|
GOVERNING BOARD MEETING
December 18, 2006
Mercer County Hospital
Meeting Room #1
7:00 P.M.
Members Present: Mr. Kevin Conway Mr. Bill Joseph
Ms. Susan Ewing Dr. Dennis Palmer
Mr. Don Johnson Ms. Suzanne Ramer
Mr. Rex Johnson Mr. Dick Stone
Absent:
Others Present: Mr. Tim Putnam Ms. Tara Stevens
Mr. Myron Higgins Ms. Janis Koehn
Call to Order:
The December 18th meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:13 P.M.
Minutes:
Minutes of the November 20, 2006 meeting were included in packets for review.
After minor amendments were made, motion was made, seconded and unanimously passed to approve the November 20, 2006 minutes as submitted.
Closed Minutes:
Minutes of the October 16, 2006 and November 20, 2006 meeting were distributed for review.
Motion was made, seconded and unanimously passed for the closed minutes to remain closed.
Financial Report:
Ms. Tara Stevens, CFO reviewed the financial reports with the Board.
· Gross Patient Revenue for November was $1,517,684; Other Operating Revenue for November was $29,907. Gross Operating Revenue for November was $1,547,592; Net Operating Revenue for November was $1,180,289. Total Operating Expenses for November were $971,371. Fiscal Year 2007 profit from Operations was $153,662 and Net Profit of $430,135. Gross AR Days are at 86.4. Discussion ensued.
· Ms. Stevens reported the Board restricted Charity Care CD has matured. Within the original guidelines of the estate, recognition is required. The hospital will be renaming the program from Charity Care to the Middaugh-Witham Cares Program. Discussion ensued.
Motion was made, seconded and unanimously passed to release the $55,000 from the Middaugh-Witham estate fund and apply towards the $84,000 of charity care last fiscal year.
Motion was made, seconded and unanimously passed to approve the financial report as submitted.
Planning/Operations:
§ Master Facility Plan Update – Mr. Myron Higgins reported the hospital is awaiting financial data from McGladrey that will assist in the analysis and feasibility of the four Master Facility Plan options.
Mr. Higgins reported the hospital is working with Shive-Hattery on a plumbing analysis.
Mr. Tim Putnam reported the hospital currently does not have a Maintenance Manager and is contracting Management services through Shive-Hattery for oversight and direction of operations within the department.
§ IDPH Update – Mr. Putnam reported the hospital received approval for patient occupancy in the two recently remodeled rooms; however the hospital is unable to remodel additional rooms until a plan is in place for the HVAC system and “sprinklering” of the building. IDPH has been notified of the Master Facility Plan feasibility study, and has required MCH to submit status reports every 90 days until a plan is in place to correct the identified systems.
§ IT Update – Ms. Stevens reported hospital staff are in the process of the IT site visits to review the final two systems. Ms. Stevens reported the hospital is still in negotiations with both vendors regarding final pricing. Ms. Stevens reviewed costs associated with software, hardware and implementation for both systems totaling nearly $1,000,000, and discussed on-going and cumulative costs associated with the conversion. Discussion ensued.
Motion was made, seconded and unanimously passed to allow the management team to make a decision on and acquire the preferred IT system.
§ AHA and IHA Memberships – Mr. Putnam reported to the Board that several items were up for annual renewal such as hospital association dues, corporate insurances, etc. The hospital is proceeding with payment without bringing these items to the Board for action as they are continuing expenses in the hospital’s approved budget.
Management Report:
§ Illinois Provider Tax – Mr. Tim Putnam reported the Illinois Provider Tax had been approved. Mercer County Hospital should receive the first seven installments of approximately $53,000 each by March 7, 2007. The hospital did not budget this money. Mr. Putnam reported that in conjunction with the provider tax, Illinois Hospital Research and Educational Foundation (IHREF) had established the Hospital Mutual Assistance Program to offset those hospitals negatively affected by the provider tax. IHREF has requested that the hospital pass a resolution stating they are willing to participate in the program and agree to pay $1,386 annually for three years into the grant fund.
Motion was made, seconded and unanimously passed to approve the resolution.
§ Mr. Putnam reported Medical Associates Clinic will be offering two new programs; the Fall Prevention Clinic with Dr. Rosca and a Diabetes Clinic with Dr. Wurzburger.
Quality Improvement Report:
Motion was made, seconded and unanimously passed to approve the Quality Report as submitted.
Personnel:
A motion was made by Mr. Dick Stone, seconded by Mr. Kevin Conway to go into Closed session. Roll call vote: Susan Ewing, yes; Dick Stone, yes; Kevin Conway, yes; Don Johnson, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Rex Johnson, yes; Bill Joseph, yes.
A motion was made by Mr. Dick Stone, seconded by Ms. Susan Ewing to return to Open session. Roll call vote: Susan Ewing, yes; Dick Stone, yes; Kevin Conway, yes; Don Johnson, yes; Dr. Dennis Palmer, yes; Suzanne Ramer, yes; Rex Johnson, yes; Bill Joseph, yes.
Governance/Nominating Committee Report:
Ms. Susan Ewing reported the Board has taken the annual governance assessment program (GAP) survey, and has received the results. The survey identified that the Board appears to be somewhat disconnected based on the range of responses to questions. Discussion ensued. The Board will discuss the survey more in-depth at the January meeting.
Several governance related items such as charters, policies, job descriptions, conflict of interest, etc. were distributed to the Board for review. The governance materials will be on the January agenda for approval.
Board Member Nominations/Election of Officers:
Iris Paulsen has elected not to renew her membership on the Board. Dick Stone has elected to resign from the Board as soon as a replacement can be found. Dr. Dennis Palmer has agreed to be nominated to fill Iris Paulsen’s position on the Board as a community representative. With Dr. Palmer becoming a permanent member, Dr. Cristina Rosca will join the Board in her role of Vice Chief-of-Staff and serve as a voting Board member and medical staff representation. Dr. Palmer will continue as Chief-of-Staff for the hospital but will no longer serve the Board as the official representative for the Medical Staff.
Motion was made, seconded and unanimously passed to approve Don Johnson, Suzanne Ramer and Dr. Dennis Palmer for a three-year term.
Motion was made, seconded and unanimously passed for nomination of Don Johnson as Chairman of the Board.
Motion was made, seconded and unanimously passed for nomination of Kevin Conway as Vice-Chairman of the Board.
Motion was made, seconded and unanimously passed for nomination of Susan Ewing as Secretary/Treasurer of the Board.
New Business:
§ Mr. Tim Putnam reported that he had been working with the Governance Committee regarding educational opportunities for the Board. Based on the criteria set forth by the Board, there is difficulty locating a conference that will meet that criteria. Mr. Putnam reported that the hospital is looking at the option of building an educational conference that will be tailored to the needs of Mercer County Hospital. Discussion ensued.
§ Mr. Don Johnson reported that Myron Higgins has received his certification as a Certified Healthcare Executive.
Adjournment:
Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 9:30 P.M.
Respectfully submitted,
Shannon Ziegenhorn, Administrative Assistant
_____________________________________
Susan D. Ewing
Secretary/Treasurer