Board Minutes 9/25/12

 

Board Minutes 9/25/12

Wheatland Memorial Healthcare Board of Trustees’ Meeting

 The Meeting of the Board of Trustees of Wheatland Memorial Healthcare was held on September 25, 2012 in the Health Education Center.

MEMBERS PRESENT:

Leta Nash, Chairman

Lorraine Peterson, Vice Chairman Terry Freeser, Secretary/Treasurer Ken Deboer

Lauri Cooney, Interim CEO

Don Amundson, Mike Kent, Susan Moore and Aubrey Miller

MEMBERS EXCUSED:

June Voldseth

OTHERS PRESENT:

Peggy Hiner,  Karen Tomlinson, Russ Young, Kathie Newland, Sharlett Dale and Kathy Jutila- MD

WELCOME AND INTRODUCTION

Chairman Nash called the meeting to order at 5:07 pm and began the meeting by asking everyone to focus on our Governance Philosophy, what good for whom and at what cost.

CONSENT AGENDA

The consent agenda was presented. One change needed to be made on the Board minutes where an a.m. needed to be changed to a p.m. Upon motion that was duly made and seconded all items in the consent agenda were adopted as written with the correction on the minutes.

REGULAR AGENDA

I.          CO-WORKER UPDATE

Ms. Dale talked about the Helmsley Trust Foundation that contacted the facility in  July  to upgrade our digital mammography with CR to a system without CR. A letter of intent was sent in and Ms. Dale heard back from the Foundation on Monday saying that we are in the running for a full system that is worth half a million dollars. They would also cover the first two years of maintenance, training, marketing to include free clinics for the underserved and the renovation of the mammography suite.  The full proposal will go in front of their board on November 9111 and we should hear if we have been selected shortly after that. We would continue to use the radiology group in Sheridan Wyoming and a work station would be installed there.  Dr. Jutila is also going to be looking into rural outreach grants to implement new services at our facility. She is able to apply for these grants because of her relationship with the University of Washington. She has applied for these grants in the past and has never had one that wasn’t approved.

II.                DEPARTMENT HEAD UPDATE & STAFF RECOGNITION

Chairman Nash thanked everyone that has stepped up and assumed additional responsibilities during this time of transition.

III.             OLD BUSINESS

  1. a.       Administrator’s  House

Two offers from the same person were received on the administrator’s house.  One offer was for $185,000 and the other was for $193,000 with a contingency on the closing of their home. Both offers asked the facility to pay $3,500 in closing costs.  The house was originally purchased for$165,000 with several improvements having been done on the house. After much discussion the Board agreed to accept the offer without the contingency. Upon motion that was duly made and seconded the offer of $185,000 with the facility paying $3,500 in closing costs was approved as presented.  The offer lists a January 15, 2013 closing date.

b.      Commissioners Meeting

Ms. Cooney spoke with the commissioners about the cost of having our nurses go on ambulance transports. We are paying our nurses time and a half to do transports but this service isn’t being billed and the hospital doesn’t get reimbursed for the nurse’s time. The commissioners agreed that the ambulance should stmi billing for the nurse and the county will pay the hospital $150 per trip. The next commissioners meeting will be October 1st  and Mr. Amundson will attend with Ms. Cooney.

c.       Other Old Business

Chairman Nash spoke with Len Stanton from Associated Employers about coming to work with the Board on their policies so they can get them updated and in place to have them as tools moving forward. The Board agreed that October I I’” at 4pm would be a good time to meet if Mr. Stanton is available.

IV.              NEW BUSINESS

  1. a.       August Financials

Ms. Newland went over the financials with the Board.  Net patient revenue is down and we show a loss of $601,000 as of the end of August.  Work will start on the 2013 budget very soon.  We will need to tighten our belts for next year and be looking at our demographics to make sure we are offering the right services for our community.  Ms. Cooney is being very cautious about spending right now and will be recommending a 2013 budget that breaks even.  The loss of the Bair Trust money has been tough and we need to be working as a team to come up with money saving ideas for the facility.  Operational goals need to be developed and monitored monthly along with a very clear and accurate picture of our financial numbers.  Ms. Peterson and Ms. Moore have offered to be on the finance committee that will look at the budget before it goes before the entire Board.  The budget needs to be ready for approval at the December Board meeting. The hospital side of the facility has been very busy and utilization was up in the Clinic with 83 sports physicals in August.   Long term beds are also filling up.   Hopefully with these recent increases our numbers will look better by the end of the year.   Revenue Cycle meetings continue to be held weekly to work on problems  and make sure the  internal processes  are efficient as possible. Upon motion that was duly made and seconded the August financials were approved as presented.

b.      CEO Recruitment

The selection committee had a phone meeting with Mr. Stanton from Associated Employers to discuss the applications that have been received for the CEO position. There are four candidates that are worth looking at closer. Mr. Stanton will send a packet  with  the  applications  and resumes so the Board can decide who they would like to set up phone interviews with. The Board wants to take their time and make sure they hire the best individual that will meet our facility’s needs.

c.   Appointment of Board Mentors

Ms. Freeser has offered to mentor the new Board members. An orientation day will  be scheduled where they can go through the Trustee Toolkit, have a facility tour and ask questions.

V.                 OTHER BUSINESS

  1. a.      Recognition of Donors

Thank you cards for donations were passed out to the members to have a personal handwritten thank you added to them.

b.      QI & Policy and Procedure Review Update

Ms. Cooney will be reviewing the regulations to see how much Board involvement is require in QI and policy and procedure reviews. Meetings are being held monthly but an annual review will need to be scheduled in November.

VI.       ADJOURNMENT

There being no further business to be brought before the Board, the meeting was adjourned at 6:55pm.