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Show PAGE 3 Beaver County Monitor 3 APRIL 16, 1998 Arlan Mayer made a motion to go into executive session, Phyllis Mayer detailed and to receive them for review within one week of board meeting if possible. Discussed the computer problems. ‘system capabilities and seconded. the need to have the computer services that we pay for. ADMINISTRATION: Farmers Jaye P. Pierce, Teresa Jenkins, Gloria McDermott, THE EASTER BUNNY. Connie: Wadsworth, Kathy Hughes, and Lonnie Stillwell. Front: Kaycee Cripps, Kylee Jenkins, and Bobbie Smith. Back row: The Lady Lions Annual Easter Egg Hunt was a whopping success.....the biggest and best ever! MILFORD VALLEY HEALTHCARE SERVICES BOARD OF TRUSTEE’S “HOSPITAL” MEETING ‘ MARCH 18, 1998 PRESENT: Board Members: Phyllis Mayer. Nedra Kennedy. Janice Pryor. Jerry Mayer. Loretta Forman. Pearson. Arlan Mayer. Larry Tammy Barnes, Administration: John Gledhill. CFO: Tim Wren. Director of Nursing: Dale Eckley, D.O.N. Home Health: Nancy Carter. Visitor's: Melodie Johnson, Eileen Craw, Roger Hatch. Secretary: Michelle Barton. Meeting was called to order by Chairperson, Loretta Forman at 7:45 p.m. Minutes were approved as written. FINANCIAL REPORT: Tim Wren presented the financial report for the hospital (see attachment). Hospital board members complimented Tim on the report documents and appreciated the detailed amounts. Tim stated that the billing statements would be top priority now that he is becoming familiar with the system. ; Jerry Mayer made a motion to approve the financial report as given. Janice Pryor seconded the motion with alliin favor. Jerry Mayer stated that he liked Dale stated that two R.N.’s will be aitending a fetal monitoring class provided by the Area Health Education Center (AHEC). Division of Wildlife Services has inquired about the post exposure pre“ hylaxis for Immune Deficiency Syndrom. We are the only hospital in the county that has this medication in stock.| We have had 3 incidents where we have used the medications. ~~ Nursing held a__ training seminar on, “how to handle abused patients”. sheriff's department, social services and the hospital therapist each gave an in-service. POLICY AND PROCEDURE REPORT: Dale Eckley reported that the following policies had been reviewed and updated. QUALITY ASSURANCE REPORT: Arlan Mayer reported on the Quality Improvement Survey. Arlan has reviewed incident reports, stated that the employees are reporting accurately and policies are being updated to correct any problems that may exist. Patient satisfaction survey shows that on a whole the patients are very satisfied with their care of the hospital. Jerry Mayer asked about housekeeping scores, he feels that a hospital should have higher scores for cleanliness. We need to make sure the whole hospital is kept clean and -Mmaintained. Cleanliness’ is the first mn people see when- entering’ a ae heniber abhbed. a ‘hospital Tim stated that he would be Dale Eckley reported that we checking the account payables for had an internal disaster on March 9, interest or late fees to ensure that they 1998. The fire alarms went off in are paid in a timely matter. The board * eonjun¢tion with a broken sprinkler line would also like to see account payables in the kitchen, flooding the kitchen and paid within 45 days of billing. dining area, Necessary personnel were called in to handle the situation to shut ELECTION OF OFFICERS: off the water, clean and disinfect the Loretta Forman reviewed the kitchen and to making supper for previous comniittee assignments that patients. Findings were that we need to board members served on. They were set up'a contract that will allow us to E.M.T.’s, Finance, Risk Management, \ purchase food, water and sanitation Medical Staff, Policy and Procedure, and needs in an emergency situation. John the Ethics committees. There was also a will work on contract to provide this by committee with Beaver Hospital but has May 15, 1998. no longer been meeting. HOME HEALTH: Loretta Forman opened John introduced Nancy Carter nominations for Chairperson. Larry who is acting in an interim basis as Barnes nominated Jerry Mayer, Tammy Director of Nursingof Home Health. Pearson seconded the nomination. There Nancy Carter stated that she being no further nominations Jerry was pleased with the opportunity to work Mayer was elected chairperson by in Home Health again. She reported that acclamation. there were limitations for patients to Nominations were then opened qualify, for home health services. for Vice-Chairperson. Tammy Pearson Patients must be home bound and in nominated Larry Barnes, Phyllis Mayer need of skilled nursing care. nominated Dwight Potter. There being OASIS is a required program no further nominations. Larry Barnes home health companies must adopt. was asked to leave the room: Elections This program reviews the function level were then held. 4 votes for Larry ofa patient upon admittance. Barnes. 3 votes for Dwight Potter, Larry HCFA. is requiring Surety Barnes was elected as Vice-Chairperson. Bonds for all home health agencies to Phyllis Mayer thanked Loretta ensure that Medicare will be able to Forman for all her time and dedication receive any reimbursement due to them spent on the board. stating that she had through cost reports or billing errors. done an excellent job. Nancy is researching a Clinical Loretta thanked everyone for their support and that she had enjoyed serving on the hospital board. She reminded the board of all the progress and success they had made and that we needed to celebrate the accomplishments that have been completed. At this time Loretta handed the duties of Chairperson over to Jerry Mayer and asked to be excused. Pathways Program. This provides guidelines for patient care on an individual daily basis. A Professional Advisory Committee and a Budget Committee need to be organized. Janice Pryor stated that she would serve on the Professional Advisory Committee. Nancy is setting up a meeting with Betty McDonald to review the new home Jerry Mayer thanked everyone for their votes and feels that the board health can work well together. REPORTS: NURSING: keeping records up to date. Dale Eckley reported that the Hospital Census was || patients today. He presented a listvof needed items that would help to improve hospital care. Newer Fetal Heart Rate Monitor. improved Infant warming system. newer operating room table. newer operating room light. newer labor and delivery bed. flex scopes. a replacement whirlpool bath for long term residents. and an adult ventilator. program rules and regulations. Nancy stated that Taryl did an excellent job Projects she will be working on will be educating the physicians as to who qualifies for home health. provision of photo therapy to new born babies in the home and at putting together a home health brochure to give patients in the hospital, Nancy satisfaction did survey. an employee Home health employees are happy with their jobs. We need to increase services to home bound patients vet still follow the rules and The Utah State Hearing Van will be at Milford Elementary School April 29th starting at 8:30 A.M. Contact Dennis Cox at the school for further information. regulations. Home Health computer may need to be updated. Nancy would like to attend seminars or training programs to update knowledge. Nancy to Jerry Mayer told investigate cost of new equipment, seminars or programs and report back to board. Hospital board would like a monthly update of home health activity. EMT’S: Eileen Craw stated that the EMT organization is having a lot of problems, complaining, rumors, discontentment, | mis-communication, transfers, and personality problems. Discussed organization and the process of election of officers. Suggesied having one president and two vice presidents, one from Milford and one from Minersville. Hospital board agreed to this. Discussed that the EMT equipment was officially the hospitals, but the EMT’s have set rules that an instructor must sign out equipment, to ensure that everything is maintained and properly cleaned. Hospital board recommend that a policy be written stating that an instructor was the .only person who could sign out equipment. Eileen stated that we are governed by state rules and guidelines. . Policies need, to be reviewed and updated. Suggested that board members Insurance Representative from our malpractice insurance will be here next week to do a facility review. Social Services is holding a fund raiser to raise money for a wheel chair for a long term care resident. 4-H club has presented a plan for a project to plant flowers around the hospital grounds. We are reorganizing the employee enhancement committee. A new representative from each department will be asked to serve. The committee’s purpose is to improve moral of the employees. John discussed various ways to increase revenues such as advertise Dr. Rees’ surgical skills, out of our area. We have also acquired a new laparoscope and equipment to do laparoscopy surgery. We are looking into having an ultra sound tech from Valley View Medical Center coming over one day a week to provide ultra sound service for us. We:need to increase utilization of. the Home Health department, increase lab testing and lab equipment. John stated that we need to repay Medicare $48,000.00 towards the 1996 cost report. We will contest this, but for now we will have to pay. We are trying to drop bills ‘immediately and decrease our account receivable day’s. Security system is in place and will be activated Monday. March 23, 1998 from the hours of 10:00 p.m. to 5:15 a.m. We have placed new lights in the kitchen, working on replacing the electric hot water-heaters to natural gas. The: cooling system in the operating room needs repaired. Birthing room is completed, we still need to remodel the restroom in the birthing area. John asked about an award for the Outgoing Board Members. The hospital board approved John to get a plaque’ for..Loretta Forman for her outstanding service as Board President and others as, they leave. John stated that we are A formal vote was taken. Tammy Pearson YES, Phyllis Mayer YES, Nedra Kennedy YES, Janice Pryor Yes, Larry Barnes YES, Arlan Mayer YES. Jerry Mayer YES, all being in favor. meeting advanced into executive session. Larry Barnes made a motion to adjourn executive session, Nedra Kennedy seconded. All in favor. Nedra Kennedy made a motion to allow John to hire a Laboratory Supervisor who will be required to work 3 day’s a week here at the facility. Larry Barnes seconded the motion. All in favor. Nedra Kennedy made a motion that the employee meal allowance when: traveling outside the area be $7.00 per meal. Phyllis Mayer seconded the motion. All in favor. Janice Pryor made a motion to hire Vickie Roark for respiratory therapy for an interim period of time, while we advertise someone to replace respiratory therapy. Nedra Kennedy Seconded the motion. All in favor. There being no further business, Jerry Mayer made a motion to adjourn the meeting, Larry Barnes All in favor seconded the motion. meeting adjourned. These minutes will be presented for approval at the next Until regularly scheduled meeting. considered are time — they such unofficial. MILFORD VALLEY HEALTHCARE SERVICES. BOARD OF TRUSTEE’S “CLINIC” MEETING MARCH 18, 1998 PRESENT: Board Members: Phyllis Mayer, Nedra Kennedy, Janice Pryor, Jerry Mayer, Loretta Forman, Tammy Pearson, Arlan Mayer, Larry Barnes, Administration: John Gledhill, CFO: Tim Wren, Director of Nursing: Dale Eckley, D.O.N. Home Health: Nancy Carter, Visitor’s: Melodie Johnson,Eileen Craw, Roger Hatch, Secretary: Michelle Barton. Meeting was called to order by Chairperson, Loretta Forman at 7:10 p.m. Minutes were approved as written. © board instructions John has informed the staff that the Minersville Clinic needs to be open all day, five days a week. Some physicians are getting behind on the dictation of the patients charts. Should be caught up in three weeks. John is working on the United Healthcare Contract, some of the reasonable fee’s are out of line, reimbursement is well below what our costs are. With House Bill 216 they must pay a reasonable fee and cannot discriminate against a provider because we are in a rural area. Dr. Shabana’s J-1 Visa paperwork has reached the final stages, it could take up to 6 months to finalize. Dr. Key a physician practicing in Cedar City will be coming over to perform a C-section delivery on one of his patients who . lives in Cedar City. Dr. Farazana Moulvi will provide pediatric patient care for the baby. Dr. Rees will assist in the surgery. We have had an increase of surgeries and procedures since Dr. Rees and Mable Turner our CRNA have been hired. OLD BUSINESS: Tammy Pearson asked, “If the Minersville Clinic Women’s Health Fair has been set up? Dale stated that a date had not been set, there will be a women’s health fair in Milford in conjunction with the Mammography Machine, April 9, 1998. A Minersville Health Fair date ‘was set for April 23, 1998. NEW BUSINESS: Tammy Pearson stated that Minersville Elementary has offered to help clean the Minersville Clinic grounds. John stated that he would tell Roger Hatch to coordinate shis schedule with the school. John also stated that we need to advertise the Minersville Clinic as much as possible to increase its usage. Dr. Farzana will be providing school physicals at Milford Elementary and Milford High School. We need to try and schedule the Minersville School physicals with our physicians to help familiarize the people in Minersville with our physicians. The public health department arranges the school physicals. Dale will contact Reha Gray or Ann Denny to see about planning 2 health fairs, one in Milford making arrangements for the on the 9" of April and one in Minersville Minersville School physicals. on the 23 of April. ‘A request was Clinic Manager, Melodie Johnson FINANCIAL REPORT: Tim Wren received for a’ $25.00 donation to the presented a Medicare Billing Process presented the financial report for the Milford High School Yearbook. report to explain the billing process to . clinics. Thanked the hospital board-for Donated funds for projects to improve board members. Meeting adjourned. the opportunity to work at Milford community were discussed. Phyllis These minutes will be Valley Healthcare Services. Mayer stated that she felt that donations become familiar with EMT’s and how presented for approval at the next to organizations or group of students was the program is run. A hospital board , ila greatidea, she’ wasconcerned about... ; ADMINISTRATIVE _ REPORT: — regularly scheduled meeting. Until “Tepreésentative Will méet with EMT’s and — such ' time, they: are considered bring back any concerns to the hospital” board. Board suggested asking EMT’s +-donating» te.candividuals * activities. . i for private. ‘John: Gledhill reported that physicians are busy with patient load. As per unofficial. through anonymous reports of what type - of problems they feel the organization is having. Eileen will write a letter and have the hospital board approve ‘it, then send it to all active and in-active EMT’s. Jerry Mayer stated that the healthcare of patients is the primary concern, and everyone needs to work together to provide this service. John Gledhill reported that we have received full funding for a county wide EMT course. Coarse will begin April 2, 1998, Clayton Alred will be the instructor, 120 hours of instruction with 9 college credit hours offered. NEW BUSINESS: The foilo.sing committee assignments were made. EMT’S: Tammy Pearson Finance: Larry Barnes, Jerry Mayer, Dwight Potter Risk Management: — Arlan Mayer Medical Staff: Rhoda Browner Policy & Procedure: Nedra Kennedy, Phyllis Mayer Ethics Committee: Director of Medical Staff, Director of Nursing, Administrator, Phyllis Mayer, Jerry Mayer. Jerry Mayer stated that the board members must work as a board and are here to help solve the problems of the hospital in board meeting, but not to become a part of the problem. Board members should only listen to concerns and then bring the concerns back to the board. would Nedra Kennedy stated that she like to have the minutes more Like a good neighbor, State Farm is there.® See me for car, home, life and health. Milford Valley Memorial Hospital presents 1998 Annual - Health Fair ‘Join us April 23, 1998 from 10:00 a.m. until 4:00 p.m. at the Minersville Clinic Local Doctors will be on hand for a free “Ask a Doc” service A selection of free services will be offered: Pulse Oximetery * Blood Sugar Levels + Blood Pressure...and more Visiting Consultants will be: Dr. Clark providing foot exams and evaluations Dr. Metian will provide a spinal exam and evaluation Representatives will be present insurance. from the Brent Stapley 801-438-5451 787 N. Main Beaver, Utah STAVE Services and also from the FARM INSURANCE EMT ® State Farm insurance Companies Home Offices: Bloomington, Illinois Southwest Public Health Department |