Bob Davidson; Joe Devall; Frank La Barbera; Bobby LeTard; Rick Watson

Transcription

1 MINUTES OF MEETING BOARD OF COMMISSIONERS CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT d/b/a WEST CALCASIEU CAMERON HOSPITAL TUESDAY, JANUARY 23, 2018 NOON- BOARD ROOM A regular meeting of the Board of Commissioners of Calcasieu Cameron Hospital Service District d/b/a West Calcasieu Cameron Hospital was held on Tuesday, January 23, 2018 in the Board Room. The Chairman of the Board, Mr. Rick Watson, called the meeting to order at 12:00pm. COMMISSIONERS PRESENT: COMMISSIONERS ABSENT: OTHERS PRESENT: Bob Davidson; Joe Devall; Frank La Barbera; Bobby LeTard; Rick Watson None Jennifer Ackel; Dena Ford; Janie Frugé; Jobie James; Christi Kingsley; Kris Lyons; JW Peloquin; Brenda Quesnel; Trey Rion Chairman of the Board, Mr. Watson welcomed Chuck Kleckley, former Speaker of the LA House of Representatives, to the meeting. Mrs. Tiffany Martin presented the Patient Experience. She gave testimony of a her mother undergoing a knee replacement and the wonderful experience. Her mother s friend had the same surgery at another hospital and had very different experience. The friend stated she will only use WCCH going forward. That concluded the Patient Experience presentation. Next, Mrs. Frugé presented the CEO You Rock Award given to leaders who present and implement cost savings projects. The recipient for December is Kay Armer and Amy Johnson. Ms. Armer and Mrs. Johnson identified a room and board coding error charge for ICU creating a $14K loss in profits. The coding error has been changed with no future loss. That concluded the CEO-You Rock Award presentation. Mr. Watson presented the minutes from the regular meeting of the Board of Commissioners held on December 12, 2017 for approval. Mr. Davidson made a motion to approve the minutes as presented. Mr. Devall seconded the motion. The motion passed unanimously. Mr. Chuck Kleckley presented This Boards On Board: The State of the State of Louisiana. Mr. Kleckley discussed the $994M gap in the State budget and the possibility of balancing the budget. He stated with 2019 being reelection year for many Senators and Representatives, how they balance the budget will play major role in their upcoming campaigns. He explained the temporary fix to the budget was the Penny Tax which expires on June 30, He stated the Governor is suggesting $2.58 Billion cut in healthcare. Mr. Kleckley reminded the Board the calling of a Special Session would take place to discuss

2 revenue raising measures and possible budget cuts. He concluded his comments stating without revenue coming in, healthcare and higher education will see major cuts. After some discussion between the Board member and Mr. Kleckley, that concluded This Boards On Board. Mr. Watson then made the announcements and noted the dates of upcoming hospital meetings and events. They were as follows: Next Finance Committee Meeting: Monday, February 26, 2018 Next Board of Commissioners Meeting: Tuesday, February 27, 2018 Doctor s Day Luncheon: Thursday, March 29, 2018 at 11:00am Finally, Mr. Watson presented the following Foundation Board members for reappointment: Mary Ann Redd. Mr. LeTard made a motion to approve the Foundation Board member reappointments and Mr. LaBarbera seconded the motion. The motion passed unanimously. Mrs. Frugé followed with the Chief Executive Officer s report. Mrs. Frugé began her report announcing Dr. Devin Seale has signed his Income Guarantee Agreement and will begin practicing with Sulphur Surgical Center in August She went on to report, Dr. Fadi Malek, Pulmonologist / Critical Care, will perform consults in hospital two times per week and will eventually conduct one day of clinic out of Calcasieu Family Physicians office. Mrs. Frugé continued her report announcing the retirement of Dr. Thomas Alderson. She stated Dr. Siddiq and Dr. Ewane will begin seeing patients at the Sulphur office on Beglis Parkway at the end of January. Finally, she updated the Board regarding the contributions received by the WCCH PAC as well as announcing the approval of the Resolutions at the Calcasieu Parish Police Jury and the Cameron Parish Police Jury meetings. That concluded the CEO report. Mrs. Kristine Lyons, Chief Quality Transformation Officer, along with Mrs. Frugé then presented the High Reliability Journey Report. Mrs. Lyons began by updating the Board on the staff who have committed to attending Lean Six Sigma and the project which will be worked on for the next nine months. She also informed the Board of mock surveys and rounding with Infection Control in preparation for The Joint Commission survey next year. Mrs. Frugé continued the High Reliability Journey Report updating the Board with a list of changes made to the processes and procedures as a result of Leadership Safety Rounding which has taken place over the last twelve months. This concluded the High Reliability Journey Report. Mrs. Jennifer Ackel, Compliance Officer, then presented the Compliance Report. She reminded the Board of their Annual Personal Financial Statements which are due in May. She also offered assistance as needed. This concluded the Compliance Report. Mr. J. W. Peloquin, Director of Facilities Management, then presented an update on building facilities. He reported the Fire Doors and Dampers inspection are near completion yet the repairs are ongoing. He continued his report by stating the cleaning around Dr. Toniette s building will begin today, Tuesday, January 23, 2018 with the abatement taking place on Thursday, January 25, Next, he presented the 2017 Environment of Care Annual Evaluation Summary noting Safety, Security, Hazardous Materials and Waste, Fire Safety, Medical Equipment, Utility Systems, and Emergency Management. That concluded the Facilities report.

3 Mr. Davidson made a motion to accept the 2017 Environment of Care Annual Evaluation Summary and a second was made by Mr. Devall. The motion passed unanimously. Next, Mr. Peloquin presented the following items to be declared as surplus for January: 1) five(5) treadmills 2) three(3) Bard urometers 3) one(1) barnsted rotomix 4) three(3) exam beds 5) one(1) concept rowing ergometer 6) one(1) Quantum leg machine 7) one(1) Gaymar K-thermia unit 8) five(5) arc trainers Mr. Davidson made a motion to approve the entire list as surplus property, meaning they are no longer useful in the daily operations of the hospital. Mr. Devall seconded the motion. This motion passed unanimously. Mr. Peloquin will now place these items for sale on the Govdeals.com website. Mrs. Jobie James presented the Financial Reports for the hospital through December 31, Mrs. James began her report with a recap of the November Financials. She reported a $315, increase in cash with an ending Cash and Cash Equivalents of $9,252, Mrs. James explained that the day outstanding in A/R at for November which is under the set goal of 55 days outstanding in A/R. Mrs. James continued with her report reviewing the Global Goals stating as of the end of November, the hospital is only meeting 1 of the 9 domains under Hospital Environment. The Financial Goal of $1,525,000 is being met at $1,933, in November. The Community Service (Growth) monthly goal of 860 month to date Adjusted Discharges is not currently being met at 821 adjusted discharges neither is the year-to-date goal of 9,384 currently being met. Mrs. James continued her report with a recap of the December Financials. She reported a $4,098, increase in cash with an ending Cash and Cash Equivalents of $13,350, due to the receipt of a Cooperative Endeavor Agreement and Hospital Service District UPL. Mrs. James stated the days outstanding in A/R at increased due to patients not paying on their accounts in December. She continue by reporting on December Global Goals. In the area of Customer Satisfaction, Mrs. James stated the hospital is only meeting 1 of the 9 domains under Hospital Environment. The Financial Goal of $1,525,000 is being met at $2,519, for December. The Community Service (Growth) monthly goal of 827 adjusted discharges is not being met nor is the year-to-date goal of 10,211. That concluded the financial report. Mrs. Brenda Quesnel, Chief Nursing Officer, presented the Patient Care Report. Mrs. Quesnel informed the Board of staffing during high census. She explained utilizing staff at a premium pay instead of hiring outside agency to maintain a safe nurse to patient ratio. Mr. Davidson agreed with decision stating provides better care to patients as well as employee retention using in house staff. After some discussion, this concluded the Patient Care Report.

4 Next, Mrs. Kristine Lyons presented the Quality, Patient Satisfaction, and Performance Improvement Report. She presented a Revised Self Reporting Process of Abuse Policy for the Boards approval. After some explanation of the revisions and discussion, Mr. Davidson made a motion to accept the Revised Self Reporting Process of Abuse Policy and a second was made by Mr. Devall. The motion passed unanimously. Mrs. Lyons continued her report presenting the HCAHPS Measures for the first three weeks of January She noted improvement in the areas of Pain Management, Discharge Information, and Care Transitions. That concluded Quality, Patient Satisfaction, and Performance Improvement Report. Finally, Mr. Trey Rion, Chief Information Officer, presented the Information Technology Report. He began by presenting the 2018 Risk Assessment Priorities focusing on the areas of Electronic Security, Incident Response Team, and the Human Factor. After some discussion, Mr. LaBarbera made a motion to accept the 2018 Risk Assessment Priorities and a second was made by Mr. Davidson. The motion passed unanimously. Mr. Rion continued his report announcing the transition of API to off site hosting. He also informed the Board of projects scheduled for That concluded the Information Technology Report. Then, Mrs. Frugé presented the board with a list of Medical Staff Appointments, Reinstatements and Resignations. A. Appointments Consulting Staff ITEMS REQUIRING APPROVAL FROM THE BOARD OF COMMISSIONERS January 23, 2018 (Approved and recommended by Medical Executive Comt. - December 5, 2017 and January 4, 2018 Fadi Y. Malek, M.D. IM/Pulmonary/Critical Care & Sleep Medicine w/proc. Sedation [Certified by the American Board of Internal Medicine: IM/Pulmonary Disease/ Critical Care and Sleep] Emergency Room Misha R. Ownbey, M.D. Emergency Medicine w/rsi & Procedural Sedation [Certified by the American Board of Emergency Medicine] Allied Health Professionals Yvonne R. Alexander, APRN PEMM Group: Emergency Room Jason M. Slaydon, CRNA Sponsor: Anesthesia Associates

5 B. Reappointments Emergency Room Ross Hardy, M.D. Emergency Medicine with RSI & Procedural Sedation Privileges (Board Eligible in Emergency Medicine) Charles Stephens, M.D. Emergency Medicine with RSI & Procedural Sedation Privileges (Board Certified in Emergency Medicine) Allied Health Professionals Carolyn Rideaux, APRN Sponsor: Tony Leung, M.D. Nephrology Holly A. Umfrid, APRN Sponsor: PEMM ER C. Request for Additional Privileges Daniel T. Hall, DPM Surgical Treatment of the Ankle D. Request for Voluntary Leave of Absence Elizabeth Murray, M.D. Pediatrics [Courtesy Staff] E. Resignation of Clinical Privileges Consulting Staff Robert C. Abramson, M.D. Neurological Surgery [Declined to Reappoint] Brian C. Kelley, D.O. Neurological Surgery [Declined to Reappoint] Jeremy M. Rau, M.D. Teleradiology [Eff ] Mr. Davidson made a motion to approve the Medical Staff Appointments. A second was made by Mr. Devall. The motion passed unanimously. Mr. Watson then presented the Geographical Resolution for the Board s approval. Prior to the meeting date, the Board was presented the following Resolution to be reviewed then adopted at the January meeting: RESOLUTION A RESOLUTION AUTHORIZING PUBLICATION OF NOTICE DESCRIBING THE GEOGRAPHIC LIMITS OF CALCASIEU-CAMERON HOSPITAL SERVICE DISTRICT, OF THE PARISHES OF CALCASIEU AND CAMERON, LOUISIANA. BE IT RESOLVED by the Board of Commissioners, governing authority of Calcasieu-Cameron Hospital Service District, of the Calcasieu Parish, Louisiana:

6 SECTION 1. That Ordinance No. 706, adopted August 7, 1950, by the Calcasieu Parish and Cameron Parish Police Juries, creating Calcasieu-Cameron Hospital Service District, of the parishes of Calcasieu and Cameron, Louisiana, and Ordinance No. 4880, adopted March 17, 2005, amending Ordinance No. 706 (as heretofore amended by Ordinance No. 3514, adopted on March 3, 1994, and Ordinance No. 4699, adopted on March 18, 2004), be and same are hereby ratified, approved and confirmed. SECTION 2. That the President and Secretary of this Board are empowered, authorized and requested to cause to be published a public notice describing the geographic limits of Calcasieu-Cameron Hospital Service District, of the parishes of Calcasieu and Cameron, Louisiana, said publication to be made in the Southwest Daily News, in the same edition as the Notice to Voters is published, pertaining to the special election authorized for Calcasieu-Cameron Hospital Service District, of the parishes of Calcasieu and Cameron, Louisiana, by resolution adopted this date. With a motion made by Mr. LeTard and a second by Mr. Davidson, the Geographical Resolution was adopted and approved. The following capital requests were then presented for approval: 1. Mammo Monitors: $25, Mr. LeTard made a motion to amend the budget and Mr. Devall seconded the motion. The motion to amend the budget passed unanimously. Mr. LeTard then made a motion to approve the Purchase of Mammo Monitors in the amount of $25, Mr. Devall seconded the motion. The motion passed unanimously. 2. Urology OR Table: $35, Mr. Davidson made a motion to amend the budget and Mr. Devall seconded the motion. The motion to amend the budget passed unanimously. Mr. Davidson then made a motion to approve the Purchase of Urology OR Table in the amount of $35, Mr. Devall seconded the motion. The motion passed unanimously. 3. Boiler Replacement: $57, Mr. LeTard made a motion to approve the Replacement of the Boiler in the amount of $57, Mr. LaBarbera seconded the motion. The motion passed unanimously. Mr. Davidson made the motion at 1:25pm, seconded by Mr. LaBarbera, to move into Executive Session for the purposes of strategic planning, marketing, and personnel matters in keeping with Louisiana revised Statutes 42:6, 42:6.1, 46: The motion passed unanimously. Mr. LaBarbera made a motion at 2:34pm to move back into Regular Session. Mr. Davidson seconded the motion. The motion passed unanimously.

7 Mr. Devall then made a motion to purchase the building located at 1200 Stelly Lane from Dr. Ben Darby if all parties are in agreement with the Property Appraisal. Mr. LaBarbera seconded the motion. The motion passed unanimously. Mr. LaBarbera made the motion, seconded by Mr. Devall to adjourn the meeting. The meeting was adjourned at 2:36pm. Chairman of the Board Secretary of the Board