Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting June 23, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, June 23, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted June 20, 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 Mary Womack David Nimmo Others Present: Dr. Aaron Boyd, MD, CEO & Chief Physician Executive Elaine Purvis, Chief Strategy Officer David Meador, Chief Financial Officer LeAnn Richardson, Chief Ambulatory Officer & Interim Chief Nursing Officer Calvin Bohanan, Interim Chief Operations 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 Chris Robinson, Director, Facilities Management & Construction Donna Avila, Administrative Director, Cardiovascular Services Tracey Brown, Manager, Cath Lab Jerie Painter, Surgical Technician II, Cath Lab Shane Cohea, Director, Safety & Security Danny Hale, Guest Larry Edzards, Guest Members Absent: Andy Sherrer Kevin Pipes Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Dr. Lobb called to order the June 23, 2025 Norman Regional Hospital Authority business meeting at 5:38 p.m.  NRHA Board Minutes 2 June 23, 2025 Agenda Item II. Introduction and Recognition of Outstanding Healers A. July 2025 Healer of the Month Jerie Painter, Surgical Technician II, Cath Lab. Dr. Lobb introduced to the board Tracey Brown, Manager, Cath Lab. Ms. Brown shared Ms. Painter has worked at NRHS for 17 years. Over this time, she has worked in Neurology, Endoscopy and Cardiology clinics, Emergency Department and for the last 12 years she has been an assistant in the Cath Lab. Ms. Painter helped launch the Venus Ablation program in the Cath Lab, serving as assistant instructor for these procedures. Ms. Painter has a natural passion for helping others and takes pride in finding ways to make things easier for those around her. Ms. Painter shared she feels fortunate to work alongside such dedicated physicians and peers who genuinely care about one another and their patients. They have built a strong foundation of integrity, hard work and mutual support for each other. Ms. Painter always goes above and beyond to ensure staff, physicians and patients have all the information they need to provide superior care. On numerous occasions, she goes out of her way to assist patients in other departments when presented with an issue. She does what it takes to get them to their destination or help with questions they may have. Ms. Painter has been married for 33 years and is the proud parent of 2 children. In her free time, she enjoys spending time at the lake, traveling and exploring new places. She also spends time volunteering at the local emergency shelter. Ms. Painter thanked everyone for the honor and shared she is humbled with the recognition. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Painter. 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. Brown and Ms. Painter left the meeting at 5:43pm. Ms. Lobb introduced David Nimmo as one of the 2 newest board members. Ms. Todd, Executive Assistant, read the oath and swore in Mr. Nimmo. Ms. Lobb presented Ms. Roberts with a birthday card. Agenda Item III. Board Education Mr. Chris Robinson, Director, Clinical Engineering presented an update on Facilities and Engineering. Mr. Robinson has over 20 years experience as a facilities Director, 17 of those in  NRHA Board Minutes 3 June 23, 2025 Healthcare. The NRHS Facilities department consists of a Director, 2 managers, 1 coordinator, 1 admin support and 23 mechanics and skilled tradesman. During this fiscal year, this group has completed 10,292 work orders, 7,436 preventative maintenance work orders, 14 clinic openings or moves and 450 internal moves. The facilities department, sometimes referred to as the Maintenance department, is responsible for the physical maintenance and upkeep of the buildings, electrical systems, plumbing, HVAC and medical gases. NRHS facilities span over 2,325,984 sq. ft. of buildings, 3,412,337 sq. ft. of grounds and 100 locations throughout the healthcare system. They are also responsible for all Life Safety and Environment of Care testing and documentation for Joint Commission Accreditation. Mr. Robinson shared the Clinical Engineering Department consists of a manager, 2 imaging Engineers and 8 general repair workers. This fiscal year, Clinical Engineering completed 10,159 work orders and maintained a 98.84% PM completion percentage on high rick medical equipment. Clinical Engineering manages the risk associated with the use of medical equipment at NRHS. These strict policies and procedures in place mitigate the potential for adverse events related to the safety and health of patients and healers. The program assures compliance with regulatory agencies such as The Joint Commission, CMS, Oklahoma State Department of Health and Laboratory standards such as CAP and ABBB. Mr. Robinson provided an Inspire Health completion schedule update on remaining projects. Mr. Robinson and Mr. Goldsbury left the meeting at 5:54pm Agenda Item IV. Approval of the May 27, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the May 27, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the May 27, 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, Ms. Womack and Mr. Nimmo. Agenda Item V. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on June 18, 2025. MEC covered a number of topics including – Utilization Review Plan changes, Vast Skillsets, Discharge Instructions template, Inpatient Post Fall protocol, Medical Credentialing, Department Committee Reports and Executive Team updates.  NRHA Board Minutes 4 June 23, 2025 B. Recommend Approval of FY2026 Utilization Plan ACTION TAKEN: Dr. Weber motioned to approve the FY2026 Utilization Review Plan. Ms. Greenleaf seconded the motion and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack and Mr. Nimmo. Agenda Item VI. Patient Quality & Safety Committee A. Ms. Greenleaf announced a summary of the June 2nd Patient Quality & Safety Committee Meeting is included in the board packet. Ms. Greenleaf is available to address questions. Agenda Item VII. Finance Committee A. Mr. Meador reported the Finance Committee met June 19, 2025. B. Mr. Meador presented the NRHS Financial report for May 2025: May 2025 Financial Performance  Gross Revenues .................................. (Budget $230,040,404)............ $237,784,498  Net Patient Revenue .............................. (Budget $51,408,652).............. $48,727,360  Total Operating Expenses ..................... (Budget $53,714,753).............. $57,720,824  Total Operating Revenues ...................... (Budget $52,074,187).............. $49,922,195  Operating Income .................................... (Budget $1,640,566).............. ($7,798,629)  Non-Operating Revenues (Expenses) ........ (Budget $629,332)................. ($513,227)  Excess Revenues over Expenses ............ (Budget $1,011,234).............. ($7,285,402) Year-to-Date  Operating Income .................................. (Budget $24,497,135)............ ($63,205,985)  Non-Operating Revenues (Expenses) ..... (Budget $6,922,653).............. ($6,460,543)  Excess Revenues over Expenses .......... (Budget $17,574,482)............ ($56,745,443)  Accounts Receivable Days ...................................................... . .................. 72.5 Days  Days Cash on Hand………………………………………………………………14.8 Days ACTION TAKEN: Mr. Nimmo made a motion to approve the May 2025 NRHS Financial Statements. Dr. Anwar seconded and the motion to approve the May 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack and Mr. Nimmo. C. Recommend Approval of Resolution and Proposed Change in Retirement Plan Entry Date ACTION TAKEN: Dr. Weber made a motion to approve the Resolution and Proposed Change in Retirement Plan Entry Date as  NRHA Board Minutes 5 June 23, 2025 recommended by the Finance Committee. Ms. Roberts seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack and Mr. Nimmo. Agenda Item VIII. Old Business None Agenda Item IX. New Business A. Letter of Resolution for Opioid Grant Renewal ACTION TAKEN: Dr. Weber made the motion to approve the Letter of Resolution for Opioid Grant Renwal. Ms. Greenleaf seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Ms. Womack and Mr. Nimmo. Ms. Herron, Ms. Avila, Mr. Cohea, Mr. Edzards and Mr. Hale left the meeting at 6:36pm Agenda Item X. 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. Ms. Roberts seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Ms. Greenleaf, Dr. Weber, Dr. Anwar, Ms. Roberts, Ms. Womack and Mr. Nimmo. 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. Philip Dzambo, MD – Emergency Medicine – Active b. Sarah Jordan, DO – Emergency Medicine – Active c. Amir Hedayati, MD – Radiology – Privileges Only d. Erik Olsen, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Austin Ederer, PA-C – Surgery – Allied Health  NRHA Board Minutes 6 June 23, 2025 3. Recommended Medical Staff Reappointments: a. Wayland Billings, DO – OB/GYN – Active b. Matthew Bonner, DO – Emergency Medicine – Active c. Christopher Smith, DO – Emergency Medicine – Active d. Jeremy Moore, MD – Surgery – Active e. Richard Kirkpatrick, MD – Surgery – Active f. Blair Kirkpatrick, MD – Medicine – Active g. Stephen Ingels, MD – Pathology – Active h. Amanda Lewis, PA-C – Surgery – Allied Health i. Kyra Boler, APRN-CNP – Pediatrics – Allied Health j. Tedd Jeffers, APRN-CNP – Pediatrics – Allied Health 4. Information Only: a. M. Bruce Cannon, MD requests robotic privileges C. Request to Adjourn Our of Executive Session and Return to Regular Session ACTION TAKEN: Mr. Nimmo 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, Ms. Womack and Mr. Nimmo. 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. 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 Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Ms. Womack and Mr. Nimmo. Agenda Item XI. Administrative & Performance Updates Dr. Boyd introduced Calvin Bohanan as Interim Chief Operating Officer and LeAnn Richardson, Interim Chief Nursing Officer and Outpatient Services. Mr. Bohanan shared in addition to the areas of Lab and Outpatient Services, he is responsible for Radiology, Clinical Engineering, Safety & Security and the Health Club.  NRHA Board Minutes 7 June 23, 2025 Ms. Richardson shared she currently is responsible for Outpatient Clinics, Care Coordination, Ortho, Ambulatory and GI Surgical Centers. She will acquire the areas of Inpatient Care, Emergency, EMSStat, Quality and Accreditation. Ms. Purvis shared she has acquired Occupational Medicine, Employee Health, Talent Management and Human Resources added to her current areas of Food and Nutrition, Marketing & Strategy and the Foundation. Ms. Purvis shared the following:  Reviewing a few Third Party Administrators (TPA) to provide a new network for healers  Renewing our stock loss provider  Improvements to Workday  Strategies for Position Control and Overtime Mr. Voto shared the following:  The Emergency Department residency program recently graduated 7 residents and NRHS employed 3 of the graduates. The new residency program has begun with 8 residents.  Any pediatric patients requiring hospital admission will be transferred to OU Medical. Pediatric patients can still receive treatment at NRHS, just not admitted.  Medical staff has been encouraged to contact their Senators with concerns regarding decreases to Medicaid payments over the next 6 years. Dr. Boyd shared the following:  The Radiation/Oncology Cancer Center sale to OU is complete. NRHS is still providing some support services  Providing assistance and support for Physicians and healers at closing Clinics  Bond holder call on Tuesday, June 24  SNP Bond grade update  Executive Team continues to focus and work on Productivity, Physician costs, service line evaluation, revenue cycle and supply chain Mr. Meador shared he is responsible for the Finance Department, Supply Chain, HIT and Pharmacy. He provided an update on the savings potential for several initiatives and new processes in place for accounts receivable and payables. Agenda Item XII. Board Open Discussion None Agenda Item XIII. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:16pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Ms. Womack and Mr. Nimmo.  NRHA Board Minutes 8 June 23, 2025 Respectfully Submitted, Mary Womack, Vice-Chair/Secretary