BOARD OF TRUSTEES MEETING
April 9, 2013 5:30 p.m.
Members Present: Lynnette Long, Murrell Arnett, Rusty Neill, Patricia Knowles, Keith Maloney
Others Present: Bernard Orman, Susan Spencer, Sarah Middleton, Jane Young, Dr. McDowell, Pat Quinly, Ruth Brock, Dean Wilt, Sheila Olson, Betty Baker, Linda Maloney, Josh Wilks, Tom Lantzy
The Samaritan Hospital Board of Trustees held their regular monthly business meeting on
April 9, 2013 at 5:30 p.m. in the Administrative Conference Room.
SWEARING IN NEW BOARD MEMBERS – Patricia Knowles and Keith Maloney were sworn in by Sheila Olson.
Sheila Olson exited the meeting at this time.
2012 AUDIT PRESENTATION – Josh Wilks & Tom Lantzy with Clifton Larson Allen
Josh Wilks presented the audit report to the board. 2012 had a loss of $367,727. Details in board packet.
Rusty motioned to accept the audit as presented. Lynnette seconded and passed unanimously.
Josh Wilks & Tom Lantzy exited the meeting at this time.
BOARD OFFICER ELECTIONS – Rusty motioned to leave the slate of office’s the same and add Patricia Knowles as the secretary. Lynnette seconded and passed unanimously.
A. Minutes from the March 12, 2013 Meeting
B. Quality Improvement Report
C. Accounts Payable
D. Accounts to Attorney
Lynnette motioned to approve the consent agenda Patricia seconded and passed unanimously.
A. Wound Clinic Update – Construction is progressing well. Painting is complete. The ceiling and floor work have started. The hyperbaric chambers will be delivered soon. Four doctors have signed up for training so far. Jane Sappington the Wound Clinic director has started and is holding interviews for the current openings.
B. Parking Lot – Construction contract signing was held at SKW on April 4, 2013. Parking lot construction is slated to start Monday April 15th and will take approximately 2 months weather permitting. The bulk of time will be spent installing drainage system. We will work with the employees to keep them informed about parking.
Disbursement request for USDA funding – SKW for $4,399.87 – Keith motioned to approve the expense request. Rusty seconded and passed unanimously.
C. McKesson Software Update – At the last board meeting Administration presented the board with a McKesson projected 5 year total cost of ownership for software maintenance and a Samaritan Hospital 5 year total cost of ownership projection. The cost is substantially higher. Administration has held multiple conversations with McKesson regarding the cost of maintenance. McKesson was given 30 days to lower the price or we will start looking at other vendors. During the last 30 days while the Hospital continued to negotiate with McKesson we also explored other software venders.
Last Thursday McKesson lowered their fees allowing Samaritan to continue with their software. The Board recommended continuing with McKesson.
D. Nurse Practitioner at TFHC – Marie McDowell will join Total Family Healthcare on June 25, 2013.
E. Medicaid Expansion Resolution – Discussion was held regarding the Medicaid Expansion and its impact on reduction of Charity Care and Bad Debt. Many healthcare institutions and businesses have supported the Medicaid Expansion through resolutions. Rusty made a motion to support the resolution for the betterment of the hospital. Patricia seconded and passed unanimously.
F. Other Old Business –
MRI Update –USDA funds are available to complete the MRI room. Management will research MRI manufactures and prepare a recommendation of which MRI best fits our needs. Management will present recommendations in May. Rusty asked that a Pro forma on the revenue side be brought back in May as well.
Ambulance Garage Update – Footings and walls have been poured. The floor will be poured soon. The garage will consist of 4 bays, storage for maintenance and the ambulance district. The monthly fee paid to Samaritan from the Ambulance District will be reduced to pay for the garage.
A. Financial Report – Susan covered the financial report for February. February had a loss of ($239,754.74) compared to prior year net loss of ($39,720). YTD net loss of ($249,983) compared to prior year net loss of ($59,105). Rusty motioned to approve the financial reports as presented. Lynnette seconded and passed unanimously.
B. 340B Program – Susan covered the 340B program with the board. There are two pieces to the program. 1.) Discounts drugs for Outpatient services – Samaritan has been up and running with this portion for a month and so far the savings total $8,400. The savings is expected to increase as we replenish our supply.
2.) Contract Pharmacy – We are in the implementation process with SunRx. We have signed a letter of intent and are reviewing the contract. SunRx has been working with us to determine which scripts qualify for the program. We are working with the local pharmacies.
Susan has been looking at data feed options for providing eligible patient information to the pharmacies. Susan recommended ADT interfaces with ECW and McKesson for a cost of $12,000. She also discussed self pay patients receiving a 340B discount immediately. With Charity Care there would be a delay in receiving the discount. Rusty motioned to approve the ADT interface and exclude 340B from the Charity Care policy, and allowing self pay patients to receive drugs at our 340B cost. Patricia seconded and passed unanimously.
C. Equipment Request – Dialysis Machine – three quotes were presented to the board. Discussion was held regarding the primary machines. Dialysis is currently using their backup machine as one of the primary machines due to volume. The purchase of a new machine will allow the current backup to remain a backup only. The product review committee recommended the purchase of the Fresenius machine which is the brand we currently use. Lynnette motioned to approve the Fresenius dialysis machine. Keith seconded and passed unanimously.
D. OTHER NEW BUSINESS –
Community Health Assessment – We are required to complete a community health assessment in 2013. Bern will be working with the local health department and other stake holders to develop a plan to conduct a community health assessment that includes a survey.
The hospital conducts a strategic planning session approximately every 5 years. We plan to utilize data from the community health assessment and input from our staff and community leaders to help determine future projects and goals for the next 3-5 years. The planning session will most likely be held late fall / early winter. .
With no other business Keith motioned to adjourn the meeting. Patricia seconded and passed unanimously.