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Home My WebLink About820061.tiff —,,,t(7-3C---39'77P .--• \ cr JUL L 1 31983 GRELEY• COL-O. BYLAWS OF THE BOARD OF TRUSTEES NORTH COLORADO MEDICAL CENTER Reviewed, revised & ad3pted July 26, 1982 820061 BYLAWS OF THE BOARD OF TRUSTEES NORTH COLORADO MEDICAL CENTER CONTENTS ARTICLE I - ESTABLISHMENT OF NORTH COLORADO MEDICAL CENTER 1 ARTICLE II - GENERAL DUTIES Q: POWERS OF THE BOARD OF TRUSTEES 1 ,2 ARTICLE III - ORGANIZATION OF THE BOARD OF TRUSTEES 2 Section 1. Officers 2 Section 2. Executive Committee 2 Section 3. Standing Committees 3 Section 4. . Special Committees 4 Section 5. Ex Officio Members 4 Section 6. Visitors 4 Section 7. Annual Meeting 4 Section 8. Regular Meetings 4 Section 9. Special Meetings 5 Section 10. Quorum 5 11. Meetings of the Board 5 Section 12. Schedule of Committee Meetings. . 6 Section 13. Conflict of Interest Section 14. Attendance at Meetings 5 Section 15. Volunteer or Similar Type Organizations Section 16. Delegation of Authority 6 ARTICLE IV - NON DISCRIMINATION 6 ARTICLE V - THE ADMINISTRATOR 6 Section 1. Appointment 6 Section 2. Standards 6 Section 3. Enforcement of Bylaws, Rules and Regulations 7 Section 4. Interpretation of Rules and Regulations 7 Section 5. Appoint All Personnel 7 Section 6. Supervision 7 Section 7. Prescribe Standards and Procedures 7 Section 8. Medical Staff 7 Section 9. Records 8 Section 10. Business Methods 8 Section 11. Reports 8 Section 12. Meetings 8 ARTICLE VI - THE MEDICAL-DENTAL STAFF 8 Section 1. Organization 9 Section 2. Duties of the Medical Staff 9 Section 3. Appointment to Medic=.l Staff 9 Section 4. Eligibility 10 Section 5. Tenure 10 Section 6. Appointment of Officers and Clinical Chiefs 10 Section 7. Medical Care and its Evaluation 10 Section 8. Responsibility 10 ARTICLE VII - AMENDMENTS 11 APPENDICES 12 • • ARTICLE I • ESTABLISHMENT OF NORTH COLORADO MEDICAL CENTER Section I. Establishment The North Colorado Medical Center was established by Resolution of the • Board of County Commissioners of March 31, 1944 turning over control , main- tenance and conduct of the Hospital to the Board of Trustees of the Hospital effective April 15, A.D. , 1944. Section 2. Statute Authorizing The North Colorado Medical Center was established in accordance with Section 25-3-301, Colorado Revised Statutes 1973 and Weld County Home Rule Charter dated January 1 , 1976. Section 3. Name On February 3, 1953 an affidavit was filed with both the Secretary of State and the County Re reques- ted Clerk & Recorder Cc•::::�;,� Colorado which =•.;u_;- ted and received permission to assume the name of Weld County General Hos- pital . On June 30, 1932 an affidavit was filed with the Secretary of State and on July 1 , 1982 with the County Clerk of Weld County Colorado which re- quested and received permission to assume the name of North Colorado Medical Center. This is legalized by Colorado Session Laws of 1943, C.S.A. Chapter 78, Article 5. ARTICLE II GENERAL DUTIES & POWERS OF THE BOARD OF TRUSTEES The duties of the Board of Trustees, as the governing body, are as prescribed in Section 25-301, CRS 1973 and subsequent revisions. In general the duties of the Board of Trustees are: A. To determine the policies of the institution in relation to community needs. B. To require that proper professional standards are maintained in caring for the sick. C. To provide adequate financing for the operation of the Medi.cal. . Center and to require that businesslike methods be employed in the expenditure of and accounting for all monies . D. To provide necessary buildings, equipment and supplies for the care of patients, research, teaching and other proper activities of the Medical Center. E. To employ an experienced and properly qualified Administrator. F. To require that all responsible employees be bonded and se+ the amount of the bond. ARTICLE 11I ORGANIZATION OF THE BOARD OF TRUSTEES Section 1 . Officers At the annual meeting of the Board of Trustees , after appointment of new members to the Board of Trustees by the Board of County Commissioners, the Board shall elect a president ; vice president and secretary. President:A. The r 1 Cs iu_crii,: The president shall' i i preside at al i meetings of the Board. He shall appoint all standing and special committees unless otherwise provided and shall be ex-officio a member Of all such committees. He shall perform such other duties as may be required by the Bylaws. • B. The Vice President: The Vice President shall perform the duties of president whenever the president is, for any reason, absent or unable to serve. C. The Secretary: The Secretary shall require that minutes of the proceedings of the Board be recorded, ensure that appropriate notices of meetings are sent, act as custodian of all records and reports, have charge of the correspondence of the Board, the seal of the Medical Center, and such other papers and docu- ments as are not evidence of investment; and shall perform such other duties as usually pertain to the office. Section 2. Executive Committee The president, vice president and secretary shall constitute the Execu- tive Committee, with power to act on matters between the meetings of the Board of Trustees. The Administrator of the Medical Center shall act as the secre- tary of the Executive Committee and shall keep minutes of the meetings. The Executive Committee 'shall report to the Board on any action taken by it between the meetings of the Board of Trustees. - 2 -- Section 3, Standing Committees The president shall , following the annual meeting, appoint the follow- ing standing committees from the membership of the Board of Trustees and designate a chairman, unless otherwise provided. A. House Committee: The House Committee shall concern itself with financial activities of the Medical Center and serve as the Board of Trustees representatives to the Joint Budget Committee. The Committee shall prescribe the form and content of financial reports as may be required by the Board. The Committee shall deal with such matters of internal adminis- tration as may be referred to it by the Administrator or delega- ted to it by the Board of Trustees. All deliberations regarding internal administration shall be in conference with the Adminis- trator and the Committee shall exercise no administrative auth- ority nor in any manner deal directly with personnel of the Med- ical Center. The Committee shall consider requests for the purchase of major equipment not included in the budget. The Committee shall re- port its recommendations to the Board of Trustees for Board • action. In specific cases the Board may charge the Committee to act on behalf of the Board. The Committee may appoint such subcommittees as may be necessary to assi:.•t in fulfilling its responsibilities . Membership on sun subcommittees is not restricted to members of the Board of Trustees. B. Plannin`& Develojment Committee: The Planning & Development Com- mittee shall concern itself with the needs of the area served by the Medical Center and long range planning to meet those heeds. It shall be the duty of the Committee to consider all matters per- taining to new construction, major buildings alterations and the purchase of major equipment to be included in such projects. The Committee shall also serve as liaison with the Board of County Com- missioners, community groups, legislative representatives and bodies, familiarize the community with the services offered by the Medical Center and develop and maintain a proper relationship between the institution and the community. The Committee shall report its rec- ommendations to the Board of Trustees for Board action. In specific cases the Board may charge the Committee to act on behalf of the Board. The Committee may appoint such subcommittees as may be necessary to assist in fulfilling its responsibilities. Membership on such sub- committees is not restricted to members of the Board of Trustees. C. Joint Advisory Committee: The president, vice president and secre- tary of the Board of Trustees , together with the chief of staff, vice chief of staff and secretary of the Medical Staff, and the Administrator, shall constitute the Joint Advisory Committee. The Joint Advisory Committee shall be the liaison group for dis- cussion and consideration of medico-administrative matters which the Board of Trustees, the Medical Staff or the Admin- istrator may refer to it. The Committee shall exercise no authority but shall be the instrumentality through which the Board of Trustees and Medical Staff may discuss matters of common concern. The Administrator shall be the Chairman of the Joint Advisory Committee. • D. Joint Budget Committee: The Joint Budget Committee shall be composed of the House Committee of the Board of Trustees, the chief of staff and the two immediate preceding chiefs of staff and three representatives of the administration appointed by the president. The Committee shall annually review the proposed operating budget of the Medical Center prepared by the management and make recommendations to the Board of Trustees for changes in, and adoption of, the annual budget for the forthcoming fiscal year. The chairman of the House Committee shall serve as chairman of the Joint Budget Committee. Section 4. Special Committees • The President may appoint such special coniittees as may be required for specific assignments. Section 5. Ex Officio Members The president and the administrator shall be ex officio members of all committees of the Board of Trustees without voting power. Section 6. Visitors The president shall each month appoint two Trustees to visit and examine the Medical Center and report to the Board at its next regular monthly meeting. Section 7. Annual Meeting The annual meeting, as prescribed by law, shall be held on the second Tuesday of each January. • Section 8. Regular Meetings The regular monthly meeting of the Board of Trustees of the Medical Center shall be held on the fourth Monday of each month at such time as may be indicated in the call , unless changed by the Board or Executive Committee thereof. - 4 - • • Section 9. Special Meetings Special meetings of the Board may be called by the president, vice president, or any three members, provided every member shall receive twenty-four (24) hours notice of such meeting or shall waive such notice. Section 10. Quorum Four members of the Board shall constitute a quorum for the trans- action of business at regular and special meetings of the Board of Trustees . Section 11. Meetings of the Board Meetings of the Board of Trustees shall be open to the public as pre- scribed in CRS 29-9-101 1973. The Board may go into executive session upon a majority vote of those present. Section 12. Schedule of Committee Meetings Committee meetings shall be held on the call of the chairman. The House and Planning & Development Committees shall meet at least six times year. • Section 13. Conflict of Interest Any conflict of interest or any possibility thereof on the part of any Trustees should be disclosed to the Board of Trustees at the annual meeting or at such time a conflict may arise and shall be made a record of the pro- ceedings of the Board. • Section 14. Attendance at Meetings Members of the Board of Trustees shall be required to attend all meet- ings of the Board unless excused by the presiding officer. Members of committees of the Board shall be required to attend all meet- ings of the committee unless excused by the committee chairman. Section 15. Volunteer or Similar Type Organizations No volunteer or similar type organization shall be formed or operated within the Medical Center except upon express approval by the Board of Trus- tees of the volunteer bylaws, rules and regulations that delineate the pur- pose, function and operation of such organizations. No Trustee shall serve as an officer of a Medical Center volunteer organization during tenure as a Trustee. - 5 - Section 16. Delegation of Authority No assignment, referral or delegation of authority by the Board of Trustees to Medical Center management, the medical staff, or anyone else shall preclude the Board of Trustees from exercising the authority requi- red to meet its responsibility for the conduct of the Medical Center. The Board of Trustees shall retain the right to rescind any such delegation. • ARTICLE IV NON DISCRIM? NATION The Medical Center shall operate without restriction by reason of creed, color, sex, age, national origin or handicap in the provision of patient care, physician appoinWent and privileges or employment. • ARTICLE V THE ADMIiv!S•Li't►;uOT: Section 1. Appointment The Administrator of the Medical Center shall be appointed by and be responsible only to the Board of Trustees and shall serve as the chief executive officer of the Medical Center. He shall be responsible for the management of the Medical Center and the coordination of all departments thereof, including the Medical Staff, according to the policies and direc- tives set forth by the Board of Trustees. The Administrator shall be authorized to sign and execute contracts and documents for the operation of the Medical Center except that when competitive formal bids have been solicited the award shall be made by the Board of Trustees. He shall not purchase any unbudgeted item of capital expense exceeding $5,000 without the advance approval of the Board or its Executive Committee. Section 2. Standards The Administrator shall be required to operate the Medical Center and to coordinate all departments thereof in accordance with standards required by the Joint Commission on Accreditation of Hospitals and other recognized organizations or associations responsible for maintaining ade- • quate modern standards of hospital procedure and practice. To this end the Administrator shall promulgate and issue such rules and regulations and shall prescribe such procedures and techniques for the internal man- agement and operation of the hospital as may be necessary to fully meet and maintain these standards consistent with these bylaws and the policies adopted by the Board of Trustees. Section 3. Enforcement of Bylaws, Rulesand Regulations The Administrator shall see that all bylaws are complied with and shall enforce all rules and regulations of the Medical Center. Section 4. Interpretation of Rules and Regulations In all cases of disputed authority or uncertainty as to the mean- , ing of those bylaws or the rules and regulations of the Medical Center, the decision of the Administrator shall be operative until a ruling shall have been rendered by the Board of Trustees or the Executive Committee thereof. Section 5. Appoint All Personnel The Board of Trustees delegates to the Administrator authority to appoint, hire and dismiss all employees and to regulate the hours of work. Within the wage scale established by the Board of Trustees, the Administra- tor shall set and may adjust wages and rates of pay of all personnel of the Medical Center. Snctioil 6. Supervision The Administrator shall supervise the operations of the Medical Center and see that they are conducted in a competent and efficient manner. The Medical Staff shall he considered a department of the Medical Center for the purpose of administrative control . Section 7. Prescribe Standards and Procedures The Administrator, after consultation with and the advice of the Exec- utive Committee of the Medical Staff, shall prescribe all procedures, stan- dards, methods of techniques bearing upon the care of patients and practiced in the Medical Center. No such procedures, standards, methods or techniques shall be adopted or practiced except upon the authority and after the appro- val of the Administrator. Section 8. Medical Staff The Administrator shall see that all physicians, dentists and other practitioners comply with the rules and regulations and the standards of practice of the Medical Center. He shall require all physicians to limit their practice to privileges granted to each by the Board of Trustees and may deny or suspend privileges of any member of the staff for violation of, or non-compliance with, the regulations or standards of practice of the Medical Center. In addition, the Chief of Staff, the chairman of a clinical department, the Administrator and the Executive Committee of the Board of - 7 - Trustees shall each have the authority, whenever action must be taken immediately in the best interest of patient care in the Medical Center, to summarily suspend all or any portion of the clinical privileges of a practitioner and such summary suspension shall become effective immedia- tely upon imposition. Section 9. Records The Administrator shall adopt a system of records and reports which shall reflect the quality of professional work and the volume of service rendered. Section 10. Business Methods The Administrator shall prescribe the procedures and methods employed in the management of the Medical Center, and such other statistical and financial data as may be prescribed or required by the House Committee. The Administrator shall not have the authority to make any change in the established rate schedule with respect to the charges for day rate, but shall have the authority to establish such charges for services, lab- oratory examinations, x-ray examinations, use of operating rooms, adminis- tration of anesthetic, et cetera , as may he necessary to provide adequate income for the efficient operation of the Medical Center. Section 11. Reports The Administrator shall keep the Board of Trustees fully advised in all matters pertaining to the operation of the Medical Center; services rendered, operating income and expense, financial position, and, to this end, shall prepare and submit a comprehensive report to the Board of Trus- tees at each regular monthly meeting or at any time as may be directed by the Board of Trustees. Section 12. Meetings The Administrator shall attend all meetings of the Board of Trustees and all Committees thereof. He shall have the right to attend all meetings of the Medical Staff or Committees thereof, and of any other groups or com- mittees which may be formed to promote or carry on any transaction in the interest of the Medical Center. ARTICLE VI TI;C MEDICAL-DENTAL STAFF Section 1. Organization For the purpose of these bylaws , the designation Medical Staff shall be interpreted to be the organization of physicians, dentists and other practitioners who have privileges to attend patients in the Medical Center. The term "Medical Staff" shall mean the Medical-Dental Staff. The Medical Staff shall , after appointment, perfect its own organiza- tion and shall adopt bylaws, rules and regulations for the conduct of its affairs, but such bylaws, rules and regulations shall be subject to the approval of the Board of Trustees and shall not conflict with the rules and regulations adopted by the Board. Section 2. Duties of the Medical Staff it shall be the duty of the Medical Staff to supervise and maintain the quality of professional work in accordance with the standards of med- ical practice and to maintain high ethical standards of the profession . . Section 3. Appointment to Medical Staff Members of the Medical Staff shall be appointed by the Board of Trustees. All applications for appointment to the Medical Staff shall be addressed to the Board of Trustees in writing and shall be filed with the I.L.:�i 11...; NVV1 • 1Tie upl, t`aiiY shall i Jp\.V ry the and shall make a statement regarding his general training, experience and qual- ifications. The application shall contain full information concerning he applicant's education, licensure, practice, previous hospital experience, and any unfavorable history with regard to licensure and hospital privileges. Upon receipt of an application, the Administrator shall transmit same to the Medical Staff for necessary action. The Medical Staff shall , thereupon, make such comment and recommendations to the Board of Trustees as it shall deem proper, such recommendations being made in writing through the Administrator. The details of procedure in the consideration of applications by the Medical Staff shall be prescribed in the Bylaws of the Medical Staff. All physicians/ dentists practicing in the Medical Center must be appointed members of the Medical Staff and shall have only such privileges as have been granted by the Board of Trustees. All other practitioners must be reviewed by the Med- ical Staff and shall have only such privileges as have been granted by the Board of Trustees. Any Medical Center employed physician or dentist who has been granted Medical Staff membership and clinical privileges shall not have such member- ship or privileges modified in any manner without the same due process as provided any other Medical Staff member unless specifically provided in the terms of the employment agreement. All physicians, dentists and other practitioners shall be required to agree in writing to be hound by and to follow Bylaws of the Medical Center and Medical Staff and all policies, directives and other such rules and reg- ulations of the Medical Center before the granting of appointment or privi- leges by the Board of Trustees. Practitioner shall mean any individual not an employee or contractor of the Medical Center who is granted privileges to practice a discipline of medical care in the Medical Center. Section 4. Eligibility Applicants for appointment to the Medical Staff must be fully licen- sed to practice in the State of Colorado. The Medical Center reserves the right to declare closed staff status when warranted by the best int- erest of the Medical Center and patients. Section 5. Tenure Appointment and reappointment to the Medical Staff shall be for a period not to exceed two calendar years. Section 6. Appointment of Officers and Clinical Chiefs All appointments for the Chief of Staff, Vice Chief of Staff, Secre- tary-Treasurer and clinical chiefs of service (department chairmen) shall be made by the Board of Trustees upon recommendation of the Medical Staff. Duties and responsibilities of the clinical chiefs shall be set forth in the Medical Staff Bylaws. Clinical chiefs shall be required to maintain their qualifications for Medical Staff membership and privileges appropriate to their assignments. Section 7. Medical Care and it -r`_._._.^ton ______ The Board of Trustees shall , in the exercise of its overall responsi- bility, assign to the Medical Staff reasonable authority for ensuring appro- priate professional care to the Medial Center's patients. The Medical Staff shall conduct an ongoing review and appraisal of the quality of professional care rendered in the Medical Center and shall report such activities and their results to the Board of Trustees. The Medical Staff shall make recommendations to the Board of Trustees concerning: 1) disciplinary actions; 2) all matters relating to professional competency; and 3) such specific matters as may be referred to it by the Board of Trustees. Section 8. Responsibility All medical or dental care given in the Medical Center, whether to in- patients or outpatients, shall be the responsibility of the attending physi- cian or dentist who shall write all orders for treatment and receive all clinical reports. He shall be responsible for transmitting reports of the condition, or death, of the patient, to relatives and to the referring physi- cian or practitioner. • - 10 - . ARTICLE VII AMENDMENTS These Bylaws may be amended at any meeting .of the Board of Trustees provided the call for such meeting gives notice of the intended amendment. . For such action, affirmative vote of five (5) Trustees shall be necessary. Adopted as revised by the Board of Trustees for Weld County General Hospital at a meeting held at the Hospital on November 28, 1977 to be effective January 1 , 1978. Reviewed, revised and adopted July 27, 1981. Reviewed, revised and adopted by the Board of Trustees for North Colorado Medical Center at a meeting held at the Medical Center on July 26, 1982. Dreaanti Michael D. Neigh rs , Secretary William F. Allnutt, President Board of Trustees Board of Trustees - 11 - APPENDIX 1 County Hospitals, Establishment CRS 25-3-301 to 25-3-314 APPENDIX 2 Resolution establishing Weld County General Hospital - 12 APPENDIX 1 C0l1N'f'Y 110S1'1lAl.S. 1:.>'1'A131.!S11A!l;i!"t' .101. 1'slnbl;slmtent of public hncpilal. (I) \\'bent• Ilse board of • • 25.3-County commissioners of any county ,which has a poputttton of at least Ihtee . thotisand is (ncsCntcd \kith a pelilion si^ncd by live huntliit! tcsident icl:tr . leach gnali(tCd eketots, or by (illy percent of the residentfwc ieitelnlsidcats . Clcctots of such county. :tt least two hundred fifty' of used to locate eilll elf other than the coinuy seat or town where rt is I ! 'Ctito and e s ch public hospital. asking. that a public hospital boat d be appointed 1n annual tax be levied for the cstablishnwttt t maintenance 1 tenance of a public ht .s I =•. . S9 • }iospit:tls ' 25-3.302 II ._ anti sshich • - . . tpct ton shall specify . tn) pl a place in the county named therein, • • the maximum amount Of Burney proposed to he expended in purchasing Or • said hos 'u:tl, such board of county cotnntissioners shall have the ! building ! !'!ic hospital bo;tnl, to levy such lax. t t. power to create, by resolution, such 1 ▪ and to appro,tittle to such public hospital bo:ud the funds for purcha sng • or building such hospital ;tnd for imtint:tinier the hospital. its well as the t. r • the boar l u( county .. power to turn to [in: co::unl ape; m:untCnance of such public hospital board M • ;lily pul•bc or other hospital then being conducted by •i COmnt,ssioners. 'Saud tax shall not exceed three mills on the dollar for each . • },eat, titio❑ • , a ( later filed with like i • ye11 it is proposed in such petition, or in a p : (?) brie elector signers, • } of resident rceis;c;cd qualified c clog s: ^rs, to create , n indebted- - nussbcr erecting, or cn!:rgin_ of buildings or _ • ncss of the county for purchasing. nn commissioners equipment for such fitil!le hospital. then the hoard of county coign the manner provided by law for creating debt• •: Sh;d1 subati; such gc._s.:on to . • (p[ ciCClnt. pui:!i•c buildings and: if the vote authorizes, :Cstst. lll!`o:C�C�CUI such • !. ! •s it::l board r ; bands, a art:!.ration as the public ar { • lic hospital hoard may bnvh a population of less than three thousand, a pup,; ! • • • • he created by the petition of not i^-SS than fifty-one percent of the resident • • • • • registered qu:difled•eiectOrS or two hunched such tesluent registered qualified alifieU . • • . electors, regardless of where they live in the county. lit such ecunt ics. an • annual levy Of not to exceed five milk on the c'",:-;r shall be assessed to • purchase, build, and maintainsuch a county hospital. § .1 Source: L. 43, p. 275. 5 1; CSA, C. 7S, § 151 (1); L. 53, p. 342, 1; ` CRS 53, § 6G-7.1; C.R.S. 1963, § 66-7-1; L. 70. p. 140, § 9; L. 71, p. 634, '•§ 1. • . • • . • : t - • Ant. )ur. Src 40 Ant. Jur 2d. Hospitals and Asylums. 5 5 3.21. - • r) C.J.S.Scc 41 C.J.S.. }lospit;:h,5 5 2.4. I.; •••• • S-3.3,02. I;n:rd c( trustees. (1) 1( the board of county commissioners • i decides to create su•:h public hospitald t i,t;id, levy or;� lea lnnualver ttax. ccmtiTol!of • ptialc fun !s to pm-chase,se. erect. • such county hos;''. ' the bocud of county commissioners sl:^!l proceed at • . once. to :+ '1•oint. fur designated terms. a bo:ad of seven public hospital • trustees chosen from the cititens at 1:,ree with reference to their fitness for i such office. :Al of v.ito:n .hail be tcsic(_uts of the county and none of whom • shall b :t (uaclici,:1: plg.•sician or an elective or appointive state. county, or l city official. Not more than four raof stud ,i hospital ltrustees lm.hlcshall l, e The seven tit the nil}' or town m tsh:ch I . , appointees shall constitute the both," of huspitel uta:cc:. for sa::l public Itnspi- ices Such boait shallllos ph.il".te tthe body namtrcorporate c,f the Iii'dtinder pilal Ici name inscilettlit\ tbc'II hhuth. (or I :i (11 One of the uuslees, std desitmated in s,nib urn;m:d appointment. stall laic i until the e nu Tuesday of January folltmni : his appointment, one until the second Tuesday cif the second !:nuroy followiott his appontl- nttt:l. Iwo mild the second Tuesday of the tl:int ):uucuy foihtuil}t their a .•• t•• .ppoinultent. one ut:ul the 'ccund •!•ucstl.1)• of the (amts .1 di following t his appointment, and two until the second Tuesday of the fifth J;musty ft Ott) i • ( i . . . 25-3.303 Ilealth 90 , their appointment. Thereafter, the term of office of each appointee shall he • ° five years from the end of the ptecedinc term. At the expiration of the term lt of each of said trustees, the office shall be filled by appointment of the board �• - of county commissioners. • (3) in those counties having a population of less than three thousand, the board of public hospital trustees shall consist of five citizens at latcc hnvun • the same requirements with reference to their fitness for such office as all i . oilier .counties. One of said trustees. so desinnated in • such oriclnal appoint• f mcnt, shall hold office until the second Tuesday of January following hi, appointment, one until the second Tuesday of the second January following ' his appointment. one until the second Tuesday° of the third January followia_• his appointment, one until the second Tuesday of the fourth January follow- • . inr his appointment. and one until the second Tuesday of the fifth January :• following his appointment. The term of office and the method of fillies: • !! vacancies shall be the same as for all other counties. F.t. .' • Source: L. 43. p. 276, § 2: L. •17, p. 503, § 1; CSA, C. 7S, § 151 (2); L. 53.p. 313, § 2; CRS 53, § 66-7-2; C.R.S. 1963, § 66-7-2. • . [ . .. t Am. Jon See 4d Am. 3ur.2d, Hospitals and �: Asylums.§ § 6.7. • 1 C.J.S.Scc 41 C.J.S..I tospitals. § 9. _ 25-3.303. Organization of trustees. (I) The members of the board of • ° public hospital trustees within ton days after their appointment shall qualif} by taking the oath of office. On the second Tuesday of each January, -they • shall organize and operate as follows: (a) Unless otherwise authorized under the provisions of paragraph (b) of this subsection (I), they shall elect one of their number as president, one as vice-president. '^d one as secretary. No bond shall be required of them. • The county treasurer of the county shall be treasurer of the board of trustees • and shall receive and ray out all moneys under the control of said baud' as ordered by it but shall receive no compensation from such board. No trustee shall receive any compensation for services performed but may ' receive reimbursement for any cash expenditures actually made for personal expenses incurred as snzh trustee. An itemized statement of all such expense and money paid out shall he or•'•_ under oath by such trustee and filed with . the secretary and allowed only by the affirmative vote of all the trustees present at a meeting c-f the board. • ' (b) if approved by resolution of the board of counly'cotnnnissioers. the • board may organize and operate by electing one of their number as president. • • one as vice-president, and one as secretaay-treacurer. The trustees nna} appoint an assistant secretary-treasurer ft um outside the membership of the board of trustees. No bond shall be required of the trustees, except of tfe secretary-treasurer and assistant secretary-treasurer who shall each file vttl' • the board of ti us:ces. at the expense of the hospital, a corporate fidelity bond in an amount not less than ten thousand doll:us. conditioned on the i:it:i m l pctformancc or the duties of his office. The secretary-treasurer shall tcceoe • and pay out all the moneys tinder the cannel of the board of uuctees : ordered by it. No Uuslec shall iceeive any compensation for services per• formed, but may teccive teintbutseutent for any cash expenditures actually 1 . • f __.__ . .__- ._ .. __ -------...t • i .•. • 91 t hospitals 25-3-304! made for personal expenses incurred as such trustee. An itemized statement of all such expenses and money paid out shall be made under oath by such trustee and filed with the secretary-treasurer and allowed only by the affirma- tive vote of all the trustees present at a meeting of the board. Source: L. 43, p. 276. § 3; CSA, C. 75. § 151 (3); CRS 53. § 66-7-3; • C.R.S. 1963, § 66-7-3; L. 73, p. 690, § I. 25-3.30-1. Trustees - powers and duties. (1) The board of public hospital trustees shall make and adopt such bylaws, rules, and regulations for its own guidance and for the eovernment of the hospital as it deems expedient for the economic and equitable conduct thereof, not inconsistent with state law • or the ordinances of the city or town wherein such public hospital is located. • The public hospital board shall have th' exclusive control of the use and . expenditure of all moneys collected to the credit of the hospital, including • the right to invest or have invested hospital moneys and funds held by the • hospital or in the office of the county treasurer and to receive the interest and income therefrom. and of the purchase of sites, the purchase, construe- • ' lion, or enlargement of any hospital building. and the supervision, care, and • custody of the grounds, rooms, or buildings purchased, constructed, leased, or set apart for that purpose. The hospital board may acquire by lease real . and personal property subject to the approval of the board of county commis- sioners. All tax moneys received for hospital purposes shall be paid out of • • the county treasury only upon warrants drawn by the county commissioners : upon sworn vouchers approved by the ltc.:pital board. Ail other ❑oney's . • received for such hospital shall be deposited in the treasury of the hospital and paid out only upon order of said hospital board. Hospital property and facilities, including real and personal property, may be acquired and held by lease or conveyance on transfer of title, but if by conveyance title to all lands • shall be in the name of the county. (2) The board of public hospital trustees shall have power to hire, retain, and remove agents and employees, including administrative. nursing, and professional personnel. engineers, architects, and attorneys, and to fix their , compensation; shall have the power to borrow money and incur indebtedness, • and to issue bonds and other evidence of such indebtedness: except that no • indebtedness shall be created, except as otherwise provided by statute, in excess of the revenue which may reasonably be expected to be available to • the hospital for repayment thereof in the fiscal year in which such indebted• ness is to he created, and except that no such indebtedness shall be incurred without the approval of the hoard of county commissioners; and shall in gem oral carry out the spirit and intent of this part 3 in establishing and maintain- ing a county public hospital. Such bond of public hospital trustees shall hold ulecttirgs at least once each month and shall keep a complete record of all • its proceedings. Four members of the board shall constitute a quorum for the transaction of business. One of the trustees shall visit and examine said hospital at least twice each month, and the public hospital hoard. dining the - first weal; in each January and July. shall file with the board of county commissioners a report of their proceedings with reference to such hospital and a statement of all receipts and expeuditutes during the half year. On • • . or before each October first, the hoard shall certify to the hoard of county Conunissio:ets the amount necessary to maintain and improve said hospital • I S. • ' ti , _ ' 25.3-305 Health . 92 ' for the ensuing year. No trustee shall have a personal pecuniary interest. ' either directly or indirectly. in the purchase of any supplies for said hospital, , unless the same are purchased by competitive bidding. Source: L. 43. p. 277. § 4; CSA. C. 7S, § 151 (4); CRS 53. § 66-7-1; 1 . C.R.S. 1963, § 66-7.4; L. 73, p. 691. § 2. Am. Jur. Sec 40 Am. Jur.2d. Hospitals and - • Asylums.§ § 5.7. C.J.S.See 41 C.J.S.,}to>pitals, § 9. . ' • 25.3.305. Vacancies - removal for cause. Vacancies in the hoard of trustees . occasioned by removals. resignations, or otherwise shall be reported to the • board of county commissioners and he filled in like manner as original • appointments. Any trustee may be remo:ed for cause by the board of county • . commissioners. • Source: L. 43, p. 278, § 5; CSA, C. 78, § 151 (5); CRS 53, § 66-7-5; 1 C.R.S. 1963.§66-7-_5._ 1 - Am. Jur. See 40 Am. Jur'd. Hospitals and • .. . i Asylums. • . A §7. C.J.S. See 11 C.1.5.,Hospitals.§9. . - . i 25.3-306. Right of eminent domain. If the board of public hospital trustees I , for hospital nn' ,oseS cannot and the owners of any property desired by it 1 1 ;Tree as to the price to be paid therefor, said board shaii report the f.tris to the hoard of county cormissio'tcrs, and condemnation proccedines shall • be instituted by the board of county commissioners and prosecuted in the • . name of the county wherein such public hospital is to be located. Source: L. 43, p. 278, § 6; CSA, C. 78, § 151 (6); CRS 53, 5 66-7-6; C.R.S. 1953. § 66-7.6. • Am. Jun Sec 40 Am. Jur._d, Hospitals and • • Asylums.§ 5. C.J.S. See.11 CIS., Hospitals. § 4. 25-3-307. ltuiidin;; requirements. 110 hospital buildings shall be erected or constructed until the plans and specifications have been made therefor and adopted by the board of public hospital trustees and bids advertised for according to law as f ,,.. other county public buildings. Such hospital may be in more than one unit or set of buildings o:i,hin the same town or city. or . in separate towns or cities, or within adjacent counties. and, if in adjacent counties. uI•,On !ii—ova' of the Iespective boards of county connuissioners. Source: 1.. 43. p. 278• y 7; CSA. C. 78. 5 151 (7): L.-51, p. 4.12, § 1: CRS 53. § 66-7-7: ,C.R.S. 1''.t,3_§ 66:7_7__1. 73. P. 692, § 3. 25-3.3(", lmprovetncuts or enlargements. In counties exercising the virtu, eouk'ired by this pact 3. the board of enmity cum:uni\sioners may apprnp:iale . each year. in addition to the lac fur hospital fund piu, ided for in season 25.3.3111. not note than five 1•ereent of its pcncral fund lot the improvement , or enktir.cmcnt ul any public hospital so established, t • l . Splint I.re . •13, p. 278. § 8; CSA, C. 78, § 151 (8); CRS 53, § 66-7.8: C.It.S. 1963. §±6-22..8, i. . • .t rr 93 Hospitals 25-3-312 25.3.309. Hospital fees. Lvcry•hospilal established under this part 3 shall be for the benefit of the inhabitants of such county and of any person falling . — sick or being injured or maimed within its limits. Every inhabitant or person Who is not a pauper shall pay to the board of public hospital trustees or such officer as it shall designate for such county public hospital a reasonable compensation for occupancy. nursing. laboratories, care. medicine. or • sttendants according, to the rules and regulations prescribed by said board in order to render the use of said hospital of the greatest benefit to the great- cst number. . Source: L. 43, p. 27S, § 9;CSA, C. 7S, § 151(9); CRS 53, § 66-7-9; C.P.,S ° .1963, § 66-7-9, . Am.Jur. Sue 40 Am.Jur.2d,Hospitals and Asylums.5 6. C.J.S.Sec 41 CJ.S..Hospitals.§7. • - • 25.3.310. Rules and regulations. (I) When such hospital is established, the physicians, nurses. attendants. persons sick therein, and persons approaching or coming within the limits of same and all buildines and grounds of such hospital and all furniture and other articles used or brought there . shall be subject to such rules and regulations as said public hospital board may prescribe. (2) S•iid public hospital board may exclude from the use of such hospital spy inhabitants and persons who willfully violate such ones and regulations. The board may extend the privileges and Ilse of such hospital to persons residing outside of such county upon such terms and conditions as said board : may from time to time by its rules and regulations prescribe. •• • , • Source: L. 43, p. 279, § 10; CSA, C. 7S, § 151(10); CRS 53, § 66-7-10; • C.R.S. 1963. § 66-7-10_ r Am.Jur. Scc 40 Am.Jur.'_d,Hospitals and • Asylums.s 5. • • • .- C C.J.S.Sec 41 C.J.S.,Hospitals.5 5. • 25-3-311. Donations permitted. Any person. firm, organization, rganiz per sonal o , corpol a- lion, or society desiring to maI:e donations of money. property. a- .teal estate for the benefit of such public hospital shall have the right to vest • title of the money, or real estate, so donated in said count)', to he controlled. .when accepted. by the hoard of public hospital trustees according to the terms of the deed. gift, devise, or bequest of such property. Source: L. 13. p. 279. § 11; CSA, C. 78. § 151(11); CRS 53. § 66-7-11; ' C.R.S. 1963• § 6G-7_I I. • 25.3-312. Training school for nurses. The board of trustees of such county . public hospital may establish and maintain, in connection therewith and as s part of said public hospital. a training school for nurses. i • _ Source: I.. -13• p. 279. § 12; CSA, C. 78, § 151(12); CRS 53. § 66-7-12; t C.it.S. 193.§ 66-7-11 Am. Jur. See 40 Am. hu.2.1. Ilospitals nod t Aylunn,§ 2. , ., r • 25-3-313 • Health 94 45.3.313. Lcase of hosnitel. The public hospital board having control of such hospital after its establishment and turnine over to its mane cnlent may • in its discretion rent or lease the said hospital, fany urpsuchr n n allot for d for pecuniary term as it deems reasonable and proper, profit duly er,;:lniied under the laws of the state of Colorado for the purpose of conducting a hospital. § 66-7-13; Source: L. 43, O. 279, § 13; CSA, C. 75, § 151(13); CRS 53, • • r.C.R. -L1,3 § 66-7-13. i 2S-3.314. Charge for professional services. Any hospital which is owned , And operated by a county, or by a city and county, having_( a populut tcltal j .,,, excess of two hundred fifty thousand persons and winch is a e, ching ho duly accredited a.s such by the joint commi:;ion on accreditation ^f sosipiti is i-_ American .m heal ;end by the council on m:i.,c.;l education of the , . may employ physicians and surgeons licensed to practice medicine icine in the state of Colorado for the performance foma facility located prof e i s na il the ce0 l, ' . lseri ces in :l llch•1hospi • - tal or in any rciJ outpatient • fines of the uospit:d, which facility is owned by such county or city and • county. Charges for the set-vices so rendered by any such physician to ;sur- um ` • peon, excluding am fes Tonal tratnec s, Shall he c01 eel':d 1.1:'CGL;O the of such hospital in the name of t lie physician or surgeon and, u ton collectio, Shall be placed in :: medical practice fund to be established.^ \'plc ni Cf Cr,maintained,l fS`1'and used by such hospital solely for the purpose of to thephysicians :.: 1 sir;coos s:, employed ar;d for file payment of calsuita- phyto lion fees to other physicians and surgeons not so employed, or directly to physicians and surgeons who are directly engaged in medical research or • medical education. ° Source: L. 67, p. 306, § 1;,C.R.S, 1963, § 66-7_11.—. __ APPENDIX 2 , . REOOLU TI OtI M 1'?,•3, the Board of County Coc-lesicnors of ::old County, Colorado, heretofore nes presented with a petition asking for the appointment of a Public '.:oopital ^oard, for the establisJsent end • rainto:anco of a public hospital in the County Seer of said County at Creoley, Colorado, and that said Board of County Ca.:..l sslonera - • turn to such ^ospital Board the control and naintonento of the '_old County hospital non being conducted in Greeley, Colorado, and that an annual tat of not execedina ono rill on the dollar of assessed _ valuation be levied for the naintenarce and oceraticn thereof, and Zliat&•S, said Board of County Con=lssioners has convetsod said petition and has trade in:eati7ation and has found, and does hereby • find and deternine that said petition, presented as aforesaid, was • • sibied by more. than 5^30, to sit, 632 resident free holders of "Jeld • County, of chop more than 250, to tit, 3.53 are residents of said County outside of said City of Greeley, in which said city hospital• _ is located, end • • • i=';CL , said Board of County Co=r-issiontra is non satisfied that • - • • it could be for the best interests o: the people of said County to grant raid petition, and bcinc, so satisfied, has decided to create • such public boapltal board, to turn over to it the control of said . '17::.- hospital and to levy ,-..u-tax aforesaid. NO'; •ice:=`oT2, be it resolved by the Board of County Caiassioners of :old County, =olcr,•.do, that the b0;.H� Oc pt')hIC E.Z^IT.J., cen215t1n3 of saran v,abers, as provided by ler,, to • and it in hereby created, ?oat tho folioain; na_cd peranan to and they are hereby appointed • • • to scree es trusteos of c-aid bo.:rd for the reapoctivo ter.-..s sot opposite their reepee:ivo natant • • ho : n-.11 ....c. -. Ad.. ce e ;osacy ,o .:-.ua , 4.. - • / \ :., U ,•c11 an u..:,l : .a .'.:,:v.,t .a.:s.ay of . .//l, .t. j i'. f /. ' n 't.t-1;. :i -_. . ... r Ct�'.:: L:..fin Ga•i .: U :..i.:•• ad / 14 Nf 21 CIA 1A. J ,..w..,. oi- i:..i, ..)u tic; icu v..:11 .. �. /^1A• c-r of t boil 01'1'1co rain t..a ::emend •':ucaday oiJanuary,/+ A. D�iL• 4d. ��, n � �, of �/ • Lei hold orrice uatli tae second .uesday of Junu::ry, A. A. lv•;9. J ��I ) �. !.,LG rte, of -''L V f mac-..• to hold Calico until tnooacond Tuesday or Jasuuri A. J.• 1549. BE IT TUWZCB RESOLVED, that the control and.asintonance of said • hospital now conductod by said Board of County Cc=lssionora of :eld County, be and hereby is burned to said Board of Trustees for :old • County Public Fospital, same to bocone affoctivo Aril 15th, A. D. 1944. It shall be understood that said hospital includes and it is hereby defined as being the hospital buildings, grounds and o;uiptent end aunl- Sary buildings now located in the city block bounded by 15th Street on • the South, end 11th _venue on the _est, in the City of Crceley, and also the building used as a "pest house", or isolation hospital, located at, or adjacent to Island (.7ovo /ark in said City, but does not include the so-culled County hone, formerly soy.etines called the Island Crovo Hospital, control and operation of which is and shall bo. retained by said _oard of County Ca=l ssiorcrs. • BD IT 1Jni`.n r_Es-'--VED, that the proceeds of the one rill levy hero- ' tofore mode for the maintenance of said ::aid County tfospitel and all in- Como and earainrs of said hospital “re appropriated cffectiso on .ipril 15, 1944, for the maintenance of said d!ospitel and for the care of all indigent patients who shall be certified or approved by the '.old County relitre D:part:ent, for treat=:nt or hospitalization therein, and all mob coneys shell be deposited in the treozury of :geld County to the • credit of said public hospital fund and shall to paid out only upon warrants ordered drama by said toard of County Co.t1 csionore upon sworn touchors approved by acid !vspital :;oard. Said .:old County Public Hospital shall to for the benefit of the Inhabitants of .old County and of uny person falling sick or being Injured or nalaod within its llzits, but every such inhabitant or parson who in not a pauper shall pay- to said board of hoopitul truateos or such officer• . as It shall decimate for such county public ho_pitnl, a roasor,ublo-com- • pcnnutlon far occupancy, nursing, l.nhorotorina, corn, and:ciao, or . .. 2 • • attendants, accordin,; to the rules and regulations prescribed by said board in order to render the uno of said hospital of the creatost benefit to the greatest number. The appropriation of the proceeds of said mill levy and of said other income or oarninzs to said Board of Trustees for the purposes aforesaid, is and sha11 be strictly upon the condition that all such indicant patients certified and anproved as aforesaid, shall receive • treatment and hospitalization in said hospital according to their needs, as provided by law, and that said Board of Trustees shall make no rule . or regulation in conflict with this condition and shall not deny admittance nor treatment to any such indirrent patient and that the public welfare department, or such Board of County Commissioners, shell determine which of the inhabitants of said County are paupers. BE IT :FURTHER R SCLVED, that all unpaid bills and accounts now duo or hereafter to become dae to said County for or in connection with care be and the or treatment at said iospital they are hereby assi wed to said Hospital Board and all said accounts receivable and all moneys now in • the hands of the Treasurer of :.old County in the hospital operating fund . be and arc hereby c_pproprintod for the neynent of all indebtedness now • oinc: by or to becr.'o duo from said County on account of said hospital and.tcr the maintenance of said hospital and the core of said indigent • patients, and that said :ospitnl ?onrd bo and it is herby authorized to pay end satisfy n11 such bills payable and to collect all said accounts • recoivoblo by suit, or othorwiae. Hello