Trustee Meeting for November, 2018
Mt. Grant General Hospital/Lefa L. Seran Nursing Facility
Board Meeting Minutes
Education Room at Mt. Grant General Hospital
Thursday, November 29, 2018
11:30 a.m.
Present: Tom Fitzgerald; Karen Womack; Michelle Dow; Richard Schumann; Patricia Coen; Hugh Qualls, Administrator; Michael Metkovich, CFO; Dr. Juanchichos Ventura, Jan Kollodge, DON, Brandon Christensen, Revenue Cycle Manager, Michelle Dow
Absent: Dr. Francisco Dofeliz, Jonalee Roberts
- Call to Order
The meeting of the Mt. Grant General Hospital Board of Trustees was called to order at 11:32 a.m. by Chairperson Tom Fitzgerald.
- General Public Comments – No comments
- Approval of minutes
The minutes from the October 25, 2018 were approved with a motion by Patricia Coen, seconded by Richard Schumann. Motion carries.
- Approval of the Audited Financial Statements for Fiscal Year ending June 30, 2018 – Michael Metkovich, CPA, CFO – N/A will add to December agenda
- Financial Report – Michael Metkovich, CPA, CFO
Michael Metkovich distributed and reviewed the Financials as of September 30, 2018 and 2017 and Actuals vs. Budget as of September 30, 2018 (copies attached to original minutes).
Mike mentioned our overall revenue remains nearly unchanged from prior year. Expenses are up due to a 25% increase in salaries, namely providers. Recruitments cost $30k in November. Operating Expenses YTD are also up $211k while revenue YTD is down $300k.
Budget shows: Operating revenue fell on
budget; Salaries fell on budget; Benefits fell on budget; YTD budget is under
$350k
Patty Coen made recommendation to Mike to have any attachments given to them prior to the Board Meeting so they might have a chance to review it first. Mike and Hugh agreed.
A motion was made by Patricia Coen, seconded by Richard Schumann, to approve the Mt. Grant General Hospital Balance Sheets as of September 30, 2018. Motion carries.
- Committee Reports
- Trustee of the month – Richard Schumann
- Spoke to Greg Schumann about DSH processes
- Spoke to Nurse’s Station about new call system; all are happy
- Infection Control – Jan Kollodge
The Infection Control meeting was cancelled earlier this month- nothing to report.
- Pharmacy – Jan Kollodge
The Pharmacy report was reviewed (copy attached to original minutes). All good news, no obvious errors.
- Emergency Room – Jan Kollodge
The Emergency Room report was distributed and reviewed (copy attached to the original minutes). ER remains busy with 242 ER visits in November.
- Patient Safety – Jan Kollodge
The Patient Safety meeting was cancelled earlier this month- nothing to report.
- Administrator – Hugh Qualls
Hugh Qualls distributed and reviewed the Administrator Report (copy attached to the original minutes).
CAH and RHC meetings had a focus on Policy and Procedure as well as Customer Satisfaction. Hugh identified the need for 11k yearly appointments in the Clinic which averages out to 50/day, regardless of holidays.
Safety concerns include parking lot lighting after hours in the RHC and Hospital parking lots as well as security cameras in common area and parking lots.
Moving forward with USDA Grant for future construction. Andy Stinson will be retiring in summer of 2019. More surveys were distributed, including to the Board members as we continue to poll the community about SNF and Long Term Care needs.
Joan Hall believes Paramed could be reimbursed by Medicare in 2019. Michelle Dow asked about the profitability of Paramedicine to which Hugh replied that we are delivering a service to the community and we would hope to someday break even.
Dr. Rivas may be leaving MGGH early spring 2019.
- Review, discussion and appropriate action on Retired Employee Health Policy
The policy is reviewed by the Board annually. Currently there are three retirees on the Retired Employee Health Policy. All three receive Medicare part B, D, and F and Anthem Dental and Vision subsidies. One is received 50%, one receives 75% and one retiree receives 100% subsidy. The only change is the policy is the Anthem insurance rates (an increase of 3% or $0.12 for Dental).
A motion was made by Patricia Coen and seconded by Richard Schumann to approve the Retired Employee Health Policy. Motion carries.
- Review, discussion and appropriate action on recommendation from the Medical Staff to grant privileges to Christopher Ward, DO, Active Staff, Emergency and Family Medicine, Allied Health Professional reappointment; Bruce Dow, DDS, Consulting Staff General Dentistry reappointment; Paul Fry III, MD, Consulting Staff Orthopedic Surgery reappointment; Farres Ahmed, MD, Consulting Radiology; Saif Siddiqi, MD, Consulting Radiology reappointment; Thomas Bryce MD Consulting Radiology reappointment
A motion was made by Patricia Coen, seconded by Richard Schumann to grant privileges to Christopher Ward, DO, Active Staff, Emergency and Family Medicine, Allied Health Professional reappointment; Bruce Dow, DDS, Consulting Staff General Dentistry reappointment; Paul Fry III, MD, Consulting Staff Orthopedic Surgery reappointment; Farres Ahmed, MD, Consulting Radiology; Saif Siddiqi, MD, Consulting Radiology reappointment; Thomas Bryce MD Consulting Radiology reappointment proxy privileging for Renown Telemedicine Roster for Physicians. Motion carries.
- Trustee Comments/Future Agenda Items—no report
- General Public Comments
Patty asked about a Chaplain at MGGH or if we have thought of contacting the different churches in Hawthorne to which Dr. Ventura said this does currently exist in the SNF only.
Possible agenda item for December would be a discussion on the new SNF Rates.
- Adjournment
Meeting was adjourned at 12:31 p.m. with a motion by Michelle Dow, seconded by Richard Schumann. Motion carries.