HomeMy WebLinkAbout20183071.tiffNCMC Board of Trustees
Regular Session Minutes
Monday, August 27, 2018
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
August 27, 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, Kay Kosmicki, Brian Underwood,
Jason Yeater, and Sean Conway (Commissioner, non -voting member), with Catherine Davis
and Kevin Mullin being Excused
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 (Simone/Underwood) to approve the minutes from the July 30, 2018, Regular
Session meeting.
NCM CEO/COO REPORT
Derek Strader, COO, reported during the month of July NCMC generated revenue and
remained on budget. He also explained there are two Cardiologists out on medical leave;
however, they did bring in local coverage to continue service. He stated it is going to be an
exciting week making the formal public announcements concerning the grand opening of the
M.D. Anderson Cancer site, including an unveiling of the facility sign and a picture of a human
cancer ribbon for a social media campaign. He added M.D. Anderson was recently announced
as the #1 cancer treatment program in the country, which should draw a lot of growth in the
area. Mr. Strader also reported they are in the middle of the employee Voice Survey, which
closes this Wednesday evening. He stated they only need 37 more individuals to complete
the survey to meet the goal of 85% participation. In response to Mr. Underwood, Mr. Strader
explained how staff reviews and analyses market share locally and regionally. Responding to
Mr. Simone, he explained Wendy Sparks was the lead on facilitating the M.D. Anderson
contract and he provided a support role since he has gone through process in Arizona. He
also acknowledged other staff involved. He stated the primary differences are the brand
recognition and patient outcomes, access to more clinical research, and ability for growth as
a result of branding. Responding further to Mr. Underwood, Mr. Strader confirmed existing
patients of other M.D. Anderson sites will now have the ability to attend follow-up
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August 27, 2018 NCMC Board of Trustees
appointments locally at the current oncology office, with more oncology facility changes to
take place at McKee, in Loveland.
Mr. Lawley introduced the new Trustee, Kay Kosmicki. She has served as an NCMC Inc. Board
meeting in the past and volunteered with the Foundation for more than 30 years.
COMMISSIONER'S REPORT
Commissioner Conway reported the Commissioners interviewed four high -quality applicants,
and they were pleased to appoint Ms. Kosmicki based on her extensive institutional
knowledge. He reported the County hosted a FEMA emergency exercise last week and NCMC
representatives were present. This is the third training conducted by the County, which has
been very beneficial in responding to emergencies such as the 2013 flood and other severe
weather events which require the coordination of various communities and agencies.
Mr. Strader added NCMC received recognition from Banner for averaging 1.5 drills each
month. Commissioner Conway continued by discussing completion of the PEL (Planning and
Environmental Linkages) Study and the next steps which will be taken to proactively address
increased traffic along State Highway 34. He also reported the budget process is underway
and the Commissioners will be considering various staffing requests to help accommodate
the County growth and increasing workload. He discussed Amendment 97 (Proposition 112)
concerning oil and gas setback regulations which could have a profound impact on jobs, wage
growth, special districts, and increased housing costs. He announced the Groundbreaking at
State Highway 392 and 1-25 is next month. Lastly, he reported the County Assessor provided
a record high valuation of $11.76 billion, which is the second highest in the state, behind
Denver County. He stated the Commissioners are looking to lower the mill levy and he
discussed anticipated growth amounts for various northern Colorado communities.
VISITATION REPORT FOR AUGUST 27, 2018
NEURODIAGNOSTICS - GERI ANN GUNDERSON, SENIOR MANAGER RESPIRATORY CARE
Geri Ann Gunderson was present and provided an overview of the Neurodiagnostics
Department. Following the meeting, Jason Yeater submitted a summary of the presentation
and discussion, a written copy of which is attached as a part of these minutes. Michael
Simone prepared a note of thanks.
VISITATION REPORT FOR SEPTEMBER 24, 2018
Catherine Davis and Mark Lawley
NCMC, INC. REPORT
Jeff Carlson stated Standard and Poor's has downgraded the bond credit rating from an A+ to
an A with Stable Outlook, which is an assessment of the anticipated performance over the
next two (2) years. He speculated the rating to be based, in part, upon the increased
competition created by UC Health, as well as volume and margin pressures. He stated
although this is not a preferred rating, it does not make much monetary difference. He also
commented NCMC owns 12 buildings on the south of the main complex; one is a small office
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August 27, 2018 NCMC Board of Trustees
occupied for recruitment needs and the rest are residential housing. He explained all of them
have hail damaged roofs, and the area is available for potential growth if needed in the future.
Mr. Strader commented he believes NCMC will be in a good position to go back up in the
ratings based on demonstrated market sharing and population growth. In response to
Mr. Underwood, Mr. Strader agreed there is a degradation of payor mix, but overall, they are
seeing a continued increase in volumes with more Medicare and Medicaid reimbursements.
Responding to Commissioner Conway, he confirmed the Neighbors building has been
purchased and is slated to open in the fourth quarter of 2018, and house the Urgent Care
functions which will be moved out of the Summitview building. He further stated the area
vacated in the Summitview building will be backfilled with Primary Care offices.
NEW BUSINESS — None.
ADJOURN
There being no further business to come before the Board, it was MSC [Simone/Yeater] to
adjourn the meeting at 1:05 p.m.
Respectfully submitted,
Esther Gesick
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August 27, 2018 NCMC Board of Trustees
NCMC Respiratory Care Division August 27, 2018
Submitted by Jason Yeater
A presentation of the Respiratory Care Unit was given by Geri Ann Gunderson, the department's Senior
Manager.
The Respiratory Care Unit currently consists of 1.5 full time employees that serve three facilities; NCMC,
McKee and Banner Fort Collins. The department is in the process of creating a Neurodiagnostic service
line that would fall under the umbrella of care of the Respiratory Care Unit. The department feels this
service line would fit nicely into the current service offerings as respiratory therapists are already at the
hospital 24/7. The thinking is that these respiratory therapists and current respiratory equipment would
now be utilized to perform diagnostic screenings for Neurologic testing and intervention, thereby
increasing the utilization of both current department equipment and staff.
The Respiratory Care Unit is currently considered a basic service line, with only 1.5 employees, but with
the addition of Neurodiagnotics care, they feel strongly they could become a full service line. An added
benefit of this transition, is keeping additional services in house rather than sending patients to other
hospital systems. Currently all patients in need of Neurologic services are sent to other hospital systems
for care with Denver Swedish seeing about 60% of all outsourced Neurologic patients.
The department hopes to have their first Neuro hospitalist soon. This position would provide physician
expertise in house and lead to additional growth opportunities inside the department. This new service
line could potentially lead to an addition of a stroke center as well as an Epilepsy monitoring unit. In
general there is a lot of optimism inside the department with a lot of positive changes occurring soon.
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