BOARD OF TRUSTEE MEETING MINUTES
June 23, 2014
CALL TO ORDER
The meeting of the Syringa Hospital & Clinics Board of Trustees was called to order at 12:30p.m. byDave Green; Chairman.It was noted that a quorum was present and that due notice had been sent.Present were:
BOARD MEMBERSDave Green
Scott Scribner
Twila Hornbeck
Ben Paul
Richard Tucker
Al Bolden
ABSENT
Dr. Mickey Nelson
CHIEF OF MEDICAL STAFF
Danny Griffis, MD / HOSPITAL EMPLOYEES
Joe Cladouhos
Betty Watson
Yvonne Hoiland
Darla Whitley
Michelle Schaeffer
Cindy Daly
Lauren Wilson
Katy Eimers
Michelle Schaeffer
Dina Cervantes
APPROVAL OF BOARD MINUTES
Minutes of the May 19, 2014 Syringa Hospital & Clinics Board of Trustees meeting were submitted for approval.
Two city council members, including the Mayor toured the hospital.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the May 19, 2014 Syringa Hospital & Clinics Board meeting minutes as corrected.
MEDICAL STAFF REPORT
Dr. Griffis reported a staff physician who was going to go to courtesy privileges has since decided to stay with active privileges.
The Medical Executive Committee reviewed credentialing files and recommended approval for the following providers;
Nathan Winder; PA-C- re-appointment to Active Allied Health Staff
Adam Bell; DO (general surgeon)- appointment to Provisional Courtesy Medical Staff
Peter Viavant; MD (ER locums)- appointment to Provisional Courtesy Medical Staff
Kimberly Campbell; MD (ER locums)- addition of privileges to assist with C-Sections
Dr. Griffis said Cindy was asked by the Medical Staff to look into costs for an OB monitoring system so the physicians can monitor their patients from home.
Dr. Griffis reported on the status of a physician from McCall.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the credentialing files as presented
Dave inquired on the status of the proposed new CRNA schedule model that included a third CRNA as presented at the June 18th Medical Staff meeting. Dr. Griffis stated the details haven’t been looked at and is on hold for now. He expressed concern that the proposed model wouldn’t be cost neutral.
Twila inquired on the volumes for Orthopaedic surgeries.
Ben inquired on the status of the pain clinic. Dr. Griffis said the volumes don’t support the service and the lack of procedures is a concernfor the CRNA to keep theirskill level current.
ADMINISTRATIVE REPORTS AND QUESTIONS
Al commented that he continues to be impressed with the Thrift Shop sales.
Dave asked how manypeople have to have a personal identification verification card for the VA clinic. Michelle said there are twelve employees who are credentialed and all are required to have a card.She discussed the extensive credentialing process that includes finger printing.
Twila thanked all who volunteered for the Wellness Fair and suggested a thank you in the Buzz. It was recommended to extend gratitude to all who have volunteered for events within the last few months.
Ben asked for any update on nurse staffing. Cindy reported several new nurses have been hired; including new grads whose hire dates will be staggered. Continue to use travel nurses asrecommended by the Nurse Councilso no new gradwill work a night shift until they have worked for six months.
Yvonne reported Phoenix Radiology is now billing for their xray reading fees. Patients are being educated that they will now receive two separate bills.She stated patients have been receptive to the change since this is the standard at many facilities.
Betty reported she was contacted by Noridian, who has contracted with a firm in Connecticut asking for additional information on the FY11 Medicare EHR audit. The requested information is being gathered.
Joe reported a marketing person was hired last week to replace Robyn Crosby.
Joe reported on the status of the helipad. He was unable to give SJRMC a cost because plans haven’t been finalized. He would like to come up with ten FAQ’s to place on the website in order to provide information to the public. Joe confirmed what SJRMC has offered to pay to prepare the lot.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to transfer $18,292.24 out of the Webb funds to the hospital forfees associated with the remodel.
CONFIDENTIALITY POLICY
The policy was distributed for review and approval.Discussion was held on the language for open session meetings. Dave commented that the policy refers to the Board participating in regular Board education.
PATIENT COMPLAINT POLICY
The policy was distributed for review and approval.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the Confidentially Policy as revised regarding language to the open session meetings and the Patient Complaint Policy as presented.
BOARD EDUCATION
Cindy Higgins; Hospice Manager was asked to educate the Board on the Hospice Program. Cindy said the program is an end to life system for patients with six months or less to live. She reviewed the service area and discussed what happens after the “certification period”.
Hospice’s annual fundraiser “Just for the Hill of It” had sixty-six riders this year. Atwo day Hospice volunteer training was held last week. Al inquired if staff report suspected elderly abuse. Cindy stated yes. We are in partnership with Meadow Lark to see patients there. Cindy commented she will be meeting with other Hospice programs to get input on sustaining financial viability.
List of Board education the remainder of the year-
- IHA Convention in Sun Valley- October
- Confidentiality (Kim Stanger)
- Joe suggested contacting the CEO at SMH for joint Board education
PROPOSED HOSPITAL NAME CHANGE
Joe stated the timing is optimal to consider changing the name of the hospital since we’ll be having new signage.He stated the concept of “Syringa Health” is moving toward the future of healthcare, with community and population health advances. The Board felt it wasn’t something they wanted to pursue at this time.
AFFILIATION
Joe reported there are areas of opportunities we need to look at. 1) sharing patient data with SJRMC 2) a shared dietary manager with SMH and 3) Kootenai Health is very interested in forming a regional affiliation. The Idaho Health Data Exchange is still in place. Darla discussed what data we currently share with SJRMC. Dick was in favor of pursuing affiliations to sustain viability. Dave felt it was also time to start considering looking at networking with a management company to employ our CEO after Joe’s contract ends 9/30/2017and for management support.Al said we need to proceed with caution though to stay a community hospital. It was suggested to discuss this at the fall retreat.The Board was in favor of Joe moving forward with an MOU with SMH to share clinical services.
FALL BOARD RETREAT
Tentatively scheduled for Thursday afternoon Oct. 23rd and all day Friday Oct. 24that the Soltman Center. Suggestion to have med staff participation Thursday evening with dinner.
Agenda items- IHA presentation on healthcare in Idaho
Affiliation and management company topics
TOPIC FOR THE BUZZ
A thank you to volunteers for the Wellness Fair, “Just for the Hill of It” and Fire Cracker Fun Run.
2014 CALENDAR
July 4th- Fire Cracker Fun Run
July 15th - PI meeting (9:00-11:00 in the CR)
July 16th – Med Staff meeting- Twila to attend
July 28th – Planning and Board meeting
COMMITTEE MEETING REPORTS
Planning Committee- the committee recommended getting a bidfor cost on the newly proposed covered area presented today by Mr. Lane,and to check with the Idaho Transportation Department regarding the proposed approach off Main Street. Dave clarified if the ITD approves the proposed approach, we would then need to request a complete rending of the plan for consideration.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to send the proposed plan to bid and to contact the Idaho Transportation Department.
APPROVAL OF ALL REPORTS
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve all reports as submitted.
AGENDA ITEMS FOR THEJULY 28, 2014BOARD MEETING
Nursing update- Cindy Daly, DNS
GENERAL DISCUSSION
Yvonne reported she contacted the sheriff’s office in Texas who agreed to find the person associated with a security breech by not signing a needed Business Associate Agreement. The individual was found andsigned the document that was returned to Yvonne, so there was no need to self-report the incident.
Joe reported we are over our allowed licenses in Cerner and the cost to increase is significant. Cernerhas offered a discount and additional benefits if we extend our contract to year 2021.
ACTION:A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to authorize Joe to extend our Cerner contract to year 2021.
Ben inquired on the policy for travel pay per a concerned employee. Katy asked that Ben meet with her after the meeting to get more details.
The FY14 turnover calculation was distributed for Board review. Katy stated the data doesn’t support the communities concern with high turnovers and the national statistics are in line with SHC. She reviewed the hiring process and gave several examples of things out of her control.Discussed physician recruitment. Scott would like to see mandatory training for staff in management positions. Al discussed the need for management development courses but felt we were isolated for training opportunitiesin our area. It was suggested to get management development training modules to present at Joint Managers meetings.
EMT recruitment- Dick reported there is some contention with the EMT’s regarding use of the Soltman Center apartment. He would also like to see a recognition dinner held for the EMT’s and their spouses. Joe commented the annul employee appreciation dinner is scheduled for August 22ndand the EMT’s and spouses are always invited, and to the annual Christmas party.
Dick requested that all emails that are sent to the Board have a “read receipt” to confirm the Board has read it.
Dick asked if the Board gets reimbursed for mileage for special meetings outside of a regular Board meeting. Yes.
Dave thanked the Board for their participation at the City Council, County Commissioners and Town Hall meeting.
There being no further business, the regular meeting adjourned at 4:10pm. The next Syringa Hospital & Clinics Board of Trustees meeting will be held on Monday July 28, 2014 at 12:30pm at the Soltman Center.
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Twila Hornbeck; Syringa Hospital & Clinics Board of Trustee Secretary
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