Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting January 27, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, January 27, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted January 23, 2025 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 Joan Greenleaf Kelley Lobb, MD Paula Roberts Others Present: Rick Wagner, CEO & Chief Financial Officer Dr. Aaron Boyd, MD, CEO & Chief Physician Executive Brittni McGill, VP, Chief Nursing Officer Keith Minnis, VP, Chief People Officer Elaine Purvis, VP Chief Strategy Officer Dr. James Bond, MD, Chief of Medical Staff Dr. Bruce Parker, MD, Chief of Medical Staff Elect Dr. Joe Voto, MD, Chief Medical Officer Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing Garrett Fergeson, Manager, Integrated Marketing & Media Services Ray Leyva, Multimedia & Video Specialist Olivia Cormier, OU’s JC Penny Leadership Fellow Chris Miller, Systems Manager, Surgical Service Line Kat Smith, Director, Patient Care Services Janaya Blair, RN, ACC, Same Day Surgery LeAnn Richardson, Senior Administrative Director Clinic Operations Nakita Martin, Director, Care Coordination Amy Woolley, RN, Case Manager Gaila Smalley, Case Manager, Social Work Shane Cohea, Director, Safety & Security Steven Nickels, Security Officer II Katie Johnston, Therapist, Respiratory RRT IV Steven Sheriff, Network Administrator Robert Muzny, Administrative Director, Decision Support & HIT Steven Cummings, Engineer Desktop, HIT Adam Childers, Attorney, Crowe & Dunlevy Members Absent: Kevin Pipes  NRHA Board Minutes 2 January 27, 2025 Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the January 27, 2025 Norman Regional Hospital Authority business meeting at 5:31 p.m. Mr. Wagner wished Mr. Cubberley a happy birthday and presented him with a birthday card. Agenda Item II. Introduction and Recognition of Outstanding Healers A. January 2025 Healer of the Month Janaya Blair, RN, ACC – Same Day Surgery Mr. Cubberley introduced to the board Chris Miller, System Manager, Surgical Service Line. Mr. Miller shared Ms. Blair was born and raised in Stillwater, where she attended Oklahoma State University and Northern Oklahoma Nursing program. She worked at Stillwater Medical Center from 2007-2009 until she moved to Noble where she met and married her husband Josh and began raising a family. She started working at NRHS in 2009 in the Med Surg Unit, 4 North, 5 North and the flex pool until she returned to Stillwater in 2015. Ms. Miller worked for Stillwater Medical Center for 6 years before returning to Noble and NRHS, where she has been ever since in the Same Day Surgery department. Mr. Miller shared Ms. Blair is wonderful with patients, handling whatever task comes her way. Her fellow healers shared Ms. Blair has stepped up in a big way in ACC surgery as a step-up charge nurse when needed, showing poise and a great attitude. She is wonderful at communicating with everyone around her, remaining calm and collected at all times. She constantly adjusts her work schedule to assist in the unit whenever help is needed. Ms. Blair thanked everyone for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Blair. Her steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. B. February 2025 Healer of the Month Amy Woolley, RN, Case Manager Mr. Cubberley introduced to the board Nakita Martin, Director, Care Coordination. Ms. Martin shared Ms. Woolley met her husband at Oklahoma State University and has been married for 32 years. They have 2 grown children and 2 dogs and she enjoys  NRHA Board Minutes 3 January 27, 2025 watching football, working jigsaw puzzles and spending time with family. Ms. Woolley has worked at NRHS for 30 years. She began her career on 3 West as a tech while attending nursing school. For 22 years, she served as a charge nurse on the Stroke unit and the last 8 years in Case Management. Her peers share that although she is very quiet and reserved; Ms. Woolley is very respectful and supportive of her staff. She is highly respected by patients and families for her kind and compassionate care. Ms. Woolley thanked everyone for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Woolley. Her steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. C. 2024 Security Officer of the Year Steven Nickels Mr. Cubberley introduced to the board Shane Cohea, Director, Safety & Security. Mr. Cohea shared Mr. Nickels was first honored as the Officer of the Quarter and then selected as the Officer of the Year. Mr. Nickels receives this honor after only working here for one year. Mr. Nickels shared he likes the atmosphere, his coworkers and their desire to take care of others. When not working, Mr. Nickels marksmanship, fishing and spending time with his dog. Mr. Cohea shared data on crime statistics for all campuses over the last year. All categories trended down significantly due to the hard work and dedication to safety provided by the entire Security staff. Mr. Nickels thanked everyone for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Mr. Nickels for his dedication and service to Norman Regional. Agenda Item III. Board Education: Food & Nutrition Services Overview Food & Nutrition provides Ms. Amanda Jones, Director Accommodation Services presented an overview of Food & Nutrition Services. Ms. Jones shared data collected for FY2024 for Food & Nutrition services:  1.3 Million Meal Equivalents were provided  200 Clinical Nutrition Care interactions with patients each week  299,230 Patients meals were made  79,049 meals for Meals on Wheels were provided  Retail sales of approximately $30,000 a week for all outlets with the café and  NRHA Board Minutes 4 January 27, 2025 Micro Market sales making up 60% of those sales  80 Food & Nutrition staffers provided these services  Not included in this data are: Provider lounges at 3 campuses, non-patient floor stock supplies/Food Pharmacy Meals, coffee service and vending Ms. Jones shared photos on the current construction of the remodeled Café and dining area and the current temporary Café. Ms. Jones stated the temporary café is set up just outside the Executive Office hallway in the previous temporary ambulance bay. The expanded kitchen and café will have equipment and space set up for a Patient Service Line that can manage the additional patient meal volumes, a production area that is separate from the service area to aid in productivity and will have an ergonomically designed dish room set up to prevent injuries. Upgraded Technology will include the CBORD Nutrition Software, which provides data analytics to reduce food waste, costs and an improved patient experience. The program will also assist in tray monitoring and nutrition information for retail sales. The new Café design will allow for a more user- friendly flow thru the space. Ms. Jones shared the café will have a pizza station, a full open salad bar, a sandwich station and a grill station. Guests will have access to the transitional hot line service but will also have the ability to order daily specials, power bowls or select from featured world cuisines and customizations on food orders. There will be a grab and go section and a free style beverage stations allowing guests to select from over 20 brands of soda. Rounding out the café will be self-check-out stations and portable registers to allow flexibility during the lunch rush. Ms. Jones shared as they begin to prepare for the café’s reopening; they will be surveying guests on menu offerings and will continue to adjust to purchasing trends and needs of our healers and guests. Agenda Item IV. Approval of November 25, 2024 Hospital Authority Board Meeting Minutes A. Mr. Cubberley asked for approval of the November 25, 2024 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the November 25, 2024 Board Meeting Minutes. Mr. Chappel seconded the motion, and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Ms. Greenleaf, Ms. Roberts, Dr. Anwar and Ms. Roberts. Agenda Item V. Performance Update Dr. Voto shared the Operating Room (OR) has seen improvements in scheduling and  NRHA Board Minutes 5 January 27, 2025 increased cases. The Hospitalist SWAT is still in its early stages. Ms. McGill shared the following:  December closed out with a 1% “Left without being seen” percentage for all 3 Emergency Departments  Transition to a new EMSTAAT Medical Director – Trey Crammer  Contract negations in progress for Gomer Jones First Aide Center renewal  In December, the ED saw 500 more patients than a normal month (this was prior to the viral wave that began in January)  Great headway made in Lab and Radiology Clinical efficiencies. The labs have brought in additional reference lab clients for the hospital Mr. Minnis provided an update on EVS.  Interviews are complete and we have narrowed down candidates for the EVS Director.  EVS cleaned just over 100 beds in a 24-hour period last week.  Recent restructure changes has EVS reporting to Calvin Bohanan, Administrative Director Operations. Focus remains on filling open positions and specific training and new hire education. Agenda Item VI. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on January 13, 2025. MEC covered a number of topics including – Radiology Department Changes discussed, IV Fluid 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 December 2nd Patient Quality & Safety Committee Meeting is included in the board packet. Ms. Greenleaf is available to address questions. Agenda Item VIII. Strategic Planning Committee A. Mr. Cubberley announced a summary of the January 6th Strategic Planning Committee Meeting is included in the board packet. Dr. Weber is available to address questions. Agenda Item IX. Finance Committee A. Mr. Wagner reported the Finance Committee met January 23, 2025. B. Mr. Wagner presented the NRHS Financial report for December 2024:  NRHA Board Minutes 6 January 27, 2025 December 2024 Financial Performance  Gross Revenues .................................. (Budget $229,295,282)............ $234,779,404  Net Patient Revenue .............................. (Budget $50,982,967).............. $50,715,930  Total Operating Expenses ..................... (Budget $53,738,361).............. $56,009,332  Total Operating Revenues ...................... (Budget $51,654,827).............. $51,468,197  Operating Income .................................... (Budget $2,083,534).............. ($4,541,135)  Non-Operating Revenues (Expenses) ........ (Budget $629,332)................. $(812,465)  Excess Revenues over Expenses ............ (Budget $1,454,202).............. ($5,353,600) Year-to-Date  Operating Income .................................. (Budget $14,518,271)............ ($30,242,349)  Non-Operating Revenues (Expenses) ..... (Budget $3,775,992).............. ($4,007,063)  Excess Revenues over Expenses .......... (Budget $10,742,279)............ ($26,235,286)  Accounts Receivable Days ...................................................... . .................. 73.7 Days  Days Cash on Hand………………………………………………………………29.0 Days ACTION TAKEN: Dr. Weber made a motion to approve the December 2024 NRHS Financial Statements. Mr. Chappel seconded and the motion to approve the December 2024 Financials were approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Ms. Greenleaf, Dr. Anwar and Ms. Roberts. Mr. Childers arrived at 6:09pm. Agenda Item X. Old Business Mr. Cubberley asked Trustees for feedback on recent hospital rounding’s. Ms. Womack toured the Critical Care staff. She was able to do a walk-thru of the unit, and listen to a few report outs. Ms. Womack felt it was well worth the time and found it informative. Her next rounding will be at the Medical Plaza building on the Porter Campus. Mr. Chappel rounded in Dialysis. He attended a committee meeting and was able to review a proposal, read thru reports, viewed the equipment for function and quality, approval of advance to capital and how the equipment will be put to use and the final step of the approval to move to capital requests. Dr. Weber attended the Dialysis meeting as well and found it to be very positive and valuable experience. The ICU Rounding was also very informative. The healers he encountered were very pleased with the recent changes in the direction leadership was providing. Mr. Cubberley expressed the same sentiments for the ICU unit. Agenda Item XI. New Business  NRHA Board Minutes 7 January 27, 2025 None Agenda Item XII. Administrative Report A. Ms. Purvis asked for Approval of Grievance Committee Members ACTION TAKEN: Dr. Weber made a motion to approve the Grievance Committee Members. Mr. Chappel seconded and the motion to approve the Grievance Committee Members was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Ms. Greenleaf, Dr. Anwar and Ms. Roberts. Dr. Boyd shared the positive results being seen are due in part to increased inpatient and outpatient volumes, realignment of surgery scheduling, staffing levels and combined efforts across units. Mr. Wagner shared two rural hospital CEO’s will be visiting NRHS this week to tour the new building. They will be meeting to determine what services NRHS and the rural hospitals can provide together for extended heart care in our region. Mr. Purvis shared Focus Groups were hosted on five different occasions to delve into the topics of Culture, Communication, Leadership Changes, and the term “Healer”. The term Healer will continue to be used as many individuals felt that it was the one thing that “unified” us over the last few month with all the many changes we are experiencing. Feedback on the recent Leadership changes was overwhelmingly positive and welcomed by healers. Ms. Purvis, Ms. McGill, Mr. Minnis, Mr. Wagner, Dr. Boyd, Dr. Voto, Ms. Todd, Ms. Ms. Herron, Mr. Fergeson and Ms. Cormier left the meeting at 6:58pm. Agenda Item XII. Proposed Executive Session A. Proposed Vote to Convene an Executive Session Pursuant to 25 O.S. Sec. 307 B.4. to Hold a Privileged Discussion with Legal Counsel (i) Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below; and (ii) pursuant to 25 O.S. Sec. 307.B.1 to holda Privileged Attorney-Client Discussion with Legal Counsel Regarding the Terms and Conditions of Employment Agreements for both Co-CEO’s; and the Terms and Conditions of the Co-CEO Job Descriptions to be incorporated into the Employment Agreements. 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, Ms. Greenleaf, Mr. Chappel, Ms. Womack, Dr. Weber, Dr. Anwar, Dr. Lobb and Ms. Roberts. NRHA Board Minutes 8 January 27, 2025 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. Brian Taylor, MD – Hospital Medicine – Active b. Jason Pack, MD – Radiology – Active c. Abdul Aasar, MD – Radiology – Privileges Only d. Gulam Khan, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Mitchell Bloomquist, DPM – Surgery – Active b. Alexia Wright, MD – Medicine - Active 3. Recommended Medical Staff Reappointments: a. Gautam Dehadrai, MD – Radiology – Active b. Mudassir Nawaz, MD – Medicine – Active c. Graham Roberts, MD – Radiology – Active d. Abhishek Polavarapu, MD – Medicine – Active e. Brant Bennett, MD – Medicine – Active f. Vytautas Ringus, MD – Surgery - Active g. Alexander Jones, MD – Surgery – Active h. Steven Schultz, MD – Surgery – Active i. Wayne Berryhill, MD – Surgery – Active j. Carrie Barton, MD – Emergency Medicine – Active k. Karen Tyndall, PhD – Medicine – Allied Health l. Brooke Burks, APRN-CNP – Pediatrics – Allied Health m. Darren Gose, APRN-CRNA – Anesthesia – Allied Health n. Darren Dupus, APRN-CRNA – Anesthesia – Allied Health o. Glenroy Hines, PA-C – Surgery – Allied Health p. Lara Green, PA-C – Surgery – Allied Health q. Kerri Baker, PA-C – Surgery – Allied Health r. Steven Braudway, APRN-FNP – Emergency Medicine – Allied Health 4. Information Only a. Temporary privileges granted to the initial and reappointment applications in December due to no board meeting b. New OB/GYN Hospitalist Privilege Form C. Request to Adjourn Our of Executive Session and Return to Regular Session ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session. Ms. Womack seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf 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  NRHA Board Minutes 9 January 27, 2025 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: 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. Dr. Anwar seconded, and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, and Ms. Roberts. E. Proposed Vote to Approve or Disapprove the Employment Agreements and the Job Descriptions Incorporated into the Employment Agreements for both CEO’s. ACTION TAKEN: Dr. Weber motioned to approve both Co-CEO Employment Agreements and the Job Descriptions Incorporated into the Employment Agreements for both CEO’s. Mr. Chappel seconded, and the motion was approved with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar and Ms. Roberts. Ms. Greenleaf abstained. Agenda Item XIII. Board Open Discussion None Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 8:12pm. Ms, Roberts seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Mr. Chappel Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf and Ms. Roberts. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary