NRMC Hospital Board of Directors

Nevada Regional Medical Center BOARD OF DIRECTORS December 19, 2024 Members Present: Cindy Thompson, Seth Barrett, Mike Brown, Aimee Meyer, Dr. Candice Moore (arrived 5:25pm), Geoff Stewart, Jason Anglin, Dr. Conley (arrived 5:54pm) Members Absent: Bob Beaver, Mandy Barnes, Jayne Novak 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; Jason McCormick (via zoom) Others Present (External): Leland Splitter, Lillie Pitts-Wingate, Brian Leonard Topic Discussion Action & Follow-Up Call to Order Mrs. Thompson called the meeting to order at 5:20 p.m. and noted that a quorum was present. No conflicts of interest were disclosed. Celebration of Good Employees enjoyed the holiday meal yesterday. Things Lots of Shining Stars recognized. 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 – November 26, 2024 motion made by Mike Brown and second by Aimee Meyer. Public Comment from None. Informational. those registered Board Mr. McCormick gave an update on the turnaround plan: Governance • Policy #109: Communication to the Board. We are in compliance through monthly board meetings, committee meetings, email communication, etc. • Identify more clearly the types of information presented at board (ex. actionable, info only, etc) • Financial update: at a tipping point currently. Need to continue to push projects after the first of the year. Customer service focus, marketing. • Hope to recruit more employed ED physicians. Organizational Chart Mrs. Thompson shared the following: Will email out; vote on changes in January. CEO Report CEO Report – Mr. Anglin provided the following highlights from the report: Informational. • Several networking meetings lately. • Mrs. Thompson attended City Council meeting this week. Asked for update to city code to update membership make-up. Went well. They agreed to update to 2/7 (city/county). Will approve ordinance in January. • Brianne Culbertson, PMHNP doing well. • Working with Forvis to finalize the audit. • Dr. Kellenberger retiring March 31st. • Working with recruiting firm to schedule a couple FPOB candidates interviews & possibly site visits. CNO Report Mrs. Keating shared the following: Informational. • Preparing for survey in January. Doing a lot of prep, review, education to staff. • New clinical partnership with Franklin Technical College for nursing clinical experience opportunities. • BHU – new nurse manager doing well. Struggling with some staffing challenges lately. Hired 5 new staff members. Page 1 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS December 19, 2024 • ED, Acute Care and SwingBed volumes down compared to last month. • OB & Surgery volumes were up slightly. COO Report Mrs. Bush gave a review of Ancillary areas – Informational. • PCHH program: have 153 patients enrolled at this point. Going well and building the enrollment. Looking to fill a care coordinator position to be a patient advocate. • Looking to fill a physical therapy assistant position as volumes continue to grow. • Have Ultrasound candidate to hopefully join soon. • Exploring move of Sleep Lab from PT area for more room. Approx. $30k estimate. HR Report Mrs. Collier reviewed the following: Informational. • Reviewed the current dashboard. Stable. • Employee referrals: 24. We have paid out $12k to staff in referrals for November. • Held a movie night last night for staff & their families. Most really enjoyed it! Clinics Report Mrs. Bruner shared the following: Informational. • Reviewed the clinic volumes for each. • NowCare will be open regular hours Christmas & New Year’s Eve. All will be closed on the actual holidays. • Will have automated phone system for PPC up by mid-January. • Mercy clinic will be moving in-house January 6th. Quality Report Mr. Wilson reviewed the following: Informational. • Reviewed current Quality initiatives. • Preparing for CIHQ surveyors to arrive in January. Antibiotic Stewardship Need approval renewed for Pharmacist, Jodee Mashek, to serve as the program director. This is a survey Approved upon a motion Program requirement. made by Seth Barrett and second by Aimee Meyer. Financials Mr. Wesselman gave a review of financials: The November financials • Nov: loss $507k. were approved upon a • Volumes down in almost all areas. We have experienced a very mild winter & respiratory illness thus motion made by Geoff far. Stewart and second by Dr. • 340B revenues have remained strong. Moore. • Cash was up for November. • Revenues were just over $11M. Need to be above $12M monthly. Approval Items 1) MHA annual dues: $47,554 Approval items were Renewal of annual dues for participation with Missouri Hospital Association. approved upon a motion 2) Forensic Review & Underpayment Recovery Services: 30% of underpaid remittances made by Mike Brown and Contingency agreement for review of insurance claims underpayments. Stroudwater made this second by Seth Barrett. connection for NRMC. Board Committee None. Reports Page 2 of 3  Nevada Regional Medical Center BOARD OF DIRECTORS December 19, 2024 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 Dr. Moore and second by Aimee Meyer at 6:23 pm. Mike Brown Yea Results of a Roll Call vote are as follows: Mandy Barnes Absent Seth Barrett Yea Aimee Meyer Yea Candice Moore Yea Jayne Novak Absent Geoff Stewart Yea Cindy Thompson Yea Adjournment The meeting was adjourned at 7:15 p.m. upon a motion made by Mike Brown and second by Seth Barrett. All voted in favor. Respectfully submitted, Jennifer Eaton, Executive Assistant Page 3 of 3