Norman Regional Hospital Authority Meeting

NORMAN REGIONAL HOSPITAL AUTHORITY Board Meeting May 18, 2020 MINUTES The Norman Regional Hospital Authority met in monthly session Monday, May 18, 2020 at 5:30p.m. via WebEx. The meeting Agenda was posted May 14, 2020 on the NRHS and City of Norman websites and at the entrance to Norman Regional Hospital. Members Present via WebEx: Doug Cubberley, Chairman Jerome (Jerry) Weber, Ph.D. Diane Chambers, MD Kevin Pipes Muhammad Anwar, MD Joan Kemmet-Greenleaf Tom Sherman Mary Womack Others Present Via Webex: Richie Splitt, President & CEO John Manfredo, COO Brittni McGill, CNO Paula Price, VP Strategy & Growth Ken Hopkins, CFO Meegan Carter, VP Population Health & Wellness Aaron Boyd, MD, Chief Medical Officer Steven Sheriff, Network Infrastructure Architect Dr. Farhan Jawed, MD, Chief of Medical Staff Dr. Joe Voto, MD, Chief of Medical Staff-elect Danny Kelley, Administrative Director, HIT Kelly Wells, Director Planning & Communications Jenny Anderson, Administrative Director, Quality & Performance Larry Harden, Administrative Director, Compliance Karen Rieger, Attorney, Crowe & Dunlevy Mike Nabors, Manager, Security Services Recorder: Claudia Todd, Executive Assistant Agenda Item I. Meeting Called to Order Mr. Cubberley called the May 18, 2020, Norman Regional Hospital Authority meeting to order at 5:32p.m. Mr. Cubberley reviewed the rules for the WebEx meeting participation. Claudia Todd took roll call.  NRHA Board Minutes 2 May 18, 2020 Agenda Item II. Consent Items A. June 2020 Healer of the Month – Nathan Foster, RN, Flex/Overflow B. Board/Community Update: Norman Public Schools Partnership C. April 27, 2020 NRHA Board Meeting Minutes D. Strategic Planning Committee Update Mr. Splitt announced Norman Regional Health System was named Public Ambassador for 2019-2020 by Norman Public Schools. ACTION TAKEN: Dr. Weber motioned to approve Consent Items A-D. Ms. Greenleaf seconded the motion. Consent Items were approved unanimously with aye votes from Mr. Cubberley, Dr. Weber, Dr. Chambers, Dr. Anwar, Ms. Greenleaf, Mrs. Womack and Mr. Sherman. Mr. Pipes joined the meeting at 5:47pm. Agenda Item III. 2019 Annual HIPPA Compliance Board Education Mr. Harden, Administrative Director, Compliance presented the Annual HIPAA Compliance program. This Compliance presentation provided details in relation to Physician Agreements, Billing & Payments, Ensuring EMTALA compliance, Ensuring Red Flags Rule compliance, Preventing exclusion from Federal Programs, ACA, Section 1557, Code of conduct and Conflicts of Interest. Mr. Harden asked all Board trustees to complete the Annual HIPAA and Compliance Board Education Test and return to Mr. Harden or Mr. Splitt prior to or at the June board meeting. Agenda Item IV. Performance Update Ms. Anderson, Administrative Director, Quality & Performance presented data on positive cases of COVID-19 at NRHS facilities since March 13th. The 3rd quarter Quality Measures Scorecards were reviewed for Sepsis bundles and CMS Medicare Mortality Measures. Agenda Item V. Approval of the March 2020 Norman Regional Health System Financial Statements Mr. Hopkins presented the April 2020 Norman Regional Health System Financial report: April 2020 Financial Performance  Gross Revenues .................................. (Budget $186,030,712)............ $116,200,270  Net Patient Revenue .............................. (Budget $40,751,337).............. $24,324,970  Total Operating Expenses ..................... (Budget $39,952,386).............. $36,871,350  Total Operating Revenues ...................... (Budget $41,174,154).............. $24,581,196  Operating Income .................................... (Budget $1,221,768)............ ($12,290,154)  Non-Operating Revenues (Expenses) ..... (Budget $1,154,307)................ $5,510,724  Excess Revenues over Expenses ............ (Budget $2,376,075)................ $3,528,439  NRHA Board Minutes 3 May 18, 2020 Year-to-Date  Operating Income .................................. (Budget $10,401,167)............ ($16,120,524)  Non-Operating Revenues (Expenses) ... (Budget $10,543,070)................... ($74,226)  Excess Revenues over Expenses .......... (Budget $20,944,237).............. ($5,886,880)  Accounts Receivable Days ............................ (Budget 43 Days).................. 52.7 Days  Days Cash on Hand…………………………………………………………….186.2 Days ACTION TAKEN: Dr. Weber motioned to approve the April 2020 NRHS Financial Statements. Ms. Womack seconded the motion. April Financials were approved unanimously with aye votes from Mr. Cubberley, Dr. Weber, Mr. Pipes, Dr. Chambers, Dr. Anwar, Ms. Greenleaf, Mr. Sherman and Ms. Womack. Agenda Item VI. Medical Staff A. Dr. Jawed presented the Medical Staff report. He stated the Medical Executive Committee (MEC) met on May 13, 2020. New Business:  COVID-19 – Open discussion was held covering COVID-19 details and testing. Dr. Jawed shared current positive case numbers as provided by the Oklahoma State Department of Health. Department Reports:  Reports were provided by Anesthesia, Behavioral Medicine, Emergency Medicine, Pediatric Hospitalist, Pediatrics, Physician Advisory, Residency, Surgery and Medical Staff. Administrative Reports:  Ms. McGill provided a COVID-19 update. Due to COVID-19, The Joint Commission surveys have been postponed during the pandemic. Disease specific surveys will be rescheduled at a later date. NRHS has maintained 100% retention of nurses through our nurse extern program.  Ms. Price reported the Foundation received $35,000 in donations which was used to purchase pulse oximeters, face shields and masks. Norman Regional received over 30,000 mask donations from the community.  Ms. Carter provided an update on the COVID-19 hotline and COVID test scheduling.  Mr. Manfredo provided an update on the search for a Radiology Director and Surgery Director.  Mr. Splitt expressed gratitude on behalf of Mr. Cubberely for the dedication and difficult work provided by our physician healers during the pandemic. Mr. Splitt reviewed the CARES Act developments and legislative bills pending with the state legislature. Agenda Item VII. Finance Committee A. Report from the May 18, 2020 Finance Committee  NRHA Board Minutes 4 May 18, 2020 Mr. Hopkins reported committee discussions focused mainly on the financial impact of COVID-19 from the 3rd quarter into the 4th quarter. B. Mr. Hopkins presented for approval capital items totaling $612,766: a. PAPR System: $60,077 b. Ultrasound Machine: $297,552 c. Camera Head Pendulum: $64,955 d. Mobile C-arm: $190,183 ACTION TAKEN: Mr. Pipes made a motion to approve the Capital Equipment Requests at a total cost of $612,766 as recommended by the Finance Committee. Dr. Weber seconded and the motion was approved unanimously with votes from Mr. Cubberley, Dr. Weber, Mr. Pipes, Dr. Anwar, Dr. Chambers, Ms. Greenleaf, Mr. Sherman and Ms. Womack. Agenda Item VIII. Old Business None Agenda Item IX. New Business Mr. Splitt announced Mr. Hopkins has been nominated for an appointment to the Supplemental Hospital Offset Payment Program (SHOPP) Hospital Advisory Committee. Mr. Splitt announced the Board Study Session will be held on June 6th at Norman Regional Moore. Agenda Item X. Administrative Report Ms. Price announced COVID-19 antibody testing began last week for NRHS healers. Ms. Price reviewed the community-wide antibody testing process and cost that will begin in the last week of May. Ms. McGill and Ms. Carter provided a clinical update on COVID-19 - a timeline of activities on the Emerging Infectious Disease Team, Telehealth and COVID-19 testing over the past 8 weeks. Ms. McGill shared information on informal, but important celebrations held in the departments for recent Healers of the Month. Mr. Splitt shared a new recognition process that involves COVID-19 “Care like a Champion” footballs. NRHS Healers signed these footballs during hospital week, and will be presented to 25 different individuals and organizations who supported and gave generously to NRHS during the pandemic.  NRHA Board Minutes 5 May 18, 2020 Mr. Splitt announced the American Hospital Association (AHA) released a report analyzing the COVID-19 impact on the nation’s health systems. This report determined health systems are suffering significant financial damage due to the pandemic. The AHA projects the impact in losses to hospital systems across America will be $203 Billion. The AHA is working to address the needs of hospitals to direct funds from the CARES Act to providers as quickly as possible. Roughly $103 Billion of CARES Act funding has yet to be disbursed by HHS to healthcare providers. Elective surgeries resumed April 24th. Telehealth was an important and convenient tool for treating patients during the pandemic. It will continue to grow and become a factor as we move forward with Inspire Health. Mr. Splitt shared the passing of Dr. George Ingels. In 1968, he was the first pathologist at Norman Municipal and a true champion for the community. Agenda Item XI. Proposed Executive Session A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. Section 307 B.4. to Discuss with Legal Counsel 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. Dr. Anwar seconded and the motion was approved unanimously with aye votes from Mr. Cubberley, Dr. Weber, Mr. Pipes, Dr. Chambers, Dr. Anwar, Ms. Greenleaf, Mr. Sherman and Ms. Womack. B. Medical Staff Recommendations Regarding the Medical Staff Members/ Applicants as Listed in XIII.B 1-2 Below. 1. Recommend New Provisional Medical Staff Appointments a. Kimberly Cheatham, MD, Active Staff – OB/GYN b. Sweatha Kasala. MD, Active Staff – Pediatrics c. Amy Pedlow, PA-C, Allied Health Staff – Surgery d. Sarah Walsh, APRN-CNS, Allied Health Staff – Cardiovascular e. Katie Dudley, APRN-FNP, Allied Health Staff – Surgery 2. Recommend Medical Staff Reappointments: a. Marilyn Appiah, DO, Active Staff – OB/GYN b. Jessica Hinojosa, DO, Active Staff – OB/GYN c. Michael Milligan, DO, Active Staff – Pediatrics d. Amy Bacchus, MD, Active Staff – Medicine e. Brett Dees, MD, Active Staff – Medicine f. Thomas Whalen, DO, Active Staff – Hospital Medicine g. LaRhonda Sims, MD, Associate Staff – Medicine h. Amy Meiser, APRN-CNP, Allied Health Staff – Pediatrics i. April Whalen, APRN-CNS, Allied Health Staff – Hospital Medicine j. Stacy Boothe, APRN-CNS, Allied Health Staff – Cardiovascular C. Request to Adjourn Out of Any Such Executive Session and Return to Regular  NRHA Board Minutes 6 May 18, 2020 Session ACTION TAKEN: Dr. Weber made a motion to adjourn out of Executive Session and return to regular session. Dr. Anwar seconded, and the motion was approved unanimous aye votes from Mr. Cubberley, Dr. Weber, Dr. Chambers, Mr. Pipes, Dr. Anwar, Ms. Greenleaf, Mr. Sherman and Ms. Womack. Mr. Cubberley 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 1-2. 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 1-2. Ms. Greenleaf seconded, and the motion was approved with unanimous aye votes from Mr. Cubberley, Mr. Weber, Dr. Chambers, Mr. Pipes, Dr. Anwar, Ms. Greenleaf, Mr. Sherman and Ms. Womack. Agenda Item XII. Board Open Discussion Mr. Sherman reminded Board Members outcomes from the COVID-19 pandemic will possibly provide new options for framing the future of INSPIRE Health. Agenda Item XIII. Adjournment ACTION TAKEN: Mr. Sherman made a motion to adjourn the meeting at 7:28p.m. Dr. Weber seconded, and the motion passed unanimously with aye votes from Mr. Cubberley, Dr. Weber, Mr. Pipes, Dr. Chambers and Dr. Anwar, Ms. Greenleaf, Mr. Sherman and Ms. Womack. Respectfully Submitted, Tom Sherman, Vice-Chair/Secretary