The Community Memorial Hospital Board of Governors met at 7:00 pm this day, Monday, December 21, 2009.
Those present were:
Board of Governors
Raymond Riehle, President
Steve Caryer, Vice President
Janice Kline, BOG Member
Peter Kennerk, BOG Member
Don Brown, BOG Member
Daniel Underwood, MD, BOG Member
Mel Fahs, President/CEO
Chuck Bohlmann, Sr. VP, Finance/CIO
Susan Hobeck, Dir. of Financial Services
Michelle Waggoner, VP, Physician Services
Jane Zachrich, VP, Patient Services/CNO
Pam Franklin, VP of Administrative Services
Lori Wein, Executive Assistant
REVIEW OF MINUTES:
The minutes of the November 23, 2009, Board of Governors Meeting were presented for approval. After review of the minutes a motion for approval was made by Steve Caryer and seconded by Don Brown. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
FINANCIALS:
1. Financial Report:
Susan Hobeck reviewed the November 2009 financial statements.
Total gross revenue for the month of November was $2,952,938. This was $528,490 or 22% over budget. Gross revenue year to date for November was $29,536,135. This was $2,543,946 or 9% over budget.
2. Motion of Commendation:
Ray Riehle made a motion to commend the Administrative Team and Managers for all of their hard work and dedication during 2009. Steve Caryer seconded the motion. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
MEDICAL EXECUTIVE COMMITTEE:
1. A summary of the Medical Executive Committee meeting on December 18, 2009 was reviewed. Recommendations approved at this meeting included:
2010 MEDICAL STAFF OFFICERS
Chief of Staff Michael J. Kooistra, MD
Vice Chief of Staff Laverne L. Miller, MD
Secretary Duane P. Johnson, DO
2010 MEDICAL STAFF DEPARTMENT HEADS
Medical/Pediatric Michael Kooistra, Jr., MD
Surgery Jeffrey L. Justice, MD
Anesthesia Robert W. Moore, DO
Obstetrics Todd M. Wiley, MD
Emergency Service Richard G. Chesler, MD
2010 CLINICAL MEDICAL DIRECTORS
Medical Imaging Department Medical Director James Rausch, MD
Laboratory Department Medical Director Karen Wan, MD
Monitored Bed Unit Director A. Len Rivera, MD
Rehabilitation Therapy Medical Director Bryan Kaplansky, MD
Respiratory Department Medical Director Scott A. Waters, MD
Swing Bed Program Medical Director Laverne L. Miller, MD
2010 CHAIRMEN OF COMMITTEE WITH ASSOCIATED MEMBERS
MEDICAL EXECUTIVE COMMITTEE
Chair – MICHAEL KOOISTRA, JR., MD
Scott A. Waters, MD
Laverne L. Miller, MD
Todd M. Wiley, MD
Daniel L. Underwood, MD
Richard G. Chesler, MD
Robert W. Moore, DO
A. Len Rivera, MD
Duane Johnson, DO
Mel Fahs, President/CEO
PHARMACY/INFECTION CONTROL COMMITTEE
Chair – SCOTT A. WATERS, MD
A. Len Rivera, MD
Kate Watson, CRNA
Jane Zachrich, Nursing
Pharmacy Services Representative
Sara Green, Infection Control/Surgery
Brenda Dodane, Pharmacy Tech
Ashley Guilford, Nutrition Services
Amy Thornell, Laboratory
Jeff Rode, Respiratory
Jodie Rister, Recording Secretary
TISSUE/TRANSFUSION COMMITTEE
Chair – JEFFREY L. JUSTICE, MD
Karen Wan, MD (Pathology)
Jane Zachrich, Nursing
Amy Thornell, Laboratory
Sara Green, Surgery
Jodie Rister, Recording Secretary
FOUNDATION REPRESENTATIVE
Richard G. Chesler, MD
SAFETY COMMITTEE
Richard G, Chesler, MD
QUALITY COUNCIL
Daniel L. Underwood, MD
ETHICS COMMITTEE
Chair – JANE ZACHRICH
Laverne L. Miller, MD
Scott Waters, MD
Mel Fahs, CEO
Rev. Robert Knapp
Janis Meyer
Ashley Guilford
Lisa Biery
Lisa Hauenstein
The Board of Governors accepted the recommendations from the Medical Executive Committee for approval of the above 2010 Medical Staff Appointments. A motion for approval was made by Dr. Underwood and seconded by Janice Kline. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
2. CURRENT CONTRACTS
Access RN – PICC Line Placement
Acute Care, Inc. – Emergency Physician Coverage
American Red Cross
Americare – PT, OT, ST
APRN – Sleep Studies
DEXA Diagnostics – Osteoporosis Testing
Fort Wayne Cardiology – EKG Interpretation
Fort Wayne Medical Labs – Pathology
Fort Wayne Radiology – Radiology
Lutheran Hospital - Biomedical Engineering
Lutheran Hospital - Pharmacy Services
Midwest Rehabilitation Services – PT, OT, ST
OHA Staffing Solutions – Clinical Staffing
Physicist – Judy McKenna
Resources on Call
Shift Wise Staffing Solutions
The Board of Governors accepted the recommendations from the Medical Executive Committee for approval of the above 2010 Contracts. A motion for approval was made by Dr. Underwood and seconded by Steve Caryer. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
3. RECOMMENDED CHANGES FOR 2010 MEDICAL STAFF BYLAWS
Revision - Preamble
Revision ARTICLE IV 4.5-1 TISSUE/TRANSFUSION COMMITTEE COMPOSITION - page 14
Revision ARTICLE VII 7.4 NON-DISCRIMINATION - page 23
Revision ARTICLE IX 9.5-1 APPLICATION FORM - page 34
Revision ARTICLE IX 9.5-3 VERIFICATION OF INFORMATION-page 36
Revision ARTICLE X 10.10 TEMPORARY CLINICAL PRIVILEGES- page 43
Revision ARTICLE XI 11.3-2 SEXUAL HARASSMENT BY A PHYSICIAN - page 51-52
RECOMMENDED CHANGES FOR 2010 MEDICAL STAFF RULES AND REGULATIONS
Revision: Emergency Room – pages 7 and 8
Revision: Informed Consent pages 9-11
Revision: Medical Records – pages 15, 16 and 17
Revision: Medical Staff Meetings – pages 19 and 20
Revision: Peer Review – page 23
Revision: Physician Orders – page 28
Revision: Surgical Procedures – pages 34 and 35
The Board of Governors accepted the recommendations from the Medical Executive Committee for approval of the above 2010 Bylaws and Rules and Regulations. A motion for approval was made by Dr. Underwood and seconded by Peter Kennerk. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
4. CREDENTIALS RECOMMENDATIONS
A. Initial Appointment
· Revati Ghatnekar, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Peter Hanley, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Mark Jones, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Scott Mattson, DO – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Mark Meier, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Krishnan Ramani, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
· Sabeena Ramrakhiani, MD – 6-month Provisional Courtesy Cardiology privileges through June 30, 2010
B. Reappointment
· Francis Aona, MD – Courtesy Emergency Services privileges through December 31, 2011
The Board of Governors accepted the recommendation from the Medical Executive Committee for approval of the above Appointments and Reappointment. A motion for approval was made by Dr. Underwood and seconded by Peter Kennerk. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
CEO REPORT:
A. 2010 Operational and Capital Budget Review:
A motion was made by Steve Caryer to approve the 2010 Operational and Capital Budget. The motion was seconded by Janice Kline. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
B. Joint Commission:
Jane Zachrich reported on the surprise visit from the Joint Commission. She commended all departments for their hard work and professionalism.
C. Story
D. Other
A motion to adjourn was made by Janice Kline at 8:50 pm and seconded by Dr. Underwood. Roll Call Vote: Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Brown-yes, Dr. Underwood-yes.
NEXT MEETING: January 25, 2010
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Raymond Riehle, President Janice Kline, Secretary / Treasurer