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HomeMy WebLinkAboutBHSMinutes_2005_04_28 BROOKINGS HEALTH SYSTEM BOARD OF TRUSTEES MEETING April 28, 2005 The regular meeting of the Board of Trustees of the Brookings Health System was held at 7:00 p.m. on April 28, 2005, in Hospital Conference Rooms A-B-C with the following members present: 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. Also present were Dave Timpe and Jeff Knobloch from Eide Bailly and Cindy Mydland and Jeff Tiefenthaler from the Sioux Valley Clinic. Absent: Michelle Robbins. The meeting was called to order at 7:05 p.m. by President Roberts. Eide Bailly representatives distributed a draft copy of financial statements for year end 2003 and 2004 and summarized their findings. The report was corrected to reflect a 25-unit congregate housing center not a 25-unit assisted living center. A letter outlining findings and recommendations was distributed. The reports will be finalized after they are approved by City Hall. It was also noted that we have a policy on charging interest on accounts after 76 days and this is not being followed consistently. Consent Agenda: Motion by Wicks, seconded by Olson that the following items from the consent agenda be approved: Minutes; minutes from March 23, 2005; Charge-Off/Write Off Accounts; Declaration of Surplus Property: declares 10 computers, 12 wheelchairs from BVM, 1 desk, and miscellaneous chairs as surplus property with no value to be disposed of in accordance with SDCL; Purchase of Steel Shelving: purchase steel shelving for the medical health information basement at a cost of $21,847.90; Credentialing: approve Bradley Plaga, M.D.; Peter Looby, M.D.; Juliann Reiland-Smith, M.D.; Gary Timmerman, M.D.; David Swanson, M.D.; Tina Melanson, M.D. and Michael Moeller, M.D. to 1-year provisional courtesy staff and Frances Nelson, CST; Michelle Nelson, D.A.; Karl Kreutzmann, PA and Christopher Tibbetts, PA-C to 1-year provisional 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 March 2005. He reported contractual adjustments, expenses, income, and profit were above budgeted amounts resulting in a more positive financial picture than at this time last year. Graphs demonstrating increased utilization of services compared to year to date 2004 were distributed and discussed. A new process for administration and department heads to use to track income and expenses for each department has been developed and will be implemented immediately. It was also noted where we have our investments made and what the interest is on these investments. A motion was made by Blazey, seconded by Evers to approve the financial report. All members present voted in favor of the motion. This included $886,211.70 in payroll and benefit expense for the month. Accounts Payable: A motion by Wicks, seconded by Jones that accounts payable be approved as follows: A Ox Welding Supply Company, Oxygen,gas Supplies, 3,532.57; Aaa Collections Inc, Collections, 3,459.27; Aaa Refrigeration & Appliance Inc, Purchase Services, 648.60; Aaper, Supplies, 199.40; Aatell and Jones, Dietary Supplies, 61.60; Ab Biodisk N.a. Inc., Laboratory Supplies, 249.00; Abbott Laboratories, Laboratory Supplies, 6,912.07; Access Battery, Inc, Supplies, 396.43; Accu-med Services, Inc, Supplies, 255.00; Adminastar Federal, Purchase Services, 25.00; Advanced Medical Optics, Medical Supplies, 355.30; Advantage Healthcare Net Inc, Dues, 802.50; Aesculap, Medical Supplies, 121.51; Aircast Inc, Medical Supplies, 1,100.50; Aladdin Temp Rite, Supplies, 378.59; Alcon Laboratories Inc, Medical Supplies, 2,823.00; Alimed Inc, Medical Supplies, 168.47; All These Things, Inc, Advertising, 200.00; Allen Medical Systems, Inc., Medical Supplies, 146.42; America's Ppo Great Plains, Insurance, 525.25; American Academy of Family Physicians, Education, 750.00; American Business Forms, Forms, 2,199.04; American Cancer Society, Donations, 100.00; American Dietetic Association, Publications, 190.30; American Health Care Supply, Supplies, 213.78; American Homepatient, Rental/lease, 150.00; American Sleep Apnea Assoc., Dues, 25.00; American Society of, Publications, 25.00; American Society of Health, Travel, 220.00; Ameripride Linen & Apparel, Purchase Services, 136.20; Anne Smolik, Travel, 84.24; Applied Medical, Medical Supplies, 1,160.00; Argus Leader, Advertising, 573.70; Arizant Healthcare, Inc, Medical Supplies, 156.00; Arjo Century Distributing, Supplies, 340.81; Auto Suture Co, Medical Supplies, 2,195.37; Automatic Building Controls, Purchase Services, 426.00; Avera Brookings Medical Clinic, Purchase Services, 11,118.49; Avera Brookings Medical Clinic Pt, Purchase Services, 13,500.00; Avera Mckennan Hospital, Blood Bank, 1,541.28; Avera Mckennan Regional Lab, Purchase Services, 7,139.97; Avera Mckennan Trauma Services, Purchase Services, 120.00; Avera Mckennan-mobile Mri, Purchase Services, 23,814.00; B Braun Medical Inc, Medical Supplies, 1,543.50; Banner Associates Inc, Building, 906.95; Bard Access Systems, Medical Supplies, 1,101.80; Barnes & Noble Inc, Publications, 75.60; Barrett's Flooring, Supplies, 32.39; Berkeley Medevices Inc, Medical Supplies, 62.08; Best Business Products Inc, Purchase Services, 1,094.12; Bio Rad Laboratories, Laboratory Supplies, 854.15; Biomerieux, Inc, Laboratory Supplies, 2,339.25; Bird & Cronin Inc, Medical Supplies, 84.22; Boston Scientific (Microvasive), Medical Supplies, 2,052.50; Bound Tree Medical, Llc, Medical Supplies, 337.38; Briggs Corporation, Forms, 689.85; Brookings Engraving, Building, 2,374.20; Brookings Hospital Petty Cash, Supplies, 106.54; Brookings Liquor Store, Dietary Supplies, 14.78; Brookings Marathon, Donations, 5,000.00; Brookings Municipal Utilities, Utilities, 23,406.88; Brookings Register, Advertising, 2,350.36; Brown & Saenger, Cap.eq./supplies, 604.02; Bsn Medical, Inc., Medical Supplies, 344.49; Bsn-(Beiersdorf) Jobst Inc, Medical Supplies, 69.36; Buhl's Rug Rental and Laundry, Rental/lease, 309.90; Barriermed Glove Co, Medical Supplies, 79.43; C R Bard Inc, Medical Supplies, 2,769.44; Cabana Banners, Supplies, 87.50; Cardinal Health, Pharm/med/lab Supplies, 56,384.90; Carl Zeiss Surgical, Inc, Supplies, 448.00; Carolyn Hill, Benefits, 296.26; Carquest Auto Parts, Supplies, 52.39; Carstens Inc, Supplies, 975.40; Cas Medical Systems Inc, Supplies, 148.00; Cassling Diagnostic Imaging, Purchase Services, 8,921.00; Cchs, Education, 360.00; Cellular One, Communications, 893.69; Central Business Supply, Supplies, 667.91; Century Business Products Inc, Supplies, 83.41; Channing L Bete Co Inc, Publications, 162.00; City of Brookings, Pur.serv/insurance, 1,796.95; City of Brookings Landfill, Purchase Services, 5.00; Claritus (Systems Unlimited), Supplies, 807.00; Cobra Electronics, Supplies, 439.45; Cole Papers Inc, Supplies, 6,732.76; Compressed Air Solutions, Purchase Services, 1,810.50; Conmed Corporation, Cap.eq./med Supplies, 20,931.57; Cook Medical Inc.(Urological), Medical Supplies, 186.87; Cooks Wastepaper & Recycling, Purchase Services, 1,365.00; Crescent Electric Supply Co, Supplies, 200.24; Crest Healthcare Supply, Supplies, 189.97; Cromwell Communications, Publications, 25.00; Culligan, Rent/supplies, 58.70; Cummins Central Power, Llc, Purchase Services, 370.78; Current Reviews for Nurse, Publications, 210.00; Custom Surgical Services, Medical Supplies, 495.00; D J Orthopedics, Llc, Medical Supplies, 61.49; Dade Behring Inc, Laboratory Supplies, 20,880.48; Dakota Food Equipment, Dietary Supplies, 173.30; Dakota Truck Underwriters, Insurance, 13,038.00; Data Cal Enterprises, Supplies, 33.40; Datascope Corporation, Medical Supplies, 168.00; Datavision, Supplies, 85.80; Datex Ohmeda, Purchase Services, 1,101.00; Dean Foods North Cent., Dietary Supplies, 4,704.23; Direct Supply Healthcare, Supplies, 86.52; Ecolab, Supplies, 527.79; Ecolab Pest Elimination Div, Purchase Services, 277.61; Econofoods, Supplies, 12.90; Edward Don & Company, Dietary Supplies, 45.66; Edward Feil Productions, Publications, 32.95; Eide Bailly Llp, Purchase Services, 14,850.00; Einspahr Auto Plaza Inc, Vehicle Maint., 197.87; Ekern Home Equipment Company, Purchase Services, 52.00; Ellerbe Becket, Purchase Services, 6,819.84; Emergency Medical Products Inc, Medical Supplies, 608.19; Empi Inc, Medical Supplies, 488.89; Encompass Group, Llc, Supplies, 338.02; Engelstad Electric Co, Supplies, 271.28; Farmer Bros Co, Dietary Supplies, 1,216.47; Fastenal Company, Supplies, 5.38; Fedex, Freight, 68.98; Fireside Restaurant & Lounge, Supplies, 806.80; First Bank & Trust, Collections, 396.72; Fishback Insurance Agency, Insurance, 94.00; Fisher & Paykel Healthcare, Medical Supplies, 3,272.13; Fisher Healthcare, Laboratory Supplies, 4,839.28; Fix it Shop, Supplies, 281.80; Fnb Gold Visa, Supplies, 806.36; Food Services of America, Dietary Supplies, 2,270.69; G & R Controls, Purchase Services, 3,173.83; Gas'n Mor, Fuel, 169.00; Ge Healthcare (Amersham Health), Medical Supplies, 1,085.92; Ge Medical Systems, Cap.eq/pur.serv., 2,173.00; Gerslyn, Llc, Supplies, 216.00; Gibbco Scientific Inc, Laboratory Supplies, 85.99; Glover, Helsper & Rasmussen, Purchase Services, 665.00; Godfather's Pizza, Dietary Supplies, 693.32; Golden K Kiwanis Club, Supplies, 300.00; Grainger, Inc, Supplies, 332.32; Gray Construction Company, Building, 77,500.00; Graybar Electric Company Inc, Supplies, 166.54; Harker S Distribution Inc, Dietary Supplies, 6,567.96; Harolds Printing Company, Forms, 4,850.90; Hauge Associates Inc, Collections, 7,819.80; Hcpro Communications, Publications, 215.00; Health Care Systems Inc, Purchase Services, 2,365.00; Healthcare Financial Mgmt Assoc., Supplies, 230.00; Heiman Inc, Purchase Services, 627.15; Hewlett-packard Company, Purchase Services, 1,340.00; Hill Rom, Supplies, 341.05; Hollister Incorporated, Medical Supplies, 283.50; Homestead Building Supplies, Supplies, 537.20; Hospira Worldwide, Inc. (Abbott), Med/pharm Supplies, 4,886.19; Hubert Company, Dietary Supplies, 499.83; Hull Anesthesia, Medical Supplies, 210.93; Huntleigh Healthcare Inc, Medical Supplies, 613.94; Hy Vee Food Store, Dietary Supplies, 1,820.73; Ingenix (St. Anthony/medicode, Publications, 207.91; Instramed, Medical Supplies, 78.64; Insty Prints, Forms, 32.28; Itc Telecom, Communications, 18.95; J H Larson Company, Supplies, 165.24; Jackie Kirby, Travel, 41.52; Jan Olson, Travel, 190.35; Jana Cowling, Travel, 400.00; Jeffrey S Tarrant, Supplies, 994.08; Johnson & Johnson Health Care, Medical Supplies, 845.00; Jolene Moberg Lee, Travel, 119.88; Julie Henry, Travel, 86.67; Julie Vandeweerd, Travel, 185.49; K-art X-ray Supply Co., Medical Supplies, 214.18; Karen Vandall, Education, 7.00; Kbrk 1430 Am, Advertising, 300.00; Keane Inc, Purchase Services, 6,172.21; Kelly Timmer, Travel, 46.17; Kendall Healthcare, Medical Supplies, 99.48; Kenner Plumbing Co., Supplies, 46.74; Keomed Inc, Medical Supplies, 284.43; Kevin Coffey, Supplies, 250.00; K. C. Ballard Medical Products, Medical Supplies, 85.20; Kone Inc, Purchase Services, 234.49; Kreisers Inc, Medical Supplies, 19,560.81; Krier & Blain, Inc, Purchase Services, 568.07; Laboratory Supply Company, Supplies, 384.19; Land and Wheels, Supplies, 26.62; Lawson Products Inc, Supplies, 152.35; Leading Edge, Purchase Services, 1,356.00; Lisa Hartenhoff, Travel, 62.37; Lisa Wolf, Travel, 49.41; Living Design Inc, Capital Equipment, 4,517.00; Lma North America Inc, Medical Supplies, 751.00; Lois Thomsen, Travel, 65.32; Lucy Kephart, Travel, 215.86; Lynette Richarz, Travel, 116.23; Lynne Kaufmann, Travel, 85.05; M.c. Johnson Co., Inc., Medical Supplies, 67.95; Mallinckrodt Inc, Medical Supplies, 1,949.93; Mallinckrodt, Inc., Medical Supplies, 813.64; Martin Oil Co, Fuel, 1,152.22; Maxwell Food Equipment, Dietary Supplies, 1,460.97; Mcleod Usa, Communications, 1,793.25; Med Rad, Medical Supplies, 1,184.83; Mediacom Llc, Purchase Services, 2,862.44; Medical Nutrition Usa, Inc, Dietary Supplies, 149.00; Medical Technologies, Medical Supplies, 59.35; Medical Waste Transport, Inc, Purchase Services, 1,325.03; Medline Industries Inc, Supplies, 591.28; Menards - Sioux Falls, Supplies, 169.00; Menards - Watertown, Building, 288.00; Mercedes Medical, Laboratory Supplies, 185.29; Midland Hospital Supply, Medical Supplies, 9,612.91; Midstates Flooring Center, Supplies, 288.69; Midwest Medical Service Inc, Rental/lease, 230.00; Minnesota Shredding Llc, Purchase Services, 422.91; Mobile Instrument Service, Purchase Services, 1,381.05; Mobile Neurodiagnostic Service, Purchase Services, 905.00; Monarch Sales Company Inc, Supplies, 1,442.29; Monteith Welding Service, Supplies, 16.00; Morris Knutsen, Travel, 46.17; Mvap Medical Supplies Inc., Medical Supplies, 60.35; National Sleep Foundation, Dues, 15.00; National Subscription Bureau, Publications, 349.00; Neil Jessen, Travel, 46.98; Neil M Davis Associates, Publications, 500.50; Nina Nordbye, Education, 7.00; Nonin Medical, Inc., Medical Supplies, 300.00; North American Medical, Supplies, 53.32; Northwestern Energy, Utilities, 2,835.75; Northwestern Services Corp, Utilities, 16,275.64; Novelty Machine & Supply Co, Supplies, 300.36; Nuaire Inc, Laboratory Supplies, 80.95; Nurses Choice, Medical Supplies, 284.94; Nxc Imaging, Pur.serv/med.supplies, 620.75; Nyberg's Ace, Inc., Supplies, 20.69; Occupational Therapy, Purchase Services, 6,762.98; Office Depot, Inc, Supplies, 3,539.38; Ohm's Appliance, Supplies, 31.80; Olson's Ag & Auto Parts, Supplies, 23.97; Omaha World-herald Company, Advertising, 620.72; Online Interpreters Inc, Purchase Services, 27.59; Oriental Trading Company Inc, Supplies, 93.35; Ortho Clinical Diagnostics, Laboratory Supplies, 281.08; Oxyrase, Inc., Laboratory Supplies, 223.00; Pam Emmett, Travel, 94.78; Pam Fitzgerald, Travel, 29.56; Pan O Gold Baking Company, Dietary Supplies, 899.30; Park Properites, Vehicle Maint., 87.91; Pat Park, \\pard fs20 Travel, 145.39; Patient Care Systems, Rental/lease, 451.00; Patient Refund Checks, Refunds, 10,834.08; Pc Connection Sales Corp, Capital Equipment, 5,817.41; Pc Mall, Capital Equipment, 5,112.85; Peggy Jennings, Travel, 46.17; Penner Patient Care Inc, Supplies, 67.00; Pentax, Medical Supplies, 694.68; Pesi Healthcare, Education, 159.00; Philips Medical Systems N.a. Co, Purchase Services, 5,951.50; Physicians Laboratory Ltd, Purchase Services, 833.33; Pinestar Technology Inc, Medical Supplies, 755.00; Pinnacle, Advertising, 81.00; Pitney Bowes Inc, Rental/lease, 442.00; Posey Company, Supplies, 176.45; Prairie Graphics, Supplies, 210.00; Precision Diagnostic Services, Purchase Services, 9,300.00; Precision Lens, Medical Supplies, 5,661.94; Privaplan, Publications, 75.00; Professional Products, Inc., Medical Supplies, 227.50; Proxymed, Inc, Collections, 2,137.66; Rachel Honomichl, Education, 7.00; Radiation Detection Company, Purchase Services, 42.00; Radioshack Corporation, Supplies, 139.97; Ram Scientific, Laboratory Supplies, 274.00; Remel Inc, Laboratory Supplies, 1,459.06; Replacement Parts Industries, Inc, Supplies, 65.07; Res Med, Medical Supplies, 1,984.87; Respironics, Medical Supplies, 4,449.93; Rf Technologies, Supplies, 682.30; Rfd News Group Inc, Advertising, 66.50; Robert Morasko, Supplies, 1,763.08; Ron Waltz, Travel, 83.71; Ross Products, Medical Supplies, 964.50; Running's Big R, Supplies, 42.20; Rusch Inc, Medical Supplies, 26.43; Safeguard Business Systems Inc, Forms, 331.06; Schwaab Inc, Supplies, 58.50; Sd Association of Healthcare, Dues, 31,666.75; Sd Health Care Association, Supplies, 718.60; Sd Jaycees, Supplies, 92.50; Sd State Medical Association, Fees, 300.00; Sd State Treasurer, Taxes, 1,573.90; Sdahmpr, Dues, 35.00; Sdamss, Travel, 55.00; Sddma, Travel, 210.00; Sdhhra, Travel, 25.00; Sdhima, Education, 285.00; Sears Commercial One, Supplies, 99.99; Sexauer Inc, Supplies, 523.41; Sharn Inc, Medical Supplies, 366.05; Sharon Ness, Travel, 7.00; Shelley Woldt, Travel, 93.15; Shelly Deknikker, Travel, 115.02; Sherry Neilson, Benefits, 296.26; Shippert Medical Technologies, Medical Supplies, 179.50; Siemens Medical Solutions, Purchase Services, 825.24; Sioux Falls Two Way Radio, Pur.serv/supplies, 1,956.88; Sioux Valley Clinical Labs, Purchase Services, 1,189.43; Sioux Valley Hospital, Travel, 100.00; Sioux Valley Wireless, Communications, 147.90; Sixth Street Florist, Public Relations, 25.00; Smith Medical Md, Inc., Medical Supplies, 426.00; Smiths Medical Asd Inc, Medical Supplies, 689.16; Sourceone Healthcare, Medical Supplies, 6,014.83; Special Olympics South Dakota, Supplies, 100.00; Spectrum Chemicals &, Pharmacy Supplies, 27.00; Staff Care Inc, Purchase Services, 2,150.08; Staff Travel, Travel, 621.09; Stella Satterlee, Travel, 27.65; Step Saver Inc, Supplies, 294.32; Steris Corporation, Supplies, 2,443.78; Streck Laboratories Inc, Laboratory Supplies, 773.34; Stryker Endoscopic Sales Corp, Medical Supplies, 3,403.49; Stryker Leibinger, Medical Supplies, 403.41; Stryker Sales Corp., Medical Supplies, 690.51; Sunrise Medical,inc, Supplies, 326.34; Suture Express, Medical Supplies, 89.90; Swiftel Communications, Communications, 6,069.79; Syverson Tile Inc., Supplies, 436.40; T. A. Penke & Associates, Med/rental, 1,182.26; Technology Imaging Services, Supplies, 388.82; The Forum, Advertising, 667.80; The Greeter, Advertising, 24.75; The Lodge, Dietary Supplies, 30.00; The Staywell Company, Publications, 51.93; Thermo Biostar, Inc, Laboratory Supplies, 2,916.30; Time Med Labeling Systems Inc, Supplies, 172.86; Total Maintenance Systems Inc, Purchase Services, 306.00; Town & Country Shopper, Advertising, 11.95; Tri Anim Health Services Inc, Medical Supplies, 639.01; Tri-state Hospital Supply, Medical Supplies, 161.94; Tv Productions Inc, Purchase Services, 624.09; U.s. Foodservice, dietary supplies, 26,338.83; U.s. Postal Service, Postage, 3,000.00; Unipower Corporation, Supplies, 327.74; United Ad Label, Supplies, 56.38; United Parcel Service, Freight, 234.48; United Retirement Center, Purchase Services, 800.00; Universal Hospital Services, Rental/lease, 163.12; Us Endoscopy Group, Medical Supplies, 1,310.90; Us Surgical, Medical Supplies, 5,667.72; Vickie Selleck, Travel, 158.57; Vital Signs Inc, Medical Supplies, 342.27; Walmart Community Brc, Supplies, 507.84; Wasserstrom Company, Dietary Supplies, 409.03; Web Md, Collections, 90.00; Weck Closure Systems, Medical Supplies, 168.00; William Obrecht, Benefits, 520.54; Wilson Ophthalmic Corp, Medical Supplies, 7.27; Ww Tire Service Inc., Supplies, 25.00; Zabel Steel, Supplies, 74.96; Zimmer Us, Inc, Medical Supplies, 30,233.29; Firststreet, Supplies, 149.85. All members present voted in favor of the motion. Personnel Information: New Employees: A. Harrisen, 8.93; T. Alderson, 8.93; V. DeVries, 7.65; K. Smith, 8.02; A. Page, 7.65. Salary Changes: C. Bolstad, 16.97; C. DeBeer, 17.15; C. Kirchhevel, 11.48; C. Kisely, 26.49; N. Valnes, 10.48; R. Wagner, 26.39. Committee Reports: Joint Conference (Medical Affairs): Has not met. Strategic Planning: Has not met. Finance/Personnel: Evers reported on the Finance/Personnel meeting held April 28. On a recommendation from the committee, Evers seconded the approval of the Employee Assistance Program, Dakotacare renewal, and the CRNA wage schedule. All members present voted in favor of the motion. A proposed architectural contract for preliminary design of an addition to house a MRI and a remodeled laboratory was discussed. The committee questioned if such a project is required to be bid. Olson made a motion, seconded by Jones to approve to go ahead with the project if it doesn’t need to be bid. All members present voted in favor of the motion. (Addendum: Ron Waltz verified with the City Attorney that contracts for professional services such as attorneys, engineers and architects do not need to be bid.) Executive Committee: The Board Executive Committee met with Rich Helsper on April 4, 2005 to discuss concerns about current relationships that create obstructions to Board business discussions. It was noted an active medical staff member on the Board from any hospital affiliated clinic creates an obstruction to discussing potential business contracts with other physician clinics. Mr. Helsper drafted a revision to the City Ordinance; Section 42-92 proposing a change for physician appointments from voting member to liaison status. Facility by-laws would also need to reflect the change. Dr. Ramsay reported the Executive Committee of the Medical Staff recommend a physician Board member should continue to be a voting member of the Board. If there is a conflict of interest regarding an issue being discussed, the physician should abstain from voting. Following discussion, it was recommended we wait to see if there are problems that interfere with discussing business opportunities, then we could address the issue again. Concerns were also discussed regarding information reported in a Board executive session that had also been reported in a city council executive session by a city ex-officio appointee and then reported to other organizations out of the executive sessions. The importance of all participants maintaining confidentiality regarding information discussed in Board executive sessions was discussed. Rich Helsper drafted the following reminder to be read to meeting participants before an Executive Session: “Each Board member, whether an active Board member of ex-officio member, has a fiduciary duty to the Brookings Hospital when serving as a Board member or as an ex officio Board member. Under South Dakota law, executive session meetings can only be held for very limited purposes and all matters discussed in executive session are confidential. The specific topic and the substance of the discussion or any information learned within the executive session meeting is not to be disclosed to anyone with no exceptions. I am asking each of you to signify your acceptance and acknowledgement of this requirement and if you cannot accept this, you will not be invited to participate in the executive session meeting.” It was questioned if the Board president or designee could report to the city council quarterly instead of having an ex-officio city appointee on the Board. Unfinished Business: Brookings Economic Development Corporation: President Roberts brought a letter from the Brookings Economic Development Corporation asking for a 5-year funding commitment from Brookings Health Systems. A motion was made by Jones, seconded by Olson to commit to 5-year funding of $50,000 annually to the Brookings Economic Development Corporation. The importance of continued economic and health care services growth in this community was discussed. The increased interest income gained through city management of facility investments was noted. The motion was amended to only allow interest income generated from the investments being managed by city finance be used for this investment. No money generated by the provision of patient care services will be used for this investment. Wicks abstained and all other Board members present voted in favor of the motion. WellAHEAD: Administrator Waltz stated that Vern Carda has received all WellAHEAD information so he will be up to speed on this concept. Reduced bed size –CEO Waltz and CFO Coffey have talked to the Division of Licensure at the State Health Department. There is no down side to reducing the number of licensed beds here in order to qualify for programs that will allow us to further improve the facility and services offered. It was recommended on a motion by Evers, seconded by Blazey to reduce our licensed beds from 61 to 49. All members present voted in favor of the motion. Inpatient/Outpatient registration: CFO Coffey gave an overview of changes made in office assignments to improve traffic flow for patients. Scheduled admissions and outpatient diagnostic and therapeutic services are being registered in the front entrance office area. E.R. and same day surgery patients continue to be admitted through the E.R Renovation has started on the new DXA room. The DXA scanner is schedule to arrive on May 18. The demonstration privacy room is being set up. Critical access: CFO Coffey presented occupancy statistics with attention to Critical Access requirements. He reported from the first of the year we have shown 12% of patient days with more than 25 overnight patients. We will continue to monitor census until the end of June to decide if critical access is right for our organization. East Central Multi-District: Administrator Waltz stated that we need to resume the payment we pledged to East Central Multi-District for funding of programs that bring students into health care careers. He reported we have committed support through the end of the school year. This support could be viewed as a contribution to the tax base from which we are exempt. New Business: CEO Waltz distributed a proposal for strategic planning for Brookview Manor. He recommended we designate separate strategic planning committees for the Hospital and the Manor to maintain focus on the unique needs of each. He stated he has a dream for long term care in Brookings. The facilities providing care are well run but care is being provided in ageing plants. His dream is that Brookview Manor and the United Retirement Center will get together and build a new replacement facility that is designed to meet current standards and future needs for that population in the community. Reading and Information: Board members received for reading and information: Minutes from Executive Committee; thank you letter from American Legion Auxiliary Girls State; Welcome Coffee for Vern Carda on May 2; and Invitation to Employee Appreciation Picnic – May 10. Comments: President Roberts reported the Board’s appreciation for the service provided by Mr. Waltz. She stated this is his last meeting. He has not acted as an interim CEO but has done everything with gusto. His efforts will make an easier transition for Vern Carda. Mr. Waltz was applauded by the Board. President Roberts read the Executive Session acknowledgment drafted by Mr. Helsper and polled each Board member regarding their pledge to maintain confidentiality of the pending executive session. The Board went into executive session at 9:15 p.m. on a motion by Jones and seconded by Evers The Board came out of executive session at 9:32 p.m. on a motion by Jones and seconded by Evers. It was recommended Mr. Waltz be paid a $25,000 CEO recruiting fee on a motion by Wicks and seconded by Olson. All members present voted in favor of the motion. There being no further business, there was a motion by Jones, seconded by Olson to adjourn at 9:37 p.m. All members present voted in favor of the motion. Respectfully submitted, ____________________________ Dianna Evers, Secretary