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Show Beaver County Monitor PAGE § Unapproved Minutes Milford Valley Hospital _ April 15, 1998 The regular meeting for the hospital was ¢alled to order by Chairman Jerry Mayer at 7:30 p.m. Those attending were Board members Jerry Mayer, Larry Barnes, Phyllis Mayer, Nedra Kennedy, Arlan Mayer, Administrator Gledhill, DON Dale Controller Tim Eckley Visitor’s John Wren, Les ‘Whitney, Jared Bridge, Jennifer Cox, Aaron Cox and Board secretary Janiece Swanson. The minut€s stand approved as mailed. Nedra Kennedy stated that an adjournment time needs to be put on both Hospital and Clinic minutes. Loretta Forman and Mary Sower attended meeting long enough for John Gledhill and Jerry Mayer to -present them with a plaque for their service on the hospital board. Loretta had served for 7 years and Mary for 2. be 2 EMT’s on board one of which must be an intermediate, a RN, Paramedic or a Physician. Les stated that we have come a long way with the EMT program and the Fire Department since they began and we need to continue excellence in serving the community. John expressed his thanks to the fire department for their support of the EMT program in responding on all ambulance calls and being there when they are needed. thanked members The Board of the Fire Department for coming. FINANCIAL REPORT: Before the report was given by Tim he let the. Board know that he had met with Melodie and the Billing Staff about Statements on March 23 and on March 27 he met with Gary and received some good suggestions on how to do the statements. Tim is reviewing samples of statements from other hospitals and showed some to the board members. He would like to put all family members on one quantor number. Phyllis met FIRE DEPARTMENT: with business office and found that in Representatives -from the Milford their trial run not all accounts have Fire Department Les Whitney, Jared been moved forward, only the newer Bridge, Jennifer Cox and Aaron Cox ones and was wondering if we could voiced their concerns on the problem combine them. John and Tim this area has with dispatching of thought it would be beneficial to just ambulances. There is a problem with start them from now and work off the the hospital and doctors not being old records until they were complete. - notified of an incoming. ambulance Phyllis voiced her concerns about and there have been mix-ups on calls lack of communication in the office to the EMT’s and Fire Dept. Les | and suggested that the employees are thanked the board for allowing him filled in on what is happening with to speak and feels that the problem the new statement. needs to be solved immediately and Tim stated that Gary is coming they were wondering if the board down on Friday to give descriptions ’ could give them suggestions and help of Service Codes and Tim will try to on how to solve this problem. Les put them into effect by June Ist. He suggested that the Charge Nurse on would like to combine both Hospital duty at the hospital could carry a and clinic statements but Gary wasn’t hon-scanning pager so that the sure if they could. Jerry Mayer hospital would know: that an suggested that on the statement it ambulance has been dispatched and shows whether it is a Clinic billing a they could make sure that a doctor is or Hospital. at the hospital in time. Tim is also looking at getting Nedra Kennedy suggested that Bulk Mail rates for letters and we get Sheriff Yardley involved and Statements the permit for one year _ if that doesn’t work, we could go to would be $85 whereas we are paying the County Commissioners for help. 3 additional cents per letter right Jerry suggested an instruction sheet now. : Tim also found a discrepancy - be given to the dispatcher to read. with Social Security and the IRS Les stated that the Dispatcher does with the Hospital Statement and the have a book but the instructions hospital will receive a refund back could taken from the book and from the amended statement. simplified. Les stated that the Tim also found that the hospital Dispatcher needs to page. both, the,.., EMF’s .and_. the: Fire:Department....:;; _ was, not charging enough. for a cancer Phyllis Mayer suggested Dr. drug call Epogen. The cost for the drug which is an injection is $94 and Spaulding meet with Les and figure the hospital was only charging $67. something out and bring it to the The hospital has now restated the ‘attention of Sheriff Yardley. Jerry charge. ° asked John to notify the right people Tim has been woyking on the to take care of the problems. Les, Credit Balances. They were over John and Dr. Spaulding need to $50,00 and are now down to make up protocol for these situations $20,000. and present them to Kenny Yardley. Phyllis credited Tim with one a Phyllis asked if a board member great job and Tim voiced his needed to be to the meeting. Jerry appreciation to John Gledhill and felt that they didn’t unless we have to Dale Eckley for all their help. go to County Commissioner. The Financial Report was presented John Gledhill questioned Les by Tim Wren Revenue did go up about pagers and stated that he from Feb. to March and March would get Veda to find out about showed a profit. Phyllis asked about them. John stated that Weda had a travel mileage costs. Nedra Kennedy list of people with pagers who are made a motion to raise travel no longer running on ambulance and mileage up to 31 cents per mile. The Jerry suggested we collect them. Les motion died for lack of second. voiced concerns about paging Phyllis questioned the difference Minersville Ambulance and Phyllis between Other Purchased Services stated that the Minersville Fire and Miscellaneous Expenses. Tim Department was not being called stated that OPS money paid to with: the Minersville Ambulance. outside contractors. Les voiced his frustration on this Nedra suggested that a detailed problem and hopes it can be fixed. ledger for Misc. Expenses be written Larry proposed that we work on the and that it needs to be a line item. ‘pager for the Charge Nurse Tim will bring ledger for Misc. immediately and work on Protocol expenses to the next meeting for List for Dispatch as soon as possible. Board to review. This was agreed upon. Jennifer Cox Tim gave DON Dale Eckley feels the pager for the Charge Nurse credit for watching’ cost on Nurses is vital no matter what. Phyllis hours and Phyllis wondered if suggested the idea of having 2 standard wage was comparable dispatchers working. Les will call Sheriff Yardley tomorrow morning between nurses who have worked at and see if he can meet tomorrow the hospital for a long time and newly hired nurses. Jerry stated that with Jennifer Cox, Dr. Spaulding, John Gledhill and Dale Eckley to solve this problem. Jerry suggested to members of the Fire Department that if there were any more problems to please call . administration of member of the board to get it taken care of. Phyllis. stated that a monthly schedule for the EMT’s. was out. John stated there only needs to only we have salary schedules for nurses so that there isn’t a problem. Jerry then explained the salary schedule to Phyllis and Nedra. Tim is working with Ted Staggs to get documentation from Rural Health Management Corp. so we can correct our cost report to Medicare to get money back from them. Phyllis asked. if Accounts payables for accounts was down to New Management (PG13) Starring Leonardo DeCaprio Show Time- 7p.m. daily (except Sunday) 4 p.m. Sunday Matinee all seats $2.50 As Good As It Gets will show Fri. & Sat. at 9:15 pm only Admission Prices: Adults $4.00, Children $2.50, Over 60 $2.50 Coming Attraction: Lost In Space put into Utah State Treasury PTIF funds because of higher interest rates. Tim will look into this. Collection of Accounts receivable was discussed. If hospital cannot collect on accounts, they are then turned over to ARS and National Recovery Services. Phyllis suggested that after debts are 2 years old they be written off as Old Debts to get them off of books and Jerry suggested putting an attachment on property of person owing the debt. Tim stated that after 90 days an account will be turned over to ARS. If no payment is received or arrangement for payments made, the account will be turned to National Recovery Services where — legal action will be taken. Board members praised Tim for a great job. - REPORTS: Committee Reports: physician. Roger Hatch is the employee of the month. He is doing a great job. John and Dale recently made a trip to Salt Lake to a Warehouse owned by. IHC to pick up some donated equipment. They picked up an Oxygen Analyzer for adults, a microscope, centrifuge and 3 fetal monitors and some cardiac pace makers. John thought that later he could pick up an operating table and other items needed in the hospital. John stated that all new gas water heaters have been put in the hospital and are working great. This should greatly decrease our utility bills. Laproscopic Equipment that was ordered has arrived. John stated that the equipment was worth $60,000 but the hospital got it for $25,000. 30 EMT’s are currently attending the hospital sponsored EMT course. 6 of them are from Milford 5 were from Minersville. The course will run again in Aug.. or Sept. Phyliss questioned whether concerns with Housekeeping had John suggested putting an ad in the paper advertising the sale of been taken care of. John stated that excess property. We have a portable x-ray machine, lawn mower and 2 a Policy and Procedures revision meeting had already taken place in hot water heaters. We would sell to March. Phyllis questioned whether the highest bidder. rooms were being cleaned when a . Motion made by Larry and patient is discharged both day and seconded by Arlan to advertise in the night. John assured her that they newspaper for highest bid for old were. Jerry stated that he had - hospital equipment. All in favor. noticed an improvement in Upcoming Seminars are Utah housekeeping. Association of Home Health April Phyllis made a motion to accept 29-May |. Home health director of revised Policy and Procedures for Nursing should attend. Utah Housekeeping. Nedra seconded the Hospital Association May 7 in Park motion. All in favor. City. John and all board members DON Dale Eckley reports as are invited Amerinet Conference follows: There were 4 cases of the May 17-20 in Anaheim. Purchasing Hepatitis A Virus last month. All agent is allowed to attend and costs family members were vaccinated. are paid by Amerinet. The vaccine was offered to all Phyllis wondered if there was a problem with having the next board hospital employees free of charge. The Kitchen Staff is required to take meeting on May 20. Everyone ‘the vaccine. Jerry read letter from seemed okay with that date. the Southwest Dept of Health John stated that the hospital will thanking the hospital for its prompt be doing Mini-classes with the reporting of the cases of Hepatitis. Geriatrics. Each department will Because of this, families. were participate in this and the patients will receive a graduation certificate contacted and taken care of in time. In the letter Dale was thanked for all from administration when classes are his help and the Doctors were finished. : praised for their quick diagnosis. There has been enough money The letter was signed Rhea Gray. raised for John Maxey’s wheelchair. Phyllis suggested that we post the John wanted to thank all involved. letter for the nurses to see. The THC contract was improved Dale reported that there had been although Dr. Rees has not been a, total... of121,.,, hours... Education. , approved as a preferred:provider yet: | training hours in March. ~75-hours /“: The United Health Plans:contract:: for RN’s, 12 hours for LPN’s 27 for has been signed and sent off. John CNA’s, 1 1/2 OR Tech’s, 3 hours will meet with staff on clinic Ward Clerk, 2 1/2 for TRT’s. In changes. Phyllis suggested that John house training hours equaled 85 hours. Out of house training equaled 36 hours for a total of 121 hours. Dale reported that on April 9 there was a health with a mammography clinic at the new city office building. They also did blood pressure and blood sugar testing. They will have this clinic again in 6 months. Home Health: John Giedhill reported on Home Health. Home Health has 14 patients with 6 skilled visits a day. Nancy Carter is great at following upon patients who need home health and has genuine concern for patients. John suggested paying home health nurses a per visit amount. This would allow the Nurses to pick up extra time in home health. The position for a Home Health Director is still being advertised. A RN is coming down on Friday to look at the job, but John stated that he may only be qualified to work as a Staff Nurse as this position requires home health experience.. Administrator John Gledhill reports as follows: John offered a lab position to tech who had applied but he has accepted a better offer up North. Vicki Roark is employed as a respiratory therapist at the hospital now and is working with Nurses to train them in Respiratory Care. The new CRNA is also working with Vicki. ; Dr. Shabona has all but one of his paper work done. There is one form the HIB left to get John suggested that we start letting the community know that he will be joining our staff in July as an Obstetrician, family _ practice | Beaver County Monitor | Tue Beaver€LINEMA The Man In The Iron Mask 45 days.:Tim assured her that it was. Savings accounts were discussed and Nedra suggested that money be put a notice in the paper that the contract as been changed to 97%. Minutes will reflect this. The regular meeting for the clinic was called to order by Chairman Jerry Mayer at 11:13 p.m. Those attending were Board. members Je Mayer, La Phyllis noticed that there is a need for disposable toilet covers in the Bases Phyllis wo Kennedy, Aslan bathrooms in both the clinic and hospital. John stated that he would get it taken care of. Larry Barnes made a motion to go into executive session, Nedra Kennedy seconded. A formal vote Administrator John Gledhill, Controller Tim Wren, DON Dale was taken. Eckley, Arlan YES, Nedra YES, BUSINESS: ° Phyllis The share will cost $1250.00. day after the Department There being no further business the meeting was adjourned at 11:16 p.m. These minutes will be presented for approval at the next regularly scheduled meeting. Until There being no further business the meeting was adjourned at 11:13 p.m. such time they are considered These minutes will be presented for approval at the next regularly scheduled meeting. Until such time they are considered unofficial. £ unofficial. row CONTAINERS STOW-IT FEATURES t storage Spee you nute? Se Head meeting to discuss issues. John stated that they should already be doing this. John will look into the problem. may be used for vans for the Geripatients. pons The Clinic would like to develop the land south of its building into a park area with picnic tables and it would require the purchase of a water share in order to maintain the park. Arlan and Jerry stated that the price was fair. NEW BUSINESS: Phyllis Mayer questioned whether the Department heads were taking back to their employees what is being discussed in meetings. Larry suggested that the department heads have a meeting with their employees the papers to John for other grants that <ve ck of Secretary REPORTS: Administrator John > Gledhill reports as follows: John stated that the Minersville Clinic has been advertising for the purchase of 1/2 share of water. in Minersville. So far only one person has answered the advertisement. questioned whether the hospital could automatically deduct 10 % of their bill from an employee’s paycheck to pay for their hospital and clinic bills. Larry suggested that John look into doing this. Jerry wants someone to look at grants in a positive way. Cedar advertised for someone to work at getting grants for their new building and Jerry suggested that we could use someone to do this for our hospital. Also Jerry stated that a new van was needed for the hospital. John stated that he had already written this up once and it wasn’t approved. Nedra stated that she would get PORTABLE Board meeting. all being in favor, meeting advanced into executive session at 10:06. Phyllis Mayer made a motion to adjourn executive session at 11:05 p.m. Arlan Mayer seconded. All in favor. NEW and tauiel Mayer, Janiece Swanson. ; FINANCIAL STATEMENT: The financial Statement was presented by Tim Wren in the hospital Phyllis YES, Larry YES, Jerry YES, © © © © © ¢ Heavy Duty Steel Construction Convenient, Secure, Affordable Fast Delivery & Pick-up Full Swing Doors Ground Level Access Storage on Your Own Property i 48x102%9 42? I 40'x8'x8 1/2° | 20'x8'x8 1/2’ | (801) 977-8885 (800) 370-01 11 2438 West | 100 South ® Salt Lake City, Utah REFRIGERATED UNITS AVAILABLE 24,99 Personal Policies, mileage, confidentiality, new procedures, and the chain of command. Incident reports were discussed and the staff will know that incident reports are being reviewed. Health Insurance, Life Insurance, security plans and a retirement program was _ also ‘discussed. The majority of the employees wish to switch to Valic for their retirement plan John will take care of this. John received a letter from Farmers Insurance regarding their Liability Audit done in Feb. There were 7 items. suggested for improvements. Drug Screening for pregnant women and the revising of radiology policy procedure were some of the suggestion. ' John stated that employees are asking that the hospital look into putting in a Day-care center. Phyllis questioned liability for this and John assured her that proper procedures would be in place. CIB funding Pius Delivery & Set Up. Approx 1066 sg, f. FEATURING “Superior Quality You SI ste 50 E. 490 S., Ivins « DMES.. 10 © tow Free 800-242-0060 TOURS OF CIRCLE FOUR FARMS You can take a tour of Circle Four Farms! Regular tours will be each Saturday at 10:00 A.M., if reservations have been received. All will meet at the Circle Four Office in Milford (341.South Main Street). your _ reservations through _ the receptionist at Circle Four Farms (387-2107.) Larger groups can call for special arrangements. Please call for reservations now! Please make Circle Four ' Randy's Showcase of Mitford Properties= Land: @ 40 Acres next to Circle 4 Pig on Reduced to ij] © 80 Acres S/W of Milford between Milford Flat & Lund Hwy. © 80 Acres 10 miles S/W of Milford on Flat near new pig farm. © 200 Acres 5 miles S/W of Milford between Flat & Lund Hwy. | @ 320 Acres N/E of Milford on road to Roosevelt Springs Geo Thermal © © © © 440 Acres 6 Acres in 24.9 Acres 34 Lots in 7.5 miles S/W of Milford between Milford Flat & Lund Hwy. city- zoned for mobiles with private well & electricity Railroad East Subdivision and Industrial Park $19,900. ~ $16,000. . $24,000. $30,000. $32,000. $66,000. $80,000. $45,000. $87,500. ‘Home: © 3 bedroom- 1 bath- 464 S. 600 W. Milford $59,900... For Further Information Call: Randy Morris Office: f Phone:801-387-2676 Fax:801- Milford, Utah 84751 Unapproved Minutes Milford Valley Clinic April 15, 1998 John reported that in the } ~=— Subscriptions $35. per year 387-5521 could be used to build next to the hospital by the kitchen area. They could possibly use the Day-care students for Therapy for long-term patients. Phyllis suggested that John research it and do a cost report to see if it would work. John is to report on this next mozth. ; Quarterly Staff meeting they talked about future goals of the hospital, Publisher: Kent Smith Editor: Alice Smith Ad Deadline 3:00 P.M.Tuesday 1 450 N. 100 E.* P.O. Box 224 APRIL 23, 1998 Century 21 First Choice Realty 965 South Main Cedar City, UT 84720 Res: Cellular: 801-586-1221 801-865-1802 801-599-2802 | |