Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting April 28, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, April 28, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted April 24, 2025 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present: Kelley Lobb, MD Jerome (Jerry) Weber, Ph.D Muhammad Anwar, MD Joan Greenleaf 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 Steven Sheriff, Director, Technical Support Sharon Brown, Director, Applications Support Kyle Hurley, Director, EMSStat Ashley Schadegg, EMSStat Paramedic Tanner Williams, Nurse Manager Meghan Bedwell, Nurse Supervisor Dez Marshall, Communications Operator Lead Dustin Barthelme, Manager, Desktop Engineers Richard Love, Communications Supervisor David Findley, Manager, Logistics & Operations Jamie Barnes Polski, Nurse Manager Katie Gilmore, Nurse Supervisor Tracy Mills, Nurse Manager Jamie Turnpaugh, Patent Care Tech Karen Gillispie, Charge Nurse David Gandesbery, Security Coordinator Amy Hawley, Nurse Supervisor Sarge Kemmet, RN Scott Bloodworth, Coordinator, Supply Chain Dr. Kate Cook Larry Edzards, Guest  NRHA Board Minutes 2 April 28, 2025 Sam Royka, Norman Transcript Members Absent: Mary Womack Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Dr. Lobb called to order the April 28, 2025 Norman Regional Hospital Authority business meeting at 5:30 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. May 2025 Healer of the Month Destiny “Dez” Marshall, Lead Communications Operator, HIT. Dr. Lobb introduced to the board Steven Sheriff, Director, Technical Support. Mr. Sheriff shared Ms. Marshall was born in the OKC metro area. Her interests in Music and Art help guide her decision to attend the University of Oklahoma to earn a degree. She began her career at Norman Regional in Food Nutrition, but was soon swayed by the HIT department to move departments to become an operator. Soon she was promoted to lead operator due to her hard work ethic. Her fellow healers share she has a tireless work ethic and does everything with integrity, honesty and with the highest moral guide. She is fully committed to making everything work smoothly at the switchboard. She is a great lead for her department. Ms. Marshall thanked everyone for the honor. Ms. Marshall shared she loves her job and everyone she works with. She loves calling Norman Regional her home and plans to be here for many years. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Marshall. 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. Sheriff, Ms. Brown, Ms. Marshall, Mr. Barthelme and Mr. Love left the meeting at 5:32pm. B. EMSStat Crimestopper’s Paramedic of the Year 2024-2025 and the EMT of the Year 2024-2025 NRHA Board Minutes 3 April 28, 2025 Mr. Hurley, Director of EMSStat shared Ms. Schadegg just celebrated her 3 year work anniversary in February. Ms. Schadegg started at NRHS as an EMT and Paramedic extern. The Paramedic extern program is an NRHS initiative that works with EMT’s, allowing them to attend school, do clinicals, while working as many hours as they are able, which in turn allows them to receive benefits and support themselves. Ms. Schadegg was overwhelmingly selected by her peers which says a lot about her work ethic. Patient comments share Ms. Schadegg is caring and compassionate and makes patients feel safe and cared for. Anna Jarecke, EMT of the Year was unable to attend the meeting. Mr. Hurley and Ms. Schadegg left the meeting at 5:34pm. C. Medical Professional of the Year Award Dr. Cook shared the Nurse of Year recognition started in 2010. This year the Physician group added an additional honor to recognize the Medical Professional of the Year. Medical Professional of the Year finalist: Jamie Turnpaugh. Ms. Turnpaugh goes above and beyond, always doing the right thing. She takes pride in her work and everyone knows they can count on her to answer the obscure question, knowing how to tackle every difficult situation. Medical Professional the Year: Scott Bloodworth. Mr. Bloodworth joined NRHS in 1992 serving as a monitor tech unit secretary and paramedic, before landing the coordinator supply chain position for the 3 full-service emergency departments. His nominator praised his ability to keep the department running smoothly no matter how busy. He makes sure everyone has what they need, when they need it. Mr. Bloodworth is extremely efficient and can maneuver his way thru the red tape to get what is needed. One Physician shared “my skills can only go so far without the right equipment. Mr. Bloodworth’s consistency and excellence are truly remarkable”. D. Nurse of the Year Award Nurse of the Year Nominee: Amy Hawley. Ms. Hawley began her career at NRHS in 2007. Ms. Hawley’s nominators share she always has a smile on her face and a positive word for everyone she comes in contact with. She jumps in and does any job that is needed to support her fellow healers. Nurse of the Year Nominee: Karen Gillespie. Ms. Gillespie joined NRHS in 2014. Her nominators share she is always professional, loved by her patients and fellow healers. She is pleasant, hardworking and never acts as though she is too busy to stop and assist others. Physicians know they can trust Ms. Gillespie to recognize issues as they develop.  NRHA Board Minutes 4 April 28, 2025 Nurse of the Year Nominee: Sarge Kemmet. Mr. Kemmet began working at NRHS in March of 2024 as a 2nd career. His nominators share he’s an excellent nurse who goes above and beyond, a joy to work with and gets things done efficiently. Mr. Kemmet has a calm presence around patients and truly models the Norman Way iCARE principles. He receives more patient comments than any other nurse in the emergency department. Nurse of the Year Nominee: Megan Bedwell. Ms. Bedwell joined the Norman Regional family in 2008. She is consistently the first person to be bedside during a code. When patients or family members need assistance, she can be counted on to help them with any situation. Her fellow healers consider her to be the bedrock of their department. Nurse of the Year: Katie Gilmore. Ms. Gilmore began her career at NRHS in 2015. She has been the backbone of the pediatrics department for many years. She recently stepped into a leadership position which will support the entire Women’s and Children’s staff while allowing her to master new skills and care for a variety of patients. Her nominator shared Ms. Gilmore is calm under pressure and is always willing to go the extra mile for patients. She shares her knowledge and compassion with humility, kindness and efficiency. Ms. Turnpaugh, Ms. Mills, Ms. Gilmore, Ms. Barnes Polski, Ms. Bedwell, Ms. Hawley, Ms. Gillispie, Mr. Williams, Mr. Kemmet, Mr. Bloodworth, Mr. Leyva and Mr. Findley left the meeting at 5:40pm. Agenda Item III. Board Education Mr. Shane Cohea, Director of Safety and Security presented an overview of the departments activities and initiatives. Mr. Cohea shared the department has one main goal: to make sure patients and guests arrive safely and they make it home to their families safely. In 2024, they received 42,224 security calls, which spanned from basic questions to full assistance situations. Besides Mr. Cohea, this department consists of 31 officers and a Manager of Safety and Security. The department recently relocated from the Porter campus to their new Incident Command and Security Operations center at the HealthPlex main campus. The Safety and Security department has many protective measures in place for the safety of our employees and patients. Many of the following measures and equipment were paid for with the $500,000 in grant funding. These protective measures include:  Physical security 24/7 at all campuses  State of the Art CCTV with over 500 cameras  Panic buttons and an emergency call line  Suspect detection system  Suspect research capabilities by Security Leadership  NRHA Board Minutes 5 April 28, 2025  Inmate lookup and notification system On the Safety side, EMSStat was seeing multiple paramedic injuries from pulling and pushing the antiquated ambulance COTs. NRHS purchased the Stryker Powered System COTs for all ambulances and within 2 years saw a dramatic drop in COT related claims. This change fueled the charge to find safety adjustments in other areas and several PDSA’s were started to focus on total worker health and injury prevention. Included in this effort is Total Worker Health Initiative. This initiative focuses on policies and programs that prioritize a hazard-free work environment for all healers, integrated interventions that collectively address healer safety, health and well-being and protect the safety and Health of Healers and advance their well-being by creating safer and healthier work environments. Part of focuses is also on the health of healers. Several programs and services offered are:  Biggest Winner Event  Free annual lipid profiles  Wellness programs  Lockton, out insurance company, providing training aimed at patient and healer health and safety  Safety bi-annual environmental inspections for best practice  Non-slip shoes throughout patient support areas  In-house fit testing done more frequently with additional cost savings Due to our Best Practice initiatives and ability to monitor and manage risk, Lockton has requested NRHS to present at the Association for Safety Professionals Council. Mr. Cohea left the meeting at 5:56pm. Agenda Item IV. Approval of the March 24, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the March 24, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the March 24, 2025 Board Meeting Minutes. Ms. Greenleaf seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Roberts, Dr. Anwar and Mr. Pipes. Agenda Item V. Administrative & Performance Update Ms. McGill shared the following:  NRHS is partnering with Oceans and the First lady Sarah Stitt to host the Hope Summit, a community Education event on May 8th  Dr. Cannon, CV surgeon is training for robotic lungs  NRHA Board Minutes 6 April 28, 2025  NRHS is a show site for Radiology with the Phillips vendor  Our Nurse Residency program has earned the highest distinction level due to our focus on burnout resilience and wellness programs. This Residency program is the first in the state to be accredited  Student Nurse Partner Program reported all participants passed their NCLEX licensure exam the first time around  The NRHS CJR (Compressive Joint Program) received a $1.1 million bonus for quality outcomes.  Central Sterile received a first time ever $44,000 vendor reimbursement for outstanding Instrument Integrity  For the 7th month in a row, codes outside the ICU are below national benchmarks  Dr.Saveika and Ms. McGill are meeting with all areas to assist with aligning department indicators with measurements used by Leapfrog and CMS for Star Ratings  Phase II of our Shiftwizard scheduling software goes live June 1  OU Stephenson Cancer Center ribbon cutting is May 19th at 2:30pm. The Cancer Center officially opens June 6th. Day in the life work flow scenarios are scheduled for May and June  For the first time ever our C-Section rate of 23% is below the national average of 26%  NRHS and the Absentee Shawnee Tribe are discussing a resource solution revolving around the Behavioral Health Center. More information to follow  NRHS and Norman Public Schools partnership thru the STEM program resulted in tours for 50 students who expressed an interest in healthcare Mr. Minnis provided the following update:  Occupational medicine has been providing services for over 30 years to the City of Norman, City of Newcastle and many other local companies. We are working to bring in more clients. NRHS recently decided to bring billing in-house Dr. Voto provided updates on the following:  Surgery blocks have been removed or reduced for Surgeons not using their allotted time  The Patient Liaison staff has been working directly with Dr. Voto to address patient issues as they arise  Dr. Eagle has been rounding with patients to assist in improvements in CLABSI scores Agenda Item VI. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on April 16, 2025. MEC covered a number of topics including – Plante Moran, 2 new committees: Revenue Cycle and Steering Committee, Medical Credentialing, Department Committee Reports and Executive Team updates.  NRHA Board Minutes 7 April 28, 2025 Agenda Item VII. Patient Quality & Safety Committee A. Dr. Lobb announced a summary of the April 7th 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. Meador reported the Finance Committee met April 24, 2025. B. Mr. Meador presented the NRHS Financial report for March 2025: March 2025 Financial Performance  Gross Revenues .................................. (Budget $229,825,367)............ $243,154,047  Net Patient Revenue .............................. (Budget $51,200,972).............. $49,454,168  Total Operating Expenses ..................... (Budget $53,790,385).............. $58,098,091  Total Operating Revenues ...................... (Budget $51,865,577).............. $50,644,958  Operating Income .................................... (Budget $1,924,808).............. ($7,453,134)  Non-Operating Revenues (Expenses) ........ (Budget $629,332)................... ($81,580)  Excess Revenues over Expenses ............ (Budget $1,295,476).............. ($7,534,713) Year-to-Date  Operating Income .................................. (Budget $21,578,971)............ ($48,313,658)  Non-Operating Revenues (Expenses) ..... (Budget $5,663,989).............. ($5,743,749)  Excess Revenues over Expenses .......... (Budget $15,914,982)............ ($42,569,908)  Accounts Receivable Days ...................................................... . .................. 75.6 Days  Days Cash on Hand………………………………………………………………17.5 Days ACTION TAKEN: Mr. Pipes made a motion to approve the March 2025 NRHS Financial Statements. Dr. Anwar seconded and the motion to approve the March 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts and Mr. Pipes. Agenda Item IX Old Business None Agenda Item X. New Business A. Resolution Approving Sale of certain Radiation Oncology and PET/CT Assets ACTION TAKEN: Dr. Weber made the motion to approve the Resolution for the Sale of certain Radiation Oncology and PET/CT Assets. Mr. Pipes  NRHA Board Minutes 8 April 28, 2025 seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Roberts, Dr. Anwar and Mr. Pipes. B. Trustee Conflict of Interest Mr. Harden reviewed the Conflict of Interest forms and the reasons behind why this document is updated regularly with Trustees. Agenda Item XI. Administrative Report Ms. Purvis shared the following:  The NRHS Foundation met their Healer iGive fundraising goal this year of $100,000. All funds raised return back to the hospital for grant requests and scholarships  The Summer Sizzler event is May 9th from 4-7pm. The event will include free food and activities for healers and their families. The event is part of Nurses week. Invitations for the event will sent out on Tuesday after the board meeting.  May 19th is the ribbon cutting and open house event for the joint project between Norman Regional and OU Stephenson Cancer Center. Calendar invites will be sent to Trustees on Tuesday after the board meeting. The event is from 2:30- 4pm  The NRHS Foundation Ball is Saturday, June 7th at the Embassy Suites Hotel. This year’s theme is Sparkles and Spurs. Invites will be sent by the Foundation Dr. Cook, Ms. Herron, Mr. Gandesbery, Mr. Edzards and Ms. Royka left the meeting at 7:08pm. 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. Pipes seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Ms. Greenleaf, Dr. Weber, Dr. Anwar, Ms. Roberts and Mr. Pipes. 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. Jeremy Phelps, MD – Surgery – Active b. Herbert Coussons, MD – OB/GYN – Active NRHA Board Minutes 9 April 28, 2025 c. Paul Stevenson, MD – Medicine – Active d. Hasan Al-Janabi, MD – Medicine – Active e. Leigh Langley, PA-C – Surgery – Allied Health f. Nicole Thompson, PA-C – Surgery – Allied Health g. Mignonne Morrell, MD – Radiology – Privileges Only h. Zachary Plotz, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Carol Lennon, MD – OB/GYN – Active b. Estelle Rutledge, MD – OB/GYN – Active c. Dan Nguyen, MD – Radiology – Consulting d. Hsiu Su, MD – Teleradiology – Radiology – Privileges Only 3. Recommended Medical Staff Reappointments: a. Sabrina Young, DO – Medicine – Active b. Ahmed Awab, MD – Medicine – Active c. J. Patrick Sullivan, MD – Anesthesia – Active d. John “Buck” Hill, DO – Anesthesia – Active e. Amanda Ward, DDS – Surgery – Active f. Seth Brooks, DDS – Surgery – Active g. David Cochran, MD – Surgery – Active h. Stephanie Barnhart, DO – Emergency Medicine – Active i. Dylan Rommel, DO – Emergency Medicine - Active j. Robin Mantooth, MD – Emergency Medicine – Active k. Nzube Okonkwo, MD – Emergency Medicine – Active l. Kelli Bryan, APRN-FNP – Pediatrics – Allied Health m. Nicole Alvarez, CRNA – Anesthesia – Allied Health n. Lindsey Lightner, CRNA – Anesthesia – Allied Health o. Stephen Isernhagen, PA-C – Surgery – Allied Health p. Michael Crawford, PA-C – Surgery – Allied Health q. Summer Crawford, APRN-CNP – Hospital Medicine – Allied Health 4. Information Only: a. Rachel Witmer, PA-C has completed proctured cases for Paracentesis, Thoracentesis, Lumbar Puncture and Superficial Aspiration Biopsy 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. Dr. Anwar seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts and Mr. Pipes. Dr. Lobb 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.  NRHA Board Minutes 10 April 28, 2025 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. Mr. Pipes seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts and Mr. Pipes. Agenda Item XIII. Board Open Discussion None Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:10pm. Mr. Pipes seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts and Mr. Pipes. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary