Board Meeting Highlights and Minutes April 25, 2012

Highlights from the Board of Trustees Meeting 4-25-12:

Report from the Chairman:

Tonight the Board of Trustees approved a Resolution stating that they have reviewed the proposed employment agreement for Louis I. Hochheiser as Chief Executive Officer for St. John's Medical Center. They approve of the compensation, terms and conditions of the Agreement and authorize Michael Tennican as Board President to execute the Agreement on behalf of St. John's. The Board enthusiastically approves the hiring of Dr. Hochheiser as CEO and looks forward to him joining us.

Dr. Hochheiser said it was with great pride he was accepting the position and appreciates this opportunity to take this institution to the next level in this changing environment and making it the center of health and wellness for this community. He also feels very fortunate to get to work with such a well respected medical staff and exceptional hospital staff, administration and the board.

Dr. Hochheiser will officially join St. John's on June 18, 2012.

Education Presentation:

Lynn Kirman, CNO gave an update on the Telehealth Program. Karen Petrozella, as Director of Critical Care Services, will take the lead on this project moving forward. The goals of the program are to improve access and quality of care, timeliness of care, reduce out of pocket expenses for the patient, reduce patient and physician travel, and extend the team and available resources. Early recognition of stroke is essential and interventions are time-sensitive. We have partnered with University of Utah and EIRMC for consultations. This technology will make it possible for us to keep more patients here for treatment without a risky transport. Other uses for this technology include cardiology, oncology, pediatrics, psychiatry, and facilitating treatment options to other rural areas such as Sublette County. Lynn also gave a demonstration of the telehealth robot with the help of Jill Tripp, Regional Manager of InTouch Health. Jill was dialing in from Santa Barbara showing how a consultant can connect from anywhere and interact directly with the patients through the two-way cameras and microphones.

Minutes:

The Board approved the minutes from the meetings held on March 21, 2012 and April 18, 2012. Approved minutes are posted at http://www.tetonhospital.org/about/board/meetings.

Foundation Report:

Addie Donnan representing the Foundation said that they are grateful to Dr. Hochheiser for accepting this position and looking forward to working with him. Mrs. Donnan also thanked John Kren for the wonderful job he has done as interim CEO. She also announced that the Foundation asked Liz McCabe to be an honorary member for all her incredible work she has done over the years.

Liz Finegan wanted to acknowledge the donors who made the telehealth program possible, the Silberberg Family and Courtenay Adams’ “Stroke is No Joke.” We are very grateful for the support of these wonderful donors.

Board Committee and Medical Staff Reports and Action Items:

Finance Committee Report – Joe Albright stated that the Finance Committee met yesterday with the main focus of discussing the budget for the upcoming year. We are running very strong so far this year and for the first time in its history St. John’s total revenue will exceed $100,000,000. The committee will be making arrangements for Dr. Hochheiser to participate in the budget discussions so he is up to speed on the details when he begins in June. The Board will be approving the budget for FY 2013 at the June board meeting.

JCC Report – Barbara Herz’s only comment was the exciting news that Dr. Hochheiser was accepting the position of CEO. It is very heartwarming to see the strong support for him.

Approval of Credentialing and Policy Items – Dr. John Payne presented the credentialing recommendations that were approved at the April MEC and JCC meetings and included in the MEC report to the Board dated April 10, 2012. He announced that Dr. Elizabeth Ridgway is moving to Honorary Staff Status as of May 1, 2012 and thanked her for her many years of service to her patients and St. John’s. The Board approved all recommended credentialing items. Dr. Payne also offered his congratulations and support to Dr. Hochheiser.

Facilities Committee Report – Jim Johnston announced that the architects completed their revised plan drawings for the expansion and central utility plant projects on March 30th which were then sent to the State’s 3rd party reviewer for approval. The reviewer’s remarks were then sent back to the architects for incorporation into the drawings. Both the expansion and central utility plant projects will be going out to bid at the same time.

Gary Trauner added that we expect to re-start the construction at the beginning of the summer. He gave an overview of the revised exterior drawing pointing out the location of the new central utility plant and the interior drawing showing the scaled back design. Security and cost were issues with the additional entrances for OB and oncology so those have now been removed.

Organizational Committee Report – Mike Tennican appointed the Board Organization Committee with Zach Hall as chair back in December for the purpose of reviewing board structure, board processes, and board behavior. Mr. Hall along with Scott Gibson and Joe Albright have been reviewing the issues and presented some recommendations for the Board’s approval. These include the creation of a formal board orientation process, appointment of advisors to the board, procedure for appointing community members to board committees, annual review of committee assignments and chairs, and miscellaneous suggested language changes to the hospital board bylaws. All of these initiatives were approved. The last item relating to changes to the role of the Finance Committee was tabled pending further discussion.

Reports and Updates from Administration:

CFO Report – John Kren stated that we had a strong financial month and we are continuing to stay on track with our budget.

CNO Report – Lynn Kirman announced that May 6th – 12th is Nurses Week with the highlight being the importance of night nurses. Dr. Hochheiser and all the Board members moved to send a special thank you to all the nursing staff for the wonderful service they provide to their patients all year long.

Annual Quality Report – Kathy Byron, Director of Quality, stated that in 2011 the five primary core measures for inpatients moved up to above the 80% mark. Compliance rate for outpatient surgery data rose from 81% to 95.5%. Additionally, new indicators required in 2012 will lend continuing opportunity for improvement anticipating further positive trends in 2012.

COO Report – Gary Trauner announced that this is National Medical Laboratory Staff Week and noted that our lab is accredited by the College of American Pathologists which is the gold standard in laboratory accreditation. We have a highly educated staff of professionals who provide a critical role in patient care.

Community Outreach Report – Karen Connelly announced that the Health Fair is May 5th with free food, coffee, health screenings, over 88 booths and lots of demonstration classes so please come. We are expecting approximately 1,500 attendees this year and are excited to offer helicopter tours this year. We want to congratulate the lab for processing over 4,000 wellness blood screenings this spring. Thanks also to patient registration who made all those lab appointments and to First Interstate Bank for their sponsorship of the event. We have the free prostate screening clinic going on next week also. In addition to preparing for the Health Fair we have been working on a video for Center of Excellence of patient testimonials and David Swift did a photo shoot of some patients that had wonderful outcomes that will also be used in brochures and other materials for the joint replacement program.

Human Resources Quarterly Report – Tara Hagen gave an overview of staffing effectiveness, safety and performance management for the 3rd quarter of this fiscal year. Our turnover rate is down to 2.9% and we currently have 14 full-time and part-time positions open. There were 45 injuries reported for the 12 months ending March 31st with most being strains and sprains. The department completed a satisfaction survey by employees to evaluate the new performance appraisal process that was implemented last year. They are addressing the concerns that were noted and getting ready to begin this year’s evaluation process.

These are the highlights. Final approved minutes of the board meetings and monthly financial reports are available on the public website. Please mark your calendars for the next regular monthly meeting of the Board of Trustees which will be Wednesday, May 23, 2012 with public session at 4:00pm in the boardroom.

Thank you –

Sherry Wieters
Executive Assistant
(307) 739-7501

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