LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING MINUTES

November 16, 2005

9:30 a.m.

Present:            Donna Osness              Gene Meyer                 Kathy Clausing

                        Lindy Eakin                  Simon Scholtz               Janice Early-Weas

                        Verdell Taylor              Deborah Thompson      Lee Reussner, MD

                        Mark Praeger, MD       Karen Shumate Andy Ramirez

                        Sheryl Jacobs               Dana Hale

                        Judy Keller                   Jeff Novorr

                        Allen Belot                   Jane Maskus

Absent: Joe Flannery (excused)

                        Chuck Heath (excused)

Others present:  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.

            MOTION: made by Dr. Praeger, seconded by

            Allen Belot to approve the agenda as presented.

            Motion carried.

Executive Session     

            MOTION:  made by Lindy Eakin, seconded by Judy Keller

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 Sheryl Jacobs, seconded by Judy Keller

to come out of Executive Session.   Motion carried.

The open meeting convened.

Consent Agenda

1. Approval of minutes for October 19, 2005 Board of Trustee meeting.

2. Planning Committee report.

3. Facilities Committee report.

Board of Trustee Meeting Minutes

November 16, 2005

Page two

            MOTION: made by Sheryl Jacobs, seconded by

            Judy Keller to approve the Consent Agenda.

            Motion carried.

Finance Committee Recommendations

1. Financials for October, 2005 – Lindy Eakin reviewed some of the highlights of the financials.  October was a slow month but also a good month with A/R at 50.2 which is an all time low for LMH.

MOTION: made by Judy Keller, seconded by

Sheryl Jacobs to approve the October financials.

Motion carried.

2. 2006 Operating & Capital Budget – Lindy Eakin reported that the budget was reviewed by the Board at a workshop on November 2, reviewed by the Finance Committee on November 14 with a recommendation to the Board for approval.   A 5-year historical report was attached to the Finance Committee minutes showing the improved performance during this time.

MOTION: made by Lindy Eakin, seconded by

Allen Belot to approve the 2005 Operating &

Capital Budget.  Motion carried.

3. CT Scanner  - Lindy Eakin reported on the discussion at Finance Committee

regarding the CT Scanner Options – 16, 40 or 64 Slice and the Committee agreed that a more advanced machine was needed.   Karen Shumate & David Sostarich addressed the reasons for the selections.  The Radiologists want to go with the 64 slice which gives a much better image.   A study was done as to outgoing patients from LMH for this procedure along with the number of patients that would have been candidates for the procedure; with the 64 slice, there would be more patient volume as 12 more procedures a day could be performed.

MOTION: made by Dr. Praeger, seconded by

Allen Belot to approve the purchase of the 64

Slice CT Scanner.  Motion carried.

Dr. Praeger was concerned regarding charges as Medicare will not pay.  Patients need to be notified and understand before the procedure is done.   Physicians when ordering the procedure need to make their patients aware.  It was noted that when patients are registered at LMH they are given a letter to sign as to this procedure not being covered.

Board of Trustee Meeting Minutes

November 16, 2005

Page three

Medical Staff Report

Dr. Reussner presented the Medical Executive Committee’s recommendations for Board approval:

MEDICAL STAFF – NEW APPOINTMENTS:

Lakshmi K. Duvvur, MD (Active Staff; Internal Medicine/Nephrology) – Appointment 11/16/2005 through 06/30/2007 with Nephrology privileges as requested.  There will be a
provisional period of Dr. Duvvur’s new membership for this appointment period.  She has

joined the Cotton O’Neil Nephrology group.

ALLIED HEALTH STAFF – NEW APPOINTMENTS:

Gail Kendall, RN – Appointment effective 11/16/2005 through 06/30/2007 with Expanded
Role RN duties as requested. There will be a provisional period during Ms. Kendall’s initial appointment period.  She will be working under the sponsorship and supervision of the Cardiovascular Consultant Group.

RESIGNATIONS:

        Thomas W. Fulbright, M.D. – Accept the resignation of Dr. Fulbright effective 9/9/05.

OTHER REQUESTED CHANGES in STATUS or PRIVILEGES:

Scott Thellman, M.D. & John Keller, M.D. (Active Staff; Plastic & Reconstructive Surgery) – Approval of the addition of “Removal of Subcutaneous Infusion Ports” privileges.        

        MOTION:  made by Dr. Praeger, seconded by

        Sheryl Jacobs to approve the Medical Executive     

        Committee recommendations.  Motion carried.

CEO Comments

Gene Meyer reported on the following:

·Agreement with IMG to provide radiology procedures at their new location should be operational by November 30.  The LMH location is to be called “LMH IMAGING WEST”.

· No final report has been received from the consulting study by the orthopedic group regarding a Wellness Center in Lawrence but some information indicates no market to support a Center.  The report will be shared with the Board when received.

Old Business

a) Mental Health Matters – Dana Hale reported on the Crisis Stabilization Services which was consistent with the prior months report.

b) Radiology Storage Building – Karen Shumate and Skanda reported on the film storage need for Radiology with a drawing showing the location of the 5,000 sq. ft. building on the northwest corner of the campus for Board approval.

Board of Trustee Meeting Minutes

November 16, 2005

Page four

MOTION: made by Allen Belot, seconded by

Sheryl Jacobs to approve the construction of

the building for storage.  Motion carried.

New Business

a) Conflict of Interest – Conflict of Interest forms were included in the packet for the Board members to complete and turn in for file.

b) Kansas Medicaid Changes – Simon Scholtz reported that the Kansas Hospital Association has informed LMH that the assessment program for Kansas hospitals has been approved and will result in an increase in Medicaid payments.  LMH’s assessment will be $530,000 per year and the expected return is estimated to be $1.2 million resulting in approximately $700,000 of additional reimbursement annually.

Announcements – The announcements were noted.

Adjournment

There being no further business, the meeting adjourned.

                                                                                    Respectfully submitted,

                                                                                    Verdell Taylor

                                                                                    Secretary