HomeMy WebLinkAbout20144039.tiff NCMC BOARD OF TRUSTEES
Regular Session Meeting
Monday, December 15, 2014
Attachment 1
Minutes of Regular Session of
November 24, 2014 *
* - Action Required
NCMC Board of Trustees
Regular Session Minutes
Monday, November 24, 2014
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
November 24, 2014, in the Richard Stenner Boardroom located at North Colorado Medical
Center. Mr. Houtchens declared a quorum and called the meeting to order at 12:10 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Thomas Grant, Brandon Houtchens, Mark
Lawley, Dave Owen, Michael Simone, and Sean Conway (Commissioner, non-voting
member), with Jason Yeater being excused
Banner Health: Rick Sutton (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/Owen) to approve the minutes from the October 27, 2014, Regular
Session meeting.
NEW BUSINESS
There was no new business.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
• Celebrated the One-Year NOCO Anniversary and met all of the federal requirements of
getting all of the electronic medical records in place.
• Ebola preparation is ongoing.
• Patient Satisfaction -Year-To-Date hitting target or stretch on all seven dimensions.
• Quality- Hitting target on seven initiatives and striving to meet the remaining three.
• Physician recruiting is ongoing.
• Financials - The Greeley Community for October had an operating gain of$862,000 and
is ahead of budget by $3.3 million year-to-date. The NOCO area had an operating gain
of$1.4 million and is ahead of budget by$3.4 million year-to-date.
• Master Campus Plans - the projects are ongoing and on schedule. Dr. Carter and Tom
Grant expressed their appreciation for the facility tour provided to the NCMC Inc. Board
to help make the reports of progress more relevant. Ken Schultz proposed the Trustee
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Board also consider taking a facility tour of the newly completed projects. Following
discussion, a tour was scheduled for 1:00 p.m., immediately following the December
meeting.
. In response to Dave Owen, Dr. Carter and Mark Lawley confirmed the fire departments
and local ambulance services work in conjunction with each other and whichever
emergency responder arrives first will initiate care and then transfer as appropriate.
Often the fire responders can assist with other issues such as downed lines, gas lines,
etc. and can cancel the fire call, if appropriate. There was also discussion concerning
working IGAs, communications responses/transportation arrangements depending on
the severity of a case, and billing arrangements.
VISITATION REPORTS
SAFETY/FIRE PREVENTION
Mark Lawley indicated there was a misunderstanding as to the time/date and his visit will
be rescheduled to January.
PEDIATRICS VISIT
Mike Simone reviewed his report, dated November 18, 2014. A written copy of the
visitation report is attached as a part of these minutes. His report prompted responses
concerning feedback on expressed interest of ability to add the service of acute children's
treatment. Discussion indicated this is a long-standing expressed interest and the financial
challenges are generally similar in small units without a lot of volume.
VISITATIONS FOR DECEMBER
Brandon Houtchens
Jason Yeater
NCMC, INC. REPORT
Brandon Houtchens stated the NCMC Inc. Board has received more info concerning the
Pension Plan, it is now fully funded, and they are still reviewing off-loading options of the
deferred retirement plans. Ken Schultz explained the opportunity to transfer the plan was
missed when the interest rates were favorable. The Plan is administered by First Mutual of
Omaha and they may be forced to continue managing the plan in-house as employees
continue to fall off the plan. He further stated the only way for a sale to be financially
feasible is if the interest rates increase and they will not lose money.
COMMISSIONER'S REPORT
Commissioner Conway reported the election results will bring in two new Commissioners
(Julie Cozad and Steve Moreno) on January 5th, and the Board will be at the CCI Conference
next week and will be establishing the assignments to the various 31 boards and
commissions for 2015. There will also be a new Clerk and Recorder (Carli Koppes) and
Sherriff (Steve Reams). Ken noted the Annual meeting will be held on January 13th to
re-elect members to the NCMC Inc. Board. Commissioner Conway referenced the various
transportation projects which are under consideration or are already funded and soon to
Page 2 of 3 November 24,2014 NCMC Board of Trustees
start construction (additional lane on I-25 at the Berthoud Hill, and widening the underpass
at the Crossroads bridge. He also discussed the Long Term Transportation Plan for
connecting State Highway 287 and 83rd Avenue. Ken commented completion of that
corridor would also open a route to the hospital that did not previously exist. There was
discussion concerning the competing interests for future municipal growth and school
district boundaries. Commissioner Conway also reported CR 49 from the Greeley-Weld
County Airport, across the rivers to the CR 47 realignment, is planned to be done in a year,
with Phase 2 scheduled to be completed by the end of 2017/early 2018.
OTHER BUSINESS
No other business.
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/Houchens]
to adjourn the meeting at 1:22 p.m.
Respectfully submitted,
Esther Gesick
Page 3 of 3 November 24,2014 NCMC Board of Trustees
Pediatrics Visit
Nov. 18, 2014
J\iike Simone
Department History: The Pediatrics Department was an independent department until December 2012.
Pediatrics now shares many staff resources with the Montfort Family Birth Center. The reason given for the
partnership was that pediatrics generally undergoes seasonal census changes and by sharing, primarily
nursing duties, nurses have a more stable work environment with less chance of moving to"on call". Nurses
in both areas are crossed trained.
Names of contacts: Susanne Bjork and Debra Clark
History of contact: Susanne has been with NCMC since 1983. She is an RN who has experience in ICU,
cardiac catheterization, NICU and pediatrics. She entered management in 2011 and since April 2013 has
managed pediatrics.
Debra was hired out of school (UNC) 16 years ago and has worked exclusively in pediatrics. She is involved
with educating other pediatric nurses and also works on the floor.
Services Provided: Pediatrics--the majority of which are respiratory and GI issues.
Number of Staff: Full-time and part-time and what fields: 55 total staff. 70% are FT, 20% PT, and 10% Per
Diem. 45 are RN's (there are no LPN's), 10 CNA's and PCA's (Patient Care Associates—CNA's with
additional administrative training—on the job).
Revenues/Buduets If Relevant: The Montfort Birthing Center is in the black but pediatrics is in the red. It
was pointed out that they aren't as red as they were last year and are doing better than expected.
Apparently a group of pediatricians left the hospital and took a significant patient base with them. One nurse
can cover 4 pediatric patients but if the census is low, and there are less than 4 pediatric patients on the
floor, they still need the one nurse(not very cost effective). Pediatrics will take overflow patients from other
departments--such as those having had abdominal surgery, ENT surgery—generally simple
surgeries—requiring an overnight stay. They also will take postpartum patients when the birthing center is
full.
Successes: They appreciate the support they get from Montfort. Before they started sharing services many
in pediatrics couldn't take a lunch break. Nurses appreciate the opportunity to cross train. PACU (post
anesthesia care unit)often doesn't have enough staff for post tonsillectomies so they may float a nurse to
them. In the past pediatric patients were sent to pediatrics overnight but now they go home after 6 hours.
Challenges/Obstacles: Low census. If low census in cross trained areas the RN's are placed on "on call"
status. This means they take vacation time or don't get paid. It doesn't happen too often but is not good for
morale. What does it mean that they get credit for hours?
Departmental Needs/Reauests: Susanne said she submits requests for equipment to the regional director
and almost always gets what she needs. They would like to take higher acuity pediatric patients and not
send them to Denver, or elsewhere, They said they had to transfer over 200 patients last year because they
couldn't provide the higher acuity services. They would like cardiac monitors--which would require new
equipment and staff(physician). They were most passionate about adding NO2 for mild sedation, It seems
to be the"in"thing in medicine and can be used for catheterization, blood draws, setting fractures and
during labor. Apparently the RN's can get trained (not needing a nurse anesthetist)in Arizona. These
trained RN's could then provide NO2 support in other departments. They would like a true pediatrics
department (still with collaboration among other departments)with a playroom (might want to consider
adding this even if can't give them their own department), It seemed there was a lot of extra unused room
as I toured the department.
Hello