Norman Regional Hospital Authority Meeting

NORMAN REGIONAL HOSPITAL AUTHORITY December 19, 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 January 2017 Employee of the Month, Loraine Buss, Case Management Associate, Transition of Care – LeAnn Richardson, Director of Case Management III. Approval of the November 28, 2016 Board Meeting Minutes ...................Mr. Clote (Pgs. 4-15) ACTION NEEDED: Approve or Amend Minutes as Circulated ACTION TAKEN: ___________________________________ IV. Performance Updates .................................................................................... Dr. Smith (Pgs. 16-24) ACTION NEEDED: None, Information Item Only V. Approval of the November 2016, Norman Regional Health System Financial Statements ................................................................................................................ Mr. Hopkins (Pgs. 25-74) ACTION NEEDED: Approve or Disapprove November 2016 NRHS Financial Statements ACTION TAKEN: ____________________________________ VI. Medical Staff .......................................................................................................... Dr. Williams The Medical Executive Committee did not meet this month. VII. Patient Quality and Safety Committee ..................................................................................... Report from the December 5, 2016 Patient Quality & Safety Committee ACTION NEEDED: None, Information Item Only NRHA Agenda 2 December 19, 2016 VIII. Finance Committee ............................................................................................... Mr. Cubberley A. Report from the December 19, 2016, Finance Committee ACTION NEEDED: None, Information Item Only B. 2016 First Amendment to the Norman Regional Health System Consolidate Retirement Plan .................................................................................................................................... (Pgs. 75-76) ACTION NEEDED: Approve or Disapprove the 2016 First Amendment to the Norman Regional Health System Consolidate Retirement Plan as Submitted ACTION TAKEN: ____________________________________ IX. Old Business .............................................................................................................. Mr. Clote & Mr. Splitt X. New Business ..........................................................................................Mr. Clote & Mr. Splitt A. Recommend Approval of the Revised 2016 Compliance Program ................... (Pgs. 77-160) ACTION NEEDED: Approve or Modify the Revised 2016 Compliance Program ACTION TAKEN: ____________________________________ XI. Administrative Report ....................................................................... Mr. Splitt ACTION NEEDED: None, Information Item Only XII. 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 XII.B 1-2 Below. 1. Recommend New Provisional Medical Staff Appointments: a) Robert Burwell, DO, Active Staff – Anesthesiology Department b) Ting Kon Chen, MD, Active Staff – Anesthesiology Department NRHA Agenda 3 December 19, 2016 c) Todd Gleaves, MD, Active Staff – Anesthesiology Department d) Kevin McKeown, MD, Active Staff – Anesthesiology Department e) Nigam Sheth, MD, Active Staff – Anesthesiology Department 2. Recommend Medical Staff Reappointments: a) Carrie Barton, MD, Active Staff – Emergency Medicine Department b) Edmund Braly, DDS, Active Staff – Surgery Department c) Gautam Dehadrai, MD, Active Staff – Radiology Department d) Daniel Kite, DO, Active Staff – Emergency Medicine Department e) Monica Sagdeo, MD, Active Staff – Pediatrics Department f) Kristen Sweet, APRN-CNP – Cardiovascular Medicine Department 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 XII B 1-2] ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XII B 1-2] ACTION TAKEN: _______________________________________ XIII. Board Open Discussion XIV. Closing Comments XV. Adjourn ACTION NEEDED: Motion to Adjourn the Meeting ACTION TAKEN: _______________________________________.