BOARD MEETING:  Regular Meeting   DATE:  November 23, 2021    MEMBERS PRESENT:  Mary Irvin, David Norman, Robert Green, Brenda Smith, Pat White.    MEMBERS PRESENT VIA TELECONFERENCE:  None.   MEMBERS ABSENT: Kenneth Cochran, Ronnie Festavan, Michael W. Nation, Sr., Helen Godfrey-Smith.  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, Mary Coil, Foundation Executive Director / Marketing Director, Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst.  LOCATION:  NCMC Café and Via Teleconference – Conference ID 216 803 333 #    BOARD CHAIR:   Mary Irvin   SECRETARY: David Jones   I.  CALLED TO ORDER – Mary Irvin, Board Chair called the meeting to order at 4:03 p.m.     II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation and David Norman led the group in the Pledge of Allegiance. Brenda Smith offered a word of encouragement.      III. Approval / Amend Agenda – Mary Irvin stated we need an adjustment to the agenda. Under New Business, we need to strike #3 –  Board Approval of Purchase of Furniture for Benton and Blanchard Clinics. This is within our CEO’s spending limit. We need a motion and a second to approve the amended agenda. Robert Green made a motion to approve the amended agenda. David Norman seconded the motion. There was no discussion. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote 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 stated in the front portion of your binder there is a December calendar and you’ll see that we’ve scheduled some tentative meetings of committees such as the Technology and Nominating Committee because we will be moving some opportunities with committees.   VI. Minutes – Regular Meeting September 28, 2021 – Mary Irvin stated we need a motion and a second to approve the minutes of the regular meeting held October 26, 2021 with discussion, if any, to follow. Robert Green made a motion to approve the minutes of October 26, 2021 as presented. Pat White seconded the motion. There was no discussion or corrections noted. The vote:  Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor.    VII. Foundation Report – Mary Coil, Foundation Executive Director, stated we have some trees on display here that are up for auction. They are all listed on Facebook. They do such a great job working; they want their tree to be the best and I love every moment of it; it’s so exciting. It will end on December 5th at 8:00 p.m. The only other thing I have is we are in the planning phases for our next event after December which will be in August. We will have a gala like event – a safari. We are in the very beginning stages so save the date of August 27, 2022!   VIII. Chief of Staff Report – David Jones reported that the Chief of Staff, Dr. John Woods, is off today.  IX. Old Business – 1) Update on Building Projects:    David Jones asked Pam Hughes if she would give an update on Blanchard, Dental and Benton building projects.   Pam Hughes stated that the Dental is almost complete. Blanchard is really going good. They did all the floating and taping and they are supposed to put in the frames for the windows next week and then the glass maybe the next week.  Benton – not so good. They are getting ready to pour. They did the rebar today and the poly. David Jones said the fourth project, the roof, we are all but complete on that. 2) Electronic Signage Update: David Jones asked Mary Coil if we have anything thrilling. Mary Coil said it is on schedule for 2022. They did send us a sample for custom paint for the brick and we were happy with that. They did some marking this week for the people to be sure where all the lines are when they will be digging. We are moving forward.  3) Update on Purchase of New Ambulance:  David Jones gave an update on the purchase of the new Ambulance stating it is still on schedule. The Board viewed slides of the progress of the construction projects. 4) Update on Telemetry Monitors:  David Jones reported that the Telemetry Monitors are in and installed and working. We’re updated from a telemetry standpoint for a few years.  X. 1) Review October 2021 Statistics – Dakota Robinson:  Dakota Robinson, CFO, stated it’s sort of a mixed bag of stats. Our Admissions went from 59 to 50. One of the good things that we’ve seen an uptick in Swing Bed. Inpatient Days, even though there was a reduction in the number of admissions, we didn’t see a comparable decrease in the number of inpatient days. We had 96 Swing days on top of those, which is better than what we’ve seen previous this calendar year. The Average Daily Census did fall from 10.9 the previous month to 8.6. Surgery –We’ve actually done 57 year to date which is a 7% increase from the previous year. Endoscopy – we did see Endoscopies fall from eight to six and we have about a 30% decrease from last year. Dakota continued stating that one of the areas that we did see a significant decrease from last month, actually a 25% decrease in the Emergency Room. It went from 627 two months in a row to 472. We still year to date are 27% higher than where we were at the previous year. Mammography – Mammography is up. You see we did 48 in September and we’re at 58 for the month of October. David Jones said if you keep that average, you are talking about 600 mammograms throughout the year, that’s 600 visits more to this hospital than we were getting before the Foundation gifted us with that unit and 600 women that don’t have to travel to Shreveport to get that done. Dakota continued stating Newborns – If we look at Newborns we doubled the number of newborns and year to date we’re seeing a 20% increase. Vivian Clinic, you see numbers haven’t changed too much from the previous month. They saw right at 2,000 and they’re about 1% off where they were the previous year. Plain Dealing Clinic – they’re very similar. They did 667 compared to 702 in September and they’ve seen 2,813 on the year. Benton Clinic decreased slightly from 566 to 532.  Blanchard Clinic, we did see them decrease from 742 as a high in September down to 611 in October. David Jones said if you look at totals talking about year to date, last year we saw roughly over 8,100 Caddo parish residents in our clinics, and if you look at it this year you are talking about 10,700 patients from Caddo parish in this clinic. Then you are right at 5,000 in Plain Dealing and in Benton this year versus last year. So you talk about almost 5,000 visits in Bossier Parish. Dakota continued stating Fitness Center membership – you’ll see that they signed up 17 in October compared to 9 the previous month. They did almost 1,200 visits and had over 300 members. Any questions on the statistics?  There were none.  2) Review October 2021 Financials – Dakota Robinson:  We looked at the number, we saw some of the slight decreases in some of our larger areas from September. We talked in the Finance Committee about the contractual adjustments. Contractual adjustments on the year almost 52%. I think that’s a little high. Looking at page 1 of the Balance Sheet you will see that on the top asset lines, we’ve got $14.79 million, 283 days Unrestricted Cash On Hand. The Blanchard Clinic and the Dental Clinic have both taken large draws, almost to the sum of half a million, so when we see reductions remember all of this is being paid for with operating cash and not bond proceeds. On page three, we look at the Revenue. We did $3.8 million in Revenue compared to $3.6 million the previous period. If we look at Salaries and Wages, we’re a little bit above, about $60,000 above the budgeted Salaries and Wages for the month, and about 3% over budget for the year. If you get down to Employee Benefits and Payroll Taxes I believe it’s the first month where we’ve split the budget. We weren’t above the budget. We’re now below what we budgeted for so hopefully that trend continues going. Medical Supplies and Drug, obviously we expected an increase but we did not expect the added expense of increasing inventory for now. If we look at the clinics, you’ll see the Vivian Clinic on their almost 2,000 visits turned a profit of $16,541 and on the year are sitting a little bit below $200,000. The Plain Dealing Clinic, on page 10, had a slight loss of $2,200. They are always on that line and put on a profit under $2,000. The Benton Clinic on their 532 visits saw $25,000 in profit and put them a little under $100,000 for the year. The Blanchard Clinic, second month in a row with a profit, obviously wasn’t what it was the previous month but still $444, puts them to a net loss of $11,000 on the year, so we’re starting to see that trend the way we expected. Any questions? 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 October 2021 Statistical and Financial Statements. Pat White made a motion to approve the Statistical and Financial Statements as presented subject to audit. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor.   XI. New Business – 1) Sick Time Buy Back ApprovalDavid Jones said it’s that time of year again to consider approving the Sick Time Buy Back for the employees of North Caddo Medical Center. If I could get a motion and a second I’ll answer any questions. Robert Green made a motion to approve the Sick Time Buy Back for North Caddo Medical Center Employees. Brenda Smith seconded the motion. Mary Irvin asked if there are any questions about the Sick Time Buy Back. There were none. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor.  2) Board Approval of Purchase of 507 Furman Street, Oil City:  David Jones stated if I could get a motion and a second for the approval of the purchase of 507 Furman Street, Oil City, Louisiana for our EMS staff and the housing of our EMS unit there, I will answer any question.  Robert Green made a motion to approve the purchase of 507 Furman Street, Oil City, Louisiana for our EMS staff and the housing of our EMS unit there. David Norman seconded the motion.  Mary Irvin said if there is no further discussion or questions we will now vote. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor. XII. Administrative Report – 1) Pandemic Update:   David Jones reported that from a pandemic standpoint the state has actually stopped reporting on the weekends because our numbers are so low in the state for now. I don’t want to seem like a naysayer but you know respiratory season is coming up. There will be respiratory illnesses coming up. We will be prepared to handle that whenever it and if it does happen. David Jones said we’ve delivered 250 booster shots. The pharmacist is doing that as of now. We’re actually offering flu shots at Community Rx as well but any type of booster shot that the community would want we can go over there, and of course, we’re not charging you anything. We’ll be getting insurance information and billing for it. Mary Irvin asked you have to make an appointment. David Jones replied no – just show up during the hours scheduled. Dakota said that varies. It goes morning, afternoon; afternoon, morning. Today was afternoon, tomorrow is morning. Thursday and Friday they are not open. Dakota said the schedule is on Facebook but I’m not sure if it is on the website. I will check into that.  XIII. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for Board approval.   MEDICAL STAFF APPOINTMENTS:  1) Cristin Jackson, DMD – Requests Active Privileges in the field of Dentistry for the period of November 23, 2021 through November 30, 2022.  2) Charles McCathran, M.D. – Request Temporary Privileges in the field of OB/GYN for the period of November 5, 2021 through January 5, 2022.  3) Claude Lockhart, M.D. – Request Temporary Privileges in the field of OB/GYN for the period of November 5, 2021 through January 5, 2022. 4) Catlin Busada, M.D. – Request Temporary Privileges in the field of OB/GYN for the period of November 5, 2021 through January 5, 2022.   5) Lauren Lowery, M.D. – Request Temporary Privileges in the field of OB/GYN for the period of November 5, 2021 through January 5, 2022.   MEDICAL STAFF REAPPOINTMENT:  1) Taro Aikawa, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 23, 2021 through November 30, 2023. 2) David Burdette, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 23, 2021 through November 30, 2023.  3) Cathleen Ivy, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 30, 2021 through November 30, 2023.  4) Jerome Klien, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 23, 2021 through November 30, 2023.  4) Bernadette McLaren M.D. – Request Courtesy Privileges in the field of Pathology for the period of November 23, 2021 through November 30, 2023.  6) Marc Paul M.D. – Request Courtesy Privileges in the field of Radiology for the period of November 23, 2021 through November 30, 2023. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENTS:  1) Jennifer Hart, NP – Request Affiliated Privileges in the field of Family Medicine for the period of November 23, 2021 through November 30, 2023.  2)Kirk Martinson CRNA – Request Affiliated Privileges in the field of Anesthesia for the period of November 23, 2021 through December 31, 2023.     EXTENSION REQUEST:  None.   VOLUNTARY RESIGNATIONS: 1)  Damein Burgess, CRNA – Request to voluntary resign his Privileges in the field of Anesthesia effective 10/31/2021.   2) Chad Koons, CRNA – Request to voluntary resign his Privileges in the field of Anesthesia effective 10/31/2021.   Robert Green made a motion to approve the (5) Appointments, (6) Reappointments, (2) Advance Practice Professional Appointments and (2) Voluntary Resignations as presented. Pat White seconded the motion. There was no discussion. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor.   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. Brenda Smith seconded the motion. The vote:  Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor of entering into Executive Session for the purpose of Strategic Planning.   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. David Norman seconded the motion.   The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor.   XV. Adjourn:  There being no further business Robert Green made a motion to adjourn. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Mary Irvin, David Norman, Brenda Smith, Robert Green. Nays: None. Absent: Kenneth Cochran, Michael Nation, Ronnie Festavan, Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor. The meeting adjourned at 5:46 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 December 28, 2021

 

 

 

 

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