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Board of Trustees Regular Meeting
Brown County Hospital Conference Room
Monday, May 19, 2014
4:00 p.m.
 
A regular meeting of the Brown County Hospital Board of Trustees was held Monday, May 19, 2014.  The meeting was called to order by Chairman, Mike Kreycik, at 4:00 p.m.  Other members in attendance were Mike Schrad, Ryan Welke, John Gross, and Ann Fiala.   Also attending were Shannon Sorensen – CEO, Ken Smith –CFO, and Mackenzie Rosse – Recording Secretary.
 
Mike Kreycik announced that a copy of the open meetings act is located on the counter in the Conference Room.
 
PUBLIC INPUT
 
There was no public input.
 
 
VISITORS
 
Terry with Trane Heating and Cooling presented to the board. Discussion was held on pipe systems that we currently have throughout the patient wings. Discussion was held on what our options are to update.
 
Tim Olson and BJ Davis from The Olson Group presented options for group health insurance proposals and updates on Heath Care Reform effects on our employers.
 
CONSENT AGENDA
 
Consent agenda items were submitted for the Board’s review, including minutes of the previous regular Board Meeting, Medical Staff Minutes, Quality Improvement Minutes, Corporate Compliance/HIPAA Minutes, Payment of Current Bills, Patient Census Statistics and Financials, and Department Manager Minutes. Shannon Sorensen and Ken Smith reviewed key information presented in the statistical and financial reports and questions were addressed.   Mike Schrad made a motion to approve the consent agenda. Ryan Welke seconded this motion.  Roll call vote:  Mike Schrad – Aye.   Mike Kreycik – Aye.    Ann Fiala – Aye.   John Gross – Aye.   Ryan Welke – Aye. Motion carried.   
 
REVIEW OF ACTIVITIES
 
Shannon Sorensen gave a Quality Update that included a review of the HCAHPS Patient Satisfaction Survey results. Additional education was provided on interpretation of the results and areas for improvement. Discussion was held and questions were addressed.
 
A strategic plan update provided by Sorensen noting the review of the Ainsworth Family Clinic, Rural Health Clinic Program Evaluation. Discussion was held outlining the results of this evaluation.
 
Shannon gave a brief update on the final stages of Centriq Migration is nearing. Everything has been fantastic thus far into the process; we are on target and have about 1 month left before we go live in June. 
 
Discussion was held regarding the 340B Program with Shopko. We have been live on the hospital side, and working on retail side. 
 
Shannon shared information on the Brown County Hospital - Hospital Strength Index. Sorensen then went into detail noting key points on this Index and the outcomes that it has on our facilities.
 
Shannon discussed with the board the Energy Efficiency Assessment that NPPD has provided for us. BCH is looking at our options to converting to LED light fixtures, discussion was held and it was decided to reassess in 2-3 years.
 
Shannon reviewed the 2014 Compliance Work Plan.
 
Shannon asked the board to consider designating monies received from haying our lots to the Endowment account. It was the consensus of the Board to do this.
 
Lisa provided to the board the new Standard of Performance Booklet. This document outlines the Mission, Vision and Values of Brown County Hospital and to what standards we hold our employees accountable. This booklet was then distributed to the board and was reviewed and signed by each member. 
 
ACTION TO BE TAKEN
 
The renewal of the ePharmacy Contract was presented as we are in the final year of grant funding for this program. Mike Kreycik made a motion to approve the renewal contract for ePharmacy.  Ann Fiala seconded this motion. Roll call vote – John Gross – Aye. Mike Kreycik – Aye. Ryan Welke – Aye. Ann Fiala – Aye. Mike Schrad – Aye.  Motion carried.
 
The initial appointment for medical staff privileges to the consulting staff for Marilyn Ray, MD was reviewed.   Marilyn was recommended for appointment by the Medical Staff at their May 14, 2014 meeting. Mike Schrad made a motion to approve the initial appointment of Mariyln Ray, MD to the Consulting Staff of Brown County Hospital. John Gross seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried
 
The initial appointment for medical staff privileges to the consulting staff for John Steuter, MD was also reviewed.   John was recommended for appointment by the Medical Staff at their May 14, 2014 meeting.   Mike Schrad made a motion to approve the initial appointment of John Steuter, MD to the Consulting Staff of Brown County Hospital. John Gross seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried
 
The discontinuation of medical staff privileges for Andrea Lamphiear, MD was recommended by the Medical Staff at their May 14, 2014 meeting. Mike Schrad made a motion to approve the discontinuation of medical staff privileges for Andrea Lamphiear, MD. John Gross seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried
 
Ann Fiala made a motion to approve the proposal from Co-Opportunity Health for our group insurance plan and continue with our current contribution rates. Ryan Welke seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried.
 
The Bond Contribution was discussed. Several options were noted to look at and the Board asked for further information on potential recall dates and sinking fund options. This will be tabled until next meeting.
The Board Bylaws were presented as Restated Board Bylaws to be consistent with legislature that passed (LB95) affecting County-owned hospitals.  John Gross made a motion to approve these revisions. Mike Schrad seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried
 
Seim Engagement letter was presented to the board for approval. Mike Kreycik made a motion to approve this letter of engagement. Ann Fiala seconded this motion. Roll call vote: Mike Schrad – Aye. John Gross – Aye. Mike Kreycik – Aye. Ann Fiala – Aye. Ryan Welke – Aye. Motion carried
 
BOARD OF TRUSTEES EDUCATION
 
Shannon reviewed information regarding the Financial and Operational Assessment Project that Bill Luke and the State Office of Rural Health completed. Discussion was held and questions were addresses. 
 
Shannon informed the board of the 2014 PHV Executive Leadership Conference that will be held July 16th - 17th in Nebraska City.
 
EXECUTIVE SESSION
 
At 7:13 p.m. a motion was made by Ryan Welke to enter into executive session for recruitment discussion. Mike Schrad seconded this motion.  Roll call vote:   Mike Schrad – Aye. Ryan Welke – Aye. Mike Kreycik – Aye.  Ann Fiala – Aye. John Gross – Aye. Motion carried.
 
At 7:18 p.m. Ann Fiala made a motion to come out of executive session.  This motion was seconded by John Gross.  Roll call vote:  Mike Schrad – Aye. Mike Kreycik – Aye.  Ryan Welke – Aye.  John Gross – Aye. Ann Fiala – Aye. Motion carried.
 
There was no further business to discuss and the meeting adjourned at 7:18 p.m.
 
Ann Fiala, Secretary                                                             &