HomeMy WebLinkAboutBHSMInutes_2019_09_30
Brookings Health System
Board of Trustees
September 30, 2019
Board of Trustees:
Present: James Morgan, Daryl Englund, Sheila Anderson, Lynn Darnall, Bill Davidson, Andrew
Ellsworth, Dick Peterson, Justin Sell and Walt Wosje; Ex-Officio: Dan Hansen, Leah Brink and Ryan
Krogman
Management: Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO; and Sheri Wiig,
recorder
President Morgan called the meeting to order at 5:10p.m.
INVITED GUEST – Patrick Siegling, Clinic Director, Avera Medical Group
Merkley welcomed and introduced Patrick Siegling. Siegling presented a high level, year in review
and future outlook of the PSA (Professional Services Agreement) with Avera Medical Group
Brookings. For new board members and recap for others, the PSA is an agreement where Avera
leases professional services to a venture which is 50% owned by Brookings Health System. The
arrangement allows for collaboration and enhanced revenue capture through provider-based
billing. Medicare offers additional reimbursements to clinics that are part of a hospital and in
return, delivery of higher quality care is expected. Currently, at Avera Medical Group Brookings,
there are 34 physicians and APP’s (Advanced Practice Providers) in 11 specialties; lab, radiology,
physical therapy; 2 locations (Primary & Specialty); 164 employees; and, 95,000 patient visits per
year.
From a financial perspective, volumes have grown 1.6% versus 2018. Much of the growth is due to
Orthopedic, OB/GYN and ENT services. However, since the inception of the PSA in 2014, drug costs
have doubled and are eroding margins. A lengthy discussion took place regarding the significant
cost increase of pharmaceuticals (mainly chemotherapy drugs). Leadership is researching different
avenues to address this financial challenge.
The PSA continues to benefit 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. Siegling added, on behalf of David Flicek, who could not attend this
evening, Avera has a great partnership with Brookings Health and many great things have been
accomplished including the ability to recruit top physicians and we see this success continuing into
2020 and beyond.
President Morgan thanked Siegling for the informative presentation stating the Board of Trustees
and Brookings Health System are looking forward to continued success with the PSA.
Siegling exited the meeting at 5:47 p.m.
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CONSENT AGENDA
A motion was made by Wosje, seconded by Anderson, to approve the agenda and the following
consent agenda items: August 26, 2019 Board of Trustees meeting minutes, August 2019 Medical
Executive Committee meeting minutes and August 2019 Financials, Adjustments and Payables as
follows:
August 2019 Payables:
(Vendor name and amount)
A-OX WELDING SUPPLY COMPANY, $1,517.47; A-OX WELDING SUPPLY COMPANY, $2,746.71; CARDINAL HEALTH, $2,014.39; CARDINAL
HEALTH, $1,526.59; CARDINAL HEALTH, $733.22; CARDINAL HEALTH, $229.98; AVERA MCKENNAN HOSPITAL, $4,184.88; AVERA MCKENNAN
HOSPITAL, $17,394.98; AVERA MCKENNAN HOSPITAL, $4,911,783.26; AVERA MCKENNAN HOSPITAL, $750.00; AMERICAN SOLUTIONS FOR
BUSINESS, $92.43; DR ANDREW ELLSWORTH, $300.00; AESCULAP INC, $2,228.48; AMICI INC, $115.27; AMICI INC, $673.63; BIO RAD
LABORATORIES, INC., $191.65; AVERA MEDICAL GROUP BROOKINGS, $481.79; BROOKINGS REGISTER, $200.00; BROOKINGS MUNICIPAL
UTILITIES, $758.35; BROOKINGS MUNICIPAL UTILITIES, $72,359.56; BANNER ASSOCIATES INC, $3,100.00; ID AMERICA, $790.50; JAMES
MORGAN, $400.00; BOUND TREE MEDICAL, LLC, $358.14; BOUND TREE MEDICAL, LLC, $137.43; TRI CITY STAR, $175.00; BARRETT'S FLOORING,
$2,989.08; BROOKINGS AREA CHAMBER OF COMMERCE, $1,805.00; BROOKINGS AREA CHAMBER OF COMMERCE, $1,000.00; CARQUEST AUTO
PARTS, $6.73; CARQUEST AUTO PARTS, $7.65; CARQUEST AUTO PARTS, $10.83; CARQUEST AUTO PARTS, $31.02; CASSLING, $5,375.00; CITY
OF BROOKINGS, $514.06; COOK MEDICAL LLC, $1,379.89; COOK MEDICAL LLC, $141.47; COOK MEDICAL LLC, $214.47; CREST HEALTHCARE
SUPPLY, $262.17; C.R. BARD, $51.00; COOKS WASTE PAPER & RECYCLING, $2,557.48; VERIZON WIRELESS, $1,800.15; CONMED
CORPORATION, $89.61; CULLIGAN, $2,551.41; CENTURY BUSINESS PRODUCTS INC, $3,333.77; CITY OF BROOKINGS LANDFILL, $322.27;
SIEMENS HEALTHCARE DIAGNOSTICS, $1,194.43; SIEMENS HEALTHCARE DIAGNOSTICS, $4,766.64; SIEMENS HEALTHCARE DIAGNOSTICS,
$4,490.81; DJO, LLC, $118.89; SHELLY DEKNIKKER, $420.20; DIRECT SUPPLY, INC., $341.99; DIRECT SUPPLY, INC., $593.93; HIGH POINT
NETWORKS, $953.75; HIGH POINT NETWORKS, $262.50; EINSPAHR AUTO PLAZA INC, $107.60; FEDEX, $457.48; FLOWERS ON MAIN, $280.00;
FLOWERS ON MAIN, $312.50; FARMER BROS. CO, $285.66; FISHER HEALTHCARE, $459.30; FISHER HEALTHCARE, $1,320.32; CARDINAL HEALTH
414, LLC, $1,544.57; CARDINAL HEALTH 414, LLC, $2,232.41; CARDINAL HEALTH 414, LLC, $2,079.11; CARDINAL HEALTH 414, LLC, $6,865.21;
GRAYBAR ELECTRIC COMPANY INC, $26.72; GRAYBAR ELECTRIC COMPANY INC, $30.10; GRAYBAR ELECTRIC COMPANY INC, $280.34; HAUGE
ASSOCIATES INC, $140.73; HOBART SALES & SERVICE, $353.66; HY-VEE INC, $50.00; HY-VEE INC, $18.30; HY-VEE INC, $3,731.43; NETWORK
SERVICES COMPANY, $5,357.90; NETWORK SERVICES COMPANY, $2,005.60; NETWORK SERVICES COMPANY, $1,969.26; NETWORK SERVICES
COMPANY, $2,973.45; NETWORK SERVICES COMPANY, $5,063.93; STRYKER ORTHOPEDICS, $20,244.58; STRYKER ORTHOPEDICS, $41,679.35;
STRYKER ORTHOPEDICS, $17,684.51; STRYKER ORTHOPEDICS, $2,212.88; STRYKER ORTHOPEDICS, $31,304.50; HEALTH CARE LOGISTICS,
INC, $24.60; ALLEGRA PRINT & IMAGING, $539.95; ALLEGRA PRINT & IMAGING, $2,438.94; ALLEGRA PRINT & IMAGING, $198.09; ALLEGRA PRINT
& IMAGING, $437.57; ITC TELECOM, $184.49; RON OLSON, $50.00; CONCORDANCE HEALTHCARE SOLUTIONS, $85.41; CONCORDANCE
HEALTHCARE SOLUTIONS, $76.67; CONCORDANCE HEALTHCARE SOLUTIONS, $32.31; LYNNE KAUFMANN, $25.52; THE STAYWELL COMPANY,
LLC, $430.00; ENCOMPASS GROUP, LLC, $437.13; ENCOMPASS GROUP, LLC, $1,291.44; CPSI, $7,244.19; MEDELA, $273.00; MEDLINE
INDUSTRIES INC, $3,114.18; MEDLINE INDUSTRIES INC, $1,060.50; MEDLINE INDUSTRIES INC, $1,980.43; BOSTON SCIENTIFIC CORPORATION,
$5,906.18; BOSTON SCIENTIFIC CORPORATION, $574.73; MIDWEST GLASS, INC., $50.00; KOOL BEANS COFFEE, $126.50; KOOL BEANS COFFEE,
$234.60; KOOL BEANS COFFEE, $125.25; MONARCH SALES COMPANY, INC., $1,115.36; MEDIBADGE INC, $23.93; MEDIBADGE INC, $34.94; KONE
INC, $1,286.09; JAN OLSON, $18.56; OLYMPUS AMERICA INC, $2,794.50; OLYMPUS AMERICA INC, $2,256.10; OLYMPUS AMERICA INC, $2,892.61;
CHESTERMAN COMPANY, $203.20; CHESTERMAN COMPANY, $185.50; CHESTERMAN COMPANY, $216.90; CHESTERMAN COMPANY, $118.90;
CHESTERMAN COMPANY, $63.00; PAN O GOLD BAKING COMPANY, $133.46; PAN O GOLD BAKING COMPANY, $132.34; PAN O GOLD BAKING
COMPANY, $133.46; PAN O GOLD BAKING COMPANY, $33.26; PAN O GOLD BAKING COMPANY, $206.54; PHYSICIANS LABORATORY, LTD,
$6,431.00; PHYSICIANS LABORATORY, LTD, $3,207.88; MERRY X-RAY CORPORATION, $241.39; PRAIRIE GRAPHICS, INC, $36.00; PRAIRIE
GRAPHICS, INC, $180.00; PRECISION LENS, $1,376.00; PRECISION LENS, $2,823.50; PRECISION LENS, $1,003.10; PRECISION LENS, $2,408.00;
SHEILA ANDERSON, $300.00; ABBOTT LABORATORIES, $727.71; ABBOTT LABORATORIES, $772.18; ABBOTT LABORATORIES, $31,836.75;
RUNNINGS SUPPLY INC., $32.97; RUNNINGS SUPPLY INC., $8.98; RUNNINGS SUPPLY INC., $29.96; RUNNINGS SUPPLY INC., $1,663.81;
RESPIRONICS, $27.00; REMEL INC, $1,472.40; REMEL INC, $738.32; REMEL INC, $370.33; REMEL INC, $1,970.01; STRYKER SALES CORP.,
$5,678.36; STRYKER SALES CORP., $1,088.55; STRYKER SALES CORP., $1,610.30; STRYKER SALES CORP., $2,345.00; STRYKER SALES CORP.,
$10,282.13; MELBY PHOTOGRAPHY, $59.00; MELBY PHOTOGRAPHY, $15.00; SWIFTEL COMMUNICATIONS, $6,988.79; STRYKER ENDOSCOPY,
$668.90; STRYKER ENDOSCOPY, $2,143.89; STRYKER ENDOSCOPY, $3,967.42; STRYKER ENDOSCOPY, $668.90; TWO WAY SOLUTIONS INC.,
$651.95; STERIS CORPORATION, $135.45; STERIS CORPORATION, $814.48; MUSIC THERAPY EMPOWERS, LLC, $220.00; MIDWEST UROLOGIC
STONE UNIT, $2,250.00; BROTHERS PHARMACY & GIFTS, $4,206.62; SMITHS MEDICAL ASD, INC, $150.85; SMITHS MEDICAL ASD, INC, $522.38;
PERFORMANCE HEALTH SUPPLY, INC, $73.10; PERFORMANCE HEALTH SUPPLY, INC, $17.85; TRI-ANIM HEALTH SERVICES, INC, $109.99;
TOWN & COUNTRY SHOPPER, $480.00; ALPHAMEDIA USA, LLC, $6,835.00; UNITED PARCEL SERVICE, $109.88; AGILITI HEALTH, INC, $24,118.66;
AGILITI HEALTH, INC, $38,388.26; COLLECTIONS SERVICES CENTER, $201.69; COLLECTIONS SERVICES CENTER, $201.69; COLLECTIONS
SERVICES CENTER, $201.69; MEDTRONIC USA INC, $1,090.65; MEDTRONIC USA INC, $4,627.79; MEDTRONIC USA INC, $169,756.56; MEDTRONIC
USA INC, $428.62; ZIMMER US, INC, $704.00; SHAFAWN WESTON, $500.00; BAYMEDICAL PRODUCTS, $227.80; BAYMEDICAL PRODUCTS,
$225.52; AUSTREIM LANDSCAPING, $3,500.00; WELLS FARGO VENDOR FIN SERV, $662.00; LYNETTE RICHARZ, $261.58; PINESTAR
TECHNOLOGY INC, $350.00; COURTESY PLUMBING, INC., $25.50; COURTESY PLUMBING, INC., $178.50; TELEFLEX MEDICAL INC, $2,419.50;
FREESTAR HEALTHCARE STAFFING, INC, $3,794.38; FREESTAR HEALTHCARE STAFFING, INC, $3,143.90; FREESTAR HEALTHCARE STAFFING,
INC, $1,218.74; HCPRO, $3,499.00; DR CATHERINE LEADABRAND, $191.40; WILSON OPHTHALMIC CORP., $127.00; JOERNS HEALTHCARE,LLC,
$34.07; JOERNS HEALTHCARE,LLC, $322.72; REVSPRING, INC, $2,571.15; KATENA PRODUCTS INC., $168.00; GALLS, LLC,-DBA NEVE'S
UNIFORMS, $465.90; MADISON COMMUNITY HOSPITAL, $1,500.00; NHPCO, 2019 IDC REGISTRATION, $620.00; MIX DRY CLEANERS, INC.,
$180.00; MIKE DEITSCHMAN, $75.00; TRUGREEN LIMITED PARTNERSHIP, $698.88; MEDIACOM, $3,234.81; MEDIACOM, $8.47; ROVE STAFFING,
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LLC, $3,328.75; ROVE STAFFING, LLC, $6,157.50; ROVE STAFFING, LLC, $4,808.45; ROVE STAFFING, LLC, $1,251.25; ROVE STAFFING, LLC,
$2,075.00; NATIONAL MEDICAL RESOURCES, INC, $936.92; NATIONAL MEDICAL RESOURCES, INC, $936.92; AVERA HEALTH, $500.00; AVERA
HEALTH, $4,116.00; AVERA HEALTH, $3,605.00; INTELLIPRO SECURITY, LLC, $1,221.40; INTELLIPRO SECURITY, LLC, $11,225.00; OXYRASE, INC.,
$219.19; OXYRASE, INC., $167.64; BECTON, DICKINSON AND COMPANY, $240.78; DAKOTA TRUCK UNDERWRITERS, $21,997.45; DAKOTA TRUCK
UNDERWRITERS, $6,399.00; HAYLEY PERREAULT, $104.40; BROOKINGS AREA TRANSIT, $1,000.00; BETH NEMMERS, $142.10; BEAVER-VISITEC
INTERNATIONAL, INC, $96.44; LANGUAGE LINE SERVICES, INC, $249.50; JOANN PAULSON, $1,421.68; PLATINUM CODE, $155.28; ALLEN
MEDCIAL SYSTEMS INC, $454.81; FFF ENTERPRISES, INC, $5,634.48; YOUNG DOOR SERVICE, $178.52; MVAP MEDICAL SUPPLIES INC., $52.50;
NORTHWESTERN ENERGY, $104.78; NORTHWESTERN ENERGY, $1,608.65; NORTHWESTERN ENERGY, $75.89; DR NATALIE OWENS-SLOAN,
$430.85; SARSTEDT, INC., $234.90; SARSTEDT, INC., $211.11; SARSTEDT, INC., $153.94; SARSTEDT, INC., $144.93; SARSTEDT, INC., $673.32;
NOVA BIOMEDICAL, $1,019.00; EKERN HOME EQUIPMENT COMPANY, $3,810.00; FRAGRANCE MARKETING GROUP, LLC, $1,035.58; DARWIN
HUSBY, $50.00; ARJO INC, $850.20; ARJO INC, $659.10; RICHARD J JUENEMAN, $1,000.00; STEP SAVER INC, $229.50; STEP SAVER INC, $251.18;
JAMIE HALVORSON, $73.66; AVERA MCKENNAN HOSPITAL, $24.29; AVERA MCKENNAN HOSPITAL, $21.40; SHERWIN-WILLIAMS, $43.12;
SHERWIN-WILLIAMS, $56.58; LEANIN' TREE INC., $316.01; CREDIT-COLLECTIONS-BUREAU, $6,293.36; DEAN FOODS NORTH CENTRAL, $362.18;
DEAN FOODS NORTH CENTRAL, $403.49; DEAN FOODS NORTH CENTRAL, $267.98; DEAN FOODS NORTH CENTRAL, $303.84; DEAN FOODS
NORTH CENTRAL, $290.93; BUSINESS CARD, $18,259.72; MCKEEVER INC., $358.15; MCKEEVER INC., $489.05; MCKEEVER INC., $1,017.40;
KAREN WEBER, $28.90; BRIAN DETMERS, $150.00; BRIAN DETMERS, $100.00; CHARLOTTE BACHMAN, $437.50; FASTENAL COMPANY, $198.99;
WAPITI MEDICAL GROUP, LC, $2,148.46; WAPITI MEDICAL GROUP, LC, $678.28; SLEEP CENTER SERVICES, LLC, $975.00; DENISE LARSON,
$113.96; TGB BRANDS, $2,355.00; TGB BRANDS, $186.00; DEDICATED INVESTMENT GROUP, $948.50; KYLA HUNTIMER, $577.96; LEWIS DRUG,
INC., $196.51; CHELSEY SUNDBERG, $55.00; NORTHLAND REHAB SUPPLY, $4,177.39; WW TIRE SERVICE INC., $85.55; WW TIRE SERVICE INC.,
$385.68; WW TIRE SERVICE INC., $255.94; CREATIVE PRINTING, INC, $2,461.28; CREATIVE PRINTING, INC, $373.58; MIMEDX GROUP, INC,
$299.50; MIMEDX GROUP, INC, $299.50; KRISTEN ZOBEL, $394.10; PEDICRAFT INC., $325.00; XIGENT SOLUTIONS LLC, $5,067.50; ORTHO-
CLINICAL DIAGNOSTICS, INC., $397.95; ORTHO-CLINICAL DIAGNOSTICS, INC., $888.02; ORTHO-CLINICAL DIAGNOSTICS, INC., $397.95; APPLIED
MEDICAL, $980.00; NATUS MEDICAL, INC, $1,700.00; CULINEX, $304.21; C.R. BARD PERIPHERAL, $1,574.09; CUMMINS INC, $2,981.18; MOTION
PICTURE LICENSING CORP, $165.67; BP OF BROOKINGS, INC, $1,057.07; BAYER HEALTHCARE, $2,156.28; BAYER HEALTHCARE, $924.12; NINA
NORDBYE, $471.54; BREG, INC., $622.79; BREG, INC., $355.88; PESTS B DEAD LLC, $67.50; MITEL CLOUD SERVICES, $931.76; DAKOTA DATA
SHRED, INC, $205.06; STRYKER MEDICAL, $889.20; STRYKER MEDICAL, $12,069.04; COUNTRY VIEW UPHOLSTERY, $1,220.00; STERICYCLE,
INC., $1,009.51; PAPA JOHN'S OF BROOKINGS, $52.95; ACCOUNTS MANAGEMENT, $562.25; SDHCA, $169.50; DARYL ENGLUND, $300.00; KELLY
PODHRADSKY, $390.92; DRAEGER INC, $910.27; OTIS ELEVATOR COMPANY, $194.54; ROBERT HYK, $750.00; SWIFTEL CENTER, $4,750.00; US
DEPARTMENT OF EDUCATION, $92.82; US DEPARTMENT OF EDUCATION, $91.38; US DEPARTMENT OF EDUCATION, $78.75; CREDIT
COLLECTIONS BUREAU, $116.70; CREDIT COLLECTIONS BUREAU, $116.70; CREDIT COLLECTIONS BUREAU, $116.70; DELTA DENTAL OF
SOUTH DAKOTA, $20,603.96; VOYA RETIREMENT INS & ANNUITY CO, $15.50; AFLAC GROUP INSURANCE, $301.66; AFLAC GROUP INSURANCE,
$452.49; FIRST BANK AND TRUST, $265.00; FIRST BANK AND TRUST, $265.00; FIRST BANK AND TRUST, $265.00; BROOKINGS AREA UNITED
WAY, $221.35; BROOKINGS AREA UNITED WAY, $220.35; BROOKINGS AREA UNITED WAY, $220.35; SDRS SPECIAL PAY PLAN, $920.03; SD
SUPPLEMENTAL RETIREMENT PLAN, $5,145.77; SD SUPPLEMENTAL RETIREMENT PLAN, $5,145.77; SD SUPPLEMENTAL RETIREMENT PLAN,
$5,145.77; SOUTH DAKOTA RETIREMENT SYSTEM, $252,938.66; DIVISION OF CHILD SUPPORT, $435.70; DIVISION OF CHILD SUPPORT, $435.70;
DIVISION OF CHILD SUPPORT, $435.70; PRESS GANEY ASSOCIATES, INC, $3,359.72; KELLI'S GIFT SHOP SUPPLIERS, $506.36; DR NAZIR
DELAWAR, $134.56; SIGMA-ALDRICH, $29.60; HOLOGIC, $3,413.00; BROOKINGS ECONOMIC DEV CORP, $25,000.00; OMNICARE, INC, $205.92;
BLEND INTERACTIVE, $1,450.00; BROWN'S MEDICAL IMAGING, $11,040.00; PHILIPS HEALTHCARE, $82.53; KATY VANDERWAL, $202.50;
SANFORD HEALTH OCCUPATIONAL, $20.00; LOWE'S, $758.89; LOWE'S, $579.22; HILL REFRIGERATION, $765.50; BAXTER HEALTHCARE CORP,
$3,148.55; BAXTER HEALTHCARE CORP, $1,719.02; BAXTER HEALTHCARE CORP, $287.10; BAXTER HEALTHCARE CORP, $1,459.43; BAXTER
HEALTHCARE CORP, $5,021.85; DEB AALDERKS, $243.88; VERATHON INC., $741.03; LYNNE THOMPSON, $73.08; DORNIER MED TECH AMERICA,
INC., $1,971.00; LINDSEY BOTHWELL, $161.45; ABILITY NETWORK INC, $166.95; SANFORD HEALTH, $364.92; JACLYN BOLDT, $157.00; AVERA
HOME MEDICAL EQUIPMENT, $452.80; RICHARD H PETERSON, $300.00; NELSON DRUG, INC, $114.40; RUSHMORE SERVICE CENTER, LLC,
$63.40; ASHLEY ENGELSTAD, $499.08; ADVANCED ASSET ALLIANCE, $14,369.77; CITY OF WHITE, $72.19; CITY OF WHITE, $91.99; MEDICAL
INFORMATION TECHNOLOGY, INC, $11,456.00; SCA PHARMACEUTICALS, LLC, $366.00; STATE HYGIENIC LABORATORY-ACCT REC, $93.00;
SAFE SITTER, INC., $475.00; CITY OF VOLGA, $272.00; DUANE THOMPSON, $75.00; C.R. BARD DAVOL, $348.69; BUHL'S CLEANERS, $740.80;
BOB'S PIANO SERVICE, INC., $440.00; DR ANDREW J CHONTOS, $9,335.40; DR MARK A VOSSLER, $30,240.00; KIMBERLY GRAY, $87.00;
FOERSTER OFFICE & JANITORIAL SUPPLY, $165.90; FOERSTER OFFICE & JANITORIAL SUPPLY, $667.40; FOERSTER OFFICE & JANITORIAL
SUPPLY, $525.80; FOERSTER OFFICE & JANITORIAL SUPPLY, $872.50; JESSE WALSH, $274.92; MEDTOX LABORATORIES, INC, $105.00; THE
UPS STORE, $42.00; RICHARD-EWING EQUIPMENT CO INC, $182.81; WALMAN OPTICAL, $6,032.46; ACCOUNTS MANAGEMENT INC, $280.00;
ACCOUNTS MANAGEMENT INC, $280.00; ACCOUNTS MANAGEMENT INC, $280.00; ARTHREX, INC, $2,250.00; ARTHREX, INC, $2,015.00; KCI USA,
$120.23; KIBBLE EQUIPMENT, $74.63; SHARI KLEINJAN, $564.04; AT ANALYTICAL, INC., $962.11; RANDI BAUMAN, $743.84; ZEBRA
TECHNOLOGIES INTERNATIONAL, $621.00; ZEBRA TECHNOLOGIES INTERNATIONAL, $680.00; BRACCO DIAGNOSTICS INC., $815.28; BRACCO
DIAGNOSTICS INC., $667.48; BRACCO DIAGNOSTICS INC., $1,098.97; TRANSMED, INC, $2,668.00; NICK'S HAMBURGER SHOP, $1,984.67;
PRECISION OPTICS, INC., $53.75; PRAIRIE LANES INC., $1,550.00; UNITED ACCOUNTS, INC., $25.00; UNITED ACCOUNTS, INC., $25.00; UNITED
ACCOUNTS, INC., $25.00; ALLERGAN USA, INC., $2,648.00; ALLERGAN USA, INC., $1,324.00; ALLERGAN USA, INC., $978.50; ALLERGAN USA,
INC., $2,001.00; VOYAGER FLEET SYSTEMS, INC., $2,198.75; SILVER SCREEN ADVERTISING, $300.00; ICU MEDICAL, INC., $440.16; INTERSTATE
ALL BATTERY CENTER, $46.50; BAUSCH & LOMB SURGICAL, $145.06; BAUSCH & LOMB SURGICAL, $436.96; BAUSCH & LOMB SURGICAL,
$3,011.20; F.M. ACOUSTICAL TILE, $332.64; VOCERA COMMUNICATIONS, INC, $32,848.00; INTEGRA LIFESCIENCES CORPORATION, $98.98;
ALCON LABORATORIES, INC., $2,848.14; ALCON LABORATORIES, INC., $2,848.14; ALCON LABORATORIES, INC., $3,137.74; QUALIFIED PRESORT
SERVICE, LLC., $1,759.77; QUALIFIED PRESORT SERVICE, LLC., $6.12; QUALIFIED PRESORT SERVICE, LLC., $1,677.85; MINN-KOTA PEST
SERVICES, INC., $66.00; MINN-KOTA PEST SERVICES, INC., $755.00; MINN-KOTA PEST SERVICES, INC., $457.00; SANFORD HEALTH AHA
TRAINING CENTER, $216.00; SANFORD HEALTH AHA TRAINING CENTER, $105.00; SANFORD HEALTH AHA TRAINING CENTER, $264.00;
MINUTEMAN PRESS, $484.44; MINUTEMAN PRESS, $650.42; UNITED TECHNOLOGIES, $114.00; NCS PEARSON, INC., $209.00; SIOUX FALLS
AQUATICS LLC, $569.00; CENTURYLINK, $17.30; CENTURYLINK, $275.20; CENTURYLINK, $87.55; ARLINGTON MUNICIPAL UTILITIES, $279.66;
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AMANDA TROWBRIDGE, $25.00; INTERSTATE OFFICE PRODUCTS, $197.09; INTERSTATE OFFICE PRODUCTS, $5,390.44; INTERSTATE OFFICE
PRODUCTS, $348.64; INTERSTATE OFFICE PRODUCTS, $383.57; INTERSTATE OFFICE PRODUCTS, $226.43; QIAGEN INC., $1,490.74; LAURA
CROOKS, $431.52; MEDARY CREEK SPORTING CLAYS, $2,592.00; BROOKINGS HEALTH SYSTEM FOUNDATION, $1,707.13; DVL FIRE AND
SAFETY, $395.50; WRIGHT MEDICAL TECHNOLOGY, INC, $1,990.00; DR JOHN JERSTAD, MD, $2,475.08; ABB OPTICAL GROUP, $2,096.48; SMITH
& NEPHEW, INC, $2,712.00; SMITH & NEPHEW, INC, $258.56; JOHNSON CONTROLS, INC, $376.58; GREGG TEBEEST, $224.06; KRAVE INC,
$740.00; MEDIVATORS, $1,100.00; MEDIVATORS, $1,240.00; MITCHELL PAINTING, $382.50; SURGICAL SPECIALTIES CORPORATION, $299.16; 9
CLOUDS MARKETING GROUP, LLC, $1,168.11; 9 CLOUDS MARKETING GROUP, LLC, $2,725.00; L.G. EVERIST, INC, $77.72; CONTROL
TECHNOLOGY, $288.00; BRUCE DYSTHE, $50.00; BRUCE DYSTHE, $50.00; JULIA YODER, $125.00; MARCO TECHNOLOGIES, LLC, $357.92;
MEDTOX DIAGNOSTICS, INC, $622.00; MEDTOX DIAGNOSTICS, INC, $620.00; DELORIS INTERMILL, $50.00; DELORIS INTERMILL, $50.00;
MARILYN HILDRETH, $210.00; JUSTIN G SELL, $300.00; WALTER WOSJE, $300.00; AVESIS, $3,335.07; AVESIS, $3,348.74; EMERGENCY
EDUCATION, $350.00; BROOKINGS COUNTRY CLUB, $100.00; FERGEN'S CLOTHING, $14.00; TESSIER'S INC., $10,400.00; LEXIS NEXIS RISK
DATA MANAGEMENT IN, $406.00; DIAGNOSTICA STAGO, INC, $1,669.41; MIDCONTINENT COMMUNICATIONS, $1,000.00; CAREFUSION 2200,
INC., $141.87; CAREFUSION 2200, INC., $377.06; CAREFUSION 2200, INC., $10,037.17; CAREFUSION 2200, INC., $1,503.15; MCKESSON MEDICAL
SURGICAL INC, $1,069.96; MCKESSON MEDICAL SURGICAL INC, $411.21; MCKESSON MEDICAL SURGICAL INC, $1,580.02; MCKESSON MEDICAL
SURGICAL INC, $1,069.17; INTUITIVE SURGICAL INC., $8,709.95; INTUITIVE SURGICAL INC., $3,819.90; INTUITIVE SURGICAL INC., $1,209.95; AMP
ELECTRIC CONSTRUCTION, INC, $136.92; AMP ELECTRIC CONSTRUCTION, INC, $3,533.89; PAJUNK MEDICAL SYSTEMS, $323.00; TSI
INCORPORATED, $1,036.80; COMPUTER PRODUCTS & SUPPLIES, INT'L, $354.00; OWENS & MINOR, $18,025.00; OWENS & MINOR, $15,765.40;
OWENS & MINOR, $18,776.01; OWENS & MINOR, $15,448.06; OWENS & MINOR, $28,103.03; PHEASANTLAND INDUSTRIES, $37.14;
PHEASANTLAND INDUSTRIES, $76.27; BROOKINGS AREA COALITION ON AGING, $25.00; INTERPRE CORPS, $224.46; MIDWEST SPECIAL
INSTRUMENTS, $215.00; MIDWEST SPECIAL INSTRUMENTS, $55.00; WILLIAM R DAVIDSON, $300.00; AFLAC WORLDWIDE HEADQUARTERS,
$8,075.97; NEPHRON 503B OUTSOURCING FACILITY, $240.00; MANDY WILDE, $253.50; 95 AND SUNNY, $95.20; ALADTEC, INC, $1,375.50; OR
SPECIFIC, $408.00; OR SPECIFIC, $408.00; LYNN M DARNALL, $300.00; EQUASHIELD LLC, $890.44; EQUASHIELD LLC, $333.29; K&K INTERIORS,
$282.63; CARDINAL HEALTH, $2,832.00; KALLAS ENTERPRISES LLC, $1,000.00; PICTURA INC, $190.26; ROGER SIMMONS, $49.88; KATELYN
LOVRE, $249.98; JOHNNY ON THE SPOT, INC, $75.00; KIMBERLY CLEVELAND, $426.36; LISA SCHAEFER, $55.36; EMILY VANDERWAL, $677.72;
FARNER-BOCKEN COMPANY, $515.08; TSP, INC, $2,025.00; GIS BENEFITS, $26,894.23; SAMANTHA DREALAN, $466.90; EUROTROL INC., $158.75;
CLINICAL INNOVATIONS, LLC, $230.00; CLINICAL INNOVATIONS, LLC, $150.00; HEALTH & SAFETY INSTITUTE, $194.60; PELLA GATEWAY,
$1,162.58; PELLA GATEWAY, $1,162.58; MOTHER'S MILK BANK OF IOWA, $158.00; DAVID FALCONER, $100.00; DAVID FALCONER, $100.00;
BIOMARKINETICS, LLC, $2,265.00; BIOMARKINETICS, LLC, $3,394.00; ACCUVEIN INC, $5,825.00; PRECISE BIOSCIENCE, LLC, $4,200.00; PRECISE
BIOSCIENCE, LLC, $3,200.00; PRECISE BIOSCIENCE, LLC, $11,300.00; MIKES PROFESSIONAL CARPET CLEANING, $1,500.00; MIKES
PROFESSIONAL CARPET CLEANING, $1,500.00; GARTZKE PRODUCTS INC, $1,731.00; MESSERLI KRAMER PA, $175.76; MESSERLI KRAMER PA,
$125.02; MARCOLIN USA EYEWEAR CORP., $538.50; MODERN OPTICAL INTERNATIONAL, $53.78; CHARMANT USA, $57.63; L'AMAY AMERICA,
$569.50; ASPEX EYEWEAR INC., $1,192.77; ASPEX EYEWEAR INC., $107.94; ASPEX EYEWEAR INC., $352.91; ASPEX EYEWEAR INC., $92.94; DE
RIGO REM, $453.29; DE RIGO REM, $111.90; MILLENNIUM SURGICAL CORP., $408.00; WATER WORKS LLC, $23.50; WATER WORKS LLC, $34.60;
WATER WORKS LLC, $34.60; ALLINA HEALTH SYSTEM, $26.78; INTERSECT ENT, $8,023.02; JESSE BLOMMER, $63.80; EUROPA EYEWEAR,
$75.26; EUROPA EYEWEAR, $17.82; CNS FRAME DISPLAYS, $343.50; CLEARVISION OPTICAL COMPANY, $65.04; CLEARVISION OPTICAL
COMPANY, $198.01; THE MCGEE GROUP, $59.46; THE MCGEE GROUP, $660.22; ACCLARENT, INC., $27,617.71; ACCLARENT, INC., $1,078.19;
DAKOTA AMSS, $30.00; ENTELLUS MEDICAL, INC., $5,094.00; INMAR RX SOLUTIONS, INC., $1,782.48; KATIE GRAEB, $70.00; LIVE EYEWEAR,
$329.35; BRYLEE HENNRICH, $190.82; PEGGY MORRIS FERKUL, $258.68; JOHNSON & JOHNSON VISION CARE, INC., $6.95; JESSE
KUECHENMEISTER, $39.86; THOMPSON ELECTRIC COMPANY, $3,221.10; PRYOR LEARNING SOLUTIONS, INC, $398.00; MELANIE A BROWN,
$6,000.00; MIDWEST EAR, NOSE & THROAT, $53.54; KENMARK EYEWEAR, $1,013.80; CONTINENTAL OPTICAL, $375.48; PATIENT REFUND
CHECKS, $3,793.17; PATIENT REFUND CHECKS, $3,101.82; PATIENT REFUND CHECKS, $649.00; PATIENT REFUND CHECKS, $563.01; PATIENT
REFUND CHECKS, $182.74; PATIENT REFUND CHECKS, $177.78; PATIENT REFUND CHECKS, $157.82; PATIENT REFUND CHECKS, $129.24;
PATIENT REFUND CHECKS, $125.00; PATIENT REFUND CHECKS, $100.00; PATIENT REFUND CHECKS, $51.89; PATIENT REFUND CHECKS,
$37.00; PATIENT REFUND CHECKS, $35.00; PATIENT REFUND CHECKS, $30.00; PATIENT REFUND CHECKS, $20.00; PATIENT REFUND CHECKS,
$18.00; PATIENT REFUND CHECKS, $302.43; PATIENT REFUND CHECKS, $236.11; PATIENT REFUND CHECKS, $198.54; PATIENT REFUND
CHECKS, $150.00; PATIENT REFUND CHECKS, $101.00; PATIENT REFUND CHECKS, $86.40; PATIENT REFUND CHECKS, $80.95; PATIENT
REFUND CHECKS, $61.44; PATIENT REFUND CHECKS, $50.00; PATIENT REFUND CHECKS, $33.02; PATIENT REFUND CHECKS, $25.00; PATIENT
REFUND CHECKS, $25.00; PATIENT REFUND CHECKS, $14.00; PATIENT REFUND CHECKS, $12.50; PATIENT REFUND CHECKS, $8.00; PATIENT
REFUND CHECKS, $4.44; PATIENT REFUND CHECKS, $2.95; PATIENT REFUND CHECKS, $1.00; PATIENT REFUND CHECKS, $0.39; PATIENT
REFUND CHECKS, $6,478.16; PATIENT REFUND CHECKS, $196.50; PATIENT REFUND CHECKS, $100.00; PATIENT REFUND CHECKS, $97.00;
PATIENT REFUND CHECKS, $46.94; PATIENT REFUND CHECKS, $25.32; PATIENT REFUND CHECKS, $17.66; PATIENT REFUND CHECKS, $12.60;
PATIENT REFUND CHECKS, $10.00; PATIENT REFUND CHECKS, $7.16; PATIENT REFUND CHECKS, $1.22; PATIENT REFUND CHECKS, $659.80;
PATIENT REFUND CHECKS, $42.09; PATIENT REFUND CHECKS, $25.00; PATIENT REFUND CHECKS, $19.71; PATIENT REFUND CHECKS, $10.05;
INSURANCE REFUND, $15.05; INSURANCE REFUND, $63.72; INSURANCE REFUND, $63.72; INSURANCE REFUND, $3,158.79; INSURANCE
REFUND, $1,344.49; INSURANCE REFUND, $887.75; INSURANCE REFUND, $191.48; INSURANCE REFUND, $78.48; INSURANCE REFUND, $77.57;
INSURANCE REFUND, $48.93; INSURANCE REFUND, $48.88; INSURANCE REFUND, $24.25; INSURANCE REFUND, $13.25; INSURANCE REFUND,
$1.96; INSURANCE REFUND, $228.15
TOTAL: $6,691,684.27
Action: All present voted yes; motion carried.
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INFORMATIONAL ITEMS
Articles of interest included “New nursing home payment model kicks in next month”, Modern
Healthcare; and, “South Dakota hospital churned through 27 CEO’s in 9 years”, Becker’s Hospital
Review. Merkley noted the new payment model, Patient Driven Payment Model, for The
Neighborhoods at Brookview and all skilled-nursing providers will take effect October 1. Much
work has been done to prepare for this shift in the system which forces facilities to look at not just
short term needs but the complete medical work up and acuity of the resident to capture all medical
needs and ensure appropriate payment for services. The CMS is stating it is a budget neutral
change.
Merkley presented a thank-you note received from Sydney Bormann, recipient of the Brookings
Health System Health Professions Scholarship in SDSU Athletics.
REPORTS
Operational
CEO Report
Merkley shared the conversion to our new patient satisfaction vendor, NRC, will go live tomorrow,
October 1. With this change, we will begin a new PR campaign to stress the importance of
collaboration and cooperation to provide better service to all those in need within our region. Also,
Brookings Health is hosting two Understanding Medicare sessions conducted by SHIINE this week.
Attendance in the last few years has been very good.
CFO Report
Wagner highlighted results of significant growth of annualized surgical totals comparing year over
year since 2014. With the addition of the orthopedic and ENT specialty lines, substantial growth has
taken place from 2017 to present. Wagner also provided an update on progress of 2020 Capital and
Operational budgets.
August New Hires:
Lynanne Gries, $22.67; Kyra Corey, $12.00; Abigail Baker, $12.00; Faith Tetrick, $10.50; Riley Jo Landmark, $12.00; Kalea VandeWiele, $12.00; Kyleigh
Lacaze, $10.50; Mallory Testerman, $10.00; Bryn Tvedt, $10.50; Laree Buskohl, $12.50; Ashley Pearson, $12.00; Alexander Miller, $10.50; Misti Funnell,
$10.50; Isabel West, $11.00; Nadine Samuel, $27.50; Cassie Roth, $20.17; Alexandra Betlach, $13.75; Dana Chapin, $19.00; Dawn Clearwater, $32.50
August Status Changes:
Katelyn Lovre, $14.25; Kendra Dickens, $12.24; Ken Kasak, $18.56; Karen Weber, $54.57; Lynette Richarz, $16.63; Emelia Oines, $14.73; Morgan
Carmody, $12.46; Lindsey Bothwell $33.81; Donna Miller, $18.48; Heather Bortnem; $34.27; Duane Thompson, $39.41; Justine Sauter, $27.57; Courtney
Pates, $25.23; Janie Isham, $30.39; Laura Crooks, $23.04; Eileen Schlotman, $17.26; Kris Zobel, $29.84; Nina Nordbye, $13.90; Erica Sanderson, $27.05;
Teresa Granum; $35.37; Sheryl Pappas, $41.41; Christopher Wangsness, $165.00; Nathan Horsley, $18.34; Tracy Poppen, $14.80; Brittany Knapp, $26.12;
John Jerstad, $174.10; John Berg, $11.46; Marsha Anderson, $15.00; Stacy Knutson, $26.93; Aleycia Gerlach, $30.01; Justin Loy, $28.15; Amber Knox,
$14.00; Julie Lee, $15.39; Kodi Callies, $35.27; Penny Kelzer, $14.08; Sandy Olson, $20.11; Shawna Larsen, $17.70; Jessica Wright, $11.44; Gina
Gonzalez; $11.69; Ashley Janssen, $17.86; Sandra Ruesch, $38.12; Tori Arzdorf, $21.10; Morgan Bolstad, $26.75
CNO Report
Hillestad commented with the conversion to our new patient satisfaction vendor, NRC, Brookings
Health is hoping for higher survey return rates. With the new ability to send electronic surveys, for
some service areas, versus phone surveys, the response is likely to be much better and will,
hopefully, help us reach our quality TeamShare incentive goal. We are also focusing on enhanced
patient education regarding our survey process prior to discharge. Home sleep studies have been
very successful since the new service launched last fall; over 100 studies have been conducted and
sleep studies conducted in the hospital sleep lab remain steady.
5
Board Committee Reports
Administrative Committee:
Committee member Wosje provided a report; the Administrative Committee met on September 24,
2019. Topics of discussion included Meditech Expanse, Board Member Reappointments, PSA/Avera
Medical Group Brookings, Elkton Clinic, Da Vinci Robot, Vision Provider Networks, FY20 Capital
Budget and Brookings Health System Compensation Plan. There were no action items.
Building Committee:
Committee Chair, Englund provided a report; the Building Committee met on September 24, 2019.
nd
Topics of discussion included 22 Avenue Reconstruction, Parking Lots – SW Front BHS Lot/YEC
ndnd
Lot, Yorkshire Plaza, Elkton Clinic and 2 Floor Medical Plaza. Members also toured the 2 floor.
There were no action items.
Finance Committee:
Committee Chair Peterson provided a report; the Finance Committee met on September 25, 2019.
The committee reviewed and approved the payables, adjustments, and financials for August. Other
topics included The Rural Community Hospital Demonstration (RCHD) Program and 2020 Capital
and Operational Budgets.
NEW BUSINESS
Medical Staff Credentialing
A motion was made by Ellsworth, seconded by Peterson to approve the credentialing and re-
credentialing as recommended by the Medical Executive Committee.
Action: All present voted yes; motion carried.
Q2 2019 Performance Dashboards – Hospital & NBV
Merkley reviewed the overall pillars of success (Finance, Growth, People, Quality, and Service)
performance snapshot for the Hospital and The Neighborhoods at Brookview. Q2 2019 trends were
mostly positive with some areas of opportunity. The Neighborhoods at Brookview continues to do
well and remains a 5 star facility, however, there has been a fair amount of turnover for Certified
Nursing Assistants (CNA's). Leadership is working on some creative ideas to help with retention.
Upon motion by Davidson, second by England the meeting adjourned at 6:30 p.m.
Respectfully submitted,
________________________________________
Sheila Anderson, Secretary
6