Syringa General Hospital Board of Trustees Meeting Minutes s2

BOARD OF TRUSTEE MEETING MINUTES January 26, 2015

CALL TO ORDER

The meeting of the Syringa Hospital & Clinics Board of Trustees was called to order at 12:30p.m. by Dave Green; Chairman. It was noted that a quorum was present and that due notice had been sent. Present were:

BOARD MEMBERS HOSPITAL EMPLOYEES Dave Green Joe Cladouhos Twila Hornbeck Betty Watson Richard Tucker Lauren Wilson Al Bolden Yvonne Hoiland Connie McLean Bill Spencer Craig Spencer Katy Eimers Michelle Schaeffer ABSENT Dina Cervantes Dr. Mickey Nelson Dana Groom Judy Salisbury CHIEF OF MEDICAL STAFF Matt Told; DO

APPROVAL OF BOARD MINUTES

Minutes of the December 15, 2014 Syringa Hospital & Clinics Board of Trustees meeting were submitted for approval.

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the December 15, 2014 Syringa Hospital & Clinics Board meeting minutes as mailed.

SWEARING IN CEREMONY

Newly appointed Board member Craig Spencer was sworn in by Dave Green, Syringa Hospital & Clinics Board of Trustee Chairman. Judy Salisbury, Manager of the Health Information Management Department was present to notarize the oath.

FY14 AUDIT REPORT

Tabled until the February Board meeting

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ELECTION OF VICE CHAIR

A motion was made to nominate Twila Hornbeck. There were no other nominations. Twila Hornbeck was elected by unanimous consent.

Secretary/Treasurer- a motion was made to nominate Connie McLean. There were no other nominations. Connie McLean was elected by unanimous consent.

Review Board Committee membership- PI (Performance Improvement) - Al Bolden, Dick Tucker, Craig Spencer Community Relations / Marketing- Connie McLean, Dick Tucker, Dr. Mickey Nelson Finance- Connie McLean (Chair), Al Bolden, Craig Spencer Ethics- Twila Hornbeck (Chair), Al Bolden, Craig Spencer Foundation- Twila Hornbeck (Board liaison) Planning- Twila Hornbeck (Chair), Connie McLean, Dick Tucker Grievance- all Board members

BOARD CONFIDENTIALITY POLICY

No changes were made to the policy. The Board was asked to re-attest as an annual requirement.

BOARD CONFLICT OF INTEREST POLICY

No changes were made to the policy. The Board was asked to re-attest as an annual requirement.

GENERAL DISCUSSION AGENDA ITEMS

1. Public information 2. Helipad update 3. Marketing Plan 4. County Commissioners approving the CEDA grant 5. Board attending a County Commissioners meeting

of 7 BOARD OF TRUSTEE MEETING MINUTES January 26, 2015 ADMINISTRATIVE REPORTS AND QUESTIONS

Al asked if the change in overtime guidelines for nursing was in compliance with the labor law. Katy stated yes, and explained moving to thirteen hours will eliminate the “bleed overs” by the time clock that isn’t related to patient care. Cindy added this was taken to the nurses meeting and there were no objections.

Counseling in the Primary Care Clinic- Leta Story, Licensed Social Worker provides full spectrum counseling.

Dave gave appreciation to the Auxiliary for their generous donation of PT equipment for the Therapy Department and Kooskia Clinic, as well as funds for artwork for the Webb Building.

Betty reported the first quarter of FY15 has started off well. Year to date we are ahead of the projected revenue. Joe recommended that the Board write a letter to the Medical Staff recognizing them for their contribution.

Joe thanked Craig for his willingness to serve on the Board.

Joe reported this week is CRNA Appreciation Week. Tom and Carlan do a great job and provide 24 hour service, seven days a week.

The helipad FAQ’s will be finished later this week and will be distributed to the Board.

MEDICAL STAFF REPORT

Dr. Told reported the Medical Executive Committee reviewed and approved the following providers for approval;  Carlan Wilson; CRNA- reappointment to Active Allied Health Staff  Jan Jungert; FNP- appointment to Active Allied Health Staff  Robert Wales; MD- re-appointment to Courtesy Medical Staff

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the credentialing files as presented and recommended by the Medical Executive Session.

Jan Jungert, FNP submitted her resignation effective in May, as she plans to relocate to Boise.

Dave asked Dina to explain the credentialing procedure to Craig as a new Board member and discussed the Board‘s role in the approval process. Craig asked if the Medical Staff submits a written report to the Board. It was

of 7 BOARD OF TRUSTEE MEETING MINUTES January 26, 2015 noted that the Chief of Medical Staff reports verbally at the Board meetings. Craig recommended implementing a formal written process. Discussion was held on the Board reviewing the credentialing files prior to the Board meeting. Lauren suggested having Dina email the Board a month in advance of who will be up for appointment / reappointment.

QUARTERLY REPORT

Katy distributed the turn over report for the first quarter of FY15.

Michelle reported new patients into the clinic and the transfers out of the clinic based on patients requesting their records.

MU (Meaningful Use) 2- distributed for review. Lauren discussed the measures that are being focused on.

Provider gross revenue- included in the Board packet. Craig asked if there was a recruitment committee, and if there are plans to recruit another female physician. Dr. Told reported the Medical Staff and Administration is actively pursuing a physician who finishes his residency in 2016, but would welcome another female physician if the right candidate presented themselves. Joe said he, Katy and Michelle work together with the input of the providers. Michelle added that the physicians are also having discussions regarding their preference for the physician-mid level mix.

COMPLIANCE CODE OF CONDUCT

Yvonne stated no changes to report. Twila inquired on the language regarding sharing information with other facilities. Yvonne felt there was a big difference with pricing transparency regarding putting information on our website vs. calling another facility to see what they charge.

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the Compliance Code of Conduct as presented.

MEDICAL STAFF BYLAWS

The revised Medical Staff Bylaws were presented to the Board for approval per the recommendation of the Medical Executive Committee.

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ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve the revised Medical Staff Bylaws as presented.

IDAHO HOSPITAL DISTRICT ALLOWABLE INVESTMENT OPTIONS LETTER

Included in the packet was a letter from Jon Ness regarding investments. Betty stated the hospitals investments are local in the state investment pool. Based on the Board’s feedback, Joe will report to Jon Ness that the SHC Board will not support the proposed legislation for district hospital investment options.

BOARD EDUCATION

Dana distributed the Marketing Plan. She said the main goal of the Marketing Committee is to make the public aware of all the services SHC provides and to create a new image for SHC. The quarterly newspaper inserts will be called “Syringa Health Matters” to keep the community informed of our activities and services.

TOPIC FOR THE BUZZ

Dave will confirm that the Hospice letter was sent, and agreed with Joe’s recommendation to write a thank you to the Medical Staff for the excellent revenue numbers in the first quarter of FY15.

2015 CALENDAR- February

Craig Spencer’s Board orientation- Feb. 4th at noon in the NWA Ethics Committee- Feb. 10th at noon Marketing Committee- Feb. 11th at 1:30 in the NWA Helipad public meeting - Feb. 11th at 5:30pm at the SC Medical Staff meeting- Feb. 18th Planning / Board meeting- Feb. 23rd

COMMITTEE MEETING REPORTS

The project costs to date are $601,230 with $542,703 coming from the Webb funds and $58,527 from hospital funds.

ACTION: A motion was made, seconded, and carried by the Syringa Hospital

of 7 BOARD OF TRUSTEE MEETING MINUTES January 26, 2015 & Clinics Board of Trustees to move $34,747.87 from the Webb funds to the hospital for fees associated with the remodel project.

APPROVAL OF ALL REPORTS

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to approve all reports as submitted.

AGENDA ITEMS FOR THE FEBRUARY 23, 2015 BOARD MEETING

 FY14 Audit Report  Financial stability  Kootenai Health Symposium report  Annual CEO Performance Evaluation  March- regional affiliation options  March- CEO succession plan

GENERAL DISCUSSION

Joe recommended having Clare Chapman update the CEDA grant information to the County Commissioners at their March 3rd meeting.

Dave suggested supplementing the quarterly inserts with what’s going on at SHC from the Board. Dana was asked to do a public announcement ad that the front entrance of the hospital can now be accessed.

Helipad update- discussed the draft FAQ responses. Joe will send the final out to the Board.

Dave asked that the Board be kept well informed on the status of the renovation project. Dick was concerned that the Board wasn’t notified that the parking lot completion was delayed until May. Dave confirmed that the Board wants 1) Crea Construction to complete the job 2) to have Barry be the representative of the hospital to the contractor for the next phase and 3) that the contractor doesn’t do change orders without approval first.

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees go into Executive Session at 3:36pm per I.C. 672345 (A) (E) (F).

ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to go out of Executive Session at 4:15.

of 7 BOARD OF TRUSTEE MEETING MINUTES January 26, 2015 ACTION: A motion was made, seconded, and carried by the Syringa Hospital & Clinics Board of Trustees to authorize the CEO to spend up to $20,000 to hire a firm to provide evaluation services.

There being no further business, the regular meeting adjourned at 4:20pm. The next Syringa Hospital & Clinics Board of Trustees meeting will be held Monday February 23, 2015 at 12:30pm at the Soltman Center.

______Connie McLean; Syringa Hospital & Clinics Board of Trustee Secretary