MORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING May 22, Martha Osborne

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1 Members Present: Joyce Ray, Chair Patrick Drouhard, Vice Chair Patricia Anthony, Secretary Bonnie Fisher Dennis Leader Jackie Weaver Brad Wood Absent: MORROW COUNTY HOSPITAL BOARD OF TRUSTEES REGULAR MEETING Others Present: Chris Truax, President & CEO CJ Miller, VP Ancillary Services Lorelei Heineman, VP Patient Care Services Matthew Hintz, MD, Medical Staff President M. Ghazi, MD Medical Staff Ex-Officio Patti Crego, Regional Director Clinical Operations, OhioHealth Sandie Fisher, Executive Secretary Sherri Nelson, Human Resource Director Guests: Martha Osborne Absent: Call to Order: Ms. Ray called the meeting to order at 6:06 p.m. in Assembly Room C in the lower level of Morrow County Hospital. Board Education Ms. Ray asked for comments or questions regarding the OHA video : The Changing Face of Quality, Safety and Patient Satisfaction with Robert Wachter, MD shown at dinner. A brief discussion followed. Approval of Minutes The minutes of the regular meeting of April 24, 2012 were reviewed. Mr. Leader and seconded by Ms. Anthony to approve the minutes as written. The minutes of the special meeting of April 30, 2012 were reviewed. Ms. Weaver and seconded

2 Page 2 of 6 by Ms. Anthony to approve the minutes as written. Financial Report: Mr. Schueler reported a ($196,080) loss for the month of April with an operating margin of (8.3%). Mr. Schueler presented the financial report for the month of April. Highlights of the month are as follows: Gross patient revenue was $290,000 under budget. Inpatient revenue was $34,000 or 4.6% over budget. Outpatient revenue was $324,000 or 9.2% under budget. Net days in accounts receivable decreased from 54.6 to 54.5 days. Days cash on hand increased from 52.5 to Home Health visits were 41.2% over budget Primary Care was $71,000 under budget; Dr. Bains resigned in the middle of the month and the budget was prepared with an additional full-time physician included that has yet to be recruited. Ms. Anthony and seconded by Mr. Drouhard to approve the financial reports as presented. An Income Statement Synopsis was distributed to explain the highest reasons for the large budget variance of $208,000; Surgery Revenue Legal Fees Salaries For the first month of the new hospitalist program, inpatient census for April was 7.7 compared to the average of 5.1 January March. Finance Committee Minutes The Finance Committee Minutes of May 16 were reviewed.

3 Page 3 of 6 As part of the financing of the MEDITECH project, $1.8 million was moved from the Huntington to First Knox. The First Knox program is actually more beneficial than the program at Huntington. Ms. Fisher and seconded Ms. Weaver to approve the minutes of the Finance Committee as written. unanimously as presented. The MEDITECH go-live on May 1 went very well overall, however, there are some issues still being worked through. Generator Project $1,250,000 Plus $30,000 Engineering Fees. Mr. Miller indicated he and Facilities Manager, Mike Gale, met with each trustee prior to this evening s meeting to explain the system and answer questions regarding this project. Mr. Miller presented a new graphic which shows the old system and the new system side-by-side. He also reminded everyone the cost of the project is so high due to the fact the entire system, which was grandfathered in on code changes over the years, must now be brought up to code. Management Letter Management s Response Mr. Schueler presented Management s response to the Management letter presented with the annual audit presented last month. Mr. Drouhard and seconded by Ms. Anthony to approve the project as presented. Hospital Operation Reports: Medical Staff Report As there was no meeting in May, Dr. Hintz did not have a report Hospital Leadership Reports: President s Report Mr. Truax reviewed his report and added Alta Partners will

4 Page 4 of 6 begin their initial work with MCH Primary Care practice. A couple of their first priorities will be to work on the billing and collections of office visits, provider credentialing and consult on its day-to-day business practices. Dr. Hansen is doing well at the Primary Care and is seeing patients on Mondays and Wednesdays. The participation rate on this year s Employee Survey, was 93%, surpassing the goal of 90%. Results are expected in the next few months. Those results will be shared with the Board. Patient Care Services Ms. Heineman reviewed her report. Ancillary Service: Mr. Miller reviewed his report and indicated the generator project and removal of the underground fuel storage tank were divided into two separate projects in January. The storage tank removal has proven to be a problem. A denial was received for the Certification of Coverage on the tank which was installed in 1969, due to lack of appropriate documentation. Without the Certificate, the hospital will have the full liability for removal of the tank and the surrounding soil environment. Another question at this point is which fire marshal has jurisdiction over the project. We do not know if the Mt. Gilead Fire Marshal or the Fire Marshal for the State of Ohio will oversee the project. The project will be more complicated if the State has jurisdiction.

5 Page 5 of 6 It was also noted the tank is full. The fuel vendor has agreed to take the fuel, reprocess it and hold it until we are ready with a new above-ground tank. Mr. Miller shared the complaint investigated by The Joint Commission has been closed. Human Resources Annual Report Annual Report Ms. Nelson presented the annual Human Resources report delineating some of the activities of the department. She noted the voluntary turnover was 13.5%. Benefit Report Ms. Nelson shared the annual Benefit Report. This report includes: A summary of key components of the Employee Health Incentive Program Benefit Cost Breakdown Benefit Category Report Claims by Plan Top Twenty Providers Ms. Ray requested that such reports be available in the Board s preparation packet in future years. Home Health Advisory Annual Board Meeting Ms. Heineman presented the minutes of the Home Health Advisory Board Meeting of April 20. Earlier, Mr. Schueler indicated Home Health visits year-todate are 41% over budget. Future plans may include the addition of visiting and office personnel. Ms. Anthony and seconded by Mr. Leader to approve the minutes as presented.

6 Page 6 of 6 Other Business: OhioHealth Ms. Crego had no report. Balanced Scorecard Mr. Truax presented the results of the first quarter Balanced Scorecard as follows: Financial Performance 3.0 Quality of Care 3.0 Customer Satisfaction -.07 Quality of Worklife NA this quadrant cannot be scored until the Employee Opinion Survey and the recent Physician Survey results are in. Executive Session Approvals No items. Adjournment: Minutes submitted by: There being no other business, the meeting was adjourned at 7:14 p.m. Minutes approved by: Patricia Anthony Secretary Joyce Ray Chair