DECATUR COUNTY HOSPITAL BOARD OF TRUSTEES

MEETING MINUTES

NOVEMBER 24, 2014

5:30 P.M.

PRESENT: Guy Clark, Leon Kessel, Cayle Buckingham, Linda Chastain, Carrie Melcher

ABSENT: Rudy Evertsen, Erin Dykes

OTHERS PRESENT: Suzanne Cooner, Tara Spidle, Jo Beth Smith, Andi Masters, Angie Wells, Patty Armstrong, Cynthia Forsyth

I. CALL TO ORDER
Guy Clark called the meeting to order at 6:00 p.m.
II. AGENDA APPROVAL
It was moved by Linda Chastain and seconded by Carrie Melcher to approve the agenda in accordance with the Code of Iowa Open Meetings Law. Motion carried.
III. PUBLIC COMMENT
No public comment.
IV. CONSENT AGENDA
It was moved by Cayle Buckingham and seconded by Linda Chastain to approve the following Consent Agenda items: (1) Meeting Minutes for October 27, 2014; (2) October Accounts Payable $656,922.94 Payroll $327,349.04 (3) Accounts Receivable write-offs $32,073.13.
V. PHYSICIAN ALIGNMENT STRATEGIES
Cynthia Forsyth gave a presentation on Physician Alignment Strategies.
VI. MERCY REPORT
Patty Armstrong gave the Mercy Report.
VI. CEO REPORT
1.  Christine Rosheim, ARNP, began providing care in the Emergency Department as DCH’s first full time employed nurse practitioner. She joins Eugene Yoder, ARNP, who is contracted by DCH through the local clinic. DCH plans to employ a third practitioner to join the team in the near future.
2.  Decatur County Hospital Paramedic, Teresa Mathews, received the 2014 Iowa Emergency Medical Service Association’s (IEMSA) Career Individual EMS Provider of the Year at a ceremony in Des Moines on November 8th. Troy Armstrong, AEMT, was also honored as one of three recipients of the IEMSA Scholarship at the same ceremony. Several friends, family, and co-workers were in attendance.
3.  Free patient valet parking is now available Monday-Friday, 8:00 A.M. to 4:30 P.M. Decatur County Hospital’s Main Entrance. To take advantage of this service the patient, or patient’s driver should pull under the Main Entrance overhang; and either step inside and provide the front desk with their car keys or if they need further assistance they should simply dial (641) 446-4871 and a staff member will come out to assist.
4.  On November 3rd DCH hosted a webinar on Ebola preparedness for Safety personnel in Law Enforcement, Fire/Rescue, EMS, Communications and any other Emergency Services.
5.  On November 15th one of the DCH Ambulances was involved in a motor vehicle collision with a passenger car while responding to an unrelated incident on Interstate 35. Ice and snow covered roadways contributed to the incident and no injuries were reported with the collision. A company in Eldora, Iowa was able to provide DCH with a loaner ambulance to continue our current level of service.
6.  Decatur County Public Health and Decatur County Hospital received a donation of specialized Personal Protective Equipment (PPE) from the Ottumwa Fire Department’s Regional Hazardous Materials Response Team – Southeast Iowa Response Group. The specialized equipment consist of protective suits and boots that may be used when dealing with patients that may have an infectious disease or contaminated with a hazardous material substance. A total of twenty sets of PPE, valued at over $5,000 were donated to Decatur County and was distributed between the agencies.
7.  Jo Beth Smith gave an update on FR Secure regarding the IT security assessment.
VII. QUALITY DASHBOARD REPORT
Andi Masters gave the Quality Report.
VIII. FINANCIAL REPORT
Tara Spidle presented the financial report for the month of October. Though surgical procedure volumes were good, expenses associated with the startup of the vascular program were high. Total operating revenue for October was $971,526 with operating expenses totaling $1,110,595. Non-operating revenue was $55,846. Net income for the month was ($83,223). Year to date EBIDA income is $322,620. EBIDA income is obtained by adding the non-cash expense back into the year to date net loss. It was moved by Leon Kessel and seconded by Carrie Melcher to approve the financial report for October. Motion carried.
IX. ACTION ITEM
A motion was made by Cayle Buckingham and seconded by Leon Kessel to approve the Angiojet Console in the amount of $30,000. Motion carried.
X. MEDICAL STAFF REPORT
Dr. Richard gave the medical staff report for the month.
XI. MEDICAL STAFF REAPPOINTMENTS & APPOINTMENTS
Following acknowledgment that the proposed appointment applications of Joshwa Tromblee,DO; Jessica Stark, DDS; and Robert Smith, DDS; reappointments Kraig Kirkpatrick, MD; Karl Digman, MD; Indunil Karnasekera, MD; Mitchell Erikson, MD; and Terry Falk, MD to the DCH Medical Staff was recommended by the Medical Staff; Cayle Buckingham moved and Linda Chastain seconded the motion. Motion carried.
XII. ADJOURNMENT
The meeting adjourned at 7:54 p.m.

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Cayle Buckingham, Secretary