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Brown County Hospital
Board of Trustees Regular Meeting
Brown County Hospital Conference Room
Monday, January 16, 2012
4:05 p.m.
A regular meeting of the Brown County Hospital Board of Trustees was held Monday, January 16th, 2012. The meeting was called to order by Chairman, Mike Kreycik, at 4:05 p.m. Other board members in attendance were Mike Schrad, Leanne Maxwell, and Ann Fiala. John Gross arrived at 4:25 p.m. Also attending were Matt Sells – CFO, Tammy Brown – DON, Crystal Dailey – RN, Annette Miller – MD, and Pam Hollenbeck – Recording Secretary.
Mike Kreycik announced that a copy of the open meetings acts is located on the counter in the conference room.
To open the meeting, Dr. Annette Miller presented the Board with her written resignation, which will be effective March 25, 2012. After much consideration, she has accepted a position in Kearney, Nebraska. The Board of Trustees and Administration thanked her for her years of service and wished her well in her future endeavors.
PUBLIC INPUT
No public input at this time.
CONSENT AGENDA
Consent agenda items were presented for the Board’s review, including minutes of the previous regular Board of Trustees meeting, Medical Staff and Medical Staff Subcommittee minutes, Quality Improvement minutes, Corporate Compliance/HIPAA minutes, payment of current bills, patient census, the monthly statistical and financial report and analysis, as well as Department Managers minutes, Retention/Recruitment committee minutes and the Board Inspection Report. Matt Sells, CFO, reviewed key information presented in the monthly census and financial analysis reports and questions were addressed. Ann Fiala made a motion to approve the consent agenda as presented. Mike Schrad seconded this motion. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. Motion carried.
REVIEW OF ACTIVITIES
Tammy Brown, DON, presented an update on meaningful use. Medicare provided us with an attestation confirmation and the payment process has been initiated. Preliminary calculations suggest that we can expect to receive $350,000 in the next few months pending review from Medicare.
Matt Sells, CFO, reported that Prochaska & Associates were onsite on January 4th to review the design documents. The process is currently on schedule for ground breaking in late March or early April of 2012. The USDA loan documentation should also be finalized by February 1st. The Administration commented that Mr. David Streich, County Attorney, has been very helpful in helping to finalize the documentation in an expedited manner.
Matt Sells, CFO, advised the Board that the Fiscal Year 2011 cost report has been filed with both Medicare and Medicaid and we should be receiving a $168,000 payment in the near future.
The recent County Commissioners Resolution was discussed, which authorized all hospital capital purchases of equipment or improvements less than $50,000 to be automatically pre-approved. All hospital purchases of equipment or improvements over $50,000 will need to be taken to the County Commissioners for approval. Previously, a resolution pre-approved all items under $10,000.
Mission, Vision, Values – This item was tabled for a later date pending additional feedback from department managers and the on-site session with Joe Tye.
Lisa Fischer reviewed the Retirement Plan Annual Report with the Board. In compliance with State Statutes, this report must be filed with the State on an annual basis.
Matt Sells reported that Shannon Sorensen, Dr. Miller and Mike Kreycik will be attending the Mid-America Hospital Alliance conference in Omaha at the end of the month.
Contracts for urine specimen collection and breath alcohol testing will be submitted to local employers, including the County, in the next week for approval. This service would be available for employers at their request for pre-employment screening and post-incident testing. Matt will be presenting this information at the County Commissioner’s meeting on Tuesday, the 17th.
Matt advised the Board that LB 995 was proposed recently in the Nebraska Legislature. The proposed bill would modify current county statutes governing the operation of county hospitals.
ACTION TO BE TAKEN
A motion was made by Ann Fiala to retain Mike Kreycik as President, Leanne Maxwell as Secretary, and Mike Schrad as Treasurer of the Board of Trustees. John Gross seconded this motion. Roll call vote: Mike Kreycik- Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
The Home Health License Renewal was reviewed. It was noted that the County Commissioners approved this at their January 3rd meeting. Mike Schrad made a motion to approve the license renewal as presented. Mike Kreycik seconded this motion. Roll call vote: Mike Kreycik- Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
Healthland Materials Management Module – This item was tabled until next month in order to allow for further review of a demonstration of the product before purchasing.
The Strategic Quality Support System agreement was reviewed. This is a computer software system that would enhance our quality improvement studies, policies and procedures review, and allow interdepartmental communication and tracking of assigned tasks. Matt noted that part of the recently received SHIP Grant would fully fund the purchase of this software. Mike Kreycik made a motion to approve the purchase of the Strategic Quality Support System. John Gross seconded the motion. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
The Resolution for an authorization to sign all closing documents associated with the USDA loan for the building addition and CT scanner was reviewed. Under this resolution, the Board of Trustees of Brown County Hospital would facilitate the execution of loan closing documents with Three River Telco and West Plains Bank, and appoints Shannon Sorensen, CEO, to sign on behalf of the Board of Trustees of BCH. Ann Fiala made a motion to approve this resolution. Mike Schrad seconded the motion. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross abstained from the vote. Motion carried.
The Hospital has been engaging in the Values Collaborative trainings by Joe Tye, CEO of Values Coach Inc. in transforming to a culture of accountable ownership. . At the conclusion of the 12 Core Action Values Trainings, Mr. Tye is available to be present on-site for trainings and consultation. Mike Schrad moved to contract Mr. Tye to provide his one-day session at Brown County Hospital. This motion was seconded by Leanne Maxwell. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
BOARD EDUCATION
Crystal Dailey, RN, was present to educate the Board on HCAHPS. HCAHPS stands for Hospital Consumer Assessment of Healthcare Providers and Systems, and is a standardized survey of hospital patients’ unique perspectives on hospital care for the purpose of providing the public with comparable information on hospital quality. The Hospital plans to begin contracting with a third party to conduct HCAHPS surveys of our patients during 2012 and will also begin reporting results as part of the MBQIP program.
EXECUTIVE SESSION:
Mike Kreycik made a motion to enter into executive session at 5:25 p.m. to discuss the CEO Employment Agreement. John Gross seconded the motion. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried. Mike Schrad made a motion to come out of executive session at 5:40 p.m. This motion was seconded by Mike Kreycik. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
Leanne Maxwell made a motion to approve the Amendment to the Hospital CEO Employment Agreement as discussed in executive session. Mike Schrad seconded the motion. Roll call vote: Mike Kreycik – Aye. Mike Schrad – Aye. Leanne Maxwell – Aye. Ann Fiala – Aye. John Gross – Aye. Motion carried.
There was no further business to discuss and the meeting adjourned at 5:40 p.m.
Leanne Maxwell
Secretary
Pam Hollenbeck
Recording Secretary
