HomeMy WebLinkAboutBHSMinutes_2005_11_29Brookings Health System
Board of Trustees
November 29, 2005
Members present: President Ardelle Roberts, Michelle Robbins, Rob Jones, Chuck
Blazey, Zeno Wicks, Dr. Ramsay, Dianna Evers, CEO Vern Carda, CFO Kevin Coffey,
Ex-officio designee Donna Langland. Absent: Carole Johnson, and Roberta Olson.
President Roberts called the meeting to order at 7:00 p.m.
David Allen, representative of the Chancellor Group was contacted via conference call.
He reported findings and recommendations from the November Board Strategic Planning
Retreat. A summary of identified priorities was included in the Board’s advance agenda
packet. Mr. Allen stressed the responsibility of the Board is to hold the CEO accountable
to implement the outlined priorities without acting as management. The outlined
priorities were reviewed and discussed in detail.
Consent agenda: It was recommended on a motion by Zeno Wicks and seconded by
Dianna Evers that the following items be approved: The minutes of the September and
October meetings, Charge-off/ Write-off accounts and Accounts Payable: A OX
WELDING SUPPLY COMPANY, MEDICAL OXYGEN,GASES, 4,145.47; AAA
COLLECTIONS INC, COLLECTIONS, 4,034.52; AATELL AND JONES, DIETARY SUPPLIES, 33.24;
ABBOTT LABORATORIES, LABORATORY SUPPLIES, 3,390.86; ACCU-MED SERVICES(MCS),
255.00; ACMI CORPORATION, 9,185.00; ADVANCED MEDICAL OPTICS, MEDICAL SUPPLIES,
229.28; AESCULAP, MEDICAL SUPPLIES, 280.21; AIRCAST LLC, MEDICAL SUPPLIES, 454.75;
ALADDIN TEMP-RITE LLC., SUPPLIES, 603.81; ALCON LABORATORIES INC, MEDICAL
SUPPLIES, 1,696.00,; ALIMED INC, MEDICAL SUPPLIES, 103.45; ALLIANCE MEDICAL,
MEDICAL SUPPLIES, 115.40; ALLIED ELECTRONICS, SUPPLIES, 389.87; AMERICA'S PPO
GREAT PLAINS, 28.50; AMERICAN BUSINESS FORMS, FORMS, 3,174.17; AMERICAN COLLEGE
OF OB/GYN PUBLICATIONS, 48.95; AMERICAN HEALTH CARE SUPPLY, SUPPLIES, 103.15;
AMERIPRIDE LINEN & APPAREL RENT/LEASE, 230.75; ANNE SMOLIK TRAVEL, 54.80;
APPLIED MEDICAL, MEDICAL SUPPLIES, 1,160.00; ARGUS LEADER, 842.80; ARJO CENTURY
DISTRIBUTING, SUPPLIES, 111.38; ASD HEALTHCARE, PHARMACY SUPPLIES, 4,002.02;
AUSTREIM LANDSCAPING, PURCHASE SERVICE, 2,031.75; AUTO SUTURE CO, 6,525.05;
AUTOMATIC BUILDING CONTROLS, 286.94; AVERA BROOKINGS MEDICAL CLINIC,
PURCHASE SERVICE, 14,983.00; AVERA BROOKINGS MEDICAL CLINIC PT, PURCHASE
SERVICE, 13,500.00; AVERA LABORATORY NETWORK, 50.00; AVERA MCKENNAN
EDUCATION SERVICES, 300.00; AVERA MCKENNAN HOSPITAL BLOOD BANK, 4,703.63;
AVERA MCKENNAN REGIONAL LAB, PURCHASE SERVICE, 7,919.14; AVERA
MCKENNAN-MOBILE MRI, 26,838.00; AVERA MEDICAL ONCOLOGY AND HEM, 112.06; B
BRAUN MEDICAL INC, MEDICAL SUPPLIES, 688.00; BANNER ASSOCIATES INC, 273.31; BARB
BOOTON, TRAVEL, 30.55; BARRETT'S FLOORING, SUPPLIES, 190.95; BAXA CORPORATION,
MEDICAL SUPPLIES, 95.20; BERKELEY MEDEVICES INC, 39.55; BEST BUSINESS PRODUCTS
INC, 1,094.12; BETH REED, TRAVEL, 2.42; BIO RAD LABORATORIES, LABORATORY
SUPPLIES, 1,185.95; BIRD & CRONIN INC, MEDICAL SUPPLIES, 133.44; BK BOOKS,
PUBLICATIONS, 187.00; BOSTON SCIENTIFIC (MICROVASIVE), MEDICAL SUPPLIES, 912.00;
BREG, INC., 472.50; BRKGS HOSPITAL, REVOLVING FUND, 3,733.03; BROOKINGS
CHIROPRACTIC, 104.00; BROOKINGS CITY CLERK, 208.83; BROOKINGS HOSPITAL PETTY,
CASH SUPPLIES, 85.05; BROOKINGS HOSPITAL, XMAS FUND, 4,500.00; BROOKINGS
MUNICIPAL UTILITIES, UTILITIES, 16,609.83; BROOKINGS REGISTER, ADVERTISING, 2,878.90;
BROWN & SAENGER, 2,400.52; BROWN MEDICAL IMAGING, 5,800.00; BRUTTYS
UNDERGROUND SPRINKLERS, 409.20; BUHL'S RUG RENTAL AND LAUNDRY, 280.50;
BUILDERS SUPPLY COMPANY, 525.00; C R BARD INC, 1,331.60; C.R. BARD, 624.00; CARDINAL
HEALTH, 71,278.24; CELLULAR ONE, 305.98; CENTRAL BUSINESS SUPPLY, 1,513.63; CHAD
THERAPEUTICS, 2,527.36; CHEMTREAT INC, 921.84; CITY MAGNET INC, 420.00; CITY OF
BROOKINGS, 700.00; CITY OF BROOKINGS LANDFILL, 11.79; CITY OF BROOKINGS STREET
DEPT, 46.11; CLARITUS (SYSTEMS UNLIMITED), 699.00; CLITES ELECTRIC CONSTRUCTION,
492.31; COLE PAPERS INC, 6,376.36; COMFORT INN, 287.79; CONMED CORPORATION, 356.74;
CONMED LINVATEC CORP., 26,438.36; CONNECTIONS INC, 888.14; COOK MEDICAL
INC.(UROLOGICAL), 653.58; COOKS WASTEPAPER & RECYCLING, 1,399.12; COROMETRICS
MEDICAL SYSTEMS, 32.00; COUNTY WIDE DIRECTORY, 210.00; CREATIVE COMPUTER
APPLICATIONS, 35,444.00; CREST HEALTHCARE SUPPLY, 341.93; CULLIGAN, 43.00; DADE
BEHRING INC, 12,178.24; DAIG CORPORATION, 175.14; DAKOTA DATA SHRED, 161.37;
DAKOTA FOOD EQUIPMENT, 451.00; DATASCOPE CORPORATION, 147.60; DAVES WINDOW
CLEANING SERVICE, 155.00; DEAN FOODS NORTH CENT., 3,152.65; DIRECT SUPPLY
HEALTHCARE, 445.62; DOLLAR DISCOUNT STORES, 15.00; EAST CENTRAL MULTI DISTRICT,
480.00; ECO LINDSAY WATER CONDITIONING, 1,182.27; ECOLAB, 2,785.10; ECOLAB PEST
ELIMINATION DIV, 277.61; EDWARD DON & COMPANY, 21.96; EINSPAHR AUTO PLAZA INC,
125.52; EMDEON BUSINESS SERVICES, 149.00; ENCOMPASS GROUP, LLC, 1,279.16; ESHA
RESEARCH, 350.00; FARMER BROS CO, 892.94; FEDEX, 15.09; FIRST BANK & TRUST, 529.76;
FIRST BANK & TRUST - VISA, 816.45; FISHER HEALTHCARE, 4,112.08; FIX IT SHOP, 74.40;
FLANDREAU MEDICAL CENTER/AVERA HEAL, 252.00; FLUKE BIOMEDICAL CORP., 257.45;
FOOD SERVICES OF AMERICA, 17,831.15; G & H DISTRIBUTING INC, 80.53; G & R CONTROLS,
770.00; GAS'N MOR, 132.3; GAYMAR INDUSTRIES, INC, 102.98; GE HEALTHCARE (AMERSHAM
HEALTH), 465.73; GE MEDICAL SYSTEMS, 611.75; GE MEDICAL SYSTEMS INFORMATION,
37.13; GLOVER, HELSPER & RASMUSSEN, 702.00; GNR HEALTH SYSTEMS INC, 113.73; GRAY
CONSTRUCTION COMPANY, 34,494.00; GRAYBAR ELECTRIC COMPANY INC, 110.28; GYRUS
ENT LLC, 315.33; HARKER S DISTRIBUTION INC, 5,066.29; HAROLDS PRINTING COMPANY,
3,452.95; HARTMAN PUBLISHING, 57.13; HAUGE ASSOCIATES INC, 3,498.83; HEALTH
CONSULTING SERVICES, 500.00; HEWLETT-PACKARD COMPANY, 1,340.00; HILL ROM, 39.70;
HILLYARD, 2,046.63; HOMESTEAD BUILDING SUPPLIES, 267.23; HOSPIRA WORLDWIDE, INC.
(ABBOTT), 5,363.88; HUBERT COMPANY, 210.70; HUNTLEIGH HEALTHCARE INC, 390.20; HY
VEE FOOD STORE, 1,233.35; HY-VEE CARE, 381.36; HY-VEE PHARMACY, 189.01; I D SERVICES
INC, 25.75; INSTRAMED, 78.81; INSTRUMENTATION LABORATORY, 1,746.90; INTER-TEL
DATANET, 500.00; INTER-TEL NETSOLUTIONS, 1,109.46; INVERNESS MEDICAL-BIOSTAR,
INC, 2,199.80; ITC TELECOM, 18.95; J H LARSON COMPANY, 210.97; JAN OLSON, 287.12; JANE
HEPNER, 55.29; JOHNSON & JOHNSON HEALTH CARE, 535.29; JOLENE MOBERG LEE, 107.18;
JUDEEN JOHNSON, 80.98; JULIE HENRY, 290.03; JULIE VANDEWEERD, 222.13; KAESER &
BLAIR INCORPORATED, 637.80; KEANE INC, 12,259.44; KENDALL CO, 75.00; KEVIN COFFEY,
55.29; K. C. BALLARD MEDICAL PRODUCTS, 232.31; KINETIC CONCEPTS THERAPEUTIC,
332.93; KLEINJAN CHIROPRACTIC, 188.00; KODI CALLIES, 55.29; KONE INC, 234.49; KREISERS
INC, 18,060.36; KRIER & BLAIN, INC, 7,700.00; KRONOS INCORPORATED, 3,754.03; LABEL
TAPE SYSTEMS, 197.95; LABORATORY SUPPLY COMPANY, 300.09; LANGUAGE LINE
SERVICES, 2.79; LAWRENCE RESEARCH, 21,750.00; LAWSON PRODUCTS INC, 60.78; LEADING
EDGE, 994.00; LISA HARTENHOFF, 72.75; LISA WOLF, 50.92; LIVING DESIGN INC, 72.00; LUCY
KEPHART, 41.71; LUDWIG CONCRETE CONSTRUCTION, 8,347.37; LYLE SIGNS, INC, 104.08;
LYNETTE RICHARZ, 170.23; LYNNE KAUFMANN, 158.59; M.J. DALSIN INC, 2,493.00; MAC
MED, 224.22; MALLINCKRODT INC, 73.50; MALLINCKRODT, INC., 590.18; MANAGEMENT
SCIENCE ASSOCIATES, 3,739.52; MARKETLAB INC., 204.80; MARSHALL INDEPENDENT, 56.59;
MARTIN OIL CO, 1,554.67; MAXWELL FOOD EQUIPMENT, 650.55; MCMASTER CARR SUPPLY
COMPANY, 112.89; MEDCOM TRAINEX, 174.45; MEDIACOM LLC, 2,263.21; MEDICAL IMAGING
CONSULTANTS, INC, 299.00; MEDICAL NUTRITION USA, INC, 156.00; MEDLINE INDUSTRIES
INC, 787.43; MEDTRONIC ERS (PHYSIO), 630.08; MELBY PORTRAITURE, 97.00; MERCEDES
MEDICAL, 695.91; MERRY WALKER CORPORATION, 1,249.26; MIDLAND HOSPITAL SUPPLY,
8,489.39; MIDWEST BOILER REPAIR, 3,473.10; MIDWEST GLASS, 42.36; MIDWEST MEDICAL
SERVICE INC, 170.00; MILLIPORE CORPORATION, 319.42; MINNESOTA CHEMICAL
COMPANY, 51.95; MOBILE NEURODIAGNOSTIC SERVICE, 1,806.00; MOTOROLA, 32,875.80;
MRIEQUIP.COM, 3,248.46; McFARLAND SUPPLY CO., INC., 84.75; NAPA AUTO PARTS, 7.74;
NATIONAL ELEVATOR INSPECTION, 165.00; NATIONAL INTELLIGENCE REPORT, 389.00;
NHPCO, 95.00; NIELSENS, 261.35; NORTH COAST MEDICAL INC, 93.10; NORTHWESTERN
ENERGY, 1,380.22; NORTHWESTERN SERVICES CORP, 20,055.70; NUAIRE INC, 60.95; NXC
IMAGING, 146.52; NYBERG'S ACE, INC., 36.51; OASIS, 260.40; OCCUPATIONAL THERAPY,
8,070.58; OFFICE DEPOT, INC, 1,765.66; OLSON'S AG & AUTO PARTS, 163.04; ORTHO CLINICAL
DIAGNOSTICS, 2,255.38; OTO MED INC, 194.75; OVERHEAD DOOR CO OF S. FALLS, 13.50;
OXYRASE, INC., 118.00; PAN O GOLD BAKING COMPANY, 652.13; PARK PROPERITES, 189.40;
PAT PARK, 82.93; PATIENT REFUND CHECKS, 8,481.01; PATRICK ZOSS, 55.29; PC
CONNECTION SALES CORP, 8,810.02; PHILIPS MEDICAL SYSTEMS N.A. CO, 2,733.51;
PHYSICIANS LABORATORY LTD, 833.33; PITNEY BOWES INC, 536.94; POLARIS GROUP, 99.00;
POLYMEDCO INC, 82.37; POSITIVE PROMOTIONS, 64.50; POSTMASTER, 684.99;
POWDERHORN INDUSTRIES, 178.06; PRAIRIE GRAPHICS, 168.00; PRECISION DIAGNOSTIC
SERVICES, 7,425.00; PRECISION LENS, 5,348.99; PROFESSIONAL PRODUCTS, INC., 74.29;
PROGRESSIVE MEDICAL, INC, 579.00; PROXYMED, INC, 747.85; RADIATION DETECTION
COMPANY, 84.00; REMEL INC, 5,657.60; RES MED, 1,142.37; RESPIRONICS, 953.54; RETROTEL,
INC, 240.00; RFD NEWS GROUP INC, 110.50; RICHARD WOLF MEDICAL, 5,566.25; ROSS
PRODUCTS, 700.35; ROYAL SOVEREIGN INTERNATIONAL, 14.9.00; ROYCE MEDICAL
COMPANY, 318.90; RUNNINGS FARM & FLEET, 55.57; SAFEGUARD BUSINESS SYSTEMS INC,
53.42; SAMMONS PRESTON ROLYAN, 881.43; SANOFI PASTEUR INC, 8,925.85; SARSTEDT,
INC., 874.37; SCANTRON CORPORATION, 275.40; SCHWAAB INC, 9.50; SD JAYCEES, 92.50; SD
STATE TREASURER, 1,826.16; SDSU INSTRUCTIONAL, 8.75; SENIOR TECHNOLOGIES, 150.00;
SEXAUER INC, 524.45; SHAMROCK SCIENTIFIC, 27.58; SHARON HANSEN, 146.95; SHELLEY
HAGENSON, 161.02; SHELLY DEKNIKKER, 220.67; SIEMENS MEDICAL SOLUTIONS, USA INC,
2,205.82; SIOUX FALLS TWO WAY RADIO, 2,812.43; SIOUX RIVER CYCLERY, 200.00; SIOUX
VALLEY CLINICAL LABS, 3,018.52; SIOUX VALLEY WIRELESS, 147.90; SIXTH STREET
FLORIST, 30.00; SIZEWISE RENTALS, 704.00; SMITH & NEPHEW INC.-ORTHOPAEDICS, 548.55;
SMITH MEDICAL MD, INC., 1,379.75; SMITHS MEDICAL ASD INC, 683.61; SOURCEONE
HEALTHCARE, 5,549.51; STAFF TRAVEL, 2,044.32; STELLA SATTERLEE, 3.39; STEP SAVER
INC, 349.93; STERICYCLE, 1,918.84; STERIS CORPORATION, 2,980.17; STRECK LABORATORIES
INC, 54.25; STRYKER ENDOSCOPIC SALES CORP, 180.00; STRYKER SALES CORPORATION,
909.46; SWIFTEL COMMUNICATIONS, 2,886.89; T. A. PENKE & ASSOCIATES, 240.00;
TECHNOLOGY IMAGING SERVICES, 389.52; TEK PRODUCTS, 114.58; THE CHANCELLOR
GROUP LLC, 13,698.28; THE ENDORPHIN CORPORATION, 40.92; THE GREETER, 24.75; THE ST
JOHN COMPANIES, 71.79; THE STAYWELL COMPANY, 343.64; THREE EAGLES
COMMUNICATIONS, 300.00; TIM FITZ, 110.58; TIME MED LABELING SYSTEMS INC, 113.40;
TOTAL MAINTENANCE SYSTEMS INC, 2,565.84; TOWN & COUNTRY SHOPPER, 27.10; TRI
ANIM HEALTH SERVICES INC, 1,942.69; TRI-STATE HOSPITAL SUPPLY, 1,272.51; TV
PRODUCTIONS INC, 1,181.53; U.S. FOODSERVICE, 2,747.13; U.S. POSTAL SERVICE, 3,000.00;
ULTIMATE OFFICE SYSTEMS, 275.40; UNIPOWER CORPORATION, 67.37; UNITED PARCEL
SERVICE, 179.80; UNITED RETIREMENT CENTER, 1,550.00; UNIVERSAL HOSPITAL SERVICES,
231.69; US ENDOSCOPY GROUP, 500.12; US SURGICAL, 1,248.88; UTAH MEDICAL PRODUCTS
INC, 141.28; VERIZON WIRELESS, 181.45; VERN CARDA, 517.86; W.L. GORE & ASSOCIATES,
INC, 353.00; WALMART COMMUNITY BRC, 1,171.18; WATERTOWN PUBLIC OPINION, 115.50;
WECK CLOSURE SYSTEMS, 168.00; WEST 7TH STREET DISTRIBUTING, 127.68; WILSON
OPHTHALMIC CORP, 46.83; WINDSTONE MEDICAL PACKAGING, 156.32; WIRELESS WORLD
BROOKINGS, 349.45; WOLFE TORY MEDICAL, INC, 71.01; ZIMMER US, INC, 18,969.62. All
members present voted in favor of the motion.
Financial Report: CFO Coffey presented the October 2005 financials for Brookings
Hospital, Home Health/Hospice Agency, Brookhaven Estates, and Brookview Manor.
Statistical graphs were distributed. Ardelle Roberts questioned if income and expenses
for the new MRI service can be tracked. Kevin Coffey reported allocations have been
separated to show charges and to meter electricity used. Costs will be appropriately
allocated. Payroll and benefit expense for the month of October was $992, 772.20.
Personnel Information:
New employees: M. Anderson, 7.65; M. Bicek, 10.48; H. Coon, 20.75; L. Gackstetter,
8.02; A. Lathrop, 10.00; E. Lenz, 13.53; J. Nelson, 20.00; L. Owens, 11.30; J. Pedersen,
18.15; J. Scott, 7.65; A. Vendrell, 10.48; C. Vogl, 8.93; R. Webb, 9.19; A. Williams, 8.93
Salary changes: R. Bitker, 10.48; W. Brower, 10.82; J. Campbell, 9.63; B. Cone, 11.28;
D. Eddy, 11.59; C. Farstad, 10.00; K. Gallagher, 10.48; L. Gilbertson, 26.09; M.
Gustafson, 14.73; S. Hagenson, 10.66; S. Hanson, 17.06; J. Henry, 11.98; S. Martin,
10.82; R. Melhoff, 10.82; K. Nussbaum, 11.64; L. Petersen, 9.63; L. Richarz, 11.98; L.
Sapp, 10.00; T. Sheets, 11.78; S. Telgren, 10.82; N. Thompson, 12.64;
Committee reports:
Joint Conference Committee: did not meet.
Strategic Planning: Michelle Robbins reported the committee has not met since the
strategic planning retreat. She distributed an information sheet to show facility Public
Relations opportunities on local Daktronics scoreboards used for youth activities in the
community and proposed the scoreboards be used to advertise facility services. She
reported the scoreboards have the potential for reaching hundreds of thousands of people
who represent the demographics we are targeting at a reasonable cost. The Board’s
priority to burnish the facility’s image as discussed with the Chancellor Group report was
noted. Following discussion it was recommended on a motion by Zeno Wicks and
seconded by Dianna Evers that Vern Carda negotiate Brookings Health System facility
advertising on scoreboards for Fishback Soccer Park, Bob Sheldon Baseball Field, and
Larson Ice Arena. All members present voted in favor of the motion.
Finance \ Personnel Committee: Dianna Evers reported from the minutes of the
November 28, 2005 meeting. The committee reviewed the proposed 2006 budget and
recommended the facility be more aggressive in making competitive increases in our
charges wherever possible to generate additional funds to be invested back into the
facility to make it a premier health care system. Kevin Coffee presented a proposed
amended budget that showed more aggressive increases in charges for services.
Opportunities for appropriate improved utilization of OT and PT services at BVM,
adjustments to cover increased charges for heat, electricity and food at Brookhaven, and
more competitive charges for hospital room rates and ancillary services were made. The
proposed Salary Wage Schedule was reviewed and discussed. The recommendation to
base future salaries on employees’ value to the organization and their regional or national
market value was noted. The Capital equipment budget for 2006 was reviewed.
Following discussion the committee recommendations were approved on a motion by
Dianna Evers and seconded by Michelle Robbins. All members present voted in favor of
the motion. The discussion and action about the facility Sick Leave Policy was reviewed.
It was questioned if employees who can receive a payout for accumulated time should be
required to use the accumulated hours first. The committee’s motion to cap salaries at
current (2005) level was amended by Zeno Wicks. The motion was revised to
recommend Vern Carda work with the facility attorney to draft a policy that reflects
auditor recommendations to limit facility liability in the sick leave policy. The motion
was seconded by Dianna Evers. All members present voted in favor of the motion. The
committee’s motion for approval of the final MRI contract was noted. Following
discussion, Dr. Ramsay abstained from the vote. All other members present voted in
favor of the motion.
Executive Committee: Ardelle Roberts reported from the minutes of the November 21,
2005 meeting. Dr. Cook has requested another meeting with the Board to discuss
partnership opportunities. Following discussion it was recommended on a motion by
Zeno Wicks and seconded by Rob Jones that Dr. Cook be invited to meet briefly with the
Board in January 2006. Dr. Ramsay abstained from the vote. Dianna Evers voted no.
All other members present voted in favor of the motion Multiple Medical Staff
credential files have been found to be incomplete and will be brought to the December
Board meeting. Multiple new medical staff applications are pending. The facility
contract for emergency room physician services was discussed. Discussion of the Boards
succession plan was tabled until December 22, 2005.
Information System Discussion – Mark Criner, information management staff member,
presented a power point program on the facility information system status. Kevin Coffey
reported the facility non- repair / replace policy has resulted in multiple components of
the information management system being outdated and at risk of failure. Critical issues
were noted. Goals for converting facility programs from multiple individual computers
to an application server were outlined. Following review and discussion it was
recommended on a motion by Zeno Wicks and seconded by Dianna Evers that the 2005
budget be increased to allow the outlined necessary hardware upgrades be made. All
members voted in favor of the motion.
Reading and Information:
Hospital Recertification Survey
Employee Opinion Survey Memo from the CEO
Article from the November/December Trustee Magazine: Good Governance Includes
Clinician Participation.
Comments Ardelle Roberts reported the City Council brought up the composition of the
Board for discussion at their last meeting. They initially recommended two clinics have
physicians as ex-officio members on the Board. Concerns that physicians who are not
allowed to vote on issues would not be interested in attending Board meetings were
noted. The majority of Board members polled support having one medical staff member
as a voting member of the board to act only on behalf of the hospital. A draft description
of Board of Trustee composition was distributed. Following review and discussion the
draft was tabled to be reviewed at the next Board meeting.
The meeting was adjourned at 9:55 p.m.
Respectfully Submitted;
_______________________________
Dianna Evers, Secretary