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Home My WebLink About20163930.tiffNCMC BOARD OF TRUSTEES Regular Session Meeting Monday, November 28, 2016 Attachment 1 Minutes of Regular Session of October 31, 2016 * * - Action Required NCMC Board of Trustees Regular Session Minutes Monday, October 31, 2016 12:00 Noon The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday, October 31, 2016, in the Richard Stenner Boardroom located at North Colorado Medical Center. ATTENDANCE REPORT NCMC Board of Trustees: Dr. Susan Carter, Mark Lawley, Michael Simone (arrived at 12:40), Jason Yeater, and Sean Conway (Commissioner, non -voting member), with Larry Cozad, Catherine Davis, and Brian Underwood - Excused Banner Health: Margo Karsten (NCMC CEO) and Wendy Sparks (NCMC COO) Staff: Ken Schultz (Board Executive) - Excused Recording Clerk: Esther Gesick (Weld County Clerk to the Board) Guest: Bruce Barker, County Attorney OLD BUSINESS a) Draft Resolution re: Expressed Opposition to Amendment 69: While waiting for a full quorum to conduct formal business, Bruce Barker, County Attorney, gave a brief summary of the process utilized in the past when requests have been made of the Trustees to consider political matters. He stated it is not the general intent or purpose of the Board of Trustees to take formal positions on political matters; however, it is within the scope of the NCMC Trustee Board to make a recommendation to the Board of Commissioners, either formally or informally via Memorandum, as backup on matters that have a direct impact on the medical field. Mark Lawley and Dr. Carter agreed with the position that the Trustees should generally stay removed from political stances, with the understanding that they can submit a recommendation for the Board of Commissioners to use in endorsing or opposing propositions that may be impactful to the hospital. Commissioner Conway thanked Mr. Barker for the clarification and suggested he submit a memorandum which explains the authority of the Trustees and how they communicate positions or recommendations specific to health care matters. Upon arrival of Michael Simone, Dr. Carter declared a quorum and called the meeting to order at 12:40 p.m. PUBLIC COMMENT There was no public comment. APPROVAL OF MINUTES It was MSC (Yeater/Lawley) to approve the minutes from the September 26, 2016, Regular Session meeting. Page 1 of 3 October 31, 2016 NCMC Board of Trustees CEO REPORT or COO REPORT NCMC COO, Wendy Sparks, gave the following report: • Employees - The Physician Satisfaction survey results will be coming tomorrow. On October 24 and 26, they hosted a free NOCO BBQ for staff to celebrate the high engagement scores. • Patient Satisfaction - Year -to -Date satisfaction scores are hitting target or stretch on 8 of the 10 dimensions and they are less than 1% from meeting target on the remaining two. • Physicians - NCMC has been given notice that the current Radiology group will not be renewing their contracts after mid -2017, therefore, Ms. Sparks has RFI's out to five different groups and they have seven months to make a decision and get a new group in place. The five-year contract extension for Sports Medicine was signed with UNC and will remain in effect until 2022, which is a good partnership with the NCMC Orthopedic surgeons. • Financials - For the month of September, the Greeley Community is behind budget by $478,000 and $15.7 million year-to-date. The NOCO area is ahead of budget by $1.6 for the month, but is behind budget by $4.2 million as a result of the provider fee which was discussed at previous meetings. • Master Campus Plan - Next week the Heart Care Clinic will open on the 4th floor and the Wound Clinic will open on the 3rd floor. COMMISSIONER'S REPORT Commissioner Conway reported that the Bright Futures Program, with support from community partners such as NCMC, awarded 1,397 grants to the Class of 2016 out of a total of 2,200 graduating seniors, which is approximately 60% engagement. He noted that 50% of the students enrolled at UNC or Aims, 80% remained in Colorado overall, and the next largest group went to Wyoming University. He stated the Commissioners have hired a new promotional entity, and they are working with Upstate to do a selection process for a new promotional campaign which focuses on sustainability. Concerningthe Highway 34 PEL which was approved through the North Front Range MPO, CDOT announced they will commence with the PEL in January, which will be completed in 12-18 months. He noted there will be two traffic signals installed on Highway 34 at the intersection of 83rd Avenue and Promontory Point near JBS and State Farm. There will be extensive road work along 65th Avenue in anticipation of the UC Health facility. Lastly, the Board approved the Oil and Gas Ordinance on Second Reading and they have been receiving positive feedback from the industry. VISITATION REPORTS BANNER HEALTH LIBRARY RESOURCES, AKA MEDICAL LIBRARY Dr. Susan Carter reviewed her report, dated October 31, 2016. A written copy of the visitation report is attached as a part of these minutes. VALET DEPARTMENT Michael Simone reviewed his report, dated October 31, 2016. A written copy of the visitation report is attached as a part of these minutes. Page 2 of 3 October 31, 2016 NCMC Board of Trustees VISITATIONS FOR NOVEMBER Brian Underwood Jason Yeater NCMC, INC. REPORT None, OLD BUSINESS (CON'T) Dr. Carter summarized that prior to Mr. Simone's arrival, the County Attorney gave a brief summary of the proper process to be utilized by the Trustees in the event of future propositions that directly impact the hospital or medical fields, The Trustees agreed no action is required concerning the draft Resolution at this time. Commissioner Conway stated the Board does value the input of the Trustees. Ms. Gesick commented she will provide a summary of the County Attorney and Trustee position on how to address requests concerning political matters so that it is part of the annual update and general information for future reference. She also stated the next two meetings are scheduled for November 28th and December 12th, followed by the Annual/Regular meeting set for Tuesday, January 10, 2017. 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 [Lawley/Carter] to adjourn the meeting at 1:05 p.m. Respectfully submitted, Esther Gesick Page 3 of 3 October 31, 2016 NCMC Board of Trustees NCIIJIC Trustee Report Mike Simgne Department History: The Valet Department has been a part of NCMC for at least 10 years, and maybe up to 15. It started at the emergency room entrance and is now located at the new entrance. They park anywhere from 100 to 200 cars per day— with an average of about 125. They are contracted through Towne Park. Towne Park is a national company who serves most hospitals in the Denver metro area and other hospitals and hotels throughout the country. Name and history of contact Alex Panos manages the department. He started about eight years ago, left and returned about 18 months ago. He worked for a time in a hospital in Cheyenne -- where our new CEO, Margot, worked. He told the story of how impressed people were with her when they saw her pitching in to help clean a parking lot. Services ProizicI I Alex said that parking cars is not their first priority — customers are. His employees are referred to as Guest Service Associates. They help with wheelchairs, getting people to the right place in the hospital, etc. They understand that they set the tone for the in -hospital experience and they are often the last impression people have of the hospital. They understand that if someone does have a bad in -hospital experience they may be able to impact that before they leave the grounds. They provide services for anyone who comes to the hospital, not just patients. Number of Staff: faJtile and part-time and what fieids, There are 4 full-time employees and two part-time employees. Alex reports to Leslie. Revenues!Z'5iQtl,s ifFeLevant Their contract is per man hour. The contract specifies a maximum number of hours they may work. Successes: They share a "Wow" story each month with Leslie. Alex told me a story about helping a driver who was having a seizure and how the Guest Service Associate got into the car to stop it before it could harm others. Alex said all his employees go "above and beyond" and told me that just a few days ago he was asked if someone he helped could give him a hug. Challenges/Obstacles: Hiring is a challenge since it is a physical job and, apparently, millennials are the most difficult to recruit. Employees easily average over 10,000 steps per day, are constantly bending and twisting and they lift heavy objects (wheelchairs, etc.) on a regular basis. Wages are generally low. There are only 23 parking spaces that are reserved and that's not enough. They generally hold 40 — 45 keys at any given time so it is a challenge to park the additional cars. Alex shared that even though there is an employee garage some employees don't park there and use spots the Valet Department uses after filling the 23 reserved spots. Departmental Needs/Requests: More reserved parking spaces. What WoilcJThe Department Managerarector Like NCMC Trustees TQ Know; Alex, and he said his employees, greatly appreciated our visit to his department. He wanted us to know they do much more than park cars. He also wanted us to know they will transport/accompany patients wherever they need to go in the hospital and that takes pressure off the nursing and other hospital staff but pulls a valet away from the front entrance. Tipping was an issue that came up a few times. Apparently the contract doesn't allow tipping (and the overwhelming majority of their other contracts allow it). Alex said it becomes uncomfortable when he and his associates have to turn down a tip. Alex also shared other services they provide at other facilities and hopes they are considered when the contract is up for renewal (which I think he said was next year). Other services they offer are car washing, oil changes, and shopping for employees (and patients). NCMC Board of Trustees Report Oct 31, 2016 Visit conducted by Trustee Susan Carter, MD Department- Banner Health Library Resources aka Medical Library Department History- Carmen Urich, 39 yrs. Carmen,Urich@BannerHealth.com 970-810-6471 Services provided- Article requests, Board Review Articles, Literature search articles Banner Facility Specific Library Web Pages Banner Desert Medical Center Banner University Medical Center Phoenix - Merril W. Brown, MD Health Sciences Library Staff - Bryan Nugent- Library Services Director Kathleen Shepler-Business Support Coordinator Frank Wallace -Systems Coordinator Librarians: AZ- Kathy Bilko, Sue Espe, Nancy Showalter, Janene Wandersee Western Region- NoCO, WY, NE, CA Carmen Urich (some AZ) Revenue/Budget- under AZ, n/a Successes- Moving to virtual library over many years. Makes physician's lives easier re stringent Board maintenance of certification. Banner Libraries have recently subscribed to Sage Journals Health Sciences Collection. The Health Sciences Collection at Sage Journals provides access to 270 impactful medical journals online at onl!ne.sagepub.com Challenges/obstacles- Clinical /Rural representation, cost is higher in virtual world. Databases and publishers (with different advertising) constantly changing. Currently: OVID (Athens Users) lessens passwords OVID (On -Campus Users) EBSCO Health Database The Cochrane Library PubMed (Use Chrome, Firefox, IE10 or higher) NLM Databases (free!) Departmental Needs/Requests- people still rely on paper books, support for residency program, podiatry Manager's suggestions for improvement- None, centralizing is happening now, finishing new website by Jan 2017 What would you like NCMC, Inc, and Board of Trustees to know? Libraries are still highly utilized, virtual libraries are the way to go, on demand. BUSY!! NCMC BOARD OF TRUSTEES Regular Session Meeting Monday, November 28, 2016 Attachment 2 Annual Financial/Charity Update Presentation * * - Action Required North Colorado Medical Center Trustee's Update November 2016 Patricia Gibson Greeley Community December 31, 2015 ($ in thousands) YEAR - TO - DATE ACTUAL BUDGET VAR % VAR Total Patient Revenue 1,116,296 1,111,879 4,417 0.4% - Deductions and Bad Debt 671,167 690,138 (18,971) -2.7% TOTAL NET REVENUE 445,129 421,741 23,388 5.5% EXPENSE: Salaries & Contract Labor 189,417 194,861 (5,444) -2.8% Supplies 54,771 54,287 484 0.9% All Other Expenses 175,682 149,198 26,484 17.8% TOTAL EXPENSES 419,870 398,346 21,524 5.4% OPERATING GAIN (LOSS) 25,259 23,395 1,864 8.0% Deduction Percentage 60.1% 62.1% 'Banner Health' Greeley Community October 31, 2016 ($ in thousands) YEAR - TO DATE ACTUAL BUDGET VAR % VAR Total Patient Revenue 977,368 995,373 (18,005) -1.8% - Deductions and Bad Debt 617,812 613,807 4,006 0.7% TOTAL NET REVENUE 359,556 381,566 (22,010) -5.8% EXPENSE: Salaries & Contract Labor 167,313 169,195 Supplies 49,708 48,801 All Other Expenses 126,188 126,703 TOTAL EXPENSES OPERATING GAIN (LOSS) Deduction Percentage Banner Health' (1,882) 908 (516) -1.1% t9% -0.4% 343,210 344,699 (1,489) -0.4% 16,346 36,867 (20,521) -55.7% 63.2% 61.7% Charity Care and Services - NCMC Percentage Percentage of Total of Total 2015 Espeuse 2014 Experne an I7toiise:mist 'h, Thousands) Traditional char. r,•care. at coq 5 5,263 1.3% $ 8,779 2.2% CCupaid cost of public plc:pains, Medicaid asicl other indigent care pogrom-, 33.'297 9.1 34,240 8.8 Heald' pro felsiowl education 3.606 0.9 4,839 1.2 C'coant,izits health'Jen-ices 1.114 0.3 767 0.2 Sub=idizedhealth •.€nicer 3.241 0.8 1,531 0.4 Contribution; and u. -kind &nation. 208 — 742 0.2 C'ontmuiurY building activities 115 — 140 — Research activities 178 — 150 — Total cost of community benefit 52,022 12.4 51,188 13.0 Unpaid cot..t of Medicare 24,448 5.8 21,829 5.6 _ Total cost of community benefit and unpaid cost of Medicare S 76,430 _ 18.2% $ 73,017 18.6% Banner Health' NCMC Community Write Off Trending 80,000,000 70,000,000 60,000,000 50,000,000 40,000,000 30,000,000 20,090,000 10,000,000 Charity m 2013 70,926,012 112014 30,141,539 id 2015 18,541,425 w5eptyfD Annualized 22,633,757 Banner Health' CICP 43,798,854 11,150,229 4,337,023 4,360,133 Rad Debt 32,644,564 23,205,841 14,628,257 13,431,953 Hello