Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting April 22, 2024 MINUTES The Norman Regional Hospital Authority met in monthly session April 22, 2024 at 5:00p.m. in the Young Family Athletic Center Conference Room. The meeting Agenda was posted April 18, 2024 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present: Doug Cubberley James Chappel Jerome (Jerry) Weber, Ph.D. Mary Womack Muhammad Anwar, MD Joan Greenleaf Kevin Pipes Dr. Dianne Chambers Others Present: Richie Splitt, President & CEO John Manfredo, VP, Chief Operations Officer Keith Minnis, VP Chief People Officer Brittni McGill, VP, Chief Nursing Officer Elaine Purvis, VP, Chief Strategy Officer Aaron Boyd, MD, VP, Chief People Officer James Bond, MD, Chief of Medical Staff Bruce Parker, MD, Chief of Medical Staff Elect Jenny Anderson, Administrative Director, Patient Quality Larry Harden, Administrative Director, Risk & Compliance Ray Leyva, Multimedia & Video Specialist, Media Services Gavin Nation, OU’s JC Penny Leadership Fellow Melissa Herron, Director, Integrated Marketing & Media Services Catherine Sison, Manager, Med-Surg Unit Lauren McBride, LPN, 3NW Vanessa Lee, Director Patient Care Services Crystal Cohea, Supervisor, Med-Surg Unit Patti Davis, President, LifeCare Members Absent: Paula Roberts Rick Wagner, VP & Chief Financial Officer Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the April 22, 2024 Norman Regional Hospital Authority business meeting at 5:00p.m.  NRHA Board Minutes 2 April 22, 2024 Agenda Item II. Introduction and Recognition of Outstanding Healers A. May 2024 Healer of the Month – Lauren McBride, LPN, 3NW. Mr. Cubberley introduced Catherine Sison, Nurse Manager to the Board, who then introduced Ms. McBride. Ms. Sison shared that Ms. McBride was born in Lawton, Oklahoma. As a young girl, her career focus was aimed at becoming a photographer and basketball coach – however Lauren’s mother steered her toward a career in healthcare knowing her daughter had a compassionate heart and was a natural caregiver. Lauren achieved her Certified Medical Assistant (CMA) certification and accrued 4 years of experience in that role while earning her Licensed Practical Nurse (LPN) degree. Before joining NRHS, she contributed her skills at OSU Medical Center in Tulsa, where her selflessness and community impact earned her a nomination for the prestigious “Top 100 Outstanding Nurses”. Ms. McBride’s hobbies include coaching boys basketball, watching her nephew play soccer and supporting her OSU Cowboys. Ms. McBride’s peers shared she helps create a calm and supporting work environment and always does more than is expected. Patients love her consistent positive attitude and enthusiasm. Ms. McBride thanked everyone for honor and recognition. Though she earned similar recognition at her previous place of employment, this one was truly an honor due to the support and encouragement she receives at NRHS. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. McBride. Her steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. Ms. McBride, Ms. Sison, Ms. Lee and Ms. Cohea left the meeting at 5:06pm. Agenda Item III. Board Education: LifeCare Update Ms. Patti Davis, President LifeCare presented a Medicare Advantage update. Ms. Davis shared the following data:  Basic options and comparisons between the original Medicare and Medicare Advantage; bundling of Parts A,B, & D, out-of-pocket costs and deductibles  Enrollment numbers by state and county  Enrollment by firm or affiliate groups  NRHA Board Minutes 3 April 22, 2024  Growth by enrollees over the last 10 years Ms. Davis presented comparative data on Medicare Advantage (MA) plans used by NRHS patients juxtaposing them with industry norms and trends. When selecting a plan, Medicare eligible individuals prioritize factors such as premium costs, out-of- pocket expenses and benefits. There is heightened federal oversight regarding escalating denial rates and payment delays within MA plans. Bipartisan legislators are advocating for improved transparency, competition and measures to curtail abusive market practices. Ms. Davis presented an overview of a proposed plan for LifeCare members, aiming to mitigate claims denials, enhance patient satisfaction and bolster enrollment retention. The plan will prioritize patient access, quality value-based care and extends support for long-term care beyond clinical settings. Ms. Davis left the meeting at 5:47pm. Agenda Item IV. Approval of March 25, 2024 Norman Regional Hospital Authority Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the March 25, 2024 Board Meeting Minutes. Dr. Anwar seconded the motion, and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes and Dr. Chambers. Agenda Item V. Performance Update Ms. Jenny Anderson, Administrative Director, Patient Quality, provided a CMS Star Ratings and Journey to Excellence. Ms. Anderson shared the improvements in the Mortality index 3-year trend based on claims data. Ms. Anderson reviewed the HCAHPS & Star Ratings Patient Experience data. Our Journey to Excellence initiative received 23 submissions this year. 15 of those were new projects, with 8 returning. NRHS’s Journey to Excellence Award recognized exceptional efforts of NRHS teams to improve processes within one or more of our 4 strategic focus areas: Service Excellence, Operational Excellence, Clinical Excellence and Team Excellence. The Health System was well represented from all categories. Dr. Chambers left the meeting at 5:53pm.  NRHA Board Minutes 4 April 22, 2024 Agenda Item VI. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on April 8, 2024. MEC covered a number of topics including – Reflex Lab testing, TigerConnect policy update, Inspire Health update, Medical Credentialing, Department Committee Reports and Executive Team updates. Agenda Item VII. Patient Quality & Safety Committee A. Mr. Cubberley announced a summary of the Patient Quality & Safety Committee is included in the board packet. Ms. Greenleaf is available to address questions. Agenda Item VIII. Finance Committee A. Mr. Splitt reported the Finance Committee met April 18, 2024. B. Mr. Splitt presented the NRHS Financial report for March 2024: March 2024 Financial Performance  Gross Revenues .................................. (Budget $217,521,952)............ $226,854,952  Net Patient Revenue .............................. (Budget $48,187,957).............. $48,134,354  Total Operating Expenses ..................... (Budget $52,475,087).............. $51,045,947  Total Operating Revenues ...................... (Budget $48,866,306).............. $48,775,618  Operating Income .................................... (Budget $3,608,781).............. ($2,270,330)  Non-Operating Revenues (Expenses) ..... (Budget $1,235,322).............. $(2,173,205)  Excess Revenues over Expenses ............ (Budget $2,373,459)................... ($97,124) Year-to-Date  Operating Income ................................... (Budget $14,641,031............ ($34,918,836)  Non-Operating Revenues (Expenses) ... (Budget $11,117,909)............ ($11,307,661)  Excess Revenues over Expenses ............ (Budget $3,523,122)............ ($23,611,175)  Accounts Receivable Days ...................................................... . .................. 71.4 Days  Days Cash on Hand…………………………………………………………..….71.2 Days ACTION TAKEN: Dr. Weber made a motion to approve the March 2024 NRHS Financial Statements. Mr. Pipes seconded the motion. March 2024 Financials were approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes. C. Mr. Splitt presented for approval five capital request items totaling $928,762 a. Flurorescence Visualization: $81,138  NRHA Board Minutes 5 April 22, 2024 b. Instrument Containers: $53,383 c. Anesthesia Machine: $64,562 d. Clinical Space Construction (Porter): $285,000 e. Orthopedic Expansion Construction Costs: $444,699 ACTION TAKEN: Dr. Weber made a motion to approve the Capital Equipment Request at a total cost of $928,762 as recommended by the Finance Committee. Mr. Pipes seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes. Agenda Item IX. Old Business None Agenda Item X. New Business Ms. Purvis presented feedback from surveys and discussions with management to develop a new Mission and Vision statement. As NRHS combines campuses and focuses on becoming one culture, we have a unique opportunity to tell our story as we continue to meet industry our consumer’s expectations. Mr. Leyva left the meeting at 6:36pm. Agenda Item XI. Administrative Report Mr. Splitt shared the following:  The Max Westheimer Airport received an appropriation of federal funds to extend the runway. This upgrade will allow larger planes to use the airport.  The Young Family Athletic Center (YFAC) hosted a family weekend on April 20-21, inviting families and guests to enjoy complimentary access to the facility and explore its services. Ambassadors from Norman’s sister city, Clermont-Ferrand, France toured the building, expressing enthusiasm about the facility and our ties with the City of Norman. Additionally, discussions were held regarding the potential establishment of a nurse exchange program. Mr. Manfredo provided an update on the following:  Our HIT department continues its steadfast efforts in cybersecurity, bolstered by the expertise of the cybersecurity firm we’ve engaged for additional guidance and protection.  We have achieved substantial completion for the ACC building at the HealthPlex (now Norman Regional Hospital). Work continues on the punch lists and plans for the move-in are underway.  NRHA Board Minutes 6 April 22, 2024 Ms. McGill shared information on the following:  The Behavioral Health Center building tour will be at 2pm on April 23rd. We are targeting early June, 2024 for the opening date.  It’s nearly football time in Oklahoma, and NRHS is gearing up for OU’s SEC debut with thorough preparations to accommodate the surge of fans expected at home games. A significant aspect of our planning involves the Gomer Jones Medical Facility at the University of Oklahoma’ football stadium, a distinctive program and partnership aimed at delivering medical services and assistance to thousands of Sooner fans, including EMSStat services. Additionally, our dedicated NRHS team oversees cooling stations within the stadium to ensure the comfort and well-being of attendees during hot weather. Ms. Anderson and Ms. Herron left the meeting at 6:48pm. Agenda Item XII. Proposed Executive Session A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. Section 307 B.4. to Discuss with Legal Counsel Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below; ACTION TAKEN: Dr. Weber made a motion to adjourn into Executive Session. Dr. Anwar seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes. B. Medical Staff Recommendations Regarding the Medical Staff Members/ Applicants as Listed in XIII.B 1-3 Below. 1. Recommend New Provisional Medical Staff Appointments: a. Dan Nguyen, MD – Radiology – Consulting b. Hsiu Su, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Carlton Fernandes, MD – Surgery – Active b. Matthew Ryan, MD – Medicine – Active c. Emily Muns, MD – Medicine – Active d. Tyler Gutschenritter, MD – Medicine – Consulting e. Marcin Kopec, MD – Teleradiology – Privileges Only 3. Recommended Medical Staff Reappointments: a. Brett Dees, MD – Medicine – Active b. Kevin McKeown, MD – Anesthesia – Active c. Julia Rygaard, MD – Anesthesia – Active d. Todd Gleaves, MD – Anesthesia – Active e. William “W.D.” Hinojosa, DO – Surgery – Active  NRHA Board Minutes 7 April 22, 2024 f. Betty Harmon, MD – Pediatrics – Active g. Michael Milligan, DO – Pediatrics – Active h. Marilyn Appiah, DO – OB/GYN – Active i. Jessica Hinojosa, DO – OB/GYN – Active j. John Cherry, DO – OB/GYN – Active k. Ayesha Sattar, MD – Behavioral Medicine – Active l. Kiran Prabhu, MD – Medicine – Consulting m. Shripal Bhavsar, MD – Medicine – Consulting n. Stacy Boothe, APRN-CNS – Cardiovascular Medicine – Allied Health o. April Whalen, APRN-CNS – Hospital Medicine – Allied Health C. Request to Adjourn Out of Any Such Executive Session and Return to Regular Session ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session. Dr. Anwar seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes. . Mr. Cubberley noted the Board returned to regular session. There were no decisions or votes taken except to return to regular session and any information shared during the Executive Session is privileged and needs to remain in Executive Session. D. Proposed Vote to Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members as Listed in XII B 1-3 ACTION TAKEN: Mr. Weber motioned to approve credentialing items as recommended by Medical Executive Committee and Credentials Committee of all referenced Medical Staff members listed in XII B 1-3. Dr. Anwar seconded, and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes. Agenda Item XIII. Board Open Discussion Mr. Pipes thanked the Executive team for their hard work and continued efforts on Inspire Health. Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 6:56pm. Mr. Chappel seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Mr. Pipes.  NRHA Board Minutes 8 April 22, 2024 Respectfully Submitted, Mary Womack, Vice-Chair/Secretary