NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS September 24, 2024 Members Present: Cindy Thompson, Mandy Barnes, Seth Barrett, Mike Brown, Aimee Meyer, Jayne Novak, Geoff Stewart, Jason Anglin, Dr. Conley (arrived 6:12pm) Members Absent: Bob Beaver, Dr. Candice Moore Others Present (Internal): Holly Bush, COO; Jeff Wesselman, CFO; Jason McCormick, CRO; Christi Keating, CNO; Tim Wilson, Quality Director; Jennifer Eaton, EA Others Present (External): Marvin Knoche, Leland Splitter, Sim Miller, Lillie Pitts-Wingate, Nevada Daily Mail, John Hammons, Legal Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:23 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Lots of Shining Stars – nice to see! Things Welcome to guests in attendance this evening. Approval of Minutes Reports and minutes of the following meetings were provided in the packet for review: Approved as written upon a • Board of Directors – August 27, 2024 motion made by Aimee Meyer and second by Geoff Stewart. Public Comment from Mr. Knoche – governance policies & consequences if not followed. BHU windows. Financials – would like Informational. those registered comparisons. Salaries/wages up. Contract labor also up. Board Mr. McCormick gave an update on the turnaround plan: Informational. Governance • Shared policy governance model pamphlets if anyone would like to take home to read through. • Explained John Carver governance model & policies he has shared with the board. • #106: Interim Exec Support. Process in absence of CEO, there is leadership that will remain in place. • Wage adjustments put into place in an effort to compete with market rates and retain current staff & recruit new staff. Will send out employee survey soon to gain feedback from staff. • Strategic review of how we charge for certain services & remove barriers/access to care. Several changes to chargemaster pricing. Estimate $200k/mo return. Will prepare a press release to share this information. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Patient Centered Health Home application submitted at the end of August. • Completed 340B annual recertification. • Forvis will start annual audit work next week. • Still working with recruitment firms for OBGYN & FPOB candidates as well as CRNA searches. • Updating Emergency Department coding levels. • Still working on getting infusion services started; goal is by start of new year. • BHU Patient Access Advocate – should be out marketing within a 100 mile radius by first of October. CNO Report Mrs. Keating shared the following: Informational. • ED: discussed volumes and review of transfer rates. • Acute Care: focusing on increasing census and working with ED to keep more patients. Swing bed volumes have increased. • Performance Therapy: volumes exceeding budget. Hired 2nd Physical Therapist. • Radiology: pricing review; most have been reduced. Recruiting for full-time ultrasound technologist. • Lab: pricing review; most have been reduced. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS September 24, 2024 • Cardiopulmonary: sleep volumes over budget. Dr. Sohm now providing stress tests in addition to Dr. Fox. COO Report Mrs. Bush gave a review of Quality reports – Informational. • Reviewed Compliance Summary. • Reviewed KPI departmental goals. Quality Report Mr. Wilson reviewed the following: Informational. • Survey re-visit went well. • Focusing on patient experience. Reviewed HCAHPS scores for Q1-Q4 2023; payment in 2024. We received a 5 star rating. Financials Mr. Wesselman gave a review of financials: The August financials were • Reviewed KPI’s/goals for Finance Dept. approved upon a motion • Loss $788k. made by Mandy Barnes and • Other operating revenue, 340B activity. Expenses were up (to pay for drugs in advance); will get second by Jayne Novak. payment in approx. 45 days. • Bad debt expense – self pay accounts attribute for the bulk of this. Need to get accounts receivables down (accounts are too old). • Employee benefits claims were up. Approval Items 1) Fujifilm Endoscopy Service Agreement: $61,569 (3 years) Approval items were 2) Mammography Software Upgrade: $40,000 approved upon a motion made by Geoff Stewart and It was asked if budgeted capital items still come to board for approval. Yes they do. second by Mandy Barnes. Board Committee Workforce: Mrs. Meyer gave a report of the meeting held recently. Reviewed KPI’s for Human Resources. Informational. Reports Hired additional staff member for recruitment; will invite a staff member to attend meetings monthly to hit all departments. Reviewed the Organizational chart. Finance: Mr. Barrett gave report. Reviewed the monthly financials for presentation this evening. Discussed attempts to collect on AR. Growth: will meet this Thursday. Board Governance Will need to establish Nominating Cmte. The following are up for consideration: Bob Beaver, Mandy Barnes, Informational. Cindy Thompson. Mr. Beaver’s seat will need to be filled as term limits have been met. New Business None. Move to Executive The Board Chairman requests an Executive Session for reasons in accordance with RSMo (1994) Section Bob Beaver Absent Session 610.021 Subparagraphs (1), (3), and (13) made by Jayne Novak and second by Seth Barrett at 7:35 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Yea Aimee Meyer Yea Candice Moore Absent Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS September 24, 2024 Adjournment The meeting was adjourned at 9:35 p.m. upon a motion made by Aimee Meyer and second by Mandy Barnes. All voted in favor. Respectfully submitted, Jennifer Eaton, Executive Assistant Page 3 of 3