Hospital Board Meeting Archive

 
 
Meeting of the Love County Health Center, Board of Control will be held, Thursday, June 24, 2010 at 6:00 p.m. in the Rural Health Clinic Conference Room.
 
 
  1. CALL TO ORDER
  2. ROLL CALL
  3. APPROVAL OF MINUTES
  4. COMMITTEE REPORTS
 
Plant and Grounds: Review federal aviation guidelines for the clearance of obstacles for approach and departure aircraft to a secured helipad or approved landing zone. Evaluation of obstacles by height of the obstacle and distance from the final approach and take off area is necessary to continue the development of a communications tower for emergency radio relay league activities in the event that all communication systems are lost.
 
Executive :  Review of healthcare delivery models for rural communities (advanced practitioner models) and structure of Physician and non-Physician Medical Staff.
 
Joint Conference: 1) Reappointment of Active, Consulting and Allied Health Practitioners for FYE 6/30/2012. 2) Recommendations for revisions and/or amendments to the Bylaws for Medical Staff and Board of Control.
 
Budget: Year-to-date review of operational revenue and expense to the projected budget.
 
Financial: Year-to-date review of operational revenue and expenses along with a comparative analysis to prior fiscal year activities.
 
  1. Staff Reports:  Safety Committee, Infection Control Committee, Quality Assurance Committee and Utilization Review Committee.

  2. Administrative Reports:  Discussion related to the design, build, validation and implementation of new software systems for Mercy Health System (Epic) and how that system will be implemented for Love County Health Center. Future development of Clinical software systems that will interface with Epic modules in use (ADT, Billing, and Scheduling) and that will meet the meaningful use criteria.

  3. New Business:  Annual review of Mercy Memorial Health Center/Love County Health Center d/b/a Mercy Health Love County Management Agreement. Discussion/take appropriate action.

    Designation of Receiving Officers for Love County Health Center Trust Fund (Wilkins Estate) for Fiscal Year 2010-2011, approval/take appropriate action.

    Designation of Requisitioning and Receiving Officers for Love County Health Center – Sales Tax for Fiscal Year 2010-2011, approval/take appropriate action.
 
  1. Unfinished Business:  The final grounds survey has been completed for the organized therapy building and all architectural plans have been approved at the state level. Concrete work should begin in early July.
 
  1. Approval of Claim
 
  1. Adjournment
 
*****
 
 
Meeting of the Love County Health Center, Board of Control, will be held, Thursday, May 27, 2010 at 6:00 p.m. in the Rural Health Clinic conference room.   
  1. CALL TO ORDER
  2. ROLL CALL
  3. APPROVAL OF MINUTES
  4. COMMITTEE REPORTS

    Plant and Grounds: Review of federal guidelines provided for fuel reserves for diesel generators and operational maintenance guidelines (information item), site preparation for an organized physical, occupational and cardiopulmonary building as directed by the Oklahoma State Department of Health (information item), and site selection for a generator to power the Rural Health Clinic, Therapy building, and Food Pantry (information item).
     
     
    Executive: Review of Mercy Community Assessment 2010 data. Discuss recent Mercy meetings held to discuss what communities perceive health care to look like in five years and the involvement Mercy will have in this endeavor (information item).
     
     
    Joint Conference: None.
     
     
    Budget: Year-to-date review of operational revenue and expense to the projected budget (information item).
     
     
    Financial: Year-to-date review of operational revenue and expenses and a comparative analysis to review trends. Review of non-operational revenue and the associated expenses required to generate this revenue. Review of costs associated with developing new segments of business that will enhance operational revenues through a four-year period (discussion/take appropriate action).

  5. Staff Reports:  Safety Committee; Infection Control Committee; Quality Assurance Committee; and Utilization Review Committee.
  6. Administrative Reports: Review recent Community Assessment data and actions that might impact the local community (Discussion/take appropriate action). Discussion of a trade organization (Oklahoma Hospital Association) providing healthcare providers within Oklahoma information on legislative activities related to Medicaid and funding of this important provision for the coverage of many Oklahomans (information item). Review of patient satisfaction results presented through the Total Quality Management initiative of Love County Health Center.
  7. New Business: Development of a new segment of business that will provide a valuable service to the local market and secondary employers (Discussion).
  8. Unfinished Business: First survey of Therapy building after final certification of architectural plans.
  9. Approval of Claims
  10. Adjournment
     
 ****
 
 
Meeting of the Love County Health Center, Board of Control, will be held Thursday, April 22, 2010 at 6:00 p.m. in the Rural Health Clinic Conference Room.
 
 
1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS
   
Plant and Grounds: Review of life safety codes and certifications related to grounds preparation for an organized therapy program building. 
 
Executive: Review of Mercy Health System Oklahoma strategic meetings and formation related to boards and the level of attendance anticipated
 
Joint Conference:
           
Budget: Year-to-date review of revenues and expenses with prior year-to-date comparative analysis
 
Financial: Year-to-date review of revenue and non-revenue producing departments compared to total expenses and all other sources of revenue
 
5. Staff Reports: Safety Committee; Infection Control Committee; Quality Assurance Committee; and Utilization Review Committee.
 
6. Administrative Reports: Brief report on programs that are being reviewed to enhance reimbursement and increase eligibility of clients in Love County for programs offered by the Oklahoma Health Care Authority. Report on status of provider tax issues that are being discussed within the Oklahoma Hospital Association and how health care reform (as presented) might or might not enhance federal matching dollars for Medicaid
 
7. New Business: Review of new segments of business that might enhance operational revenue for the facility and meet the needs of a larger population within Oklahoma.
 
8. Unfinished Business: None
 
9. Unforeseen Business:
 
10. Approval of Claims.
 
11. Adjournment
 
**** 
 
 
Meeting of the Love County Health Center, Board of Control, will be held Thursday, March 25, 2010 at 6:00 p.m. in the Rural Health Clinic Conference Room.
 
  1. CALL TO ORDER
  2. ROLL CALL       
  3.  APPROVAL OF MINUTES
  4. COMMITTEE REPORTS

    Plant and Grounds: Review of safety precautions for phase one entryway     improvements and ground preparation for organized out patient and inpatient therapy program building.
     
    Executive: Discussion related to upcoming community forums.
     
    Joint Conference: Medical Staff and executive discussions related to intra-facility improvements and the development of talking points for community queries.
               
    Budget: Year-to-date review of operational budget and comparative analysis to last fiscal year-to-date data.
     
    Financial: Year-to-date review of operational revenue and expense through summary reviews of each department.

     
  5. Staff Reports: Safety Committee; Infection Control Committee; Quality Assurance Committee and Utilization Review Committee.
  6. Administrative Reports: Emergency Medical safety protocols and training for trench rescue, cave-in and subterranean rescue. Review of health care reform initiatives and the impact on rural healthcare facilities. 
  7. New Business: Begin discussions related to the development of an urgent care clinic program to manage additional markets within a 50 mile radius.
  8. Unfinished Business: None
  9. Approval of Claims 
  10. Adjournment
 ***
 
Meeting of the Love County Health Center, Board of Control, will be held Thursday, February 25, 2010 in the Rural Health Clinic Conference Room.
 
  1. CALL TO ORDER
  2. ROLL CALL
  3. APPROVAL OF MINUTES
  4. COMMITTEE REPORTS

    Plant and Grounds:  Review of safety measures implemented during recent adverse weather conditions and the sustainability of emergency power for the physical plant.
     
    Executive: Market area considerations and strategic planning initiatives related to a three-county area. 
     
    Joint Conference: Final determination of influenza vaccination program for fall 2010, along with target population statistics.
               
    Budget:  Year-to-date review of operational expenses, revenue, and operational statistics related to utilization
     
     Financial:  Year-to-date review of expenses to revenue with consideration for non-operational revenues supporting activities.
     
  5. Staff Reports: Safety Committee, Infection Control Committee, Quality Assurance Committee, Utilization Review Committee.
  6. Administrative Reports: Discussion related to final determination from Trailblazers related to the 2008 Medicare Cost Report Audit, tentative settlement payments to MHLC for the first six months of FY 2009-2010 for Acute care, Swing bed care and Rural Health Clinic, along with a letter to CMS discussing process for reporting standby time for Physician Assistants and Physicians in the ER.
  7. New Business: None.
  8. Unfinished Business: Continuation of physical plant enhancements to front entry and ‘B’ wing.
  9. Approval of Claims.
  10. Adjournment.  
 
***
 
 
Meeting of the Love County Health Center, Board of Control, will be held Thursday, January 28, 2010 at 6:00 p.m. in the Rural Health Clinic Conference Room.
 
AGENDA
  
1.  CALL TO ORDER
2.  ROLL CALL
3.  APPROVAL OF MINUTES
4.  COMMITTEE REPORTS
 
Plant and Grounds:  Review plant safety and sustainability of facility power in the event of adverse weather conditions.  Discussion.   
      
Executive:  Discussion of secondary segments of business and strategies associated with market share of non-system initiatives.  Discussion.
 
Joint Conference:  None.
 
Budget:  Year-to-date review of operational statistics along with revenue and expense projections.  Discussion.
 
Financial:  Year-to-date review of revenue and expenses by department along with a comparative analysis of prior year performance.  Review of operational volumes and payment categories.  Discussion/take appropriate action.
 
5.  Staff Reports:  Safety Committee, Infection Control Committee, Quality Assurance Committee and Utilization Review Committee.
 
6.  Administrative Reports:  Review of a Comprehensive Advanced Life Support training grant with the Oklahoma Office of Rural Health and the University of Minnesota.  Review of Medicaid disparities within the State of Oklahoma and the impact that this will have on providers.  Review strategies that might impact reimbursement levels within the Oklahoma Health Care Authority.
 
7.  New Business:  None
 
8.  Unfinished Business: Review of Medicare audit procedures, requests, process, and final determinations related to the MHLC June 30, 2008 Medicare Cost Report.  Discussion/take appropriate action
 
9.  Approval of Claims
 
10.  Adjournment
 
****

December 10, 2009
A Special Meeting of the Love County Health Center, Board of Control, will be held
Thursday, December 10, 2009.


1. Call to order
2. Roll Call
3. Approval of Minutes
4. New Business:

Review, discuss and take appropriate action on the presentation of audited financial statements for the period ending June 30, 2009 as presented by Johnston and Bryant Accounting Firm.

Action Item

Review and discuss the June 30, 2009 Cost Report as filed to the Medicare Fiscal Intermediary (TrailBlazers) as presented by Johnston and Bryant Accounting Firm.


****

November 19, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday, November 19, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

CALL TO ORDER
ROLL CALL
APPROVAL OF MINUTES
COMMITTEE REPORTS

Plant and Grounds: Review of facility improvements to include laboratory architectural revision, and parking lot maintenance.

Executive : None

Joint Conference: Internal tasking related to H1N1 vaccine utilization by practitioner and additional doses secured from the Oklahoma State Department of Health for directed administration.

Budget: Year-to-date review of operational and non-operational revenue and expenses. Setting end-of-year cost allocations and management expense adjustments for the Medicare Cost Report.

Financial: Year-to-date review of revenues and expenses for operational departments and non-operating contributions after expenses.

Staff Reports: Safety Committee, Infection Control Committee, Quality Assurance Committee and Utilization Review Committee.

Administrative Reports: Medicare audit process underway to compare Fiscal Year Ending 2008 to Fiscal Year Ending 2007. An audit to determine variances in business based on volumes, revenues and bad debts. A review of Cost to Charge ratios and utilization statistics are also being evaluated in the audit.

New Business: Implementation of Epic Financial software is underway to meld the organization into Mercy Health System Oklahoma financial accounting. The facility is not anticipated to receive the clinical components of Epic until sometime in the future if at all.

Review of Board of Control list of meetings for 2010. Discuss/take appropriate action.

Unfinished Business: The Rural Health Clinic has completed training on M&M business software systems and a clinical software program that will allow the establishment of an Electronic Medical Record for the ambulatory care program. Electronic Medical Records and Personal Health Records comprising a total Electronic Health Record is an initiative that the clinic is driving. 3M coding software utilization across multiple departments in nearing completion with all end users appropriately trained.

Approval of Claims

Adjournment

****

October 22, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday, October 22, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Meeting.

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds:

Executive:

Joint Conference: Finalization of H1N1 distribution clinic requirements and vaccine allocations. Discussion

Budget: Review of year-to-date revenue to expense and secondary revenue projections.

Financial: Year-to-date review of profit versus loss and comparative analysis trended to prior fiscal year. Discussion/take appropriate action.

5. Staff Reports: Safety Committee; Infection Control, Committee; Quality Assurance Committee

6. Administrative Reports: Review of recent grant awards for protective masks and distribution quantity. Review of preparedness guidelines and recent training related to biohazardous incidents along with facility lock down. Brief discussion of E-911 activities to date.

7. New Business: Tour the radiology department and receive an in-service education class related to digital radiography.

8. Unfinished Business: None

9. Approval of Claims

10. Adjournment


****

September 24, 2009
Meeting of the Love County Health Center, Board of Control will be held Thursday, September 24, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

AGENDA

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds: Review of plant activities related to radiation safety and digital radiography design and development, plant security and grounds management.

Executive: Review of incident command structure and surge capacity along with upcoming training events

Joint Conference: Influenza guidelines and management of a “Medical Home” for the potential administration of H1N1 vaccines as directed by the Oklahoma State Department of Health. Discussion

Budget: year-to-date review of operational statistics to monetary budget projections. Discussion/take appropriate action

Financial: Year-to-date review of all of revenue and non-revenue producing departments and all secondary segments of revenue. Discussion/take appropriate action.

5. Staff Reports: Safety Committee, Infection Control Committee, Quality Assurance Committee, and Utilization Review.

6. Administrative Reports: Review of imaging capabilities to send data with binary digits or bits through an integrated services digital network (ISDN). Review of connectivity for computerized tomography and ultrasound to ISDN. Discussion related to a recent on-site visit by a sub-cabinet member of the Department of the Interior concerning community services to tribal governments.

7. New Business: None

8. Unfinished Business: Information Systems’ Committee development of Electronic Medical Records/Electronic Health Records and infrastructural business software for the Rural Health Clinic.

9. Approval of Claims
10. Adjournment

********

August 27, 2009
Meeting of the Love County Health Center, Board of Control, will be held, Thursday, August 27, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

AGENDA

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds: Facility lock-down procedures in the event of a bio-hazardous or chemical event. Final review of stations utilized on the grounds for the reception, triage, and vaccination of influenza (H1N1) patients. Discussion/take appropriate action.

Executive: None

Joint Conference: Review of potential addendums to the Medical Staff By-laws - Discussion

Budget: Review of budget year-to-date and comparative analysis to previous cost reporting year. Discussion/take appropriate action

Financial: Review of operational and non-operational revenue to overall expenses. Discussion/take appropriate action

5. Staff Reports: Safety Committee, Infection Control Committee, Quality Assurance Committee, and Utilization Review.

6. Administrative Reports: Review operational statistics related to Station two EMS and Brigade. Review findings related to a recent professional/general liability carrier survey conducted for the facility. Review of internal core quality services as well as nationally reported quality initiatives. Discussion/take appropriate action.

7. New Business: Review of ED software systems to enhance internal quality of care initiatives. Discussion

8. Unfinished Business: Development of a digital radiography imaging program (computerized radiography) and the use of M&M Rural Health Clinic software and EMR/EHR software for electronic medical and health records. Discussion

9. Approval of Claims

10. Adjournment


*****

July 23, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday, July 23, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds: Review of existing electronic smoke alarms and panel connections to an external source for monitoring purposes. Complete roof repair after final HVAC unit installation.

Executive: Review of Accounts Payable and Receivable for a secondary segment of business and ISO ratings related to this segment of business.

Joint Conference: Review of potential H1N1 cases projected for 2009 and document seasonal flu vaccine orders for the facility.

Budget: Review of operational and non-operational activities year-to-date.

Financial: Review profit and loss by department for the fiscal year ending June 30, 2009. Discuss operational and non-operational contributions to the overall financial integrity of the organization. Evaluate these activities and complete a statistical analysis set to the previous fiscal year for comparative purposes.

5. Staff Reports: Safety Committee, Infection Control Committee, Quality
Assurance Committee, and Utilization Review Committee.

6. Administrative Reports: Review/discuss items presented concerning operational issues that are set against the current economic condition and the proposed changes that healthcare providers may be paid. Review/discuss operational issues posed by Mercy, as a Health Care System, and how the System will position itself for the continuation of the healthcare ministry.

7. New Business: Review/discuss issues related to interoperable communication programs that will strengthen the organization and ensure continuity of communications in the advent of an emergency rendering standard communication programs inoperable.

8. Unfinished Business: None
9. Approval of Claims
10. Adjournment

******
 

June 25, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday, June 25, 2009 at 6:00 p.m., in the Rural Health Clinic Conference Room.

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds: Report on facility improvements to include infrastructural repairs, water heating systems and life safety code review for HVAC.

Executive: None

Joint Conference: Review of Emergency Management Plan and SW Region 3 Medical Emergency Resource Center Compact. 2) Recommendations for Revisions and/or amendments to the Bylaws for Medical Staff and Board of Control.

Budget: Year-to-date review of 08’-09’ operational and non-operational revenue to expense.

Financial: Review responsibility summaries per department related to revenue and expenses, review all sources of revenue that are non-operational, and discuss secondary segments of revenue.

5. Staff Reports: List: Safety Committee, Infection Control Committee, Quality Control Committee and Utilization Review Committee.

6. Administrative Reports: Review core quality measures associated with the prevention of falls, Urinary Tract Infections, and pressure ulcers. Review of OFMQ quality measures for Congestive Heart Failure, Pneumonia and Acute Myocardial Infarction. Review of the 2009-2010 Management Agreement with Mercy Memorial Health Center and the structure of the Mercy Health System – Oklahoma Rural Healthcare Division.

7. New Business: Discussion related to new software programs for hospital revenue (financial) and potential EMR/EHR (clinical component)/revenue for the RHC.

8. Unfinished Business: None

9. Approval of Claims

Election of Officers

10. Adjournment

*******

May 28, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday, May 28, 2009, at 6:00 p.m., in the Rural Health Clinic Conference Room.

AGENDA

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds: Review of all ongoing projects of the physical plant. Review of HVAC system implementation, filtration systems and load bank testing of the generator. Review safety of grounds and future projects related to front door entry.

Executive : None

Joint Conference: Review of H1N1 statistics and the protocols that will be developed by CDC for the upcoming seasonal influenza period.

Budget: Review of budget year-to-date and correlate to previous cost report year.

Financial: Review of operational and non-operational revenue to overall expenses. Review all Medicare interim Cost Report settlements year-to-date.

5. Staff Reports: Safety Committee, Infection Control Committee, quality Assurance and Utilization Review.

6. Administrative Reports: Review of operational activities related to Station two EMS and Brigade. Review of responsibilities related to this segment of business and actions taken since inception of this service.

7. New Business: None

8. Unfinished Business: None

9. Approval of Claims

10. Adjournment


*******
April 23, 2009

Meeting of the Love County Health Center, Board of Control, will be held Thursday, April 23, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

AGENDA

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds Committee: None

Executive Committee: None

Joint Conference Committee: Review of programmatic support to other Rural
Health Clinics related to management, billing methodologies and provider based
guidelines

Budget Committee: Year-to-date review of operational and non-operational
revenue to expenses.

Financial Committee: Review/ take appropriate action on statement of
operations, standard balance sheet and Medicare Settlements.


5. Staff Reports: Safety Committee; Infection Control Committee; Quality
Assurance Committee; and Utilization Review Committee.

6. Administrative Reports: 1) Review of I.S. project planning to include; ED
software systems, 3M Coding Systems and the development of an I.S.
committee to establish guidelines. Administration and the Committee will
plan, organize, staff, direct and control this program through communications,
coordination and decision making. 2) Review protocols/statistics on internal
core quality measures concerning urinary tract infections, falls prevention
and pressure ulcers.

7. New Business: None

8. Unfinished Business: Coordination of EMR/EHR systems with identified
parties through I.S. committee initiatives.

9. Approval of Claims

10. Adjournment

********

March 26, 2009
Meeting of the Love County Health Center, Board of Control, will be held Thursday. March 26, 2009 at 6:00 p.m. in the Rural Health Clinic Conference Room.

AGENDA

1. CALL TO ORDER
2. ROLL CALL
3. APPROVAL OF MINUTES
4. COMMITTEE REPORTS

Plant and Grounds:
Continuation of repairs to physical plant to include: 1) door refinishing and threshold entry repair and painting, 2) Wall repair, texturing and paint, 3) resurfacing counter tops, 4) replacement of antiquated lighting units with energy efficient systems, 5) replacement of all sharps containers and support brackets with safer more efficient units, and 6) replacement of fully depreciated non-patient heating, ventilation and air conditioning systems to improve efficiency and particulate clearance through advanced filtration.

Executive:

Joint Conference:
Review of influenza like symptom patients appearing within the facility and reporting this information to the Oklahoma Department of Health through Emergency Medical Resource software on a daily basis.

Budget:
Year-to-date review of operational revenues, non-operational revenues and expenses (actual to budget with variances).
Financial:
Year-to-date review of revenues to expenses from operations and summary information of all non-operating revenues.

5. Staff Reports: Safety Committee, Infection Control Committee, Quality Assurance Committee and Medical Staff.

6. Administrative Reports:
1) Discussion and review of Critical Access Hospital reimbursement methodologies through the Centers for Medicare and Medicaid Services, 2) Review of market area and utilization statistics concerning Medicare and Medicaid recipients and all other payer mix, and 3) Cost accounting maneuvers to improve overall operational stability, while maintaining growth in a troubled economy.

7. New Business:
Assisting other Rural Network facility EMS agency with operational questions, problems, and assisting one Network Rural Health Clinic with operational issues.

8. Unfinished Business:
Completion of a secondary segment of business initiative through EMS.

9. Approval of Claims

10. Adjournment

 

 

 

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