HomeMy WebLinkAboutBHSMinutes_2018_09_20
Brookings Health System
Board of Trustees
September 20, 2018
Board of Trustees:
Present: Walt Wosje, James Morgan, Sheila Anderson (via ph.), Lynn Darnall, Bill Davidson
(via ph.), Andrew Ellsworth, Daryl Englund, Dick Peterson and Justin Sell; Ex-Officio: Dan
Hansen
Absent: Ex-Officio Mary Kidwiler and Ryan Krogman
Management: Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO; and Sheri
Wiig, recorder
President Wosje called the meeting to order at 5:30 p.m.
INVITED GUESTS
David Flicek, President & CEO, Avera McKennan Hospital and Chief Administrative Officer,
Avera Medical Group along with Patrick Siegling, Clinic Director, Avera Medical Group
Brookings were introduced and welcomed. Flicek and Siegling presented a PSA (Provider
Service Agreement) Review and an Avera Executive Update. Since its inception in 2014, the
PSA has benefited Brookings by providing better integration within the community,
recruitment of specialty services and assures quality and compliance with the State
Department of Health rules and regulations. From a financial perspective, 2018 has been a
year of lower provider visits, higher expenses due to the continued cost increase of
pharmaceuticals (mainly chemotherapy drugs which at times can be $10k per dose) and
labor costs. Action plans are in place to address the financial challenges and leadership is
hopeful for a strong finish to 2018. Flicek also presented plans for future Avera system
updates which include Avera on Louise Health Campus, Avera Addiction Center, an updated
McKennan Inpatient Rehab Unit and Intensive Care Unit.
President Wosje thanked Flicek and Siegling for their informative presentation and stated
the Board of Trustees and Brookings Health System is looking forward to continued
success with the PSA. Flicek and Siegling exited the meeting at 6:30 pm
CONSENT AGENDA
A motion was made by Englund, second by Darnall to approve the agenda and the following
consent agenda items: August 27, 2018 Board of Trustees meeting minutes and August 15,
2018 Medical Executive Committee meeting minutes.
INFORMATIONAL ITEMS
Articles of interest included “Complete Care”, Modern Healthcare and “Rural ACO’s avoided
downside risk, saved Medicare big money”, Modern Healthcare.
REPORTS
Operational
CEO Report
Merkley noted the employee engagement survey has been completed. A meeting is
scheduled next month with Integrated Healthcare Strategies who will provide further
feedback on results to Senior Leadership and Directors. Initial scores appear very good
with some opportunity to improve in a few areas. Results and action plans will be shared
with the board in October or November.
CFO Report
Due to the fact the Finance Committee Meeting was canceled for September, Wagner
shared August financials were positive overall; net operating income was approximately
$500k and investment income was $272k. The interim cost report is in process with Eide
Bailly and the 2019 Capital Budget will be brought forth to the board in October.
New Hires:
Starling, Maria $10.50; Price, MaRita $29.50; Hagen, Brenna $25.75; Gross, Nicole R. $10.50; Bell, Kristy $18.25; Wika, Kayley $12.86; Voss,
Tate $10.50; Zamow-Laney, Vicki $30.00; Blankenfeld, Deniz $28.50; Taylor, Kendra $12.00; Drealan, Samantha $30.50; Kunkel, Hannah
$12.00; Light, Kylie $10.50; Leuthold, Torrie $12.00
Status Changes:
Jacobson, Lanna $17.00; Wingle, Deb $16.00; Duran, Cheryl $15.23; Olson, Kathleen $12.00; Brown, Cole $12.00; Goeman, Nicholas $12.00;
Jensen, Kandi $18.06; Perry, Joyce $21.00; Forest, Rory $12.00; Chandler, Jennifer $32.02; Norgaard, Dezarae $16.29; Steffensen, Kaitlyn
$12.00; Kennedy, Megan $24.00; Jerstad, John $168.89; Horsley, Nathan $17.98; Nordbye, Nina $13.63; Zobel, Kris $29.25; Norgaard,
Marshall $12.48; Fossum, Allison $12.23; Sand, Michelle $28.87; Berg, John $11.24; Loy, Justin $27.60; Wright, Jessica $11.22; Hartung,
Steve $17.02; Gummer, Monte $13.09; Coull, Louise $35.71; Dixon, Carleen $21.03; Poppen, Tracy $14.51; Papiernik, Tom $18.68; Hunter,
Chase $12.96; Long, Wendy $22.51; Kelzer, Penny $13.80; Miskinis, Agne $13.12; Miller, Donna $18.12; Janssen, Ashley $17.51; Olson,
Sandy $19.72; Paul, Christina $19.37; Anderson, April $15.56; Granum, Teresa $34.68; Johannsen, Matt $22.95; Lee, Julie $15.09; Hagen,
Olive $17.51; Harney, Sharon $11.48; Bauman, Randi $26.53; Halseide, Alyssa $14.86; Selleck, Vickie $14.52; Callies, Kodi $34.58; Sumner,
Ashley $15.39; Froiland, Nicole $27.54; Williams, Oceana $12.34; Spilde, Karen $16.26; Palm, Amber $12.75; Gonda, Tiffany $25.50; Larsen,
Shawna $17.35; Bothwell, Lindsey $33.15; Audus, Jodi $13.01; Crooks, Laura $22.59; KC, Bikash $16.54; Halseide, Stanley $39.26; Velasco,
Jose $14.75
CNO Report
Hillestad provided further information regarding Remote Pharmacy Services for the first
dose verification program which is in its third week of operation. Brookings Health System
has chosen to partner with Cardinal Health for this regulatory requirement. CMS conditions
of participation dictate that medication orders are to be reviewed by a pharmacist prior to
the first dose being dispensed occurring during non-Pharmacy staffed hours.
Board Committee Reports
Administrative Committee:
Committee member Morgan provided a report; the Administrative Committee met on
September 17, 2018. Topics of discussion included Bartley Optical, SDAHO Annual
Convention, AHA Rural Health Care Leadership Conference, Scooter’s Coffee and Board
Member Terms/Reappointments.
Building Committee:
Committee Chair Englund provided a report; the Building Committee met on September 17,
nd
2018. Topics of discussion included the Ambulance Station & Education Center, 2 Floor
Medical Plaza Proposals and Scooter’s Coffee Shop.
Quality Committee:
Committee Chair Ellsworth provided a report; the Quality Committee met on September
17, 2018. Topics of discussion included Q2 2018 Infection Control & Patient and Resident
Safety, Outpatient Core Measures, LEAN/Value Analysis Team Project Update and Rural
Health Clinic Quality Review.
OLD BUSINESS
Prairie Vista Care Organization
Merkley noted as previously mentioned by David Flicek and Patrick Siegling, Brookings
Health System and other facilities are doing very well in the current ACO environment.
Brookings Health System is one of the highest quality and lowest cost providers in the
Prairie Vista Care Organization year-to-date.
NEW BUSINESS
Medical Staff Credentialing
A motion was made by Ellsworth, second by Morgan to approve the credentialing and re-
credentialing as recommended by the Medical Executive Committee.
Action: All present voted yes; Motion carried.
AHA Rural Healthcare Leadership Conference
rd
Merkley shared the AHA Rural Health Care Leadership Conference will be held February 3
th
through the 6 2019. Attendance is available to any board member who would like to participate.
Board members from Watertown and Madison are also planning to attend. Please let Wiig know
if you are interested.
Other
th
Merkley mentioned the 4 annual physician appreciation event is in the planning phase and will
be held in November. Formal invitations will be sent once a date and location are determined.
Upon motion by Peterson, second by Englund the meeting adjourned at 6:54 p.m.
Respectfully submitted,
_________________________________________
Sheila Anderson, Secretary