NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS October 29, 2024 Members Present: Cindy Thompson, Mandy Barnes, Seth Barrett, Bob Beaver, Mike Brown, Aimee Meyer, Dr. Candice Moore (arrived 6:09pm), Jayne Novak, Geoff Stewart, Jason Anglin, Dr. Conley (arrived 5:41pm) Members Absent: None Others Present (Internal): Holly Bush, COO; Jeff Wesselman, CFO; Jessica Collier, HRAO; Christi Keating, CNO; Michelle Bruner, Clinics Director; Tim Wilson, Quality Director; Jennifer Eaton, EA Others Present (External): Marvin Knoche, Leland Splitter, Lillie Pitts-Wingate, Nevada Daily Mail Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:16 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Lots of people assisting others where needed in Shining Star comments. Things 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 – September 24, 2024 motion made by Jayne Novak and second by Mike Brown. Public Comment from Mr. Knoche inquired if the non–operating revenue included use tax. Informational. those registered Board Mr. McCormick gave an update on the turnaround plan: Informational. Governance • Policy #105: Financial conditions. Continue to work to decrease AR days. • Policy #107: Asset protection. Compliant. • Update on turnaround – community forum had approx. 25 in attendance. Good conversation. Ways to remove barriers, access, promotion, etc. Continue working to restructure our charges across the facility. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Positive month: September • State survey updates. • Price transparency updates to meet file requirements/website posting. • Auxiliary & Foundation funding the enhancements to the BHU nursing station for safety purposes. • Auxiliary funded 6 new TV’s for the OB delivery rooms. • Digital sign is down. • Dr. Wyant started the first of October. Clinic going well. • FEMA/SEMA: consulting expenses submitted/obligated status. Reimbursement of $78k anticipated in a couple months. • Audit should be presented at NOV meeting. CNO Report Mrs. Keating shared the following: Informational. • Waiting on Oncology agreement. • BHU census has increased. Continue to work through some staffing challenges. New manager starting 11/11. • ED volumes up; transfer rate is improving. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS October 29, 2024 • Staff working hard to increase inpatient census. • Swingbed volumes very strong. Referrals from Freeman, Mercy, etc. • Preparing for CIHQ survey. COO Report Mrs. Bush gave a review of Quality reports – Informational. • Reviewed KPI dashboard. • Have assumed all Ancillary depts at this point in time. HR Report Mrs. Collier reviewed the following: Informational. • Reviewed dashboard. • Open enrollment to start 11/14. • Attending PittState nursing day 11/21. • Increasing social media posts for open positions. Clinics Report Mrs. Bruner shared the following: Informational. • Gave an update for each of the clinics. Quality Report Mr. Wilson reviewed the following: Informational. • Gave an overview of the Quality report and performance metrics. • Preparing for CIHQ survey. Nov - Jan is the window. Board Bylaws Need to review for purposes of survey preparation. Approved upon a motion Will form subcommittee to take a deeper review. Reach out to J. Eaton if interested in participating. made by Seth Barrett and second by Mike Brown. Policy Review 1) Credentialing Process – no changes. Policies were approved upon 2) Artificial Intelligence – policy to structure the use of the AI for the providers. Burden is still on provider a motion made by Geoff to verify the content created by AI when documenting. Stewart and second by Jayne Novak. Financials Mr. Wesselman gave a review of financials: The September financials • Positive $17k were approved upon a • Revenues were over $12M. motion made by Mike Brown • Discussed 340B expenses & revenue. and second by Geoff Stewart. • Non-operating revenue includes the $70k ARPA funds from the County. • Cash has decreased by $857k. Have paid down some vendor accounts. Approval Items 1) Beazley Cyber Liability Insurance: $41,143 Cyber Liability was Renewal of the policy. approved upon a motion 2) Oncology Services agreement: did not receive back from vendor. Tabled until next month. made by Jayne Novak and second by Aimee Meyer. Board Committee Workforce: 2 meetings in September. Goal is to invite someone from each department at meetings going Reports forward. Committee meeting with Crowder to explore partnerships for students. Finance: review of financials. Growth: review of KPI’s in certain areas. Good discussion. How to further explore internal growth. Nominating: reviewed potential candidates for replacement of Mr. Beaver, City resident. Would like to Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS October 29, 2024 offer to Brian Leonard. He is a former city council member, works at the middle school, very involved in the community. Mandy Barnes & Cindy Thompson have agreed to renew their terms. A motion was made to send forward Mr. Leonard to the City for approval made by Aimee Meyer and second by Mike Brown. New Business None. Move to Executive The Board Chairman requests an Executive Session for reasons in accordance with RSMo (1994) Section Bob Beaver Yea Session 610.021 Subparagraphs (1), (3), and (13) made by Seth Barrett and second by Aimee Meyer at 6:55 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Yea Seth Barrett Yea Aimee Meyer Yea Candice Moore Yea Jayne Novak Yea Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 8:49 p.m. upon a motion made by Dr. Moore and second by Seth Barrett. All voted in favor. Respectfully submitted, Jennifer Eaton, Executive Assistant Page 3 of 3