Trustee Minutes for February, 2021

Trustee Minutes for February, 2021

Board Meeting Minutes

Mt. Grant General Hospital

Thursday, February 25, 2021

11:30 a.m.

Present: Jona Roberts, Business Office Manager; Sandrae Lehman, CFO; Hugh Qualls, Administrator; Hunter Bolanos, HR Assistant; Tamiya Ferguson, Acute DON; Carol Lemieux, Safety Officer; Noretta Chan, Risk Manager QA/UR; Nancy Rutherford, Co-Chairperson; Karen Womack, Member; Dr. Dofeliz, Chief of Staff; Richard Schumann, Chairperson       

Call to Order

The meeting of the Mt. Grant General Hospital Board of Trustees was called to order at   11:40 a.m. by Chairperson Richard Schumann. 

General Public Comments

Noretta Chan, email received. Jonalee Roberts addressed this by saying that the complaint is under investigation and does not meet the level of board action at this time. Jona reminded Board of Trustees that personnel issues must be discussed in Executive Session and not in open meeting. Executive sessions must be requested in advance to be put on the agenda. Board requested that they be notified when the process is concluded.

Approval of minutes

The minutes from the Thursday, January 28, 2021, minutes were approved with a motion by Karen Womack seconded by Nancy Rutherford.  Motion carries.

January 2021 Financial Report – Sandrae Lehman, CFO

Copy of the January 2021 Financial Statements is attached to original minutes. Month of January shows not much change in cash. Reserved cash for CT Machine project was explained. Provider relief funds of $52k were claimed.  A motion was made by Michelle Dow and seconded by Karen Womack to approve the January 2021 Financial Statements.  Motion Carries.

Committee Reports


Trustee of the MonthPaula Viani

Paula Viani reported she had recommended the nursing home to a family.  Paula and Michelle Dow had positive comments about their experiences with family members in the nursing home.

Emergency Department

Tamiya Ferguson. Increase in ER Volume for January 2021. Increase in Transfer and decrease of admissions. Copy attached to original minutes.


Tamiya Ferguson. Chris Shea, Pharmacist is pausing visits on site due to COVID-19. Pharmacy inspection is scheduled for March 2021. Copy attached to original minutes.

Patient Safety

Tamiya Ferguson. Supplies, COVID-19 testing, and vaccinations discussed. Copy attached to original minutes.

Infection Control

Carol Lemieux. Copy attached to original minutes. Carol will present Infection Control Training plan to board next meeting as an action item.

Administrator – Hugh Qualls.

Copy attached to original minutes.

  1. COVID-19 Vaccination Report
    • Staff
    • Patients
    • Community
    • Weekly staff testing
  2. Rural Physician Group
    • ER/Hospitalist: good start
  3. Clinic Reorganization: More Changes coming
  4. New Business office progress
  5. Staffing
    • Nursing: RNs, CNAs
  6. SOC Agreement
  7. Reopening?

Review, discussion and appropriate action on recommendation from the Medical Staff to grant privileges to Adam Corman, MD initial Emergency Medicine; Jessica Gordon, DO, initial Emergency Medicine; Madelynn Waychoff, PA-C, initial Emergency Medicine; John Quigley, PA-C initial Emergency Medicine

A motion to approve privileges for roster was made by Michelle Womack and seconded by Paula Reed. Motion carries.

Trusty Comment/Future Agenda Items

Carol’s Infection Control Action Plan.

General Public Comments



Meeting was adjourned at 1:07pm with a motion by Nancy Rutherford and seconded by Paula Reed. Motion carries.