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Kiowa County Hospital District meeting minutes – April 23, 2019

RECORD OF PROCEEDINGS KCHD BOARD MEETING - April 23, 2019

The Kiowa County Hospital District and County Board met in regular session on April 23, 2019 at 6:32 p.m. at the Bransgrove Building Meeting Room.

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

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

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

CALL TO ORDER

The meeting was called to order by Priscilla Waggoner, Chairman of the Board at 6:32 pm.

COUNTY VOTING MEMBER SELECTION

Craig Kerfoot, Kevin Davis and Whitney Barnett.

APPROVAL OF MINUTES

A motion was made by Craig Kerfoot to approve the March 26, 2019 minutes as presented. Motion seconded by Whitney Barnett. All aye.

APPROVAL OF AGENDA

A motion was made by Sylvia Shields 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 was approved for temporary privileges by Med Staff. A motion was made by Sylvia Shields to approve all credentialing as presented above and seconded by Whitney Barnett. All aye.

POLICIES & PROCEDURES

The Infection Control policies were discussed with the Board. All references to facilities have been changed to maintenance. The policies addressing Construction Renovation and National Health Care Safety reporting requirements have been revised to reflect our current practices. The Emergency Preparedness plan had a few grammar errors which have been corrected.

All policies were reviewed by the Policy Committee and approved by Med Staff. A motion was made by Sylvia Shields to approve all policies as presented and seconded by Craig Kerfoot. All aye.

STANDING REPORTS

CEO

KCHD will celebrate Hospital Week starting Monday, May 13th through Friday, May 17th

There are several activities planned throughout the week. Everyone is encouraged to attend the Barbeque to be held on Friday, May 17that 5:00 pm.

The Board was updated on staffing changes that will impact the clinic and radiology department.

CFO

The March financials were reviewed and showed a profit for the month. In March, days cash on hand was 104, days in AR was 97, operating margin was 19%.

We received our most recent cost report settlement in March. We expect to utilize our locums more in the months to come so we anticipate an increase in expenses.

Staff have successfully input the budget information into the new accounting system so the

financials will have a slightly different appearance. The Board will receive both formats so a

decision can be made on which we will use going forward.

CNO

KCHD will be celebrating Nurse's Day on May 8that the Annex building.

Protocols on skin tears, urinary tract infections, and constipation have been developed and

approved by Med Staff and our Infection Control Committee. Staff will receive training in the next few weeks pertaining to these new protocols.

Dawn Back has received certification in wound care and will be our primary contact for

consultation related to wounds. This will hopefully reduce frequent changes in wound care

orders and improve our quality of care.

Due to weather concerns, the Eastern Plains Healthcare Consortium moved the meeting to

discuss the possibility of shared staffing from April 12th in Burlington to May 16th in Holyoke.

HOSPITAL QUALITY & SAFETY

The Quality Report Scorecard was reviewed. There were two med errors. There were two falls with no injuries noted. Processes are being reviewed and discussed to determine means to minimize both medication errors and falls.

OLD BUSINESS

AVERA eCARE

Implementation with Avera eCare is ongoing. We anticipate a start date of August 2019.

NEW BUSINESS

HVAC

The Department of Local Affairs (DOLA) grant has been submitted. KCHD visited with several companies and has opted to utilize Iconergy for the energy audit. KCHD continues to look at other funding opportunities to offset the anticipated expenses. A motion was made by Sylvia Shields to move forward in the DOLA application process with an anticipated match from KCHD of $500,000 to address our HV AC needs. Mary Eikner seconded the motion. All aye.