North Caddo Medical Center

BOARD MEETING:  Regular Meeting   DATE:  November 21, 2023    MEMBERS PRESENT: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. MEMBERS ABSENT: Kenneth Cochran, Michael W. Nation, Sr., Pat White. TIME CALLED TO ORDER: 10:38 a.m.   OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dakota Robinson, CFO,  Brent Leonard, NCMC Controller, Kourtney Tyson, Foundation Director, Stacy Alexander, Chief Nursing Officer/Foundation Vice-Chair, Ross Hansen, CIO,   Britney Stringham, Administrative Assistant.  LOCATION:  NCMC Multipurpose Room (Second Floor) BOARD CHAIR: David Norman   SECRETARY:  David Jones   I.  CALLED TO ORDER – David Norman, Board Chair, called the meeting to order at 10:38 a.m.     II. Invocation and Pledge of Allegiance Robert Green offered the Invocation and Ronnie Festavan led the group in the Pledge of Allegiance. III. Approval / Amend Agenda– David Norman stated we need to amend the agenda. Robert Green made a motion to approve the agenda. Ronnie Festavan seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the agenda. IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments.   V. Minutes – Regular Meeting October 24, 2023 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Brenda Smith made a motion to approve the minutes of October 24, 2023 as presented. Jennifer Fant seconded the motion. There was no discussion or corrections noted. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the minutes of October 24, 2023 as presented.  VI. Foundation Report – Kourtney Tyson, Foundation Director, stated we are gearing up for our Christmas Bingo Night which is next Thursday. If you’ve purchased your tickets that’s great, if you still need to purchase your tickets, please let me know. We only have a few left. If anyone needs tickets, a Christmas tree or Wreath let me know. Thank you for everything you do. David Norman thanked Kourtney Tyson. VII. Chief of Staff Report – David Jones, CEO, stated that Dr. John Woods, Chief of Staff, was unable to attend the meeting tonight and asked that I report to the Board that there’s not a lot going on Medical Staff wise. At the last Medical Staff meeting he was re-elected as Chief of Staff. He does a really good job. He actually does take pride in being the Chief of Staff and he involves, if need be, but doesn’t overly involve himself either. VIII. Old Business 1) Update Building Projects:  David Jones stated I will give construction updates on the four projects that we have going on beginning with Benton. Benton is in the dry. It’s coming along well. The staff are very excited and ready for it to be opened up. They are still grading and leveling and getting ready to be pour the parking lot for the Medical Arts building. They are trying to shovel a little ditch to remove some of the water. A review with a visual was presented. South Bossier – the parking lot is poured. It pretty much equals the right half of the big side of the Blanchard parking lot. Brenda Smith asked if there was signage there to let the public know what’s coming. David Jones replied yes. David Jones stated we have the slab poured for the Pharmacy in Blanchard. All four of these construction projects are actually going to plan. Of course there are weather delays, permit delays and those kind of things.  Dakota presented some visuals of the exteriors of the South Bossier Clinic. David Jones said once it’s tied together it will look like a built building on site. David Jones asked if there were any questions. There were none.  IX. Review October Statistics and Financials – 1) Statistics: Brent Leonard, NCMC Controller, stated it a similar story to previous months we’ve had, stats wise. You are going to see inpatient numbers continue to be rather low in comparison to a couple of years ago, but really, when you look just a year beyond the graph, these are numbers we have been seeing consistently; under  forty inpatient admission  wise for a long time. We do make up for it in a lot of the out-patient areas. Clinics, this last month, stayed pretty even across the board. For the most part, a pretty standard average month across the board with you take everything into account.  Brent gave an overview of the October 2023 Statistics with discussion to follow.  2) Financials:  Dakota Robinson, CFO, stated we will look at a few things today. Financial review followed. Budget numbers are still on track. Dakota asked if there were any questions on the financial statements. Ronnie Festavan asked did we start out with a capital budget for the projects that we are funding.  Dakota Robinson replied yes along with an explanation of the cost and payment for the projects. We are on track. David Jones stated that our building projects are to help guarantee the financial security of North Caddo Medical Center.  Ronnie Festavan said thank you. David Norman said if there are no further questions or discussion, I would entertain a motion and a second to approve the Statistical and Financial Reports as presented. Robert Green made a motion to approve the Statistical and Financial reports as presented. Jennifer Fant seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the Statistical and Financial Reports as presented.   X. New Business – 1) Sick Time Buy Back:  David Jones stated that we have six items under New Business with items number 2, 3 and 4 are related.  Sick Time Buy Back, you’ll see there we have a record number of participants this year at 100. If I can get a motion and a second I’ll answer any questions you may have. Mary Irvin made a motion to approve the Sick Time Buy Back for 2023 as presented. Brenda Smith seconded the motion. David Jones stated we’ve talked about it before about how to track the viability and how this is working. Really the only solid number is it’s basically growing. David Norman asked if there were any other comments before we vote. There were none. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the Sick Time Buy Back as presented.  2) Resolution #5 – PNC Credit Card:  David Jones said Resolutions 5, 6 and 7 which are which are number 2, 3 and 4 are all related. Dakota stated Resolution #5 is a master banking resolution and basically states that we are going to open a credit card line with PNC Bank. Our current credit card is not a corporate card. It has been a hassle in the past as far as the logistics of that. The resolution we have in force right now is for them to have the cards. That resolution will stay in place. This will basically get rid of the First Guarantee line of credit. We will place a CD in place and they basically hold that CD at PNC Bank as a corporate CD and whatever our limit is on the credit card is whatever the size of that CD is. Resolution #5 is a corporate resolution to open up a credit card with PNC Bank. Resolution #6 is requesting that Certificate of Deposit for this line of credit at PNC Bank to be $30,000 which matches the CEO expenditure limit. Our current credit at First Guarantee Bank is $8,000 and it’s hasn’t changed since 2015. Resolution #6 is for the Certificate of Deposit at $30,000. Resolution #7 is asking that the card limit for the PNC card matches the CD and the CEO’s limit. That’s why he said all three of these resolutions are related. David Jones stated these will replace our current credit cards; they will go away. David Norman recognized Ronnie Festavan to speak. Ronnie Festavan said so we’re going to insure it with a CD. Does the CD draw interest. Dakota replied no. That’s part of the agreement. What this card does is pay 1.5% cash back on whatever your purchases are but there’s no fees for the credit card or anything like that. Ronnie Festavan said it’s a non-interest bearing CD and that’s part of the agreement, they don’t have to pay any interest on it but you do get some rewards type deal and who keeps up with the rewards? Dakota said they will be internal on the statement. It will be part of my financial analysis to keep up with that. Ronnie Festavan asked how many people have an actual card. Dakota replied it will still be two. The resolution that was passed earlier in the year with Britney and Mary, those will still be the two cards. It won’t change the check in and out process behind that, but it gives us the flexibility to, like I said it’s called a ghost number, and it’s basically a credit card number that’s tied to North Caddo corporate instead of their name, so when we go to do anything outside of here, they don’t have to put their name on it, it can be North Caddo, so when someone shows it doesn’t have to be tied to an individual. Ronnie Festavan said if an employee, not Britney or Mary, if they go on a trip do we give them the card. Dakota replied no. Ronnie Festavan said tell me how that works, what’s the advantage of it. Dakota said we can pay that in advance. A hotel, right now, will not take our credit cards because that card physically has to be present at the time of check in. If we use this route the card does not have to be present to check in because it’s not tied to their name. Ronnie Festavan said so you can call ahead and make reservations and that sort of thing.  Dakota replied correct. Mary Irvin asked with it being tied to the hotel would there be protection on how tht number is used, will it only be used for the cost of the room. David Jones said you will still have to use your personal for incidentals. Mary Irvin said okay. David Jones said everybody’s personal financial situation is different. We have several employees that they can’t sustain $2,000 to go on their credit card. Mary Irvin said the time lapse in being reimbursed can be a hassle for some people. It only makes sense to be able to do something like that. David Jones said between the air fare and the hotel it can run up to close to $2,000.  David Norman said we need a motion and a second for Resolution #5 – PNC Credit Card. Mary Irvin made a motion to accept Resolution #5. The motion was seconded for by Ronnie Festavan. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve Resolution #5 as presented. David Norman said I would entertain a motion and a second to approve Resolution #6 – PNC Bank Certificate of Deposit. Ronnie Festavan made a motion to accept Resolution #6. Robert Green seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, BrendaSmith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve Resolution #6 as presented.  David Norman said I would entertain a motion to accept Resolution #7 – Credit Card Limit as presented. Brenda Smith made a motion to accept Resolution #7 as presented. Jennifer Fant seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve Resolution #7 as presented.   5) Surplus – David Jones said we have a list of Surplus. If I can get a motion and a second we will put that in the paper. Ronnie Festavan made a motion to approve the list of Surplus equipment. Robert Green seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve Surplus list to be advertised in the local newspaper.  6) Cost Report – David Jones noted that two years ago we changed who actually does our Cost Report and this is probably only happened one other time that’s been completed this early. Dakota Robinson said anytime we look at the Cost Report, we get it filed and we get money back we were excited about that. Obviously, the past two years with expenses going up we have had large receivables. A very good process this year. It’s the second year that we’ve done the Cost Report with this firm and it’s been a pleasant process and they are very efficient. David Jones said we do need a motion and a second to file it. Robert Green made a motion to accept the Cost Report to be filed as presented. Mary Irvin seconded the motion.   The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the Cost Report to be filed as presented.   XI. Administrative Report – David Jones stated I want to remind everybody to look at their December calendar. Week after next we have a Christmas Party planned and we have a change in Board meeting date and time again. Everybody please put this in your personal calendar. Britney will be calling and reminding you. Jennifer Fant asked where we will meet. David Jones said we will meet here in the NCMC Multipurpose Room. XII. Medical Staff Recommendations:  November 2023 Medical Staff Recommendations were presented by Dakota Robinson for Board approval. MEDICAL STAFF APPOINTMENTS: 1) Thomas Sanchez DDS Requests Provisional Privileges in the field of Dentistry for the period of November 21, 2023 through November 30, 2024. 2) Corey Cloud DDSRequests Provisional Privileges in the field of Dentistry for the period of November 21, 2023 through November 30, 2024. 3) Srivarsha Ponna DDS – Requests Provisional Privileges in the field of Dentistry for the period of November 21, 2023 through November 30, 2024. 4) Nancy Ly, DDS – Requests Provisional Privileges in the field of Dentistry for the period of November 21, 2023 through November 30, 2024.  MEDICAL STAFF REAPPOINTMENT: 1) Taro Aikawa, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through November 30, 2025. 2) David Burdette, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through November 30, 2025. 3) Cathleen Ivy, M.D.Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through November 30, 2025.  4) Jerome Klein, M.D. Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through November 30, 2025. 5) Matthew Smetko, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through September 30, 2024. 6) Aaron Burgin, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of November 28, 2023 through October 31, 2025.  ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT:  1) Jennifer Hart, FNP – Requests Affiliated Privileges in the field of Family Medicine for the period of November 28, 2023 through April 30, 2025.   2) Kirk Martinson CRNA – Request Affiliated Privileges in the field of Anesthesia for the period of November 28, 2023 through December 31, 2025.   EXTENSION REQUEST: None.      VOLUNTARY RESIGNATIONS:  1) Clifton Coffman, M.D. –   Physician passed away on 10/30/2023.   2) Steven Edson, MD. – Voluntary resigns his Privileges in Radiology effective 11/14/2023.  David Jones noted that the dentists will be performing Pediatric Oral Surgery so on those days there will be several children to be seen. They can do multiple fillings, extractions, etc., things they can’t do in a chair. They can take the patient back and sedate them and do those major procedures. They don’t get reimbursed very well in Shreveport/Bossier.  They have been working two days completely full of surgeries in De Soto and are back logged for months. They have been looking for another place to see patients. We will soon have some days to fill up. Stacy and her group are going down Monday to take a look at how De Soto does theirs. We will start with a light day and build from there to at least one full day, maybe two. David Norman asked if there was any other discussion. There was none. David Norman said I would entertain a motion and a second to approve the Medical Staff recommendations. Robert Green made a motion to approve (4) Medical Staff Appointments, (6) Medical Staff Reappointments, (2) Advance Practice Professionals Appointments/Reappointments and (2) Resignations as presented. Brenda Smith seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to approve the Medical Staff Recommendations as presented. XIII. Executive Session David Norman stated there is no business to be discussed for strategic planning.  XIV. Adjourn – There being no further business David Norman said I would entertain a motion to adjourn.  Robert Green made a motion to adjourn.  Ronnie Festavan seconded the motion. The vote: Yeas: David Norman, Jennifer Fant, Ronnie Festavan, Robert T. Green, Jr., Mary Irvin, Brenda Smith. Nays: none. Absent: Kenneth Cochran, Michael Nation, Pat White. Abstained: None.  The vote was unanimous in favor to adjourn the meeting. The meeting adjourned at 11:53 a.m.

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

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David C. Jones, Secretary

5

Bd Mtg 11 21 2023

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