SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING

Transcription

1 SOUTH PENINSULA HOSPITAL, INC. REGULAR BOARD MEETING SPH Conference Rooms June 24, 2015 Call to Order The BOD went into Executive Session to discuss personnel and financial matters prior to the start of the regular meeting. *****Into Executive Session 5:34 p.m. ***** *****Out of Executive Session 6:43 p.m. ***** ***** Regular Session 7:00 p.m. *****. President Tom Clark called the regular meeting to order at 7:00 p.m. Present: Tom Clark Vickey Hodnik Bernadette Wilson Matt North Caroline Venuti Matt Hambrick Excused: Todd Boling Susan Drathman Julie Woodworth Also Present: Robert Letson, CEO Lori Meyer, CFO Leslie Haynes, QI/UR/RM Director Shara Sutherlin, Patient Care Services Director Derotha Ferraro, PR & Business Development Director Sue Shover, LTC Director Kenny Rogers, Emergency Department/Acute Care Director Cindy Brinkerhoff, Human Resources Director Glenn Radeke, Facilities Director Laura Hansen, Executive Assistant Clyde Boyer, SAB Representative Robbie Coffey, Acute Care Peggie Inglis, Lab Dave Collett-Paule Jan Hanenberger, Homer Secretarial Services A quorum was present. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 1 of 11

2 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 2 of 11 Announcements, Welcome Guests & Public President Clark welcomed everyone. He mentioned Rules for Participating in a Public Meeting were to be followed. Approval of Agenda Hambrick/Venuti moved/seconded: To approve the agenda as submitted. Motion passed. Comments of Audience Peggy Inglis mentioned concerns regarding comments she has heard. Approval of Consent Calendar Hambrick/Venuti moved/seconded: To approve the consent calendar. Ms. Wilson read the consent calendar items into the minutes: A. Consideration to Approve the Minutes of the May 27, 2015 Board of Directors Meeting B. Consideration to Approve the Minutes from the April 27, 2015 Special Board of Directors meeting C. Consideration to Approve Workers Compensation Renewal There were no objections. Motion passed. Presentations: None Reports: A. Chief of Staff Dr. Giulia Tortora was unable to be present. B. Service Area Board Representative Clyde Boyer mentioned the SAB is not meeting for the months of June and July. He reported he attended the last QI meeting and was very impressed. C. Chief Executive Officer Robert Letson s report was included in the packet. He mentioned the following highlights: A grant request was submitted for $240,000 from the Murdock Trust for a new 3D mammography unit. The first Pacemaker Cardiology Clinic is scheduled for July 30 th. Dr. Graham Glass, neurologist, will start monthly Neurology Clinics on August 6 th and 7 th. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 2 of 11

3 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 3 of 11 SPH will be having an ASHNHA Mock Critical Access Survey in August. This is free due to a grant and will help prepare for the real survey done later this year. Senior managers will be provided an educational program on reviewing values, behavior and culture. Dr. Samuel William, locums general surgeon, will be covering for Dr. Hough. There were no questions or comments. D. LTC Administrator Mr. Letson s report was included in the packet. He mentioned: The 12 hour shift conversion for the CNAs has been completed. A core committee of LTC staff and senior managers met with Agnew/Beck Consulting to launch the LTC Strategic Plan. Sue Shover and staff are working on selecting an Electronic Health Record with a consulting group. There currently are 27 residents. There were no questions or comments. E. Chief Financial Officer Ms. Meyer s report was provided in the meeting packets. She mentioned the following: Gross patient revenue was almost 15% over budget for the month of May. Operating expenses were almost 10% over budget at $455,000. There was a $23,000 gain from operations compared to a $271,000 loss that was budgeted. EBITDA is positive at $2,175,000. AR days went up some. Cash on hand decreased. There were no questions or comments. F. Patient Care Services Ms. Sutherlin s written report was provided in the meeting packets. She mentioned the following: Imaging They are ready for the annual physicist inspection of CT and MRI units on July 1 st. Lab They are advertising for a full-time evening/weekend position. Rehabilitation Two PT s have been hired and they are looking for an occupational hand therapist. Jackie Forester was chosen Employee of the Quarter for the third quarter this year. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 3 of 11

4 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 4 of 11 Surgical Services New OR Manager, Janet Stookey, has arrived. Pharmacy New Pharmacy Manager, Mike Ostrom, is now on staff. The Alaris Drug Libraries, Epidural Pumps, and the Infusion Pumps are scheduled for training and Go Live in June August. Emergency Department ED team used the Level One Infuser for treating patients in shock and it did a great job. Home Health Services A.6 nurse has been hired. Patient Care Division A new job position has been developed for a Preceptor/Orientation Skills Lab Educator. Ms. Sutherlin will have an update on the progress at the next meeting. From the Capital Budget they are establishing an eicu Program with Providence. ER and ICU monitoring capabilities of patients will be from 8:00 p.m. until 7:00 a.m. The hospital is on Red Alert as of 4:00 p.m. today. Staff has been great with overtime and on-call help. Several hospitals in Alaska are experiencing a surge of patients at this time. They currently have a recruitment process going on for 17 positions at SPH. Life Alaska Donor Services recently visited SPH. They reported there were seven organ and tissue donors, from SPH, which resulted in nine different transplants in Questions and answers followed. G. Quality Improvement Ms. Haynes written report was included in the packet. She mentioned the following: Quality Improvement On June 18 th they held a patient drill in the morning and evening. It was an outstanding opportunity, there were great volunteers from the community, and they will now be looking at policies. Risk Management Parker, Smith and Feek representatives visited on June 15 th. Rosary Payne, their Clinical Risk Manager, will return the end of September to mid-october to do an in-service for the board of directors, senior managers, as well as other staff. Ms. Haynes then briefly reviewed the scorecards. Questions and answers followed. H. Marketing Report Written report was included in the packet. Ms. Ferraro mentioned the following: The hospital has been very active in the community with the following: 1. There were 25 to 30 employees at the Relay for Life and over $46,000 was raised for cancer research. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 4 of 11

5 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 5 of The Spit Run is this coming Saturday. SPH co-sponsors this event with the Kachemak Bay Running Club and City of Homer. 3. Direct mail postcards will be going out soon to notify the community of the various specialty clinics and providers. 4. The hospital s website has been transferred from a Joomla platform to a Wordpress platform. With the transfer comes the ability for the website to be mobile and tablet friendly. Questions and answers followed. I. Human Resources Report Written report was included in the packet. Ms. Brinkerhoff mentioned the following: The department provided a review on turnover of staff from the first of the year, which created an opportunity to review job descriptions and evaluate HR needs. Participated in a retreat with the Senior Management Team to review organizational values and behaviors. The negotiated and ratified Collective Bargaining Agreement is essentially in place. There was a concern by the Teamsters Business Representative with changes in the health plan design. The Defined Benefit Pension Plan now offers vested, terminated employees the ability to cash out their pension or roll it over. They are working through issues with the new Applicant Tracking System. J. Support Services/Facilities Report Written report was included in the packet. Mr. Radeke mentioned the following: Remodel and space reallocation projects completed: Maintenance Shop and Director s office have relocated to the shelled space. QI office moved into the Director s office. Vacated QI office has been remodeled and Patient Financial Services expanded into that space. Remodel and space reallocation projects upcoming: Community Health Services Relocate two nurse work stations and remodel the vacated area for more provider space to include two exam rooms, patient waiting area, and two offices. Build out vacated Maintenance Shop area behind Physical Therapy into four new PT exam booths. Questions and answers followed. I. Board President No report. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 5 of 11

6 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 6 of 11 J. Board Committees: Finance No report. Governance No report. Education Ms. Wilson said the committee did not meet. In an effort to shorten the board s summer meetings no educational presentations are planned for the summer months. Due to illness Ms. Wilson left the meeting. Pension Plan No report. BOD representative to SAB meeting No report. SAB does not meet in the months of June and July. Unfinished Business No items. New Business A. Review Strategic Plan FY15 Fourth Quarter Action Items CEO Letson briefly reviewed the fourth quarter action items. questions. There were no B. Consideration to Approve Medical Staff Development Plan Amendment CEO Letson provided information on the amendment, which will modify the Plan to change the OB/GYN physician classification from part time to fulltime. Dr. Katie Ostrom has agreed to the full time position in coordination with Homer Medical. Venuti/North moved/seconded: To approve changes to the Medical Staff Development Plan by Increasing the Need of OB/GYN services to a 1.2 FTE designation. The vote: Yes: Venuti, Hambrick, Hodnik, Clark, North No: 0 Absent: Drathman, Boling, Woodworth, Wilson Motion passed. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 6 of 11

7 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 7 of 11 C. Consideration to Approve OB/GYN Employed Physician Agreement CEO Letson said related to the previous item he recommends bringing Dr. Katie Ostrom in as the fulltime OB/GYN employed physician to work at Homer Medical Center. Venuti/Hambrick moved/seconded: To approve the changes and approve the OB/GYN employed physician contract as discussed. The vote: Yes: North, Hodnik, Clark, Venuti, Hambrick No: 0 Absent: Drathman, Woodworth, Boling, Wilson Motion passed. D. Consideration to Approve Functional Medicine Office Renovation CEO Letson reported they have been working with Dr. Rob Downey who will be offering Family Practice and Functional Medicine clinics in December. Currently SPH is completely out of space at Homer Medical Center and they are looking at available space in the building where Home Healthcare is located. Renovation of this space would be at a cost of $32,000. It would accommodate a waiting room, registration area, and exam rooms. Hambrick/ Venuti moved/seconded: To approve the remodel of the Boling Building at a cost of $32,000 per attached proposal. Funding would come from the operations budget. A question regarding the proper building name and location was asked. Friendly amendment was made by Mr. Hambrick for the motion to read as follows: To approve the remodel of the Jonas Ridge, LLC building located at 203 West Pioneer Avenue, Homer, Alaska, at a cost of $32,000 per the attached proposal, with funding coming from the operations budget. Ms. Venuti agreed to the amendment. There was a question regarding Mr. Hambrick possibly having a conflict of interest and if he should abstain from voting on this item. The members felt he did not have a conflict and President Clark ruled in agreement. The vote: Yes: Clark, Hodnik, North, Venuti, Hambrick No: 0 Absent: Drathman, Woodworth, Boling, Wilson Motion passed. E. Review Draft Values and Behaviors South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 7 of 11

8 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 8 of 11 CEO Letson said the draft Values and Behaviors have been reviewed with a few minor changes being made. The updated version will be presented to the Management Team on June 29 th and then presented to the board for final adoption in July. CEO Letson recommended finalizing the proposal from Tom Van Dawark to provide additional follow-up to complete the Values and Behaviors changes at SPH. F. Consideration to Approve Values Consultant Proposal Hambrick/North moved/seconded: To approve the revised proposal to support Culture Change Plan at South Peninsula Hospital at a cost of $15,400 per month for three to four months as discussed in Executive Session. Discussion followed. The vote: Yes: North, Hodnik, Clark, Venuti, Hambrick No: 0 Absent: Drathman, Woodworth, Boling, Wilson Motion passed. G. Consideration to Approve Revenue Cycle Implementation Project CEO Letson said the project has been looked at and was approved by the Finance Committee. Requests for Proposals were sent out and a number of bids have been received. After review of the bids, and checking references, Huron is the consulting company recommended for approval. Venuti/Hambrick moved/seconded: To approve Huron s Revenue Cycle Implementation Phase 1 not to exceed $440,000 financeable over 12 months. Discussion followed. The vote: Yes: Clark, North, Venuti, Hambrick, Hodnik No: 0 Absent: Drathman, Woodworth, Boling, Wilson Motion passed. H. Review Alzheimer s Unit Note CEO Letson mentioned that Homer Senior Citizens has announced their plans for a Dementia/Alzheimer s wing to contain 15 beds following the Eden Project. This project has been a Board Strategic Planning Priority for the Homer Senior Center for the past three years. SPH is also looking at this for their long range plan. I. Second Reading and Consideration to Approve Board Bylaw Proposed Changes South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 8 of 11

9 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 9 of 11 CEO Letson said in accordance with ARTICLE IX AMENDMENTS of the Board Bylaws, the first reading of this proposed change was read at the May 28, 2015 Operating Board meeting. The second and final reading of the proposed change is tonight, June 24, As a result of discussion at the Board Governance Committee meeting on April 20, 2015, the following change to ARTICLE II Meetings, Section 3 Quorum of the Board Bylaws is proposed to clarify the policy regarding attendance/voting via teleconference. Language was added to make it clear that a quorum consisted of the majority of seated members rather than the Board seats. It is recommended that this section be amended to read: A quorum for the transaction of business at any regular, special, or Board meeting shall consist of a majority of the seated members of the Hospital Board, but a majority of those present shall have the power to adjourn the meeting to a future time. Attendance may be in person or telephonic. The recommended motion: Consideration to approve the proposed amendments to the Board Bylaws after readings on May 28, 2015 and June 24, 2015 per Article IX Amendments in the Board bylaws. Hambrick/North moved/seconded: To approve the recommended motion as read. Motion passed. J. FYI Bond Refinancing CEO Letson reported Craig Chapman, KPB Finance Director, mentioned that he had done some bond refinancing which should save the hospital $450,000. K. Review Patient Centered Care Meeting Minutes Ms. Sutherlin provided a brief review and mentioned highlights of the minutes. Discussion: A. Critical Access Hospital Conference September 30 October 2, 2015 Ms. Hansen mentioned information was provided in the meeting packets. Four members have indicated they would like to attend. B. Rural Health Clinic Conference September 29 30, 2015 Information was also included in the packets. As of yet, no one has indicated they plan to attend. South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 9 of 11

10 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 10 of 11 Comments from the Audience Sue Shover said she appreciated that the board approved the funds for the consultant to continue on with the Values and Behaviors project. Robbie Coffey said she also appreciated the board approving the funds for the Values and Behaviors project, and mentioned that communication is very important. Kenny Rogers said he appreciates the board and all the hard work that they do. Laura Hansen said she appreciates Mr. Letson and the board for their leadership and teamwork. Leslie Haynes mentioned she will be out of town and would not be able to attend next month s meeting. Comments from the Chief of Staff No comment. Comments from the Chief Financial Officer No comment. Comments from the Chief Executive Officer Robert Letson thanked the board, senior managers, and Ms. Hansen for all their hard work on the Values and Behaviors project. He also thanked Kenny Rogers for all his work. Comments from Homer Secretarial Services Jan Hanenberger thanked everyone. Comments from Service Area Board Representative Clyde Boyer said it was a pleasure to attend this evening s meeting and thanked the members for all their work. Comments from Board Members/Staff Dr. Vickey Hodnik thanked Mr. Boyer and congratulated Ms. Meyer on her recent marriage. She said they board has a busy year ahead of them, and no matter where you are in your culture there is always room for change. Matt North thanked everyone for their hard work. Caroline Venuti wished everyone a happy and safe Fourth of July, and said we live in a wonderful country. Matt Hambrick thanked Dr. Rob Downey for championing the ICD-10 Project, thanked Mr. Letson and Ms. Hansen for all that they do, and thanked Dave Collett- Paule attending the meeting this evening. Tom Clark thanked everyone for attending this evening s meeting. Announcements as a result of the Executive Session South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 10 of 11

11 South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 11 of 11 After review of the applicants files in Executive Session, Dr. Vickey Hodnik moved to approve the following positions in the Medical Staff as requested and recommended by the Medical Executive Committee: Appointment of: Jon F. Lieberman, M.D., General Surgery Reappointment of: Lisa Gray, D.O., Cardiology Judith Steyer, M.D., Family Medicine Stanley P. Watkins, M.D., Cardiology Paul Raymond, M.D., Family Medicine Mr. North seconded the motion to approve. Motion passed. Adjournment: Mr. North moved to adjourn. Meeting adjourned at 8:22 pm. Respectfully submitted, Janet E. Hanenberger Homer Secretarial Services Minutes Approved: Accepted: Tom Clark, President Bernadette Wilson, Secretary South Peninsula Hospital, Inc., Regular Board Meeting, June 24, 2015 Page 11 of 11