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Kiowa County Hospital District meeting minutes May 28, 2019

The Kiowa County Hospital District and County Board met in regular session on May 28, 2019 at 6:30 p.m. at the Bransgrove Building Meeting Room.

District Board members present were: Mary Eikner, Cathryn Anderson and Priscilla Waggoner. Absent: Dennis Pearson ( called), Sylvia Shields ( called).

County Board members present were: Craig Kerfoot, and John Negley. Absent: Whitney Barnett ( called), Kevin Davis ( called), Ken Flory ( called).

Others present: Shannon Dixon, Char Korrell, Mike Rowe 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

Craig Kerfoot and John Negley.

APPROVAL OF MINUTES

A motion was made by Craig Kerfoot to approve the April 23, 2019 minutes as presented. Motion seconded by Mary Eikner. All aye.

APPROVAL OF AGENDA

A motion was made by Craig Kerfoot to approve the agenda as presented. Motion seconded by Mary Eikner. All aye.

PUBLIC COMMENT

No one was present for public comment.

CREDENTIALING

Dr. Timothy Hsu and Judith Mago, PA were approved for active privileges by Med Staff. Dr. Steven Foley was approved for consulting privileges by Med Staff. A motion was made by Mary Eikner to approve all credentialing as presented above and seconded by Cathryn Anderson. All aye.

POLICIES & PROCEDURES

The Board received and discussed the summary of revisions to the infection control, point of care testing, and physical therapy policies. All policies were reviewed by the Policy Committee and approved by Med Staff. A motion was made by Craig Kerfoot to approve all policies as presented and seconded by John Negley. All aye.

STANDING REPORTS

CEO

KCHD celebrated Hospital Week and had good participation by staff. Attendance at the barbeque was impacted some by the weather but overall a good week.

House Bill (HB) 19-1168 which creates a reinsurance program for Colorado passed. The Board received information regarding the estimated assessment fees.

The Board received the most recent information regarding proposed Medicaid Disproportionate Share Hospital (DSH) cuts. The Colorado Hospital Association (CHA) reports 352 members of the House of Representatives signed a letter urging the House to delay for at least two years the DSH cuts which were scheduled to begin on October 1, 2019.

There are currently 110 patients enrolled in the chronic disease management program.

KCHD had its pharmacy inspection which went well.

The report submitted for the Hospital Transformation Program was accepted.

CFO

The April financials were reviewed and showed a profit for the month. In April, days cash on hand was 130, days in AR was 89, operating margin was 39%.

Board received information on regional workshops provided by the Special District Association. Anyone interested in attending was encouraged to contact Shannon or Beth so that registration could be completed.

CNO

None.

HOSPITAL QUALITY & SAFETY

The Quality Report Scorecard was reviewed. There were two med errors. There were two falls with one injury noted. Processes are being reviewed and discussed to determine means to minimize both medication errors and falls.

OLD BUSINESS

AVERA eCARE

All the paperwork with Avera eCare is complete. We anticipate a start date of August 2019. The success of Avera eCare has been strongly linked to marketing of the program and providing education in the community regarding the advantages of telehealth.

Department of Local Affairs (DOLA)

lconergy has installed several measuring devices at the facility as part of the energy audit. KCHD has visited with Southeast Colorado Power Association (SECPA) about applying for a REDLG (Rural Economic Development Loan & Grant (REDLG) loan to assist with the expenses associated with the HVAC project. A motion was made by Craig Kerfoot to proceed with the RED LG application process. Motion was seconded by Mary Eikner. All aye.

NEW BUSINESS

AUDIT PRESENTATION

Mike Rowe with Stockman, Kast, Ryan, and Company presented the 2018 audit report to the Board. A motion was made by Mary Eikner to accept the 2018 audit as presented. Motion seconded by Cathryn Anderson. All aye.