HomeMy WebLinkAbout20163925.tiffNCMC BOARD OF TRUSTEES
Regular Session Meeting
Monday, June 27, 2016
Attachment 1
Minutes of Regular Session of
May 23, 2016 *
* - Action Required
NCMC Board of Trustees
Regular Session Minutes
Monday, May 23, 2016
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
May 23, 2016, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Dr. 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, Michael Simone, Brian
Underwood, Jason Yeater, and Sean Conway (Commissioner, non -voting member), with
Mark Lawley and Larry Cozad being Excused.
Banner Health: Scott Baker (Interim NCMC CEO), and Wendy Sparks (NCMC COO) -Excused
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 (Underwood/Yeater) to approve the minutes from the April 25, 2016, Regular
Session meeting.
CEO REPORT or COO REPORT
NCMC Interim CEO, Scott Baker, gave the following report:
• Employees - Staff celebrated National Hospital Week and Nurses Day last week.
• Patient Satisfaction - Survey results indicate they are hitting target on 7 out of 10
dimensions, and although there is still work to do, they are pleased with the progress
being made.
• Quality - Observation status is currently rated at 26.99 and they are striving to meet a
score of 24.92. Care Reliability scores have room for improvement in the category of
blood utilization. They are currently at 218.9 units per thousand; the goal is 200. There
was discussion regarding the price and utilization of blood. Banner is promoting Advanced
Directives with a goal of getting 10% of the employees on file; currently NCMC has 3.5%
on file with a goal of having 90% of the leadership on file in the next month. The Lab was
recently reaccredited by the College of American Pathologists, and the Pharmacy
Residency program was also granted a three-year accreditation. NCMC is one of only 16
accredited hospitals in the state of Colorado.
• Financials - For the month of April, NCMC is $1.7 million behind budget and $3.1 million
year-to-date. The leadership has action plans in place to get back on track. The deficit is
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May 23, 2016 NCMC Board of Trustees
due, in large part, to deductions running higher; however, everything is running well
operationally. There was discussion concerning the planning for paying overtime, if
necessary. Lastly, Governor Hickenlooper and Representative Young visited last week to
discuss the signing of a Bill which would allow physicians to make decisions when patients
are unable.
COMMISSIONER'S REPORT
Commissioner Conway reported 783 students have applied and been certified as recipients
of the Bright Futures program. He reported the statistics for student selection of local
schools, versus out of state enrollment. He also reviewed the deadline schedule and noted
the Board is planning a Reception to recognize the various donors and allow them to meet
the kids and hear some of their testimonials. He stated $1,074,032.00 has been contributed
to -date. He also reported the 1-25 Berthoud Hill ground breaking and construction starts on
Thursday and the overall project is expected to be completed by September, 2017. He noted
that U.S. Highway 34 up to Estes Park is under discussion, but delays for completion of the
project are expected.
VISITATION REPORTS
NURSING DIVISION
Catherine Davis reviewed her report, dated May 18, 2016. A written copy of the visitation
report is attached as a part of these minutes. Ken commented almost 75% of the 724 staff
nurses have a degree or advanced degree in nursing and they are fast approaching the
national level of 80%.
VISITATIONS FOR JUNE
Mark Lawley (held over from May)
Larry Cozad
Jason Yeater
NCMC, INC. REPORT
Ken commented on the Year End and First Quarter reports which were provided electronically
for advanced review, in conjunction with the bond documents that were recently approved.
He explained they are trying to convert the facilities and bond portfolio from being managed
by local brokers to institutional managers as selected by NCMC Inc. to get better fees and
modernize the management aspect. Dr. Tim Jarrus has reviewed investment policy to make
sure it is compliant, it was approved by the Inc. Finance Committee last week and they are
now moving forward with the plan. He reminded the Trustees that Mark Lawley also serves
on the Inc. Finance Committee and Dr. Carter and Michael Simone sit on the Inc. Internal
Committee.
NEW BUSINESS
None
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May 23, 2016 I'TCMC Board of Trustees
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/Yeater] to
adjourn the meeting at 12:40 p.m.
Respectfully submitted,
Esther Gesick
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May 23, 2016 NCMC Board of Trustees
Prepared and Submitted by: Catherine C. Davis, PhD (NCMC Board of Trustees)
Date of Interview: May 18, 2016
Submitted: May 23, 2016
NCMC Trustee Report
Department History:
National Nurses Week — May 6-12
According to the Gallup Poll, the profession of Nursing is the Most ethical and trusted profession
and is 17 bases point above any other medical profession. Please see organizational chart for
NOCO —Nursing Services. One CNO, 3 Associate CNOs (NCMC, BFCMC, McKee) and 6
service lines: ED & Trauma, Women & Infant Services, Perioperative, Oncology, Clinical Care,
and Cardiovascular.
Currently recruiting a RN Director of Cardiovascular Services. She also oversees Skyline and
Mount Vista Ambulatory Surgery Centers.
Name of contact: Brook Richardson, MSN, RN — Chief Nursing Officer NOCO. Reports to
Northern Colorado Area CEO
Mislory of contact: Ms. Richardson was born and raised in the Toronto (CN) area. She
received her BSN and MSN from the University of British Columbia (Vancouver). She is also a
nurse executive. She originally started out providing nursing services in the Canadian
Healthcare system and was a member of a union. She was motivated to provide the best care
for her patients and make working in healthcare a great experience for nurses. She was a
single mother while attending school and working. She has been at Banner — NOCO as CNO
for two years and has worked at Tenet, Cardinal, Kaiser healthcare systems and thinks that
Banner truly deserves its standing as one of the top hospitals in the nation. Her daughter
recently graduated from nursing school at UC-Denver and is following in her footsteps.
Services Provided:
Service Line — patient centered approach that aligns services and finances across the facilities
including physician offices to maximize reliability and reduces variability for NOCO patients led
by a service line director and physician lead.
Operates under a dyad partnership: Cardiovascular Services, Perioperative Services,
Pulmonology Services, Women and Infant Services, Emergency Services, Medical imaging,
Oncology Services, Clinical Care Operations, Orthopedics.
The Dyad model ensures the success of the service line is tied to each other -medical and
operational for all NoCO facilities.
Number of Staff: full-time and part-time and what fields: 724 Registered Nurses
Revenues/Budgets If Relevant: Responsible for 165 Million dollar budget on an annual basis
Successes; NOCO Regional model — Rigor around service line that is fully evolved, patient
experience scores are on the uptrend, strong professional practice and new graduate nursing
program for nurses across the system.
The New Graduate Nurse Residency (formerly known as the Professional Development Series)
provides an evidenced based program with resident appropriate learning experiences for the
accomplishment of skills and critical thinking necessary to care for the general med/surg and
specialty area patient. Helps aggressively recruit new graduates. 2016 Best Hospitals and the
Health Grades for Patient Experiences
Challenges/Obstacles: First, staffing is the best and always addressing acuity. As with all
healthcare organizations, needing to "do more with less". The department is not revenue -
producing but they have the right complement with right competencies.
Departmental Needs/Requests: Capital to keep up and even ahead of the curve for state of the
art in patient care.
Suggestions for improvement: More resources to grow nurses professionally. Creation
(currently) of clinical nurse ladder for those nurses who wish to have career growth at patient
bedside
What Would The Department ManagerlDirector Like NCMC Trustees To Know; NoCO Banner
Hospital System is one of the best places that I have worked. It is in the top 50 Hospitals in
America and one Associate CNO won the Colorado Nightingale Nursing Award for Excellence.
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