BOARD MEETING:  Regular Meeting   DATE:  July 26, 2022    MEMBERS PRESENT:  David Norman, Jennifer Fant, Ronnie Festavan, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Pat White. MEMBERS PRESENT VIA TELECONFERENCE:  None   MEMBERS ABSENT: Kenneth Cochran   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, Brent Leonard, Financial Analyst, Kourtney Tyson, Foundation Director, Mary Coil, Marketing Director, Britney Stringham, Administrative Assistant, Michele Heflin, IT/Compliance.     Via Teleconference: None.  LOCATION:  NCMC Café and Via Teleconference – Conference ID 216 803 333 #    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 – Michael Nation offered the Invocation and Mary Irvin 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. Brenda Smith made a motion to approve the agenda. Mary Irvin seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent:  Kenneth Cochran.    Abstained: None. The vote was unanimous in favor. The agenda was approved as presented.   IV. Community Comments / Board Education – David Norman, Board Chair inquired if there was anyone from the community logged on. There were none.   Board Education: Dakota Robinson said today it was requested that we show a little of the Patient Portal so I have Michele Heflin, one of IT Specialists / Nursing.   Any questions. Brenda Smith asked if this was all the clinics. Michele replied yes. As long as the patient has agreed and all it takes is an email address, once you enter it they can get into it.  David Norman said so you have to have an email address? David Jones replied yes.       V. Minutes – Regular Meeting June 23, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow.  Michael Nation made a motion to approve the minutes of June 23, 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, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent; Kenneth Cochran.  Abstained: None.  The vote was unanimous in favor.   VI. Foundation Report – David Jones said we have a new speaker here for our Foundation Report. He asked Mary Coil to introduce her. Mary Coil said I would like to introduce Kourtney Tyson. She is our new Foundation Director. Kourtney served on the Foundation Board. It’s been close to three years ago that she served two full terms of six years.  David Norman thanked Mary Coil and Kourtney for their reports.   VII. Chief of Staff Report – Dr. John Woods, Chief of Staff, said everybody is seeing on the news Covid again. David Norman thanked Dr. Woods.   VIII. Old Business – 1) Update Building Projects:  David Jones said there’s some final little bitty touches behinds the scenes being done to Blanchard but other than that it is complete. We have our open house scheduled for August 13th.  Our Bone Densitometer will be installed starting on Monday.    IX. Review June 2022 Statistical and Financial Reports:   1) Statistics – Brent Leonard stated given that we finished our fiscal year for the statistics, I will have some good year to date comparison to the previous year.  Starting with our inpatient numbers, we are down slightly. In May we were at 36 for impatient admissions and in June we were at 33. For Swing we saw 9 admissions and that’s one patient improvement from May. Both are starting to pick up in July. Looking at Inpatient and Swing days, year to date inpatient days are at just over 1,700 and year to date for swing is just over 1,300 days. The Average Daily Census, we saw a good increase from May to June. We are at 9.4; a 50% increase there. Year to date averaging about 9 and how that compared to last year we are at 9 for 2021. ER visits are kind of trending around that 400 to 500 mark that we are pretty consistent at. For June we are at 464 and year to date 6,200, that’s about a 14% increase from last year. Our EMS stats, for total EMS runs we are at 139 for June; a slight decrease from May.  Surgery saw a good increase from May to June. June we are at 12, we are averaging around 12 a month with a year to date total of 141 and that is a slight drop from 167 last fiscal year.   Sleep Studies – we hit the 50 mark again in June and we are averaging right around 39. Two big months in May and June are from us having another room so we are seeing a lot more patients there. Year to date is at 469 and 23% increase from last year. It’s been a really strong year for sleep studies.  In our clinics, we actually saw no change in Vivian compared to last month at 1,749 and for the year we are averaging right at 2,000 patients a month in Vivian for 2022. That puts us at a year to date of just over 23,000 which is pretty close in line with last year. I think it’s a one or 2% decrease from last year. David Jones said that’s really unexpected. You really should have seen a far greater decrease because you have two whole months where your lead provider wasn’t in the clinic. He moved to Blanchard.  It really kind of shows the strength of Blanchard versus anything else. Brent continued.  Plain Dealing, for the month of June 566, and year to date they almost did 8,000 and a slight increase from 7,800 from last year.  Brent continued stating in Benton for the month of June there were 576 visits; about a 2% increase from May and they are averaging about 550 for the fiscal year. Compared to last year we are at about a 9% increase on year to date. We saw almost 5,700 year to date. Blanchard the month of June, 893; a slight decrease of the high in May and year to date just under 9,000. This time last year they were at 1,600.  Vivian Dental saw 109 in June. They are at 669 year to date.  Community Rx total scripts is 1,207; a 32% increase from May. Our Fitness Center total members is 352 with almost 1,500 total visits. That is our stats. Are there any questions. There were none. Review June 2022 Financials – Dakota Robinson:    Dakota said as I go through this it will be a little bit different than our normal months. It is year-end so there are adjustments that go on. Turning to page 1 of the Balance Sheet you’ll see at the very top we’ve got Current Assets. That’s the total unrestricted cash that we have on hand at the current moment.   Down the Balance Sheet, you’ll see, I’ve been talking a lot about the Capital Assets and you look at the Building and Building Improvement line item. You’ll see this time last year that was $25.9 million. It is currently $30.5 million.   I will tell you we looked at the 340B numbers, they are doing well and they are not at their peak or max by any means. It is doing what we thought it would do. Any questions on the financial statements. David Norman recognized Ronnie Festavan to speak. Ronnie Festavan said just a question in general as you went through that. I heard you say that a lot of no shows. Do we have any kind of policy at all where we have charge for a no show? Dakota replied it’s difficult. We cannot charge legally when we do not see those patients. I believe you’ve probably seen that policy at private practices and even a lot of your providers in town, specialist providers, they don’t take Medicaid so they can implement charges like that.  Ronnie Festavan said that answers my question. I just know, just like you said, a lot of private providers have gone to that. I’ve been noticing at different facilities where they are posting a policy if you are a no show there’s a $20 charge. That was just a point of interest. Ronnie Festavan said thank you Mr. Norman. David Norman asked if there was anyone else. There was none. David Norman said I would entertain a motion and a second to approve the Statistical and Financial Reports. Pat White made a motion that the Statistical and Financial Report be approved subject to audit.  Robert Green seconded the motion. The vote:  Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran. Abstained: None.  The motion passed by unanimous vote in favor of the Statistical and Financial Reports as presented.   X. New Business – 1) Approval of Resolution #8 – 2022 – Update Credit Card Account Names – David Jones said if I could get a motion and a second for Resolution #8 to update our credit card account names. It’s more of a bookkeeping thing at this point but I will explain more. Brenda Smith made a motion to approve Resolution #8 -2022 to update the credit card account names. Michael Nation seconded the motion.  The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None. Absent: Kenneth Cochran.  Abstain: None.   The motion passed by unanimous vote in favor of approval of Resolution #8 – 2022.  2) Property Purchase – 6.3 Acres South Bossier – David Jones said if I could have a motion and a second for the purchase of 6.3 acres in South Bossier.  Mary Irvin made a motion to approve the purchase of 6.3 acres in South Bossier. Brenda Smith seconded the motion.  David Norman said we have a motion and a second for the purchase of the 6.3 acres of property in south Bossier. It is time for a vote.  The vote:  Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor of the purchase as presented.  3) UCC Engagement – David Jones stated we have the UCC engagement letter from our CPA firm that we have been using for the last three years, LBK, which we need approved by the Board. David Norman said I need a motion and a second. Robert Green made a motion to approve the UCC engagement letter from the CPA firm of LBK. Ronnie Festavan seconded the motion. Dakota Robinson said the engagement letter should be in the Boards files. There has been no cost change. It was our recommendation that we remain with LBK.  David Norman asked for a vote for the approval of the UCC engagement letter from the CPA firm of LBK.  The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant.  Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor of approval of the UCC engagement letter from CPA firm LBK. XI. Administrative Report – Some of the things I was going to go over we have already gone over. I got a bit of good news this morning, but I will let Mr. Leonard speak on because his efforts went a long way in us obtaining it. We have some good news from the USDA today. Brent will you share that with us. Brent said the USDA is going to give us a grant to renovate the Extended Services building, the old clinic. The description of the grant is, because the big idea is that is going to be Pharmacy, Dental, which that’s not going to go towards the grant. The big part of the grant is going to be we are going to have a multipurpose center that can be used for shot clinics or any type large event. David Jones said like a community education center. Brent said the interior is going be a big open room that can be used for all sorts of different needs that we have.  Brent continued stated they did the map on it and the part the grant will cover is about 33% of the total square footage. David Norman recognized Ronnie Festavan to speak. Ronnie Festavan said so is the grant a total commitment from the USDA or is it a matching funds. Dakota said it is both.  Ronnie Festavan said we are going to have to have $250,000 on the original commitment. Dakota said yes. Ronnie Festavan said ok.  David Norman asked if there was any further discussion. There was none.   XII. Medical Staff Recommendations – June 2022 Medical Staff Recommendations: Dakota Robinson presented the Medical Staff recommendations for Board approval.  MEDICAL STAFF APPOINTMENTS: 1) Robert Miller, M.D. – Requests Provisional Privileges in the field of Radiology for the period of July 26, 2022 through July 31, 2023. 2) Matthew Smetiko, M.D. – Requests Provisional Privileges in the field of Radiology for the period of July 26, 2022 through July 31, 2023. 3) Marshal Byun-Anderson, M.D. – Requests Provisional Privileges in the field of Emergency Medicine for the period of July 26, 2022 through July 31, 2023.    MEDICAL STAFF REAPPOINTMENT: 1) Jessica McKenzie, M.D. – Requests Courtesy Privileges in the field of Emergency Medicine for the period of July 26, 2022 through December 31, 2024.   2) David Caltrider, M.D. – Requests Courtesy Privileges in the field of Emergency Medicine for the period of July 26, 2022 through October 31, 2024.   ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS / REAPPOINTMENT:   1) Ruthie McRae, CRNA – Requests Affiliated Privileges in the field of Anesthesia for the period of July 26, 2022 through July 30, 2024. 2) Jere Thompson, FNP – Requests Affiliated Privileges in the field of Family Medicine for the period of July 26, 2022 through July 30, 2024.    EXTENSION REQUEST: 1) Joseph Heard, M.D. – Requests extension pending completion of application.  2) William Liles, M.D. – Requests extension pending completion of application.  3) William Wesche, M.D. – Requests extension pending completion of application.    VOLUNTARY RESIGNATIONS: 1) Richard Owings, M.D. – Voluntary resigns his privileges in the field of Pathology effective 06/30/2022.  2) James Faliszek, M.D. – Voluntary resigns his privileges in the field of Radiology effective 06/30/2022. 3) 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.  Robert Green made a motion to approve the (3) Medical Staff Appointments, (2) Medical Staff Reappointments, (2) Advance Practice Professionals Reappointments, (3) Extension Requests and (3) Voluntary Resignations.  Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None. Absent: Kenneth Cochran. Abstained: None. The vote was unanimous in favor of approval of the Medical Staff recommendations as presented.     XIII. Executive Session – David Norman stated there is no business to be discussed for strategic planning.  I would like to apologize to our new Board member. I should have introduced her at the beginning of the meeting and not the end. We certainly want to welcome you to this Board and we look forward working with you and you with us. Jennifer Fant said I am happy to be here. David Norman said we are glad to have you. XIV. Adjourn – There being no further business Michael Nation made a motion to adjourn. Mary Irvin seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin, Jennifer Fant. Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor to adjourn the meeting. The meeting adjourned at 5:27 p.m.

 

 

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

____________________________

David C. Jones, Secretary

 

 

 

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