NRMC Hospital Board of Directors

Nevada Regional Medical Center STRATEGIC PLANNING SESSION February 28, 2025 Present: Seth Barrett, Mike Brown, Aimee Meyer, Jayne Novak, Geoff Stewart, Cindy Thompson, Mandy Barnes (10:04am) Absent: Brian Leonard, Dr. Moore Other Attendees: Jason Anglin, Holly Bush, Christi Keating, Michelle Bruner, Jason McCormick, Jennifer Eaton Topic Discussion Action / Follow-Up Call to Order Mr. McCormick welcomed everyone & recapped some of the successes from the last year. Start 8:05 am Employee Reviewed prior year vs. current results. Overall comparable in terms of number completed. Engagement All categories increased. Need to continue to focus on communication & workplace wellness. Results Market Share, Mr. Anglin reviewed the census over several departmental areas between FY18 to current. Births, BHU, Clinic visits, ED, Imaging, Patient Volumes Lab, Therapies (PT/OT/ST), Respiratory, Surgery, GI, Pain. Reviewed a trended income statement for last 6-7 years. Mr. McCormick discussed the areas where we experience costs that are not covered (ex. call coverage, bad debt, etc). Patient Reviewed the ED Press Ganey survey that patients received. It is a random sampling process. Shown current scoring for: Satisfaction, Inpatient Behavioral Health, Medical Practice, Emergency, Inpatient, Ambulatory Surgery, Outpatient Services Quality, Reviewed Value Based Purchasing metric/measures we are required to report on. Compliance Organizational Mr. McCormick discussed the “why” to focus on advanced leadership. Determines how capital, workforce & resources are used Leadership and determines outcome. Reviewed the Diamond Distinction model & Mr. McCormick’s assessment from 2023 - current. Assessment Conviction (fire/passion): 6.0/7.9 Construct (shape/practice of leadership): 5.5/7.5 Communication: 6.5/6.9 Counting (measuring): 5.0/8.1 Continuous improvement: 5.9/7.4 Still need to review/adopt the remaining governance policies. Workplan: - Finish implementing governance policies - Appoint Chief Medical Officer - Leadership retreat - Finish Officers Training Course Physician Takes approx. $600,000 to onboard & bring on a new physician in first year. Market Reviewed market study results based on MGMA study based on current population specialty services & number of Assessment & physicians/providers needed. Recruitment Mrs. Barnes noted that access continues to be an issue. Plan Why are increased volumes not equating to increased profits? What specialties are we going to try and recruit this year? Mr. Anglin would like 1-2 more FPOB’s (call coverage and c-sect back up) Overview of Mr. Hammons gave an overview of a special hospital district presentation. Gary Edwards, Special Hospital - Petition filing by 10% of voters in designated district City Manager  Nevada Regional Medical Center STRATEGIC PLANNING SESSION February 28, 2025 District - Public Hearing within 30-45 days attended this - Election order is then issued to get on ballot section. - Election Notice, Ballot Format, Results Recording, Board of Directors (elected members) Arrive 11:50am - Typically 50 cents per valuation Depart 1:01pm - Powers of the District Mr. McCormick inquired as to what the benefit to City would be? They would be relieved of the financial obligations/bonds if that route is chosen. Bond rating should increase. What are risks of starting the formation of the district and then not using it? There is one election to establish the district & levy the tax. Would be starting from scratch so disruption to cash flow would occur. At least 90 day reimbursement gap. Board would vote to move forward, form Political Action Committee, public forums, etc to start obtaining signatures. A motion was made by Jayne Novak and second by Mandy Barnes that leadership and several members of the board, including Mr. Hammons, schedule a meeting with City Council to discuss this special service district. All voted in favor. A motion was made by Aimee Meyer and second by Geoff Stewart to convene a Political Action Committee for the purpose of starting a Special Service District. All voted in favor. SWOT Analysis Mr. Anglin shared the following from Executive Leadership: Reviewed results by senior leadership input. Additional input from Board members Strengths: - Longevity of employees - Auxiliary & Foundation groups - Convenience Weaknesses: - Technological opportunities for patients - Payor mix Opportunities: - Partnerships with local schools, colleges, etc for projects - Strengthen relationship with VCAD - Employee recognition/appreciation events Threats: - Cedar Co (El Do/Bolivar) Open Discussion None. Adjournment The meeting was adjourned at 2:00 pm upon a motion made by Jayne Novak and second by Aimee Meyer. All voted in favor. As needed. Respectfully Submitted, Jennifer Eaton, Executive Assistant