HomeMy WebLinkAbout20170794.tiffNCMC Board of Trustees
Regular Session Minutes
Monday, February 27, 2017
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
February 27, 2017, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Jason Yeater, Vice -President, declared a quorum and called the meeting to order at 12:04 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Larry Cozad -Excused, Catherine Davis -Excused,
Mark Lawley, Michael Simone, Brian Underwood, Jason Yeater, and Sean Conway
(Commissioner, non -voting member) - Excused
Banner Health: Margo Karsten (NCMC CEO) - Excused 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/Underwood) to approve the minutes from both the Annual and Regular
Session meetings conducted on January 10, 2017.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
• Employees — Managers are In the midst of annual employee evaluations which will be
completed by March 15th. NCMC was named one of Healthgrades America's Fifty Best
Hospitals for the 3rd year and will celebrate with all NCMC staff during the next week.
• Patient Satisfaction — There is a new survey tool, "In Moment", which is being rolled out
Banner -wide, first to the inpatient side. The HCAP survey is also extremely important, but
it will be conducted on a smaller scale. In response to Brian Underwood, she shared that
"In Moment" is less expensive, with fewer questions, but will be a better way to glean
true results by surveying more patients, and she explained the Net Promoters Score. She
then passed around the HCAP Survey results and explained they are hitting target (80%
and 90%) on 5 of the 10 dimensions.
• Quality — The Year to Date quality scores are not back yet, but NCMC will be measuring
from the system strategic initiative, "Med Reconciliation", and will be focused on a target
of 14.9% of employees to scan their advanced directives into their medical records.
• Physicians - No report.
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• Financials —The Census has been high since the first of this year, and the revenue is behind
budget by $1.8 million, with a gross revenue of $5.7 million. Deductions were $6 million
higher than budgeted, but the Medicaid patient mix resulted in 4.5% higher than
budgeted. As far as salaries, productivity is held to a 98% standard with using flex staffing,
as needed, and January was a perfect 100%. Also still a wild card is the Colorado Provider
Fee; an analysis expected to pay in more than what will be received. Mark Lawley
discussed perceptions with Emergency service, versus referral by primary care, which may
skew the hospital's results, versus results at a different service provider. Wendy Sparks
advised she tracks "door to doctor" data and is willing to share that information. Dr.
Carter said if costs were known up front, it may discourage chronic conditions coming into
the ER. In reference to Jason Yeater's question, Wendy stated she reviews financials, cost
structure and corrective options continually. Lawley asked if they still see primary visits
coming through the ER. Wendy advised that there is a medical code that shows those
who are urgent care, so they know there are a significant number of patients with chronic
conditions visiting the ER.
• Master Campus Plan - No report.
COMMISSIONER'S REPORT
There was no Commissioner's report.
VISITATION REPORTS
HOSPITAL GIFT SHOP
Dr. Carter reviewed her report, dated February, 2017. A written copy of the visitation report
is attached as a part of these minutes. Ken commented the NCMC Volunteers are the unsung
heroes of the hospital and their service results in a significant cost savings by not having to
hire paid staff.
Mark Lawley's report is held over until March due to scheduling conflicts.
VISITATIONS FOR MARCH
Larry Cozad
Brian Underwood
NCMC, INC. REPORT
Ken stated 2016 was a trying year due to the non -cash charge when issuing the bond and
then provider fee that stripped away the bottom line. NCMC's Medicaid population is much
higher than other hospitals and they are still paying in a large provider fee, versus other
regional providers who are receiving money back. There was discussion about the drastic
swing from getting money back to having to pay back into the program, which is stripping the
ability to service debt. Also discussed were the many Vice President and Administrative
positions that were eliminated as of February 1, 2017, and future vacancies will be considered
as to whether to be refilled or not. Dr. Joseph Gregory, a physician in Johnstown, is now the
head of Banner Medical Group in Northern Colorado "NOCO". He has scheduled provider
meetings where he announced a new compensation schedule, but advised there is more to
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February 27, 2017 NCMC Board of Trustees
come on that plan. Dr. Carter commented there is also an impact of being consolidated with
the overall Banner Health organization and financed in with two other Banner hospitals.
Brian Underwood also discussed interviewing the Managed Care Department a couple
months ago, who shared with him Community Health Management was the vehicle that
drives market share, so he suggested a quarterly/monthly report would be helpful to keep
the Trustees up to date. Additionally, the improved patient portal "My Banner" should help
as it relates to market share. In response to Dr. Carter, Wendy shared that the Capital budget
is frozen for the first quarter, which is not uncommon to monitor financial conditions.
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 MSC [Simone/Carter] to
adjourn the meeting at 1:05 p.m.
Respectfully submitted,
Esther Gesick/Cheryl Hoffman
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February 27, 2017 NCMC Board of Trustees
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