Norman Regional Hospital Authority Board - Rescheduled from 05-19-25

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting May 27, 2025 MINUTES The Norman Regional Hospital Authority met in monthly session Thursday, May 27, 2025 at 5:30p.m. in the Norman Regional Hospital Board Room. The meeting Agenda was posted May 23, 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 Mary Womack Andy Sherrer 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 David Meador, Chief Financial Officer Dr. Bruce Parker, MD, Chief of Medical Staff Elect Dr. Joe Voto, MD, Chief Medical Officer Larry Harden, Administrative Director, Risk & Compliance Sara Hildenbrand, Director, Learning Resources Stephanie McGinnis, Specialist, Education Shaun McGinnis, Guest Garrett Fergeson, Manager, Integrated Marketing & Media Services Drew Hill, Multi-Media & Audio/Visual Specialist Robert Muzny, Administrative Director, Decision Support Calvin Bohanan, Administrative Director, Diagnostic & Laboratory Medicine Erin Barnhart, Executive Director, NRHS Foundation Shane Cohea, Director, Safety & Security Dr. Denise Rable Dr. Kate Cook Dr. James Magnusson Katrina Crumbacher, Norman Transcript Members Absent: David Nimmo Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order  NRHA Board Minutes 2 May 27, 2025 Dr. Lobb called to order the May 27, 2025 Norman Regional Hospital Authority business meeting at 5:33 p.m. Agenda Item II. Introduction and Recognition of Outstanding Healers A. June 2025 Healer of the Month Stephanie McGinnis, Specialist, Learning Resources. Dr. Lobb introduced to the board Sara Hildenbrand, Director, Learning Resources. Ms. Hildenbrand shared Ms. McGinnis has worked at NRHS since 2009. Fellow healers shared Ms. McGinnis is the kind of person who shows up each day with a positive attitude, a strong work ethic and a genuine commitment to serving others. She consistently goes above and beyond in everything she does. Ms. McGinnis has a heart like no other – she is someone you can always count on when life or work becomes too much. She knows no stranger and never says no, no matter what the request is. She has a calming presence, is a natural leader, teacher and mentor and knows how to rally a team. Ms. McGinnis is who you call when the answers seems unattainable. She is the one you can trust when you need a friend. She is the Norman Way - she is absolutely the best of us. Ms. McGinnis thanked everyone for the honor. Ms. McGinnis shared she began her career at NRHS with a wonderful mentor, retired VP Paula Price and nowis honored to work with Ms. Hildenbrand. She is grateful daily for the opportunity to work with such wonderful people who collaborate to help mark sure our programs are strengthened and the outcomes are even better. Dr. Lobb, on behalf of the Board, extended a heartfelt congratulations and gratitude to Ms. McGinnis. 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. Hildenbrand, Ms. McGinnis, Mr. McGinnis, Mr. Hill left the meeting at 5:41pm. Agenda Item III. NRHS Foundation Update Ms. Barnhart, Executive Director NRHS Foundation presented an update. Ms. Barnhart shared at the end of this fiscal year; the foundation will have invested over 1.1 million in Norman Regional Health System. The Foundation typically raise about 50% of their annual funds in the last quarter of their fiscal year. During this time, the  NRHA Board Minutes 3 May 27, 2025 annual Employee Giving Campaign ran from the beginning of February thru mid-March and raised $100,000. Funds raised during the Employee Giving Campaign are returned back to the health system as grants for equipment, patients care and comfort items, healer training and education, healer wellness and community services. The Foundation awarded $104,478 in grants this past year. Ms. Barnhart read a letter from a cancer patient thanking NRHS for the gift of a hotel room for her as she was traveling from out of town for cancer care. The Foundation also awards scholarships for healers to further their education aspirations. Thirty-two applications were received for the 15 scholarships totaling $50,000. The scholarship recipients will be announced around mid-June. The annual Ambassador Ball will be held June 7th at the Embassy Suites Hotel. This is the last fundraiser event of the year. The Foundation received Ms. Barnhart left the meeting at 5:51pm. Agenda Item IV. Board Education Mr. Calvin Bohanan, Administrative Director, Diagnostic and Laboratory Medicine presented an update on Lab Services. Mr. Bohanan shared the NRHS Laboratory System thankfully over the last 2 fiscal years has received $359,150 in approved capital items. We now have a state of the Art laboratory to take care of our patients. This matters because Physicians heavily rely on laboratory tests to make critical decision about their patients – roughly 70% of healthcare decisions depend on laboratory results. If you increase and ensure the quality inside the laboratory, you can assist in better quality of complete healthcare across the hospital system. The NRHS lab focuses on Customer Service, Quality and Timeliness to produce results that are personalized, compassionate and exude excellence. This begins with a high-level strategic plan which focuses on three main categories: people, processes and finance. Mr. Bohanan shared the key steps to achieve this strategic plan focus on the following:  Patient Experience  Team Engagement  Financial Performance  Market Position  Outcomes & Efficiencies  Physician Integration  Technology & Date  Population Health & Wellness  Quality Reliability The Clinical Laboratory tests patient samples to diagnose diseases, monitor health and guide treatment decision all while being revenue generating. Mr. Bohanan shared the lab is continually looking to recruit, onboard, educate and serve their existing 18  NRHA Board Minutes 4 May 27, 2025 outpatient locations and new lab clients. The Laboratory System consists of the technical side that runs tests and other services and the Outreach side that provides courier services, mobile phlebotomy and a 24/7 Call Center for Lab customers. Mr. Bohanan reviewed the amount of tests performed in the lab over the last 12 months and a comparison of Operations from 2021 to 2025. Mr. Bohanan shared recent accomplishments earned by the Laboratory included the 2023 Health System of the Year for supply chain management, State of the Art technology showcase articles in the news and the continuous educational growth of Laboratory healers. The Lab also has scored a “Would Recommend” Net Promoter Score of 93.7% which ranks them in the 90th percentile. Agenda Item V. Approval of the April 28, 2025 Hospital Authority Board Meeting Minutes A. Dr. Lobb asked for approval of the April 28, 2025 Board Meeting Minutes ACTION TAKEN: Dr. Weber made the motion to approve the April 28, 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. Roberts, Dr. Anwar, Mr. Pipes, Ms. Womack and Mr. Sherrer. Agenda Item VI. Administrative Performance Update Ms. Lobb introduced and introduced Mr. Andy Sherrer as one of the two new board trustees. Mr. Nimmo was unable to attend. Mr. Minnis shared the following:  The Employee Assistance Program (EAP) which began in January 2025 has been accessed at one time or another by around 35% of NRHS healers. Of those accessing these services, about 5% of healers use the services on a regular basis for work or stress related reasons, while 44% used the services for personal or marital assistance. Looking at a Physician support program for NRHS providers. Ms. McGill provided the following update:  Hospital Week and Nurses Week were huge successes. NRHS hosted our first Kickball tournament.  The first of two “Day in the Life” Practice days for the Cancer Center. The Cancer Center is still scheduled to begin treating patients on June 16.  The Opioid Abatement Grant is nearing its expiration. NRHS will apply to renew that grant and will present an updated resolution at next month’s board meeting.  NRHS cohosted a “HOPE” Seminar with Oceans on May 8 th. About 350 people attended the one day conference.  NRHS is focusing on Medication Management for treating patients and incidents  NRHA Board Minutes 5 May 27, 2025 of workplace violence outside the ED. Dr. Jawed and his staff will assist with guidance on the method of treatment for these patients. Dr. Voto provided updates on the following:  Currently working with Surgeons and an automatic surgery block release system to free up unused surgery blocks in the OR. This is helping increase efficiency in the OR. Working with several groups to schedule additional time slots in the OR. Agenda Item VII. Medical Staff A. Dr. Parker presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on May 12, 2025. MEC covered a number of topics including – A presentation on emergency room intracranial hemorrhage order sets, inpatient sepsis bundles, transfusion protocol changes, revenue cycle presentation, Medical Credentialing, Department Committee Reports and Executive Team updates. Agenda Item VIII. Strategic Planning Committee A. Dr. Weber announced a summary of the May 5th Strategic Planning Committee Meeting is included in the board packet. Dr. Weber is available to address questions. Agenda Item IX. Finance Committee A. Mr. Meador reported the Finance Committee met May 15, 2025. B. Mr. Meador presented the NRHS Financial report for April 2025: April 2025 Financial Performance  Gross Revenues .................................. (Budget $225,673,887)............ $237,544,685  Net Patient Revenue .............................. (Budget $50,808,059) .............. $49,347,871  Total Operating Expenses ..................... (Budget $53,022,037) .............. $57,034,779  Total Operating Revenues ...................... (Budget $51,744,439) .............. $49,941,081  Operating Income .................................... (Budget $1,277,598).............. ($7,093,698)  Non-Operating Revenues (Expenses) ........ (Budget $629,332)................. ($203,567)  Excess Revenues over Expenses ............... (Budget $648,266).............. ($6,890,132) Year-to-Date  Operating Income .................................. (Budget $22,856,569) ............ ($55,407,356)  Non-Operating Revenues (Expenses) ..... (Budget $6,293,321).............. ($5,947,316)  Excess Revenues over Expenses .......... (Budget $16,563,248) ............ ($49,460,040)  Accounts Receivable Days ...................................................... . .................. 71.2 Days  Days Cash on Hand………………………………………………………………19.5 Days  NRHA Board Minutes 6 May 27, 2025 ACTION TAKEN: Dr. Weber made a motion to approve the April 2025 NRHS Financial Statements. Ms. Greenleaf seconded and the motion to approve the April 2025 Financials were approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. C. Mr. McGill presented for approval one capital request item totaling $78,950 a. Hemodynamic Monitors: $78,950 ACTION TAKEN: Mr. Pipes made a motion to approve the Capital Equipment Request at a total cost of $78,950 as recommended by the Finance Committee. Dr. Weber seconded and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. Agenda Item X. Old Business None Agenda Item XI. New Business A. Resolution Approving Sale of Real Property ACTION TAKEN: Dr. Weber made the motion to approve the Resolution for the Sale of Real Property. Mr. Pipes seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. B. Resolution Approving Waiver of Requirement ACTION TAKEN: Mr. Sherrer made the motion to approve the Resolution Waiver Requirement. Dr. Weber seconded the motion, and the motion was approved unanimously with aye votes from Dr. Lobb, Dr. Weber, Ms. Greenleaf, Dr. Anwar, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. Agenda Item XII. Administrative Report Dr. Boyd shared NRHS continues to work with Plante Moran to analyze and make adjusts in productivity, revenue cycle, service lines, supply chain and employed providers. These changes will begin soon and continue over the next few months.  NRHA Board Minutes 7 May 27, 2025 Dr. Cook, Dr. Rable, Dr. Magnusson, Mr. Garrett, Mr. Muzny, Mr. Bohanan and Ms. Royka left the meeting at 7:01pm. Agenda Item XIII. 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, Mr. Pipes, Ms. Womack 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. Anup Kumar, MD – Medicine – Active b. Rebecca Milholland, MD – Medicine – Active c. Erin Ezzell, DO – Medicine – Active d. Andrea Johnston, MD – Medicine – Consulting e. Anthony Galinato, MD – Radiology – Privileges Only 2. Recommend Advancement of Medical Staff from Provisional Status: a. James Magnusson, DO – Surgery – Active b. Derek Hill, DO – Emergency Medicine – Active c. Robert “Tre” Kramer, III, DO – Emergency Medicine – Active d. Aman Garsa, MD – Medicine – Active e. John Marouk, DO – Surgery – Active f. Prasanna Fernando, MD – OB/GYN – Active 3. Recommended Medical Staff Reappointments: a. John Delcambre, MD – Medicine – Active b. Lane Tinsley, MD – Medicine – Active c. John Tedrow, MD – Medicine – Active d. Jennifer Baker, MD – Pediatrics – Active e. Hitesh Patel, MD – Pediatrics – Active f. Michael Mullins, MD – Anesthesia – Active g. Scott Proctor, MD – Anesthesia – Active h. Joshua Wilson, MD – Surgery – Active i. Jay Jennings, MD – Surgery – Active j. Michael Saumur, DDS – Surgery – Active k. Christopher Paskowski, MD – Surgery – Active l. Michael Porter, MD – Emergency Medicine – Active  NRHA Board Minutes 8 May 27, 2025 m. James Seay, MD – Pathology – Active n. Eric Thompson, MD – Pathology – Active o. Mahate Parker, MD – OB/GYN – Active p. David Bobb, MD – Surgery – Consulting q. Gordon Bean, FPM – Surgery – Consulting r. Nicholas Plants, DPM – Surgery – Consulting s. Michael “Sean” O’Brien, DO – Surgery – Consulting t. Christopher Espinoza-Ervin, MD – Surgery – Courtesy u. Rhiannon Baker, APRN-FNP – Pediatrics – Allied Health v. Paige Puryear, APRN-CRNA – Anesthesia – Allied Health w. Rebecca McKinley, APRN-CRNA – Anesthesia – Allied Health x. Lauren Pratt, PA-C – Surgery – Allied Health y. Bethany Browne, PA-C – Surgery – Allied Health z. Kimberly Franks-Martens, APRN-CNP – Surgery – Allied Health 4. Information Only: a. Rachel Witmer, PA-C has completed proctured cases Solid Organ and Bone/Bone Marrow biopsies privileges 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. Ms. Greenleaf seconded, and the motion was approved unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Mr. Pipes, Ms. Womack 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. Dr. Anwar seconded, and the motion was approved with unanimous aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. Agenda Item XIV. Board Open Discussion None Agenda Item XV. Adjournment  NRHA Board Minutes 9 May 27, 2025 ACTION TAKEN: Dr. Weber made a motion to adjourn the meeting at 7:11pm. Ms. Greenleaf seconded, and the motion was passed with aye votes from Dr. Lobb, Dr. Weber, Dr. Anwar, Ms. Greenleaf, Ms. Roberts, Mr. Pipes, Ms. Womack and Mr. Sherrer. Respectfully Submitted, Mary Womack, Vice-Chair/Secretary