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GOVERNING BOARD MEETING
December 19, 2005
Mercer County Hospital
Board Room
7:00 P.M.
Members Present: Mr. Kevin Conway Ms. Suzanne Ramer
Ms. Susan Ewing Dr. Prasop Rattananont
Mr. Don Johnson Ms. Sharon Sims
Ms. Ann Meminger Mr. Bill Staker
Ms. Iris Paulsen Mr. Dick Stone
Absent:
Others Present: Mr. Tim Putnam Ms. Tara Stevens
Mr. Myron Higgins Mr. David Miller
Ms. Susan Pearson
Call to Order:
The December 19th meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:00 P.M.
Minutes:
Minutes of the November 11, 2005 and November 29, 2005 meetings were included in packets for review.
After minor amendments were made to the minutes, motion was made, seconded and unanimously passed to approve the amended minutes as submitted.
Closed Minutes:
Closed Session Minutes for the months of June 2005 through August 2005 meetings were included in packets for review.
Motion was made, seconded and unanimously passed for Closed Session minutes to remain closed.
Financial Report:
Ms. Tara Stevens, CFO reviewed the financial reports with the Board. Year-to-date numbers are unavailable at this time.
Gross Patient Revenue for November was $998,534; Other Operating Revenue for November was $35,244; Gross Operating Revenue for November was $1,033,779; Net Operating Revenue for November was $797,089. Total Operating Expenses for November were $843,204. Loss for November was $9,458. Gross AR Days are at 77.8. Discussion ensued.
The hospital will conduct an Interim Cost Report to show a more accurate financial picture, and to assist with information needed for the potential bond financing.
Motion was made, seconded and unanimously passed to approve the financial report as submitted.
Chargemaster:
Mr. Tim Putnam and Ms. Tara Stevens reported they would like to move forward with the Chargemaster Review with the company MedLearn. MedLearn will provide the service at a negotiated rate for ICAHN facilities at approximately $51,500.00. QHR has products available that can be evaluated for potential use.
A motion was made, seconded and unanimously passed to authorize Tim Putnam and Tara Stevens to spend up to $51,500.00 for a Chargemaster Review.
Bond Financing Update:
Ms. Tara Stevens reported she met with Tom Mayfield of Minnesota Investments to review the initial information for the potential bond financing.
QHR Update:
QHR has estimated the valuation of benefits used by Mercer County Hospital at $215,000 for 2005.
QHR reports hospital usage of the Group Purchasing Organization (GPO) has increased to 42%.
At the January meeting, QHR will view a Charity Care video with the Board.
Planning/Operations:
§ Land Review – Mr. Dick Stone reported land appraisals were sent to the Board for review. Mr. Tim Putnam reported Greg McHugh provided the hospital with a legal written opinion acknowledging the ability to review options for the non-productive land. Discussion ensued.
A motion was made, seconded and unanimously passed to sell non-crop producing parcels of land contingent upon the approval of the County Board. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, abstain; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
§ Wind Turbine Lease – A recommendation was made to change the existing farm leases to include language stating “modifying leases for wind tower/access, etc.” A recommendation was made to have someone familiar with the wind project speak with the Board. Kevin Conway and Dick Stone will speak with Jim Childs regarding potential placement on or near his property and report back to the Board.
§ Administrative Services Proposal –Mr. Tim Putnam reported OSF has not submitted an official proposal, however the contract would be tailored to fit the hospitals needs. Upon review of the current QHR contract, there are differing opinions regarding termination of the agreement. Mr. David Miller expressed QHR would like the opportunity to discuss hospital concerns with the Board or their designee. Discussion ensued.
A motion was made authorizing management to engage in the process of disengaging from the contract with QHR. Roll call vote: Ms. Suzanne Ramer, no; Mr. Don Johnson, abstain; Ms. Susan Ewing, no; Ms. Iris Paulsen, no; Mr. Bill Staker, no; Mr. Dick Stone, no; Ms. Sharon Sims, no; Mr. Kevin Conway, yes; Ms. Ann Meminger, no; Dr. Prasop Rattananont, no.
Mr. Tim Putnam discussed reasoning behind the potential dissolution of the QHR contract; being that many services offered through QHR are no longer exclusive to them and can be supported through State and regional affiliations, the hospital’s need for expertise regarding the Illinois Department of Public Health, Certificate of Need, etc. Discussion ensued.
A motion was made, seconded unanimously passed to sever connections with QHR. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, abstain; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
§ Nuclear Medicine – Mr. Tim Putnam reported the Nuclear Medicine program would be placed in the former ICU area and provide services two days per week.
Motion was made, seconded and unanimously passed to approve the Nuclear Medicine Contract.
§ Health MAPPING Project – Mr. Myron Higgins reported the Mercer County MAPPING Committee has developed some areas of emphasis; a Physician Recruitment Committee has been established, and working towards smoke-free restaurant environments.
Management Report:
§ Administrative Update – Mr. Tim Putnam reported the hospital’s current CRNA has given notice. The hospital is looking at contracting with a regional Anesthesia Group.
Mr. Putnam reported Illinois Provider Trust review was positive resulting in a 2% credit towards the annual premium.
Mr. Putnam reported the Master Facility Plan project was at the point to engage an architect and/or engineering firm. Ms. Tara Stevens added that any costs associated with the architect and engineer could be absorbed through the bond.
Mr. Putnam reported IDPH has sent another letter regarding deficiencies primarily focusing on the MRI Unit. The hospital has submitted a response and is awaiting a reply from IDPH.
§ Employee Survey Results – Mr. Myron Higgins reported 91 out of 160 employees participated in the Employee Survey. Dr. Kalb was present last week to review results with the staff and to expand on key areas of concern.
§ Mr. Tim Putnam reported he was approached by John Malone regarding a potential source for the proceeds from the upcoming soup supper. The hospital is interested in piloting a Seniors Health Insurance Program (SHIP) which is estimated to cost $4,000.00 for a part-time person. The Foundation has met with a professional fund-raiser for a potential community fund-raising campaign.
§ Mr. Myron Higgins reported the hospital is working with Charlie Honold, an advertising executive from the Quad Cities who is working on the hospital logo and some initial marketing on a pro-bono basis. Sample logos were distributed for review.
Beautification Committee Update:
Ms. Susan Pearson reported the Beautification Committee has started working on Room 303, as part of the inpatient room renovation project.
Quality Improvement Report:
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, yes; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
A motion was made by Ms. Ann Meminger, seconded by Ms. Sharon Sims to return to Open session. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, yes; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
Medical Staff Appointments:
A motion was made, seconded and unanimously passed to approve the reappointment of Bouyella Reddy, MD to Consulting Staff in the Department of Cardiology, the reappointment of Sora Reddy, MD to Consulting Staff in the Department of Cardiology, initial appointment of Al Randy Doyle, MD, Psychiatrist to Consulting Staff in the Department of Medicine, and the request for changes in privileges for Roger Lubbers, MD, Consulting Staff, Department of Urology.
Medical Staff By-laws Revision:
Mr. Tim Putnam reported minor revisions have been made to the Medical Staff By-laws from which were recommendations from the IPT Review. The Medical Staff Committee has approved the changes.
A motion was made, seconded and unanimously passed to approve the revised Medical Staff Bylaws as submitted.
Personnel:
A motion was made by Mr. Dick Stone, seconded by Ms. Sharon Sims to go into Closed session. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, yes; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
A motion was made by Ms. Susan Ewing, seconded by Ms. Iris Paulsen to return to Open session. Roll call vote: Ms. Suzanne Ramer, yes; Mr. Don Johnson, yes; Ms. Susan Ewing, yes; Ms. Iris Paulsen, yes; Mr. Bill Staker, yes; Mr. Dick Stone, yes; Ms. Sharon Sims, yes; Mr. Kevin Conway, yes; Ms. Ann Meminger, yes; Dr. Prasop Rattananont, yes.
Physician Employment Contract:
A motion was made, seconded and unanimously passed to approve the physician employment contract for Dr. Julio Santiago.
Adjournment:
Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 10:46 P.M.
Respectfully submitted,
Shannon Ziegenhorn, Administrative Assistant
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Susan D. Ewing
Secretary/Treasurer