LAWRENCE MEMORIAL HOSPITAL
BOARD OF TRUSTEE MEETING
September 21, 2005
9:00 a.m.
Present: Donna Osness Gene Meyer Jane Maskus
Joe Flannery Simon Scholtz Lee Reussner, MD
Lindy Eakin Deborah Thompson Andy Ramirez
Verdell Taylor Dana Hale
Bob Schulte Karen Shumate
Mark Praeger, MD Jeff Novorr
Sheryl Jacobs Janice Early-Weas
Judy Keller Kathy Clausing
Others present: Chad Lawhorn, Lawrence Journal-World and Carolyn Coleman, League of Women Voters Representative
Call to Order
The meeting was called to order by Donna Osness, Chairperson.
Approval of Agenda
The agenda was presented for review and amended to put #3. Recognition of Service to Bob Schulte after #4. Executive Session.
MOTION: made by Joe Flannery, seconded by
Dr. Praeger to approve the agenda as amended.
Motion carried.
Executive Session
MOTION: made by Bob Schulte, seconded by
Joe Flannery that the Board of Trustees recess to
Executive Session for consultation with hospital
attorney which would be deemed privileged in the
attorney-client relationship, to include the CEO,
CFO, VP/Quality Services and Chief of Staff. The
open meeting to resume in this room at 9:30 a.m.
Motion carried.
MOTION: made by Joe Flannery, seconded by
Sheryl Jacobs to extend the Executive Session to
9:45 a.m. Motion carried.
MOTION: made by Verdell Taylor, seconded by
Judy Keller to leave Executive Session. Motion
carried.
Board of Trustee Meeting Minutes
September 21, 2005
Page two
Open meeting convened at 9:55 a.m.
Recognition of Service to Bob Schulte
Donna Osness presented a Resolution to Bob Schulte for his years of dedicated service to LMH and the community. Bob recalled his first year on the Board starting October, 1995 and looked at the progress that has been made in these 10 years, contributing the success of developing services to our community to Gene Meyer and his leadership.
Consent Agenda
1. Approval of minutes for the August 17, 2005 Board of Trustee meeting.
2. Financials Statements for August, 2005
MOTION: made by Judy Keller, seconded by
Joe Flannery to approve the Consent Agenda.
Motion carried.
The Finance Committee report was pulled from the Consent Agenda for discussion.
Finance Committee Report
Simon Scholtz reported on a possible Medicare Acute Rehab overpayment. Our audit firm has been notified by the Medicare Intermediary at Blue Cross that LMH has been overpaid on Acute Rehab claims since 2002. Medicare began in 2002 including a 19% rural adjustment to our inpatient rehab claims as a result of LMH’s designation as a rural sole community hospital. Each year the Intermediary was asked about the appropriateness of our receiving payments and each time LMH was assured that this was correct. The amount has been estimated at $1.2 million for prior years and $500,000 for 2005. Reserves have been recorded for these amounts and should not impact LMH’s bottom line.
Simon Scholtz noted the revenue for the month was the second highest in the year. A/R days are at 50.9.
Medical Staff Reports
Dr. Reussner reviewed the General Medical Staff and Medical Executive Committee recommendations:
a) General Medical Staff Bylaw changes:
a. General Medical Staff Rule Article 5.4 “History & Physical”
b. Medical Staff Bylaws Articles 7.2, 7.4-1, 7.4-2 & 8.6-2
c. Medical Staff Bylaws Articles 15 & 16
MOTION: made by Lindy Eakin, seconded by
Joe Flannery to approve the Medical Staff changes.
Motion carried.
Board of Trustee Meeting Minutes
September 21, 2005
Page three
b) Medical Executive Committee credentialing recommendations:
a. Kevin A. Bybee, MD & Matthew G. Deedy, MD (Active Staff; Int. Med/Cardiology) Appointments effective 9/21/2005 through 6/30/2007 with Internal Medicine/Cardiology privileges as requested. There will be provisional periods for Dr. Bybee’s and Dr. Deedy’s new memberships for this initial period of appointment. They are with Cardiovascular Consultants practice in Kansas City and will be working with the Lawrence Cardiologists.
b. Raonak Ekram, MD & Eston J. Schwartz, MD (Active Staff; Int. Med/Oncology) Appointments effective 9/21/2005 through 6/30/2007 with Internal Medicine, Oncology privileges as requested. There will be provisional periods of Dr. Ekram’s and Dr. Schwartz’ new memberships for this initial period of appointment. They are with the Lawrence Oncology Group.
c. Anuradha Ramaswamy, MD (Active Staff; Internal Medicine) Appointment effective 9/21/2005 through 6/30/2007 with Internal Medicine privileges as requested. There will be a provisional period of Dr. Ramaswamy’s new membership for this initial period of appointment. Dr. Ramaswamy has joined the Reed Medical Group.
d. Aubrey T. Wright, MD & Marc J. Warman, MD (Consulting; Int. Med/Neuropathology) Appointments effective 9/21/2005 through 6/30/2007 with Internal Medicine (Neuropath. Monitoring privileges) as requested. Drs. Wright & Warman provide readings of real-time intraoperative monitoring from their office in Maryland.
e. Sherri N. Rohlf, MD (Active Staff; Anesthesia) Accept Dr. Rohlf’s resignation effective 9/01/05.
MOTION: made by Sheryl Jacobs, seconded by Lindy Eakin
to approve the Medical Executive Committee’s recommendations.
Motion carried.
CEO Comments
Gene Meyer reviewed the following:
Old Business
a) Gene Meyer reported on the progress on the Master Campus Plan and Renovation Project:
i. Master Campus Plan – RFP’s have been sent to architects with extensive hospital experience and once the new Facilities Committee is in place the proposals will be reviewed.
ii. Renovation --The ’69 wing is now vacant and pre-demolition work is being done with an October demolition to occur.
b) Imaging Center Project Report - The group that performed the feasibility study reported that they did not feel an imaging center would be justified and recommended the possibility of additional radiology services be with a joint venture with a physician group. A meeting was held with the Radiology and Orthopedic physicians for discussion of collaboration of MRI services. We have not heard back from the groups but expect some response soon.
Board of Trustee Meeting Minutes
September 21, 2005
Page four
c) Mental Health Matters - Dana Hale reported on the Crisis Stabilization Center’s activities since the opening of the center. Dana also reported to the Board on the certification of the Bob Billings Cardiac Evaluation Center.
d) Capital Campaign Update – Kathy Clausing showed a film being used for the campaign and the activities in place. October 2 is the “Big News under the Big Top!” from 4-6 pm at 4th & Arkansas Streets. It will be a community chili feed and ice cream party. The campaign will finish in February, 2006 with a celebration at the Hearts of Gold Ball. Information will be out later as to potential dates and co-chair announcements. There will be 1,000 people involved in the capital campaign.
e) Physician Manpower Study – Phase 2 Consulting visited with 22 different physicians as to where their practice could be in 5-10 years from now, their group plans, where groups exist in our community. The information assembled is to be sent back and a meeting will be scheduled for the medical staff and board to receive the results.
New Business
a) Excellence in Commerce Nomination – LMH has been nominated, and award to be announced October 17, 2005.
b) Uninsured Issues – The Insurance Commissioner’s office and Blue Cross/Blue Shield of Kansas are addressing a plan as to those who do not qualify for Medicaid insurance and asking for discounted care from hospitals and physicians. This would be the first of its kind in the country.
Announcements
Donna Osness announced that LMH has not heard yet as to the appointment of new Board members.
Adjournment
MOTION: made by Joe Flannery, seconded by
Sheryl Jacobs that the meeting adjourn. Motion carried.
Respectfully submitted,
Verdell Taylor
Secretary