RECORD OF PROCEEDINGS

BOARD MEETING June 22, 2021

The Kiowa County Hospital District and County Board met in regular session on June 22, 2021, at 6:30 p.m. at Cobblestone Inn Meeting Room and via Zoom.

District Board members present were: Mary Eikner, Sylvia Shields, Craig Kerfoot and Meghan Buck. Absent - Cathryn Anderson (called).

County Board members present were: Ken Flory, Kevin Davis, Karl Eikenberg, Claire Prince and Pam Cole.

Others present: Nikki Lenox, Jason Lenox, Stormi Nash, Gloria Trosper, Sunny Maestas, Taran Muehlbauer, Shea Johnson, Jose Hernandez, Allan Lane, Caleb Lane, Raina Lynch, Brenda Smith, David Lenderts, Jessica Hyman, Michael Archer, Ben Anderson, Renay Crain, Tanya Lane, Stephanie Sewell, Donald Oswald, Dianna Gilbert, Ray Gilbert, Mike Downing, Berta Downing, Chana Reed, Char Korrell, Ellen Lane, and Beth Spady.

CALL TO ORDER

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

COUNTY VOTING MEMBER SELECTION

Kevin Davis, Ken Flory, and Pam Cole.

APPROVAL OF MINUTES

A motion was made by Ken Flory to approve the May 25, 2021, and June 7, 2021, minutes as presented. Motion seconded by Kevin Davis. All aye.

APPROVAL OF AGENDA

A motion was made by Ken Flory to approve the agenda as presented with the addition of District Board Member added under new business and an executive session. Motion seconded by Mary Eikner. All aye.

PUBLIC COMMENT

No one was present for public comment.

CREDENTIALING

Dr. Chad Knaus, Dr. Aaron Gale, Dr. Margarite Bechis, and Dr. James Bowie were approved for temporary privileges by Med Staff. Dr. Steven Foley was approved for consulting privileges by Med Staff. Dr. Richard Grzybowski and all Avera eCare providers (Jaret Copeman, Katie Delong, Casey Green, Nathaniel Johnson, Tyler Koedam, Donald Kosiak, Matthew Nipe, Andrea Pham, Tyler Price, Kelly Rhone, Alan Sazama, Benjamin Shives, Brian Skow, Nicole Stethem, Garrett Taylor, John Travnicek, Lucas VanOeveren, Collin Vaughn, and Heeyoung Wang) were approved for temporary privileges by Med Staff.

A motion was made by Craig Kerfoot to approve all credentialing as presented above and seconded by Mary Eikner. All aye.

Med Staff Bylaws Section 7.3 was amended to add Tamara Shaw, NP to the list of current providers that can perform medical screening examinations. Motion made by Ken Flory and seconded by Craig Kerfoot. All aye.

POLICIES & PROCEDURES

The Board reviewed and discussed the summary of policy and procedure revisions regarding Physical Therapy policies. The Physical Therapy policies have been emailed to the Board. All policies were reviewed by the Policy Committee and approved by Med Staff. A motion was made by Pam Cole to approve all policies as discussed and seconded by Kevin Davis. All aye.

STANDING REPORTS

CEO

Our new clinic manager was introduced to the Board. We will add the clinic to the monthly agenda under the standing reports section.

KCHD anticipates receiving a legislative recap in the upcoming weeks. This report will be emailed to the Board for review. KCHD will continue to monitor the Public Option bill.

Life Safety conducted two inspections of our facility. One inspection was the annual inspection for the Hospital which included a few minor concerns. The other inspection was of our new lab space. KCHD submitted plans to Life Safety which were approved. However, modifications will need to be made before lab can occupy the new space and central supply must be relocated temporarily. After discussion, Craig Kerfoot made a motion for KCHD staff to obtain additional bids and information regarding central supply options for the Board to consider. Kevin Davis seconded the motion. All aye.

KCHD received notification that the 340B desk audit is complete as the requested information had been accepted.

KCHD was advised by Cindy McLoud that she was now the Community Coordinator of the Kiowa County Economic Development Foundation.

The Board was reminded of the Special District Association (SDA) annual meeting on Tuesday, June 29, 2021. Board members are encouraged to participate.

Eastern Plains Healthcare Consortium (EPHC) continues to work on various issues including Region 8 rates, antitrust implications, and rural infrastructure opportunities namely Hill Burton funds that KCHD could potentially qualify to receive.

The KCHD Recruitment Committee will be interviewing one mid level provider in July. There are several other candidates that will be contacted. KCHD will also be looking at the recruitment program with the Colorado Rural Health Center (CRHC).

KCHD is pursuing a grant opportunity to assist with telemedicine visits for our Chronic Care Management (CCM) patients. This funding could assist with our existing CCM patients and potentially help us identify other clients that could benefit from this service.

CFO

The May financials were reviewed and showed a profit for the month and year to date. In May, days cash on hand was 183 and days in AR was 80.

The Board reviewed a full-time equivalent report pertaining to staffing in each department.

CNO

The Quality Management Committee is working on medication management. Areas of focus include Emergency Department Alternative to Opioids (ED ALTO) project, looking at our drug formulary (one drug class at a time), and reducing medication errors through system issues.

As a result of a recent public health order, KCHD staff that are fully vaccinated are no longer required to wear a mask. There are some exceptions to this order.

KCHD completed an infection control risk assessment that was shared with the Board. A motion to approve and accept the risk assessment as presented was made by Mary Eikner. Seconded by Craig Kerfoot. All aye.

HOSPITAL QUALITY, SAFETY, & COMPLIANCE

The Quality Report Scorecard was reviewed. Various measures including infection rate, medication errors, and falls were reviewed by the Board.

OLD BUSINESS

DEPARTMENT OF LOCAL AFFAIRS (DOLA) GRANT UPDATE

KCHD has one more invoice with DOLA. The generator issue has been addressed.

COVID-19 UPDATE

As mentioned earlier, there are new public health orders regarding masks. COVID vaccines remain available. Recently, there have been no new cases in Kiowa County. The delta variant is of growing concern in Colorado and surrounding areas. KCHD will continue to monitor.

HHSFUNDS

The Board received an updated list of items proposed for purchase using HHS funds. After discussion, a motion was made to add a back up suction machine to the list and to add another component to the HHS dollars for staff. Motion was made by Craig Kerfoot to approve the revised HHS list of items. Mary Eikner seconded the motion. All aye.

NEW BUSINESS

DISTRICT BOARD MEMBER

In accordance with the KCHD Bylaws regarding attendance, a motion was made by Mary Eikner to remove Cathryn Anderson from the District Board. The motion was seconded by Meghan Buck. All aye.

After discussion, a motion was made by Craig Kerfoot to appoint Ken Flory to the District Board.

The motion was seconded by Meghan Buck. All aye.

PROPERTY REQUEST

Nikki and Jason Lenox expressed their interest in purchasing the land south of their home which is currently owned by the Hospital. The Board tabled the request and will discuss at a later time.

COLORADO HOSPITAL ASSOCIATION (CHA) PRESENTATION

Benjamin Anderson visited with the Board about several leadership, governance, and educational opportunities available through CHA.

EXECUTIVE SESSION

A motion was made by Ken Flory to go into executive session to consider risk management matters pursuant to and as permitted by CRS 24-6-402(4)(d). Kevin Davis seconded the motion. All aye.

Executive session convened at 8:20 pm and was returned to regular session at 8:36 pm.

A motion was made by Kevin Davis to go into executive session to consider personnel matters pursuant to and as permitted by CRS 24-6-402(4)(f)(I). Meghan Buck seconded the motion. All aye.

Executive session convened at 8:39 pm and was returned to regular session at 9:20 pm.

A motion was made by Ken Flory to talk with Pathway Designs about performing a needs assessment at KCHD. Motion was seconded by Karl Eikenberg. All aye

ADJOURNMENT

The meeting was adjourned at 9:21 pm.

Respectfully submitted,

Kiowa County Hospital District Board

Mary Eikner, Secretary-Treasurer