SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES

Transcription

1 SPARTA COMMUNITY HOSPITAL DISTRICT BOARD MEETING MINUTES Date: April 17, 2018 Members Present: Chris Haury, Kevin Wilson, Gary Stephens, Kay Hapke, Claudia Kerens, John Clendenin, Alene Holloway, Lynette Jalivay. Others Present: Joann Emge, Angela Oathout and Ruth Holloway Members absent: Mr. Ernsting Meeting called to order at 7:00 p.m. by Mr. Haury Item Discussion Action, Resolution, or Follow-up Approval of Minutes Mr. Haury presented Board minutes from March 20, 2018 Ms. Kerens made the motion to approve the meeting minutes and Mr. Stephens seconded, motion carried. Financials Mr. Stephens shared the treasurer s report. Ms. Kerens approved the treasurer s report subject to audit, Ms. Hapke Paul Mueller shared the Financials for the month of March. Balance Sheet Cash and Investments Cash increased $361,851 or 3% in comparison to February. Day s cash on hand increased to 124. We measure favorably to the performance indicator established at 90 days. Accounts Receivable Total system gross accounts receivable decreased $628,052. Total system Days in A/R (excluding claims reimbursed by the State of Illinois) decreased from 71.4 in February to 67.4 in March. Our performance indicator is 62 days. Hospital patient gross accounts receivable decreased $861,407. Hospital Days in A/R (including IL State) decreased from 92 in February to 86 in March. Hospital Medicaid gross receivables are $4,976,984 Hospital gross receivables from State of Illinois self-funded insurance plans for its employees and retirees is $1,394,245 Of the hospital gross A/R, 43% is greater than 90 days old from discharge, with 43% and 45% of Medicaid and the State of Illinois self-funded insurance plan greater than 90 days, respectively. Clinic gross accounts receivable decreased $32,540 or 2%. 1

2 Financials Cont d Clinic gross A/R is 2.5 times current clinic revenue. We measure unfavorably to the performance indicator of 2 time s current revenue. Account Payable Accounts payable decreased $28,368. Current month has 10 days non-salary expense in A/P, February had 10. We measure favorably to the performance indicator of 30 days. Income Statement Physician s Report Revenues Inpatient revenues increased $93,381 or 27% compared to February. Outpatient revenues increased $267,151 or 8%. Emergency service revenues decreased by $210,442 or 12%. Swing bed revenues decreased by $34,629. Physician office revenue decreased by $41,431 or 7%. Total system gross revenues increased $74,030 or 1%. System net revenues increased $350,715 or 14%. Gross revenue per calendar day is $208,418 vs. $205,174 budgeted. Allowance of revenues is 51% vs. 52% budgeted. Total system gross revenues, year-to-date are $433,616 or 1% over budget. Expenses Salary and fringe benefit expenses increased $162,735. Our performance indicator is 50.5% of net patient revenues; salary and fringe benefit expense is 61% for March. Bad debts, we measured favorably (4.1%) to the performance indicator of 5% of gross patient revenues. Total expense per calendar day is $97,518 vs. $94,374 budgeted. Expenses year-to-date are $546,448 or 2% under budget. Dr. Wood was unable to attend. CEO Report I. FINANCE: Joann discussed the census and patient volumes for the month of March

3 We received an IPT dividend payment of $181, Expenses for Approval 1. Steeleville clinic Renovation Total Cost - $92, Batteries UPS 80 batteries Cost $14, $10,000 in grant funding to be applied to cost. 3. BKD Audit engagement $49,500- Plus travel fees and administrative cost of 4%. 4. Recruitment cost for County Surgeon Estimated sharing cost $15,000 $1250. retainer fee $1500 per month X five (5) months Total professional fee $24,000 Marketing Campaign o $295.month plus $.75 to $1.35 per piece. 5. Contracts - Contract Approval 1. Studer Engagement contract, we will renew in $13,850 per quarter Three (3) year term Current Cost $17,000/quarter 2. Pulmonary Consultants Renewal Dr. Barkoviak Clinic Same Terms $3,000/day 3. Linda Passini Contract Extension to September 30, Dr. Zhu Pain Management 1 day per week 1 year term 5. Human Service center LCSW for Home Health Services II. PEOPLE Senator Schimpf was onsite on March 26,

4 Hospital Week May 6 th through 12 th Departmental Weeks Nurses Week Employee Engagement Survey opens May 8 th Town Hall Meetings seven (7) sessions 130 attendees III. SERVICE 1. Specialty Service enhancement Dr. Zhu was added for additional pain management services, Dr. Manchanda will continue to provide pain management services as well. Dr. Bassman will begin May 2nd in addition to Dr. Chien for orthopedic services Audiology Testing Services Dr. Maag will enter into a timeshare agreement to provide audiology services here. OR Services Dr. Kurzweil and Dr. Baghmanli will provide general surgical services following the departure of Dr. Hinze. 2. Tele-ED - Public rollout on April 25 th at 5:00 pm. 3. Medication Shortage due to circumstances outside of our control. 4. Pharmacy is monitoring and working to ensure the pharmacy is stocked appropriately. IV. QUALITY 1. Organizational Goals Reviewing action plans for the 4 th quarter of fiscal year Revision of goals for FY 2019 Underway to achieve strategic initiatives 3. Information Enclosed for your Review Value Initiative IRCCO Improving our communities economic impact. 4. Joann discussed the Board report which focused on the People pillar. Executive Session Paul Mueller left the meeting at 7:35 Ms. Kerens made a motion to go into Executive Session at 7:35 p.m. for the 4

5 purpose of discussing litigation, Real Estate, Contracts and Employee Matters, Ms. Hapke seconded. Motion carried. Regular Session Ruth Holloway left the meeting at 8:20 Mr. Stephens made the motion to return to regular Session at 8:20 p.m. Ms. Hapke seconded, Motion carried. Minutes Executive Session minutes from: March 20, 2018, April 18, 2017, October 18, 2016, April 19, 2016, April 21, 2016, October 21, 2014 and April 15, 2014 Ms. Kerens made the motion to approve the minutes from March 20, 2018, Ms. Hapke Ms. Kerens made the motion to release the minutes from October 18, 2016, Mr. Wilson Ms. Kerens made the motion to defer the minutes from: April 18, 2017, April 19, 2016, April 21, 2016, October 21, 2014 and April 15, Mr. Wilson Committee Reports Quality Council: Ms. Holloway shared the highlights from the March 2018 Quality Council Meeting. Finance Committee: Mr. Stephens shared the highlights from the finance committee meeting. Approval of Medical Staff Applications: Mr. Clendenin shared the provider credentialing applications: Appointments: Charles Smittkamp, MD Radiology Onsite Medical Director Daniel Roubein, M.D. Radiology Scott Long. M.D. - Radiology Nzeadibenma Uzochukwu, M.D. Radiology Shawn Mayer, M.D. - Radiology Joel Tennenhouse, M.D. -Radiology Jay Wigbouldy, M.D. Radiology Wallace Anderson, M.D. - Radiology 5

6 Approval of Expenditures Dean Collette, M.D. Radiology David Downs, M.D. Radiology James Farn, MD Radiology Onsite Gregory Holdener, MD Radiology Onsite Daniel Keys, MD Radiology Onsite Saquib Khawar, MD Radiology Onsite Naveen Saini, MD Radiology Onsite Paul Schroeder, MD Radiology Onsite Omer Aker, MD Radiology Simon Bekker, MD Radiology Joseph Basler, MD Radiology Anton Johnson, M.D. Radiology Kiran Sekhar, M.D.- Radiology Vincent Zata, M.D.- Radiology Samuel Huston, M.D. - Radiology Sue Volarich, M.D. -Radiology Daniel Stanton, M.D. Radiology Theodore, Gleason, M.D. Radiology Matthew Abell, M.D. - Radiology Gregory Gregg, M.D. Radiology Deepa Cyriac, M.D. Radiology Judith Wuller, M.D Emergency Medicine James Lundy, M.D. Emergency Medicine Michael Van Vrancken, M.D. Pathology Re-appointments: Beth Kraus, NP - MEDS Sue Drabing, NP MEDS Expenses for Approval: Expenses for Approval 1. Steeleville clinic Renovation to include paint, flooring, cabinetry and a keyless entry for staff and power doors for patients. Total Cost - $92, Mr. Clendenin made the motion to approve the medical staff appointment and re-appointment applications, Ms. Hapke seconded, motion carried. Steeleville Renovation for a cost of $92, Ms. Kerens seconded and motion carried. 2. Batteries UPS. Backup for the Radiology department. 80 batteries Cost $14,

7 $10,000 in grant funding to be applied to cost. 3. BKD Audit engagement $49,500- Plus travel fees and administrative cost of 4%. 4. Recruitment cost for County Surgeon Estimated sharing cost $15,000 $1250. retainer fee $1500 per month X five (5) months Total professional fee $24,000 Marketing Campaign $295.month plus $.75 to $1.35 per piece. Approval of Contracts: 1. Studer Engagement o $13,850 per quarter o Three (3) year term o Current Cost $17,000/quarter 2. Pulmonary Consultants Renewal Dr. Barkoviak Clinic Same Terms $3,000 per day. 3. Linda Passini Contract Extension to September 30, Dr. Zhu Pain Management 1 day per week 1 year term battery backup for a cost of $14, and Ms. Kerens seconded and motion carried. Audit engagement for a cost of $49,500 as well as the costs of travel and administrative fees. Ms. Holloway shared costs with the two county hospitals to recruit a general surgeon. Ms. Kerens renewal of the Studer Contract for a cost of $13,850 per quarter. Ms. Holloway renewal of Pulmonary Consultants contracts for the same terms of $3,000 per day. extension of Linda Passini s contract until September 30, Ms. Holloway Mr. Stephens motioned to approve Dr. Zhu s contract for a one (1) year term. 7

8 5. Human Service center LCSW for Home Health Services Ms. Holloway seconded and motion carried. Human Service Center Contract to provide Licensed Clinical Social Worker to Home Health patients. Ms. Holloway Adjournment A motion was made by Mr. Wilson to adjourn at 8:35 pm. Ms. Holloway Chris Haury, Vice Chair Kevin Wilson, Secretary 8