HomeMy WebLinkAbout20180897.tiffNCMC Board of Trustees
Regular Session Minutes
Monday, February 26, 2018
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
February 26, 2018, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Mark Lawley declared a quorum and called the meeting to order at 12:00 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Catherine Davis, Mark Lawley, Kevin Mullin (via teleconference),
Michael Simone, Brian Underwood, Jason Yeater, and Sean Conway (Commissioner, non-
voting member)
Banner Health: Margo Karsten (NCMC CEO) -Excused, and 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 (Underwood/Yeater) to approve the minutes from the January 9, 2018, Regular
Session and Annual Session meetings.
CEO REPORT or COO REPORT
NCMC COO, Derek Strader, gas,./e the following report:
Cancer Program — The new XI robot is being utilized in the operating room (OR) to
enhance the lung cancer program. A new pulmonologist, Dr. Sidhu, was recruited and is
working with oncology aid thoracic surgery to look at screening, prevention, early
detection, and diagnosis to enhance treatment. A team was also sent to a national summit
in Tucson, AZ, with the goal of preparing for the MD Anderson partnership to better
market and promote the overall cancer program. In response to Mr. Underwood,
Mr. Strader explained once the contract is executed, the Cancer Centers will be
co -branded as Banner/MD Anderson for the NCMC and McKee campuses. He stated the
branding will be very beneficial; surveys indicated MD Anderson is rated the top cancer
center in America, and Banner agrees to expand the marketing and is anticipating an
increased volume in surgeries. He further stated they conducted a Gap analysis and hired
general and surgical oncologists who are already experiencing an increase in scheduling
clinical and surgical cases in the OR. Concurrently, they want to be a regional receiving
site and expand beyond that. He explained, through the partnership, the doctors will
remain Banner staff, with a Division that is further associated with MD Anderson. The
anticipated benefit is the network to referrals for a higher level of expertise, when
Page 1 of 3
February 26, 2018 NCMC Board of Trustees
etrovniu4i 621,03,0 3- -.2018
2018-0897
necessary. In response to Ms. Davis, he stated there will be a significant amount invested
into the marketing plan to launch the partnership.
. Level 3 NICU: The new Neonatal Intensive Care Unit is still on track to open in April, 2018.
A contract was executed with a specialty group in Denver to work with the current
neonatologist staff to help with education in preparation for the higher level of care. A
second neonatologist will start in April to support the additional service.
• HDR Suite: There is an expansion underway to support the upcoming MD Anderson
partnership.
Freestanding Urgent Care: A Letter of Intent has been initiated for the vacant Neighbors
Free Standing Urgent Care facility located at 35th Avenue and 20th Street in Greeley. Staff
is still discussing the best use and purpose for the facility.
(Clerk's note: Wendy Sparks, COO is now present.)
. Physicians: In addition to oncology, a new electrophysiologist (EP), as well as a new
international cardiologist have been hired. He also gave a brief explanation of the types
of procedures done by EPs.
• Financials: He referenced the 2017 Third Quarter Market Share data, which appears to be
gaining in the front range. Lastly, he stated NCMC fell $10 million behind budget in 2017,
because the budget was really aggressive, but the net income was about the same net
income as 2016. In response to Mr. Underwood, Mr. Strader stated the leadership
structure and FTE salaries have been adjusted, and acknowledged the cost per visit is also
being addressed through enhanced efficiencies. Ms. Sparks added the payer mix is also
part of the equation, and they also decided to eliminate the blood donor bank. She stated
the latest CHA data shows NCMC is ranked third in the state for the cost for the average
length of stay. She offered to provide the ranking slide, a copy of which is attached to
these minutes. Mr. Mullin noted he was a patient for a recent foot procedure and
reported quality care. Mr. Lawley also requested an update on the budget strategy and
stated he wants to be supportive of any upcoming changes. Ms. Sparks stated one of her
primary tasks is ambulatory care and free-standing facilities to lower overhead costs.
COMMISSIONER'S REPORT
Commissioner Conway stated the Board is interviewing candidates for the Charter Review
Committee and plans to announce the selected members by end of week. They will be tasked
with hosting community meetings and making a recommendation to the Commissioners by
July 15, 2018. He stated the Highway 34 PEL (Planning and Environmental Linkages) Study
will be made available in public meetings held in Greeley and Loveland. The Highway 34
Coalition was started in 2016, and includes Greeley, Evans, Johnstown, Windsor, Loveland,
and Weld County, who are working to identify safety improvements and mitigation, with
hopes of competing for state and federal grant funding. Commissioner Conway stated he sits
on the State Transportation Advisory Committee (STAC) which wants to put a transportation
initiative on the ballot this fall, with Region 4 working to determine priorities. He reported
that administration of the Bright Futures program was turned over to Upstate and the new
committee is working on a marketing plan, and in the interim they cut back on some of the
benefits to meet the obligations of this year's graduating class. He expressed concern with
Page 2 of 3
February 26, 2018 NCMC Board of Trustees
the $30 million which was walled off to allow the new committee time to develop a
sustainability plan; however, the ongoing budgeting will be discussed further during the 2019
budget process. In response to Mr. Mullin, he explained the $30 million will cover the grants
for a couple of years, and it needs to raise $3-5 million annually to sustain the program going
forward.
VISITATION REPORT FROM FEBRUARY 2018
CARDIOLOGY DEPARTMENT — Kari Holman, Senior Manager for NOCO Cath Lab Services
Following the meeting, Trustees Lawley and Simone submitted a summary of the
departmental presentation and discussion, a written copy of which is attached as a part of these
minutes.
VISITATION REPORT FOR MARCH 26, 2018
Catherine Davis
Kevin Mullin
NCMC, INC. REPORT
Jeff stated the VA is moving out of the second floor at Summit View and Banner is taking over
on March 1st. Otherwise, business as usual.
NEW BUSINESS - None
ADJOURN
There being no further business to come before the Board, it was MSC [Davis/Yeater] to
adjourn the meeting at 12:50 p.m.
Respectfully submitted,
Esther Gesick
Page 3 of 3
February 26, 2018 NCMC Board of Trustees
February Visitation Report Cardiac Unit NOCO
The February visitation report was with the Cardiac Catheter Lab. Kari Holman, Senior Manager
for NOCO spoke about cardio vascular services. Kari is serving as Interim Director for
Cardiovascular Services for Banner NOCO. Kari oversees the non-invasive cardiology services,
cardiac rehab, echo teams and heart care clinics in addition to her current Catheter Lab
responsibilities.
Cardiac Health Screenings
Health screenings and diagnostic tests are critical to ensuring good heart health. Through blood
work, nuclear stress testing and other screenings, the physician can learn a lot about your heart
and your overall health.
In addition to these tests for heart and vascular diseases, we offer other screening and diagnostic
exams:
• Angiog am
• Blood tests
• Cardiac catheterization
• Cardiac MRI
• Chest X Ray
• CT (computed tomography) scan and/or PET (positron emission tomography) scan
• Electrophysiology study (EPS)
• Loop recorder
• MUGA scan/viability scan
• Nuclea-- stress test
• PharmE:cological (drug -induced) stress test
• Physical exam, including medical history
• Tilt -table test
• Transesophageal echocardiogram (TEE)
Types of Treatment
The Cardiology unit at NCMC treats a wide range of conditions that affect the heart and vascular
system, including:
• Aneurysms
• Atherosclerosis
• Atrial fibrillation
• Congenital heart defects
• Heart valve disease
• Vascular disease
There are many different procedures to treat heart and vascular issues. From the placement of a
stent — a small metal coil or mesh tube placed in a narrowed artery to hold it open — to heart
transplant, the unit is skilled in the latest surgical procedures. They also have TAVR for aortic
valve replacement.
Procedures
Approaches such as robot -assisted surgery or catheter -based procedures can mean faster healing,
shorter hospital stays and less pain for you. Surgeons perform a variety of heart and vascular
procedures, including:
• Abdominal aortic aneurysm repairs
• Coronary artery bypass graft (CABG)
• Mitral and aortic valve replacements or repairs
• Peripheral vascular procedures
• Transthoracic procedures
Not all heart and vascular conditions require surgery. Lifestyle changes and medication can help.
If surgery is the best treatment; the Hospital offers traditional open-heart surgery along with
many other specialized treatments. A few of them include:
• Coronary artery bypass graft (CABG)
• Left ventricular assist device (LVAD) implant
• Limb salvage
• Maze procedure
• Sapien transcatheter heart valve replacement
• Transmyocardial vascularization (TMR)
The visit from Kari also included examining various medical devices that are used to address
different cardiac issues and a general presentation about services provided.
w
Current Colorado Hospital Operating Expense Structure
Source: CHA (02 06 18)
Total Operating Expense per Adjusted Stay
Facility/Peer Group
Boulder
Banner Fort Collins Medical Center
North Colorado Medical Center
Medical Center of the Rockies
Saint Joseph
North Central Peer Group (7)
Memorial Hospital
Longmont United
Parkview
McKee
Good Samaritan
Penrose -St. Francis
Poudre Valley
Lutheran
2017
17,269
16,473
15,773
15,733
15,728
13,795
13,569
13,314
12,294
12,041
11,821
11,398
10,945
10,927
17vs16 17vs16
2016 $ Variance °!o Variance
15,946 1,323 8.3%
19,596 (3,123) -15.9%
15,364 409 2.7%
15,108 624 4.1%
14,927 802 5.4%
13,677 118 0.9%
14,224 (655) -4.6%
13,242 72 0.5%
11,843 451 3.8%
11,347 694 6.1%
10,724 1,097 10.2%
10,418 979 9.4%
11,502 (557) -4.8%
9,294 1,632 17.6%
Banner Health
Hello