LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING MINUTES

February 20, 2008

Present:            Joe Flannery                 Gene Meyer                 Mike Thompson, MD

                        Donna Osness              Simon Scholtz               Kathy Clausing

                        Chuck Heath                Dana Hale                    Janice Early-Weas       

                        Verdell Taylor              Deborah Thompson      Andy Ramirez

                        Mark Praeger, MD       Karen Shumate             Sherri Vaughn, MD

                        Sheryl Jacobs               Sheryle D’Amico

                        Allen Belot                   Jane Maskus

                        Dan Lambert                Jeff Novorr

Absent: Judy Keller (excused)

Others present:  Chad Lawhorn, J-W reporter

Call to Order

The meeting was called to order by Joe Flannery, Chairperson.

Approval of Agenda

The agenda was presented for approval.

            MOTION: made by Chuck Heath, seconded by

            Dan Lambert to accept the agenda as presented.

            Motion carried.

Consent Agenda

a) Approval of minutes for January 16, 2008 Board of Trustee meeting.

b) Approval of Finance Committee Report – December, 2007 financials

              January, 2008 financials

c) Planning Committee Report

MOTION: made by Chuck Heath, seconded by

Allen Belot to approve the Consent Agenda.

Motion carried.

Facilities Committee Report

Allen Belot reviewed the progress on the construction project. 

• The punch list is done and Emergency Department to be turned over on February 14.  The entrance canopy for the drive through has not been delivered yet. 
• Second and Third Floors are nearing completion.
• Contingency report reviewed and management will be doing a modification or extraction of costs associated with the medical office building. 
• Eudora project – RFP’s received and will ask that five firms be interviewed.  Reference checks will be taking place in late April.

Board of Trustee Meeting Minutes

February 20, 2008

Page two

• The Committee reviewed a draft of a projected cash position on anticipated source of funds and capital requirements for the next two years.

The Facilities Committee asked for space use projections on how the addition over the new OR could be used.  This is being done and a report back to the Committee when completed.

Community Relations Committee Report

Sheryl Jacobs reported that the Committee met by conference call to review the evaluations of presentations by marketing agencies and to select an agency.   A team was put together to evaluate and narrowed down to four agencies which were interviewed and the firm of Dobie’s Health Care of Kansas City was selected.

Medical Executive Committee Recommendations

Mike Thompson presented the Medical Executive Committee’s recommendations for approval.

MEDICAL STAFF – New Appointments:

Laverne Gugino, M.D. – (Consulting Staff; Anesthesia/Telemedicine)

Appointment effective 2/20/08 through 12/31/09 with requested privileges to provide neurophysiological intraoperative monitoring services.   There will be a Provisional period during this initial period of appointment.

ALLIED HEALTH PROFESSIONAL STAFF* – New Appointments:

Erin Smith, Dental Assistant – (sponsors:  Drs. Armstrong, Gaus and Harvey) 

Appointment effective 2/20/08 through 6/30/09 with assignment of duties as requested.  There will
be a Provisional period during this initial period of appointment. 

Roxanne Smith, Dental Assistant– (sponsor:  Dr. Jacobs) 

Appointment effective 2/20/08 through 6/30/09 with assignment of duties as requested.  There will
be a Provisional period during this initial period of appointment. 

RESIGNATIONS:

Mary Sostarich, Audiologist – (sponsor:  Lawrence Otolaryngology)  Sponsorship withdrawn
effective 1/10/08.

Wayne Tilson, M.D. – (Active Staff, Occupational Medicine) – resignation effective 1/1/08.

MOTION: made by Dan Lambert, seconded by

            Chuck Heath to approve the Medical Executive

            Committee’s recommendations as presented.

            Motion carried.

Board of Trustee Meeting Minutes

February 20, 2008

Page three

CEO Comments

Gene Meyer reported on the following:

• AHA/KHA report depicts the Federal fiscal budget for 2009 and if goes as planned, will mean that there will be a $13.1 - $14.2 million decrease in Medicare reimbursement.
• Announced that David Sostarich, Director of Radiology, is leaving to take a position at the University of Pittsburgh Medical Center.  We wish him the best.
• University of Service Excellence for 2008.  A curriculum is being put together as to expectations & standards throughout the year.
• Ingram’s Magazine features an annual “Heroes in Healthcare” and LMH has two honored.
• Matthew Harms, M.D.  Hospitalist
• Debbie Miers, Food Service
• Annual health assessment on February 27 – Board members may participate.  Results are sent to physicians listed.

Old Business

a) Physician Recruitment Update –

a. No progress has been made for a Gastroenterologist. 

b. Cardiovascular Consultants are still interviewing candidates. 

c. Dr. Vaughn is working with the LOGS group to recruit a sixth Ob/Gyn.

d. Recruitment for a physician for Eudora is underway.

b) Radiology Joint Venture – Karen Shumate reported that after review of the decreased Medicare reimbursement and payer mix, this information was given to the consultants on the project and a decision was made to not move forward with the joint venture.

c) Community Health Assessment Process – Gene Meyer reported on the CHIP meeting that he and Donna Osness attended and looking at other sources available to get a good handle on how to proceed.  Donna Osness attended a meeting on Vision Award which is looking at eleven applications and choosing a hospital nationally, all of which have been through some health assessment.  She hopes to get some health assessment information for the Board to review.

New Business

a) Documentation Program – Karen Shumate described the Compliant Documentation program that is being implemented this month.  The program is designed to help us comply with new Medicare changes that can significantly impact reimbursement if not addressed. Two staff members will be working in this area.  Physician education on office practice changes is also being offered.

Board of Trustee Meeting Minutes

February 20, 2008

Page four

Announcements

The Emergency Department Open House is February 26, 4:30 – 6:30 pm.  The department will begin seeing patients March 6.

Executive Session

            MOTION: made by Chuck Health, seconded by

            Mark Praeger 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, and Chief of Staff.   The open meeting to

resume in this room at 10:05 a.m.  Motion

carried.

MOTION:  made by Chuck Heath, seconded by

Donna Osness to extend the Executive Session

to 10:30 a.m.  Motion carried.

MOTION: made by Verdell Taylor, seconded by

Dan Lambert to extend the Executive Session to

10:40 a.m.   Motion carried.

MOTION: made by Verdell Taylor, seconded

by Dan Lambert to leave Executive Session. 

Motion carried.

The open meeting resumed at 10:45.  There being no further business, the meeting adjourned.

                                                                        Respectfully submitted,

                                                                        Verdell Taylor

                                                                        Secretary