HomeMy WebLinkAbout20144033.tiff NCMC Board of Trustees
Regular Session Minutes
Monday, June 30, 2014
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
June 30, 2014, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Mr. Houtchens declared a quorum and called it to order at 12:00 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Louise Giuliano, Thomas Grant, Brandon
Houtchens, Mark Lawley, Dave Owen, Michael Simone, and Sean Conway (Commissioner,
non-voting member)
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
Bill Jerke, former State representative and County Commissioner, spoke concerning various
pending initiatives (see handout):
. Initiative #75 Right to Local Self Government - grants rights to Nature and allows for
lawsuits concerning perceived violations of natural rights.
. Initiatives #88 and #89 Setbacks and Public Right to Colorado Environment - require a
2,000-foot setback and could have an enormous impact on property rights for
agriculture, development, real estate, dairy, and small operators; it is essentially a taking
of land.
. Initiative #89 Public Right to Colorado Environment - protects Nature at all costs and
could be very devastating the economy.
. CFRR (Coloradoans for Responsible Reform) - He referenced the various supporters of
the proposed Resolution of Support who are very concerned with the potential
$4 billion economic impact that could result from the proposed Initiatives. He asked the
NCMC Trustee Board to consider supporting the Resolution from a health care
perspective.
Trustee Carter inquired whether a representative of the opposing view will also be
presenting before taking a position. Ken Schultz indicated it may be best to check with the
County Attorney as to whether the Trustee Board has the authority to pass the proposed
Resolution. Commissioner Conway indicated the County Commissioners support the
Resolution and the deadline for submitting a petition is August 4th. Following discussion,
Chair Houtchens proposed deferring the matter to obtain input from the County Attorney
on the appropriateness of the Trustee Board taking a position. There was a motion by
Trustee Carter to table, with no second. Following discussion, it was MSP (Simone/Grant) to
add the matter to the July Agenda and seek counsel from the County Attorney.
Page 1 of 3 June 30,2014 NCMC Board of Trustees
APPROVAL OF MINUTES
It was MSC (Simone/Carter) to approve the minutes from the May 19, 2014, Regular Session
meeting.
NEW BUSINESS
Mary McCabe -Annual Financial/Charity Update PowerPoint presentation:
• Slide 1 - 2013 Year-to-Date actual costs and budget, which equates to a healthy 6.6%
contribution margin.
• Slide 2 - 2014 Year-to-Date she explained the difference in criteria, and there was
discussion explaining the Medicare reimbursement is substantially reduced through
"Observation," versus being admitted if criteria is met, and a department of case
managers work with physicians for patient follow-up. It was confirmed that
although the ER population is remaining stable, there is a shift from self-paid and
commercial insurance to Medicaid; however, staff is making adjustments to remain
at budget.
• Slide 3 - Charity Care and Services audit (actual cost, unpaid cost of Medicaid,
education, community health services).
• Slide 4 - Write-Off Amounts for basic and enhanced charity, the Colorado Indigent
Care Program (CICP), and bad debt.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
• Currently conducting mid-year peer review forms and managers are going over the
2014 mid-year goals.
• Every employee received $20 Banner Bucks for use at the Stampede.
• Patient Satisfaction - Year-to-Date for target or stretch they met six of the seven
(missing "Responsiveness of Staff" by only 1%).
• Quality - they are meeting six of the ten tracked initiatives; not hitting target on
Observation Status, Fall Risk Assessment, Re-admissions, and Surgical Site Infections.
• Physician recruiting continues; a Burn Surgeon starts in August, and three new
OBGYN physicians start in Aug./Sept./Oct.
• Master Campus Plan - 130-foot crane was placed this past week to move items
in/out for the new kitchen, MRI placement, and some of the other projects, and it is
intended to remain for the next 6-12 months.
• A Community Open House is scheduled for the Lab on July 11-12, 2014.
In response to Trustee Owens, Ms. Sparks confirmed they did release some long-standing
radiologists and will begin using a radiologist group out of Fort Collins, effective July 21,
2014. She explained the primary reason for the change was standardization; they will
now be using the same group that is used at McKee Medical Center. She also confirmed
NCMC is the first and only hospital to offer the new 3D mammogram machine, which was
delivered in October, 2013.
Page 2 of 3 June 30,2014 NCMC Board of Trustees
VISITATION REPORTS
Pulmonary and Critical Care; Sleep Program
Dr. Susan Carter met with Drs. Rob and Kelley Janata - June, 2014. A written copy of the
visitation report is attached as a part of these minutes.
Burn Center
Mark Lawley met with departmental staff - June, 2014. A written copy of the visitation
report is attached as a part of these minutes.
VISITATIONS FOR NEXT MONTH —JULY, 2014
Mark Lawley
Mike Simone
NCMC, INC. REPORT
• Chair Houtchens reported the recent finance committee meeting was postponed.
• Ken Schultz reported there are no pending bond issues and the contract with Banner
remains unchanged.
OTHER BUSINESS:
• Ken Schultz reported he attended a meeting with Fort Lupton representatives regarding
the potential of opening a clinic in the area.
• Gene Haffner, NCMC Director of Public Relations - Busy and supportive of the Greely
Independence Stampede as a sponsor, and the Community Newsletter contains some nice
feature articles which will be printed and distributed within the next week.
COMMISSIONER'S REPORT
Commissioner Conway reported Weld County was #1 in the nation for job creation in 2013,
and #5 for wage growth. He expressed appreciation for Banner meeting with Fort Lupton
Mayor, Tommy Holton, concerning a clinic along Highway 52. He also reported all economic
indicators seem to remain strong.
PLANNING SESSION
There was no discussion for scheduling a future planning session.
ADJOURN
There being no further business to come before the Board, it was MSC (Owens/Simone) to
adjourn the meeting at 1:05 p.m.
Respectfully submitted,
Esther Gesick
Page 3 of 3 June 30,2014 NCMC Board of Trustees
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