HomeMy WebLinkAboutBHSMinutes_2008_03_27Brookings Health System
Board of Trustees
March 27, 2008
Members present: President Roberta Olson, Vice-President Rob Jones, Secretary Keith Corbett,
Dianna Evers, Jim Booher, Al Baker, Debra Johnston, Vern Carda, CEO, Jeff Weldon, Ex-Officio
Members absent: Dan Little, Sandra Faltemier
Guests: Kevin Coffey, CFO, Kathy Zirpel, Performance Improvement Director, Debra Davis,
Administrative Assistant
President Olson called the meeting to order at 7:00 p.m.
Informational
There was a request to change the May 22, 2008 meeting date. The group consensus was to keep
the date as is. It was noted board member Sandra Faltemier’s husband passed away. A plaque
commemorating 4 years of service for former board member Zeno Wicks was reviewed.
Consent Agenda
Consent agenda items: Minutes from February 26, 2007 Board Meeting; Charge-Off/Write-Off
Accounts; Accounts Payable for March (see itemized list below); Credentialing (as recommended
by the Medical Staff): Active, 1-year provisional: Eric Murunga, M.D.Avera Brookings Medical
Clinic; Courtesy 1-year provisional: Kevin Bjordahl, ER Coverage; Allied Health 2-year
reappointment: Heidi Evers, LPC, SDSU Counseling; Mitch Poppens, PA-C, ER Coverage; Jon
VanderMaten, PA-C, ER Coverage.
A motion made by Evers to approve the consent agenda items. Corbett seconded the motion.
Motion carried.
Reading and Information.
A Brookings Vision 2010 Progress Update was included in the board packet. It was also noted that
ordinance I2-08 Revise the Composition, Appointment and Criteria for Appointment of Members
of the Brookings Health System Board of Trustees had its first reading at the March 25, 2008 City
Council Meeting.
CEO Report.
Zirpel updated the members on HCAPS (Healthcare Providers and Systems) and HOP QDRP
(Hospital Outpatient Quality Data Reporting Program). BHS currently participates in the program
RHQDAPU (Reporting of Hospital Quality Data for Annual Payment Update) which meets the
data submission requirements for full payment/reimbursement update from Medicare for inpatient
services. In March 2007 the process to participate in the HCAHPS began. The data is submitted to
CMS (Center for Medicare and Medicaid Services) for public reporting on the Hospital Compare
website. Due to time-lag BHS data will not appear until the end of 2008. HOP QDRP data, which
addresses percentage of patients receiving a defined standard of care, will appear on Hospital
Compare website in November 2008. Carda reported Senator Thune visited BHS on March 17th.
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Brookings hospital submitted an application for consideration to CMS on the Rural Community
Hospital Demonstration Program. The intermittent problems with the Meditech server appear to be
resolved after program files were updated. System changes were made to the February 15th
installation of the Nortel Phone system. The system has been error free since March 17th. Carda,
the South Dakota Education Coordinator for ACHE (American College of Healthcare Executives),
coordinated a panel discussion on “Sustaining A Financially Vibrant Healthcare Organization”. A
physician appreciation event was held on March 19th. On April 7th there will be a hospital and
nursing homes appreciation luncheon. Laboratory was surveyed by the Department of Health in
March the survey resulted in zero deficiencies for the laboratory.
CFO Report.
With the new Meditech Computer System now in place Coffey is working with the Finance
Committee on ways to report the finances. Total organizational expenses for February were
$2,116,864.71. Payroll and benefit expenses for the month were $1,499,263.
Personnel Information:
SALARY CHANGES:
New Hire:
Adams, J., $10.12; Anderson, B., $9.74; Babich, D., $21.04; Decker, N., $10.75; Faaborg, B., $10.12;
Gutzmer, E., $10.47; Holter, D., $13.31; Johnson, V., $12.10; Kronmiller, J., $24.15; Luitjens, S.,
$8.00; Schubert, V., $9.74; Scott, M., $10.04; Spilde, H., $12.44;
Status Change:
Boe, S., $29.15; Fedt, N., $14.36; Johnson, D., $13.31; Johnston, M., $11.03; Spilde, K., $13.50;
Sundet, D., $16.14
Longevity:
Hobbie, J., $15.69; Olson-Jensen, K., $30.40;
Committee Reports.
QI/Personnel Committee
There were no action items.
Strategic Planning Committee
An RFP (request for proposal) was received from SDSU for Student Health Clinic Insurance Billing
Functions. Carda asked if there are significant strategic reasons to participate. There was lengthy
discussion about the request. Johnston made a motion to respectfully pass on the opportunity to
bid. Evers seconded the motion. Motion carried.
Finance Committee
See New Business.
Joint Conference
Medical Staff and Board of Trustee Officers met. Consensus was reached by the committee to
recommend proceeding with changes to the emergency department. In particular, the staffing
combination will be 3 physician assistants and 2 physicians.
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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. At the
February meeting, Johnston made a motion requesting the motion be removed for one more month
in order for the strategic planning committee to review construction options for possible
alternatives. Evers seconded the motion.
Strategic Planning reviewed the options and recommends option 7A as the best option. Johnston
moved that BHS move forward in the master campus planning with the intent to complete the
project in phases maintaining fiscal responsibility throughout the process. Jones seconded the
motion. Motion carried.
New Business.
The Board of Directors discussed the emergency department. The discussion centered around
employment of 2 physicians and 3 physicians’ assistants or a staff of 5 providers to operate the
emergency department. Additionally, the board reviewed a financial pro forma and assumptions
made in the development of the pro forma. After significant discussion the Board approved the
plan for the ED coverage.
Meeting adjourned at 9:01 p.m.
Respectfully Submitted
___________________________________
Keith Corbett, Secretary