Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting August 25, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, August 25, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted August 22, 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 Mary Womack David Nimmo Andy Sherrer 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, DHAMLS, 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 Daisy Harjo, EVS Technician 1 Zhanna Personett, System Manager, EVS & Dist-Trans Robert Muzny, Administrative Director, Decision Support Shane Cohea, Administrative Director, Safety & Security Eman Ahmed, OU’s JC Penny Leadership Board Fellow Brad Foster, Director, Pharmacy Services & Supply Chain John Garber, Specialist, Pharmacy Andrew Dozier, Pharmacist, Retail Pharmacy Jenny Stemm, Manager, Pharmacy Ryan Marler, Guest Members Absent: Paula Roberts Kevin Pipes Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order  NRHA Board Minutes 2 August 25, 2025 Dr. Lobb called to order the August 25, 2025 Norman Regional Hospital Authority business meeting at 5:33 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. September 2025 Healer of the Month Daisy Harjo, Environmental Services Technician 1. Dr. Lobb introduced to the board Calvin Bohanan, VP and Interim Chief Operating Officer. Mr. Bohanan introduced Daisy Harjo, EVS Technician 1. Ms. Harjo joined Norman Regional in November 2024 and in this short time has made a major impression on her fellow healers. Mr. Bohanan shared some of the comments noted from her fellow healers:  Daisy consistently demonstrates integrity thru her reliability, pride in her work and in the respectful ways she engages with patients and staff  She treats every task with care no matter how small and never cuts corners  Daisy excels in clear and proactive communication. She routinely coordinates with the team to identify patient room priorities and assures the unit remains clean and efficient  Her kind and respectful communication style fosters collaboration and strengthens team morale  She treats everyone with respect and warmth which truly embodies the spirit of healing  She consistently produces high quality results that support patient safety and staff satisfaction Mr, Bohanan shared a couple of comments from fellow healers: “Ms. Harjo is the kind of teammate who shows up with a smile, ready to help in anyway she can. She consistently goes above and beyond for both staff and patients. Once I walked into a patient room and Ms. Harjo was assisting a patient find her favorite TV station.” “Daisy efficiently works with us coordinating which rooms need cleaned quickly and stays on top of the upkeep within the unit. She improves our workflow so much. We appreciate her hard work and sweet disposition, which makes a huge difference.” Ms. Harjo thanked everyone for the honor. She has worked in housekeeping for a long time and in a variety of places, but she has never felt more welcome in a place as she has in the 9 months she has been here. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. Harjo. Her steadfast dedication, professionalism, boundless  NRHA Board Minutes 3 August 25, 2025 compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. Ms. Harjo, Mr. Muzny and Ms. Personett left the meeting at 5:37pm. Agenda Item III. Board Education Mr. Brad Foster, Director Pharmacy and Supply Chain presented an update on the NRHS Retail (Outpatient) Pharmacy Services. He was accompanied by Jenny Stemm, Manager Pharmacy, John Garber, Specialist, Pharmacy and Andrew Dozier, Pharmacist, Retail Pharmacy. Mr. Foster provided some background information of pharmacy services. In the mid 1960’s, Pharmacy services began for employees and over the years, it was determined to not be a favorable for revenue to offer retail services. In October 2022 NRHS filed their yearly CMS Cost report and qualified for the 340B drug pricing program. Registration was completed in January 2023 and we became eligible in April 2023. The qualification for 340B made a retail Pharmacy a more favorable revenue source. Additionally, the Inspire Health consolidation of campuses provided the opportunity to consolidate the 2 campus pharmacy’s and allowed NRHS to provide space for a retail pharmacy. 340B is a federal drug-pricing program that helps covered entities save money on drug costs. Drug discounts are funded solely by the drug manufacturers and is a requirement to participate in CMS reimbursements. The program assists covered entities remain profitable and able to provide services to the uninsured and underserved individuals within our community. The 304B drug pricing is for outpatient medication only. The results have been very favorable. The first 3 months in the program, NRHS saved $792,000 in drug costs. Our FY2024 savings were $4,778,096 and the projected FY2026 is $8,700,000. The Retail Pharmacy focus areas are Employee Prescriptions, Medication Therapy Management (MTM) Clinic and Meds to Beds Program.  Employee Prescriptions: o The more employees fill their RX’s at the NRHS Retail Pharmacy, the more we save on our pharmacy benefits plan. One of the goals is to provide incentivizes to employees to use our Pharmacy o We are currently exploring options for delivery, mail order, courier services, curbside pick up and possibly a free standing retail location o The Retail Pharmacy is separately staffed and currently the has the capacity to fill up to 4-5 times the volume it previously did o The projected pharmacy benefits plan savings for FY2026 is approximately $100,000  John Garber, Specialist, Pharmacy presented information on Medication Therapy Management Clinic (MTM Clinic):  NRHA Board Minutes 4 August 25, 2025 o The MTM Clinical pharmacist meets one-on-one with a patient to undergo a review of the patient’s entire medication profile. Once compiled, the patient is provided with a comprehensive medication list. This service is free of charge to help patients take their medications safely and effectively o Patients seen in the MTM Clinic with certain criteria may qualify for 340B drug pricing o The MTM Clinic is located in the HealthPlex Garden level next to the Retail Pharmacy o The projected 340B savings for FY2026 is approximately $1,500,000.  Jenny Stemm, Manager of Pharmacy presented information on the Meds to Beds Program: o Patients can have their new discharged prescriptions filled and delivered to them in their room prior to discharge. o Prescriptions are filled by NRHS Retail Pharmacy & delivered by an NRHS Pharmacy Technician o Pharmacist available for consultation if needed o Goal is to enhance patient experience, increase medication adherence and reduce readmissions o Extended hours of operations will be offered to accommodate patient needs o Plan to go-live on September 2, 2025 in same day surgery and be house- wide by December 31, 2025 o The projected new Retail Pharmacy Revenue for FY2026 is approximately $400,000 Mr. Foster introduced Andrew Dozier, Pharmacist, Retail Pharmacy. Mr. Foster, Mr. Dozier, Ms. Stemm and Mr. Garber left the meeting at 6:05pm. Agenda Item IV. Approval of the July 28, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the July 28, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the July 28, 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. Womack, Mr. Nimmo and Mr. Sherrer. Agenda Item V. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on August 20, 2025. MEC covered a number of topics including – Behavioral Health update, reports from the Executive Team,  NRHA Board Minutes 5 August 25, 2025 formation of 2 new committees with the MEC; one for financial review and opportunities and the other for Surgical block review and improvements. ACTION TAKEN: None, Information only Agenda Item VI. Patient Quality & Safety Committee A. Ms. Greenleaf announced a summary of the August 4th 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 August 21, 2025. B. Mr. Meador presented the NRHS Financial report for July 2025: July 2025 Financial Performance  Gross Revenues .................................. (Budget $230,521,339)............ $233,994,709  Net Patient Revenue .............................. (Budget $48,966,155).............. $48,391,958  Total Operating Expenses ....................... (Budget $4,907,912).............. $54,458,176  Other Operating Revenues .......................... (Budget $704,281)................ $1,022,103  Operating Income .................................... (Budget $5,237,476).............. ($5,044,116)  Non-Operating Revenues (Expenses) ........ (Budget $432,329)................. ($381,946)  Excess Revenues over Expenses ............ (Budget $4,805,147).............. ($4,662,170)  EBIDA ....................................................... (Budget $1,604,832).............. ($1,523,745) Year-to-Date  Operating Income .................................... (Budget $5,237,476).............. ($5,044,116)  Non-Operating Revenues (Expenses) ........ (Budget $432,329)................. ($381,946)  Excess Revenues over Expenses ............ (Budget $4,805,147).............. ($4,662,170)  Accounts Receivable Days ...................................................... . .................. 78.5 Days  Days Cash on Hand………………………………………………………………15.9 Days ACTION TAKEN: Dr. Weber made a motion to approve the July 2025 NRHS Financial Statements. Ms. Greenleaf seconded and the motion to approve the July 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Womack, Mr. Nimmo and Mr. Sherrer. Agenda Item VIII. Old Business None  NRHA Board Minutes 6 August 25, 2025 Agenda Item IX. New Business Dr. Lobb announced Flu shots will be available for Trustees prior to the board meeting on September 22nd from 5-5:30. Ms. Heron, Mr. Cohea, Ms. Ahmed and Mr. Marler left the meeting at 6:27pm 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. Mr. Nimmo seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Ms. Greenleaf, Dr. Weber, Dr. Anwar, Ms. Womack, Mr. Nimmo and Mr. Sherrer. 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. Tara Chandran, DO – Surgery – Active b. Michelle Firlit, MD – OB/GYN – Consulting c. Sunil Gujrathi, MD – Radiology – Privileges Only d. Tejal Patel, MD – Radiology – Privileges Only e. Kyle Penny, DO – Emergency Medicine – Privileges Only f. Casey Carr, MD – Cardiovascular Medicine – ECMO – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Natalie Johnson, DO – OB/GYN – Active b. Garrett Sutton, MD – Anesthesia – Active c. Angela Ama, RNFA – Surgery – Allied Health 3. Recommended Medical Staff Reappointments: a. Smaranda Galis, MD – Medicine – Active b. Pierre Ruhlmann, MD – Pediatrics – Active c. Ronni Farris, MD – OB/GYN – Active d. Kimberly Bowman, MD – OB/GYN – Active e. John Chace, MD – Surgery – Active f. Samuel “Ed” Dakil, MD – Surgery – Active g. Benjamin Collins, MD – Surgery – Active h. Eric Porritt, DO – Surgery – Active i. Matthew Davis, DO Emergency Medicine – Active  NRHA Board Minutes 7 August 25, 2025 j. Eric Sparks, DO – Emergency Medicine – Active k. Chelsea Rommel, DO – Hospital Medicine – Active l. Lucas Trigler, MD – Surgery – Consulting m. Lois Baez, APRN-CNP – Pediatrics – Allied Health n. Daivd Karlin, MD – Radiology – Privileges Only o. Kambrie Kato, MD – Radiology – Privileges Only p. Robert Maxey, MD – Radiology – Privileges Only q. Justin McCoy, MD – Radiology – Privileges Only r. Zachary Roeder, MD – Radiology – Privileges Only s. Shareef Riad, MD – Radiology – Privileges Only t. Gregory Thalken, MD – Radiology – Privileges Only u. James Summa, MD – Radiology – Privileges Only v. Roi Lotan, MD – Radiology – Privileges Only w. Evelyn Lorents, MD – Radiology – Privileges Only x. Michael Klein, MD – Radiology – Privileges Only y. James Wolff, MD – Radiology – Privileges Only 4. Information Only: a. Reba Beard, MD (Pediatrics) requests to change staff category from Active to Courtesy staff b. Rachel Witmer, PA-C completed proctored Arthrograms privileges c. Ronni Farris, MD requests to change staff category from Active to Consulting staff 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. Sherrer seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Nimmo and Mr. Sherrer. 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. Mr. Nimmo seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Nimmo and Mr. Sherrer. Agenda Item XI. Administrative & Performance Updates  NRHA Board Minutes 8 August 25, 2025 Mr. Meador shared the following information:  Audit Committee met. The Audit is going well and has just a few items to clarify. The final report will be presented in a future board meeting Ms. Purvis shared the following:  HR is working behind the scenes to change our Third Party Administrator (TPA) to UMR on January 1st. It will provide several additional benefits for healers and greater savings for NRHS  Continuous changes and progress on the Workday platform. A Workday Optimization committee has been formed to iron out issues and refine the program.  Workers Comp has opportunities for refinement and adjustments Mr. Bohanan provided the following information:  Operation Independence meetings continue. Plante Moran and NRHS leadership met with departments last week to follow up on progress and make adjustments. Department highlights include: o Security & Safety – armed intruder event planning, review of hospital color codes and prep & review of Joint Commission items o HealthClub – 32 year celebration event was held at the club. 42 new members joined the club during this time o Facilities – streamlining lease lists o MRI – new spaces opening, inpatient CT coming soon o Food Services – opening newly renovated cafeteria tentatively at the end of December or early January o Updating asset lists o Consolidation continues on moving the last groups of healers out of the Porter campus o Clinical engineering & equipment – work continues on streamlining the ticketing system & updating equipment lists and signage projects in Oncology, Emergency department and wayfinding in the building after hours o Radiology – working on efficiencies for frontline healers using a machine learning program, re-establish KPI’s to seek greater efficiency, reduce costs and increase quality, updating imaging system, new bone density and breast cancer screening software to increase coding and revenue o Clinical Lab – focusing on quality and turnaround times, finalizing the lab stewardship dashboard, bringing some testing back in house o Lab Outreach – gained 2 new clients, finalizing bidirectional interface with ECW, continuing to focus on patient satisfaction score improvements o EVS – working on throughput specifically on the tele tracking program, evaluating linen management, working with leadership to read productivity reports and work with the information gained from those reports Ms. Richardson shared the following:  New standards were implemented in nursing areas using the data and protocol Plante Moran provided  NRHA Board Minutes 9 August 25, 2025  Ambulatory areas are adjusting to new staffing levels and re-examining how patients can be seen quicker and more efficiently. Meeting face-to-face with clinic physicians for input. More changes to follow Dr. Voto shared the following:  Surgery Department continues to work on OR efficiency. A Surgery Executive Committee has been formed to focus on continued improvements Dr. Boyd shared the following:  Working with Physicians to increase new patient volumes while providing them with the support they need  Construction is wrapping up on property. Cafeteria renovations is the only remaining project  One building has sold and other properties are being evaluated  Hiring additional coders to improve coding overall and speed up revenue cycles  DME & wound care will be returning  Radiology reads are making progress, more work is needed to continue improving Agenda Item XII. Board Open Discussion None Agenda Item XIII. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:21pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Nimmo and Mr. Sherrer. . Respectfully Submitted, Mary Womack, Vice-Chair/Secretary