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GOVERNING BOARD MEETING
December 17, 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 Mr. Dick Stone
Absent:
Others Present: Mr. Tim Putnam Ms. Shelley Wiborg
Ms. Jodie Criswell Mr. Dave Relander
Mr. Myron Higgins Dr. Kristin Wurzburger
Call to Order:
The December 17, 2007 meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:01 P.M.
Minutes:
Minutes of the November 19, 2007 meeting were included in packets for review.
Motion was made, seconded and unanimously passed to approve the November 19, 2007 minutes as submitted.
Closed Minutes:
Minutes of the November 19, 2007 meeting were distributed for review.
A motion was made by Mr. Bill Joseph, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to return to Open session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
Motion was made, seconded and unanimously passed to continue to accept the closed session as written and keep closed.
Financial Report:
§ Audit Report:
Mr. Rex Johnson, Finance and Audit Committee Chair reported the Board had a month to review the audit. There was no further discussion and a motion for approval was entertained.
Motion was made, seconded and unanimously passed to approve the audit as presented.
§ Accounts Receivable Update:
Ms. Jodie Criswell reviewed and discussed the following information with the Board:
- There was a $13,000 loss for the month, $57,000 below budget.
- Bad Debt is higher than budget due to the A/R situation.
- Current A/R as of November 30th (Days outstanding – 147.3, Receivables - $6.4 million)
- HMS began working on accounts October 31st; the hospital has begun to see some money but anticipates more results within the new few weeks. CFO is monitoring HMS’s activity.
- The Business Office staff has received additional training on the computer system.
- Current staffing includes four hospital Billing personnel and HMS has provided four additional Billing personnel to work on our account.
- Finance and Audit will continue to monitor the A/R situation closely.
§ Financials:
Ms. Jodie Criswell and Mr. Rex Johnson reviewed the financial report with the Board.
Gross Patient Revenue for November was $1,421,576; Other Operating Revenue for November was $103,233. Gross Operating Revenue for November was $1,524,809; Net Operating Revenue for November was $1,051,175. Total Operating Expenses for November were $1,116,609. Fiscal Year 2008 loss from Operations was ($321,681) and Net Loss of ($128,219). Gross AR Days are at 147.3. Discussion ensued.
Motion was made, seconded and unanimously passed to approve the financial report as submitted.
§ Interim Cost Report:
Mr. Rex Johnson reported the Finance and Audit Committee discussed having an Interim Cost Report done and made the recommendation to move forward. The Interim Cost Report would cost approximately $6,000.00 - $8,000.00. Discussion ensued.
Motion was made, seconded and unanimously passed to finance the Interim Cost Report.
Planning/Operations:
§ Hospital Renovation Update – Mr. Tim Putnam reported Clinic staff will meet with the Architects to discuss options for medical office renovations. The Architect has provided a tentative project “phase” schedule pending timely approval from the Illinois Department of Public Health and Illinois Health Facilities Planning Board.
- CON – IHFPB allows up to a five percent increase on the project over the reported amount, anything above five percent will result in stopping the project. A meeting was scheduled with the Planning Board to assist us in developing a plan however; it was cancelled due to inclement weather. The meeting was rescheduled for December 19th in Springfield.
§ Disaster Update – Mr. Putnam reported twenty-two hospital employees participated in NIMS (disaster) training hosted by RMERT at OSF Holy Family Medical Center in Monmouth. The hospital also participated in a regional disaster drill during a “mock” ice storm. In addition to staff education, the hospital is working with Jim Metz and the Health Department on warming centers throughout the county.
§ IT Update – Mr. Myron Higgins reported patient care file building has begun and has been delayed due to some difficulties; it is anticipated that implementation will take place in March or April.
§ Medical Clinic Update – Dr. Kristin Wurzburger spoke to the Board about the upcoming electronic medical record, new services at the clinic, quality reporting, the possibility of expanding hours on Saturdays, and the addition of Dr.’s Rattananont and Figanbaum.
Management Report:
§ Administrative Update –
Business Matters ((1) “The purchase or lease of real property for the use of the public body, including meetings held for the purpose of discussing whether a particular parcel should be acquired.” 5 ILCS 120/2(c)(5).) –
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
A motion was made by Ms. Sharon Sims, seconded by Mr. Dick Stone to return to Open session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
Mr. Tim Putnam reported the hospital has purchased power monitoring equipment. Representatives from AmerenIP met with several of the county entities to discuss options of monitoring both internal and external power; they will monitor power supply’s for a couple of weeks and report back on their findings.
Mr. Bill Joseph reported the Wind Committee will be meeting to review proposals for a wind turbine. The committee is seeking financial support in the form of grant funding to assist with the cost of the turbine.
§ Mercer Foundation for Health – Mr. Putnam reported Sara Morby has been hired as the new part-time Executive Director for Mercer Foundation for Health. Additionally, Sara will be employed by the hospital part-time as Marketing Director. Her start date is January 7th. The 4th Annual Battle of the Soups Soup Supper is scheduled for February 5th at the Aledo VFW.
Medical Staff Report:
A motion was made by Ms. Sharon Sims, seconded by Mr. Dick Stone to go into Closed session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to return to Open session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
Motion was made, seconded and unanimously passed to approve William Hoover, MD for reappointment to Active Staff in the Department of Pathology.
Motion was made, seconded and unanimously passed to approve Aswartha Pothula, MD for reappointment to Consulting Staff in the Department of Cardiology.
Motion was made, seconded and unanimously passed to approve Sora Reddy, MD for reappointment to Consulting Staff in the Department of Cardiology.
Motion was made, seconded and unanimously passed to approve Al Randy Doyle, MD for reappointment to Consulting Staff in the Department of Medicine.
Quality Improvement Report:
Ms. Shelley Wiborg reported the hospital has a sub-committee under Quality and Infection Control researching options for MRSA screening and testing. Discussion ensued. A recommendation will be made by the Quality Improvement Committee to the Board at a later date.
Motion was made, seconded and unanimously passed to approve the Quality Reports.
Personnel:
Mr. Myron Higgins reported 55 employees attended the hospital employee Strategic Planning meetings with Liz Kalb. Management sessions will be held on January 30, and the Stakeholders session will be held January 31 at Oakview Country Club. The Board will meet in February to finalize the Strategic Plan.
Ms. Shelley Wiborg reported management has been monitoring usage of casual and agency staff for several months. A recommendation was made to add one FTE as a day nurse to eliminate excess usage of non-employed staff. Ms. Jodie Criswell added the position is budget neutral except for an increase in the number of FTE’s.
A motion was made by Mr. Kevin Conway, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
A motion was made by Mr. Bill Joseph, seconded by Dr. Dennis Palmer to return to Open session. Roll call vote: Dr. Dennis Palmer, yes; Dr. Cristina Rosca, yes; Kevin Conway, yes; Don Johnson, yes; Sharon Sims, yes; Susan Ewing, yes; Suzanne Ramer, yes; Rex Johnson, yes; Dick Stone, yes; Bill Joseph, yes.
Governance and Nominating Committee Update:
Ms. Susan Ewing reported the Committee has completed the Conflict of Interest Policy and Disclosure Form, along with a Confidentiality Statement and is making a recommendation for Board approval for the aforementioned documents. The hospital publishes a monthly newsletter for employees; Sue made a recommendation that the Board rotate each month and provide an article of their choice for the newsletter as well. (Dick – January, Don – February, Kevin – March, Sue – April) Mr. Don Johnson made recommendations for annual committee membership.
Motion was made, seconded and unanimously passed to approve the Conflict of Interest Policy and Disclosure Form.
Motion was made, seconded and unanimously passed to approve the confidentiality statement.
Motion was made, seconded and unanimously passed to approve annual Board Committee membership for 2008:
- Executive Compensation and Performance Committee – Bill Joseph, Dr. Dennis Palmer and Dave Relander.
- Finance and Audit Committee – Rex Johnson, Dr. Cristina Rosca (as Chief of Medical Staff) and Sharon Sims.
- Governance and Nominating Committee – Sue Ewing, Kevin Conway and Suzanne Ramer.
Adjournment:
Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 9:36 P.M.
Respectfully submitted,
Shannon Ziegenhorn, Administrative Assistant
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Susan D. Ewing
Secretary/Treasurer