Board Meeting Highlights and Minutes August 25, 2011

Highlights from the Board of Trustees Meeting 8-25-11:


Julia Heemstra and Emily Kritzler gave an update to the Board on the Employee Wellness Spring into Fitness Program. Julia shared comments from staff of how important the program has been to them and how it helped them to reach their goals for improving their health. Emily explained that when the Employee Wellness Program was initiated, employees completed a health risk appraisal and the results were that 70% of our employees wanted to exercise more and 65% wanted to handle stress better so Spring into Fitness was launched. 126 staff completed the 12 week program.

Julia also gave an update on the success of the Volunteer Massage Program. Therapists are available to treat patients in the oncology department twice a week and patients are now scheduling their infusion therapy treatments around the times the therapists are available. The next step is to provide this treatment to patients in PCU and then to the Center of Excellence. About 5 patients per week are currently receiving massage therapy treatments.


The Board approved the minutes from the meetings held on June 23rd and July 28th. These minutes will be available at

Old Business:

There was no old business discussed at the meeting.

New business:

At last month’s meeting, Pam Maples reminded the Board that it was time for them to review and approve the existing list of hospital policies. The policies were made available to the Board members and the current list was approved at this meeting.

Report from the County Commission:

Paul Vogelheim opened his report by thanking the hospital for their assistance with providing ambulance service to the community. Next he stated that there is an issue with certain waste produces coming through the trash transfer station to Sublette County and he needed some assistance from the hospital to resolve the problem. Jim Johnston said he was aware of the issues and was already working with members of the County to get these problems resolved. Last Mr. Vogelheim said that the Lodging Tax Board was successful in bringing the crew of Modern Family here to shoot their opening show which will highlight views of the Tetons. This episode will be seen by an estimated 29 million viewers between the initial showing and twice in reruns by next summer. We hope this brings many new visitors to the valley some of which may need medical services.

Finance Committee:

John Kren gave a brief overview of the August financial statement. This is the first month of the new fiscal year and we are starting off with over 200 days cash on hand which is an important achievement. Our operating margin came in under budget. We had a slight savings in our salary and supply expense numbers. We have seen a trend over the last 3 years of patient care shifting from inpatient to outpatient and we need to start making the appropriate changes in our hospital operations to accommodate this continuing trend.

Credentialing and Policies:

Dr. Payne presented the privilege requests and credentialing recommendations which were previously approved in the August MEC and JCC meetings as follows:

New Privilege Requests
Fecal Bacteria Therapy – George Poore, MD
The MEC recommends approval of Dr. Poore’s new privilege request. The main issue with this procedure is appropriate screening of donors prior to the procedure for HIV, hepatitis, etc. The CNO will develop a protocol for this procedure, including a donor screening checklist.

The JCC unanimously recommends approval of the following reappointments:
• Jen Carter LPC, AHP, Counselor, Dr. Nelson sponsor, 9/1/11 – 8/31/13
• Jim Little Jr. MD, Active, Family Practice, 9/1/11 – 8/31/13
• David Khoury MD, Active, Orthopaedics, 9/1/11 – 7/31/13
• Sarah Kline LPC, AHP, Counselor, Dr. Nelson sponsor, 9/1/11 – 8/31/13
• Tracy Manuck MD, Consulting, Perinatology, 9/1/11 – 8/31/13
• April North MD, Active, Family Practice, 9/1/11 – 8/31/13.
• Michael Stern MD, NPPS, Oral Surgery, 9/1/11 – 8/31/13
• Marty Trott MD, Active, Otolaryngology, 9/1/11 – 8/31/13
• Adam Williamson LPC, AHP, Counseling, Dr. Nelson sponsor, 9/1/11 – 7/31/13.

New Appointment
The JCC unanimously recommends approval of the following new preceptee appointment: Hillary Lungren MS-4, Des Moines University, Orthopaedics, 9/12/11 – 10/9/11, Dr. Goetz Sponsor

The Board approved all of the recommended items with Dr. Poore abstaining from the vote.

Dr. Payne then proceeded with his Chief of Staff Report. He noted that there were several questions on amendments to the Medical Staff Bylaws so the MEC is planning to bring the proposed changes to the September Medical Staff Meeting for discussion then to the October meeting for approval.


Jim Johnston said that starting next week the demolition process will begin in the PCU area. Once the internal demo is complete you will start to see the exterior demo begin. They will also start to move the Therapeutic Garden next week and have met with the landscape architect to plan for moving the larger trees. Jim and Gary met with the Department of Health to make sure they understand what requirements they have for the project. We have hired Safe Built to conduct the plan reviews. The back parking lot behind the Living Center was restriped and so parking has been less of a problem. Joe Albright asked the board members to what extent they wanted to be involved in the decision of the exterior finishes. It was decided that the meetings of the Facilities Committee where these issues were going to be discussed would be noticed in the paper as public meeting so all Board members and community members would have the opportunity to give their input on these decisions.

MRI/Personnel/Strategy Committee:

Mike Tennican stated that the MRI committee is still contemplating options. There is a show at the end of November and the committee members are looking forward to seeing if there are new technical developments that could affect their decision.

They have been discussing various items in the Personnel Committee but were not ready to take any action on these items at this meeting.

The Strategy Steering Committee now includes Scott Gibson and Paul Vogelheim. Most of the committee was able to attend the first meeting of the recent workshop with SSB Solutions. Preliminary ideas were presented for different structure options between the hospital and physicians to help with the very difficult economic times coming. The SSB team has interviewed approximately 70 people so far and there was a clear identification of pressing issues. Please note on your calendars the next phase of the Strategic Planning Workshops will be September 26th and 27th with details to come as soon as they are finalized.


Liz Finegan thanked Addie and Ten Donnan for hosting Addie’s Trunk Show at their home. This was a very successful benefit for the hospital and the alliance. She also noted that two weeks ago Eddie Kolsky held his annual tennis tournament to benefit diabetes which was also a very successful event. Next will be Old Bill’s Fun Run and the Auxiliary’s 20th Annual Golf Tournament. Liz also wanted to reiterate that plans have been made to move the memorial trees from the existing Therapeutic Garden to their new locations and that the memorial pavers and benches will be placed into careful storage until their new location is ready in front of the new oncology wing.

Reports from Administration:

Mike Tennican noted that members of the Administration had previously given written reports to the Board and asked if there were any updates. Lynn Campbell announced that Joan Palmer accepted the position of OB Director so now all the nursing director positions are filled.

Karen Connelly gave her report noting that we have moved up the start date for our Quality Ad campaign and the first ad is currently posted in the paper with the next one in process. We also made the technology jump into the world of QR codes. On the visitor medical services ad there is now a QR code so those with a smart phone can scan the code and it will automatically pull up driving directions to these location. These codes also help track the advertising efforts. Search engine optimization and paid website ads for St. John’s Urgent care have also been started with good results.

Karen also noted that as part of the Employee Wellness program group power walks and free yoga classes have been going on over the summer. Both have been successful. She also announced that St. John’s Medical Center, St. John’s Foundation and the Teton Wellness Institute are co-sponsoring Kathleen Wolin, ScD on October 2nd as part of the Chamber of Commerce Destination Wellness promotion. This will be a very exciting event at the Art Center so mark your calendars.

Public Comment:

We had a community member ask how the public will be notified of the upcoming meetings regarding the interior and exterior finish options. Mike Tennican said that there will be notices in the paper stating the dates and times when these meetings will be held.

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 Thursday, September 22, 2011 with public session starting at 4:00 pm.

Thank you –

Sherry Wieters
Executive Assistant
(307) 739-7501

BOT report 7-28-11.pdf15.42 KB
BOT pub mtg 8-25-11 MLT.pdf46.69 KB