Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting September 23, 2024 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, September 23, 2024 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted September 20, 2024 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present: Doug Cubberley James Chappel Mary Womack Jerome (Jerry) Weber, Ph.D Muhammad Anwar, MD Paula Roberts Joan Greenleaf Others Present: Richie Splitt, President & CEO Brittni McGill, VP, Chief Nursing Officer Keith Minnis, VP, Chief People Officer Rick Wagner, VP, Chief Financial Officer Elaine Purvis, VP Chief Strategy Officer Dr. Aaron Boyd, MS, Chief Physician Executive Dr. James Bond, MD, Chief of Medical Staff Dr. Bruce Parker, MD, Chief of Medical Staff Elect Jenny Anderson, Administrative Director, Patient Quality Lisa White, Manager QPI, Patient Safety & Hospital Based Provider Operations Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing Garrett Fergeson, Manager, Integrated Marketing & Media Services Ray Leyva, Multimedia & Video Specialist Danny Kelley, Administrative Director, HIT Dian Carmody, Administrative Director, Surgical Services Jared Scott, Technician, Central Sterile Processing Emily Alinger, Network Administrator Rhonda Mayberry, Specialist Education Dr. Kelley Lobb Olivia Cormier, OU’s JC Penny Leadership Fellow Tyler Bernier, Eide Bailey Katrina Crumbacher, Norman Transcript Trevor Wall, Guest Phillip Mobbs, Guest Members Absent: Kevin Pipes Dianne Chambers, MD  NRHA Board Minutes 2 September 23, 2024 Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the September 23, 2024 Norman Regional Hospital Authority business meeting at 5:30 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. October 2024 Healer of the Month – Jared Scott, Technician, Central Sterile Processing Mr. Cubberley introduced to the board Dian Carmody, Administrative Director, Surgical Services. Ms. Carmody shared Mr. Scott has worked for 11 years at Norman Regional. His responsibilities in Central Core Tech are vital to the success of Surgery and Central Sterile as he pulls supplies for all surgeries. Mr. Scott began his journey at NRHS in Food and Nutrition serves while going to college and later moved to Dist/Trans. His supervisors there noticed his work ethics and potential and was soon provided the opportunity to work as an anesthesia tech and shortly thereafter moved to central sterile. Ms. Scott’s nominators shared he comes to work prepared to give 100%, always making sure everything is set up perfectly. He helps everyone, all the time, without a complaint or questioning why. During the campus consolidation, his level headedness and commitment to perfection kept things running smoothly. Mr. Scott shared that there is nowhere else he would rather work. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Mr. Scott. His 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 and Mr. Scott left the meeting at 5:37pm. Agenda Item III. Board Education: Workday, Shiftwizard & Payactive Mr. Cubberley announced the Board Education materials are in the board packet and will be presented at the October board meeting. Agenda Item IV. Approval of August 26, 2024 Norman Regional Hospital Authority Board Meeting Minutes  NRHA Board Minutes 3 September 23, 2024 A. Mr. Cubberley asked for approval of the August 26, 2024 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the August 26, 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, Ms. Greenleaf, Ms. Roberts and Dr. Anwar. Agenda Item V. 2024 Audit Presentation Mr. Cubberley introduced Mr. Tyler Bernier, partner at Eide Bailey accounting firm. Mr. Bernier reported that Eide Bailey anticipates issuing an unmodified “clean” opinion for NRHS. Mr. Bernier reviewed accounting policies, financial statement disclosures, audit adjustments and areas of emphasis, required communications, revenue recognition, and management override of controls. ACTION TAKEN: Dr. Weber made the motion to approve the August 26, 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, Ms. Greenleaf, Ms. Roberts and Dr. Anwar. Agenda Item VI. Performance Update Mr. Cubberley announced the Performance Update materials were provided in the board packets. Any questions about the Performance Update for September can be sent directly to Jenny Anderson. Ms. Anderson will present an update at the October meeting. Agenda Item VII. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on September 9, 2024. MEC covered a number of topics including – Medical Credentialing, Department Committee Reports and Executive Team updates. Agenda Item VIII. 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.  NRHA Board Minutes 4 September 23, 2024 Agenda Item IX. Finance Committee A. Mr. Wagner reported the Finance Committee met September 19, 2024. B. Mr. Wagner presented the NRHS Financial report for August 2024: August 2024 Financial Performance  Gross Revenues .................................. (Budget $228,735,615)............ $227,150,692  Net Patient Revenue .............................. (Budget $51,094,096).............. $47,924,622  Total Operating Expenses ..................... (Budget $53,497,171).............. $54,419,274  Total Operating Revenues ...................... (Budget $51,780,623).............. $48,718,495  Operating Income .................................... (Budget $1,716,548).............. ($5,700,778)  Non-Operating Revenues (Expenses) ........ (Budget $629,332).............. $(1,902,863)  Excess Revenues over Expenses ............ (Budget $1,087,216).............. ($3,797,915) Year-to-Date  Operating Income .................................... (Budget $5,435,888)............ ($11,828,578)  Non-Operating Revenues (Expenses) ..... (Budget $1,258,664).............. ($3,098,360)  Excess Revenues over Expenses ............ (Budget $4,177,224).............. ($8,730,219)  Accounts Receivable Days ...................................................... . .................. 77.2 Days  Days Cash on Hand………………………………………………………………40.9 Days ACTION TAKEN: Dr. Weber made a motion to approve the August 2024 NRHS Financial Statements. Mr. Chappel seconded and the motion to approve the July 2024 Financials were approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Ms. Greenleaf, Ms. Roberts and Dr. Anwar. C. Mr. Wagner presented for approval two capital request items totaling $570,108 a. NIM Monitoring System: $101,760 b. Ambulance Remount: $157,117 c. Clinic Expansion: $93,687 d. Clinic Expansion: $86,403 e. HIT Technology: $131,142 ACTION TAKEN: Dr. Weber made a motion to approve the Capital Equipment Request at a total cost of $570,108 as recommended by the Finance Committee. Ms. Greenleaf seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Ms. Greenleaf, Dr. Anwar and Ms. Roberts. Agenda Item X. Old Business None  NRHA Board Minutes 5 September 23, 2024 Agenda Item XI. New Business None Agenda Item XII. Administrative Report Mr. Splitt shared all healers were invited to attend the Healer Forums held this past week at the main campus, Moore and Porter campus. Just over 200 healers attended the informative sessions. Ms. McGill shared the 2nd wing of the Oceans Behavioral Health Center has opened. Dr. Boyd provided an update on the Urgent Care Clinics at the Porter Campus, Goldsby and West Moore locations. Mr. Minnis, Mr. Wagner, Ms. McGill, Ms. Purvis, Dr. Boyd, Ms. Anderson, Ms. White, Ms. Herron, Mr. Garrett, Mr. Wall, Mr. Mobbs, Ms. Alinger, Ms. Crumbacher, Mr. Bernier, Mr. Kelley, Ms. Mayberry, Dr. Lobb, Ms. Todd and Ms. Cormier left the meeting at 5:50 p.m. Agenda Item XIII. 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) Discuss the employment, hiring, appointment, promotion, disciplining or resignation of the CEO. 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, Ms. Greenleaf, Dr. Anwar and Ms. Roberts. 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. Mohamed Azab, MD – Medicine – Active b. Yasuto Taguchi, MD – OB/GYN – Active c. Cheryl “Abbi” West, APRN-CNS – Hospital Medicine – Allied Health d. Heath VanDeLinder, DO – Radiology – Privileges Only e. Michael Connolly, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Robert Behrmann, DO – OB/GYN – Active b. David Smith, MD – Emergency Medicine - Active 3. Recommended Medical Staff Reappointments: NRHA Board Minutes 6 September 23, 2024 a. Stephanie “Allison” Carter, MD – OB/GYN – Active b. Marcia Gillespie, MD – OB/GYN – Active c. Robert Gaston, DO – Medicine – Active d. Saria Refai, MD – Medicine – Active e. Joseph Saveika, III, MD – Medicine – Active f. Victor Wilson, MD – Medicine – Active g. Cynthia West, DO – Pediatrics – Active h. Julia Stoltenberg, MD – Pediatrics – Active i. Donna Jackson, MD – Pediatrics – Active j. Jeremiah Maupin, MD – Surgery – Active k. Garrett Scott, MD – Anesthesia – Active l. Tarek Kanaa, MD – Behavioral Medicine – Active m. Kassi Stockert, MD – Medicine – Consulting n. Meghan Saumur, MD – Surgery – Consulting o. Matthew McGill, APRN-CNS – Medicine – Allied Health p. Deborah LaBrie, PA-C – Surgery – Allied Health q. Amy Pedlow, PA-C – Surgery – Allied Health r. Nikole Mackey, APRN-CRNA – Anesthesia – Allied Health s. Mircea Mihu, MD – ECMO – Privileges Only t. Laura Swant, DO – ECMO – Privileges Only 4. Information Only a. Mehran Shahsavari, MD – Change from Active to Courtesy Staff effective October 1, 2024 C. Request to Adjourn Out of Executive Session and Return to Regular Session ACTION TAKEN: Ms. Roberts made a motion to adjourn out of Executive Session. Mr. Weber seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Ms. Roberts. 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: Dr. 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 1-4. Ms. Greenleaf seconded and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Weber, Ms. Womack, Dr, Anwar, Ms. Greenleaf and Ms. Roberts. E. Proposed Vote to Approve or Disapprove actions related to the discussion on the employment, hiring, appointment, promotion, disciplining or resignation of the CEO.  NRHA Board Minutes 7 September 23, 2024 ACTION TAKEN: Dr. Weber motioned to approve actions related to the discussion on the employment, hiring, appointment, promotion, disciplining or resignation of the CEO. 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 Ms. Roberts. Agenda Item XIV. Board Open Discussion None Agenda Item XV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 12:20 a.m. Ms. Roberts seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Mr. Chappel Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Ms. Roberts. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary