Trustee Minutes of March, 2022

Trustee Minutes of March, 2022

Board Meeting Minutes

Mt. Grant General Hospital

Thursday, March 24th, 2022

11:30 a.m.

Present: Richard Schuman, Chairperson; Nancy Rutherford, Co-Chairperson; Karen Womack, Member; Dr. Sharon Ruch, Member/Chief of Staff; Hugh Qualls, Administrator; Sandrae Lehman, CFO; Jonalee Roberts, HR/Business Office Manager; Paula Viani-Reed, Member; Denise Ferguson, Risk Manager/QA; Hunter Bolanos, HR/Recorder, Mindeya Summerfelt; DON RN.

Absent: Michelle Dow, Clerk

Call to Order

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

General Public Comments


Approval of minutes

The minutes from the Thursday, February 24th, 2022 meeting were approved with a motion by Karen Womack and seconded by Paula Viani-Reed.  Motion carries.

Financial Report – Sandrae Lehman, CFO

Sandrae Lehman presented the financials for February 2022, including Balance Sheets, Revenue and Expense Statements. Sandi explained the projected cash on hand reflects cash for new boiler system for the hospital, the new X-Ray room, and new Physical Therapy Gym/Clinic. Financial have been steady from previous months. Our expenses continue to be under budget. Contract labor being over, but is to be expected. Days cash on hand study explained by Sandi Lehman. This flex study explained bench marks for CAH across the country and explained to the board where other CAH are on their expense reports for comparison. Budget update from Sandi explained the plan for next FY budget, and tentative budget will be shown at next meeting. Final budget will be shown in May.

Financial Statements for February 2022 were approved with a motion by Nancy Rutherford and seconded by Paula Viani-Reed.  Motion carries.

Committee Reports

  1. Trustee of the Month – Richard Schumann.

  2. Emergency Department – Mindeya Summerfelt, RN DON reviewed the Emergency Department (copy attached to original minutes). Census in the ED is down this month.

  3. Pharmacy – Mindeya Summerfelt, RN DON reviewed the Pharmacy Report (copy attached to original minutes).  The Pharmacy Report is reviewed monthly with the Medical Director Dr. Ruch.  Integricare reviews the nursing home medication records once a month and makes recommendations to medical staff. Nothing of concern for February 2022. Mindeya explained the change in narcotic control and distribution and removing from the Omnicel pharmacy.

  4. Administrator – Hugh Qualls. (copy attached to original minutes) Denise Ferguson explained Patient Safety report. No Sentinel events. Denise reported Sentinel event policy to state of Nevada for compliance. Denise explained the supplies in the central supply department. Hospital opening and screening measures explained now that the hospital is open to the public. Front doors & self screening measures have made a positive change for employees and patients. Future and current training, compliance, and certification of staff explained.

    Jonalee Roberts explained the new hires and terminated employees. (Copy attached to original employees)

    Hugh Qualls reviewed the administrator report. (Copy attached to original minutes.)
    • Helmsley Foundation update
    • Physical Therapy Building
    • New hires/Terms 

Review, discussion, and appropriate action on Resignation of Administrator.

Motion to table the resignation of administrator until April 18th, 2022 was made by Karen Womack and seconded by Nancy Rutherford. motion carries.

–Review, discussion and appropriate action on Administrator Selection Sub-Committee and Hiring Process

Board agrees to have HR, DON, chief of Staff, CFO, Hugh Qualls, and Board Members on Sub-Committee. First open meeting for Sub-Committee review will be April 18th, 2022 at 12:00 noon

Motion to proceed with the selection of sub-committee and hiring process was made by Paula Viani-Reed and seconded by Nancy Rutherford.  Motion carries.

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

Motion was made by Nancy Rutherford, seconded by Karen Womack to grant privileges to Telemedicine Roster for Physicians.  Motion carries.

Trustee Comments/Future Agenda Items


General Public Comments



Meeting was adjourned at 12:26 p.m. with a motion by Karen Womack, seconded by Paula Viani-Reed.  Motion carries.