HomeMy WebLinkAboutBHSMinutes_2005_03_23
BROOKINGS HEALTH SYSTEM
BOARD OF TRUSTEES MEETING
March 23, 2005
The regular meeting of the Board of Trustees of the Brookings Health System was held at 7:00 p.m. on
March 23, 2005, in Hospital Conference Room A with the following members present: Michelle Robbins,
Dianna Evers, Carole Johnson, Zeno Wicks, John Ramsay, Rob Jones, Chuck Blazey, Roberta Olson, and
President Ardelle Roberts. Ex-officio Julie Whaley, Ex-officio Tom Bozied, Administrator Ron Waltz,
CFO Kevin Coffey, Executive Secretary Pam Emmett.
The meeting was called to order at 7:00 p.m. by President Roberts. President Roberts welcomed Tom
Bozied as our new ex-officio member.
Consent Agenda: Motion by Wicks, seconded by Olson that the following items from the consent
agenda be approved: Minutes; minutes from February 22, 2005; Charge-Off/Write Off
Accounts; Accounts Payable; A & D Campers Inc, Supplies, 27.45; A Ox Welding Supply
Company, Oxygen, Gases, 2,597.88; Aaa Collections Inc, Collections, 3,537.40; Aaa Refrigeration
& Appliance Inc, Purchase Service, 406.50; Abbott Laboratories, Laboratory Supplies, 9,361.94;
Accu-med Services(mcs), Supplies, 255.00; Advanced Medical Optics, Medical Supplies, 120.41;
Ahra, Supplies, 155.00; Aircast Inc, Medical Supplies, 631.25; Aiv, Inc, Supplies, 179.77; Aladdin
Temp Rite, Supplies, 491.13; Alcon Laboratories Inc, Medical Supplies, 2,371.98; Alimed Inc,
Medical Supplies, 840.00; All Magazines, Subscriptions, 164.33; Allied Electronics, Supplies,
196.48; American Business Forms, Forms, 1,129.85; American Health Care Supply, Supplies,
101.82; American Iv Systems IncMedical Supplies, 80.72; American Journal of Alzheimer's
Disease, Publications, 243.00; American Legion Auxiliary, Supplies, 100.00; Ameripride Linen &
Apparel, Rental/lease, 170.25; Amici Inc, Medical Supplies, 466.52; Anne Smolik, Travel, 152.68;
Applied Medical, Medical Supplies, 610.00; Argus Leader, Advertising, 534.60; Arjo Century
Distributing, Supplies, 138.82; Armstrong Medical Industries, Medical Supplies, 367.43; Asd
Healthcare, Pharmacy Supplies, 2,438.60; Auto Suture Co, Medical Supplies, 2,072.88; Avera
Brookings Medical Clinic, Purchase Service, 11,205.04; Avera Brookings Medical Clinic Pt,
Purchase Service, 27,000.00; Avera Mckennan Hospital, Blood Bank, 2,252.63; Avera Mckennan
Regional Lab, Purchase Service, 6,664.79; Avera Mckennan-mobile Mri, Purchase Service,
20,790.00; Banner Associates Inc, Building, 967.79; Baxa Corporation, Medical Supplies, 90.00;
Baxter Healthcare Corp, Medical Supplies, 344.28; Berkeley Medevices Inc, Medical Supplies,
92.54; Best Business Products Inc, Supplies, 1,219.51; Beth Reed, Travel, 5.67; Bird & Cronin Inc,
Supplies, 191.51; Bloomingvilla, Public Relations, 50.00; Bonnie Salonen, Payroll, 357.61; Boston
Scientific (Microvasive), Medical Supplies, 608.00; Brenda Johnson, Supplies, 172.36; Brookings
Area Transit, Supplies, 15.00; Brookings Chamber of Commerce, Purchase Service, 15.00;
Brookings Engraving, Supplies, 69.00; Brookings Fiberglass, Purchase Service, 115.00; Brookings
Municipal Utilities, Utilities, 12,873.16; Brookings Register, Advertising, 2,330.00; Brown &
Saenger, Supplies, 926.04; Bsn Medical, Inc., Medical Supplies, 173.91; Buhl's Rug Rental and
Laundry, Rental/lease, 915.65; C B Fleet Co Inc, Medical Supplies, 29.85; C & H Distributors,
Llc., Supplies, 465.69; C R Bard Inc, Medical Supplies, 1,593.28; Cardinal Health, Pharm/lab/med
Supplies, 54,296.10; Carstens Inc, Supplies, 25.58; Cas Medical Systems Inc, Capital Equipment,
3,238.00; Central Business Supply, Cap. Equip/supplies, 1,624.63; Century Business Products Inc,
Supplies, 83.44; Chuck Blazey, Travel, 46.17; City of Brookings, Insurance, 48,282.85; City of
Brookings Landfill, Purchase Service, 69.30; Claritus (Systems Unlimited), Supplies, 604.75;
Clites Electric Construction, Purchase Service, 1,344.78; Coastal Training Technologies,
Publications, 935.86; Cobra Electronics, Supplies, 216.25; Cole Papers Inc, Supplies, 3,688.13;
Containment Technologies Group, Capital Equipment, 19,762.50; Cook Medical Inc.(Urological),
Medical Supplies, 287.15; Cooks Wastepaper & Recycling, Purchase Service, 1,365.00; Creative
Surfaces Inc., Building, 570.00; Crest Healthcare Supply, Supplies, 187.97; Culligan, Supplies,
53.20; Cummins Central Power, Llc, Purchase Service, 250.00; Dade Behring Inc, Laboratory
Supplies, 27,495.58; Daig Corporation, Medical Supplies, 175.14; Dakota Food Equipment,
Dietary Supplies, 44.10; Dakota Truck Underwriters, Insurance, 13,038.00; Danara International,
Ltd., Supplies, 116.74; Data Distributing, Llc, Supplies, 215.95; Data-byte Central, Inc, Supplies,
180.19; Datascope Corporation, Supplies, 35.00; Datex Ohmeda, Pur.serv/med.supp, 1,474.96;
Datex-ohmeda, Purchase Service, 1,900.30; Dean Foods North Cent., Dietary Supplies, 2,094.12;
Dee's Custom Window Covering, Building, 743.00; Depuy Orthopaedics, Inc., Medical Supplies,
678.72; Diane Kinney, Supplies, 75.00; Downtown Brookings Inc, Supplies, 100.00; Dressen
Custom Trailers, Inc, Vehicle, 588.64; Dwight L Adams, Deposit, 200.00; Ecolab, Supplies,
2,050.24; Ecolab Pest Elimination Div, Purchase Service, 290.50; Eide Bailly Llp, Purchase
Service, 7,375.00; Einspahr Auto Plaza Inc, Supplies, 906.49; Ekern Home Equipment Company,
Supplies, 13.96; Elsevier Science, Publications, 206.10; Emergency Medical Products Inc,
Supplies, 152.75; Encompass Group, Llc, Supplies, 578.23; Farmer Bros Co, Dietary Supplies,
291.00; Fastenal Company, Supplies, 72.29; Fedex, Freight, 98.65; First Bank & Trust,
Collections, 635.09; Fisher & Paykel Healthcare, Medical Supplies, 895.73; Fisher Healthcare,
Laboratory Supplies, 3,435.02; Fix it Shop, Supplies, 822.82; Flowers on Main, Public Relations,
88.00; Fnb Gold Visa, Supplies, 2,393.24; Food Services of America, Dietary Supplies, 419.75; G
& R Controls, Purchase Service, 5,772.62; Gas'n Mor, Fuel, 174.84; Ge Healthcare (Amersham
Health), Medical Supplies, 723.25; Ge Medical Systems, Purchase Service, 204.00; Ge Medical
Systems Information, Supplies, 120.00; Gibbco Scientific Inc, Laboratory Supplies, 292.33;
Glover, Helsper & Rasmussen, Purchase Service, 208.00; Gray Construction Company, Building,
795.00; Graybar Electric Company Inc, Supplies, 197.32; Harker S Distribution Inc, Dietary
Supplies, 3,663.99; Harolds Printing Company, Forms, 1,731.95; Hauge Associates Inc,
Collections, 8,471.43; Hcis/vaaler Insurance, Insurance, 90,117.00; Hcpro Communications,
Publications, 253.00; Hewlett-packard Company, Purchase Service, 2,687.83; Hillyard, Supplies,
502.71; Hobart Sales & Service, Supplies, 210.85; Homestead Building Supplies, Supplies, 133.70;
Hospira Worldwide, Inc. (Abbott), Pharm/med Supplies, 6,273.32; Huntleigh Healthcare Inc,
Medical Supplies, 585.30; Hy Vee Food Store, Dietary Supplies, 1,043.86; Intensive Therapeutics,
Inc., Supplies, 703.38; Itc Telecom, Communications, 18.95; J H Larson Company, Supplies,
266.73; J.c. Penny, Supplies, 58.94; Jan Olson, Travel, 94.36; Johnson & Johnson Health Care,
Medical Supplies, 4,299.76; Johnstone Supply, Supplies, 109.47; Jolene Moberg Lee, Travel,
119.88; Julie Henry, Travel, 99.22; Julie Vandeweerd, Travel, 177.39; Kaeser & Blair
Incorporated, Supplies, 1,746.10; Kay G Meidinger, Payroll, 22.39; Keane Inc, Purchase Service,
15,594.42; Kelly Timmer, Travel, 46.17; Kevin Coffey, Travel, 483.77; Kone Inc, Purchase
Service, 234.49; Kreisers Inc, Medical Supplies, 16,835.72; Kw-med (Keller Medical), Medical
Supplies, 235.80; Laboratory Supply Company, Supplies, 252.45; Lawson Products Inc, Supplies,
204.77; Leading Edge, Purchase Service, 539.25; Leeds Precision Instruments, Purchase Service,
380.00; Linear Corporation, Supplies, 145.75; Lisa Hartenhoff, Travel, 91.12; Lisa Wolf, Travel,
196.83; Lucy Kephart, Travel, 419.98; Lynette Richarz, Travel, 205.74; Lynne Kaufmann, Travel,
257.17; Mac Med, Medical Supplies, 74.00; Mallinckrodt, Inc., Medical Supplies, 443.49; Malloy
Electric Supply, Supplies, 289.83; Martin Oil Co, Fuel, 899.99; Maxwell Food Equipment, Capital
Equipment, 5,325.00; Mcleod Usa, Communications, 890.33; Mcmaster Carr Supply Company,
Supplies, 12.88; Medi-globe Corporation, Medical Supplies, 1,106.92; Mediacom Llc, Purchase
Service, 674.87; Medical Waste Transport, Inc, Purchase Service, 1,040.04; Medline Industries Inc,
Supplies, 76.16; Medtronic Ers (Physio), Medical Supplies, 124.17; Melby Portraiture, Public
Relations, 97.00; Mercedes Medical, Medical Supplies, 709.40; Mick's Texaco, Supplies, 59.80;
Midland Hospital Supply, Medical Supplies, 14,753.08; Midstates Flooring Center, Building,
566.22; Midwest Glass, Supplies, 40.00; Midwest Medical Service Inc, Rental/lease, 155.00;
Minnesota Chemical Company, Supplies, 53.99; Minnesota Shredding Llc, Purchase Service,
266.40; Mn Med Inc, Medical Supplies, 133.00; Mobile Neurodiagnostic Service, Purchase
Service, 1,914.00; Napa Auto Parts, Supplies, 66.06; National Recall Alert Center, Subscriptions,
195.00; Natures Paradise, Dietary Supplies, 9.30; Nicole Winseman, Travel, 46.17; Nielsens,
Supplies, 70.28; Northwestern Energy, Utilities, 3,082.86; Northwestern Services Corp, Utilities,
20,811.40; Nova Health Systems, Inc, Medical Supplies, 90.96; Novelty Machine & Supply Co,
Supplies, 360.73; Nyberg's Ace, Inc., Supplies, 16.45; Oasis, Medical Supplies, 259.40;
Occupational Therapy, Purchase Service, 6,315.65; Office Depot, Inc, Supplies, 1,200.17; Omaha
World-herald Company, Advertising, 591.40; Ope Niemeyer, Purchase Service, 181.90; Opus
Medication Systems, Supplies, 36.41; Ortho Clinical Diagnostics, Laboratory Supplies, 715.92;
Oto Med Inc, Medical Supplies, 194.45; Overhead Door Co of S. Falls, Supplies, 97.41; Oxyrase,
Inc., Laboratory Supplies, 70.00; Pam Fitzgerald, Travel, 39.69; Pan O Gold Baking Company,
Dietary Supplies, 422.35; Park Properites, Vehicle, 62.10; Pat Park, Travel, 232.06; Patient Care
Systems, Rental/lease, 253.00; Patient Refund Checks, Refunds, 9,724.18; Pc Connection Sales
Corp, Cap.equip/pur.serv., 3,559.41; Philips Medical Systems N.a. Co, Purchase Service, 5,475.75;
Physicians Laboratory Ltd, Purchase Service, 1,233.33; Pinestar Technology Inc, Medical
Supplies, 755.00; Pinnacle, Advertising, 555.00; Polymedco Inc, Laboratory Supplies, 77.37;
Posey Company, Supplies, 454.74; Postmaster, Postage, 200.00; Prairie Graphics, Supplies, 32.00;
Precision Diagnostic Services, Purchase Service, 7,125.00; Precision Lens, Medical Supplies,
5,057.79; Professional Products, Inc., Medical Supplies, 74.04; Progressive Medical, Inc, Medical
Supplies, 110.00; Proxymed, Inc, Communications, 369.05; Radioshack Corporation, Supplies,
59.98; Remel Inc, Laboratory Supplies, 603.00; Respironics, Medical Supplies, 108.45; Rfd News
Group Inc, Advertising, 76.00; Ross Products, Medical Supplies, 165.20; Running's Big R,
Supplies, 132.59; Rusch Inc, Medical Supplies, 215.06; Salisbury Ind. Mailboxes.com, Supplies,
164.00; Sammons Preston Rolyan, Medical Supplies, 199.79; Scantron Corporation, Forms,
392.27; Schwaab Inc, Supplies, 90.50; Sd Health Care Association, Publications, 98.52; Sd
Retirement System, Benefits, 20,135.22; Sd State Treasurer, Taxes, 1,930.97; Sdsu College of
Nursing, Supplies, 150.00; Sears Commercial One, Supplies, 139.73; Senior Technologies,
Supplies, 101.25; Sensitech Inc, Supplies, 223.44; Sexauer Inc, Supplies, 42.49; Shari Boe, Travel,
100.00; Shelley Woldt, Travel, 129.60; Shelly Deknikker, Travel, 256.77; Sidney a Johnson,
Deposit, 200.00; Siemens Medical Solutions, Purchase Service, 825.24; Signal Rsw Medical,
Medical Supplies, 570.00; Sioux Valley Clinical Labs, Purchase Service, 1,346.04; Sioux Valley
Hospital, Education, 200.00; Sioux Valley Wireless, Communications, 147.90; Sixth Street Florist,
Public Relations, 25.00; Slumberland of Brookings, Capital Equipment, 941.00; Smith Medical
Md, Inc., Medical Supplies, 332.00; Smiths Medical Asd Inc, Medical Supplies, 189.74; Sourceone
Healthcare, Medical Supplies, 4,510.83; Southern Controls Inc, Supplies, 85.48; Staff Travel,
Travel, 359.21; Star Tribune, Advertising, 1,842.56; Stella Satterlee, Travel, 4.86; Step Saver Inc,
Supplies, 273.88; Steris Corporation, Supplies, 5,405.65; Storz Instrument Company, Medical
Supplies, 212.07; Streck Laboratories Inc, Laboratory Supplies, 62.11; Stryker Endoscopic Sales
Corp, Medical Supplies, 1,118.63; Sunrise Medical,inc, Supplies, 336.15; Suntrac Services, Inc.,
Purchase Service, 135.10; Suture Express, Medical Supplies, 209.88; Swiftel Communications,
Communications, 2,382.69; T. A. Penke & Associates, Rental/lease, 605.00; The Forum, Supplies,
214.82; The Greeter, Advertising, 24.75; The Rental Depot, Rental/lease, 118.83; Thermo Biostar,
Inc, Laboratory Supplies, 1,040.50; Three Eagles Communications, Advertising, 300.00; Thrifty
White Stores, Pharmacy Supplies, 666.66; Total Maintenance Systems Inc, Purchase Service,
306.00; Total Repair Express, Llc, Purchase Service, 1,100.00; Town & Country Shopper,
Advertising, 6.20; Tri Anim Health Services Inc, Medical Supplies, 140.06; Tri-state Hospital
Supply, Medical Supplies, 80.32; U.s. Foodservice, Dietary Supplies, 14,830.87; U.s. Nuclear
Regulatory Comm., Fees, 500.00; U.s. Postal Service, Postage, 3,000.00; United Building Centers,
Supplies, 19.96; United Parcel Service, Freight, 248.63; United Retirement Center, Purchase
Service, 800.00; Upcra, Dues, 25.00; Us Endoscopy Group, Medical Supplies, 637.32; Us Surgical,
Medical Supplies, 309.00; Vickie Selleck, Benefits, 317.14; Walmart Community Brc, Supplies,
671.27; Wasserstrom Company, Dietary Supplies, 186.25; Web Md, Communications, 161.26;
Wigen Companies, Inc. #86, Building, 2,853.00; Wilson Ophthalmic Corp, Medical Supplies,
387.76; Wolfe Tory Medical, Inc, Medical Supplies, 71.12; Zimmer Us, Inc, Medical Supplies,
3,291.01; E-Mail Policy and Procedure; Credentialing: move Tara Wieneke, PA-C and Debra
Johnson, CPCMH from provisional to full allied health staff; Statistical Report; Statistical
Graphs. All members present voted in favor of the motion.
Financial Report: CFO Coffey presented the Brookings Hospital, Brookview Manor, Home
Health/Hospice Agency, and Brookhaven Estates financials for February 2005. It was noted that
we are behind in receiving our interest income on investments from the city at this time. Home
health expenses are up at this time due to travel costs associated with expanding services into Lake
Preston and DeSmet. Brookhaven expenses are higher than budgeted due to depreciation and other
operating expenses being higher than we budgeted. It was questioned if Brookhaven was full at
this time. Board members suggested we keep a current occupancy notice posted at Brookhaven
Brookview Manor expenses were high because we paid for a full year of insurance premiums in
February instead of having the premium split up by 12 months. Motion by Olson, seconded by
Blazey to approve the financial report. All members present voted in favor of the motion. This
included $787,748.62 in payroll and benefit expense for the month. CFO Coffey also presented
statistical information.
Personnel Information:
New Employees: T. Reel, 14.07; J. Hamilton, 9.47; J. Hankins, 8.17; V. Grussing, 10.00; S.
Brockhoft, 13.12
Salary Changes: J. DeNoble, 18.05; A Kangas, 11.30; L. Kurschat, 25.07; V. Schut, 11.44.
Correction to January minutes, these wages were omitted from the list: C. Coffey, 34.56; R. Waltz,
67.50; B. Johnson, 30.00.
Committee Reports:
Joint Conference (Medical Affairs): Has not met.
Strategic Planning: Blazey reported that the Strategic Planning Committee had met at 6:00 p.m. on
March 23 before the regular Board meeting to discuss opportunities to provide administrative
support or advice to a local business and the possibility of a new clinic in town.
Finance/Personnel: Evers reported the Finance/Personnel Committee met at 5:30 p.m. on March 23
before the regular Board meeting to discuss, the same issues reported from strategic planning and
requirements for structural changes which will be needed to incorporate a fixed base MRI within
the facility.
In follow up to a previous strategic planning request to measure the financial impact of healthcare
in Brookings administrator Waltz presented a handout: South Dakota Department of Labor -
Covered Workers Annual Data 2003 - Summary by Industry. Blazey presented a handout on
Estimated Labor Market Information to include total employees of Brookings county and total
payrolls. Following review and discussion, it was noted this would be good information to keep on
file for Regional Economic Development Model meetings.
Executive Committee: Evers reported on the March 16 Executive Committee meeting. Items discussed
included tracking overnight hospital census for the number of nights we exceeded the limit allowed
for critical access. Due to increased utilization, we have not been able to set up a mock privacy
room. Our funded sick pay contract was reviewed. The contract will be managed by city finance
and the 1.89% interest rate will be increased to 3.45% interest rate. A handout on Review of
Assets was distributed for information. Evers also stated they had discussed privacy issues and the
need for a private office for admitting patients. Vern Carda has verbally accepted our offer for the
CEO position of the Brookings Health System and will be starting May 2. The Executive
Committee of the Board will be attending a Chamber of Commerce Legislative Luncheon on
March 28.
Critical Access: A power point presentation was made by CFO Coffey on critical access which showed
the number of days our census exceeded 22. It was felt we needed to study the census another
month or two before a decision could be made on critical access. Administrator Waltz handed out
a SDAHO handout on the President’s Perspective which related to critical access. Board members
also received a handout explaining a CMS Rural Community Hospital Demonstration Program.
Administrator Waltz reported programs that could benefit future development of hospital patient
services are limited to hospitals with less than 50 beds. We are currently licensed for 61 beds. We
do not have 61 acute beds set up and we cannot staff for that number. He suggested reducing our
licensed staffed beds from 61 to 49 so our next cost report could be used to show eligibility for
other programs. We would then be eligible to participate in the Rural Community Hospital
Demonstration Program if we are not eligible for critical access. A motion by Wicks, seconded by
Evers to formally look into changing our bed size from 61 to 49. All members present voted in
favor of the motion.
WellAHEAD: Privacy rooms were discussed and it was recommended we call them single rooms instead
of private or privacy rooms. A fixed MRI and the location for the MRI was discussed.
Administrator Waltz and CFO Coffey presented information on MRI utilization and costs, and
where the MRI would be located. A motion by Wicks, seconded by Olson to explore the option of
building an addition by the emergency room for a fixed MRI, which would be consistent with the
WellAHEAD concept. All members present voted in favor of the motion. It was felt this could be
studied further by the Finance/Personnel Committee
A presentation was made on better utilization of offices to improve patient privacy during
admission processes. It was felt that the emergency room should only be used for emergency room
patients and all other outpatient services should register from the front of the building where there
is better parking and access to the facility. It was suggested we may want to move the front sliding
door from its present location to the area in front of the switchboard operator. A motion by Wicks,
seconded by Jones that when have someone here doing the preliminary work on the fixed MRI, we
have them take a look at what it may cost to move the door to the front lobby. All members
present voted in favor of the motion. It was also noted that we are looking at framing the elevators
with wood to be more attractive.
Unfinished Business: It was noted that the CEO contract and WellAHEAD had previously been
discussed.
New Business:
Executive Education Policy: Board members felt the policy on higher education should be
referred to the Finance/Personnel Committee for further review.
Education Assistance Program: Board members reviewed the proposed Education Assistance
policy and felt this should be referred back to the Management Executive Committee for
further review. After discussion, it was recommended the education policies be tabled until
the new CEO arrives.
Administrator Waltz stated he had talked to Mr. Carda about his licensure for administrator
of the nursing home. Waltz stated we may want to look at CFO Coffey getting a temporary
nursing home license so that Mr. Carda could concentrate more on the hospital and all the
issues we are working on at this time.
Administrator Waltz reported our new liability insurance company has an excellent
educational program. A representative from the company came here to review our risk
management procedures. They will provide a website that we can use for entering and
comparing our risk management information with other similar facilities. The cost for
utilizing this website will be about $3,000 the first year and $500 a year after that.
Administrator Waltz stated we have had numerous requests for donations for community
organizations and activities. Board members requested the Finance/Personnel Committee
write a facility policy for charitable donations.
Two e-mails from WellAHEAD were distributed to Board members for their review. While
we embrace the WellAHEAD concept, until we decide if critical access is in our future, we
can’t go ahead with the WellAHEAD process. Board members noted we hired WellAHEAD
to lay out a model for potential future development within our organization and they did this.
Priorities will be sorted out before additional action on the recommendations is taken.
Reading and Information: Board members received for reading and information: Minutes from
Executive Committee and Medical Staff meetings; an article on Brookview Manor “For the Birds,”
and the Brookings Hospital Hospice Agency Annual Report for 2004.
Comments: None.
There being no further business, there was a motion by Wicks, seconded by Olson to adjourn at 9:15 p.m.
All members present voted in favor of the motion.
Respectfully submitted,
____________________________
Dianna Evers, Secretary