Norman Regional Hospital Authority

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting October 27, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, September 22, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted September 19, 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 Kevin Pipes David Nimmo Andy Sherrer Others Present: Dr. Aaron Boyd, MD, President & CEO Elaine Purvis, Chief Strategy Officer LeAnn Richardson, Chief Nursing Officer & Chief Ambulatory Officer Calvin Bohanan, DHAMLS, Chief Operating Officer Dr. James Bond, MD, Chief of Medical Staff Dr. Joe Voto, MD, Chief Medical Officer Larry Harden, Administrative Director, Risk & Compliance Melissa Herron, Director, Integrated Marketing Robert Muzny, Administrative Director, Decision Support Steven Sheriff, Director Technical Support & Telecommunications Sharon Brown, Director, Application Support Donovan Beswick, Director, Ambulatory Radiology Services Shane Cohea, Director, Safety & Security Brian Blakely, Supervisor, Nuclear Medicine, Imaging Services Clay Belk, System Manager, Imaging Services Eman Ahmed, OU’s JC Penny Leadership Board Fellow Stuart Driver, Floyd & Driver, PLLC Ryan Marler, Guest Todd Gibson, Guest Larry Edzards, Guest Members Absent: Paula Roberts Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order  NRHA Board Minutes 2 October 27, 2025 Dr. Lobb called to order the October 27, 2025 Norman Regional Hospital Authority business meeting at 5:30 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. November 2025 Healer of the Month Brian Blakely, Supervisor, Nuclear Medicine, Imaging Services. Dr. Lobb introduced to the board Donovan Beswick, Director, Radiology. Mr. Beswick shared Mr. Blakely is very deserving of this honor. He shared Mr. Blakely was very instrumental to the Radiology department during the Inspire Health project and the hospital system campus merge. Radiology has a very small leadership group and Mr. Blakely stepped into the role of construction liaison, making sure communication lines were open with punch list items and other concerns. Mr. Blakely oversaw the day to day activity at Porter during the phase out, ensuring patients’ needs were met and staff were taken care of. Mr. Blakely has been a shining example of the iCARE values for over 20 years, continuing to amaze and support his fellow healers every day. Mr. Blakely shared his appreciation for the honor and thanked everyone for the opportunity to work at Norman Regional. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Mr. Blakely. His steadfast dedication, professionalism, boundless compassion, and consistently positive attitude contribute significantly to advancing Norman Regional as a caring and high-quality health system. Mr. Blakely, Mr. Beswick and Mr. Belk left the meeting at 5:33pm. Dr. Boyd presented Dr. Lobb with a birthday card. Dr. Lobb presented Ms. Greenleaf with a birthday card for her December birthday. Agenda Item III. Board Education Ms. Sharon Brown, Director, Application Support presented an update on the Meditech Expanse program. Ms. Brown shared NRHS has entered a “discovery” phase with Meditech to determine what services Meditech Expanse offers and how it can assist and enhance its services with the health system. On October 15th, Meditech visited NRHS and presented an overview of the Expanse program for the leadership team. NRHS is attempting to determine if Expanse is the best option for Electronic Health Records (EHR). NRHS has been using the Meditech Client Server program since 2008. In researching Expanse, we are looking for the continuity of care our patients deserve and expect with  NRHA Board Minutes 3 October 27, 2025 the best technology possible. The current Meditech Client Server is still functional, but is limited in its communication abilities across a broad system of collecting electronic health records. Expanse can gather data from multiple entry systems used by a hospital and compile into one EHR dashboard, creating a single EHR for each patient. The Client server program can not offer this service. Benefits of Meditech Expanse include:  Technology advances in healthcare  Facilitates communication between acute and ambulatory platforms  Centralized patient record/patient portal  Hand held tools that can be used for documentation, scanning, bedside medication verification, assistance with care transition utilizing SBAR  Connections to other organizations for clinical care  Advances reporting - BCA Ms. Brown reviewed the products available in the basic Client Server program and products only available in Expanse. If NRHS invests in the Expanse program, patients will be provided application modernization and enhanced and advanced patient care as services for EHR are streamlined. Ms. Brown and Mr. Sheriff left the meeting at 6:02pm. Agenda Item IV. Approval of the September 22, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the September 22, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the September 22, 2025 Board Meeting Minutes. Mr. Pipes seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Ms. Womack, Dr. Anwar, Dr. Pipes, Mr. Nimmo & Mr. Sherrer. Agenda Item V. Medical Staff A. Dr. Bond presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on October 22, 2025. MEC covered a number of topics including – Surgery Block scheduling, Committee reports and updates from the Executive Team. ACTION TAKEN: None, Information only Agenda Item VI. Patient Quality & Safety Committee  NRHA Board Minutes 4 October 27, 2025 A. Ms. Greenleaf announced a summary of the October 6th Patient Quality and Safety Committee Meeting is included in the board packet. Ms. Greenleaf is available to address questions. Agenda Item VII. Board Approval of Instrument of Resignation of Trustee A. Approval of Resignation of BancFirst as Bond Trustee and Appointment of Argent Trust Oklahoma as Successor Trustee ACTION TAKEN: Mr. Sherrer made a motion to approve the Resignation of BancFirst as Bond Trustee and Appointment of Argent Trust Oklahoma as Successor Trustee. Dr. Weber seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer Agendas Item VIII. Finance Committee A. Dr. Boyd reported the Finance Committee met October 23, 2025. B. Dr. Boyd presented the NRHS Financial report for September 2025: September 2025 Financial Performance  Gross Revenues .................................. (Budget $223,135,720)............ $226,860,301  Net Patient Revenue .............................. (Budget $47,591,319).............. $47,817,967  Total Operating Expenses ..................... (Budget $52,730,929).............. $52,351,100  Other Operating Revenues .......................... (Budget $777,798)................... $523,943  Operating Income .................................... (Budget $4,361,812).............. ($4,009,190)  Non-Operating Revenues (Expenses) ........ (Budget $432,705)................. ($623,139)  Excess Revenues over Expenses ............ (Budget $3,938,107).............. ($3,386,051)  EBIDA ....................................................... (Budget $2,276,600).............. ($2,624,063) Year-to-Date  Operating Income .................................. (Budget $15,054,709)............ ($14,492,570)  Non-Operating Revenues (Expenses) ..... (Budget $1,288,074).............. ($1,835,656)  Excess Revenues over Expenses .......... (Budget $13,766,635)............ ($12,656,914)  Accounts Receivable Days ...................................................... . .................. 68.4 Days  Days Cash on Hand………………………………………………………………13.2 Days ACTION TAKEN: Dr. Weber made a motion to approve the September 2025 NRHS Financial Statements. Ms. Greenleaf seconded and the motion to approve the September 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Womack, Mr. Pipes, Mr. Nimmo And Mr. Sherrer.  NRHA Board Minutes 5 October 27, 2025 Agenda Item IX. Old Business None Agenda Item X. New Business Dr. Boyd announced the Oklahoma Hospital Association (OHA) annual conference is November 19-21. Board Trustees may attend for no charge. Registration packets were placed at each Trustees seat. Registration forms should be filled out and returned to Claudia Todd by November 3rd. Ms. Herron, Mr. Cohea, Mr. Muzny, Ms. Ahmed, Mr. Marler, Mr. Gibson and Mr. Edzards left the meeting at 6:46pm Agenda Item XI. 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. Pipes, 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. Hannah Kramer, DO – Emergency Medicine – Active b. Laura Miller, APRN-CNP – Hospital Medicine – Allied Health c. Joseph De Jesus, MD – Radiology – Privileges Only d. Catherine Pilson, DO – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. Joe Voto, MD – anesthesia – Active b. Jason Leonard, MD – Anesthesia – Active (requesting move to Consulting status) c. Mark Moses, MD – Surgery – Active d. Joel Razook, MD e. – Surgery – Active f. Holly Costner, DO – Emergency Medicine – Active g. Mark Scott, MD – Surgery – Consulting h. Ronald “Hal” Bays, APRN-CRNA – Anesthesia – Allied Health  NRHA Board Minutes 6 October 27, 2025 i. Daniel Leiker, APRN-CRNA – Anesthesia – Allied Health j. Jennifer Fleck, APRN-CRNA – Anesthesia – Allied Health k. Tina Stinson, PA – Pediatrics – Allied Health l. Jason Burns, DO – Radiology – Privileges Only m. Amy Kirby, MD – Radiology – Privileges Only n. Archana Lucchesi, MD – Radiology – Privileges Only 3. New Business: a. Addition to the Neurology Privilege Forms, Chemical Neuromuscular Denervation privilege 4. Information Only: a. Betty Harmon, MD – Pediatrics, requests to change staff category from Active to Courtesy staff b. Brett Dees, MD requests Chemical Neuromuscular Denervation privileges c. Aaron Ruger, MA-C requests Emergency Medicine Physician Assistant privileges C. Request to Adjourn Out of Executive Session and Return to Regular Session ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session. Ms. Greenleaf seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Pipes, 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. Ms. Greenleaf seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Agenda Item XII. Administrative & Performance Updates Ms. Purvis shared Open enrollment for Healers begins November 3rd in the Workday portal. Healers will see better coverage options with a new TPA. Their premiums and deductibles will not increase.  NRHA Board Minutes 7 October 27, 2025 Mr. Bohanan provided the following information:  HIT – Meditech Expanse review continues  Pharmacy – Doing well. No updates to report  Supply Chain – Several opportunities for savings are being reviewed  Facilities & Engineering – Celebrated Engineering Week October 20-24. Cafeteria and dining room is still on schedule for opening late December.  Clinical Equipment – Working with vendors to identify additional savings  Imaging & Laboratory – Doing well as they prepare for respiratory season  Safety & Security – Doing great work  EVS/Dist Trans – New Director and Manager are doing well Ms. Richardson shared the following:  Nursing productivity analysis continues. Plante Moran meeting with Women’s areas and registration to: o review and analyze productivity standards and solutions o deep dives into volume counts in specific departments o Reduce use of critical shift analysis o New approaches to quality processes  DME management has returned and is exceeding budget  Specialty Clinics are beating quarterly budgets  Lung Cancer awareness month is in November. The Pulmonary Physicians and clinics have challenged themselves to be number in the state of Oklahoma for lung screenings  The Clinic Call Center will change over to be known as the Contact Center. The Contact Center will become the one stop location for all service and procedure scheduling across the health care system.  Revenue Cycle will begin new initiatives including: o RN Transition changes o Early out and bad debt changes o Consolidated bill changes o New patient finance options Dr. Voto shared the following:  Chief of Staff elections will be coming up in late November  Adjustment in Surgery blocks will begin November 10th Dr. Boyd shared the following:  CFO change – Dr. Boyd, Ms. Morgan and Mr. Spray will be working together to take care of finances until a decision is made on a CFO replacement  OR Committee approved numerous by-law changes to accommodate the new surgery block schedule  Dr. Boyd met with Primary Care Physicians, MEC and Management team to keep everyone informed and received feedback from participants  Managed Contracts moving back to LifeCare  The Interim titles were removed from Mr. Bohanan and Ms. Richardson’s titles  NRHA Board Minutes 8 October 27, 2025 Agenda Item XIII. Board Open Discussion None Agenda Item XIV. Adjournment ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:28 pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Womack, Mr. Pipes, Mr. Nimmo and Mr. Sherrer. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary