BOARD MEETING: Regular Meeting DATE: October 26, 2021 MEMBERS PRESENT: Mary Irvin, David Norman, Kenneth Cochran, Ronnie Festavan, Michael W. Nation, Sr., Brenda Smith, Pat White. MEMBERS PRESENT VIA TELECONFERENCE: None. MEMBERS ABSENT: Robert T. Green, Jr. (arrived at 4:11 p.m.) Helen Godfrey-Smith. TIME CALLED TO ORDER: 4:00 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Mary Coil, Foundation Executive Director / Marketing Director, Stacy Alexander, Director of Nursing Service, Lisa Stewart, Asst. Director Of Nursing Service, 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 4:00 p.m. II. Invocation and Pledge of Allegiance – Brenda Smith offered the Invocation and Kenneth Cochran led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – Mary Irvin stated we need a motion and a second to approve the agenda. Brenda Smith made a motion to approve the agenda. Pat White seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green, 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 that our Board Education is driven by the Board assessments that were done in January and I know we’ve commented on it. We have a yellow sheet on the desks and we wanted to spend just a few moments talking about our committees. That is our first five for Board education. Does someone have a question about any of that? There were no questions. 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 September 28, 2021 with discussion, if any, to follow. Pat White made a motion to approve the minutes of September 28, 2021 as presented. Michael Nation seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green, Helen-Godfrey Smith. Abstain: None. The vote is unanimous in favor. VII. Foundation Report – Mary Coil, Foundation Executive Director, stated we are in our last week for the Cupcakes for the Cure. She is still taking orders. This also the last week for the Boo Bags. The Christmas Trees will be coming up. If you know an organization who would like a tree, or even if the Board would like to do a tree just chip in. Spread the word, we have those available. We will go through November 19th to December 5th. VIII. Chief of Staff Report – David Jones reported that the Chief of Staff, Dr. John Woods, was unable to attend tonight. He did want me to pass on that no news is good news. Things have been going well. IX. Old Business – 1) Update on Building Projects: David Jones stated we have a couple of projects that are very near completion. The roof and the dental expansion are both very close. (Robert Green arrived at 4:11 p.m.) Those two are going strong and another one going very strong is the Blanchard Clinic. Of course the one that’s lagging behind is our construction project in Benton and we do have some progress. We do have dirt and it is compacted now. Pam has a meeting over there in the morning. The one mini project and the one potential future project is the pharmacy here in the back. I’m going to have to give a mega kudos and I’m sure Dakota will agree with this, Mrs. Hughes’ maintenance staff, one in particular is extremely talented when it comes to building things. The permanent location, we hope is the permanent location of the pharmacy in the old clinic. I would like to give thanks to Mayor Festavan and the City Town Council here. They have voted to abandon South Avenue and we will take that in so that we are eligible now for a very large parking lot in between those two buildings. We’re still waiting on our architect to kind of get some language so we can put it in the paper. It should be coming this week to get bids out to see what that costs, estimates going to be for that building as far as building a new pharmacy on that end with a drive through area. 2) Electronic Signage Update: David Jones reported on the Electronic Signage Update. We do have a date which is January for the ship date. It will take a few weeks to get it installed and up and running. I’m disappointed that we could not get it here by Christmas, but the post COVID world we live, in I’m glad we’ll get it here and hopefully have it running by the end of January. 3) Update on Purchase of Dental Equipment: David Jones reported that the dental equipment, all that’s been purchased and laid in, everything seems to be going on schedule with that. 4) Update on Purchase of New Ambulance: David Jones stated that the new ambulance, we haven’t heard of any delays with that. I think we’re looking at first week of December when we will get the new ambulance in. Everything is on schedule with that. X. 1) Review September 2021 Statistics – Dakota Robinson: Dakota Robinson, CFO, stated we have some pretty good trends for the month of September. You know about the only decrease we’re going to see here is in Admissions for the Acute Stays and you’ll see they went from 74 to 59. There for a whole quarter we were 3, 3 and 2 on Swing Bed Admissions. The Swing Beds did start to come back and we actually had 13 Admissions for Swing in the month of September. Total Inpatient Days, even though the Admissions were down slightly admission days, Inpatient days went from 238 to 325 so we did see a 37% increase there. Surgery saw an increase from 7 to 12. We’ve done 39 year to date. Endoscopies trended down a little bit from 14 to 8. ER visits – 627 in August and 627 in September. We’ve seen 1,772 patients in the Emergency Room, so through three months we’re up about 31% from where we were at last year. Mammography – you’ll see we did 63. Newborns – went from 11 in July to 9 in August to 5 in September. Vivian Clinic visits outpatient areas remained busy even though they were down off of August, the Vivian clinic saw over 2,000 patients at 2,051. Plain Dealing saw a slight decrease as well from 775 to 702 and on the year they’ve seen 2,146. The Benton Clinic continued their upward trend and they saw 566 patients and on the year surpassed 1,500. Blanchard Clinic – you can see that their trend is continuing to go the same direction and they were at 691 the previous month and saw 742 for the month of September. They surpassed 2,000 visits year to date. Fitness Center memberships – you’ll see there’s a total members of 305. We did have 10 new memberships for both the months of August and September, and total visits were over 1,300. Any questions on the statistical section? There were none. 2) Review September 2021 Financials – Dakota Robinson: Dakota Robinson noted the Financial Analysis will start with the Financial Analysis slide. We will go to page 1 of The Financial Statements that you have. It’s right at 190 days Cash on Hand. If we get into Assets Whose Use is Limited still on page 1, you’ll see that Sales Tax Fund continues to come in strong. For the year, if we look at page 3 of the Income Statement, you’ll see that at the very top Revenue – $4.5 million – that is a significant increase from the previous month, not $3.9 million. Total Operating Expenses $2.6 million compared to almost $2.4 million and on the three months $7.6 million compared to $6.6 million. There is an increase in Expense. If we get in a Non-Operating Revenue you’ll see that Grants. There is a number booked into grants right now as we did not see a larger number in the previous two months. We did file our UCC report. The Budget on page 8, you’ll see that we budgeted for $3.9 million in revenue, had $4.5 as we talked about. We look at Net Patient Revenue on the year where it’s $6.2 compared to budgeted of 5.6. If we look at Total Operating Expenses, $2.6 million, we budgeted $2.4, and on a year we’re $300,000 above the budgeted expense at $7.6 million. Grant Revenue we discussed the large change from last year, so that is going to be a continuing budget item that will come in under budget. 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 August 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. Robert Green seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green, Kenneth Cochran. Nays: None. Absent: Helen Godfrey-Smith. Abstain: None. There was no discussion. The vote is unanimous in favor. XI. New Business – 1) Telemetry Monitors Lease – David Jones said we do have a purchase for Telemetry Monitors. If I could get a motion and a second. It’s from the company TriTec. It’s a monthly lease in the amount of $2,175 per month or $26,000 per year. It’s a five year lease and we have nursing here to answer questions or maybe explain a little bit more what we use telemetry for. Brenda Smith made the motion to approve the telemetry monitors lease. David Norman seconded the motion. Stacy Alexander, Director of Nursing Service, stated we actually went with TriTech fourteen years ago. This time we are going to completely and totally get everything brand new. Mary Irvin asked if there were any other questions. Brenda Smith asked if this is a yearly contract. Dakota Robinson stated it is a five year contract. David Jones said it will renew probably at the end of five years if we let it but if it’s something again that we can upgrade equipment and keep paying the same price for it, a change for upgraded technology and beneficial from a care standpoint we will look into it. Mary Irvin said we are ready to vote if there is no other discussion. The vote: Yeas: Pat White, Michael Nation. Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green, Kenneth Cochran. Nays: None. Absent: Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor. 2) Personnel Acknowledgement: David Jones said Madam Chair, if I could take a minute or two at this time. As you know, and I know the Board would agree, I certainly am extremely proud at the advancement and accomplishments at North Caddo Medical Center has done over the last decade. That being said management has certainly been a huge part of the success here at the hospital and the leaders that make up our leadership team here over the 16 years has been some kind of landmark hires here at the hospital, from my standpoint, that certainly any success that I’ve had here can be laid here at these people’s feet. I’ve always screamed that North Caddo Medial Center is not this pretty, shiny building, it’s the people that serve within this pretty, shiny building. God has blessed us with some great people that work here. That being said, like I said as those landmark hires go, when Mrs. Pam Hughes was hired here, for what was then the Assistant Administrator and became the COO (Chief Operating Officer), things kind of took off from there. We promoted Allyson Allums to the first CFO (Chief Financial Officer) that we’ve ever had here at the hospital and then going forward we have a replacement for her that’s done quite well, in Dakota Robinson. Physician leaders, the hiring of Jody Chance, Nicki Mc Common, and then John Woods, beyond that and the other physicians we’ve had here has helped take things to another level as well. But 15 ½ years ago was also a major hire here at North Caddo and that’s when Stacy Alexander volunteered and stepped up to the plate to become our DON (Director Of Nursing). That being said, the Nursing Department, we have some very good nurses here, but it was in a pretty bad flux at the time and she took the reins of what was a, I’m going to say a mess on official record, and has made it into, of course, it is the biggest department that we have here at the hospital and certainly a shining example of the type of care we give here. A good nurse, I’ll still say you would certainly rather have a great nurse than a great doctor when it comes to taking day to day care of somebody. They are the ones that make you feel that you are getting better. The Doctor, of course, directs everything that goes on, but it’s the nurses and the team that come in there that make you feel better. That being said, when Stacy became the DON she had an associate degree and she was a registered nurse. She’s gone forward since then and advanced her knowledge and her skills and her educational background. She went from an AD to BSN and around three months ago she completed her Master’s degree. So, on behalf of myself and the Board of Directors, this plaque will be going up outside your door – Chief Nursing Officer – we appreciate you for the leadership you’ve done here and no retiring before me! Stacy noted that her Master’s degree was in Health Care Law from the University of Oklahoma. Lisa Stewart, her ADON, is here and she has other leaders within her department that she’s growing as well. That something that we have pushed forward to make sure that our departments can sustain the loss of one leader. There shouldn’t be one person that holds everything together. Mrs. Hughes has been my right hand and going back and forth I promise you Stacy Alexander could step in and do things, Dakota could step in and do things, if Mrs. Hughes and I went away tomorrow this place would be well set up for the future. Thank God for everything he’s given us but I thank God for the people he’s give us here. Thank you very much. Mary Irvin said I just wanted to say something to Stacy. On behalf of the Board, as David was sharing with us his working with you and the experiences, I couldn’t help but think that we stand by our moto “excellent care for all” and we are very fortunate that we have nurses like you and that have a commitment to make North Caddo Medical Center their career and as he said, stands for excellence. We all have experienced being cared for here and we appreciate what you do, what you have done, what you do and what you will do. And we are so proud that you are now the Chief Nursing Officer. Congratulations. Much applause from those in attendance. Stacy declined to make a speech. 3) Sick Time Buy Back Approval: David Jones stated there should not be an asterisk by #3, but it is time to start considering the Sick Time Buy Back for approval. Dakota has some stats to go over and then we should have the definitive numbers next month. XII. Administrative Report – 1) Pandemic Update: David Jones stated the pandemic update will be quick. Our COVID numbers are basically like the state. We have seen a massive decrease from the spike back a couple of months ago. Honestly, we’ve had an occasional flu come in now for some reason. We have OB doctors from LSU Ochsner that will take a call status on the weekends while Doctor Sharpe is out and hopefully kind of when she comes back, help out with that on the weekends some as well. It’s going to give her some help but we’re looking, which was not looking very good, actually about three weeks ago, we’re looking to where our OB program really shouldn’t miss a step while she’s out. Brenda Smith asked what are the plans for the ER if Dr. Taylor steps up to do this. David Jones said Dr. Woods assured him that the schedule will work well with him and Dr. Chandler. XIII. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for Board approval. MEDICAL STAFF APPOINTMENTS: 1) Brian Dupree, M.D. Requests Provisional Privileges in the field of Radiology for the period of October 26, 2021 through October 31, 2022. MEDICAL STAFF REAPPOINTMENT: 1) Aaron Burgin, M.D. Requests Courtesy Privileges in the field of Radiology for the period of October 26, 2021 through October 31, 2023. 2) Wayne Homza, M.D. Requests Courtesy Privileges in the field of Radiology for the period of October 26, 2021 through October 31, 2023. 3) Albert Krause, M.D. Requests Courtesy Privileges in the field of Cardiology for the period of October 26, 2021 through March 31, 2023. 4) Andrew Sholl, M.D. Requests Courtesy Privileges in the field of Pathology for the period of October 26, 2021 through October 31, 2023. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1) James Harper, NP – Request Affiliated Privileges in the field of Family Medicine for the period of October 26, 2021 through October 31, 2022. 2) Summer Robin, NP – Request Affiliated Privileges in the field of Family Medicine for the period of October 26, 2021 through October 31, 2022. EXTENSION REQUEST: 1) Chad Koons, CRNA – Requests extension for completion of reappointment application. 2) Damein Burgess, CRNA – Requests extension for completion of reappointment application. VOLUNTARY RESIGNATIONS: None. David Norman made a motion to approve the (1) Appointment, (4) Reappointments, (2) Advance Practice Professional Appointment/Reappointment and (2) Extension Requests as presented. Michael Nation seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green, Kenneth Cochran. Nays: None. Absent: Helen Godfrey-Smith. Abstain: None. The vote was unanimous in favor of approving the Medical Staff recommendations as presented. XIV. Executive Session: Mary Irvin, Chair, noted there is no business to be conducted in an Executive Session. XV. Adjourn: There being no further business Michael Nation made a motion to adjourn the meeting. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, Mary Irvin, David Norman, Brenda Smith, Robert Green, Kenneth Cochran. Nays: None. Absent: Helen Godfrey-Smith. Abstain: None. The motion passed by unanimous vote in favor of adjournment. The meeting adjourned at 5:18 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 23, 2021