Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting July 22, 2024 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, July 22, 2024 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted July 18, 2024 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present: Doug Cubberley James Chappel Kevin Pipes Dianne Chambers, MD Mary Womack Jerome (Jerry) Weber, Ph.D Others Present: Richie Splitt, President & CEO John Manfredo, VP, Chief Operations Officer Brittni McGill, VP, Chief Nursing Officer Keith Minnis, VP, Chief People Officer Rick Wagner, VP, Chief Financial Officer Dr. Bruce Parker, MD, Chief of Medical Staff Elect Jenny Anderson, Administrative Director, Patient Quality Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing Dian Carmody, Administrative Director, Patient Care Services & Surgical Service Line Amanda Clark, Technologist Surgery IV Ray Leyva, Multimedia & Video Specialist Kelia Crabbe, Supervisor, Transition to Practice Michael Villano, MD Terry Garrett, Guest Members Absent: Elaine Purvis, VP, Chief Strategy Officer Muhammad Anwar, MD Paula Roberts Joan Greenleaf Dr. James Bond, MD, Chief of Medical Staff Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the July 22, 2024 Norman Regional Hospital Authority business meeting at 5:30 p.m.  NRHA Board Minutes 2 July 22, 2024 Agenda Item II. Introduction and Recognition of Outstanding Healers A. August 2024 Healer of the Month – Amanda Clark, Technologist Surgery IV Mr. Cubberley introduced to the board Dian Carmody, Administrative Director, Surgical Services. Ms. Carmody shared Ms. Clark is a certified Scrub Tech. She graduated from OKC Community College with an associate’s degree and then attended Moore Norman Technology Center to earn her surgical Scrub Tech degree in 2011. After working at a local hospital for three years, Ms. Clark began working at Norman Regional in 2014. Ms. Clark became interested in becoming a surgical scrub tech at a young age. She has always had a fascination with the miracle of the human body, science and helping others. When asked what super power she could have if she was able to pick – she selected the power of “healing”. Her passion in healing has lead her to work with patients in pinpointing clear margins for breast surgery patients. Ms. Clark was well known for keeping detailed notes on a surgical prep card for her patients. Dr. Rable noticed and encouraged Ms. Clark to take it further. Ms. Clark worked with fellow healers to design a card to give to patients after their breast surgery. Now each patient gets a card signed by the surgical team with additional helpful information. Ms. Carmody shared Ms. Clark is the mother of an active 13 year old and 2 very active dogs. She enjoys hiking, biking and reading. Ms. Clark thanked the board for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Clark. 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. Clark and Mr. Leyva left the meeting at 5:38pm. Mr. Splitt announced once the new Mission Statement is finalized and the Vision Statement confirmed by the Board, both will be added to the Board agenda and other supporting documents. Mr. Splitt recognized trustee birthdays for July, to include Ms. Womack and Mr. Chappel and Dr. Anwar. Dr. Anwar was not in attendance, but will receive his card in the near future. Agenda Item III. Board Education: OU College of Nursing Satellite update and  NRHA Board Minutes 3 July 22, 2024 Norman Public Schools Nursing Pathways Ms. Brittni McGill, RN, VP & CNO presented an overview of the OU College of Nursing Satellite Program at Norman Regional as well as the proposed Norman Public Schools Nursing Pathways Program. Ms. McGill shared the first baccalaureate class for the OU College of Nursing program graduated in May 2024. Ten of the 21 nursing students committed to remain at NRHA post-graduation. The goal of the program is to produce high quality nurses through the program to retain as many as possible at NRHS after graduation. Instructors for the program were selected from our very own Norman Regional Healers. Salaries for these instructor in the first year were funded by the Norman Regional Hospital Foundation. Due to the success of the program, the NRH Foundation has graciously provided funding for the upcoming year as well. The 2024-2025 school year will consist of 32 junior students and 32 seniors who have advanced into their final year of the program. As required by the Nursing program at OU, NRHS provided the 8 clinical groups for rotation and for the 2024-2025 school year will be providing up to 10 additional clinical areas for additional experience. The National Average for the Licensure Exam pass rates are currently 88.6%. The nursing students who completed their rotations at NRHS proudly achieved a 100% pass rate. For this year, NRHS received 98 student requests for 32 open spots. The 32 students were selected, and class Orientation begins August 8th. Ms. Kelia Crabbe, Supervisor, Transition to Practice and one of the instructors, shared NRHS is working tirelessly to maintain relationships with all partnership schools and also bring in the best and brightest students. The Clinical healers are also benefiting from the students; sharing their love of the profession and their passion for healing. Ms. McGill shared the Norman Public Schools Nursing Pathways program is a collaborative effort between NRHS, the University of Central Oklahoma (UCO), Moore- Norman Technology Center (MNTC) and Norman Public Schools (NPS) to get students interested in a healthcare career. The goal of the program is:  Provide early exposure to healthcare professions  Provide high school options for healthcare coursework  Expand the healthcare workforce  Retain qualified individuals in the state Counselors at NPS have been provided the tools to present the curriculum pathways and course studies needed to pursue the professions students are interested in. Faculty from UCO and MNTC can be sent to the school sites or students can bus to the college to attend the prerequisite classes. NPS has approved the curriculum, but did not receive funding to hire the much needed Program Director. Maybe next year. Ms. Crabbe left the meeting at 5:51pm.  NRHA Board Minutes 4 July 22, 2024 Agenda Item IV. Approval of June 24, 2024 Norman Regional Hospital Authority Board Meeting Minutes A. Mr. Cubberley asked for approval of the June 24, 2024 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the June 24, 2024 Board Meeting Minutes. Mr. Chappel seconded the motion, and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Chambers, Dr. Weber and Ms. Womack. Dr. Villano left the meeting at 5:56pm Agenda Item V. Performance Update Ms. Jenny Anderson, Administrative Director, Patient Quality, presented an update on HCAHPS and Mortality rates. Ms. Anderson reviewed the successes in HCAHPS communication:  Doctor Communication – 6.4% increase  Overall Rating – 4.7% increase  Nurse Communication – 3.3% increase Reviewed Mortality Improvements thru May 2024. Mr. Pipes arrived at 6:01pm. Agenda Item VI. Medical Staff A. Medical Executive Committee (MEC) did not meet in July. Agenda Item VII. Strategic Planning Committee A. Mr. Cubberley announced a summary of the Strategic Planning Committee Meeting 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 July 18, 2024. B. Mr. Wagner presented the NRHS Financial report for June 2024:  NRHA Board Minutes 5 July 22, 2024 June 2024 Financial Performance  Gross Revenues .................................. (Budget $213,095,716)............ $227,453,022  Net Patient Revenue .............................. (Budget $47,510,241).............. $45,325,507  Total Operating Expenses ..................... (Budget $51,357,653).............. $53,706,398  Total Operating Revenues ...................... (Budget $48,112,437).............. $48,963,585  Operating Income .................................... (Budget $3,245,216).............. ($4,742,813)  Non-Operating Revenues (Expenses) ..... (Budget $1,235,322).............. $(1,589,991)  Excess Revenues over Expenses ............ (Budget $2,009,894).............. ($3,152,822) Year-to-Date  Operating Income .................................. (Budget $23,002,739)............ ($45,164,816)  Non-Operating Revenues (Expenses) ... (Budget $14,823,875)............ ($12,521,319)  Excess Revenues over Expenses ............ (Budget $8,178,864)............ ($32,643,497)  Accounts Receivable Days ...................................................... . .................. 77.3 Days  Days Cash on Hand………………………………………………………………60.1 Days ACTION TAKEN: Dr. Weber made a motion to approve the June 2024 NRHS Financial Statements. Mr. Chappel seconded and the motion to approve the May 2024 Financials were approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. C. Mr. Wagner presented for approval two capital request items totaling $627,000 a. Cath Lab Imaging Equipment: $360,000 b. Germ-zapping Robots/Disinfection System: $267,000 ACTION TAKEN: Dr. Weber made a motion to approve the Capital Equipment Request at a total cost of $627,000 as recommended by the Finance Committee. Mr. Chappel seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. D. First Amendment to the Master Equipment Lease/Purchase Agreement and Waiver ACTION TAKEN: Dr. Weber made a motion to approve the First Amendment to the Master Equipment Lease/Purchase Agreement and Waiver. Mr. Pipes seconded the motion and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. Agenda Item IX. Old Business None  NRHA Board Minutes 6 July 22, 2024 Agenda Item X. New Business None Agenda Item XI. Administrative Report Mr. Splitt shared: o Despite the rain, the Family Fun Fest and Open House held on Saturday, July 20th was well attended by the community and healers. Porter the Pup was in attendance and was a big hit. The Gift Shop sold out of the “Porter the Pup” plush toy, over 500 free hot dogs were served, the City of Norman pet adoption event found homes for 4 dogs and the “Touch a Truck” and Hotrods for Healthcare” car show brought lots of smiles. Facility tours were filled with wonderment and very positive comments. Mr. Manfredo provided an Inspire Health update: o The board room has been designated as the command center to address potential work tickets or calls received during the move. This set up followed the same process used for the Norman Regional 9 campus opening. o Some healers and supplies began moving on July 22 nd and will continue throughout the week. Patient moves will begin July 27 th (laterally) and continue on July 28th (from Porter to the new hospital). Ms. McGill shared the Joint Commission visited the Behavioral Health Center, with a very positive outcome. Final accreditation is expected in a week or two. Ms. Anderson, Ms. Herron, Mr. Garrett left the meeting at 6:18pm. 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; and (ii) CEO Evaluation. ACTION TAKEN: Mr. Chappel made a motion to adjourn into Executive Session. Dr. Anwar seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Ms. Greenleaf, Mr. Chappel, Mr. Pipes, Ms. Roberts, Dr. Anwar and Dr. Chambers. B. Medical Staff Recommendations Regarding the Medical Staff Members/ Applicants as Listed in XIII.B 1-4 Below. 1. Recommend New Provisional Medical Staff Appointments: a. Natalie Johnson, DO – OB/GYN – Active NRHA Board Minutes 7 July 22, 2024 b. Garrett Sutton, MD – Anesthesia – Active c. Brian Whitson, MD – Medicine – Consulting d. Sowminya Arikapudi, MD – Medicine – Consulting e. Lauren Young, MD – Surgery – Consulting f. Angela “Kristi” Ama, APRN-RNFA – Surgery – Allied Health 2. Recommend Advancement of Medical Staff from Provisional Status: a. Garrett Nix, MD – Emergency Medicine – Active b. James Trina, DO – Emergency Medicine – Active c. Garrett Vidal, MD – Medicine – Consulting d. Jo Lang, APRN-CNP – Pediatrics – Allied Health e. Stephanie Browning, AUD – Pediatrics- Allied Health f. Sarah Cain, AUD – Pediatrics – Allied Health g. Shelby Stephenson, AUD – Pediatrics – Allied Health 3. Recommended Medical Staff Reappointments: a. Muhammad Salim, MD – Cardiovascular Medicine b. R. Bruce Parker, MD – OB/GYN – Active c. Rebecca Eagle, MD – Medicine – Active d. Vincent Petros, DO – Medicine – Active e. Matthew Malony, MD – Pediatrics, - Active f. Bradley Wilson, MD – Surgery – Active g. Angela Vines, APRN-CNS – Cardiovascular Medicine – Allied Health 4. Information Only a. Estelle Rutledge, MD – AYN Class II Privileges 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, Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. 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 1-4 ACTION TAKEN: Mr. Pipes motioned to approve credentialing items as recommended by Medical Executive Committee and Credentials Committee of all referenced Medical Staff members listed in XII B  NRHA Board Minutes 8 July 22, 2024 1-4. Dr. Weber seconded, and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Chappel, Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. Agenda Item XIII. Board Open Discussion Mr. Cubberley thanked the Executive Team and healers for all their hard work and dedication to the successful ribbon cutting, open house and community event. Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 6:28pm. Mr. Chappel seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Mr. Chappel Mr. Pipes, Dr. Chambers, Dr. Weber and Ms. Womack. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary