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GOVERNING BOARD MEETING
August 20, 2007
Mercer County Hospital
Conference Room A
7:00 P.M.
Members Present: Mr. Kevin Conway Dr. Dennis Palmer
Ms. Sue Ewing Ms. Suzanne Ramer
Mr. Don Johnson Dr. Cristina Rosca
Mr. Rex Johnson Ms. Sharon Sims
Mr. Bill Joseph
Absent:
Others Present: Mr. Tim Putnam Ms. Kim Sikorski
Mr. Myron Higgins Ms. Shelley Wiborg
Call to Order:
The August 20, 2007 meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:01 P.M.
Mr. Don Johnson formally welcomed Shelley Wiborg as the new Chief Nursing Officer and Kim Sikorski as the new Med/Surg and ECF Manager.
Minutes:
Minutes of the July 17, 2007 meetings were included in packets for review.
Motion was made, seconded and unanimously passed to approve the July 17, 2007 minutes as amended.
Closed Minutes:
A motion was made by Mr. Bill Joseph, seconded by Mr. Rex Johnson to go into Closed session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
A motion was made by Ms. Sharon Sims, seconded by Mr. Rex Johnson to return to Open session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
Minutes of the July 17, 2007 meeting were distributed for review.
Motion was made, seconded and unanimously passed to approve the minutes and to keep closed.
Financial Report:
Mr. Rex Johnson, Finance and Audit Committee Chair reviewed the financial reports with the Board.
§ Gross Patient Revenue for July was $1,400,206; Other Operating Revenue for July was $37,536. Gross Operating Revenue for July was $1,437,742; Net Operating Revenue for July was $937,330. Total Operating Expenses for July were $838,521. Fiscal Year 2008 profit from Operations was $98,809 and Net Profit of $135,587. Gross AR Days are at 103. Discussion ensued.
Motion was made, seconded and unanimously passed to approve the financial report as submitted.
Planning/Operations:
§ Hospital Renovation Update – The Board reviewed the current schematic design for the hospital renovation plan. Mr. Tim Putnam reported employee meetings will be scheduled giving all staff the opportunity for input, questions, etc. The next step in the process is placement within the main frame of the building. Discussion ensued.
Mr. Putnam stated he has been working with the Nursing Home on the property lines issue and hopes to have a resolution soon. He advised the Board that there may need to look at the hospital’s current property lines as well to determine if there can be a “land for land” exchange. Discussion ensued.
Mr. Putnam reported after multiple discussions with the Architects that there is a concern of dividing the project with regards to the CON process. We will be looking at the full CON process which will also include involving an attorney that has experience with the CON process.
§ IDPH Update – Mr. Myron Higgins reported the Illinois Department of Public Health conducted a site survey. Initial comments were positive noting everything was satisfactory. The hospital awaits a formal letter from the IDPH regarding compliance.
§ IT Update – Mr. Myron Higgins reported the IT conversion has gone well; there are still several phases awaiting implementation. MediNotes, the physician-based electronic medical record will begin late October, early November, and the Departments of Surgery and Purchasing will go live in October.
Mr. Higgins requested Board approval for MediNotes, a physician-based electronic medical record as part of the new IT system. Discussion ensued. Mr. Higgins stated he expected the total package not to exceed $65,000.00; $37,000.00 for software, $13,000.00 for hardware, and $15,000.00 for installation.
Motion was made, seconded and unanimously passed to authorize $65,000.00 for the purchase of the MediNotes system.
§ MedLearn Chargemaster Review Proposal – Mr. Putnam reported the hospital received a grant in the amount of $8,645.75 from the Illinois Critical Access Hospital Network to complete an Emergency Department chargemaster review. Discussion ensued.
Motion was made, seconded and unanimously passed to approve $8,645.75 for the chargemaster review.
§ Wind Project Update – Mr. Bill Joseph gave a brief update on the wind project. Mr. Putnam reported the hospital has agreed to participate in the wind study for another year.
Management Report:
§ Med/Surg/ECF Department Update – Ms. Kim Sikorski gave a brief departmental update. Ms. Sikorski discussed concerns regarding excessive usage of agency and casual staff along with the financial impact. A more in-depth analysis will be completed, noting a possible future recommendation to add one hospital employed full-time equivalent to both the AM and PM shifts.
Mr. Tim Putnam reported the Extended Care Facility had been named a beneficiary in the Marian Looser Estate in the amount of $88,364.33. Ms. Shelley Wiborg and Ms. Sikorski discussed with the Board their recommendation of items to purchase (Abbott Accucheck, Sara 300 Scale and Slings, Wrap Around Scale, BladderScan, and 6 to 7 Hill-Rom Versacare Patient Beds).
Ms. Sikorski along with Ms. Shelley Wiborg reported the proposed purchases will be used for the residents of the Extended Care Unit. Discussion ensued. Mr. Putnam stated the hospital has requested letters of support from region long-term care facilities as well as local and county offices regarding the closing of the Extended Care Unit. Ms. Wiborg stated upon closure of Extended Care the items purchased would then be able to be used by the Med/Surg unit.
Motion was made, seconded and unanimously passed to approve the expenditure of $88,364.33 for the proposed list of purchases for the Extended Care facility, and/or as management sees fit to modify.
§ Administrative Update – Mr. Putnam reported the Governor had signed the Provider Tax. Mercer County Hospital should receive approximately $230,000. The hospital has not received funding and the date of availability is unknown.
Mr. Putnam reported the Medical Associates Clinic received quality certification for their Diabetic Clinic through the National Committee on Quality Assurance, a physician recognition program.
§ Mercer Foundation for Health – Mr. Putnam reported the Mercer Foundation for Health’s Annual Benefit Dinner and Auction will be held September 20th at the Aledo VFW. The Foundation Board has approved to move forward with a capital campaign.
Quality Improvement Report:
A motion was made by Ms. Suzanne Ramer, seconded by Dr. Dennis Palmer to go into Closed session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
A motion was made by Ms. Sharon Sims, seconded by Mr. Rex Johnson to return to Open session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
Motion was made, seconded and unanimously passed to approve the Quality Reports as submitted.
Medical Staff Appointments:
Motion was made, seconded and unanimously passed to approve Ronald Frus, MD for reappointment to Active Staff in the Department of Pathology.
Motion was made, seconded and unanimously passed to approve Raluca C. Rosca-Sichitiu, MD for reappointment to Active Staff in the Department of Internal Medicine.
Motion was made, seconded and unanimously passed to approve Faraz Manazir, MD for reappointment to Consulting Staff in the Department of Cardiology.
Motion was made, seconded and unanimously passed to approve Badar Zaheer, MD for reappointment to Consulting Staff in the Department of Emergency.
Governance and Nominating Committee Update:
The Board received copies of the Mercer County Hospital Governing Board Bylaws in their packets for review. Ms. Susan Ewing reported the Committee had reviewed and revised the Bylaws. Upon discussion with the Board, minor amendments were made noting the Bylaws would be brought forth to the Board at the September meeting for approval.
Mr. Kevin Conway reported he had made contact with a prospective Board member candidate and will have an idea on the candidate’s level of interest by the next meeting.
Executive Performance and Compensation Committee (Personnel):
A motion was made by Dr. Dennis Palmer, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
A motion was made by Ms. Susan Ewing, seconded by Dr. Dennis Palmer to return to Open session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
Motion was made, seconded and unanimously passed to approve a 7.5% pay raise for Tim Putnam to be effective on his anniversary date.
Personnel:
A motion was made by Ms. Susan Ewing, seconded by Dr. Dennis Palmer to go into Closed session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
A motion was made by Mr. Bill Joseph, seconded by Ms. Sharon Sims to return to Open session. Roll call vote: Kevin Conway, yes; Dr. Cristina Rosca, yes; Don Johnson, yes; Susan Ewing, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Sharon Sims, yes; Rex Johnson, yes; Bill Joseph, yes.
Adjournment:
Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 9:54 P.M.
Respectfully submitted,
Shannon Ziegenhorn, Administrative Assistant
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Susan D. Ewing
Secretary/Treasurer