The Kiowa County Hospital District and County Board met in regular session on September 26, 2017 at 6:31 p.m. at the Bransgrove Building Meeting Room.

District Board members present were: Robert Woods, Mary Eikner, Priscilla Waggoner and Cathryn Anderson. Absent - Sylvia Shields.

County Board members present were: Craig Kerfoot, Dennis Pearson, Lori Shalberg, and John Negley. Absent - Kim Harris (called).

Others present: Shannon Dixon, Char Korrell, Cindy McLoud, Wendy McDowell, Colette Martin, Rod Brown, Dana Brown, and Beth Spady.

CALL TO ORDER

The meeting was called to order by Robert Woods, Vice Chairman of the Board at 6:31 pm.

COUNTY VOTING MEMBER SELECTION

Craig Kerfoot, John Negley, and Lori Shalberg

APPROVAL OF MINUTES

A motion was made to approve the August minutes by Craig Kerfoot and John Negley seconded it. All aye.

APPROVAL OF AGENDA

A motion was made by Lori Shalberg to approve the Agenda with the addition of lighting bid as a discussion item and it was seconded by Mary Eikner. All aye.

PUBLIC COMMENT

A client spoke during public comment regarding a recent visit. Discussion followed. Priscilla, Char, and client will meet again to discuss this issue. Documentation will be available per Client’s request on Thursday afternoon.

CREDENTIALING

Dr. Steven Lewis, Dr. Michael Magill-Collins, and Dr. Allison Edwards were given sixty-day temporary privileges with approval of Med Staff. Craig Kerfoot made a motion to approve temporary privileges for all three providers listed above and Robert Woods seconded. All aye.

POLICIES & PROCEDURES

There were no policies and procedures to review and approve.

STANDING REPORTS

CEO

Jason Morgan, PA has opted to accept another position so he will not be coming to practice at Eads Medical Clinic/Kiowa County Hospital District. Jessica Hyman has expressed an interest in returning to Eads to practice dependent on the successful completion of her provider exam. Dawn Back is planning to return to Eads to practice starting around the first of January 2018.

The HRSA 340B external audit has been completed by Eide Bailly. The pharmacy agreements are in place. Accumed's agreement will take effect on October 1, 2017 so the count is scheduled to take place on Monday, October 2, 2017.

Staff continue to work on the Conditions of Participation in anticipation of an upcoming survey from State.

Char had contacted Centimark regarding leaking roof who completed repairs at no charge. We have a warranty on the roof.

KCHD received a bid of $54,000 to retrofit lighting with LED lights which is projected to save $1,700 per month. Discussion followed detailing the need to obtain bids and to review this project upon the completion of other more pressing projects.

High Plains Heating & Air submitted a bid for $8,834 to install a new air conditioning unit in the lab area. Kent Electric will complete work on the outlet needed for the new unit for $1,789. A motion was made by Mary Eikner to approve the bids and seconded by Lori Shalberg. All aye.

Priscilla noted that during Char Korrell's tenure the following had occurred: two providers had been added to the provider staff, the credentialing process has improved, and staff are working diligently to prepare for survey.

CFO

The August financials were reviewed. We continue to have issues with Medicaid billing so accounts receivable has increased. The State of Colorado does not have a daily rate entered which they are working to fix.

Swing beds are good from the first of year although we did not have any in August. Sleep studies increased in August. We will be putting funds into a CD but will wait until the billing issue with the State is resolved.

CNO

We currently have 18 residents. One staff member recently passed her RN exam.

We received the warrant for the telemetry and glide scope grant. We can now purchase these items. We plan to install equipment towards the end of October 2017 and have the glide scope around March of 2018.

NSIDE CONSULTING

No report available.

HOSPITAL QUALITY & SAFETY

The Quality Report Scorecard was reviewed. We had four falls (three falls were the same patient), two med errors, no infections or readmissions. We will be implementing a fall bundle throughout the facility soon. The Board discussed new pressure beds which could be helpful with patients susceptible to falls.

OLD BUSINESS

AUDIT PROPOSALS

A motion was made by Craig Kerfoot to have Stockman, Kast, Ryan & Co. perform our financial audits for FY 2017, 2018, and 2019. The motion was seconded by Mary Eikner. All aye.

NEW BUSINESS

2018 BUDGET

The preliminary budget for 2018 was presented to the Board for review. The Board discussed priority items and capital expenses for the upcoming year. It was noted that the x ray machine becoming digital and the hepafilter were required for compliance in 2018.

CODE OF CONDUCT

All Board members were provided a copy of the Code of Conduct and are asked to sign the acknowledgement for us to keep on file as part of our compliance program.

SINGLE ENTRY POINT CONTRACT

The Board reviewed the Single Entry Point contract with Bent County Public Health. The $10,000 contract is from July 1, 2017 - June 30, 2018 for the assessment and case management of Kiowa County Single Entry Point clients. A motion was made by Mary Eikner to approve the contract as presented. The motion was seconded by Lori Shalberg. All aye.

GRANTS

There are no grants to report on at this time.

ADJOURN MENT

The meeting was adjourned at 8:00 pm. Motion made by Robert Woods, seconded by Cathryn Anderson. All aye.

Board Meeting 09.26.17

Respectfully submitted,

Kiowa County Hospital District Board

Sylvia Shields, Secretary-Treasurer