BOARD MEETING:  Regular Meeting   DATE:  July 27, 2021    MEMBERS PRESENT:  Mary Irvin, David Norman, Ronnie Festavan, Helen Godfrey-Smith, Pat White.    MEMBERS PRESENT VIA TELECONFERENCE:  Brenda Smith   MEMBERS ABSENT:  Kenneth Cochran, Robert T. Green, Jr. (arrived at 4:51 p.m.)  TIME CALLED TO ORDER:  4:03 p.m.    OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Walter  D. (Doug) White, Hospital Attorney, (Via Teleconference), Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst.    LOCATION:  NCMC Café and Via Teleconference – Conference ID 456 617 406 #    BOARD CHAIR: Mary Irvin    SECRETARY:  David Jones      I.  CALLED TO ORDER – Mary Irvin, Board Chair called the meeting to order at 4:02 p.m.     II. Invocation and Pledge of Allegiance – David Norman offered the Invocation and Mary Irvin led the group in the Pledge of Allegiance. Helen Godfrey-Smith offered a word of encouragement.    III. Approval / Amend Agenda – Mary Irvin noted we do have some amendments to share. David Jones stated we need to add #4 under New Business Approval of the Louisiana Legislative Auditor Questionnaire, something we do every year and #5 – Approval of Engagement of Lester, Miller and Wells CPA Firm to Conduct the Cost Report for Fiscal Year 2020 – 2021 that Mary Carroll sent us a reminder that we needed to do this. Mary Irvin stated we need a motion and a second to approve the amendments to the agenda.  Pat White made a motion to amend the agenda to include #4 and #5 under New Business as noted.  David Norman seconded the motion. There was no discussion. The vote: Yeas: Pat White, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith.   Nays: None.  Absent: Kenneth Cochran, Robert Green, 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 this evening we are going to talk about committees. It is something we have mentioned a few times. Mrs. Helen is going to share a few things to get us started and thinking in a direction when it comes to the committees that you may serve on or you may serve on in the future; just a few thoughts.    VI. Minutes – Regular Meeting June 22, 2021 – Mary Irvin stated we need a motion and a second to approve the minutes of the regular meeting held June 22, 2021 with discussion, if any, to follow. The minutes were mailed prior to today’s meeting for review. David Norman made a motion to approve the minutes of June 22, 2021 as presented. Helen Godfrey-Smith seconded the motion.       There was no discussion or corrections noted. The vote: Yeas: Pat White, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran, Robert Green.  Abstained: None. The motion passed by unanimous vote in favor.     VII. Foundation Report – David Jones stated I will give a report as Mary Coil, our Foundation Director, is away on vacation. She wanted me to remind everybody of September 25th we are having a Burgers and Bingo Night at the Rotary Club. They are doing a game night, a silent auction. We would like everybody to come and purchase tickets for that.     VIII. Chief of Staff Report – David Jones said I spoke to our Chief of Staff, who is off today. He said things are pretty much rolling. There has been a definite uptick in COVID patients and admissions here at the hospital and a massive increase statewide. We still do have vaccinations here at the hospital. We are still delivering vaccinations here at the hospital so if anybody you know wants or needs we certainly can do that.     IX. Old Business – 1) Update on Building Projects:  David Jones said I wanted to give a quick update on the Benton and Blanchard projects. We had been hitting rain for about every three to four days. We were in the dirt process. We are still at the dirt phase, because every time it rains it pauses them for a couple of days and they have to redo some things. Benton and Blanchard are slow going and will be until we can get a frame up and get them in the dry. Benton will be a phase project so you will have new construction with a shutdown of the old to move over to the new and then gutting and redoing the old which is a luxury that Blanchard has. We don’t have to worry about that. We will just build it on site. We’ve had very good progress with the Dental. Pam Hughes said we are about to start coming into the clinic the end of this week. Everything is on schedule for the clinic. The last project, the roof replacement, August 28th is the date that we’ve been told commencement wise. They were having tons of problems getting the actual roof material that we use. 2) Update on Pyxis Drug Cabinets:  David Jones stated that the Pyxis Drug cabinets are installed and being used. A very long process. COVID slows everything down. Between our pharmacist, Penny Dickens, Stacy Alexander, DON, and her staff, Ross Hansen, from an IT standpoint, and Dakota Robinson and all of the people who report to them have been working on this project. It was a massive undertaking. They are up and running and it really went live with very few bumps.    X. 1) Review June 2021 Statistics – Dakota Robinson:   Dakota Robinson said beginning with the Statistics you’ll see we had 48 admissions, 3 Swingbed admissions. If you look at the Inpatient Days, you’ll see we’re off of a high of 315 in April down to 185 in June. It’s sort of in line with what we saw the first quarter of 2021. Surgeries – actually had 16 of them and then in June we did 9. Year to date, if we look at a whole 12 month period we had 168 surgeries both in and outpatient which was actually a 21% increase from the previous year. We did 11 Endoscopies. On the year that put us at 160 year to date up. ER visits went from 498 to 485 visits, about a 3% decrease and then year to date.  Newborns – a very cyclical department, went from 6 in May to 5 in June. A year to date we’ve done 75. which is a slight decrease from the previous year. We’ve done 13 newborns this month. The Vivian Clinic, you’ll see that they did 18,177 visits. That’s up from the previous year, about 14% up the previous month.   Plain Dealing, we saw the opposite effect. We went from 595 visits in May to 616 in June. That puts them at almost 7,900 visits year to date, which is a 4% increase from the previous year. At Benton, we see very similar numbers. We sent from 440 in May to 503 in June. They actually broke the 6,100 mark in total number of visits for the year over 12 months which puts them at a 6% increase for 2021. Blanchard Clinic obviously, they don’t have any historical data to back and compare 12 months, but from May to June we saw six % increase from 451 to 480. Fitness Center total 311 members, you’ll see in June they had a total of 36 signups, so if we go all the way back to the beginning of the calendar year, they had the most number of signups in June and they had a little over 1,600 visits on the month. Any questions on the Statistics? If not we’re going to move on to the Financials. 2) Review June 2021 Financials – Dakota Robinson:  Dakota Robinson began discussion of the financials. Dakota stated on page 2 of the Balance Sheet one of the main changes you’re going to see is in Notes Payable. It’s half way down on the Balance Sheet. Last month that Notes Payable is $31 million. We will reduce that down to $26 million and this time last year it was $27.5 million, almost, so we’ve seen a reduction in that. The two main areas, one of them comes from the Provider Relief Fund, the other one comes from the Payroll Protection Program. If you look at page #3 of the Income Statement on the very top line, you’ll see we did a little over $4 million in revenue and year to date $44.5 million compared to $41.6 million the previous year.  With that being said put us at $23.6 million in Net Patient Revenue. That’s an increase of almost $3 million from the previous year. If we get down into Salaries and Wages, you’ll see that only $57,000 increase from the previous year for the month of June and a 7% for the whole year.   Medical Supplies and Drug – you’ll see that this is one of the areas that had a significant increase of almost half a million dollars compared to the previous year.  If we look at Total Operating Expenses as a whole, you’ll see that through 12 months we did $28.1 million compared to almost $26.1 million at a little over 7% increase on the year and I would say that with the cost increases we’ve seen and we’ve added additional expenses, whether it’s related to surgery, the Blanchard clinic, whatever, that looks like we have added service line items that affect that number as well when we look at the expense side. You’ll see that the Emergency Room for the last month actually was net better than where they were the previous year, so we’ve seen a lot of good things and then year to date, and we look at year to date numbers, you’ll see Radiology is better off, Pharmacy, Operating in recovery that we’ve see that one of the main standouts here, other, I’d like to point out is the Therapies. We’ve seen a drastic increase in therapies; almost $400,000 and if we draw that down into what that looks like, you got to think therapy takes place. (Robert Green arrived at 4:51 p.m.)  In our minds, at North Caddo, therapies always been an inpatient number and a lot of that still takes place, but with our inpatient numbers there was a reduction, so with that and swing bed you see a reduction in inpatient physical therapy. Well, if we increase the bottom line to physical therapy, speech therapy, OT, all the therapies by $400,000, that right down there increased what we did significantly, and so, that’s a really, really good thing to see and then we look at all of our clinics.  If we get into Salaries and Wages, you’ll see that we’re under budget on Salaries and Wages, Employee Benefits and Payroll Taxes. Obviously, we looked at Medical Supplies and Drugs, Professional Services; those are over budget, we know the reasons why and the main reasons why we get down into the Non-Operating Revenue and it offsets that; more than offsets that. If you look at Total Expenses we were more on our Total Expenses by $793,000 more than budgeted. Any questions on the Financial Statements? 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 June 2021 Statistical and Financial Statement subject to audit. Pat White made a motion to approve the Statistical and Financial Statement as presented subject to audit. David Norman seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None.   The motion passed by unanimous vote in favor.   XI. New Business – 1) Discussion of Building Purchase:  David Jones stated if he could have a motion and a second. This is to do with the discussion of the building purchase at 202 South Avenue, which is the old pharmacy building to the west of the hospital. Mary Irvin said we need a motion and a second for discussion. Robert Green made the motion for discussion of the building purchase. Ronnie Festavan seconded the motion. Discussion followed.  Mary Irvin asked if there was any more discussion or questions. There were none. Mary Irvin asked for a motion and a second to approve the purchase of the property at 202 South Avenue. Ronnie Festavan made a motion to purchase the property at 202 South Avenue.  Robert Green seconded the motion. Mary Irvin asked if there was any further discussion. There was none. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None. The motion to purchase the property at 202 South Avenue passed by unanimous vote in favor.   2) Approval of Purchase of Electronic Signage:   David Jones asked if I could have a motion and a second to approve the purchase of an Electronic Sign for the front of our hospital in the amount of $98,939. David Norman made a motion to approve the purchase of an Electronic Sign for the front of the hospital for the amount of $98,939. Ronnie Festavan seconded the motion.  We identified an area through HRSA that was taking proposals for a grant to which we applied for and one of the things we put in the grant was it was for vaccine education was that we have an electronic billboard and electronic means throughout the hospital to educate people that came in on vaccines. We were awarded $148,000 a couple of weeks ago via a grant. Mary Irvin asked if the grant also cover the cost of the screens in the patient rooms. David Jones replied yes. Dakota said all the clinic rooms and waiting areas. Mary Irvin asked if there was any more discussion. There was none. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith.  Nays: None.   Absent: Kenneth Cochran.  Abstained: None.  The motion to approve the purchase of the Electronic Signage passed by unanimous vote in favor.   3) Approval of Resolution #4 – 2021 – Granting Signatory Authority to David Jones, CEO, to Sign a Mineral Lease for Five Acres on North Market Property:  David Jones said this is granting signatory authority to myself to sign a mineral lease for the five acres on the North Market property that is south of I-49 that we own. If I can get a motion and a second I have quite a bit of information to provide to you on that. Robert Green made a motion to approve the Resolution granting David Jones the authority to sign a mineral lease for the five acres on the North Market property as noted. Pat White second the motion.  David Jones said this is the piece of property that we purchased when we initially thought we were going to put our Rural Health Clinic on and then at the last minute found out from a census standpoint that it was not eligible to put a rural health clinic on. Mary Irvin asked if there were any more discussion or questions. There were none. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The vote was unanimous in favor to approve Resolution #4 – 2021, granting signatory authority to David Jones, CEO, to sign a Mineral Lease for five acres on North Market property as noted.    4) Approval of Louisiana Legislative Auditor Questionnaire:   David Jones stated #4 is a bit of bookkeeping. We did this last year and Mary Carroll sent us a reminder a couple of weeks ago that we need to do this at this Board meeting and that is to approve the Legislative Auditor’s Questionnaire. Dakota said it is multiple pages and Mary looked through it earlier. It’s basically saying how our business in structured, what we do and we are in compliance. David Jones stated it is an annual requirement from the state that we do this every year.  Mary Irvin stated we need a motion and a second to approve the Louisiana Auditor’s Questionnaire. David Norman made a motion to approve the Louisiana Auditor’s Questionnaire. Ronnie Festavan seconded the motion.  The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor to approve the Louisiana Auditor’s Questionnaire.  5) Approval of Engagement of Lester, Miller and Wells CPA Firm to Conduct the Cost Report for Fiscal Year 2020-2021.  Mary Irvin stated we need a motion and a second and then we will have discussion. Robert Green made a motion to approve engagement of Lester, Miller and Wells CPA Firm to conduct the Cost Report for Fiscal Year 2020-2021. David Norman seconded the motion. David Jones asked Dakota if we have the amount that it is going to cost. Dakota stated it is $27,000. David Jones said $27,000 is pretty much in line with what we did last year. Mary Irvin said all in favor of Lester, Miller and Wells doing our Cost Report for 2021. The vote:  Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None.  Absent: Kenneth Cochran.  Abstained: None.  The vote was unanimous in favor to approve engagement of Lester, Miller and Wells to conduct the Cost Report for 2021.    XII. Administrative Reports – 1) NCMC – Pandemic Update:  David Jones said I kind of gave a pandemic update. Things progressing the way they are in the state, just an FYI we will probably going to start clamping down on our visiting policy here a little bit more than we are. Dr. Woods’ bringing that discussion to Nursing tomorrow, but we currently have multiple COVID patients in house now. LSU Ochsner is at beyond capacity and they are actually trying to get patients transferred to us to give them some relief. Willis Knighton is doing the same thing. Willis Knighton Pierremont contacted us today about taking patients from Shreveport to here.  David Jones said that is all I have under Administrative Reports.   XIII. Medical Staff Report – 1) Recommendations – Dakota Robinson:  Dakota Robinson presented the Medical Staff recommendations for Board approval. MEDICAL STAFF APPOINTMENTS: 1.) Jessica McKenzie, M.D. – Request Provisional Privileges in the field of Emergency Medicine for the period of July 27, 2021 through July 31, 2022.   2.)Nicholas Roberts, M.D. – Request Provisional Privileges in the field of Emergency Medicine for the period of July 27, 2021 through July 31, 2022.   3.) David Caltrider, M.D. – Request Provisional Privileges in the field of Emergency Medicine for the period of July 27, 2021 through July 31, 2022.    MEDICAL STAFF REAPPOINTMENT:  1.) Steven Davis, M.D. – Request Courtesy Privileges in the field of Radiology for the period of July 27, 2021 through July 31, 2023.  2.) Donald Nicell, M.D. – Request Courtesy Privileges in the field of Radiology for the period of July 27, 2021 through July 31, 2023. 3.)  Alecia Rideau, M.D. – Request Courtesy Privileges in the field of Radiology for the period of July 27, 2021 through July 31, 2023.  4.) William Liles, M.D. – Request Courtesy Privileges in the field of Pathology for the period of July 27, 2021 through July 31, 2022.  5.) Steven Heard, M.D. – Request Courtesy Privileges in the field of Pathology for the period of July 27, 2021 through July 31, 2022.  6.) Catherine Sharpe, M.D. – Request Active Privileges in the field of Family Medicine for the period of July 27, 2021 through June 30, 2023.  7.)  Jeffrey Goorland, M.D. – Request Courtesy Privileges in the field of Emergency Medicine for the period of July 27, 2021 through July 31, 2023.    ADVANCE PRACTICE PROFESSIONALS  APPOINTMENTS / REAPPOINTMENT:  1.) Sean Landreneau, FNP – Request Affiliated Privileges in the field of Family Nurse Practitioner field for the period of July 27, 2021 through July 31, 2023.  EXTENSION REQUEST:  None.     VOLUNTARY RESIGNATIONS: None.    Robert Green made a motion to approve the (3) Medical Staff Appointments, (7) Medical Staff Reappointments, and (1) Advanced Practice Professional Reappointment as presented. Ronnie Festavan seconded the motion. The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor of approval of the Medical Staff recommendations.    XIV. Executive Session:   Mary Irvin stated she would entertain a motion to enter into Executive Session for Strategic Planning. Robert Green made a motion to enter into Executive Session for Strategic Planning. Ronnie Festavan seconded the motion. The vote:  Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor of entering into Executive Session for the purpose of Strategic Planning. Mary Irvin stated there will be a brief five minute break prior to entering into Executive Session.   The Executive Session was entered into.   No action was taken during the Executive Session.  Robert Green made a motion to enter back into regular session. Pat White seconded the motion.   The vote: Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor.   XV. Adjourn:  There being no further business Helen Godfrey-Smith made a motion to adjourn. Ronnie Festavan seconded the motion. The vote:  Yeas: Pat White, Robert Green, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith. Nays: None. Absent: Kenneth Cochran.  Abstained: None.  The motion passed by unanimous vote in favor.   Meeting adjourned at 6:37 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

 

__________________________

David C. Jones, Secretary

Approved by the Board of Directors at the regular meeting held August 24, 2021

 

 

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