HomeMy WebLinkAbout20173991NCMC Board of Trustees
Regular Session Minutes
Monday, October 30, 2017
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
October 30, 2017, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Dr. Susan Carter declared a quorum and called the meeting to order at 12:00 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Catherine Davis, Mark Lawley, Kevin Mullin,
Michael Simone, Brian Underwood, Jason Yeater, and Sean Conway (Commissioner, non-
voting member)
Banner Health: Margo Karsten (NCMC CEO), and Wendy Sparks (NCMC COO)
Staff: Ken Schultz (Board Executive)
Recording Clerk: Esther Gesick (Weld County Clerk to the Board)
PUBLIC COMMENT
There was no public comment.
APPROVAL OF MINUTES
It was MSC (Simone/David) to approve the minutes from the September 25, 2017, Regular
Session meeting.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
Master Campus Plan — The north parking lot has undergone repairs for improved
drainage to prevent icing, which should be completed in the next couple of weeks.
Additionally, there is a crane being set up to lift a new fan and handler unit, as well as
a new Verizon antenna, onto the roof.
• Financials — September was ahead of budget for admissions; however, in -patient
surgeries were down 2% and the Healthcare revenue ended the month $2.7 million
under budget. Year-to-date is under budget by $1.6 million due to higher than
budgeted deductions (Medicare, Medicaid, self -pay and no -pay), and out -patient
surgeries are under budget by about 17%.
• Employees/Community — NCMC continues to partner with District 6 and sponsors
various Back -to -School activities. This year they are offering opportunities for NCMC
leadership positions to volunteer in the schools, as well as host a clothing drive. They
are also collaborating opportunities for teachers and administrators to visit the
hospital and observe the many other career opportunities (facility operations,
dieticians, environmental services, respiratory therapists, etc.), besides the
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October 30, 2017 NCMC Board of Trustees
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well-known nursing and physician positions. Lastly, they will be compiling a menu of
various professional guest speakers who will visit the schools and speak to the
students about what they do. In response to Dr. Carter, Ms. Sparks stated the
program is currently focused on District 6; however, they are considering reaching out
to Aims Community College.
COMMISSIONER'S REPORT
Commissioner Conway announced the Dedication Celebration of the CR 47/49 Project will
take place at the Kersey Grader Shed at 11:00 a.m. on Saturday, November 18, 2017. He
stated the Board wrapped up their Early Warning Budget Sessions last week, at which time
they discussed the Economic Development Fund which has $18 million in unallocated funds.
The Commissioners decided to use $6 million to sustain the Bright Futures Program for the
next two years, while continuing to focus on promoting and encouraging public contributions.
He also reviewed the student statistics. Mr. Schultz commented an acknowledgement of
contributions might boost ongoing giving, to which Commissioner Conway explained some of
the oversights and reasons behind the disconnect. However, he stated the newly hired
manager and oversight board will continue to seek improvements. He reiterated the
Commissioners did budget $3 million of general funds this year; however, the goal is to make
Bright Futures a self-sustaining program through enhanced marketing.
VISITATION REPORTS
OCCUPATIONAL HEALTH SERVICES
Catherine Davis reviewed her report, dated September 2017. A written copy of the visitation
report is attached as a part of these minutes. There was discussion concerning oversight by
the Arizona Corporate office, but it would be helpful to do more local marketing to reflect
NOCO specific services, which are different from Arizona. Ms. Davis also encouraged
collaboration with students at UNC. Mr. Schultz stated it would also be helpful to quantify
down -stream revenue generation.
DISCUSSION - VISITATION STRUCTURE: Ms. Gesick read Section 5 -Visitors of the Bylaws and
stated the concept was discussed with the County Attorney who indicated the format of
hearing the information is at the discretion of the Trustee Board and he did not express
concern with the presentation concept. Dr. Carter requested input from the Trustees.
Mr. Simone expressed it would be a win -win for the entire Board to hear and observe the
presentations and passion expressed by the departments. In response to Mr. Mullin
concerning the purpose of the reports, Dr. Carter explained a summary report is provided to
the Trustees and it is also forwarded to the NCMC Inc. Board; the only action taken may be if
specific requests are made which can be addressed by Ms. Karsten or Ms. Sparks. Mr. Simone
added he also learns a lot from his visits and the reports of others, which allows him to serve
as an NCMC Ambassador and share the services that are offered when he is out in the
community. Commissioner Conway stated he also shares the information with the Board,
and the Clerk posts and distributes the Minutes as part of the County public record. Mr.
Schultz explained the primary responsibilities of the Trustee Board are to meet, make
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October 30, 2017 NCMC Board of Trustees
visitations, and review bond approvals. Mr. Underwood stated the on -site visits typically take
45 minutes to an hour, therefore, the invited presentations will probably need to be at least
15-20 minutes, followed by discussion. He wondered if perhaps the departmental feedback
may not be as candid with leadership in the room and suggested the new format be on a trial
basis. Mr. Lawley commented the feedback provided in the visits is the purpose of the
Trustee Board's existence. Dr. Carter suggested the visitations follow the Commissioner and
Inc. Board reports to ensure everything gets accomplished within the designated meeting
time. Mr. Lawley proposed Anna Ashford continue to coordinate the department to present
and that they be invited to arrive at 12:30 p.m. It was MSC (Simone/Davis) to initiate the
discussed presentation/visitation format on a six-month trial, starting in November.
(Clerk's Note: Mr. Yeater will complete the follow-up summary report to be attached to the
November Minutes for distribution). A facility tour with Ms. Sparks at the end of the
six-month trial was also requested, so the Trustees can see the working areas of those
departments who made presentations.
VISITATION REPORTS FOR DECEMBER 11, 2017
Brian Underwood
NCMC, INc. REPORT
Mr. Schultz stated he has no current information to report; however, he did comment that
the financial ratings were dramatically improved following correction of the Provider Fee
information, so NCMC should come out looking very strong in the minds of the public. The
next Provider Fee letter will be sent out some time between October 1st and Sept 30th, and
Ms. Karsten can report on that next month concerning whether the Provider Fee is on point
or confused again. He also stated Ms. Karsten is now a member of the Colorado Hospital
Organization, so it is good to have a voice at the table.
Wendy Sparks stated she did a citizen ride along with the Greeley Police Department, since
the agencies are so interconnected and she highly recommended the experience.
NEW BUSINESS - None
OTHER BUSINESS - None
PLANNING SESSION
No discussion was held on scheduling a future planning session.
ADJOURN
There being no further business to come before the Board, it was moved and seconded to
adjourn the meeting at 1:05 p.m.
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Respectfully submitted,
Esther Gesick
October 30, 2017 NCMC Board of Trustees
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NCMC Trustee Report
Department History: Banner Occupational Health Services
Name of contact: Joan French, LPN. Practice Manager
History of contact: LPN from South Dakota, worked at Mayo Clinic. Has been in Greeley for 20
years with NCMC
Services Provided: Breath alcohol testing, CPR and & First aid classes, DOT physicals, DOT
drug testing, executive physicals, fitness for duty exams, functional capacity evaluation, health
risk assessment health screenings, hearing conservation, HIV post -exposure program, indoor
air quality testing, Injured worker care, jobs site evaluation, on -site flu shots and health clinics,
PPD testing, pulmonary function, respiratory clearance, travel immunizations, vaccinations,
work conditions, and workplace noise level. Two physical locations. NCMC and McKee
(Loveland) with a presence in Fort Collins.
Occupational Health I Banner Health
https://www.bannerhealth.com/services/occupational Link not working
Number of Staff: full-time and part-time and what fields:
3 FT MDs, 1 PA, 1 RN, 2 care coordinators, 3 MAs
Revenues/Budgets If Relevant:
250,000 USD profit two years ago
152,000/month in revenue
Successes: Profit despite lack of Marketing Department support for the services
Able to keep clinic in place and going even though 2 MDs are on leave (one medical one armed
services duty)
Can generate downstream revenue for x-ray, surgery, occupational therapy and physical
thereapy
Challenges/Obstacles: Would like to grow business but current MD booked until end of October
and other two MDs are out on military and health leaves. Working to recruit a new Occupational
Medicine Physician.
Wait times are increasing
Four competitors in Greeley area.
Worker comp laws are different in Colorado than in Arizona
Departmental Needs/Requests: Kiewitt Construction will be doing a project in Thompson
Canyon. Would provide facility for onsite employee care as they are projected to hire 1,000s of
employees. Occupational Med needs to provide the person, process and operations
Suggestions for improvement: Marketing tools to hand out to potential clients that show
employees engaged in blue collar work. The materials are generated in Arizona and look as
though they are aimed toward white collar corporate employees
What Would The Department Manager/Director Like NCMC Trustees To Know:
Possibility of having UNCO MPH student help with materials, analyses of data with SPSS
statistical analyses. Working to set up meeting with Dr. Sharp (UNC) and Joan French
Reporting structure just changed. Joan reports to Banner in Arizona --- no reporting or dotted
line reporting in Greeley-NCMC Management.
Hello