NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS November 26, 2024 Members Present: Cindy Thompson, Mandy Barnes, Seth Barrett, Mike Brown, Aimee Meyer, Dr. Candice Moore (arrived 5:38pm), Jayne Novak, Geoff Stewart, Jason Anglin Members Absent: Bob Beaver, Dr. Conley 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): Leland Splitter, Lillie Pitts-Wingate, Tina Trotter, Heaven Farmer, Amber Brundridge, Teresa Reed, Jodee Mashek, Brian Leonard Topic Discussion Action & Follow-Up Presentation Mr. David Taylor, Forvis, was present to share the draft audit report. Started: 5:17pm - Improvement to bottom line, mostly due to LAGERS Ended: 5:34pm - No repayments scheduled at this time for Medicaid DSH. - Reviewed some industry benchmarks impacting healthcare. - Mr. Barrett – how accurately can we predict a DSH repayment? Mr. Taylor noted it is not real accurate as the program is very lagged. Call to Order Mrs. Thompson called the meeting to order at 5:35 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good We’ve made a lot of progress over the last ten months. Things Mr. Leonard noted an overall good encounter in the ED recently. 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 – October 29, 2024 motion made by Aimee Meyer and second by Geoff Stewart. Public Comment from None. Informational. those registered Board Mr. McCormick gave an update on the turnaround plan: The Global Ends policy was Governance • Policy #105: Financial conditions. approved upon a motion • Policy #108: Compensation & Benefits. Compliant. made by Jayne Novak and • Policy #401: Global Ends Statement. Reviewed at last governance session. Defines what the second by Mandy Barnes. organization shall become. Identifies the service lines. • Update on turnaround – increasing cash & patient volumes is the focus. Improvement in revenue cycle processes. Working on strategy to plan for Freeman opening hospital in Ft. Scott next year. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • October was another good month financially. • State has accepted the plan of correction from the EMTALA survey. • Plant updates – waiting on chiller parts, elevator repairs, & BHU nurse station material to start construction. • B. Culbertson, PMHNP will start seeing patients next week. • Received final reimbursement from FEMA/SEMA. • 340B – experienced delays in payment processing. Cash was very tight at the end of the month. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS November 26, 2024 CNO Report Mrs. Keating shared the following: Informational. • Nursing skills fair went very well! Thank you to everyone that assisted in getting it put together. • BHU manager started. Hired 5 new staff members. • ED: continue to monitor transfer rates. Working to keep patients here if possible. • Acute Care census was up; swingbed volumes were good. COO Report Mrs. Bush gave a review of Ancillary areas – Informational. • Lab volumes are up. • Pharmacy is engaged in the start up process for the infusion program. • Therapy services continue to grow. Exploring space options & additional volume opportunities. • Quality department is now located in the old medical records space. • Diagnostic imaging – working to recruit an ultrasound tech. HR Report Mrs. Collier reviewed the following: Informational. • 32 employee referrals. • Turnover rate decreasing. 20 new hires. • Open enrollment for employee benefits will be wrapping up soon. Clinics Report Mrs. Bruner shared the following: Informational. • All open positions have been filled. So excited to get them all started. • NowCare – waiting on additional analyzers to arrive to open other side for walk-in volume. • Primary Care – several staff received Shining Star nominations. • Wound – volumes have increased since Dr. Hall did PRIDE report recently. Quality Report Mr. Wilson reviewed the following: Informational. • Still working on sepsis project. • Working on data reporting for antibiotic use/resistance. • Flu vaccination: 88% compliance. • Currently in CIHQ survey window. • Anticipate state surveyors to return for a re-survey now that plan of correction has been accepted. Policy Review Tabled at this time. Financials Mr. Wesselman gave a review of financials: The October financials were • Cash was tight at the end of the month. Three payroll month. approved upon a motion • 340B: payment delays from Walmart. made by Mike Brown and • Revenue: $13.4M second by Jayne Novak. • Operating income: $127k Approval Items 1) Rural Missouri Hospital Network: $0 Approval #1 was approved Cooperative agreement among independent MHA hospitals. upon a motion made by 2) Hospital Association Team (HAT) Work Comp: $447,005 Mandy Barnes and second Renewal of work comp insurance. Based on prior year exposures. by Mike Brown. Approval #2 was approved upon a motion made by Seth Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS November 26, 2024 Barrett and second by Aimee Meyer. Board Committee Workforce: met with Crowder nursing program & discussed ways to collaborate. Reports Finance: reviewed various levels of accounts receivables. Growth: discussed volumes & potential impact of Ft Scott hospital opening. Focus to get infusion program started early next year. Strengthening customer service. 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 Mike Brown and second by Seth Barrett at 7:07 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 9:22 p.m. upon a motion made by Aimee Meyer and second by Seth Barrett. All voted in favor. Respectfully submitted, Jennifer Eaton, Executive Assistant Page 3 of 3