HomeMy WebLinkAboutBHSMinutes_2008_02_26
Brookings Health System
Board of Trustees
February 26, 2008
Members present: President Roberta Olson, Vice-President Rob Jones, Dianna Evers, Jim
Booher, Al Baker, Sandra Faltemier, Debra Johnston, Vern Carda, CEO
Members absent: Secretary Keith Corbett, Dan Little, Jeff Weldon, Ex-Officio
Guests: Kevin Coffey, CFO, Kathy Zirpel, Performance Improvement Director, Debra Davis,
Administrative Assistant
President Olson called the meeting to order at 7:01 p.m.
Consent Agenda
Consent agenda items: Minutes from January 24, 2007 Board Meeting; Charge-Off/Write-Off
Accounts; Accounts Payable for February (see itemized list below); Policy: 8311
Dissemination of Information and Facility Management of Advance Directives; 8311-21 Do Not
Resuscitate (DNR); 8311-63 Informed Consent; 6010-525 Organ/Tissue Donation/Procurement
Policy; 8231-1 Acceptable Use; 8231-2 Electronic Communications; 8231-3 Remote Access;
8231-4 Wireless Communication; 8231-5 Disaster Recovery / Security; Credentialing (as
recommended by the Medical Staff): Active, 1-year provisional: Jim Walery, M.D.; Allied
Health 1-year provisional: Daniel Wegehaupt, CRNA, Avera McKennan Hospital. 2-year Allied
Health Reappointment: Michelle (Nelson) Schwader, D.A., Hauffe Dentistry and Joshua
Klinkhammer, CRNA, Brookings Health System.
Accounts Payable for February 2008:
A Ox Welding Supply Co, $5,046.20; AAA Collections, $5,165.26; AAA Travel Agency, $1,989.97; Abbott
Laboratories, $5,000.84; Accu-Med Services Inc, $335.00; AFLAC, $9,778.48; AgBio Communications Unit,
$10,000.00; Aladdin Temp-Rite LLC, $105.14; Alcon Laboratories, $643.44; Alice Mulder, $93.25; Alimed Inc,
$182.55; Allen Medical Systems, $329.57; Allen Nelson, $20.54; Allied Interstate, $1,910.87; Amanda Bunker,
$50.00; American Health Care Supply, $317.53; America's PPO Great Plains, $313.02; AMO Sales & Services Inc,
$224.55; Anne Smolik, $24.24; Annie Livingston, $26.52; Arjo Century Distributing, $177.92; Arlene Harvey,
$992.00; ASBSD Protective Trust, $174.17; ASD Healthcare, $12,114.84; Aureus Radiology LLC, $12,952.85; Auto
Pro, $125.00; Avera Brookings Medical Clinic, $25,142.73; Avera Brookings Medical Clinic PT, $18,000.00; Avera
Health Plans, $830.22; Avera McKennan Hospital, $3,257.05; Avera McKennan Regional Lab, $9,650.93; B Braun
Medical Inc, $1,783.65; Ban Koe Companies, $480.00; Bankers Life Casualty, $100.10; Banner Associates,
$14,815.86; Barbara Karnes Books, Inc, $65.00; Barnes & Noble Inc, $701.91; Berens & Tate PC LLO, $118.00;
Berkeley Medevices Inc, $122.38; Best Business Products, $871.00; Beth Nemmers, $5.06; Bio Rad Laboratories,
$779.06; Bio-Logic, $219.50; Biomerieux, Inc, $1,141.78; Bixby Energy, $120.70; Blue Cross, $28.36; Blue Cross Of
MN, $20.01; Boston Scientific Corp, $1,814.10; BP of Brookings, $239.86; Breit Law Office PC, $695.54; Brookings
Ace Hardware, $29.60; Brookings Auto Mall, $32.05; Brookings Chamber of Commerce, $3,052.42; Brookings
Economic, $50,000.00; Brookings Health System, $7,985.29; Brookings Marathon, $5,000.00; Brookings Municipal
Utilities, $13,622.48; Brookings Register, $4,652.76; Brookings Rotary Club, $131.55; Building Sprinkler Inc,
$391.28; C R Bard Inc, $530.86; Cabana Banners, $5,057.60; Cardinal Health, $56,290.55; Carol Even, $50.00;
Carquest Auto Parts, $33.98; Carstens Inc, $242.11; Centerpoint Energy Services Inc, $21,723.31; Central Business
Supply, $2,464.99; Child Support Payment Center, $1,638.00; City of Brookings, $216.89; City of Brookings Landfill,
$10.11; Clifton Rodenburg, $672.34; Clites Electric Construction, $1,024.86; Coffey Communications Inc, $800.00;
Cole Papers Inc, $3,538.94; Comfort Inn, $284.70; Conmed Corporation, $4,618.56; Connections, Inc, $1,045.28;
Conseco Insurance, $302.00; Cook Medical Inc, $1,180.00; Cooks Wastepaper & Recycling, $1,632.47; Culligan,
$60.10; Dakota Data Shred, $409.01; Dakota Truck Underwriters, $17,036.00; Dakotacare, $116,928.67; Dakotaland
Federal Credit Union, $10,358.86; Datex Ohmeda, $2,227.80; Deb Davis, $69.84; Deb Moore, $154.53; Deb Prodoehl,
$226.24; Delta Dental of SD, $11,441.22; Dena Bleeker, $65.67; Diane Martian, $828.00; Didem Koroglu, $52.26;
Direct Supply Equipment, $201.86; Donald McCoy, $52.26; Downtown Brookings Inc, $400.00; Dr. Richard Hieb,
$562.50; Duane Thompson, $116.60; Dwight Hai, $167.07; E Provider Solutions, $1,239.95; Ecolab Pest Elimination
Div, $306.07; Einspahr Auto Plaza, $3,283.58; Ekern Home Equipment Co, $67.18; Emdeon Business Services,
$96.75; Emergency Medical Products, $388.10; Encompass Group LLC, $915.07; Farm & Ranch News, $225.00;
Fastenal Company, $16.22; Fenwal Inc, $1,063.83; Fidelity Security Life Ins Co, $1,690.32; First Administrators,
$2,399.82; First Bank & Trust, $9,960.89; First Lutheran Church Mission Coffee, $115.90; Fisher Healthcare, $109.02;
Flowers On Main, $255.00; Fremont Industries, $816.13; G & R Controls, $323.70; Gas N' Mor, $86.80; Gaymar
Industries, Inc, $510.40; GE Healthcare, $347.14; GE Marquette Services, $32.00; GE Medical Systems, $13,668.66;
GE Medical Systems Information, $72.68; Glover & Helsper, PC, $724.00; Govt Employee Hospital Assoc, $23.72;
Grainger Inc, $28.63; Graybar Electric Co, $237.23; Harolds Photo Center, $103.63; Harolds Printing Company,
$3,547.62; HcPro Inc, $168.00; Health Forum, $547.00; Herc Publishing, $344.95; Hillyard/Sioux Falls, $148.00;
Hipsaver Inc, $110.44; Hollister Inc, $72.58; Homestead Building Supplies, $579.11; Honeywell Global Finance LLC,
$2,730.00; Honeywell Hommed LLC, $250.00; Hospira Worldwide, Inc, $8,473.44; Huntleigh Healthcare Inc,
$286.00; Hy Vee Food Store, $678.78; Hy Vee Pharmacy, $1,351.77; Hygienic Laboratory, $1,197.00; Immucor, Inc,
$248.75; Industrial Chem Labs & Services, $241.46; ING Life Ins & Annuity Co, $67.49; ING Life Insurance,
$2,141.00; Instrumentation Laboratory, $2,526.83; Inter-tel Datanet, $13,731.59; Inter-tel Netsolutions, $761.05;
Inverness Medical Innovations, $153.25; ITC Telecom, $18.95; Jan Clites, $57.57; Jan Olson, $292.91; Jennifer
Klinkhammer, $1,143.15; Jennifer Neuhauser, $76.70; Jeri Nelson, $140.39; Jesse Walsh, $231.65; JJ Wild Inc,
$1,796.80; Joanne Ovall, $305.00; Jody Oetken, $246.87; Jolene Moberg Lee, $163.62; Julie Henry, $154.04; Julie
Vandeweerd, Karl’s TV & Appliance, $338.00; K-Art X-Ray Supply Co, $211.42; Kathryn Zirpel, $659.23; Keane,
Inc, $480.00; Kevin Coffey, $253.14; Kone, $476.99; Kreisers Inc, $4,826.17; $363.61; Karen Weber, $622.51; Lab
Safety Supply, $276.29; Laerdal Medical Corp, $110.35; Land and Wheels, $257.15; Langland Home Center, $207.00;
Lawson Products, Inc, $39.73; Leading Edge, $927.16; Lewis Family Drug, $165.73; Lisa Hartenhoff, $139.38; Lisa
Wolf, $81.82; Living Design, $72.00; Lowe's, $621.40; Lucy Kephart, $35.89; Lynette Richarz, $301.50; Lynne
Kaufmann, $281.29; M & T Fire & Safety, $158.89; Mail Handlers Benefit Plan, $38.63; Mallinckrodt Inc, $651.45;
Man and Machine Inc, $249.00; Martin Oil Co, $2,261.12; Masimo Americas Inc, $1,649.84; Mass Marketing Inc,
$125.00; Mead Johnson, $79.20; Med Pass, $54.00; Med Rad, $1,116.00; Mediacom, LLC, $1,748.86; Medibadge Inc,
$138.65; Medical Information Technology Inc, $55,124.68; Medical Structures, LLC, $5,000.00; Medicare Dmerc-d,
$381.57; Medline Industries, $47.50; Medtox Laboraties, Inc, $216.76; Medtronic ERS, $29.92; Mercy Family
Medicaine Residency, $7.00; Midland Professional Services, $417.19; Midway Industries, $598.90; Midwest Glass,
$296.29; Midwest Insulation, Inc, $4,420.00; Midwest Medical Service In, $272.00; Millipore Corp, $141.84;
Minnesota Chemical Company, $798.50; MN Med Inc, $1,622.00; Mobile Instrument Service, $1,262.54; Mobile
Neurodiagnostic Service, $1,594.00; Mutual of Omaha, $56.17; MVAP Medical Supplies Inc, $801.79; Nasco,
$262.96; Network Services Company, $719.86; NHPCO, $406.00; Nielsen's, $114.06; Nina Nordbye, $45.96;
Northstar Surgical, $212.50; Northwestern Energy, $4,690.00; NPAHMM, $25.00; NXC Imaging, $594.32;
Occupational Therapy, $14,273.97; Office Depot Inc, $1,865.38; Olympus America Inc, $235.46; Opus Medication
Systems, $190.24; Ortho Clinical Diagnostics, $1,277.05; Orthotic & Prosthetic Specialties, $2,009.30; Ossur North
America, $65.50; Overhead Door Co, $42.30; Pam Fitzgerald, $263.16; Partshelf.com, Inc, $323.00; Party Depot,
$6.36; Pat Park, $5.56; PC Connection Sales, $2,208.81; Pegler Sysco Food Services Co, $76.85; Penner Patient Care
Inc, $144.00; Pesi Healthcare, $195.95; Phillips Medical Systems, $911.17; Physicians Laboratory Ltd, $833.33;
Pinestar Technology Inc, $616.00; Pinnacle Publishing, $654.00; Pitney Bowes, $221.00; Posey Company, $33.65;
Postmaster, $200.00; Precision Diagnostic Services, $6,480.00; Precision Lens, $2,859.90; Press Ganey Associates,
Inc, $1,567.35; Pro-Ed, $455.40; Puronyx, Inc, $584.15; R & L Properties, $1,424.00; Radiation Detection Co,
$104.00; Radio Shack Corp, $58.94; Ramsdell's Fertilizer & Propane, $44.09; Ranfac Corp, $318.38; Remel Inc,
$428.68; Respironics, $1,182.73; RFD News Group, $585.80; Robert Shearer, $243.60; Royal Chemical Corp,
$265.71; Runnings Farm & Fleet, $9.90; Sandra Faltemier, $59.23; Sanford Clinic, $63.15; Sansio, $900.00; Sarstedt,
Inc, $507.60; SD Health Care Association, $290.00; SD Retirement System, $146,087.61; SD State Medical
Association, $150.00; SD State Treasurer, $1,903.34; SD Unified Judicial System, $20.00; SDAHO, $270.00; SDSU
Dept of HPER & Athletics, $108.00; Senorx Inc, $885.00; Shelley Deknikker, $395.92; Shelley Hagenson, $141.40;
Siemens Healthcare Diagnostics, $3,435.46; Siemens Medical Solutions, $2,205.82; Sioux City Chapter AAPC,
$240.00; Sioux Falls Two Way Radio, $90.68; Sioux Valley Wireless, $147.90; Sizewise Rentals, $208.00; Smiths
Medical ASD, $322.56; SourceOne Healthcare Technologies, $3,582.14; South Dakota Retirement System,
$20,094.43; South Dakota Supplemental, $650.00; SST Group, $48.80; Stacy Christensen, $271.69; Steph Callesen,
$80.70; Stericyle, $592.45; Steris Corporation, $3,566.13; Stinger Industries, $2,392.35; Stryker Endoscopy, $574.93;
Sun Life Financial, $630.32; Sunrise Machine & Tool Inc, $735.55; Swiftel Center, $3,882.00; Swiftel
Communications, $3,301.15; Tammie Bublitz, $32.83; Tech Depot, $34.98; Technology Imaging Services, $498.32;
The Ken Blanchard Co, $2,013.22; The Outlet, $55.90; The UPS Store, $360.00; Thermogenesis Corp, $306.00; Three
Eagles Communication, $350.00; Tim Fitz, $172.71; Town & Country Shopper, $348.00; Tracy Rierson, $28.70; Tri
Anim Health Services Inc, $70.38; Tri-State Hospital Supply, $5,883.85; US Postal Service, $3,000.00; Ultimate Office
Systems, $146.87; United Way, $170.33; Universal Hospital Services, $11,265.00; Upstairs Solutions, $750.00; US
Endoscopy Group, $1,719.86; US Nuclear Regulatory Comm, $500.00; Utah Medical Products Inc, $285.46; Verizon
Wireless, $1,085.09; Vern Carda, $600.00; Wal Mart, $886.83; Wal Mart Pharmacy, $601.93; Williams Carpet One,
$69.50; Windstone Medical Packaging, $468.96; Wireless World Brookings, $419.95; Young Door Service, $45.00;
Zimmer US, $2,382.60.
Report Total: $959,630.16
A motion made by Evers to approve the consent agenda items. Faltemier seconded the motion.
Motion carried.
Reading and Information.
An updated Board of Trustee Committee Scheduled was included in the board packet.
CEO Report.
Carda provided an update on phase one of the Meditech software conversions citing one
outstanding problem in one of servers. Phase two has started with implementation of 12
modules to be functional in the next 6 months. Cutover to the new phone system
occurred on 02/15/08. The conversion has not gone smoothly and Swiftel staff is
working on resolving the instability of the phone system. CMS is expanding the RCH
demonstration project. This project is in year two of a five-year pilot program.
Brookings Health System will submit an application for consideration to participate in the
project. A quarterly physician newsletter is being developed.
CFO Report.
January cash flow summary was presented along with a statistical report. Coffey noted over the
next several months data integrity will be monitored to ensure accurate reporting of numbers.
Coffey also noted the auditors would be here in March. Total organizational expenses for
February were $2,041,988.96. Payroll and benefit expenses for the month were $959,578.17.
Personnel Information:
SALARY CHANGES:
New Hire:
Bauer, G, $9.83; Busche, M, $8.52; Christensen, W, $10.50; Couch, A, $9.46; Fenske, M, $20.00; Hansen,
A, $9.79; Hjermstad, G, $8.27; Isenberg, J, $8.50; Mulvey, D, $9.25; Nelson, N, $9.74; Neuharth, J,
$10.12; Planting, K, $10.12; Schmoll, S, $8.52; Shepherd, M, $9.74; Wilson, A, $11.00; Wolthuizen, J,
$11.00.
Status Change:
Granum, C, $11.46; Holmquest, C, $10.21; Rittershaus, A, $16.14; Rue, D, $10.03.
Longevity:
Walsh, J, $26.57.
Committee Reports.
QI/Personnel Committee
See discussion under new business.
Strategic Planning Committee
See discussion under old business.
Finance Committee
The committee reviewed the financial assumptions that Coffey developed using the ENUFF
Model to project operational cash flow during construction. Costs for a 60 and 80-bed nursing
home were reviewed.
Executive Committee
Olson noted Jones was asked by Mayor Munsterman to serve on the Transportation Board.
Unfinished Business.
Campus Master Planning
At the January meeting, a motion was made by Corbett to have the CEO explore options that may
be available relative to the nursing home. Faltemier seconded the motion. After much
discussion, a motion by Little to table the motion for one month in order for the Finance
Committee to work with the CFO on modeling the finances and bring back to the Board for
discussion. Carda provided a construction timetable, encompassing three of the five phases; total
project costs of the three phases which included A&E fees, FF&E fees, soft costs and future cost
of money, and an operational cash flow model. A motion made by Johnston to vote on the
motion. Evers seconded the motion. After a lengthy discussion, Johnston requested the motion
be removed for one more month in order for the strategic planning committee to re-review
construction options. Evers seconded the motion.
New Business.
Quality Assessment & Performance Improvement Plan
Zirpel presented the Quality Assessment and Performance Improvement Plan (QAPI). The QAPI
plan for FY2008 addresses quality of care in three principle areas: clinical care, customer care
and safe care. The plan involves all BHS facilities, departments and services including contracted
services. The Quality Council structure supports the QAPI activity. Four levels of process
improvement are utilized: strategic initiative, PI projects, rapid cycle and single occurrence.
Summaries and dashboard results are reported to the Board of Trustees on a quarterly basis. The
effectiveness of the QAPI plan is evaluated on an annual basis. A discussion regarding
performance indicators was held. The board, after discussion, approved the plan with 0 or 100%
levels of compliance to be achieved. The overall goal is to drive improvement within the
organization. Additionally, Press Ganey scores and reporting were discussed at length.
Executive Session – SDCL 1-24-2.4
Johnston was excused.
At 9:43, the committee went into executive session.
At 10:07, the committee came out of executive session.
A motion by Faltemier to have the Finance Committee review the feasibility of the PACS relative
to community collaborating. Jones seconded the motion.
Meeting adjourned at 10:08 p.m.
Respectfully Submitted
___________________________________
Keith Corbett, Secretary