Trustee Minutes of September, 2021

Board Meeting Minutes

Mt. Grant General Hospital

Thursday, September 23rd, 2021

11:30 a.m.

Present: Richard Schumann, Chairperson; Jona Roberts, Business Office Manager; Hugh Qualls, Administrator; Tamiya Ferguson, Acute DON; Karen Womack, Member; Nancy Rutherford, Co-Chairperson; Hunter Bolanos; HR Assistant, Dr. Ruch; Chief of Staff; Sandrae Lehman, CFO (Phone)

Absent: Paula Viani-Reed, Member

--Call to Order

The meeting of the Mt. Grant General Hospital Board of Trustees was called to order at   11:30 a.m. by Chairperson Richard Schumann. 

--General Public Comments

None

--Approval of minutes

The minutes from the Thursday, July 29th, 2021, minutes were approved as amended with a motion by Nancy Rutherford seconded by Michelle Dow.  Motion carries.

--Financial Report – Sandrae Lehman, CFO

Revenue reported to be 20% under budget. August Revenue was reported to be $126,000 in the black, 3% from budget and 8.5% under in August. Financial Statements for July and August Financials were approved with a motion by Michelle Dow and seconded by Nancy Rutherford. Motion carries.

--Committee Reports

1. Trustee of the Month – Karen Womack/ Michelle Dow
2. Emergency Department -- Tamiya Ferguson. Copy attached to original minutes. 2 AMA and 1 elopement. 2 deaths and 30 admissions.
3. Pharmacy --Tamiya Ferguson. Copy attached to original minutes. No significant changes this month.
4. Patient Safety – Tamiya Ferguson. Copy attached to original minutes. Continuing measures to fight COVID-19 include continuing mask mandates, screening procedures, and restricted visitation for both hospital & SNF. New guidelines for patient testing, isolation, and protocol for new admissions and readmissions. EUA guidelines for booster doses of COVID-19 vaccine were approved by the FDA for specific conditions.
5. Infection Control – Carol Lemieux. Copy attached to original minutes. Carol explained the new OSHA regulations for COVID-19 and hospital staff procedure and continuing staff training and compliance with hand washing, fit testing, and more.
6. Building and Grounds – Randy Canady. Presented by Hugh Qualls for Randy. Report explains current and future projects.
7. EMS and Employee Safety – Carol Lemieux. Copy attached to original minutes. Carol explains events and drills that have taken place or have involved Mt. Grant General Hospital. Safety Committee Report overviewed the CPI training that Jonathan Hunter is distributing to frontline staff. POOL/PACT attended our July meeting and we received praise for our safety efforts. New security cameras will be placed around campus.
8. Administrator – Hugh Qualls. Copy attached to the original minutes. Administrator report began with Risk Management and Utilization Review from Denise Ferguson & Janice Litteral. Risk Report is attached the original minutes. Denial of services report attached to original minutes. Janice and Denise reviewed employee & patient injuries, complaints, readmissions, and denials from insurance.

Administrator Report – Hugh Qualls

• Revenue/expenses Efforts
• Rural Physicians Group Progress
  • GI Service
• SNF Survey – job well done!
• COVID Mitigation
  • Mask Enforcement
  • Staff vaccination rate
  • Federal mandate
  • County Board of Health
• Staffing
• November/December Board Meeting: December 8^th? Confirmed for December 10^th, we will remind the board at October meetings.

--Review, discussion and appropriate action on Critical Need Position Designation for maintenance assistant position pursuit to NRS 286.523

Motion to approve Critical Need Position Designation was made by Michelle Dow and seconded by Karen Womack. Motion carries.

--Review, discussion and appropriate action on proxy privileging for Telemedicine Roster for Physicians

A motion to approve privileges to roster of physicians was made by Michelle Dow and seconded by Karen Womack. Motion carries.

--Review, discussion and appropriate action on recommendation from the Medical Staff to grant privileges to Alinejad, Nima MD initial appt Psychiatry; DeHart, Heath PA-C initial appt ER/Hospitalist; Goraya, Manibar APRN Initial appt Psychiatry; Houtrouw, Cynthia NP initial appt ER/Hospitalist

A motion to approved privileges for roster of physicians was made by Michelle Dow and seconded by Karen Womack. Motion carries.

--Trusty Comments/ Future Agenda Items

None

--General Public Comments

None

--Adjournment

Meeting was adjourned at 1:04pm with a motion by Nancy Rutherford and seconded by Karen Womack. Motion carries.