HomeMy WebLinkAbout20183789.tiff NCMC Board of Trustees
Regular Session Minutes
Monday, October 29, 2018
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
October 29, 2018, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Mark Lawley, Chair, declared a quorum and called the meeting to order at 12:00 p.m.
ATTENDANCE ROSTER
NCMC Board of Trustees: Mark Lawley, Michael Simone, Catherine Davis, Kay Kosmicki, Kevin
Mullin, Brian Underwood, and Sean Conway (Commissioner, non-voting member), with
Jason Yeater-Excused
Banner Health: Margo Karsten (NCMC CEO)-Excused, Derek Strader (NCMC COO)
Staff: Jeff Carlson (INC. Board Exec. Dir.)
Recording Clerk: Esther Gesick (Weld County Clerk to the Board)
PUBLIC COMMENT-There was no public comment.
APPROVAL OF MINUTES
It was MSC (Davis/Mullin) to approve the minutes from the September 24, 2018, Regular
Session meeting.
NCM CEO/COO REPORT
Derek Strader explained it has been decided to go to a two-CNO(Chief Nursing Officer) model.
He introduced Jason Collins (Director of Emergency Department) who has agreed to serve as
the interim Chief Nursing Officer at NCMC until the new dual-position previously held solely
by Roberta Bean is recruited and filled. Mr.Strader explained they are also transitioning from
Premier to Action Align, which is an IBM product, to analyze staffing models and
benchmarking. The 2017 analysis has been completed and the 2018 analysis is anticipated
to be done in March 2019, to gain some perspective on the nursing levels and how they are
benchmarked in Banner and nationally. Lastly, he reported the Trunk or Treat event will be
taking place this evening in the NCMC parking lot and they are anticipating 1,200-1,400
attendees. In response to Mr. Mullin, he stated the new MD Anderson Cancer Center will
provide a report at a future meeting; however, he noted that following the public
announcement they did observe a surge of referrals, and they have welcomed a new Surgical
Oncologist to the staff.
COMMISSIONER'S REPORT
Commissioner Conway reported the 2019 budget meetings were held with elected officials
and department heads, and the Budget reflects the addition of 65 new FTE, bringing the total
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2018-3789
number of County employees up to approximately 1,700, in response to the phenomenal
growth and increased demand for services. He commented that Proposition 112 is still
pending, and the Board of Commissioners has discussed options if it passes in anticipation of
a slow, steady economic decline. However, if it fails,the Board is anticipating to further lower
the mill levy. He reported they also had a healthy discussion concerning the Bright Futures
program and he thanked the NCMC Foundation for its support of the program. He stated
donations have been lagging, presumably based on the uncertainty for the future with the
pending election, and as a result,the Bright Futures Board crafted a 5-year plan to encourage
increased donations. In response to Mr. Underwood, he explained the grant amount per
student was decreased to $2,000, it now includes a community service component, and they
must attend colleges to adjoining states to encourage growth of the local workforce.
Responding to Ms. Kosmicki, Commissioner Conway emphasized it is a job training program
to meet the needs of the workforce. Mr. Strader agreed NCMC is also working with the
schools and parents to provide education concerning options for trades skills and job
opportunities in the community. Commissioner Conway noted three years of data have been
compiled to track the amounts granted to students, their academic results and where they
are working following graduation.
VISITATION REPORT FOR OCTOBER 29, 2018
WOUND CARE DEPARTMENT-JULIA BOYD, RACHEL NARANJO, AND MICHELLE YANKOWSKI
Julie Boyd, Rachel Naranjo, and Michelle Yankowski were present and provided an overview
of the Wound Care Department. Following the meeting, Brian Underwood submitted a
summary of the presentation and related discussion, a written copy of which is attached as a
part of these minutes. Kay Kosmicki prepared a note of thanks.
VISITATION REPORT FOR NOVEMBER 26, 2018
Mark Lawley and Jason Yeater
NCMC, INC. REPORT
Jeff Carlson reported NCMC Inc. manages the investments and audits of the Pension plan,
which predates the Lutheran Health and Banner Health contracts; however, approximately
400 employees still maintain pensions on that plan. He also reported NCMC Inc. manages
several properties in the land bank and they have received some interest from entities that
would like to purchase them; however, it has been decided to retain them for now.
NEW BUSINESS— None.
ADJOURN
There being no further business to come before the Board, it was MSC [Simone/Kosmicki] to
adjourn the meeting at 12:56 p.m.
Respectfully submitted,
Esther Gesick
Page 2 of 2 October 29,2018 NCMC Board of Trustees
Visitation Report
Brian Underwood
October 29, 2018
NCMC Wound Care Department(outpatient)
Julia Boyd, Director of Critical Care
Rachel Naranjo,Senior Manager Wound Care
Michelle Yankowski,Wound Care Nursing Supervisor
The Wound Care Department's vision statement is to service a variety of wound care patients through
whole person healing—wound by wound.
The department operates under a NOCO model with central staffing and services provide at NCMC. The
NCMC clinic has 8 exam rooms and is staffed with two full-time RNs,one CNA, a Health Unit
Coordinator,two full-time nurse practitioners and some additional support staff as needed.
The clinic both treats and coordinates the care of wound care patients throughout the Region.
Coordinating care with Banner hospitals, home care services, primary care physician offices, skilled
nursing facilities,etc. is considered to be an effective way to effectively distribute the expertise of
departmental staff so that patients receive the care they need/require as efficiently and effectively as
possible. Telemedicine consultations, for example, are used in this area to minimize the cost and
inconvenience of patient travel to NCMC. While the department is not necessarily designed as a
profitable cost center, its services are intended to reduce readmissions and improve patient outcomes.
NCMC's ability to care for burn patients is well known throughout the area. Major competitors in the
area of burn care include UC Health—Denver, and Swedish Hospital (also located in Denver). The
department provides Advanced Burn Life Support education throughout Northern Colorado and upper
intermountain states. The work of that department's Outreach Coordinator is a major factor
contributing to the department's continued visibility and growth.
The Wound Care staff presenting to the NCMC Trustee Board appeared to be knowledgeable,engaged-
employees, and very focused on their ability to provide advance wound care services to patients
requiring their expertise. It was an enjoyable presentation and enabled the NCMC Trustee Board to
understand another area where NCMC continues to improve the patient care experience through the
services it offers.
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