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Perham Health Perham, MN Operations Committee of the Board Minutes

Date: February 24, 2021 Time: 5:00 p.m. Place: Perham Lakeside Golf Course Present: Terry Marthaler (zoom) Sonda Tolle Jerry Kunza Chuck Hofius Allan Berube Justine Anderson Spencer Schram (zoom) Erika Altstadt Michael Brasel (zoom) Sue VonRuden Gilbert Ebner Jim Rieber Eugene Jahnke Beth Ulschmid Ryan Strugar (zoom) Pat Ferguson Alana Van Watermulen (zoom)

Thomas Meyer

Alisyn Keil

Rich Richter (zoom)

Dean Simpson (zoom)

Dr. Kailey Witt (Sanford) Dr. Brett Glawe (Sanford) Dr. Kathryn Obregon Excused: Tracy Hendrickx, Pat Sjolie, Dan Olson, Dr. Mark Paulson, Cyndy Rastedt

A. Call to Order Chair Keil called the meeting to order at 5:06 p.m.

B. Board Education Hofius, Anderson, Tolle, and Ulschmid presented education on Perham Health’s Leadership Visioning. This is in preparation for the upcoming strategic planning retreat.

C. Additions or Deletions to the Agenda 1. Introduced Dr. Obregon.

D. Old/Other Business 1. Legislative Update Hofius reviewed the five bills that our healthcare associations have been following. These include: 1) extending the fingerprinting deadline for health care workers to 6 months rather than 60 days after the state of emergency ends, 2) 100 hours of mandatory paid leave for COVID related illnesses that would be retro back to March 2020, 3) the state keeping 340B money for Medicaid patients rather than the hospitals using it to fund programs, and two gun related bills, 4) one related to red laws and 5) one on universal background checks.

E. New Business 1. Credentialing ACTION ITEM: Upon recommendation from the Executive Committee of the Medical Staff, a motion was made by Dr. Witt, seconded by Kunza, to approve medical staff privileges for Judy Bellanger/Dahl PA, Dr. Kathryn Obregon, Anne Gilbertson, CNM, Dr. Samuel Inkumsah, and Dr. Nasser Kazmous until February 28, 2023. All in favor. Motion carried. 2. 2021 Quality Assessment and Performance Improvement Plan Yearly Update Tolle answered any questions that board members had.

ACTION ITEM: A motion was made by Jahnke, seconded by Richter to accept the 2021 Quality Assessment and Performance Improvement Plan as presented. All in favor. Motion carried.

3. Capital Purchase – NYM Clinic HVAC System - $350,000 This is the updated estimate for the NYM Clinic HVAC System. Jeramiah Christenson, Mechanical Engineer, was available for questions and in the board packet is his letter explaining why this is needed in light of the COVID pandemic. We expect this expense to be covered by CARES Act Funds.

ACTION ITEM: Upon the recommendation of the Finance Committee a motion was made by Meyer, seconded by Marthaler, to approve the Capital Purchase of the NYM Clinic HVAC System for $350,000 as presented. Roll call vote. All in favor. Motion carried.

4. Capital Purchase – Conference Room/s Sound System - $70,675.00 This will upgrade all other conference rooms that were not done in the last round. Once complete, all conference rooms will have the same technology. We did not budget for this expense, but with the vast increase in virtual meetings, this will be paid for with CARES Act Funds.

ACTION ITEM: Upon recommendation of the Finance Committee a motion was made by Berube, seconded by Brasel, to approve the Capital Purchase of the Conference Room/s Sound System for $70,675.00 as presented. All in favor. Motion carried.

5. FY 2021 Prevention of Wasted Food and Food Resource Grant Board Resolution Von Ruden provided an overview of the above grant. We will be asking for monies to purchase software to help us to integrate our patient and resident diet plans with our point of service software.

ACTION ITEM: A motion was made by Kunza, seconded by Meyer, to approve the resolution in support of the 2021 Prevention of Wasted Food and Food Resource Grant as presented. All in favor. Motion carried.

6. Annual Report Review Von Ruden reviewed the 2020 annual report with Board members. Board members are expected to attend their annual township or city meeting to review the materials with township or city officers.

7. Quality in Action Ulschmid shared a good catch made by the pharmacy for a patient’s med refill. As an outcome of this good catch we have submitted a request to have a good way to identify a quarter of a pill on a prescription in EPIC.

Glawe shared the surgeon’s new approach to skin checks based off of a patient’s comments in their patient satisfaction survey.

Hofius shared a patient safety minute. A nurse spoke up stating that masks were not fitting right. After elevating this concern, we found out that the masks we were receiving were substandard and were sent to us in error. We are currently working on replacing those masks with the correct masks. F. Consent Agenda ACTION ITEM: A motion was made by Meyer, seconded by Jahnke, to approve the consent agenda as presented. All in favor. Motion carried. G. Reports 1. Operating Reports a. Fiscal and Support Services No additional updates. b. Patient Services Meyer asked about the updated visitor policy. Tolle reviewed the new policy that went into effect last week. Kunza asked about having visitors at the nursing home. Hofius shared that county positivity rates are low enough for us to open back up to visitors, but we keep getting set back due to staff or essential care givers testing positive for COVID. c. Long Term Care No additional updates. d. Ancillary Services No additional updates. 2. CEO Report No additional updates. 3. Medical Staff Report a. Monthly Update No additional updates. b. Recruitment Update No additional updates. 4. Sanford Report Olson not present, no updates. 5. Q4 Quality Report No additions to the Q4 Quality Report.

ACTION ITEM: A motion was made by Richter, seconded by Ebner, to accept the Q4 Quality Report as presented. All in favor. Motion carried. Comments

There being no further business, the meeting adjourned at 6:50 p.m.

______Alisyn Keil, Chair ______Michael Brasel, Clerk ______Erika Altstadt, Recorder