Board Meeting Highlights and Minutes May 26, 2011

Highlights from the Board of Trustees Meeting 5-26-11

Special Announcements:

Pat Weber announced that this month the Living Center attained their Path to Mastery Level 1 certification. They are now one of only 40 facilities nationwide to attain this level as an Eden Alternative facility. Congratulations!


Kathy Byron was going to give a presentation to the Board on Joint Commission Survey Readiness but was unable to attend the meeting. Her presentation was distributed and the Board would like for Kathy to come to the meeting next month and give additional oral comments and answer questions.


The minutes from public meetings held on 2/24/11, 3/14/11, 3/23/11, 3/24/11 and 4/11/11 were approved. They will be available on the public website next week.

Annual Evaluation 2010 Safety Plans:

Jim Johnston gave a brief overview of and the Board approved the 2010 Annual Evaluation for the Utility, Security, Safety, Medical Equipment, Emergency, Fire Prevention, and Hazardous Materials and Waste Management Plans.

Joint Conference Committee:

Peter Moyer gave the report from the JCC meeting this week. He said they had a good meeting and discussed several items including the possibility of allowing physicians to join the hospital’s medical insurance plan, enhancing marketing efforts such as pricing and infection rates, and producing a medical arts magazine.

Credentialing and Policies:

Dr. Payne presented the credentialing recommendations, new privilege request, reappointments, new appointments, and revisions to 4 medical staff policies that were approved in the MEC and JCC meetings. The Board approved all of the recommended items.

In Dr. Payne’s Chief of Staff report, he noted that there are no and low volume practitioners that The Joint Commission now requires we recognize but keep separate from other physicians with typical clinical privileges. The medical staff will need to have language added in their Bylaws that allows these practitioners to continue to be active on our medical staff.

Finance Committee report:

Joe Albright stated that the Finance Committee had a conference call with financial investment consultants regarding the bonds for our expansion project. We are on track to be ready to float these bonds before June 30th. The budget was the next item discussed. For the FY Budget 2011 – 2012, we are using a zero based budget process. Last, the committee reviewed a proposal from administration to acquire the Four Peaks Clinic in Driggs, Idaho. The Board gave approval for Administration to move forward with negotiating the purchase of the assets, the leasing of the property and employment terms.

Facilities Committee Report:

Jim Johnston gave a brief update on the construction project and noted that the architects are finalizing the schematic designs and beginning design development.

MRI Committee:

Mike Tennican said they had the first meeting of this committee this week and are beginning to look at different types of MRI technology.

Personnel Committee:

Mike Tennican noted that the committee, based upon recommendation from current general counsel, is looking at hiring an in-house attorney to handle general legal issues.

Mr. Moyer asked if a list of topics currently under discussion in this committee along with who the contact is for that issue be distributed to Board members. Mr. Tennican agreed. Mr. Tennican then stated that the ED Physician Contract was also being reviewed.

Strategy committee:

As a result of the Strategic Workshop on May 2nd, the first round of proposals from Dr. Sokolov has been received and is being reviewed by this committee.

Foundation Report:

Liz Finegan distributed an overview of a Community Transformation Grant that was just received from the Center for Chronic Disease Prevention and Health Promotion at CDC. The goals of this grant are to address the national benchmarks for number of primary care providers, access to healthy foods, and access to recreational facilities. A letter of intent is due by June 6th which will be reviewed by Mike Tennican before it is finalized and distributed. This is a collaborative effort between Teton County Department of Health, Town of Jackson, Teton County Pathways, St. John’s Medical Center and the Community Health Information (CHI) Center. Between $50,000 and $1,000,000 will be awarded per grant received. The Foundation will be working with Administration to put this grant together.

Other Foundation happenings include a breakfast hosted this week for the Youth Mental Health Initiative. Spring Fling will be Saturday, May 28th. The event is sold out for the first time in many years. We sold 27 sponsor tables vs. 22 last year. There are 3 other grants pending, one for an OB robotics simulator, one for a prenatal program, and one for pediatric audiology. The Foundation is working with donors to get new lifts for the Living Center to help get residents out of their chairs or beds. Addie’s Trunk Show will also be coming up soon.

Administrative Reports:

Pam Maples introduced Candace Geatz as the new Risk Manager.

Gary Trauner announced that Meds Admin went live and thanked all those involved for their hard work to make this first Meaningful Use initiative a success.

Karen Connelly stated that we had an extremely successful health fair this year. Now that the health fair is over, she is working on evaluating new opportunities for getting our information out there to the community and the visitors.

John Kren gave an overview of the monthly financial report with the best news being that we are now up to having 180 days cash on hand. He also noted that the auditors are here on site doing their walk-through process and budget planning. There has been a major decline on inpatient days and we are also seeing some significant expenses with our health insurance plan. We are at almost a $1 million increase for this year in our health insurance expenses. They have been comparing group purchasing organizations and have found one that can give us significant savings on surgical supplies which would help greatly in reducing supply costs.

Hospital Liaison Report:

Paul Vogelheim was with us tonight. He noted that the County is also going through their budget process and in anticipating lower revenues they will continue with their hiring and pay freeze. They have a draft of the new comprehensive plan that is under review. Flood control is also a major topic as they anticipate peak flows in July and are trying to be proactive on how to deal with these issues. They have also been very active in working with WyDOT on getting the canyon back open. He was very glad to hear about all the grants that Liz Finegan is working on. Peter Moyer asked if there would be any funds available from the Bed Tax for the production of a medical arts magazine and Paul said that the lodging tax board is up and running and they are faced with the challenge of some agencies running out of money but they are putting in a process for future requests so it would be appropriate for the hospital to apply for this.

Public Comments:

We had questions from one member of the community regarding the procedure for how patient care complaints are handled. Pam stated that when complaints are received an extensive review of the situation and issues is done by the appropriate members of the hospital and medical staff and a detailed response is given. Mike Tennican stated that the
Board trusts that administration and medical staff go through their protocols in these situations and he has not seen any indication that the appropriate protocols have not been followed in this case or that anyone has not been honest and forthright in their responses.

These are the highlights. Final approved minutes of the board meetings and monthly financial reports are available on the public website. Pam's written report to the Board is attached for your reference. Please mark your calendars for the next regular monthly meeting of the Board of Trustees will be Thursday, June 23, 2011 with public session starting at 4:00 pm.

Thank you –

Sherry Wieters
Executive Assistant
(307) 739-7501

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