Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting March 24, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, March 24, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted March 20, 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 Kevin Pipes Others Present: Dr. Aaron Boyd, MD, CEO & Chief Physician Executive Brittni McGill, Chief Nursing Officer & Chief Operations Officer Keith Minnis, Chief People Officer Elaine Purvis, 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 Emily Alinger, Network Admin, Digital Media Coordinator Richard Spray, Administrative Director, Revenue Cycle Teresa Brown, Administrative Director, Marketing & Strategy Erin Barnhart, Executive Director, Norman Regional Foundation Kara Cornell, Manager 340B Program Robert Muzny, Administrative Director, Decision Support & HIT Gina Morgan, Director, Finance Donna Avila, Administrative Director, Cardiovascular Services Calvin Bohanan, Administrative Director, Operations Temo Ibarra, Director, Clinic Operations & Growth Chris Punto, Staff Attorney Kat Smith, Director, Surgical Services Sarah Wheeler, RN, Surgical Services Denny Hinkle, Nurse Manager Dialysis, Patient Care Services Lindsay Birdwell, Education Specialist Dr. Robin Mantooth Dr. Rebecca Eagle  NRHA Board Minutes 2 March 24, 2025 Dr. Kate Cook Dr. Quentin Lobb Dr. Philip Jones Thomas Pablo, Guest Michael Porter. Guest Rick Knighton, Guest Kyle Batt, Guest Adam Childers, Guest Jeff Raley, Guest Ran Randall, Guest Stephen Tyler Holman, Guest Shaakira Calnick, Guest Katrina Crumbacher, Guest Murray Evans, Guest Jimmy Durant, Guest David Whitaker, Guest Duane Fitch, Plante Moran Sharon, Ulep, Plante Moran Bryant Honsa, Plante Moran Keriana Gamboa, Guest Nolen Richards, Guest Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called to order the March 24, 2025 Norman Regional Hospital Authority business meeting at 5:30 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. April 2025 Healer of the Month Sarah Wheeler, RN, Surgical Services Mr. Cubberley introduced to the board Kat Smith, Director, Surgical Services. Ms. Smith shared Ms. Wheeler was born and raised in Tulsa. She moved to Norman to attend the University of Oklahoma where she earned a degree in history. Sarah has been married to her husband Travis for 19 years. Together they have 2 children, ages 19 & 12. Encouraged by her father who served on the board of directors at St. John’s hospital, Ms. Wheeler began to search for a career in surgical technology and joined the OR team at Norman Regional in 2007 as a surgical tech. Ms. Wheeler is a consummate professional. She works to ensure surgeries as safe for all patients that grace the NRHS doorways. In addition to her wealth of knowledge in orthopedics, Ms. Wheeler also worked as a tech on the heart team with the  NRHA Board Minutes 3 March 24, 2025 beloved Dr. Toal. In December 2021, Ms. Wheeler enrolled in Nursing school while continuing to work full time. Some of her nominators shared Ms. Wheeler was an excellent scrub tech with a great work ethic. She does a great job of making everything is lined up properly and appropriately for her patients. Ms. Wheeler is incredibly versatile, scrubbing in when needed or scheduling when duty calls. She is regularly requested by patients, employees and providers when it is their turn to be in the OR. Ms. Wheeler thanked everyone for the honor. Mr. Cubberley, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Wheeler. 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. Wheeler and Ms. Smith left the meeting at 5:35pm. Agenda Item III. Approval of the February 24, 2025 Hospital Authority Board Meeting Minutes and the March 11, 2025 Hospital Authority Special Board Meeting Minutes A. Mr. Cubberley asked for approval of the February 24, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the February 24, 2025 Board Meeting Minutes. Mr. Pipes 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 Mr. Pipes. B. Mr. Cubberley asked for approval of the March 11, 2025 NRHA Special Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the March 11, 2025 Special Board Meeting Minutes. Mr. Pipes 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 Mr. Pipes. Agenda Item IV. Administrative & Performance Update Ms. Purvis shared the following:  The annual Foundation iGive fund drive has one week remaining to reach their goal. The Foundations iGive campaign directly funds grants and scholarships to NRHS healers and departments whose goal is to enhance health care  NRHA Board Minutes 4 March 24, 2025 excellence. Mr. Minnis provided the following update:  RFPs for our new Administrative Services Organization are ongoing. Evaluations with Gallagher will be the next step.  The new Policy Benefit Management Plan changes have realized over $400,000 in savings in January with similar savings anticipated for February.  Healer Performance Evaluations in the new Workday system are now complete. The Workday platform shifted evaluations from an anniversary date to an annual date for all healers. Ms. McGill provided updates on the following:  The preliminary Leapfrog report shows a possible ½-point increase in our score.  Moore Norman Technology has chosen to increase their investment in healthcare curriculums, especially the LPN and respiratory programs. NRHS will be a partner with MNTC and will be a clinical site. The programs will take up to 18 months to be in place as MNTC awaits the grant funds.  EMSStat received approval from the National Associations of EMT’s to be a training site for them. The new Paramedic program will launch once Education space at Porter is secured. This will provide EMT’s the ability to attend Paramedic school and further opportunities at NRHS.  The next class for Norman Regionals OU College of Nursing Satellite Program closed early due to receiving 84 applications for the 32 slots at our campus.  NRHS is officially a show site for Outset Medical, our in-source Dialysis program. A group from Kansas toured this past Friday to observe our operation.  The new EMSStat Emergency Response Center was a huge part of a successful response and support system to the Norman Police and Fire Departments during the recent wild fires.  At the end of February, we had a 6-month consecutive run of codes outside the ICU being below benchmark.  ED Swat begins on March 25th. We will be officially live with the Point-of-care Creatine testing.  NRHS will be exploring a new lab test for traumatic brain injury for patients.  Starting in Mid-May, monitor techs will begin watching emergency department patients.  As of February 3rd, Nocturnists are fully staffed each night  In the OR: o The capital approval for new urology procedures is fully operational, providing treatment we previously were not able to provide o Central Sterile issue trend reduction report out will be available soon o Reviewing block utilization for surgeries o Reduced turnaround time between surgeries in the OR by 7 minutes o On February 25th, a new record was broke with 82 cases before 7pm o The OR implanted their first Inspire sleep apnea device  EVS is in the process of standardizing cleaning supplies and textiles. In mid- April, EVS techs were assigned specific floors for daily cleaning schedules.  NRHA Board Minutes 5 March 24, 2025 Agenda Item V. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on March 10, 2025. MEC covered a number of topics including – 2024 Nurse of the Year Awards, Medical Professional of the Year, Medical Credentialing, Department Committee Reports and Executive Team updates. B. Proposed Changes to the Medical Executive Committee Bylaws ACTION TAKEN: Dr. Weber made the motion to approve the proposed changes to the Medical Executive Committee Bylaws. Mr. Pipes 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 Mr. Pipes. Agenda Item VI. Strategic Planning Committee A. Mr. Cubberley announced a summary of the March 3rd Strategic Planning Committee Meeting is included in the board packet. Dr. Weber is available to address questions. Agenda Item VII. Finance Committee A. Ms. Morgan reported the Finance Committee met March 20, 2025. B. Ms. Morgan presented the NRHS Financial report for February 2025: February 2025 Financial Performance  Gross Revenues .................................. (Budget $209,853,292)............ $227,112,005  Net Patient Revenue .............................. (Budget $47,393,105).............. $45,564,280  Total Operating Expenses ..................... (Budget $50,331,484).............. $56,454,109  Total Operating Revenues ...................... (Budget $52,148,046) .............. $52,638,621  Operating Income .................................... (Budget $2,276,663).............. ($6,059,398)  Non-Operating Revenues (Expenses) ........ (Budget $629,333)................. ($790,853)  Excess Revenues over Expenses ............ (Budget $1,647,330).............. ($5,268,546) Year-to-Date  Operating Income .................................. (Budget $19,654,163)............ ($40,860,524)  Non-Operating Revenues (Expenses) ..... (Budget $5,034,657).............. ($5,825,329)  Excess Revenues over Expenses .......... (Budget $14,619,506)............ ($35,035,195)  Accounts Receivable Days ...................................................... . .................. 77.3 Days  Days Cash on Hand………………………………………………………………17.9 Days ACTION TAKEN: Mr. Pipes made a motion to approve the February 2025 NRHS Financial Statements. Dr. Weber seconded and the motion to  NRHA Board Minutes 6 March 24, 2025 approve the February 2025 Financials were approved unanimously with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Ms. Greenleaf, Dr. Anwar, Ms. Roberts and Mr. Pipes. C. Ms. McGill presented for approval one capital request item totaling $242,415 a. Surgical Microscopes: $242,415 ACTION TAKEN: Dr. Weber made a motion to approve the Capital Equipment Request at a total cost of $242,415 as recommended by the Finance Committee. Ms. Roberts 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, Ms. Roberts and Mr. Pipes. Agenda Item VIII. 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; (ii) pursuant to Section 307.B.1 to Discuss the employment, hiring, appointment, promotion, disciplining or resignation of the Co- CEO & CFO. ACTION TAKEN: Dr. Weber made a motion to adjourn into Executive Session. Mr. Pipes 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, Ms. Roberts and Mr. Pipes. 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. Miranda Knight-Brown, MD – OB/GYN – Active b. Michael Confer, MD – Medicine – Consulting c. Jerry Jaboin, MD – Medicine – Consulting d. Danushka Seneviratne, MD – Medicine – Consulting e. William Fife, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Larry Houck, MD – OB/GYN – Active b. Helen Harris, DO – Emergency Medicine – Active c. Robin Singh, MD – Cardiovascular Medicine – Active d. LaToya Smith, DO – OB/GYN – Active e. Steven Bright, MD – Teleradiology/Radiology – Privileges Only  NRHA Board Minutes 7 March 24, 2025 3. Recommended Medical Staff Reappointments: a. Daniel “Clay” Cochran, MD – Surgery – Active b. Terry Hill, DO – Emergency Medicine – Active c. Mason Lawrence, MD – Anesthesia – Active d. Alexis Stinnett, APRN-CNS – Medicine – Allied Health C. Request to Adjourn Our of Executive Session and Return to Regular Session ACTION TAKEN: Mr. Chapel made a motion to adjourn out of Executive Session. Dr. Weber seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Ms. Roberts and Mr. Pipes. 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. Pipes 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, Ms. Roberts and Mr. Pipes. E. Proposed Vote to Approve or Disapprove actions related to the matters discussed in the Executive Session listed above pursuant to Section 307.B.1 ACTION TAKEN: Dr. Weber motioned to accept the resignation of the Co-CEO & CFO. Ms. Greenleaf 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, Ms. Roberts and Mr. Pipes. Agenda Item IX. Board Leadership Discussion Mr. Cubberley submitted his resignation as the Chairman of the Board. Mr. Cubberley thanked board members and the Executive Team for their support over the years. Mr. Cubberley stated new leadership is vital for the future of the hospital and the decisions that need to be made.  NRHA Board Minutes 8 March 24, 2025 Ms. Greenleaf personally and professionally thanked Mr. Cubberley for his leadership and support over the years. A. Proposed Vote to Approve or Disapprove actions related to the matters discussed in the Executive Session listed above pursuant to Section 307.B.1 ACTION TAKEN: Dr. Weber motioned the Board of Trustees gratefully accepts the resignation of Doug Cubberley as chairman and the nominations of Dr. Kelley Lobb as the Chairman of the Board. Ms. Greenleaf 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, Ms. Roberts and Mr. Pipes. Agenda Item X. Old Business None Agenda Item XI. New Business A. Plante Moran Presentation Mr. Duane Fitch, Partner and Consultant and Ms. Sharon Ulep, Operations Partner with Plante Moran presented a Transformation Journey Proposal and Outline. The presentation began with a review of Plante Moran’s work with hospitals and health systems, their experience and credentials. Mr. Fitch reviewed the data required to consider a transformation journey. This included the overall initiative, financial data, governance and work streams needed to accomplish the goal. The Initiatives include:  An Inclusive Approach  Executive Driven  Data Driven  Physician Participation  Transparency  Strategic Measures  Focused on Growth where needed  Accountable Goals & frequent reporting drive performance  Focus on Quality & Service  Execution This journey will focus on achieving sustainable growth – growth in revenues, while decreasing costs without impacting the organization’s mission and overall strategy.  NRHA Board Minutes 9 March 24, 2025 Ms. Ulep and Mr. Fitch reviewed the work stream initiatives. The initiatives will focus on factors such as employed physicians, labor productivity, supply chain assessment, revenue cycle optimization and service line analysis. Mr. Fitch reviewed how Plante Moran will measure our success and what they will provide on a monthly basis as they begin a quick immersion into the transformation. Plante Moran will provide a rolling 24 month financial forecast updated monthly, a 3 month cash forecast, a scorecard on the transformation progress towards our goal, initiative updates and governance updates. B. Declaration of Dr. Jerome Weber regarding Norman Regional Health System Remaining Independent: “The Board of Trustees of the Norman Regional Hospital Authority declares itself fully committed to keeping the Norman Regional Hospital System a Public Trust and a community-owned and operated entity. If future data indicates such a position to be untenable, we will consider alternative arrangements as necessary.” ACTION TAKEN: Dr. Weber made a motion to approve the Declaration for Norman Regional Health System to Remain Independent. Ms. Greenleaf seconded and the motion passed with aye votes from Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Ms. Robert and Dr. Pipes and a nay vote from Mr. Cubberley. C. Discussion of Strategic Alignment & Plans for Norman Regional Health System Board Trustees discussed the option of working with a consulting firm. ACTION TAKEN: Dr. Lobb made a motion to approve the proposed consultant agreement between Norman Regional and Plante Moran. Dr. Weber seconded and the motion passed with aye votes from Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Ms. Robert and Dr. Pipes. Agenda Item XII. Board Open Discussion Mr. Cubberley Dr. Boyd is now the President & CEO with the acceptance of the Co- CEO’s resignation. Board members thanked Mr. Cubberley for his service to Norman Regional Health System. Agenda Item XIII. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 9:09pm. Mr. Chappel seconded, and the motion was passed with aye votes from  NRHA Board Minutes 10 March 24, 2025 Mr. Cubberley, Mr. Chappel, Dr. Lobb, Dr. Weber, Ms. Womack, Dr. Anwar, Ms. Greenleaf, Ms. Roberts and Mr. Pipes. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary