HomeMy WebLinkAbout20154111.tiff NCMC BOARD OF TRUSTEES
Regular Session Meeting
Monday, March 30, 2015
Attachment 1
Minutes of Regular Session of
February 23, 2015 *
* - Action Required
NCMC Board of Trustees
Regular Session Minutes
Monday, February 23, 2015
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
February 23, 2015, in the Richard Stenner Boardroom located at North Colorado Medical
Center. Mr. Houtchens declared a quorum and called the meeting to order at 12:08 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Catherine Davis, Brandon Houtchens, Mark
Lawley, Michael Simone, and Jason Yeater, with Sean Conway (Commissioner, non-voting
member) being Excused
Banner Health: Wendy Sparks (NCMC COO)
Staff: Ken Schultz (Board Executive), Absent
Recording Clerk: Esther Gesick (Weld County Clerk to the Board)
PUBLIC COMMENT
There was no public comment.
APPROVAL OF MINUTES
a/b) It was MSC (Simone/Lawley) to approve the minutes from the January 13, 2015,
Annual and Regular Session meetings.
NEW BUSINESS
a) INTRODUCTION OF NEWLY APPOINTED TRUSTEE - CATHERINE DAVIS: Catherine Davis
was welcomed by the Trustee Board. She introduced herself as a Windsor resident who
is retired from Proctor and Gamble, where she was Principle Scientist and Medical
Microbiologist with a doctorate in Medical Microbiology. She stated she applied for the
position because she was looking to get involved and believes in the importance of the
health community.
b) REAPPOINTMENT OF TRUSTEE - DR. SUSAN CARTER: The Board acknowledged the
reappointment of Dr. Susan Carter to the Trustee Board.
c) ELECTION OF VP OF BOARD OF TRUSTEES: Due to the vacancy of Tom Grant's position,
Dr. Carter self nominated for the position of Vice President. The motion was seconded
by Mr. Simone, which carried unanimously.
d) ASSIGNMENT TO NCMC, INC. BOARD: Mark Lawley stated he is still interested and self
nominated for assignment to the Inc. Board. Seconded by Mr. Simone, the motion
carried unanimously.
Page 1 of 3 February 23,2015 NCMC Board of Trustees
e) RESIGNATION OF TRUSTEE - DAVID OWEN: Mr. Houtchens referenced the resignation
letter from Dave Owen, with various members of the Board expressing their
appreciation for his background and knowledgeable presence on the Board and wished
him well.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
• Employees -the facility staff are busy with annual performance reviews which should be
completed by March 15th.
• Patient Satisfaction - there have been seven reporting dimensions and they are adding
the new category of "Would Recommend," so the facility is currently hitting target on
three of the eight dimensions, and the February surveys are looking good. Following the
balance of her report, Mr. Houtchens inquired concerning the CMS database which
previously had two questions for "Rate" and "Recommend" and he explained the
historical disconnect between those two categories. Ms. Sparks explained some of the
facility's reimbursement is based on the CMS value-based purchasing program. It is the
metric chosen by Banner and they still have to improve by .05% over last year.
Mr. Yeater inquired as to marketing efforts based on previous input from Public
Relations Director, Gene Haffner. Ms. Sparks stated she does not anticipate any major
changes in marketing; however, they are always happy to publicize their achievements.
Responding to Catherine Davis concerning an infected equipment incident in California,
Ms. Sparks explained Banner's Infection Control Group will be making a
recommendation the beginning of next week.
• Quality-the final 2014 data indicates hitting eight of the ten quality initiatives.
• Physicians - actively recruiting 17 open physician positions.
• Financials - January financials for the Greeley community show an operating gain of
$810,000, and the NOCO area had an operating gain of$1 million.
• Master Campus Plan - the new MRI is up and operational (second on campus), the
kitchen project is on track with plans to remove the modular trailers at the beginning of
April, and the Pharmacy and Cancer projects are also on track.
VISITATION REPORTS
FACILITY OPERATIONS DEPARTMENT
Mark Lawley reviewed his report, dated January 27, 2015, in which he met with Scott
Kelley and Dave Herbert. A written copy of the visitation report is attached as a part of
these minutes.
SERVICE EXCELLENCE DEPARTMENT
Dr. Carter reviewed her report, dated February 23, 2015, in which she met with with Pat
McNulty Collins. A written copy of the visitation report is attached as a part of these
minutes. In response to Mr. Simone concerning the most common complaints,
Ms. Sparks stated there are weekly meetings with all of the department leadership to
discuss ways to improve. She noted the most typical complaints are regarding the bill
and pain control/medications, and the survey is only counted if the rating of a 9 or 10 is
Page 2 of 3 February 23,2015 NCMC Board of Trustees
received, otherwise it is counted as a zero! Mr. Lawley commented that the typical
emergency response complaint is the wait in the ER. Mr. Yeater commented there are
so many positive aspects going on throughout the facility and yet there is still the
challenge of getting the message out to ensure that the common perception is
consistent with the reality of what takes place on a day-to-day basis. Ms. Davis agreed
communicating with, and marketing to, the consumer is very important. Dr. Carter
commented that they are working on a new marketing campaign beyond the standard
community feeds, such as at community athletic games, the local newspaper, and an
upgrade to the website, etc. Ms. Sparks commented the new V.P. also places a lot of
emphasis on consumerism. Mr. Simone stated it can be very challenging to change a
bad reputation. Dr. Carter also discussed the dynamic of contracted services. The
general consensus among the Trustees was the value of respect and a positive
experience, and the importance of marketing the merits of NCMC separate from the
overall Banner system.
VISITATIONS FOR MARCH
Michael Simone
Jason Yeater
NCMC, INC. REPORT
Mr. Houtchens explained the Finance Committee meets every month to scrutinize the
outcome of the money managers, review the pension liability, and evaluate the contract
with Banner. He stated they have received some positive publicity regarding a $250,000
grant to Aims, and he commended the NCMC Foundation for the good job they do raising
money that is disbursed back into the community. He explained the hospital was originally
managed by the Trustee Board, which was later transferred to Lutheran Health Services and
merged with Banner. Through those transitions many of the employees maintained their
pensions and the NCMC Inc. Board assumed the liability. He described the various
categories of employees who have not opted to claim their benefits, and explained there is
an $18 million liability which continues to be managed through First National Bank. If it
becomes more valuable, then the decision will likely be made to transfer the funds and
offload the management responsibility.
OTHER BUSINESS
In response to Ms. Sparks, the Trustees expressed interest in participating in a tour of the
new Banner Fort Collins Medical Center which is set to open April 6, 2015.
ADJOURN
There being no further business to come before the Board, it was MSC [Carter/Simone] to
adjourn the meeting at 1:05 p.m.
Respectfully submitted,
Esther Gesick
Page 3 of 3 February 23,2015 NCMC Board of Trustees
Visit conducted by: Mark Lawley
On Date Department
1-27-2015 Facility Operations-Scott Kelley and Dave Herbert
Department History
The department stated at one time they did a considerable amount of work within.At one point in time they had full
time carpenters,wood working furniture shop,grounds maintenance and electrical services.Now much of that is
outsourced to other companies allowing them to focus on maintenance and facility operations.
Service(s)Provided
The current services provided revolve around facility repairs and operations.The current operation has plumbers,
electricians,and what they call stationary engineers.Their focus revolves around working with hospital staff to make
repairs immediately when possible.Overall they keep systems in the hospital functional,repaired and maintained.
Number of staff:32 full time staff. Revenues/Budgets Wasn't sure on the exact budget amount.
Thought 7 to 8 million.
Successes
They feel their input in the design construction of the upgrade has been instrumental in improving facility systems and
operations.Good relationship with the State Inspection Department,and the local building and fire department.
Challenges/Obstacles Keeping up with new technology,all the new construction and upgrades revolve around new
technology.They also feel they are stretched thin at times!
Departmental Needs/Requests
Would like some redundancy in the form of an additional Stationary Engineer for 2nd
and 3`d shift.
Manager's suggestions for improvement
Would like to have refresher courses and more training in the area of new technology.
What would the department manage/director like NCMC,Inc.to know,if anything?
Wanted to let Wendy know how much they appreciate the support.Apparently in the past management never
interacted much with facility operations.Noted that Tim,Wendy and Rick were attentive to what was going on and felt
they had good support.
Report to North Colorado Medical Center Board of Trustees
Trustee-Susan Carter, M.D. February 23, 2015
Service Excellence Department at North Colorado Medical Center
Description:This interview was conducted with Pat McNulty Collins, who heads this department. This
particular service excellence the patient is for the inpatient side of the hospital. They bridge the gap
between the patient's expectation in the delivery of quality care. They're particularly involved with
education of all hospital leaders and staff. Pat states that they particularly focus on the front end of the
patient's visit and work with employees and physicians to make a positive impact on patient care.
Composition:The department is small but mighty, and consists of Karen Endress at NCMC, and Pat
McNulty Collins at NCMC. Pat is the NoCO leader, which also includes Isaac Cisneros at McKee Hospital.
There will not be another hire for the Fort Collins branch at first, because they do not expect a full-time
position needed in the beginning. There may be a new hire to help with NCMC and McKee facilities in
the near future.
Complaints: When a complaint comes from the floor at the hospital, it is dealt with at the point of
service. There is a service center, which is actually located in Arizona, even though it is a Greeley phone
number. This service center handles post discharge complaints. They enter the complaint into an
electronic system, which is called VERGE. There is then a responsibility tree that falls in place. For
example, a liter would call the patient regarding the complaint, but notes into VERGE, then send a letter
out explaining what has been done in the investigation of the complaint. The patient is given the option
of continuing which then may escalate to peer review or risk management. CMS guidelines are followed
for the responsibility tree and responses that are appropriate.
Survey: Pat compiles a report on the weekly survey which is a Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAPS) measure. This is accomplished by a third party. This weekly
data that is compiled includes numerous parameters such as patient's perception of care,
communication from nurses, communication from Drs., clean and quiet, responsive time (such as how
quickly they were helped getting to the bathroom), pain management, and discharge planning. This
weekly report is sent to all NCMC employees, a more detailed report is sent to management, and a
quarterly report is given from each department chair to the respective physicians.
Excellence: North Colorado Medical Center was featured in Consumer Reports. We were identified as
one of 32 hospitals out of 2600 as a Top Hospital. We have highest scores in communication from
physician, communication from nurse, discharge planning thin instructions, and overall rating. Also
quality is taken into consideration including infection rates and readmission to hospital for example.
Banner Medical Group: also has a Service Excellence Dept., headed by Michael Six. This is responsible
for the service excellence education at the clinic level. Sometimes the two overlap, for example the
tipping clinics of Orthopedics and North Colorado Family Medicine are being helped by the NCMC staff
at present. Also, the Monfort Family Birth Center staff is undergoing team building with the help of the
service excellence team at NCMC, to help re-create a culture.
Goal: We want to become trusted advisors. We strive to be effective coaches and consultants for all
North Colorado Medical Center staff.
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