Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting May 20, 2024 MINUTES The Norman Regional Hospital Authority met in monthly session May 20, 2024 at 5:30p.m. in the Norman Regional Hospital (formerly the HealthPlex) Board Room. The meeting Agenda was posted May 16, 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 Paula Roberts 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 Rick Wagner, VP & Chief Financial Officer James Bond, MD, Chief of Medical Staff Bruce Parker, MD, Chief of Medical Staff Elect Lisa White, Manager, Patient Safety Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing & Media Services Garrett Fergeson, Manager, Integrated Marketing & Media Services Jim Goldsbury, Multimedia and Video Specialist Reagen Ingram, Administrative Project Coordinator Dian Carmody, Administrative Director, Surgical Services Cassandra Nightingale, Supervisor, Central Supply & Sterile Processing Sara Stanton, Manager of Central Supply & Sterile Processing Paul Stanton, Guest David Floyd, NRHS Foundation Board Member Sam Talley, NRHS Foundation Board Member Members Absent: None Recorder: Claudia Todd, Executive Assistant  NRHA Board Minutes 2 May 20, 2024 Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the May 20, 2024 Norman Regional Hospital Authority business meeting at 5:30p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. June 2024 Healer of the Month – Cassandra Nightingale, Supervisor, Central Supply and Sterile Processing. Mr. Cubberley introduced Diane Carmody, Administrative Director, Surgical Services, who then introduced Ms. Nightingale. Ms. Carmody shared that Ms. Nightingale has worked at Norman Regional for just over 20 years. Ms. Nightingale began her career in environmental services and is a true success story of grit and determination to work hard and eventually work her way up to Central Supply and Sterile Processing. Ms. Nightingale attributes her motivation and happiness to laughter. She considers it a great coping mechanism and sometimes as an ice breaker with patients. Ms. Nightingale realizes the importance of education and the need to constantly learn and takes every opportunity to gain new skills. Her most important influence in her life was her grandfather. He instilled in Cassandra the drive to not quit and keep working towards her goals. Her fellow healers describe Cassandra as someone who has great honesty and strong principles in her work skills. She is always friendly to everyone in the hallways, never missing an opportunity to say “Hi” or ask how someone is doing. Ms. Nightingale thanked everyone for the honor and recognition. She is fascinated at the changes she has seen over the years at NRHS and looks forward to many more years of service. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Nightingale. 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. Carmody, Ms. Nightingale, Ms. Stanton and Mr. Stanton left the meeting at 5:38pm. B. Foundation Presentation Mr. Cubberley introduced David Floyd and Sam Talley, NRHS Foundation Board Members. Mr. Talley thanked the Foundation staff for all their hard work and dedication to the “Equipped for Tomorrow” capital campaign and for supporting the Foundation  NRHA Board Minutes 3 May 20, 2024 board. Mr. Tally and Mr. Floyd presented a ceremonial check to the Hospital Authority Board in the amount of for $673,129. This check represents funds raised during the capital campaign. Mr. Floyd reiterated the sentiments shared by Mr. Talley and noted they were still in the process of seeking donations and hoped to announce the final total fo funds raised at the Foundation Ball on June 1st. Mr. Cubberley and Mr. Splitt accepted the check on behalf of Norman Regional and thanked the foundation for their dedication to the campaign. Mr. Floyd and Mr. Talley left the meeting at 5:44pm. Agenda Item III. Board Education: Trustee Rounding Ms. Reagen Ingram, Administrative Project Coordinator presented an overview of the Trustee Rounding initiative. The Trustee Rounding initiative is designed to enhance patient care and strengthen governance while bringing our esteemed trustees into direct contact with patients, staff and community stakeholders. By fostering transparency and collaboration, the program aims to elevate healthcare experiences and ensure alignment with our mission, while elevating the overall healthcare experience to our patients and visitors. Trustees play an important role in shaping strategic priorities and fostering a culture of accountability. This program will help them accomplish those goals through:  Monthly Department Visits/Rounds – Each month, trustees will be offered new opportunities for scheduled visits to various health system departments in advance to ensure appropriate coordination with leadership and patient care activities.  Connection Opportunities – during the rounds, trustees are able to interact with leadership, frontline healers and patients to gain firsthand insights into the health system operations, patient experiences and challenges.  Involvement Opportunities – Structured feedback mechanisms will help capture observations, suggestions and concerns raised during the rounds. This feedback will be shared with the full Board in order to inform decision-making processes and drive continuous improvement initiatives across the organization. Ms. Ingram shared an example of a rounding schedule This schedule is set up to be structured yet flexible enough to maximize engagement, productivity and information sharing. After completing rounds, trustees will complete a post-rounding survey to collect personal thoughts, observations and insights. Ms. Ingram left the meeting at 5:55pm. Agenda Item IV. Approval of April 22, 2024 Norman Regional Hospital Authority Board Meeting Minutes  NRHA Board Minutes 4 May 20, 2024 ACTION TAKEN: Dr. Weber made the motion to approve the April 22, 2024 Board Meeting Minutes. Mr. Chappel 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, Dr. Chambers and Ms. Roberts. Agenda Item V. Performance Update Ms. Lisa White, Manager, Patient Safety and Hospital Based Provider Operations provided a brief Clinical Excellence Update on Mortality, Readmissions and Complications. Mortality – FY24 still trending lower than previous years. Readmissions – FY24 have gone increased slightly. This is expected when Mortality numbers decline, readmissions tend to increase. Complications – FY24 trending down. Ms. White left the meeting at 6:01pm. Agenda Item VI. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on May 13, 2024. MEC covered a number of topics including – StatRad Critical Results process, Scopolamine Patch Age, Physician Status Board Rounding lists, CHF Order Sets, Inspire Health update, Medical Credentialing, Department Committee Reports and Executive Team updates. Agenda Item VII. Strategic Planning Committee A. Mr. Cubberley announced a summary of the Strategic Planning Committee is included in the board packet. Dr. Weber is available to address questions. Agenda Item VIII. Finance Committee A. Mr. Wagner reported the Finance Committee met May 16, 2024. B. Mr. Wagner presented a brief review of the NRHS Financial report for March 2024. ACTION TAKEN: None, Information Only  NRHA Board Minutes 5 May 20, 2024 C. Mr. Wagner presented for approval one capital request item totaling $415,000 a. Clinic Remodel: $415,000 ACTION TAKEN: Mr. Pipes made a motion to approve the Capital Equipment Request at a total cost of $415,000 as recommended by the Finance Committee. Dr. Weber seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes, Dr. Chambers and Ms. Roberts. D. Mr. Wagner presented for approval the Retirement Plan Amendment for CARES Act ACTION TAKEN: Dr. Weber made a motion to approve the Retirement Plan Amendment for CARES Act 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, Mr. Pipes, Dr. Chambers and Ms. Roberts. Agenda Item IX. Old Business None Agenda Item X. New Business Ms. Splitt mentioned that the latest edition of the Healer Highlights newsletter was provided to Trustees. This edition is full of accomplishments within the health system, updates, announcements and other healer features. Agenda Item XI. Administrative Report Mr. Splitt shared the following:  Nurses Week and Hospital Week were recognized this past month. We had several celebrations across the weeks and provided meals to healers at lunch and dinner. Food and Nutrition Services has already started planning for next year’s celebrations due to planned kitchen and dining renovations.  The Behavioral Health Center Ribbon is May 23rd. Patient transfers begin May 28th.  Norman Regional Hospital (HealthPlex) Ribbon cutting is July 19th and the Community Open House is Saturday, July 20th from 9AM – noon.  The Healer Engagement survey will be wrapping up at the end of the week. This is an annual survey giving our healers a voice to share their opinions and insights anonymously and confidentially.  NRHA Board Minutes 6 May 20, 2024 Mr. Manfredo provided an Inspire Health update:  Move in has started in the ACC. We held a mini “Day in the Life of” scenario to make sure we catch small and big items in our “testing” for patient care services. The full “Day in the Life of” will take place in the next few weeks. Ms. Purvis shared the Education Center remodel is planned to be complete on August 1st. Ms. Herron, Mr. Fergeson and Mr. Goldsbury left the meeting at 6:35pm. 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. Mr. Chappel seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes, Dr. Chambers and Ms. Roberts. 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. John Marouk, MD – Surgery – Active b. Aman Garsa, MD – Medicine – Active c. James Magnusson, DO - Surgery – Consulting d. Danielle Witte, CRNA – Anesthesia – Allied Health 2. Recommend Advancement of Medical Staff from Provisional Status: a. Montana Keller, MD – Radiology – Active b. Prasamma Fernando, MD – OB/GYN – Active c. Jesse Ream, MD – Anesthesia – Active d. Kimberley Abernathy, APRN-CNP – Hospital Medicine – Allied Health e. Mila Duke, AuD – Pediatrics – Allied Health 3. Recommended Medical Staff Reappointments: a. Lubna Mirza, MD – Medicine – Active b. Nigam Sheth, MD – Anesthesia – Active c. James Thorp, MD – Radiology – Active d. Kathryn Cook, MD – Pediatrics – Active e. Thomas Whalen, DO – Hospital Medicine – Active f. Kristina Valentino, APRN-CNP – Pediatrics – Allied Health g. Brittney Wicks, APRN-FNP – Hospital Medicine – Allied Health  NRHA Board Minutes 7 May 20, 2024 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. Mr. Pipes seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes, Dr. Chambers and Ms. Roberts. 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. E. 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. Mr. Chappel seconded, and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes, Dr. Chambers and Ms. Roberts. Agenda Item XIII. Board Open Discussion Mr. Splitt thanked the trustees for their continued guidance, leadership and support as we prepare to open this newly expanded facility. Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 6:41pm. Mr. Chappel seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Mr. Pipes, Dr. Chambers and Ms. Roberts. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary