Board Meeting Highlights and Minutes November 17, 2011

Highlights from the Board of Trustees Meeting 11-17-11:

Minutes:

The Board approved the minutes from the meeting held on October 27, 2011. These minutes will be available at http://www.tetonhospital.org/about/board/meetings.

New Business:

Dr. John Payne presented the Medical Staff Bylaws which were approved by the Medical Staff last month and reflect changes separating medical staff membership from clinical privileges, to the Board for their approval. The Bylaws were approved as presented with the Board recommending that the Medical Staff consider changing the credentialing requirements to conform to the practices of the various areas of specialization.

Credentialing and Policies:

Dr. Payne presented the credentialing recommendations as listed in the MEC’s recommendation report to JCC as follows:

Request for Change in Privileges
The Medical Executive Committee (MEC) recommends approval of the following requests for change in clinical privileges:
1. Shannon Roberts MD, OB/GYN, addition of Critical Care privileges.
2. Richard Sugden MD, Family Practice, change to Refer and Follow privileges
3. Scott Thomas MD, addition of Family Practice privileges.
4. Becky White FNP-C, additional privileges to work at Teton Village Clinic.

Reappointments
The MEC recommends approval of the following reappointments:
1. Jay Cole DDS, NPPS, Pediatric Dentistry, 12/1/11 – 11/30/13.
2. Charles Harris PA, AHP, Physician Assistant and Surgical Assistant, Drs. Blue and Rork sponsors, 12/1/11 – 11/30/13.
3. Margaret Hochheiser PsyD, NPPS, Psychology, 12/1/11 – 11/30/13.
4. Lansworth Johnson, AHP, Physician Assistant and Surgical Assist, Dr. Khoury sponsor, 12/1/11 – 11/30/13.
5. William Ramsay MD, Courtesy, Ophthalmology, 12/1/11 – 11/30/13.
6. Martha Stearn MD, Courtesy, Cognitive Health, Internal Medicine, 12/1/11 – 11/30/13.
7. Stuart Sugarman MD, Courtesy, Psychiatry, 12/1/11 – 11/30/13.
8. David Tomlinson MD, Active, Anesthesia, 12/1/11 – 11/30/13.
9. Jennifer Zeer CNM, AHP, Nurse Midwife and Surgical Assist, Dr. Lofaro sponsor, 12/1/11 – 11/30/13.

New Appointments
The MEC recommends approval of the following new appointments:
1. Preceptee – Daniel Santovasi MD R-3, University of Washington, Internal Medicine, 1/9/12 – 2/5/12. Sponsor to be determined
2. Preceptee – M. Casey Murphy MD, R-3, University of Pennsylvania Emergency Medicine program, Emergency Medicine, Dr. A.J. Wheeler sponsor, 1/1/12 – 1/31/12
3. Preceptee – Sean O’Brien MS-3, WWAMI, Pediatrics, Dr. Riddell sponsor, 1/2/12 – 2/12/12
4. Lauren Bishop PLPC, AHP, Counseling, Dr. Steven Nelson sponsor, 12/1/11 – 11/30/12

The Board approved all of the recommended items.

Dr. Payne noted that there is a special meeting of the Medical Staff tomorrow to which Board members have been invited to discuss areas of mutual concern between the Medical Staff and the Board.

New Board Committees:

Mike Tennican proposed the formation of a board organization committee to be chaired by Zach Hall with 2 more members to be appointed at a later time. The Board approved the formation of this committee.

Zach Hall proposed the formation of a steering committee chaired by John Kren to explore the possibility of a hospital sponsored medical group or variations on this model. The committee will consist of members of the Administration and Medical Staff. The Board approved the formation of this committee.

Finance Committee:

John Kren stated that one of the key items discussed in Finance Committee is that our cash is up $4.5 million over budget for a YTD total of $39 million. We will be spending a great deal of our cash reserves on the expansion project but we are moving forward in a very healthy way. We are up in inpatient surgeries and about equal in outpatient surgeries which resulted in our total surgical minutes being up 8%. Total operating expenses came in below budget so this combined with a Non-Operating Gain of $11,000 and total Tax Revenue of $478,000 resulted in a net gain of $300,000 for the month.

Facilities Committee:

Jim Johnston noted that they have been focused on preparing the site to put the new footings in and now they have received approval from the Department of Health to move forward with the project so the expansion is moving right on schedule. Mr. Johnston also has been busy meeting with the staff that will be directly affected by the construction to make sure there is a smooth flow in providing services as construction progresses.

Visit us at http://www.tetonhospital.org/expansion-home to see updated information and view our progress in real-time on our WebCam.

MRI Committee:

Mr. Tennican stated that we are prepared for the dissolution of Teton MRI at the end of this month and purchasing the existing magnet at fair market value. The committee is researching what new technology is available and reviewing the potential benefits of purchasing a new scanner.

Foundation:

Liz Finegan announced that the Foundation is in the final stages of sending out the annual appeal. She has met with administration to see what the most important needs of the hospital are so they can be included in their appeal. She has also met with Mr. Kren, Karen Connelly and Gary Trauner to discuss strategy on how to reach out to various groups in the community such as the Soroptimist who have contributed a 2 year gift of over $52,000 to the Women’s Health Care Fund. Next Ms. Finegan noted that the holiday party this year is December 9th. Last year the Board contributed $1,200 as individuals to help say thank you to the staff for all their hard work all year and she asked if they would contribute again this year. She also asked the Board members to attend the party so the staff can have the opportunity to say thank you to them as well.

Education:

Gary Trauner updated the Board on what is going on currently with Meaningful Use. We are having education sessions for all staff with Pam Foyster of Health Technology Services to address what is meaningful use, when does it happen and how it affects us. There have also been presentations at medical staff meetings and department meetings to make sure everyone has the information they need to make this work. We had a major achievement this week as we went live with Paragon Version 10.2 which is a certified clinical system required to meet meaningful use. This took a tremendous effort on the part of the IT staff, David Witton and Alan Sousa over several months so congratulations to all involved in this successful upgrade. Next we will be having a mock go live with the Emergency Department Module which is an electronic board that allows the ED staff to continually track a patient’s status. After Thanksgiving, we will be going live with the hospitalists on CPOE.

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.

Mr. Kren stated that this has been a transition time as he has assumed the role of Acting CEO. He said thank you to the Board for their confidence in him and the administrative team to keep moving this organization forward. He and the team have been continually meeting with members of the Foundation, Medical Staff and all hospital departments to assure that this is a smooth transition and address any concerns. He asked that the Board continue to have confidence in this team and the recommendations that they make so they can keep making progress as they have over the last few weeks and will allow the Board time to focus on their search for the next CEO.

Candace Geatz wanted to share that the first of a quarterly newsletter was just distributed to physicians focusing on physician issues in practices, ambulatory care, joint commission and other issues.

Ms. Connelly presented her marketing update. Ads have been produced for the winter editions of several popular local magazines. October was Breast Cancer Awareness Month and November is Diabetes and Alzheimer’s Awareness Month so accordingly there were advertisements and community presentations on these topics. There was an outstanding turn-out for a Center of Excellence presentation with Dr. Gus Goetz in Dubois which resulted in over 90 people attending and 5 people calling for consultations within a week of the presentation. The major accomplishment this week is the Annual Report was finalized and is now in production to be distributed early December. Our website traffic continues to increase which shows we are engaging our community and patient base to continue to come back to us for more information so they are finding what they are looking for and they are finding it to be interesting.

Public Comment: None

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 Monday, December 19, 2011 with public session starting at 11:00 am. There is still one more Board candidate to be interviewed so watch for a notice of this special meeting sometime early December.

Thank you –

Sherry Wieters
Executive Assistant
(307) 739-7501

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