HomeMy WebLinkAbout20144035.tiff NCMC BOARD OF TRUSTEES
Regular Session Meeting
Monday, August 25, 2014
Attachment 1
Minutes of Regular Session of
July 28, 2014 *
* - Action Required
NCMC Board of Trustees
Regular Session Minutes
Monday, July 28, 2014
12:00 Noon
The Board of Trustees of North Colorado Medical Center met in Regular Session on Monday,
July 28, 2014, in the Richard Stenner Boardroom located at North Colorado Medical Center.
Mr. Houtchens declared a quorum and called the meeting to order at 12:00 p.m.
ATTENDANCE REPORT
NCMC Board of Trustees: Dr. Susan Carter, Thomas Grant, Brandon Houtchens,
Mark Lawley, Dave Owen, and Michael Simone were present, with Louise Giuliano and
Sean Conway (Commissioner, non-voting member) 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 (OWEN/SIMONE) to approve the minutes from the June 30, 2014, Regular
Session meeting.
OLD BUSINESS
a) CONSIDER RESOLUTION OF SUPPORT REGARDING OPPOSITION TO VARIOUS INITIATIVES
TO AMEND THE COLORADO CONSTITUTION (CON'T FROM 6/30/2014 PUBLIC COMMENT):
Mr. Houtchens reported he contacted County Attorney, Bruce Barker, who agreed it was
not within the scope of responsibilities for the Trustee Board to take positions on a political
matter and, therefore, the matter was dismissed.
NEW BUSINESS
There was no new business.
CEO REPORT or COO REPORT
NCMC COO, Wendy Sparks, gave the following report:
• All employees are going through the mid-year check in, which must be completed by
mid-August.
• Hosting an all staff/physicians/volunteers luncheon where multiple Banner awards will
be presented for NCMC, McKee and multiple clinics (25 total).
• Patient Satisfaction for June - meeting target in 4 of 7 factors, with improvement
needed in Responsiveness of Staff, Pain Management, and Rate, which is at the 74th
percentile. She stated staff is still striving to reach those goals by the end of the year;
Page 1 of 3 July 28,2014 NCMC Board of Trustees
anything below 9 or 10 counts as a zero and it does correlate to reimbursement. She
explained discharged patients receive a phone call to complete a survey for patient
satisfaction and the results are reported to the public. She further noted the surveys
will eventually include out-patient responses.
• Quality- Working to hit targets for the remainder of the year, with emphasis on Surgical
Site Infection, Re-admission Rate, Fall Risk, and Length of Stay for Observation Patients.
• Physicians - three OBGYN physicians are starting in August, September and October, as
well as a new burn surgeon starting next month.
. Financials for June did very well at $2.7 million, compared to a budget of$1.8 million,
for a positive variance of$911,000, and an overall year-to-date positive variance of$2.8
million, The NOCO area is ahead of budget by $2.1 million.
. Master Campus Plan -the 130-foot crane will be in place for 6-12 months, the expanded
coffee corner opened July 16th and revenue has doubled; they are also open later for
the benefit of night staff. The Cancer Center Expansion groundbreaking ceremony will
be on Thursday at 10:00 a.m. Use of the new MRI, which is the second MRI on campus,
will start next week, the lab is now open, and volumes are still under budget.
VISITATION REPORTS
FAMILY MEDICINE RESIDENCY TRAINING
Mark Lawley met with staff on July 18, 2014. A written copy of the visitation report is
attached as a part of these minutes. In response to Mr. Lawley concerning what should be
reported back to the Trustee Board, Mr. Houtchens explained state law requires the visits;
however, the unusual nature of the structure is not really contemplated by the statute. He
indicated the basic responsibility of the Trustees is to view asset-based functions, as
opposed to true operations; however, NCMC staff is present at the Trustee meetings and
may be able to address any reported operational issues. Mr. Schultz added they oversee
quality, which is supplemented by quantity, and Mr. Houtchens added the visitations are an
avenue for staff to express concerns, which should be reported back to those who are in a
position to make the proper adjustments. In response to reported challenges and
obstacles, Mr. Sutton concurred there are challenges with the NexGen software and they
are in the process of transitioning to Cerner, which can now accommodate an outpatient
data module. Rural residency physician training forgiveness was also discussed for those
who are placed within the rural Banner network, versus remaining within the larger
communities.
SPORTS MEDICINE
Michael Simone met with Tracy Damrell, on July 8, 2014. A written copy of the visitation
report is attached as a part of these minutes. Dr. Carter explained they are present
primarily at high intensity sports and Dr. Damrell is Senior Manager of Sports Medicine at
Banner and a Director at UNC, so he has a good sense of what is happening. It also serves
as a good public relations opportunity.
VISITATIONS FOR AUGUST
Louise Giuliano
David Owen
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NCMC, INC. REPORT
Mr. Houtchens reported NCMC Inc. will meet tomorrow (every quarter), the last finance
committee meeting was uneventful, and he reported on the performance of handling
investments. Mr. Schultz explained the County still owns the ground and he gave a brief
summary of the history of how the working relationship was formed, as well as the political
factors and how it serves to provide a checks and balances of accountability to the citizens
of Weld County. BMG (Banner Medical Group) oversees outsourced out-patient clinics.
COMMISSIONER'S REPORT
Commissioner Conway was excused.
OTHER BUSINESS
There was no other pending 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 (CARTER/GRANT) to
adjourn the meeting at 1:06 p.m.
Respectfully submitted,
Esther Gesick
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NCMC BOARD OF TRUSTEES REPORT
Visit conducted by Mark Lawley
On Date Department
July 18, 2014 Family Medicine Residency Training
Department History
Formed in 1974 Family Medicine offers training for residents planning to practice family
medicine in any community.
The objectives of the program are:
• To provide residents with the necessary knowledge and skills to be competent family
physicians in settings with limited medical resources.
• To incorporate biological, psychological, social, and economic perspectives into the resident's
approach to the well-being of patients, families, and communities.
• To train residents to attend to health and well-being as well as illness.
• To provide a supportive environment in which residents may strive to fulfill their full potential
as family physicians and as people.
Service(s) Provided
Residents provide outpatient services to the hospital; treat patients in the clinic and conduct some
procedures at the clinic.
Number of staff Revenues/Budgets if relevant
73
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Successes
The Residency program is a Nationally Recognized Program for OB training and other all around
education.
They have approximately 700 applicants apply annually; of the 700 applicants they will interview
100 applicants and select 9 applicants into the residency program every year.
Challenges/Obstacles
Hiring process needs to be examined, seems to be complex it can take a significant amount of time
to get clinic staff hired. In many cases it may take up to 12 weeks from the time an applicant applies
for a job and the time they report for duty for training.
The other challenge is the NexGen Software, at times very cumbersome, significant frustration,
constant complaining tool for staff.
Departmental Needs/Requests
None Noted
Manager's suggestions for improvement
None Noted
Page 2 of 3
What would the department manage/director like NCMC, Inc. to know, if anything?
Nothing Noted
Notes/Miscellaneous
Page 3of3
SPORTS MEDICINE VISIT--JULY 8
MIKE SIMONE
Department History: I spoke to Tracy Damrell, athletic trainer, who is the Senior Manager of the Sports Medicine
Department. Tracy was hired in 2001 by Dr. Gilbert Anderson--Dr. Anderson, from what I understand, was the
sports medicine guru at NCMC. The department is not a revenue generating operation but they are highly visible
and provide a significant amount of positive press for the hospital/Banner and provide public education concerning
sports medicine. They have a relationship with UNC and the Greeley school district.
Services Provided: Support for athletic programs in the Greeley school district and at UNC. They also provide
community outreach for local sporting events and will assist almost any organization who would like help
developing a concussion prevention program (they provide brochures, presentations and other information for
parents/athletes/athletic departments) or other help concerning sports medicine for their athletes. They are
involved in a foundation that helps provide AED's to Greeley high schools. The hospital also funds a lightning safety
program that gives real time weather reports to the Greeley school district during sporting activities. They have a
performance enhancing machine called the"Accelerator" found within their department. It is a machine/program
that athletes pay cash to use and its primary focuses are to increase an athlete's strength, make them faster,
decrease injuries, etc.
Number of Staff: full-time and part-time and what fields: There are 3 full time and 3 part time athletic trainers. There
are also 2 graduate assistants,
Revenues/Budgets If Relevant: The department is funded primarily by$500K it receives from UNC. It also
receives some funds from a contract with the Greeley school district.
Successes: UNC relationship (they were competing with Poudre Valley for the contract), community outreach
(public health and + PR).
Challenges/Obstacles: Decreased revenues from a new contract with the Greeley school district--but not
significant enough to have a major impact on their mission. Tracy said it is always a struggle to balance the
services they provide (especially those done pro bono) with their revenue but he also said the hospital was very
generous when he has asked for more funds. Another revenue stream that isn't easy to quantify would be those
athletes (and/or their relatives/friends)who receive treatment at the hospital for injuries and other health care
issues because of the relationship they fostered with the sports medicine department. They are working with
Northeastern Junior College in Sterling to develop a relationship similar to what they currently have with UNC.
Departmental Needs/Requests: Tracy said his supervisors seriously consider any needs or requests and he has
always felt comfortable with their rationale when something couldn't be funded.
Suggestions for improvement:. None
What Would The Department Manager/Director Like NCMC Trustees To Know?: The administration is always
concerned about R0I but his department, due to the amount of community outreach (often pro bono), is given a
little more leeway than most of the other departments. He also wanted the trustees to know UNC and the hospital
provides whatever support is necessary to make sure the program is a success.
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