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Board of Commissioners Meeting Minutes
September 22, 2015


Present: Commissioners Daisy Anderson, Don Lawley, and Gerry Lane who attended via teleconference; David Selman,CEO; Tim Cournyer, CFO; Cindy Paget, CHRO; and Laura Kripinski, CNO.


The meeting was called to order at 5:01 p.m. by Daisy Anderson.

Public Comments: Due to the large number of community members in attendance Daisy Anderson, Board Chair, asked those that wanted to speak to raise your hand and wait until called upon to speak, state you name, remain respectful at all times, and please do not use the name of others.

There were a number of comments made by both community members and staff; a large portion of those speaking expressing concerns and questions about the hospital and hospital Administration. Others spoke in support of the hospital and hospital Administration.

After everyone had an opportunity to speak Daisy assured the audience that the Board appreciated their input and the Board would be addressing the issues in the near future.

Bogachiel Clinic Update: Bill Burton introduced himself and announced that he has been at the clinic four weeks as an employee of Medical Management, Inc., or Medman for short. Medman has been contracted to manage the operations of the Bogachiel Clinic. We are improving customer service by hiring a lead to supervise the front desk, an operator to take calls so that the registrars are not multi-tasking by answering phones and checking patients in. We have already hired a lead receptionist and you should start to see changes there. Medman has also been tasked with assisting with the recruitment process. We had a doctor come through last week that is interested working at the clinic but he is still in his residency. We are looking for other opportunities – it is difficult to get doctors in rural locations and Medman is a company that works specifically in filling rural doctor positions. We have several leads and hopefully they will come to fruition. It has been an interesting past two weeks – I have been talking to patients about complaints and trying to make their next experience a good one. A “no walk in” sign should not be there and it will be tossed. Bill then asked if the Board has any questions for him. Gerry said he hears a lot of good. The clinics inability to get healthcare when they have appointments is a concern and asked Bill how we can turn that around. Bill said that he believes the issue with the waiting is with the Locum Tenens doctor and she has been given thirty-day notice, she is not the right fit.

Medical Staff:  The Medical Staff Committee minutes from the August 12, 2015 meeting were reviewed.

ACTION: It was moved, seconded, and passed to approve the Medical Staff Committee meeting minutes as presented.

Medical Staff Privileges: Reviewed request for privileges, as presented, for Carol Allchin, M.D. and Eugene Sine, M.D.

ACTION: It was moved, seconded, and passed to approve appointment of privileges for Carol Allchin, M.D.

ACTION:   It was moved, seconded, and passed to approve temporary appointment of privileges for Eugene Sine, M.D.

Performance/Quality Improvement: There were no minutes to review.

Minutes: Board of Commissioner’s Meeting Minutes from August 25, 2015, were reviewed.

ACTION: It was moved, seconded, and passed to approve the Board of Commissioners Meeting Minutes as presented.

Vouchers: The August 2015 Vouchers were reviewed.

ACTION: It was moved, seconded, and passed to approve the August 2015 General A/P vouchers numbered 056520 through 086805 in the amount of $1,298,362.59 and the General P/R vouchers numbered 543076 through 543172 in the amount of $88,338.94.

Write-offs: The September 2015 Write-offs were reviewed as presented.

ACTION: It was moved, seconded, and passed to approve the September 2015 Write-offs totaling $70,502.17.

District CEO Report:

David Selman, CEO, reported:

  • DNV completed their survey of the hospital accreditation.
  • HQi - ongoing submissions of data for comparison with other critical access hospitals and specifically our Washington Rural Health Collaborative.
  • Kronos Time and Attendance system time clock is scheduled to be installed by January 2016. We have completed the discovery documents, staff and cost center details are in progress along with the system design.  The manager and employee training is scheduled to be completed in October and the test pay periods will begin in November.
  • A seven-week Leadership Academy began on September 16, 2015; the topic of the academy is “Crucial Conversations”.
  • We are in the conceptual phase of the 340 pharmaceutical pricing – currently educating ourselves and researching vendors to manage the program and assist with the 340B application process.
  • The review of our Group Purchasing Organization is in process by comparing Amerinet to Novation to assure that we are purchasing quality products at the least possible cost to the hospital.
  • Our compliance attorney has changed firms and a special med staff meeting has been scheduled for education.
  • Kirk Livermont has expressed an interest in living in Forks and has requested an offer.  His expected arrival will be the Fall of 2016.
  • Heidi Scherner has a BA in Social Work and started at West End Outreach yesterday.
  • We are still in discussion with Swedish regarding Telemedicine.

Finance: Tim Cournyer, CFO, presented the August 2015 financial report, which was reviewed and discussed.

  • Patient revenue exceed the prior August by $298,066
  • A/R days are at 57.56 for August
  • Net A/R days at 35.72
  • Operating expenses over the prior August by $186,596
  • Net operating gain for August of $143,488
  • Non-operating loss of ($18,045)
  • Net Income for the year is $(3,815)

Tim presented a Capital Equipment request for a Mortara EKG machine and server.  This request voids the previous request that was authorized at $400 under the amount it will cost for the server.  West Jefferson donated $28,000 toward the cost leaving a balance of $1,000.

ACTION: It was moved, seconded, and passed to approve the purchase of the Mortara EKG machine and server for an amount not to exceed $29,000.

Tim presented a draft analysis of the Hospital’s nursing home facilities and the benefits to the hospital of converting nursing home beds to swing beds.  He noted that the conversion causes the LTC cost to become Acute Care Cost, which are cost reimbursed.  The proposal is to convert eight Long Term Care beds to swing beds.  The annual effect to the Hospital would be an increase of nearly $600,000 in revenue.

Tim requested that the Board and community review the reports and come to him with any questions before taking any action.

Additional Agenda Items:  No comments.

Board Calendar:  There was no discussion.

Executive Session:  Time In: 6:34 p.m.          Time out: 7:35 p.m.

The open session meeting was called back to order at 7:35 p.m. by Daisy Anderson.

There being no further business to discuss, the meeting was adjourned at 8:30 p.m.

The next Board of Commissioners meeting is scheduled for October 27, 2015, 5:00 p.m.

Minutes recorded by Melissa Jones, Executive Assistant.




Don Lawley, Secretary

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