BOARD MEETING: Regular Meeting DATE: October 22, 2019 MEMBERS PRESENT: Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Patricia White. MEMBERS ABSENT: Kenneth Clay (arrived at 5:46 p.m.), Robert T. Green, Jr., Helen Godfrey-Smith (arrived at 5:36 p.m.) TIME CALLED TO ORDER: 5:30 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Dr. John Woods, M.D., Chief of Staff, Mary Coil, Foundation Executive Director / Marketing Director, Greg Guest, Laboratory Director, Adam Oliver, Ambulance Service Director, Lanell Audirsch, Admin. Asst. LOCATION: NCMC Events Center BOARD VICE-CHAIR: Mary Irvin, SECRETARY: David Jones I. CALLED TO ORDER – Robert T. Green, Jr., Chairman, called the meeting to order. (Helen Godfrey-Smith arrived at 5:36) II. Invocation and Pledge of Allegiance – Brenda Smith offered the Invocation. David Norman led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – Mary Irvin, Vice-Chair asked for a motion to move number VIII. Executive Session of the agenda to below number X. Administrative Reports. Pat White made a motion to move the Executive Session from item number VIII. to item number X. Brenda Smith seconded the motion. Ronnie Festavan asked a question. We are going to move it below X. but we are going to put it before the Medical Staff Reports? Mary Irvin replied yes Sir. Ronnie Festavan stated o.k. Thank you. The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Kenneth Clay, Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. IV. Community Comments – Mary Irvin, Vice-Chair noted there were no signed Visitor Recognition Cards requesting to address the Board. V. Minutes – Regular Meeting September 24, 2019 – The minutes of the Regular Meeting held September 24, 2019 were mailed prior to today’s meeting for review. Mary Irvin stated she would entertain a motion to approve the minutes. David Norman made a motion to approve the minutes of the Regular Meeting Held September 24, 2019 as mailed. Kenneth Cochran seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Kenneth Clay, Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. VI. Old Business – 1) All Scripts Interface Update: David Jones stated we actually do have a little momentum on this. We are getting a little bit closer. 2) X-Ray Room and Mobile X-Ray Update: David Jones said we are looking at and hopefully very soon we will have to come back to the Board on a Ribbon Cutting / Open House for MRI, but it should be around the same time the X-Ray room is in also. Mary Irvin asked what the projected dates for being ready is. David Jones replied the middle of November. 3) Blanchard Clinic Project Update: David Jones stated we have a meeting with the architects scheduled for tomorrow to go over what their preliminary drawings look like. We have hit a snag in the piece of property that we purchased. There will be more updates on this at the next Board meeting. (Kenneth Clay arrived at 5:46 p.m.) 4) Surplus Equipment List Update: David Jones said we had one bid. The same bidder on every piece of equipment. They actually purchased everything that was on the surplus list for a total of $63.98. Ronnie Festavan said he had a couple of questions for the record on the surplus equipment list and sale. He addressed Pam to answer the questions for him. He had some questions come about what we surplused – the items. Can you guide me a little bit for the record as to what were the determining factors in choosing the items that we put on the surplus list? Let me clarify for you just a little bit, I don’t want to just leave you hanging out there. There were some concerns that we surplused brand new items that were, and I am going to ask you to respond on the record to this, that we surplused brand new items of great value and we sold them at the cost of almost nothing. Items that could have been used by this hospital, all sorts of things – you get my narrative that I’m going there? Pam Hughes said yes Sir. I would like for the record for you to respond to that and give me a little idea of how we chose items and did we in fact put items on the surplus list still in the new packages. Will you mind responding to that for me please? Pam Hughes replied yes. Pam Hughes stated one of the items was a white van that had been here for approximately 25 years. Everything that was put on that list was already brought over to the surplus area that was of no anymore as determined by each department head. Ross, the IT Director, had gone through every bit of his and put it on the list. A lot of this stuff that my people put on the list, we have had in storage since the hospital was torn down. This was the last few items from that. Ronnie Festavan asked would there have been any medical related equipment in the way of, and you understand I don’t know medical equipment, but smaller equipment that we surplused that could have been used by a doctor? Pam Hughes replied no Sir. Everything that we had on there could not be fixed or was out of its life expectancy for our country. David Jones stated when she is saying our country, there are things that people look for things to send to third world countries that are well beyond its life usefulness in the United States but yet still far beyond what they have in a third world country and they will ship it from there. IT is generally a lot it. David Jones said we did sell the 1995 Dodge Van and the driver side door no longer shut. There were multiple holes in the back end of the van but the engine did work. It did crank, but we had no more usefulness for that. It was a safety issue. Helen Godfrey-Smith asked if you would still maintain liability insurance coverage for it. David Jones replied absolutely. That would have cost more than the value of the van. David Jones said it was fully depreciated, everything on the list had been fully depreciated from an accounting standpoint. Ronnie Festavan said my follow up question, and I will be short and I appreciate your response to this point, and I appreciate Dr. Woods, which leads to my final questions. Was the staff, including Dr. Woods and his staff, did they have a part in choosing certain items, in other words, did they have items that they surplused, that they thought were no longer necessary in their day to day work and activities. Were they a part of the surplus choice. Pam Hughes replied no Sir. Most of the surplus that we have has been taken from the main hospital and brought to storage because it is no longer working anymore. I make sure that everything is o.k. to go such as the respiratory part then I put it on the list. Ronnie Festavan said so if items from the doctors, and I’m just going to use that term – from the doctors. If they had items that they determined to be surplused, you would have just known that or they would have let you know that or they would have let you know that or someone would have told you that. Pam Hughes said they would have let me know. Ronnie Festavan said well that was the point of my question. Pam Hughes said that none of that equipment the doctors had any say so in to be honest because the department head director is the one that we went through it and said that it was no longer viable – it was past life expectancy. Ronnie Festavan said well that answers my question. I was trying to determine your input as to your choice of surplus items. Dr. Woods said usually when we are on the floor working and there is a piece of equipment that doesn’t work anymore we pass it on. We don’t follow it through the myriad of paperwork where it goes; we don’t know what happen to it, all we know is a new item that works replaces it and keep going. Pam Hughes said that is the department heads responsibility. Ronnie Festavan said that answers my question. I wanted to determine where your input came from as to where this item is going to be a surplus item. Pam Hughes said yes sir I understand. Ronnie Festavan said that answers my question. Thank you. David Jones stated there has been some updates and some thought to update. The advent of the Bio-med service agreement that we are currently in place to do with electronic tagging of all equipment, with electronic line items storage, you will know exactly when it was purchased, when it was out of service and those kind of things so you will have some type of electronic fall back on if someone said – well look at this it is brand new – you can reply that is not new it was purchased on such and such date and it may look brand new, but no it is no longer physically working anymore. Dakota Robinson said you can actually look at the refrigerator, there is already asset tags on every piece of equipment in this facility. Depending on what department it comes from we will have information pertaining to that piece of equipment. Mary Irvin asked if there is a paper flow when the department head sends it to surplus is there a paper trail on that. Dakota said that was the actual paper trail I showed you. Helen Godfrey-Smith said we clearly hear the direction that whoever complained or questioned was going, there was a possibility that somebody here could be skewing the process by passing valuable items through this process to gain some type of wealth from it and those are the kind of things that is our job to protect our employees from that kind of accusation. They would probably never say it that way, we do understand that is probably the indication. Pam Hughes said that is another reason, I do type up the list and I did go through the list, but when they come and get the stuff I may be there but I have two people with me when they get it and sign off on it. Ronnie Festavan said I promise this will be my last questions. One final question, you have been doing this for several years, would you say this has pretty much been the procedure you have used if I went back five years ago. Is it pretty much the same procedure for surplusing items? So you haven’t in recent years changed this procedure. David Jones said only in the disposal of things, and that was a suggestion that you had had on a past experience, on the disposal of things that we have no bids on. We actually have now a document of process that we have a witness that we throw these things in the garbage when nobody has bid on the item. Ronnie Festavan said thank you for remembering that. That was one concern when I first came on the Board. My point to my last question was is this is more or less the way it has been done for many years. I suppose there have not been any complaints in years prior so we are doing it, to me what sounds like even better than what we used to do. Would that be correct? David Jones replied yes. Pam Hughes replied yes. Ronnie Festavan said I just wanted to get that on the record. He thanked Mary Irvin, Vice-Chair.
VII. 1) Review August 2019 Statistics – Dakota Robinson, CFO: Dakota Robinson said you will see we had 55 Admissions in the Acute side and 7 on the Swing. The Swing days here have continued to increase from the previous year and at this point in time in 2018 we had 309 total Swing days and we are at 373. Even though we have seen somewhat of a decline in the Acute side, the Swing side has sort of picked up some business with some changes, some marketing tactics and moving some people around, we’ve seen an increase there. If you look at the inpatient days, this goes hand in hand with the acute admissions. We saw a 25% decrease from August 2019. It went from 207 to 155. If you combine the Average Daily Census for Acute and Swing, still over that 8 threshold at 8.3 you see it was 1 point higher at 9.3 the previous month. We are still over that 8 category. The total surgeries, we did 15. That is an increase from 11 the previous month. Three months into the year this year we’ve had 41 surgeries and at this point in time in 2018 we did 33. Looking at the Endoscopies, we actually did the same number as the previous month – 13. The good news is on the year we have done 45 and at this point last year we did 26. Helen Godfrey-Smith asked Dr. Woods what variety of procedures would be included under this category – I know colonoscopies. Dr. Woods said colonoscopies and endoscopies. One is basically preventive, so all males and females after the age of 50 are going to pretty much need that. EGD are pretty much symptomatic. Dakota continued stating on the ER visits, we had 529 for the month of September. Typically as Fall and Winter progress we will see those numbers incline, but for 2019 we’ve seen 1,520 patients through the ER and in 2018 we saw 1,375 at this time. Looking at Mammographies, we did 47 Mammographies, as you can see since March is the second highest. In 2019 we have done 120 to date and 2018 we did 99. Newborns – it was relatively a busy month with 7. There is very little change in the fiscal year – 24 this year compared to 25 in 2018. Looking at the Vivian clinic you will see they did 2,088 visits. That is up almost 200 patient visits on the year. Plain Dealing had a very slight decline – within 50 patients. Benton clinic you will see they did 463 visits up from 433 and on the year they have done 1,338 compared to 1,198 the previous year. Fitness Center members is 424 at the end of September. Are there any questions on the Statistics portion of the Financials? There were none. 2) Review August 2019 Financials – Dakota Robinson, CFO: Dakota Robinson said when we look at the Financial Statements, I always talk a lot about contractual adjustments. In the previous months we saw where the contractual adjustments were rather low compared to what we were seeing at the end of the fiscal year 2019. The UCC amount that we always talk about how it had not been booked in a previous set of financials are actually booked in this set of financials. Looking on page one of the balance sheet, you will see that Total Cash on Hand, this is unrestricted cash, is $4.3 million. If you take out the Certificates of Deposit and use the $3.6 million number, that gives you almost 54 Days Cash on Hand. That is a slight decline from the previous month, but very slight. Looking at Total Cash Unrestricted, and that is with the CD’s of $721,000, you are at almost 65 Days Cash on Hand. Cash on Hand has remained steady through the year. In Assets Whose Use is Limited and you look at the Sales Tax Fund you will see that the Balance as of the Financial Statements was $717,000. At the end of this month this number will move up towards the $800,000 number. You’ll see the balance in the previous year was $375,000. Looking at page #2, you will see that Accounts Payable is lower than the previous year. Looking at Accrued Salaries, Withholdings and Retirement you will see the difference there. Last year it was at $689,000, this year it is at $939,000. We now accrue three months’ worth of retirement costs in that until they come due. We will continue over the next few months to continue to see increased balances specifically in that account from what we’ve seen in previous years until we can get a full twelve months of that accounting change in there. On page #3 we will look at the Income Statement. For the month of September we had $3.5 million in Revenue and right under $2 million in contractual adjustments. In Salaries and Wages you will see that for the year we are at $3.3 million as opposed to $3 million the previous year. I want to point out Professional Services; you will see there is an expense of $68,000 compared to $153,000 in the previous year. In Total Operating Expenses of $5.9 million compared to almost $5.6 million; that is a $358,000 difference and we make up more than the majority in the Non-Operating Revenue and Expense. In the 340B Revenue, I’m going to look at the three month period. You see that there were $380,000 currently compared to $331,000 the previous year; that is a 14% increase in the 340B Revenue as well. Bottom line there is a Net Increase of $254,360 and for the three months $535,731. AR Days did climb a little to 54.8. We will keep paying attention there. It is still under 60 at 54.8. Dakota Robinson continued with stating on page #8 we will look at the Budget. Looking at the Year-to-Date $10.6 million in Revenue we budgeted. That is almost a 9% decrease in what we budgeted but you will see the contractual adjustments have fallen $700,000 under what we budgeted. There is an offset there which is great. In Salaries and Wages you will see that we budgeted, even though it is up year-to-date, we budgeted for the increase, we actually budgeted for more than that increase at 3.5 and we have come in at 3.3 and Employee Benefits and Payroll Taxes is also coming in under budget. Mary Irvin asked if there were any questions regarding the Statistics and Financials. There were none. Mary Irvin stated she would entertain a motion to approve the September 2019 Statistics and Financial reports subject to audit. Pat White made a motion to approve the Statistical and Financial reports as presented. Brenda Smith 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. VIII. New Business – 1) Approval of Purchase of New Chemistry Analyzer: David Jones stated we have an extensive new business list the first of which, if I could get a motion and a second on, we need to purchase a replacement chemistry analyzer for our main Laboratory which has been budgeted for in the current budget. Mary Irvin said following in the financial packet you will see visuals and Dakota also noted they are on the screen as well. Pat White made a motion to approve the purchase of the new Chemistry Analyzer. Helen Godfrey-Smith seconded the motion. David Jones stated that Greg Guest, the Laboratory Director is here to also answer any questions and Dr. Woods also, as far as patient use. We would effective probably lose all credibility as a hospital without a chemistry department. We have one large analyzer in our hospital, currently. The current piece of equipment is thirteen years old. General lifespan is somewhere around six to seven years. Greg and his staff have been working to keep it running, but over the last few months it’s become quickly evident the lifespan has just about run out. He asked Greg if he had anything to add to that. Greg Guest said over the previous six months we’ve had service come out at least once a month, sometimes two or three times a month and that pretty much puts patient testing at a halt. Sometimes we are down for 24 hours and that happened just two weeks ago. That jeopardizes patient care so when you start doing that we have to do something. We have had it for thirteen years. We have tried our hardest to make sure it has been running for that long and we have, but now it is time to do something. The instrument is the EXL200. I have used Siemens products for 25 years. It is becoming harder and harder when the instrument is down. Dr. Woods asked if it will do anything extra that the old one would not; like ESR, CRP’s. Greg replied yes you can do A1C’s. The menu is probably 75 to 100 tests. It is not cost effective for us to do all those tests here because we don’t do a lot of volume of certain tests. They do add things to it because it is newer technology so things are added to it. Kenneth Cochran asked if you anticipate it being more accurate or more efficient. Greg replied maybe more sensitive. Some of the methods may be more sensitive. What we have is accurate right now. You test that based on proficiency testing surveys throughout the year and quality control that you run every day. It is always accurate and pretty precise. Dr. Woods stated that turnaround time is imperative. Greg said turnaround time would be better with this analyzer even for troponins. We do have a backup for troponins on the istat. Greg replied right now we are running 20 tests on the analyzer. We do a CMP profile, we do one antibiotic, vancomycin, amylase, lipase and troponins so it is a pretty limited menu. We don’t do a lot of testing. Our clinics do some testing. We could possibly add a TSH, thyroid panel, lipid panels, A1C. Mary Irvin said I guess that is what I was asking is cost effective to have a machine that runs 75 to 100 tests when we are only running 20 tests. Greg replied that machine is for small hospital laboratories. That is what it is built for – small to mid-level hospitals. Siemens has a Vista and it can run several hundred tests faster through put more through put per hour for bigger hospitals with larger volume. That is pretty much what you would have to have for a small hospital lab. Mary Irvin ask could anyone speak to how if it were approved how we would pay for it, is it a one-time payment or is it spread out over time. Dakota replied right now we have two quotes, obviously, it would be a decision of the Finance Committee. Typically we look at capital leases as our main funding mechanism to purchase these products and typically if we have multiple purchases at one time we try to lump those together to get better rates. Greg Guest replied we have yearly service contracts. Right now we are paying $12,000 for a service contract for a year. Mary Irvin said that would be in addition to it. Helen Godfrey-Smith asked if that would remain relatively the same. Greg replied yes it would remain about the same. The first year is covered and then you go back to $1,100 a month. David Jones said that is the beauty also of the arrangement with LSU Ochsner and the Biomed people that come in. Mary Irvin asked if that was the life expectancy – thirteen years. David Jones replied no the life expectancy is 5 to 7 years. Greg Guest said it has basically been rebuilt. David Jones said then again that is the somewhat beauty of a small laboratory is – Willis Knighton has these same pieces of equipment. They are 8 – 10 times the volume we do. Therefore, our life expectancy is a little bit longer than say one at Willis Knighton. Kenneth Cochran said having been in that position of having waiting on the results of the troponin, I know what it means. I want that result now. You don’t want to wait. You don’t want to wait for someone to come fix that machine. Ronnie Festavan was recognized by Mary Irvin. Ronnie Festavan said I got lost in the translation, Dakota, you talked about money and you said when we do three million or some term did I get lost on that figure, and if I did I apologize, I see where we are going to consider several purchases here, so I’m going to direct my question in global so that I don’t have to ask it on every one of them. It is a simple question. With the bid process, tell me how all this fits, for the record, for those that might question the bid process and how it applies to the purchase of either one or more or all of this equipment. Dakota said when we are doing the bid process, nothing ever encompasses everything. It is an individual item every single time. Actually, I received, and it was at the direction of the Finance Committee, I believe, last year, on any purchase that would have to be bid out, that I receive communication back from them, the auditor, that they approve of the process. This is going through Lester, Miller and Wells. All four pieces of the equipment up for purchase tonight have gone to the auditor including the items that necessarily didn’t need to be bid out which would be the items under $30,000. You can see there are two of those. As long as they are either purchased on the Group Purchasing Organization, which in our case is a group called Vizient, which you will see on the contract, or we receive three bids as long as those two things are met under $30,000 or over $30,000 or it does have to go through the bid process through the newspaper and open bids. He thanked Mary Irvin, Vice-Chair. She replied thank you Mr. Festavan. Mary Irvin asked if there was any other discussion or questions about the purchase of the chemistry analyzer. There were none. She called for a vote. 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 approve the purchase of the new chemistry analyzer in the amount of $100,500.01. 2) Ratify Phone Poll of Board for Architect Selection: David Jones stated we need a motion and a second if there are any questions on this. Mary Irvin said in order to ratify the phone poll of the Board for the Architect Selection we need a motion to approve that. Brenda Smith made a motion to ratify the phone poll of the Board for the Architect Selection. Kenneth Cochran seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, David Norman, Brenda Smith, Pat White. Nays: Ronnie Festavan, Helen Godfrey-Smith. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by majority vote in favor. 3) Ratify Phone Poll of Board for Engagement of Lester, Miller & Wells for 2019 Audit Compliance: David Jones stated this is more straight forward. Helen Godfrey-Smith made a motion to ratify the phone poll of the Board for Engagement of Lester, Miller and Wells for the 2019 Audit Compliance. Ronnie Festavan seconded the motion. Mary asked if there was any discussion. There was none. 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. 4) Approval of Purchase of Valley Lab FT10 Platform: David Jones stated that this is the Valley Lab FT10 Platform. In layman’s terms, this is the cauterizer equipment used in surgery. The piece of equipment that we have been using has been a loaner. The piece of equipment that we were currently using went out about three to four months ago. Helen Godfrey-Smith asked if this is what they have to close surgery. David Jones said it is used to stop bleeding. Brenda Smith made a motion to approve the purchase of the Valley Lab FT10 Platform. David Norman seconded the motion. Mary Irvin asked who are we purchasing it from. David Jones replied Medtronic. It is not the same piece of equipment but it is a newer version of the piece of equipment we have been using. The cost is $21,972.94. There was no further discussion. 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. 5) Approval of Purchase of Olympus EGD HQ190 Scope: David Jones stated this is an Olympus EGD HQ190 scope. We currently use Olympus equipment for EGD’s and Colonoscopies now. If I could get a motion and a second then I can speak further on it. Helen Godfrey-Smith made a motion to approve the purchase of the Olympus EGD HQ190 Scope. Pat White seconded the motion. Mary Irvin asked if there any further questions. There were none. 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. 6) Approval of Purchase of (2) Stryker Electric Stretchers for Ambulance: David Jones apologized to Adam Oliver, Ambulance Service Director, for being last on the list. Unfortunately beds and stretchers in the healthcare world cost a lot of money. We have two ambulances and we are looking at purchasing two stretchers that are both from Stryker and electric. If I can have a motion and a second I think Adam has a brief word or two on the purchase. David Norman made a motion to approve the purchase of (2) Stryker Electric Stretchers for Ambulance Service. Kenneth Cochran seconded the motion. Ronnie Festavan said I have one quick question before we get started. Is it two at $29,000 apiece or two for $29,000. David Jones replied two for $29,000. Ronnie Festavan said thank you. Adam Oliver, Ambulance Service Director, said the automatic stretcher came out when I was here before in 2007 and 2008. I think we are the last agency in the State of Louisiana not to have automatic stretchers. We have been looking at them and it has become basically the standard for ambulances to have this. It dramatically increases our ability to lift heavier patients and as you know in healthcare patients are not getting lighter, they are getting heavier. It helps our guys as far as their backs. That is the number one injury in EMS and in healthcare and especially in EMS because we are lifting them into the truck and at the scene we are picking them up off the floor or ground. David Jones asked Adam what is the weight limit. Adam replied 600 pounds. Adam said another feature of it is whenever you are on the stretcher I can hit a button and it slowly brings you up instead of two guys or a guy and a girl saying one, two, three and lift you up together. It increases the chances of the cot tilting or anything of that nature and that is just a scary feeling. The technology of them has really improved tremendously. Our guys have been asking for it and I have been reluctant but we need to get this for our guys. Mary Irvin asked if there were any further questions. There were none. Mary Irvin asked for a vote to approve the purchase of (2) Stryker Electronic Stretchers for the Ambulance Service in the amount of $29,423.60. 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. IX. Administrative Reports – 1) NCMC – Current Activity: David Jones said we did want make the Board aware of a project that is on-going that stems off of our Employee Enhancement Committee. We made a concerted effort last year to take care of our own employees during Christmas first when it comes to the holidays. We quickly have Thanksgiving rolling around and Christmas follows one month after that. Last year we got together and we did Christmas for nine different needy families that was within our own walls – our own employees. Rolling into Thanksgiving we decided that we may have a few needs within ourselves, but because of the outpouring for Christmas last year, we decided to try to do something for Thanksgiving first and center in on food. We had a committee together and we discussed and felt that going outside of our walls for Thanksgiving was a little more conducive to what we should be doing. We met with the Ministerial Alliance and we decided as a group to try to feed 100 families in our community this year. We felt it was pretty bold for the 100 but we feel that we could do it. Come together and go and give those boxes out the Saturday before Thanksgiving so that families would be able to cook their meals and have their family there together for Thanksgiving that we all should be able to have. I just wanted to let the Board know that that was going on. Helen Godfrey-Smith asked if we could submit names. David Jones replied absolutely. Brenda Smith said our church does the same thing – the food boxes – we do 40 to 50 of them. David Jones said we are trying to work with as many pastors as we can so there is no duplication, to go over the list. There is some work being done for that as well. The overall intent is to make sure, that just from North Caddo Medical Center, that we feed 100 families in the community for Thanksgiving. Mary Irvin asked how can we, as a Board, help. Can we donate money to the office? David Jones said yes. If you just want to donate money, if you want to come by and get a box. It cost you $10 for the box. That insures that a turkey is going to be purchased. You get at list of what goes in the box as well. This will actually go out into the community. If you can, on that Saturday, I’m telling you that it will be worth, if you go spend $50, I promise you get way more than $50 back when you go and deliver these boxes to the needy. Mary Irvin said you can go to the office to get the box. David Jones said yes or if you want to just give the money to Britney or if she is not there, find Dakota, Pam or myself. Mary Irvin asked what time on the Saturday before Thanksgiving. David Jones said we are trying to nail that down right now. We are thinking around 9:00 a.m. to 1:00 p.m. that we are going to start delivering these because it is 100 of them. Helen Godfrey-Smith said families that are in North Caddo? David Jones replied that is correct. We are going to start with North Caddo; we are going to see how many names we get. We may come down into the Blanchard area, since we are thinking of going into that area and Plain Dealing and Benton as well. Helen Godfrey-Smith remarked in our market area. David Jones replied that is correct. Mary Irvin said we will confirm what time if anyone wants to be part of that on that Saturday. That is Saturday, November 23rd. If you know of a needy family you can email Mary Coil, Adam, Dakota, Pam or me, anybody on the committee. Kenneth Cochran asked we don’t go to Britney, we go to you. David Jones said the committee itself guarantees the 100 boxes. It is on us to help raise this money and get these boxes out there. We have committed to feeding 100 families. We did the same thing with the toys last year. There were people upset that they didn’t get to go buy a toy because that was the kind of outpouring we had. We are definitely blessed by God and we want to turn that blessing around to people who need it. 2) Foundation: Mary Coil stated we are getting to the end of the year. We are talking about things that we will be doing in the upcoming year. It is pretty much standard of what is going to happen for Christmas what is going on this time. 3) Construction Report: Pam Hughes stated that we are about through. It is supposed to be the 26th of this month. We think it is going to be about a week later. The magnet for the MRI comes Monday. The MRI room looks fantastic. It has a beautiful floor the image looks great. They are already using the Women’s Center and the ER so all we have left now is the MRI. They are coming to put the glass in the room for the Emergency Room and that is about it. We are on the downhill swing. It has been very, very good working with Lincoln – they have been fantastic. Johnny, the general contractor head supervisor, has been phenomenal. Mary Irvin said it is very exciting – the Women’s Center – the MRI. Spread the word. X. Executive Session: Mary Irvin stated she would entertain a motion to enter into Executive Session for the purpose of Strategic Planning. Helen Godfrey-Smith made a motion to enter into Executive Session for Strategic Planning. Ronnie Festavan 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. There will be a brief break. The Executive Session was entered into. No action was taken during the Executive Session. Helen Godfrey-Smith made a motion to enter back into regular session. Kenneth Clay 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. X. 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. Wayne Homza, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of October 22, 2019 through October 31, 2021. 2. Dawood Malik, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of October 22, 2019 through May 31 2020. 3. Jean Paul Dym, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of October 22, 2019 through October 31, 2021. 4. Matthew Mastridomenico, M.D. – Requests Courtesy privileges in the field of Pathology for the period of October 22, 2019 through October 31, 2020. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: None. EXTENSION REQUEST: None. VOLUNTARY RESIGNATIONS: 1. Jason DiPoce, M.D. – Request’s voluntary resignation in the field of Radiology effective September 30, 2019. 2. Dean Batten, M.D. – Request’s voluntary resignation in the field of Radiology effective October 31, 2019. Brenda Smith made a motion to approve the Medical Staff recommendations for Reappointments and Voluntary Resignations as presented. Helen Godfrey-Smith 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. 2) Chief of Staff Comments: There were no Chief of Staff comments. X1. Adjourn: There being no further business, Mary Irvin called for a motion to adjourn. Kenneth Clay made a motion to adjourn. Pat White 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 8:28 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
David C. Jones, Secretary
Approved by the Board of Directors at the regular meeting held November 26, 2019