Norman Regional Hospital Authority Meeting
Regular MeetingNorman, OK · February 27, 2017
Agenda
NORMAN REGIONAL HOSPITAL AUTHORITY
February 27, 2017
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 Employees ...........................................Mr. Clote
A. March 2017 Employee of the Month, Meghan Bedwell, Registered Nurse II,
Progressive Care Unit, Paul Jones, Director Med/Surg Critical Care
III. Approval of the January 23, 2017 Board Meeting Minutes ........................Mr. Clote (Pgs. 5-16)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
IV. Performance Updates ................................................................................. Dr. Smith (Pgs. 17-32)
ACTION NEEDED: None, Information Item Only
V. Approval of the January 2017, Norman Regional Health System Financial Statements
................................................................................................................ Mr. Hopkins (Pgs. 33-82)
ACTION NEEDED: Approve or Disapprove January 2017 NRHS Financial Statements
ACTION TAKEN: ____________________________________
VI. Medical Staff .......................................................................................................... Dr. Williams
A. Report from the February 8, 2017 Medical Executive Committee
ACTION NEEDED: None, Information Only
VII. Patient Quality & Safety Committee ................................................................... Ms. Greenleaf
Report from the February 6, 2017 Patient Quality & Safety Committee
ACTION NEEDED: None, Information Item Only
NRHA Agenda 2 February 27, 2017
VIII. Finance Committee ............................................................................................... Mr. Cubberley
A. Report from the February 20, 2017, Finance Committee
ACTION NEEDED: None, Information Item Only
IX. Old Business .............................................................................................................. Mr. Clote & Mr. Splitt
X. New Business ..........................................................................................Mr. Clote & Mr. Splitt
A. Proposed Appointment of Mr. Hopkins and Mr. Cubberley to the NRH Medical Park
West, L.L.C. Board of Managers as Recommended by the Medical Park West, L.L.C
Members ............................................................................................................. Mr. Splitt
ACTION NEEDED: Approve or Disapprove the Appointment of Mr. Hopkins and
Mr. Cubberley to the Medical Park West, L.L.C. Board of
Directors as Recommended by the Medical Park West,
L.L.C. Members
ACTION TAKEN: _____________________________________
B. Approve Revisions to the Registered Nurse First Assistant Privilege Request Form
........................................................................................................... Mr. Splitt (Pgs. 83-86)
ACTION NEEDED: Approve or Disapprove the Revisions to the Registered
Nurse First Assistant Privilege Request Form as
recommended by the Medical Executive Committee and
OR/Surgery Department
ACTION TAKEN: _____________________________________
C. Proposed Revisions to the 2017 Infection Prevention Plan Policy ... Dr. Smith (Pgs. 87-96)
ACTION NEEDED: Approve or Disapprove the Revisions to the 2017 Infection
Prevention Plan Policy as submitted
ACTION TAKEN: _____________________________________
D. NRHA Proposed Bylaws Ad-Hoc Committee Discussion .................................Mr. Clote
XI. Administrative Report ....................................................................... Mr. Splitt
ACTION NEEDED: None, Information Item Only
NRHA Agenda 3 February 27, 2017
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 and CEO Progress
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 1-4 Below.
1. Recommend New Provisional Medical Staff Appointments:
a) Harry Wright, DO, Active Staff – Medicine Department
b) Christi Pendergraft, MD, Active Affiliate Staff – Medicine Department
c) Lara Rodkey, APRN-CNP, Allied Health Staff – Medicine Department
d) Sean Mills, APRN-FNP, Allied Health Staff – Emergency Medicine Department
e) Brittney Wicks, APRN-FNP, Allied Health Staff – Hospital Med. Department
f) Brittney Osborn, PA-C, Allied Health Staff – Emergency Medicine Dept.
g) Lauren Hill, PA-C, Allied Health Staff – Surgery Department
h) Johanna Moses, PA-C, Allied Health Staff – Hospital Medicine Department
i) Sean Olsen, PA, Allied Health Staff – Emergency Medicine Department
j) Janis Rosenfeld-Barbash, MD, Privilege Only-Teleradiology Staff – Radiology Dept
. k) Vimal Patel, MD, Privilege Only-Teleradiology Staff – Radiology Dept.
2. Recommend Advancement of Medical Staff from Provisional Status:
a) Namali Pierson, MD, Active Staff – Medicine Department
3. Recommend Medical Staff Reappointments:
a) Tom Connally, MD, Active Staff – Surgery Department
b) Clay Cochran, MD, Active Staff – Surgery Department
c) Terry Hill, DO, Active Staff – Emergency Medicine Department
d) Quentin Lobb, MD, Active Staff – Anesthesia Department
e) Anderson Greenhaw, MD, Active Staff – Anesthesia Department
f) Mason Lawrence, MD, Active Staff – Anesthesia Department
g) Richard Myers, DO, Active Staff – Emergency Medicine Department
h) Richard Brock, DO, Active-Affiliate Staff – Emergency Medicine Dept.
i) Ben Harvey, MD, Consulting Staff – Surgery Department
j) Martin McBee, DO, Consulting Staff – Emergency Medicine Department
k) Jason Benn, DO, Consulting Staff – Emergency Medicine Department
l) Kent Bays, PA-C, Allied Health Staff – Surgery Department
m) Veronica Worrell, PhD/Pa-C – Allied Health Staff – Surgery Department
n) Tracy Parker, APRN-CNP, Allied Health Staff – Emergency Medicine Dept.
o) Jorge Gorton, PA-C, Allied Health Staff – Emergency Medicine Department
p) Sheryl Ronne-Delinger, APRN-CRNA – Anesthesia Department
NRHA Agenda 4 February 27, 2017
4. Recommend Request for Change in Staff Membership Category
a) Mark Damon, II, MD Change from Active Staff to Consulting Staff –
Emergency Medicine Department
b) Robert Frantz, MD, Change from Active Staff to Consulting Staff –
Emergency 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 1-42]
ACTION NEEDED: 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: _______________________________________
XIII. Board Education Session: Hospital-Based Out-of-Network Billing ........................ Ms. Carter
XIV. Board Open Discussion
XV. Closing Comments
XVI. Adjourn
ACTION NEEDED: Motion to Adjourn the Meeting
ACTION TAKEN: _______________________________________.
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