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BROOKINGS HEALTH SYSTEM
BOARD OF TRUSTEES MEETING
February 22, 2005
The regular meeting of the Board of Trustees of the Brookings Health System was held at
7:00 p.m. on February 22, 2005, in Hospital Conference Rooms A-B-C with the following
members present: Michelle Robbins, Dianna Evers, Carole Johnson, Zeno Wicks, Chuck
Blazey, Roberta Olson, and President Ardelle Roberts. Ex-officio Julie Whaley,
Administrator Ron Waltz, CFO Kevin Coffey, Executive Secretary Pam Emmett. Absent
members: Rob Jones and John Ramsay
The meeting was called to order at 7:07 p.m. by President Roberts.
Consent Agenda: Motion by Wicks, seconded by Blazey that the following items from the
consent agenda be approved: Minutes; minutes from January 27, 2005; Charge-
Off/Write Off Accounts; Accounts Payable; 3m, Supplies, 103.00; a & a Publishers,
Inc., Publications, 63.70; a Ox Welding Supply Company, Oxygen, gases, 4,937.89;
AAA Collections Inc, Collections, 3,681.47; Abbott Laboratories, Lab Supplies,
4,218.35 ; Accu-med Services(mcs), Medical Supplies, 311.91; Advance Sign
Engraving, Supplies, 47.50; Advanced Medical Optics, Medical Supplies, 114.64; Ag
News, Advertising, 195.00; Aladdin Temp Rite, Supplies, 267.35; Alcon Laboratories
Inc, Medical Supplies, 1,380.00; Alert Magazine, Advertising, 95.00; Alimed Inc,
Medical Supplies, 207.00; American Business Forms, Forms, 246.20; American
Dietetic Association, Publications, 201.58; Ameripride Linen & Apparel, Purchased
Service, 136.20; Amersham Health, Medical Supplies, 2,866.50; Arizant Healthcare,
Inc, Medical Supplies, 326.00; Armstrong Medical Industries, Medical Supplies,
366.41; Aspen Publishers Inc, Publications, 233.81; Automatic Building Controls,
Purchased Service, 415.00; Avera Brookings Medical Clinic, Purchased Service,
12,058.92; Avera Mckennan Hospital, Blood Bank, 3,248.00; B Braun Medical Inc,
Medical Supplies, 848.00; Banner Associates Inc, Building, 4,278.24; Bard Access
Systems, Medical Supplies, 201.20; Baxter Healthcare Corp, Medical Supplies, 344.28;
Berkeley Medevices Inc, Medical Supplies, 38.16; Best Business Products Inc,
Purchased Service, 1,094.12; Bio Rad Laboratories, Lab Supplies, 921.73; Biomerieux,
Inc, Lab Supplies, 779.75; Bird & Cronin Inc, Supplies, 40.90; Boston Scientific
(Microvasive), Medical Supplies, 244.00; Bound Tree Medical, Llc, Medical Supplies,
150.41; Briggs Corporation, Forms, 221.16; Brookings Area Transit, Purchased
Service, 284.29; Brookings Clinic Pt, Purchased Service, 13,500.00; Brookings
Hospital Petty Cash, Supplies, 52.51; Brookings Municipal Utilities, Utilities,
12,491.51; Brookings Register, Advertising, 1,522.65; Bsn Medical, Inc., Medical
Supplies, 145.80; Barriermed Glove Co, Medical Supplies, 79.43; C R Bard Inc,
Medical Supplies, 1,231.01; Cardinal Health, Pharmacy,medical, Supplies, 34,318.32;
Carstens Inc, Supplies, 99.11; Cellular One, Communications, 499.43 ; Central
Business Supply, Cap.equip/supplies, 2,197.36; Chemtreat Inc, Supplies, 2,006.12;
City of Brookings, Purchased Service, 700.00; City of Brookings Landfill, Purchased
Service, 12.47; Claritus (Systems Unlimited), Pur.serv./supplies, 1,937.00; Clites
Electric Construction, Building, 4,658.62; Cole Papers Inc, Supplies, 6,010.23;
Conmed Corporation, Medical Supplies, 519.05; Cook Medical Inc.(Urological),
Medical Supplies, 354.76; Cooks Wastepaper & Recycling, Purchased Service,
1,365.00; Creative Computer Applications, Purchased Service, 33,986.00; Creative
Surfaces Inc., Building, 281.00; Crest Healthcare Supply, Supplies, 103.99; Csi Testing
Inc, Purchased Service, 210.00; Dade Behring Inc, Lab Supplies, 2,193.30; Dakota
Food Equipment, Dietary Supplies, 166.14; Dakota Truck Underwriters, Insurance,
13,085.00; Datascope Corporation, Medical Supplies, 469.60; Datex-ohmeda,
Purchased Service, 769.50; Daves Window Cleaning Service, Purchased Service,
260.00; Dean Foods North Cent., Dietary Supplies, 3,069.17; Dutch Mill Pharmacy,
Pharmacy Supplies, 44.25; Ecolab, Supplies, 127.45; Ecolab Pest Elimination Div,
Purchased Service, 261.45; Ellerbe Becket, Purchased Service, 15,007.87; Encompass
Group, Llc, Supplies, 676.81; Eps Inc, Supplies, 210.10; Farmer Bros Co, Dietary
Supplies, 859.30; First Bank & Trust, Collections, 344.26; First Choice of the
Midwest, Insurance, 410.67; Fisher Healthcare, Lab Supplies, 4,383.71; Fix it Shop,
Supplies, 67.95; Flowers on Main, Public Relations, 25.00; Food Services of America,
Dietary Supplies, 1,365.97; G & R Controls, Purchased Service, 2,899.34; Gas'n Mor,
Fuel, 123.10; Ge Medical Systems, Purchased Service, 204.00; Gibbco Scientific Inc,
Lab Supplies, 253.29; Glover, Helsper & Rasmussen, Purchased Service, 377.00;
Golden K Kiwanis Club, Supplies, 150.00; Grainger, Inc, Supplies, 18.58; Graybar
Electric Company Inc, Supplies, 11.29; Gyrus Ent Llc, Medical Supplies, 312.79;
Harker S Distribution Inc, Dietary Supplies, 4,596.40; Harolds Printing Company,
Forms, 920.30; Hauge Associates Inc, Collections, 4,015.28; Hebron Brick Supply Co,
Building, 502.00; Herc Publishing, Publications, 343.95; Hollister Incorporated,
Medical Supplies, 24.46; Homestead Building Supplies, Supplies, 289.09; Hospira
Worldwide, Inc. (Abbott), Pharmacy,medical, Supplies, 5,377.79; Howalt-mcdowell
Insurance, Inc, Insurance, 120.00; Hubert Company, Supplies, 210.64; Huntleigh
Healthcare Inc, Medical Supplies, 1,000.10; Hy Vee Food Store, Dietary Supplies,
815.85; Ingenix (St. Anthony/medicode, Publications, 213.67; Instromedix, Supplies,
71.50; Instrumentation Laboratory, Lab Supplies, 2,426.70; Intensive Therapeutics,
Inc., Medical Supplies, 254.97; Itc Telecom, Communications, 18.95; J Michael
Gonzalez-campoy Md, Purchased Service, 2,000.00; Jodi Bangs, Dietary , 18.04; K-art
X-ray Supply Co., Medical Supplies, 106.32; Kaeser & Blair Incorporated, Supplies,
2,786.24; Keane Inc, Purchased Service, 6,172.21; Kendall Healthcare, Medical
Supplies, 64.40; ; Kevin Coffey, Supplies, 250.00; Kone Inc, Purchased Service,
2,203.49; Kreisers Inc, Medical Supplies, 14,531.61; Krier & Blain, Inc, Purchased
Service, 450.00; Laboratory Supply Company, Supplies, 221.64; Land and Wheels,
Supplies, 114.77; Leading Edge, Purchased Service, 1,710.75; Lease Surgical Inc,
Medical Supplies, 174.56; Lewis Drug, Inc., Pharmacy Supplies, 510.00; Lift-pro
Equipment Co., Supplies, 985.00; Lippincott Williams & Wilkins, Publications, 29.95;
Lma North America Inc, Medical Supplies, 260.00; Lommen Health Sciences Lib,
Publications, 25.00; M.j. Dalsin Inc, Purchased Service, 644.00; Malloy Electric
Supply, Supplies, 276.21; Margaret Sneve, Supplies, 13.69; Martin Oil Co, Fuel,
952.16; Maureen Biggar, Travel, 119.00; Max Group Corporation, Capital Equipment,
2,505.07; Maxwell Food Equipment, Dietary Supplies, 291.16; Mcleod Usa,
Communications, 787.71; Medela, Inc, Medical Supplies, 105.03; Mediacom Llc,
Purchased Service, 756.35; Medical Waste Transport, Inc, Purchased Service,
1,230.16; Medical X-ray Center, Supplies, 106.25; Medline Industries Inc, Supplies,
208.50 ; Medtronic Ers (Physio), Medical Supplies, 262.28; Menards - Sioux Falls,
Building, 305.68; Menards - Watertown, Supplies, 410.84; Mercedes Medical, Medical
Supplies, 462.91; Mick's Texaco, Supplies, 139.60; Midland Hospital Supply, Medical
Supplies, 10,030.66; Midstates Flooring Center, Supplies, 39.98; Midwest Glass,
Supplies, 9.29; Minnesota Shredding Llc, Purchased Service, 243.09; Mix Dry
Cleaners, Inc., Supplies, 55.00; Mn Med Inc, Purchased Service, 37.93; Mobile
Neurodiagnostic Service, Purchased Service, 1,326.00; Mvap Medical Supplies Inc.,
Medical Supplies, 790.40; Ncs Pearson Incorporated, Purchased Service, 300.00;
Nielsens, Supplies, 10.30; North Coast Medical Inc, Supplies, 101.04; Northwestern
Energy, Utilities, 3,261.26; Northwestern Services Corp, Utilities, 20,524.51; Nxc
Imaging, Medical Supplies, 1,573.08; Occupational Therapy, Purchased Service,
3,458.82; Office Depot, Inc, Supplies, 2,027.07; Olson's Ag & Auto Parts, Supplies,
12.40; Omaha World-herald Company, Advertising, 469.94; Opus Medication
Systems, Medical Supplies, 73.80; Oriental Trading Company Inc, Supplies, 110.35;
Ortho Clinical Diagnostics, Lab Supplies, 1,780.94; Oto Med Inc, Medical Supplies,
194.45; Oxyrase, Inc., Lab Supplies, 185.00; Pan O Gold Baking Company, Dietary
Supplies, 570.83; Patient Refund Checks, Refunds, 8,887.69; Pc Connection Sales
Corp, Cap.equip/supplies, 881.43; Pesi Healthcare, Education, 493.95; Philips Medical
Systems, Purchased Service, 381.24; Philips Medical Systems N.a. Co, Purchased
Service, 475.75; Physicians' Record Company, Forms, 43.75; Pinestar Technology Inc,
Medical Supplies, 76.00; Pitney Bowes Inc, Supplies, 221.00; Posey Company,
Supplies, 341.97; Precision Diagnostic Services, Purchased Service, 5,675.00;
Precision Lens, Medical Supplies, 3,613.20; Professional Products, Inc., Medical
Supplies, 99.57; Progressive Medical, Inc, Medical Supplies, 120.00; Proxymed, Inc,
Collections, 576.94; Quadramed Corporation, Purchased Service, 7,845.75; Radiation
Detection Company, Purchased Service, 42.00; Radioshack Corporation, Supplies,
89.97; Regional Service Center Inc, Pharmacy Supplies, 402.92; Remel Inc, Lab
Supplies, 1,390.67; Res Med, Medical Supplies, 1,106.77; Respironics, Medical
Supplies, 4,815.44; Retrotel, Supplies, 444.00; Rfd News Group Inc, Advertising,
38.00; Ron Waltz, Travel, 37.18; Ross Products, Medical Supplies, 348.26; Royal
Sovereign International, Supplies, 53.88; Rudes Home Furnishings, Building, 1,823.00;
Ruhof Corporation, Supplies, 174.28; Running's Big R, Supplies, 567.46; Rural Metro,
Travel, 35.00; Sammons Preston Rolyan, Medical Supplies, 293.73; Sandal Medical
Industries, Medical Supplies, 932.84; Schwaab Inc, Supplies, 62.50; Sd Association of
Healthcare, Purchased Service, 50.00; Sd Health Care Association, Supplies, 25.00; Sd
Jaycees, Advertising, 92.50; Sd State Treasurer, Taxes, 1,810.88; Sdsu University
Bookstore, Publications, 148.95; Senior Technologies, Supplies, 416.49; Sharn Inc,
Medical Supplies, 126.05; Shepardsons Hardware Hank, Supplies, 42.19; Shippert
Medical Technologies, Medical Supplies, 88.00; Sioux Falls Two Way Radio,
Supplies, 80.99; Sioux Valley Clinical Labs, Purchased Service, 1,309.02; Sioux
Valley Wireless, Communications, 146.40; Sixth Street Florist, Public Relations,
67.27; Smith Medical Md, Inc., Medical Supplies, 996.00; Smiths Medical Asd Inc,
Medical Supplies, 706.07; Sourceone Healthcare, Medical Supplies, 2,137.19;
Spectronics Corp, Purchased Service, 128.67; Staff Travel, Travel, 300.32; Step Saver
Inc, Supplies, 423.28; Steris Corporation, Pur.serv./supplies, 4,694.93; Stryker
Endoscopic Sales Corp, Medical Supplies, 763.50; Sunrise Medical,inc, Supplies,
334.49; Swiftel Communications, Communications, 2,391.15; Systems Technology
Associates, Capital Equipment, 127.39; T. A. Penke & Associates, Rental/med
Supplies, 848.42; the Forum, Advertising, 91.49; the Greeter, Advertising, 29.25; the
Medical Letter, Publications, 129.00; Thermo Biostar, Inc, Lab Supplies, 624.55;
Thermogenesis Corp, Lab Supplies, 432.00; Three Eagles Communications,
Advertising, 550.00; Thrifty White Stores, Pharmacy Supplies, 712.60; Time Med
Labeling Systems Inc, Supplies, 215.64; Town & Country Shopper, Advertising, 5.60;
Tri Anim Health Services Inc, Medical Supplies, 232.09; Tri-state Electronic Service,
Purchased Service, 4,800.00; Tv Productions Inc, Purchased Service, 529.50; U.s.
Foodservice, Dietary Supplies, 16,286.81; U.s. Postal Service, Postage, 3,000.00;
United Ad Label, Supplies, 147.22; United Parcel Service, Freight, 191.25; United
Retirement Center, Purchased Service, 800.00; University Mall, Rent/lease, 283.00; Us
Endoscopy Group, Medical Supplies, 654.00; Us Surgical, Medical Supplies, 2,652.77;
Vandemark Orthopedic, Purchased Service, 51.00; Vital Signs Inc, Medical Supplies,
146.87; Walmart Community Brc, Supplies, 792.20; Wasserstrom Company, Dietary
Supplies, 121.24; Wigen Companies, Inc. #86, Purchased Service, 770.25; Ww Tire
Service Inc., Supplies, 10.00; Young Door Service, Purchased Service, 65.00; Zimmer
Us, Inc, Medical Supplies, 260.55. Observation Bed Service Policy and Procedure;
Quality Improvement (QI) and Quality Assurance (QA) Plan; Organ/Tissue
Donation/Procurement Policy; Credentialing: move Christopher Gregory, M.D.
from provisional to full courtesy medical staff; Committee Listing; Statistical
Report; Statistical Graphs. All members present voted in favor of the motion.
Critical Access: Administrator Waltz presented information on critical access. Board members
noted they would like to pros and cons of going critical access presented before making
a final decision on critical access.
Financial Report: CFO Coffey presented the Brookings Hospital, Brookview Manor, Home
Health/Hospice Agency, and Brookhaven Estates financials for January 2005. He also
presented an investment summary of what we have invested and what our return will
be on these investments. He noted that we owe a big thank you to Rita for the work
she has done with our investments. Motion by Blazey seconded by Wicks to approve
the financial report. All members present voted in favor of the motion. This included
$952,308.85 in payroll and benefit expense for the month. CFO Coffey also presented
statistical information. Board members would like hard copies of the statistical graphs
presented.
Personnel Information:
New Employees: A. Hawkinson, 9.47
Salary Changes: ; R Fitterer, 24.87; J. Kirby, 26.49; S. Mahlum, 26.39; W. Obrecht,
70.10; T. Pomrenke, 13.37; L. Wersinger, 10.00
Committee Reports:
Joint Conference (Medical Affairs): Has not met.
Strategic Planning: Michelle Robbins presented information from the February 3 and
February 10 Strategic Planning Committee. There was discussion about a survey being
conducted on the number of healthcare employees and the financial impact of
healthcare in Brookings. A motion by Blazey, seconded by Olson that before we go
ahead with the survey, they would like to explore the potential cost of a community
survey, who should be surveyed, and what information is already out there. All
members present voted in favor of the motion. There was a request to have the origin
of patient admissions brought back to the Board.
A chart of hospital days for December 2002 through January 2005 was distributed.
Michelle reported we fell thousands of patient days below the average allowed by
critical access status.
Board members discussed privacy of patients. A proposed Privacy Phase 1 layout for
the second floor was distributed. Michelle reported the initial plan is to have one bed,
TV, and privacy curtain in newly painted rooms without adding a private bathroom or
making structural changes, thus providing a “privacy room.” Nursing stations could be
relocated to a more private area to provide for HIPAA concerns. The new layout could
be achieved regardless of critical access hospital status. Critical access however is a
financial benefit for providing private rooms. Administrator Waltz requested
permission from the Board to have a mock private room set up which would
demonstrate the above changes and put the remaining bed closest to the door so the
patient put the remaining bed closest to the door so the patient would be away from the
cool airflow by the window. A motion by Wicks, seconded by Evers to move ahead
with Privacy Phase I. All members present voted in favor of the motion.
Finance/Personnel: Dianna reviewed the minutes from the Finance/Personnel
meeting. The bids were reviewed for the CT scanner. On recommendation from the
Finance/Personnel Committee Evers made a motion, Blazey seconded to purchase CT
scanner with a four year maintenance contract and dual head injector. All members
present voted in favor of the motion. On recommendation from the Finance/Personnel
Committee Evers made a motion, Olson seconded to purchase DXA scanner. All
members present voted in favor of the motion. Dianna reported current Medicaid
payments to Brookview Manor are based on the 2002 cost report. Our reimbursement
may be reduced if the 2003 cost report is used for future payments. It was noted that
the Manor has been fully depreciated. If there is further remodeling of the facility, not
additional depreciation will be allowed. A draft copy of the new Education Assistance
Program Policy and Procedure was included in the packet and will go to
Finance/Personnel committee before being approved.
Executive Committee: Has not met but will need to meet.
Unfinished Business:
CEO Search: Administrator Waltz stated that two CEO interviews have been completed and
there are two more interviews coming up. There will be a special Board meeting on
Thursday, March 10, 2005, for Board members to choose a new CEO.
E-ICU: It was noted progress on the proposal is on hold until communication problems
between our monitors and Avera’s have been worked out.
WellAHEAD: There is nothing new at this time.
Employee Newsletter: The Caring People Report (C.P.R.) Newsletter will be sent to
each employees home. The first newsletter will be sent out in March.
Reading and Information: Board members received for reading and information: Minutes from
Executive Committee and Correspondence from State of South Dakota, Department of
Legislative Audit.
Comments: President Roberts stated their was an article on Sally Damm in the last SDAHO
newsletter. Wicks and Johnson stated they have not been received the SDAHO
newsletter and Pam Emmett will contact SDAHO to make sure they are on their
mailing list.
There being no further business, there was a motion by Wicks, seconded by Olson to adjourn
at 9:20 p.m. All members present voted in favor of the motion.
Respectfully submitted,
____________________________
Dianna Evers, Secretary