Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting February 24, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, February 24, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted February 21, 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 Ray Leyva, Multimedia & Video Specialist Olivia Cormier, OU’s JC Penny Leadership Fellow Tanner Williams, RN, Nurse Manager Angela Battles, RN, Nurse Manager Lainee Grider, RN, ICU Zane Grider, Guest Niki Grider, Guest Mason Hill, Guest Members Absent: Kevin Pipes Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the February 24, 2025 Norman Regional Hospital Authority business meeting at 5:30 p.m.  NRHA Board Minutes 2 February 24, 2025 Agenda Item II. Introduction and Recognition of Outstanding Healers A. March 2025 Healer of the Month Lainee Grider, RN, IMC Mr. Cubberley introduced to the board Tanner Williams, RN, Nurse Manager. Mr. Williams shared Ms. Grider is a truly outstanding nurse and valuable member of the IMC Unit. From the moment Ms. Grider joined the IMC team in July 2023, she has demonstrated an unwavering commitment to excellence, a passion for patient care and a deep sense of responsibility to patients and fellow healers. She truly embodies the ICARE values. Ms. Grider is more than a skilled and compassionate nurse. She is a leader, an advocate and a mentor. Her ability to balance compassion, competence and confidence makes her a role model for her peers and an anchor for the unit. She takes pride in delivering the highest standard of care with dedication and purpose. She is currently in her second year of Grad School working towards her goal of becoming a clinical nurse specialist and remaining at Norman Regional. Her passion for nursing extends beyond caring for individual patients. She envisions a stronger, efficient and more collaborate health care environment. Ms. Grider’s coworkers describe her as someone they can always count on for picking up extra shifts, being there for someone who needs encouragement or supporting their educational aspirations. Her integrity and work ethic make her one of the most respected and trusted members of the team. Ms. Grider thanked everyone for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Grider. Her steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. Mr. Williams, Ms. Grider, Ms. Battles, Mr. Grider, Ms. Grider and Mr. Hill left the meeting at 5:39pm. Agenda Item III. Board Education: Cardiac Electrophysiology Dr. Robin Singh, MD presented an overview of the Cardiac Electrophysiology program. The FDA approved the use of the Extravascular Implantable Cardioverter-defibrillator or EV-ICD implants on October 23, 2024. This procedure implants the EV-ICD device under the armpit with leads placed under the sternum, avoiding the potential for transvenous compilations. This is a great therapeutic option for patients that don’t need pacing support or are more susceptible to infections or require dialysis. NRHS was the 3rd hospital in the OKC metro to introduce this device.  NRHA Board Minutes 3 February 24, 2025 Atrial fibrillation is a growing epidemic across the globe and is predicted to become increasingly prevalent over the coming years. To combat this epidemic, new techniques are being developed increasing patient’s quality of life. An Atrial Fibrillation Ablation entails electronic mapping that allows Physicians to see inside the chambers of the heart. This enables them to see where the healthy and diseased myocardium is and acquire real-time data for therapeutic decision-making. This process has lower complication rates per procedure than previous options. Within the first 3 months of offering this treatment, NRHS performed 40 ablations. Dr. Singh shared a Premature Ventricular Contraction or PVC are extra heartbeats that originate from the bottom chambers of the heart. A Physician performs a PVC Ablation to stop irregular rhythms and alleviate palpitations. This minimally invasive procedure entails using a catheter to reach the heart and destroy the specific tissue causing the PVC. Atrial Tachycardia Ablations are similar in they treat abnormal heart tissue that causes irregular heartbeats. NRHS was the first in Oklahoma to use the 4D Intracardiac Echo (ICE) Catheter with Ultrasound to create 3D images of the heart in real time. This is used to guide heart procedures and determine where the arrhythmia is coming from. Trial studies are being conducted for a Pulse-fielded ablation which uses non thermal energy utilizing electrical pulses which makes the procedures safer for treating arrhythmias located in more complicated locations. Dr. Singh and Mr. McKnight left the meeting at 5:50pm. Agenda Item IV. Approval of January 27, 2025 Hospital Authority Board Meeting Minutes A. Mr. Cubberley asked for approval of the January 27, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the January 27, 2025 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 and Dr. Anwar. Agenda Item V. Performance Update Ms. McGill shared the following:  The additional rooms in the Emergency Room are now open  Health Partners from Case Management for ED visits were implemented to assist patients with follow-up care  Point of Care Creatinine device is scheduled to go live the first week of March  Implemented MRI callback requirements on an outpatient basis  NRHA Board Minutes 4 February 24, 2025  SWAT Update - Hospitalist day to night shifts are lined out and covered  Challenges related to discharges prior to 11am is seeing improvement Ms. McGill provided an update on Patient Quality:  As part of the Patient Quality restructuring, Dana Culhane was hired. She is an experienced Quality leader with a long history of success in the Quality industry  Infection prevention is seeing improvements across the system  Mortality is being 100% reviewed for documentation processes  Value based Purchasing continues to be a focus as Medicaid expansion continues  Surveys for Leapfrog will be submitted twice a year Dr. Voto provided an update on the following:  New Physicians at NRHS  Surgery Block request increased in February  Central Sterile certification now at 70% Mr. Minnis shared the new Director of EVS, Emma Kuhn started on February 24th. The EVS department transitioned to Ms. McGill’s COO area of supervision as of February 24th. Agenda Item VI. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on February 10, 2025. MEC covered a number of topics including – 2024 Provider and Nursing Awards, Wellness Resources, Quality Measures, Bylaw updates, Rules and Regulations updates, Medical Credentialing, Department Committee Reports and Executive Team updates. Agenda Item VII. Patient Quality & Safety Committee A. Mr. Cubberley announced a summary of the February 3rd Patient Quality & Safety Committee Meeting is included in the board packet. Ms. Greenleaf is available to address questions. Agenda Item VIII. Finance Committee A. Mr. Wagner reported the Finance Committee met February 20, 2025. B. Mr. Wagner presented the NRHS Financial report for January 2025: January 2025 Financial Performance  Gross Revenues .................................. (Budget $229,733.512)............ $256,359,997  Net Patient Revenue ................................ (Budget $5,236,480).............. $51,242,202  Total Operating Expenses ..................... (Budget $55,007,275) .............. $56,454,109  NRHA Board Minutes 5 February 24, 2025  Total Operating Revenues ...................... (Budget $52,148,046) .............. $51,895,332  Operating Income .................................... (Budget $2,859,229).............. ($4,558,777)  Non-Operating Revenues (Expenses) ........ (Budget $629,332).............. ($1,027,414)  Excess Revenues over Expenses ............ (Budget $2,229,897).............. ($3,531,363) Year-to-Date  Operating Income .................................. (Budget $17,377,500) ............ ($34,801,126)  Non-Operating Revenues (Expenses) ..... (Budget $4,405,324).............. ($5,034,477)  Excess Revenues over Expenses .......... (Budget $12,972,176) ............ ($29,766,649)  Accounts Receivable Days ...................................................... . .................. 77.1 Days  Days Cash on Hand………………………………………………………………24.8 Days ACTION TAKEN: Dr. Weber made a motion to approve the January 2025 NRHS Financial Statements. Mr. Chappel seconded and the motion to approve the January 2025 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. Leyva left the meeting at 6:05pm C. Mr. Wagner presented for approval three capital request items totaling $372,811 a. Sewage Pump: $93,126 b. Security Radios: $79,253 c. Ultrasound: $200,432 ACTION TAKEN: Dr. Weber made a motion to approve the Capital Equipment Request at a total cost of $372,811 as recommended by the Finance Committee. Mr. Chappel seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Ms. Greenleaf, Dr. Anwar and Ms. Roberts. Agenda Item IX. Old Business None Agenda Item X. New Business None Agenda Item XI. Administrative Report  NRHA Board Minutes 6 February 24, 2025 Ms. McGill shared the Joint Commission visited for the Stroke Extension Survey. It went well and there were no findings. Dr. Boyd provided an update on Physician employment. Ms. Herron and Ms. Cormier left the meeting at 6:46pm. 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; 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. 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. Rachel Witmer, PA-C – Radiology – Allied Health 2. Recommend Advancement of Medical Staff from Provisional Status: a. Matthew Thomson, MD – Teleradiology/Radiology – Privileges Only 3. Recommended Medical Staff Reappointments: a. Shari Jones, MD – Medicine – Active b. Shane Stidham, MD – Anesthesia – Active c. Sean Dossett, MD Anesthesia – Active d. Quentin Lobb, MD – Anesthesia – Active e. Anderson Greenhaw, MD – Anesthesia – Active f. Jeffrey Buyten, MD – Surgery – Active g. Tome Connally, MD – Surgery – Active h. Rahal Kahanda, MD – Surgery – Active i. Patrick Cody, DO – Emergency Medicine – Active j. Robert Cunningham, III, MD – Emergency Medicine – Active k. Marcia Hoos-Reinke, MD – Emergency Medicine – Active l. Gary Wells, DO – Emergency Medicine – Active m. Daniel Kite, DO – Emergency Medicine – Active n. Alyssa Ohs, MD – OB/GYN – Active o. Girish Murthy, MD – Hospital Medicine – Consulting p. Ronan Bakker, MD – OB/GYN – Consulting q. Nathan White, PA-C – Radiology – Allied Health r. Lindsey Lancaster, APRN-CNP – Pediatrics – Allied Health  NRHA Board Minutes 7 February 24, 2025 s. Tori Hendrix, APRN-FNP – Pediatrics – Allied Health t. Deanna Givens, APRN-CRNA – Anesthesia – Allied Health u. Sheryl Ronne-Dellinger, APRN-CRNA – Anesthesia – Allied Health v. Jeffrey Fredrick, PA-C – Surgery – Allied Health w. Veronica Worrel, PA-C – Surgery – Allied Health x. Kent Bays, PA-C – Surgery – Allied Health y. Brent Lamb, APRN-FNP – Emergency Medicine – Allied Health z. Joseph Brewer, DO – Cardiovascular Medicine – Privileges Only aa. Robert Schoaps, MD – Cardiovascular Medicine – Privileges Only 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. Mr. Chappel 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 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: 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 1-3. Mr. Chappel 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. Agenda Item XIII. Board Open Discussion The Board members asked questions and discussed various financial and strategic options for NRHS. Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:07pm. Mr. Chappel 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.  NRHA Board Minutes 8 February 24, 2025 Respectfully Submitted, Mary Womack, Vice-Chair/Secretary