Trustee Meeting for January, 2020

Board Meeting Minutes

Education Room at Mt. Grant General Hospital
Thursday, January 23, 2020
11:30 a.m.

Present:       Tom Fitzgerald, Chairperson; Karen Womack; Michelle Dow; Richard Schumann, Hugh Qualls, Administrator; Hunter Bolanos; Jonalee Roberts; Michael Metkovich, CFO; Carol Lemieux Safety, HIPAA, Compliance Officer; Dr. Dofeliz, Chief of Staff.

Absent:       Jan Kollodge, DON

Guest:         Jeffery Johnson, Partner, WIPFLi Healthcare Practice

Call to Order

The meeting of the Mt. Grant General Hospital Board of Trustees was called to order at 11:35 a.m. by Chairperson Tom Fitzgerald. 

General Public Comments

None

Approval of minutes

The minutes from the Thursday, December 19, 2019 meeting were approved and the minutes from October 24, 2019 were tabled with a motion by Michelle Dow, seconded by Richard Schumann.  Motion carries.

Review of Audited Financial Statements for Fiscal Year ending June 30, 2019       – Jeffrey Johnson, Partner Wipfli Healthcare Practice

Jeffrey Johnson presented to the board a Financial Statement overview which included audit findings for FY-ending June 30, 2019.  (Copy attached to original minutes.)

No significant difficulties, deficiency or material weakness found with internal control communications.

Compliance Findings: Violation of Statute – Budget Variance

Reviewed Congressional Updates:

Save Rural Hospitals Act H. R. 2957 has been reintroduced to help stop Rural Hospital closure.

RHC Modernization Act

Physician Fee Schedule: Increasing Price Transparency

Therapy Supervision Rule Change – General Supervision for outpatient treatment.

A motion was made by Michelle Dow and seconded by Karen Womack to Approve the Financial Statement overview and Audit Findings for FY-ending June 30, 2019. Motion Carries.

Financial Report – Michael Metkovich, CPA, CFO

The Balance Sheets as of November, 2019 were reviewed.  (Copy attached to original minutes.)  

Increase in cash by $190k from the prior month.

A motion was made by Richard Schumann, seconded by Michelle Dow, to approve the Mt. Grant General Hospital Balance Sheets as of November, 2019.  Motion carries.

Committee Reports                    

Trustee of the month – Tom Fitzgerald

Pharmacy – Reviewed by Hugh Qualls. (Copy attached to original minutes.)  No challenges or changes.

Emergency Room – The Emergency Room report was reviewed by Hugh Qualls (copy attached to original minutes).  New record (beat last month) of Emergency Room Patients. Non-emergent patients are still being encouraged to triage & transfer to the clinic.

Make-up: EMS and Employee Safety – The EMS and Employee Safety was reviewed by Carol Lemieux (copy attached to original minutes). Review the fire drill over the last quarter. Continue to reinforce policy and procedure during fire drills. Emergency Management covered the 2 mandatory drills (one can be a table-top), we are over compliant currently at 350% compliance. Stop the Bleed class can now be instructed by Carol. Planning to teach the 2 hour classes as soon as her certification is posted to the compliance board. Employee Safety Committee: Our committee needs to be re-evaluated. Safety committee meetings are becoming slim to none in attendance. QAPI projects were reviewed.

Patient Safety – The Patient Safety report was reviewed by Hugh Qualls (copy attached to original minutes).  November & December Patient safety reports were reviewed. Only 1 sentinel event from November.

Administrator – Hugh Qualls distributed and reviewed the Administrator’s report (copy attached to original minutes). 

Review, discussion and appropriate action on the Board of Trustees appointing the Chief of Staff, Dr. Francisco Dofeliz, MD, as a voting member of the Board per NRS 450.640

A motion was made by Michelle Dow, seconded by Karen Womack, to appoint the Chief of Staff, Dr. Francisco Dofeliz, MD as a voting member of the Board per NRS 450.640.  Motion carries.

Trustee Comments/Future Agenda Items – no report

Election of seats – March (planned).

Plan to elect Chairperson, Co-Chairperson, and Members after new Board Member is chosen.

General Public Comments

Karen Womack thanked the maintenance team for painting the steps of the PT Building

Adjournment

Meeting was adjourned at 1:30 p.m. with a motion by Michelle Dow, seconded by Karen Womack.  Motion carries.