good thing to see especially for the time of year it is. As of the January Financials, one of the biggest numbers that we always look at are the UCC dollars. Those have not been collected as of the January Financials. If we look at the first Property Tax payment, that has been collected and those come in in multiple different payments. Your biggest one being in the first part of the year and then we usually get one or two more. Looking at page 1 of the Balance Sheet you will see that in the Certificates of Deposit, they have inched up to $721,000 and in the bank a little over $3 million. Total Unrestricted Cash on Hand is almost $3.8 million for the end of January. That puts us at Days Cash on Hand for the month at a little over 52, just cash, if we put in the CD’s to that number, it pushes it up almost to 65 Days Cash on Hand. It is a very, very strong position to be in. As of February 2nd we did receive 6 monthly payments of the UCC money that we are waiting on. At our Finance Committee, I think the total Cash on Hand at that point, on February 19th, was almost $5.4 million dollars. Granted there has been a payroll since that time, but that puts us at about 92 – 93 days cash on hand at that time. Those are very, very, very strong numbers when you just look at cash and the position that it is in now.  Ronnie Festavan asked if the daily cash on hand, is that calculated on discretionary funds or all funds. Dakota replied it’s on unrestricted funds. Obviously on the Balance Sheet at the very top we’ve got unrestricted and at the bottom when we have the Sales Tax Account, anything that’s got a restriction on it we remove from that calculation. Ronnie Festavan said it is qualified discretionary then. Is that right. Dakota replied yes, correct.  The Sales Tax numbers have been very good for the past three years. We’ve seen a good trend as far as an increase in those numbers. Looking at page 3, the Income Statement, you will see that we did almost $4 million dollars in Revenue, which is pretty close to what we did the previous year. It is only a difference of $31,000 and the difference is made up in the contractual adjustments. We are very close to the previous year’s numbers. We have actually inched ahead in revenue this year from where we were last year. We are at $25,216,000 where we were at $25,157,000. Also the contractuals have come down slightly to $13,518,000 versus $13,669,000. If you look at them on a month, the monthly contractuals are almost 55%; a little higher than what we expect. We know that that fluctuated each and every month. If we look at the seven month average you will see that we are at almost 53.6. I believe our budgeted number was 53.8 so we are very, very close to the budgeted percentage number when it looks at what is the percentage of contractuals to revenue. We are pretty close to that number.  We look at Salaries and Wages, you will see that it is higher. It is lower in the month but it is higher in the year by $324,000. That is a little over 4% increase. We did approve the wages so you would expect a 4% increase if all things held over the year and there were no drastic changes, whether it is a reduction in work force or addition of work force; whether we added a clinic. We are over by $114,000 from what we were last year. I would expect to receive $100,000 when we look at those two claims, back in insurance money, to make that difference up. Total Operating Expenses were at $1.9 million this year and we were almost at $2.2 million in January of 2019. If you look at the Total Operating Expenses over a seven month period we’ve had an increase of about $600,000 but if we get into Non-Operating Revenue you will see the UCC money is booked under Grants at $156,000 and that $1.8 million total has been booked to the Financials and that is grants of all kinds. That is not just UCC dollars that is grants of all kinds.  In Sales Tax Revenue you will see booked right now $796,000 compared to $736,000 last year, a $60,000 increase. I expect us to outpace that previous year’s number by about 5% by the time the year end is done. 340B Revenue – we are reporting $848,000. We reported $143,000 for the month of January. That program is continuing to tick along and perform quite well. It is a $70,000 increase from the previous year. Property Tax – we’ve received right at, for the year, $345,000 compared to $384,000. Property Tax is one of those areas where we’ve seen values decrease over time and I believe that we will see that continue this year. I don’t think we will receive as much as we did the previous year and I believe 2020 is a reassessment year and the last time Caddo Parish had a reassessment property values were reassessed lower, they were not reassessed higher.  Dakota continued stating for the month we saw increase in Net Assets – $686,000 and obviously a large chunk of that is due to the Property Taxes revenue being placed in the monthly set of January Financials. Looking at seven months, that is almost $1.3 million compared to $568,000 the previous year. That is a very good Income Statement for the month. Looking at AR Days, you will see AR days increased slightly to 50. Still in the threshold where we look at and monitor it. It came down from a high of almost 65 in November. Nothing alarming in the Accounts Receivable. On page 5, the Department Revenue and Expense for one month period. Two of the main areas that I wanted to point out obviously had a pretty good month when we look numbers over the ancillary services. You will see that the ER continued to outpace previous totals. There has been a lot of emphasis on Therapies. That’s PT, OT, and Speech Therapy in trying to restructure that. We used to not have out-patient therapy and we’ve got that. I believe we have make some strides in that area. You will see that for a one month difference of $40,000 in the therapies. It is exciting to see some of the places where we have put emphasis on being the ER, Therapies, Lab in the previous year the changes that have been taking place by the Department Heads actually work and see the reward. On page 8 on the Budget you will see that we budgeted for almost $3.9 million in revenue for the month. We exceeded that by $76,000. Our contractuals were also higher than budgeted but it is in direct relationship to the increased revenue. Net Patient Revenue wise for the month of January we were off by $4,000 on a $2 million dollar budget. That is pretty close to where we want to be. The budgeted number for increase in Net Assets for a seven month period was $94,000 and we are at $1.2, almost $1.3 million. Having a strong year. The Vivian Clinic had a very high visit volume for the month of January. They produced a profit of $120,000 up from $116,000 the previous month. Plain Dealing also had a higher visit volume and they produced a profit of $30,546. Benton, we are excited to see, produced a profit of $34,000. We talked about where we would see the change flipping from the red to the black, I have always said it’s going to be in the contractual adjustment and bad debt number so it’s the second line item on the page, you will see that on $116,000 worth of revenue there were $40,000 in contractuals. There’s two fold in that month. Part of it’s because we paid some lump sum differences on previous claims where they just increased the rate to what our current rate is because they were provider based rural health clinic. In that clinic it was typical for us to see 50-60-70% on contractual adjustments so they are very, very high. I would expect from this clinic going forward; I wouldn’t expect a $30,000 return every month in this clinic. It is a very good month, part of it is just the way things post. I would expect it to perform like Plain Dealing. We see Plain Dealing dip into the red sometimes and then it pulls itself out. David Jones said to add to what Dakota said earlier, we expect to see Benton collect 340B dollars. Dakota said we got approval from the HRSA which is the Federal government that approved that clinic for that go live date. We’ve actually signed a contract to add possibly eleven more pharmacies to the mix. We are actively adding to the program, modifying some of the things we’ve done. The growth there has been substantial over the years. David Jones said but that is cash to the bottom line that we would not exist if we did not have a clinic in Benton. Dakota said it might be something that I might do for you in the future, sort of break it out like yes we see the financial statements for what these clinics do when it comes to patient visits and that kind of thing but what does that clinic mean to the 340B revenue.  Mary Irvin said it is a lot to celebrate – $5.4 million dollars. That to my knowledge has never happened at our hospital with 93 days cash on hand. Benton is now where you have been working to get it. Dakota said that is an estimate but it is a good indicator of where it is at. Dakota asked if there were any questions. Ronnie Festavan said yes he has a couple.  Back to our Debt Service on page 8 of the Financial Analysis on the Balance Sheet. You talked about refinancing a debt. Was that a USDA loan that we refinanced? Dakota replied no. At the time Citizens National purchased that $5 million because CB&T was not in a place where they could take on that size of debt. We refinanced just that $5 million, which at the time was about $4 million because we had paid a portion of it off, with CB&T here locally is who bought that. Ronnie Festavan asked do we have an outstanding USDA, I see here a USDA Reserve and Contingency fund. Dakota replied yes. The total Bond package is broken up into four separate Bonds. Three of those Bonds are held by the USDA, one of them held by CB& T of Vivian. Ronnie Festavan said that is what I was trying to figure out. Some Bonds don’t require the reserve package to go with it. Dakota said correct. Helen Godfrey-Smith said if you remember last year during our planning session was during the time we were looking to refinancing those Bonds and that was one of the options we had about $380,000 that we would be freed up by the refinancing package. Ronnie Festavan said and I think Dakota is right we may have used that to fund a CD. Helen Godfrey-Smith said we had talked about using it to make the purchase to do the clinic in Blanchard so we held it over into cash and we might have bought a CD around that time. I don’t think we just put it in our regular cash. Ronnie Festavan asked if the rates that we currently have do we have any Bonds out there or anything that would be worth looking at right now to refinance. Dakota said no I actually made a call on it yesterday. I’ve been watching the Bond market burn basically.  Bond yield, Treasury yields are at their lowest in history because of the coronavirus scare. I did place a call yesterday, our USDA Bonds have a rate of, I believe, 2.3 so they are already below market, period, and the majority of them, there’s about $14 million dollars of that, is not backed by sales tax, it is backed by hospital revenue. Ronnie Festavan said that is all I have. Thank you. Mary Irvin asked if there were any other questions about the Statistics and Financials. There were none. Mary Irvin stated she would entertain a motion to approve the January 2020 Statistics and Financial reports. Pat White made a motion to approve the Statistical and Financial reports as presented subject to audit. Robert Green seconded the motion.  The vote:  Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None.  The motion passed by unanimous vote in favor.    X. New Business – 1) Approval of Resolution #1 – 2020 Granting Signatory Authority to David Jones, CEO, to Sign Contracts on Behalf of the Board of Directors: David Jones stated that Item #1 is basically a book keeping item that we had discussed last year to make an annual event in January, but unfortunately my memory didn’t serve me well enough to get it on the agenda in January but if I could have a motion and a second it is to approve my authority to sign contracts on behalf of the Board of Directors for North Caddo Medical. Mary Irvin noted it is something that we have done in the past. Brenda Smith made a motion to approve Resolution #1 – 2020 Granting Signatory Authority to David Jones, CEO, to Sign Contracts on Behalf of the Board of Directors. David Norman seconded the motion. Mary Irvin inquired if there were any questions or discussion. There was none. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None.  The motion passed by unanimous vote in favor to approve Resolution #1 – 2020.   2) Approval of Purchase of Credentialing Software:   David Jones stated we have some more software to purchase in an area that we have been discussing for years to push us forward and that is to purchase some credentialing software. If I could have a motion and second then we will open for quite a bit of discussion on it. Robert Green made a motion to approve the purchase of credentialing software. Kenneth Cochran seconded the motion.  Mary noted as David Jones gets into the discussion on page 13 behind the Financial Analysis of the Board booklet there is some information regarding the software. David Jones asked Dakota to lead the way, he has spearheaded the look on this piece of software. Dakota said currently credentialing is a very cumbersome process/processes that are all done manually. I would say the majority of the facilities use some type of software whether it does the whole process or at least portions of that process. We are talking about all the referring physicians, all the physicians that we go through each Board meeting and are reapplying or applying for the first time. I believe the last time I checked we had over 500 physicians or providers on that list. Part of that process is they have to be checked in numerous different systems to make sure that their licenses are up to date, they don’t fall on federal exclusion files to where you can’t do business with them because they have convicted of something – the list goes on and on and on. MD Staff is the name of the software.  Software like this, usually the biggest expense is implementation. They build that cost into the first three years’ worth payments and year’s one through three the expense is $20,548. Brenda Smith said so how does our employee go check credentials on them. Dakota replied via websites. Dr. Woods you have to go verify that this guy has a medical license in Louisiana. Ronnie Festavan asked do you know of other hospitals that are using this software. Dakota said we actually do. That is where we got the recommendation for this one. Ronnie Festavan said and your way of paying for it or your financial plan for it is that you will offset some of the cost of it through attrition, in other words you won’t have to hire another employee. Dakota said I will offset the entire amount through attrition and actually save money.  David Jones said we’ve already lost the employee and instead of filling the position we will cross train. Ronnie Festavan said so this would allow you to centralize it though with one person and not fill that position that you’ve not filled anyway. So you have been surviving without that one person I guess is what I’m asking. Dakota replied yes. Mary Irvin asked if there were any other questions or comments. There were none. She called for a vote.  Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None.  The motion passed by unanimous vote in favor of purchasing the MD Staff Credentialing Software.    3) Purchase of BiPAP Machine:  David Jones noted the last piece of new business is the purchase of a BiPAP Machine that will be replacing a couple of ten year old pieces of equipment that we have. If I can get a motion and a second Pam Hughes some information on it. Brenda Smith made a motion to purchase a BiPAP Machine. Pat White seconded the motion. David Jones asked Pam Hughes to present the information on the BiPAP Machine. Pam Hughes stated that BiPAP is a machine that they put on a patient that is having breathing issues like COPD and it helps maintain their breathing correctly, the O2 and CO2 level and that is what the BiPAP is for and it is a must if somebody has these problems to keep them alive. Dr. Woods said or to keep them from being intubated. Pam Hughes said we have two that are getting old. We need another one. We have had instances lately where we used the two that we have plus we’ve had to rent one because we’ve been busy. I’m asking that we purchase one. It is $12,641.50. Dr. Woods said the “bi” means there’s two modes. There’s an expiratory and inspiratory time that you can adjust. That helps them to blow off co2. Pam Hughes said it is on the Vizient contract. Dakota said he sent that to Mary Carroll, CPA, and she o.k.’d it which is our typical process that Board requested. Dr. Woods said it is used quite a bit. Ronnie Festavan asked if we are open for discussion. Mary Irvin replied yes Sir. Ronnie Festavan said Mrs. Hughes, we have two of these? Pam Hughes replied yes Sir. Is that correct. They are both old? Pam Hughes replied yes Sir. Ronnie Festavan asked will we be getting rid of or surplusing either one of those. Pam Hughes replied no Sir. Ronnie Festavan said we will continue to use those two until such time they are no longer useful. They are still working good but if one goes south then we only have one. Ronnie Festavan said so we’ve been using our two old units and I would say, Dr. Woods because of an increase of whatever this treats, COPD. Dr. Woods said any type of respiratory. Dr. Woods said it is used quite a bit and the other thing too is while we are using it in the Emergency Room there’s instances where you need it on the floor. David Jones said I think Mrs. Hughes said it, this past month we had to rent a third one to have. Ronnie Festavan asked may I. Mary Irvin said yes Sir. Ronnie Festavan said thank you.  Ronnie Festavan said we have two, you’ve been renting one. Pam Hughes said we have had to on occasion. Ronnie Festavan said so now you want to purchase one to have this extra one. There has been an increase, or you have seen an increase, Dr. Woods, in the need for this type and we don’t want to be in a position where one goes out and we are left with one. Do you know the life expectancy for one of these machines? Pam Hughes replied yes I do. Actually they are about eight years. Ronnie Festavan said I wanted to get that on the record that that is why we are doing this. Now, Dakota talk to me about the bid. You mentioned that you sort of went through that. For the record tell me about the purchase. Is it on some bid contract? Dakota said it is on a group purchasing organization, Vizient, which is our contract company and then, obviously, any time it goes before the Board our new process is that we send it to our auditing firm and they give it our blessing and send us an email saying we are good to go. Ronnie Festavan said Madam Chairman I’m good. Thank you so much. I yield. Mary Irvin said thank you so much Mr. Festavan. I appreciate it. Helen Godfrey-Smith said there was another step we had agreed upon in the Finance Committee that the actual email would be also part of this package. David Jones said we were expecting it earlier. We just got it today. Dakota is going to pull it up. Dakota said there is the email from Mary Carroll with the approval. Helen Godfrey-Smith said o.k.  Dr. Woods said this is a seasonal thing right now. It is the cold and flu season and we see a lots more of COPD and people that require help with their ventilatory process. This will kind of wax and wane.   Dr. Woods said we are constantly monitoring those machines and the minute they start acting up I start telling them we have to do something. Mary Irvin recognized Pat White. Pat White said I was wondering is it available right away if we order it they will have it out with no delay on getting it. Pam Hughes replied yes Ma’am. Mary Irvin asked if there were any further questions or discussion. There were none. Mary Irvin asked for a vote. Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert Green, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None.  The motion passed by unanimous vote in favor of the purchase of a BiPAP machine.    XI. Administrative Reports – 1) NCMC – Current Activity:    David Jones said under current activity I’m going to make a couple of statements.  A lot of activity we will go over in Executive Session but it has been a pretty tough month for us at the hospital. We have had a couple of tragic occurrences. One, we had a long term employee and a loved soul in our hospital, one of our Orderlies, Mr. Pete Carroll, unfortunately on Super Bowl Sunday came down with an illness and unfortunately the next day was diagnosed with cancer and he didn’t last a week. He went from working on Friday to expiring the next Friday. Just a standup guy. I can’t tell you how many times we shook hands in the hallway. It didn’t matter what was going on it was how are you doing. It was a pretty big hit to the Nursing Staff. One of my favorite employees of all time, Alfred Harris, and Pastor Nation’s sister that was referred to earlier, Alfred’s wife, Debra Harris, had a foot surgery and unfortunately, it is the only thing you are scared of when you go have a surgery is forming a clot of some sort and unfortunately she did and passed away from a foot surgery. It’s a tragic thing. She and Alfred were married for 47 years. Anybody who knows Alfred, he is a standup guy. We have some great hunting stories. He retired from us a few years ago. Unfortunately that all kind of happened within about a week and a half.  Kenneth Clay said little known fact is Alfred Harris and I are first cousins. His mother and my mother were sisters. I always call him my big little brother because I didn’t have an older brother. We appreciate it very much.    XII. Medical Staff Report – 1) Recommendations – Dakota Robinson:   Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval.  MEDICAL STAFF APPOINTMENTS: None. MEDICAL STAFF REAPPOINTMENT:   1.) Kevin McDonnell, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 25, 2020 through February 28, 2022.   ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1.) Brian Cornelius, CRNA – Request Courtesy Privileges in the field of Anesthesia for the period of February 25, 2020 through January 31, 2022.    EXTENSION REQUEST: None.      VOLUNTARY RESIGNATIONS:  1.) Maaya Wilton M.D. – Voluntary resigns her privileges in the field of Pathology effective 09/27/2019.   2.) Laurie Gutstein, M.D. – Voluntary resigns her privileges in the field of Radiology effective 02/28/2020.  3.) Glenn Mason, M.D. – Voluntary resigns his privileges in the field of Radiology effective 02/23/2020.  4.) Michelle Goni, M.D. -Voluntary resigns her privileges in the field of Radiology effective 02/23/2020.   Robert Green made a motion to approve the Medical Staff Reappointment, Advance Practice Professional Re-Appointment, and Extension Requests as presented.      Kenneth Clay seconded the motion. The vote:   Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert T. Green, Jr., David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None. The motion passed by unanimous vote in favor.    XIII. Executive Session – Mary Irvin stated she would entertain a motion to go into Executive Session for the purpose of Strategic Planning. Robert Green made a motion to enter into Executive Session for the purpose of Strategic Planning. David Norman seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert T. Green, Jr., David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None. The motion passed by unanimous vote in favor. There will be a brief break. 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. Kenneth Cochran seconded the motion.  The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Robert T. Green, Jr., David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None.  Absent: None.  Abstain: None. The motion passed by unanimous vote in favor.  XIV. Adjourn – There being no further business, Mary Irvin called for a motion to adjourn.  Kenneth Clay made a motion to adjourn. Robert Green seconded the motion.  The vote:  Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr.  Abstain: None. The motion passed by unanimous vote in favor to adjourn.  The meeting adjourned at 6:53 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

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David C. Jones, Secretary