Norman Regional Hospital Authority Meeting

NORMAN REGIONAL HOSPITAL AUTHORITY December 18, 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 Healer ..................................... Mr. Clote A. January 2018 Healer of the Month, Shirley Font, Charge Nurse II, PCCU HealthPlex – Stephanie Allen, Manager CVICU/PCCU/CDU/Monitor Room B. Recognition of Dr. David Williams, Norman Regional Health System Chief of Staff III. Compliance Education Module Update ................................................. Ms. Courtney Blau, Administrative Director Risk Management & Compliance IV. Project Search Overview/Presentation .................................................. Ms. Brittni McGill V. The Joint Commission Survey Results .................................................... Ms. Judy Stuart VI. Approval of the November 27, 2017 Board Meeting Minutes .............. Mr. Clote (Pgs.) ACTION NEEDED: Approve or Amend Minutes as Circulated ACTION TAKEN: ___________________________________ VII. Performance Updates ............................................................ Ms. Jenny Anderson (Pgs.) ACTION NEEDED: None, Information Item Only VIII. Approval of the November 2017, Norman Regional Health System Financial Statements ......................................................................................................... Mr. Hopkins (Pgs.) ACTION NEEDED: Approve or Disapprove November 2017 NRHS Financial Statements NRHA Agenda 2 December 18, 2017 ACTION TAKEN: ____________________________________ IX. Medical Staff ............................................................................................. Dr. Williams A. Report from the December 13, 2017 Medical Executive Committee X. Patient Quality and Safety Committee A. Report from the December 4, 2017 Patient Quality & Safety Committee ACTION NEEDED: None, Information Item Only XI. Strategic Planning Committee .......................................................... Dr. Weber/Ms. Price A. Report from the December 6, 2017 Strategic Planning Committee ACTION NEEDED: None, Information Item Only XII. Finance Committee ................................................................................ Mr. Cubberley A. Report from the December 18, 2017, Finance Committee ACTION NEEDED: None, Information Item Only B. Recommend Approval of Capital Equipment Purchase Requests (Pgs.) ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests as Recommended by the Finance Committee ACTION TAKEN: _____________________________________ XIII. Old Business ................................................................................ Mr. Clote & Mr. Splitt XIV. New Business ............................................................................... Mr. Clote & Mr. Splitt XV. Administrative Report .................................................................................... Mr. Splitt ACTION NEEDED: None, Information Item Only XVI. 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 NRHA Agenda 3 December 18, 2017 Members/Applicants Listed Below and Pursuant to 25 Okla. Stat. § 307 B.1. and to Discuss the Annual Evaluation of the CEO 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 XVI.B 1-3 Below 1. Recommend New Provisional Medical Staff Appointments: a) Casey Peters, MD, Active-Affiliate Staff -- Medicine Department b) Elizabeth Garone, PA-C, Allied Health Staff – Surgery Department c) Audrianna Sparks, APRN-NP, Allied Health Staff – Hospital Medicine Dept. d) Buffy Damron, PA-C, Allied Health Staff – Cardiovascular Medicine Dept. e) Jack Drew, MD, Privilege Only-Teleradiology Staff – Radiology Dept. f) Gregory Klisch, MD, Privilege Only-Teleradiology Staff – Radiology Dept. g) Madhuri Nannapaneni, MD, Privilege Only-Teleradiology Staff – Radiology Dept. 2. Recommend Medical Staff Reappointments: a) Jennifer Hunter, MD, Active Staff – Pediatrics Department b) Merl Kardokus, MD, Active Staff – Radiology Department c) Kumar Ennamamuri, MD, Active Staff – Medicine Department d) Tariq Malmood, MD, Active Staff – Medicine Department e) Chintan Parikh, MD, Active Staff – Medicine Department f) Andrew Goldberg, MD, Consulting Staff – Medicine Department g) Elaine Nordhues, MD, Consulting Staff – Medicine Department h) Rita Hancock, MD, Courtesy Staff – Medicine Department i) Elise Wiesner, MD, Active-Affiliate Staff – Medicine Department j) Cynthia Taylor, MD, Active-Affiliate Staff – Medicine Department k) Glen Diaz, APRN-CNP, Allied Health Staff – Pediatrics Department l) Tina Stinson, PA, Allied Health Staff – Pediatrics Department m) Farzana Jahangir, PA-C, Allied Health Staff – Emergency Medicine Dept. n) Kela Lindsey, APRN-CNP, Allied Health Staff – Cardiovascular Medicine Dept. 3. Recommend Advancement of Medical Staff from Provisional Status: a) Cynthia DiMauro, MD, Active Staff – Medicine Department b) Ryan Davis, MD, Active Staff – Radiology Department c) Carlos Cabrera, DO, Active Staff – Emergency Medicine Department d) Diana Whiteman, MD, Active Staff – Medicine Department e) Stuart Lisle, MD, Active-Affiliate Staff – Medicine Department f) Tracy Ratzlaff, RNFA, Allied Health Staff – Surgery Department g) Rosa Rios, PA-C, Allied Health Staff – Hospital 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: ____________________________________ NRHA Agenda 4 December 18, 2017 D Proposed Vote to Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XVI B 1-3] ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XVI B 1- 3] ACTION TAKEN: _______________________________________ E. Proposed Vote to Approve Annual Evaluation of CEO ACTION NEEDED: Approve or Disapprove the Annual Evaluation of CEO as Recommended by the Governance Committee ACTION TAKEN: _______________________________________ XVII. Board Open Discussion XVIII. Closing Comments XIX. Adjourn ACTION NEEDED: Motion to Adjourn the Meeting ACTION TAKEN: _______________________________________ . Mission: To serve our community as the leader in health and wellness care. Vision: To be the provider of choice to improve the health and well-being of our regional communities.