Kit Carson County Health Service District REGULAR MEETING OF THE BOARD OF DIRECTORS September 26, 2018

Transcription

1 I. Roll Call B. Korbelik..Present G. Mitchek..Present J. Mitchek..Present K. Miltenberger..Present J. Swick..Present T. Pfaffly..Present C. McDaniel..Present a. Prior to the meeting being called to order, Mr. Korbelik said he wanted to make a few comments. He began. Bill Korbelik resigned his position from Chair and from the Board of Directors. Mr. Swick stood and thanked Bill for his service and asked for a round of applause from everyone as a show of support for Bill Korbelik. II. III. Call to Order The Regular Meeting was called to order by Mr. J.Swick at 6:10 p.m., MDT. Amendments and Approval of Agenda Mr. J. Forrest (Butch) added a workman s comp under New Business and Ms. Mitchek added an Executive Session about the two CEO candidates under the Executive Sessions. A MOTION was made by Mr. G.Mitchek to approve the changes to the agenda as presented. This motion was seconded by Mr. T.Pfaffly. A vote followed. IV. Recognition of Special Guests and Announcements Ms. J.Mitchek introduces the 2 CEO Candidates: Dr. Jeffrey Ackerman and Mr. Kelly Duke. Very qualified, very knowledgeable. We got a tough decision ahead of us. V. Public Forum and Comments Mr. J.Swick opens the floor to the public for comments. Each comment to be kept under 3 minutes. Several people stood and voiced concerns of Drs. Perez and Pimentel potentially leaving Burlington, billing issues, meeting location to accommodate large crowds, meeting minutes available to public, and employee wage increases. Each question was addressed by the board and/or will be taken into consideration. VI. Approval of Minutes A MOTION was made by Ms. K.Miltenberger to approve the minutes. This motion was seconded by Mr. G. Mitchek. A vote followed. All Aye-Motion passed. VII. Approval of Bills and Appropriations Chairman Swick asked if anyone had any questions. Ms. J. Mitchek asked about the City of Burlington, wondering if that is what the figures represent. There

2 were other figures that drew question and was explained by Butch as being a part of the student loans and County Health Pool Health Insurance. A MOTION was made that the Bills were approved by Mr. C. McDaniel. The motion was seconded by Mr. G. Mitchek. A vote followed. All Aye-Motion passed. VIII. Hearings: a. Chief Clinical Officer Ms. C. Morgan reported that Jessie doesn t have his license yet. A discussion ensued on nurses and their certifications and licensing. Questions regarding the number of staff leaving and the use of agency staff were asked. Reported by Ms. Morgan that the day positions will be covered by current contracts expire. b. Chief Operations/Compliance Officer Mr. C. Fedie discussed EET committee and the activities this group holds for the staff. The committee is made up of district employees that provide fun activities for all employees. Discussion about repairing the roof over the current operating rooms was held as this roof is holding water currently, but not leaking yet. Bids and his recommendation were presented. A MOTION was made by Mr. C. McDaniel to approve the roof project for $154,130 from RoofMasters as presented by Mr. C. Fedie. This motion was seconded by Ms. K. Miltenberger. c. Chief Financial Officer Introduction of James (Butch) Forrest to crowd and give s history and experience in healthcare Chief Financial Officer roles. Provided his direct phone line at the hospital if anyone has comments or questions about the district or billing questions. Board questions about current billing issues. Mr. Forrest is working on identifying the problems. Copay and other registration needs are still not being completed at as they should. Board directed Mr. Forrest to begin to form a plan and put in place to address the billing issues. d. Medical Staff Office- Ms. Shauna Richardson gave her report to the Board. Nothing to report. Asked about recruiting efforts with Shauna stating she has been in contact with HealthOne and other organizations and submitted paperwork required beginning the search. e. Parke Health Center-Brenda Briegel Discussed the ACO. Brenda reported that the providers did attend, but questions the vendor presented. Clarification from HealthOne will be taking place. f. Quality Report-Karen Hooker We continue to have no falls. Recalling back to 2016, there were quite a few falls. In 2017, we were better and this year, we ve only had 2 falls to date so there s been a huge patient safety improvement made. We had 11 medication errors and that has come down as well. The

3 medications system that we are using now has made it easier for the nurses to give medication and cut down on the errors as well. We will continue to rrack and trend that to see where we re at there. EDTC composite score dropped down to 7.1 Continuity of Care: We have discussed our inability to communicate with other ER s and Prognosis is aware of the problems. Meaningful Use: we have learned that time needs to be given for the machine. IX. Unfinished Business a. Hyperbaric Chamber update (Patrick with NexGen) We went through the technical, electrical, med gas farm, everything looks good. Ms. J. Mitchek asked, Did you find anything that surprised you so far? Patrick replied with a simple no, he s a contractor nothing ever surprises him! b. CEO Applicants Introductions. Dr. Jerry Ackerman stood first. His history is with pediatrics, Cigna, his specialty is turning around troubled organizations. The average employee turn-over rate went from 24% in one quarter to 14% down to 13%. Next to stand was Mr. Kelly Duke. His history involved an owned Advertising Agency, he worked for a 1,000 bed facility, Vice President, turned 3 hospitals around, recruited doctors. His wife is a certified accountant CFO knows how to arue with and lose to a CFO comment on our Doctor situation needs to be looked at he mentioned that there is so much data out there -- we want to keep the doctors here -- and the service lines. Do we have a pain management doctor? Do we have any pain here? (Everyone laughed) He believes that communication is of utmost importance, to keep everyone in transition together. Mr. C. Schlosser spoke up and mentioned that we want someone to interact with the community. Mr. Duke continued, I m a Rotarian, Chamber of Commerce, Volunteer for nonprofits, we need to focus. We are all community leaders. I see some good things happening at the hospital -- then we know we re doing something right. Dr. Ackerman stood and said, Now you can see the difference between an Introvert and an Extrovert! (Big laughter) Ms. J. Mitchek commented with Thanks you guys. X. New Business a. Safe Deposit Box Mr. C. McDaniel said for important documents, certificate of deposits, at institutions going back away, etc. it was brought to his attention that we should probably get one. Mr. J.Forrest suggested just buying a small safe and having it bolted to the floor. There was some discussion amongst the Board and finally they agreed to put it to a vote to approve the purchase of a physical safe for these items. A MOTION was made by Mr. C. McDaniel to give Butch the authority to purchase a safe up to $300 with an expectation Butch will have a report on it next month. Who will have keys? There won t be keys, it will be a dial. The Chairman and CEO will have the combination. The motion was seconded by Ms. K. Miltenberger.

4 b. Employee Wage Increases Staff wages were discussed. They will review it again on an annual basis. Discussion of every employee receiving from $0.25 to $0.75 with employees at the top of the range receiving a one-time bonus and not a raise. This is the beginning of staff raises depending on the financial status of the district. A MOTION was made by Mr. C. McDaniel to approve the information as provided to increase the salary according to Mr. C. Fedie s report per the Colorado Hospital Association. The motion was seconded by Ms. K. Miltenberger. Discussion continued after the vote. Nothing changed. c. Self-Funded Benefit Plan-Discussion The Board tasked the CFO to find better health plans. Butch had some ideas about this. A representative from an insurance group presented a report specific to the district, CTSI and presented the importance of making a decision to notify CTSI that we intend to cancel prior to this Friday to comply with their rules. There continued to be a long discussion revolving around our health insurance benefits as an employee of the District. The CFO and COO will bring coverage options to the October meeting. A MOTION was made by Mr. G. Mitchek to give notice to CTSI of KCCHSD s intent to cancel their coverage. The motion was seconded by Ms. J. Mitchek. d. Swedish CEO Moved to Unfinished Business for November e. Update By-Laws, Section 5.b Guidance from the district s attorney allowed the change in the by-laws from the three chief model to the Chief Executive Officer model in accordance with Small District Association rules of posted 72 hours in advance. f. Workman s Comp Butch spoke with Mr. Boland regarding Pinnacle and savings. Mr. Boland is a local business and CHA Trust is a national chain. We are only $2,400 a part, what he wants to know is, could he sign with the local business, Mr. Boland or would the Board prefer to go with the national chain? A MOTION was made by Mr. C. McDaniel to switch workmans comp insurance to the local business, Mr. Boland as long as he can be within the 5% cap of our current CHA Trust coverage. The motion was seconded by Mr. T. Pfaffly. A vote followed. A MOTION was made by Mr. McDaniel to adjourn the meeting. This motion was seconded by Mr. G. Mitchek

5 XI. XII. End of Regular Meeting 21:08 (Recess) 21:18 - Executive Session (4)(f) Physician Matters A MOTION was made by Mr. Mitchek. This motion was seconded by Mr. McDaniel. XIII. Executive Session Ended 23:05 A MOTION was made by Mr. McDaniel. This motion was seconded by Ms. J.Mitchek. Back in Executive Session (4)(f) Admin Matters at 23:05. A Motion was made to close Executive Session 00:25 by Mr. G.Mitchek. This motion was seconded by Mr. C.McDaniel. Adjournment: 00:37 A MOTION was made by Mr. G.Mitchek. This motion was seconded by Mr. C.McDaniel. Next Special Meeting, October 4, 2018 at 12:15 noon. Mandatory Staff Attendance. Special Meeting, October 11, 2018 at 12:00 noon. Next Regular Meeting, October 24, 2018 at 18:00. Respectfully Submitted, Jordie Mann Administrative Assistant/Public Relations Approved, 2018