The Kiowa County Hospital District and County Board met in regular session on October 23, 2018 at 6:30 p.m. at the Bransgrove Building Meeting Room. 

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

County Board members present were: Dennis Pearson, John Negley, Ken Flory and Craig Kerfoot. 

Others present: Shannon Dixon, Char Korrell, Cindy McLoud, Ellen Lane, and Beth Spady. 

CALL TO ORDER

The meeting was called to order by Priscilla Waggoner, Chairman of the Board at 6:30 pm. 

COUNTY VOTING MEMBER SELECTION

John Negley, Ken Flory and Craig Kerfoot. 

APPROVAL OF MINUTES

A motion was made by John Negley to approve the September 25, 2018 meeting minutes as presented and seconded by Ken Flory. All aye. 

APPROVAL OF AGENDA

A motion was made by Sylvia Shields to approve the agenda after adding an executive session. Motion seconded by Mary Eikner. All aye. 

PUBLIC COMMENT

No one was present for public comment. 

CREDENTIALING

There were no providers to approve for credentialing privileges this month. 

POLICIES & PROCEDURES

The Board reviewed and discussed the summary of revisions to policies in the lab department. A motion was made by Craig Kerfoot to approve the policies as presented. Mary Eikner seconded the motion. All aye.

STANDING REPORTS

CEO

Char presented the Board with summaries of the various trainings and meetings that were attended in October. 

The Board reviewed a care coordination agreement that will be used to show collaboration between KCHD and specialty providers. 

As part of the Hospital Transformation Program through the Colorado Department of Health Care Policy and Financing, KCHD will be conducting a community needs assessment. 

KCHD would like to purchase a computer for $25,000 that would allow for communication with all existing HVAC units and $15,000 for the annual maintenance of the HVAC system. A motion was made by John Negley to approve the purchase and seconded by Ken Flory. All aye. 

A motion was made by Sylvia Shields to approve the purchase of two IV fluid warmers for a total estimated cost of $1,900. Motion seconded by Mary Eikner. All aye. 

CFO

The September financials were not available for review by the Board as a result of the software changes and transitions at KCHD. They will be mailed as soon as they are complete. 

The 2019 Budget is in process. The Board reviewed the capital budget for the upcoming year. 

A motion was made by John Negley to change the expenditures section of the KCHD Bylaws to reflect a $5,000 threshold. Any capital expenditure over $5,000 must have Board approval. The motion was seconded by Craig Kerfoot. All aye. 

CNO

KCHD will be attending the Fall Bazaar to provide community outreach and education about the signs and symptoms of strokes.

Staff continue to meet to finalize wound care protocol for KCHD. Our infection control program will now focus on sepsis education.

HOSPITAL QUALITY & SAFETY

The Quality Report Scorecard was reviewed by the Board. We had no med errors. There were five falls with no injury noted - several of the documented falls were one patient. 

Our HCAHPS vendor, Strategic Health send out surveys. Only one survey was returned but it again indicated a positive experience at KCHD.

OLD BUSINESS

AVERA eCARE 

KCHD and Avera eCare continue to discuss contract terms. The plan is to utilize Avera eCare in the emergency department in 2019. 

NEW BUSINESS

BOARD DINNER 

Kiowa County Hospital District and County Board will have their annual dinner on Tuesday, December 11th at 6:30 pm. 

BOARD UPDATE 

Lori Shalberg passed earlier this week and her services will be this Friday, October 26. 

EXECUTIVE SESSION

A motion was made by Mary Eikner to go into executive session to consider matters required to be kept confidential by federal or state law or rules and regulations pursuant to and as permitted by CRS 24-6-402 (4)(a). John Negley seconded the motion. All aye. 

Executive session convened at 8:12 pm and was returned to regular session at 9:05 pm. 

ADJOURNMENT 

The meeting was adjourned at 9:06 pm. Motion by Cathryn Anderson and seconded by Sylvia Weeks. All aye.

Respectfully submitted,

Kiowa County Hospital District Board Sylvia Shields, Secretary-Treasurer