Board Meeting Highlights and Minutes September 27, 2012

Highlights from the Board of Trustees Meeting 9-27-12:


Jacqueline Muller of RelayHealth and Gary Trauner gave an overview of a software program we are working to bring on-line as part of our meaningful use initiative called Relay Clinical Results. The program allows the secure exchange of clinical data including lab results, radiology reports, discharge summaries and other documentation between health systems, labs and diagnostic centers with health care providers and patients. Patients will have more instant direct contact with their provider which fits with the hospital’s community outreach and patient centered care approach.

Special Announcements:

Lou Hochheiser announced that the hospital recently received the “Path to Excellence Award” from NCR Picker related to our starting our relationship based care model which has been very helpful to the patients and families. We also received the “Community Partner of the Year” award from the University of Wyoming School of Nursing BRAND program. Students participate via live satellite interactive classroom courses and then complete clinical rotations at St. John’s. He also recognized Cathy Beck, the Director of Med/Surg Services, who is the primary clinical instructor for this program.

Report from the Chairman:

Mike Tennican noted that the Strategy Committee has re-engaged its efforts in the strategic planning process and will have more to report in the upcoming months.


The Board approved the minutes from the meeting held on August 23, 2012. Approved minutes are posted at

Board Committee and Medical Staff Reports and Action Items:

Finance Committee – Joe Albright was happy to report that we continue to do well and asked John Kren to review this month’s financials. John noted that inpatient areas have continued to experience greater volume than projected. This has carried over from late spring and as a result, the Medical Center’s two month, fiscal year to date, gross patient revenue has surpassed the budget by approximately $2.7 million. Another component of the increased volume is the growing reputation of the Center of Excellence. Administration, together with the Board, is continuing to develop a strategic plan in which the goal is to maintain this increase in volume.

This overage in revenue is carried down to the operating line which, although an operating gain was budgeted for August and year to date, exceeded expectations by $162,000 and $751,000 respectively, The operating income combined with the non-operating income results in the total profit margin, before SPET, of $1.1 million for August.

JCC Committee – Barbara Herz said they had a very good meeting and agreed to include more strategic planning discussions at these sessions.

Approval of Credentialing and Policy Items – Dr. John Payne presented the credentialing recommendations that were approved at the September MEC and JCC meetings and included in the JCC report to the Board dated September 24th. The Board approved all recommended credentialing items. Dr. Payne also presented two amendment changes to the Medical Staff Bylaws which were approved by the medical staff at their quarterly meeting last week. The Board also approved the two amendments as presented.

Dr. Payne noted that the medical staff will not have their holiday party this year but will plan on joining the hospital staff at their party on December 7th.

Facilities Committee – Jim Johnston stated that the expansion project is really picking up speed now as we get new utility lines in place, footings dug and concrete poured. The push is to get the new walls up and the project enclosed so it can be heated for the winter.

CEO Report to the Board:

Lou reported that St. John’s is doing very well on their safety and quality measures. Our latest composite score from The Joint Commission shows a 96.9% compliant rate for standards. For several measures, St. John’s has too few patients to record the data but for those that we can measure we are in the 94 – 100% rate. We will complete the 90 day attestation period for meaningful use this Sunday. This means the potential of receiving close to one million dollars from the federal government for reaching this goal. We are the only rural hospital in Wyoming to reach this level. The hard part now is that Stage 2 begins.

Other good news is that we have joined the State Integrated Health Care Network which provides some state funding, we are eligible for grants from CMS and we can be a part of the Medical Home initiative.

He also noted that there are two great wellness events coming up this weekend including Michael Pollan at Walk Festival Hall this Saturday and “Light the Town Pink” for breast cancer awareness on Monday night.

Foundation Report:

Liz Finegan said that the community is increasingly interested in helping St. John’s. We took part in and received funds from several groups this month. The Auxiliary put on its annual golf tournament last week which was a sold out event and was a fun day for all. The funds raised are going towards integrated surgical equipment. We had several new sponsors this year including our construction group so thank you to all who contributed to make this event so successful.
We received over $10,000 for the St. John’s Women’s Patient Health Care Fund from “Stripping for the Cure” which is a wonderful group of 65 women who meet annually to fly fish. They also gave over $18,000 to Camp Magical Moments for kids with cancer. Thank you to Eddie Kolsky for all his contributions and hard work on the Steve Winograd Memorial Tennis Tournament which raised funds for diabetes patients and education. This was another was very successful and fun event. We were asked to visit with the PCU nurses for the Patricia Boda Memorial Education Fund. This is a fund set up and supported by these nurses to train CNAs to become nurses and to provide assistance in an area of education where the nurses feel we need more expertise. The Jackson Hole Quilting Guild continues to produce incredible quilts for our youngest patients. Stroke is No Joke is coming up on October 13th and we need volunteers so please contact the Foundation office if you would like to help.
Other Announcements and Comments:

Dr. Francine Tryka recognized the Clinical Lab for doing very well during a recent surprise inspection which occurred Friday. The lab had no deficiencies. There were some areas where we are working on improvements but overall this was an excellent survey. This is a peer review situation so we in turn get to inspect other labs which gives you an opportunity to share knowledge and ideas.
Pat Weber, Director of the St. John’s Living Center, said that they also recently had their annual unannounced state survey which looks at health care and health safety issues following CMS nursing home regulations. They had 7 areas where they needed to make improvements. Statewide the average number of deficiencies is over 15 so we did very well. It is a very stressful process as you have 2-3 surveyors just watching everything that is done without discussion and they are there 7:00am to 7:00 pm. The Living Center currently has 57 residents.

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 Tuesday, October 30th with public session at 4:00 pm in the boardroom.

Thank you –

Sherry Wieters
Marketing Coordinator/Executive Assistant
(307) 739-7501

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