Norman Regional Hospital Authority Meeting

NORMAN REGIONAL HOSPITAL AUTHORITY November 28, 2016 5:30 p.m. Norman Regional 901 N. Porter 2nd Floor Board Room AGENDA I. Call to Order ................................................................................................................Mr. Clote II. Introduction and Recognition of Outstanding Employee ............................................Mr. Clote December 2016 Employee of the Month, Vicki Johnson, Clinical Education Specialist, Learning Resources – Sara Hildenbrand, Manager Learning Resources and Organizational Development III. Approval of the October 4, October 24, October 27, November 3, and November 5 2016 Board and Special Board Meeting Minutes ................................................Mr. Clote (Pgs. 6-26) ACTION NEEDED: Approve or Amend Minutes as Circulated ACTION TAKEN: ___________________________________ IV. Final Bond Issue Review ....................................................................... Grant Ostlund (Pgs. 27-44) V. Performance Updates ................................................................................. Dr. Smith (Pgs.45-52) ACTION NEEDED: None, Information Item Only VI. Approval of the October 2016, Norman Regional Health System Financial Statements ............................................................................................................... Mr. Hopkins (Pgs.53-114) ACTION NEEDED: Approve or Disapprove October 2016 NRHS Financial Statements ACTION TAKEN: ____________________________________ VII. Medical Staff .......................................................................................................... Dr. Williams A. Report from the November 16, 2016 General Medical Staff and Medical Executive Committee Meetings B. Proposed Revisions to the NRHS Medical Staff Bylaws .................................. (Pg. 115) ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Bylaws as Recommended by Medical Executive NRHA Agenda 2 November 28, 2016 Committee and General Medical Staff Meetings ACTION TAKEN: ____________________________________ C. Proposed Revisions to the NRHS Medical Staff Rules and Regulations .....(Pgs. 116-117) ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Rules and Regulations as Recommended by Medical Executive Committee and General Medical Staff Meetings ACTION TAKEN: ____________________________________ D. Recommend Approval of the New NRHS Cardiothoracic Robotic Assisted Surgery Privilege Form .....................................................................................(Pgs. 118-121) ACTION NEEDED: Approve or Disapprove the New NRHS Cardiothoracic Robotic Assisted Surgery Privilege Form as Recommended by the Credentials and Medical Executive Committees ACTION TAKEN: ____________________________________ E. Recommend Approval of the Revised Cardiothoracic Surgery Privilege Form (Pg. 122-124) ACTION NEEDED: Approve or Disapprove of the Cardiothoracic Surgery Privilege Form as Recommended by the Credentials and Medical Executive Committees ACTION TAKEN: ____________________________________ VIII. Strategic Planning Committee ................................................................................................. A. Due to the Cancelation of the November 7, 2016 Strategic Planning Committee there is no report this month. .................................................................................................. IX. Finance Committee ......................................................................................................Mr. Clote A. Report from the November 21 19, 2016, Finance Committee ACTION NEEDED: None, Information Item Only X. Old Business .............................................................................................................. Mr. Clote & Mr. Splitt XI. New Business ..........................................................................................Mr. Clote & Mr. Splitt A. Establish Dates and Times for 2017Authority Meetings Section 933 of the Oklahoma Open Meeting Act requires the Authority to submit the date and time of its regular meetings for the coming calendar year. NRHA meetings have been scheduled for 5:30 p.m. on the fourth Monday of the month this past year. NRHA Agenda 3 November 28, 2016 The schedule below describes similar dates and times for the Authority’s monthly meetings in 2017 January 23 April 24 July 24 October 23 February 27 May 22 August 28 November 27 March 27 June 26 September 25 December 18 ACTION NEEDED: Approve or Modify the Proposed Dates & Times for the 2017 Authority Meetings ACTION TAKEN: ____________________________________ XII. Administrative Report ....................................................................... Mr. Splitt ACTION NEEDED: None, Information Item Only XIII. Proposed Executive Session. A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. § 307.B.4 to Discuss with Legal Counsel Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below ACTION NEEDED: Move to Convene into Executive Session to Discuss with Legal Counsel the Above Referenced Medical Staff Items ACTION TAKEN: ____________________________________ 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) Andrew Crabbe, MD, Active Staff – Anesthesia Department b) Mark Fine, MD, Active Staff – Anesthesia Department c) Rachael Hiebert, MD, Active Staff – Anesthesia Department d) Chun Kwan, MD, Active Staff – Anesthesia Department e) Mark Lau, MD, Active Staff – Anesthesia Department f) Paul Le, MD, Active Staff – Anesthesia Department g) Julia Rygaard, MD, Active Staff – Anesthesia Department h) Jared Adams, MD, Active-Affiliate Staff – Medicine Department i) Jeffrey Goucher, CRNFA, Allied Health Staff – Surgery Department j) Stephanie Reddick, MD, Privileges only Teleradiology – Radiology Department k) Marianne Ingels Bacharach, MD, Courtesy Staff – Emergency Medicine Dept. 2. Recommend Advancement of Medical Staff from Provisional Status: a) Matthew McGill, APRN-CNS, Allied Health Staff – Cardiovascular Med. Dept. b) Saria Refai, MD, Active Staff – Medicine Department 3. Recommend Medical Staff Reappointments: a) Wayne Berryhill, MD, Active Staff – Surgery Department NRHA Agenda 4 November 28, 2016 b) Alvin Bradford, MD, Active Staff – Emergency Medicine Department c) Archana Gautam, MD, Active Staff – Cardiovascular Medicine Department d) Tay Sha Howell, MD, Active Staff – Emergency Medicine Department e) Lesa Mulligan, MD, Active Staff – OB/Gyn Department f) Mudassir Nawaz, MD, Active Staff – Medicine Department g) Senthil Raju, MD, Active Staff – Medicine Department h) Vytautas Ringus, MD, Active Staff – Surgery Department i) Ahmad Sarwar, MD, Active Staff – Cardiovascular Medicine Department j) Steven Schultz, MD, Active Staff – Surgery Department k) Nancy Brown, MD, Active-Affiliate Staff – Medicine Department l) Kerri Backer, PA-C, Allied Health Staff – Surgery Department m) Gregory Dinwiddie, PA-C, Allied Health Staff – Surgery Department n) Darren Gose, APRN-CRNA, Allied Health Staff – Anesthesia Department o) Lara Green, PA-C, Allied Health Staff – Surgery Department p) Glenroy Hines, PA-C, Allied Health Staff – Surgery Department q) Daniel Matlock, ARPN-CRNA, Allied Health Staff – Anesthesia Dept. r) Natiel Oswald-Bauer, PA-C, Allied Health Staff – Surgery Department s) Karen Tyndall, Ph.D., Allied Health Staff – Medicine Department t) Rebecca Wellington, PA-C, Allied Health Staff – Emergency Med. Dept. u) Chad Borin, DO, Consulting Staff – Emergency Medicine Department v) Sergio Garcia, MD, Consulting Staff – Medicine Department w) Gerry Holland, DO, Courtesy Staff – Emergency Medicine Department 4. Recommend Additional/Revised Clinical Privileges or Change in Staff Membership Category a) Kenneth Coffey, MD, requested to change from the Active Staff to the Active-Affiliate Staff Category b) Ryan Davis, MD requested analgesia/sedation privileges. He has successfully completed the education and meets the privileging requirements c) James Neel, MD requested general surgery/general laser surgery privileges, sedation/analgesia privileges and pulmonary endoscopy privileges. He meets all the privileging requirements for these privileges C. Request to Adjourn Out of Any Such Executive Session and Return to Regular Session ACTION NEEDED: Approve or Disapprove Adjournment of Any Executive Session and Return to Regular Session ACTION TAKEN: ____________________________________ D. Proposed Vote to Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B 1-4] ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B 1-4] NRHA Agenda 5 November 28, 2016 ACTION TAKEN: _______________________________________ XIV. Board Open Discussion XV. Closing Comments XVI. Adjourn ACTION NEEDED: Motion to Adjourn the Meeting ACTION TAKEN: _______________________________________.