Kiowa County Hospital District & County Board Meeting

RECORD OF PROCEEDINGS

BOARD MEETING

March 26, 2019

The Kiowa County Hospital District and County Board met in regular session on March 26, 2019 at 6:34 p.m. at the Bransgrove Building Meeting Room. 

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

County Board members presentwere: John Negley, Ken Flory, Whitney Barnett, Kevin Davis and Craig Kerfoot. 

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 6:34 pm. 

COUNTY VOTING MEMBER SELECTION 

John Negley, Ken Flory and Whitney Barnett. 

APPROVAL OF MINUTES 

A motion was made by Sylvia Shields to approve the February 26, 2019 minutes as presented. Motion seconded by Ken Flory. All aye. 

APPROVAL OF AGENDA 

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

PUBLIC COMMENT 

No one was present for public comment. 

CREDENTIALING 

Dr. George Gustafson was approved for courtesy 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 

Quality Improvement policies were discussed with the Board. Changes to the policies focused on changes in wording and the implementation of 5 Whys. All policies have been reviewed by the policy committee and approved by Med Staff. A motion was made by Mary Eikner to approve all policies as presented and seconded by Sylvia Shields. All aye.

BOARD MEMBER 

The Board welcomed Kevin Davis who has been nominated and agreed to serve on the Hospital County Board. Kevin Davis took the oath of office and was sworn in by Priscilla Waggoner, Chairman of the Board. 

STANDING REPORTS 

CEO 

The State completed their life safety and survey follow up visit and found KCHD in compliance with no deficiencies noted. 

KCHD has been approved by the Colorado Rural Health Center (CRHC) to receive a charge master review. Staff will work with CRHC to review CPT and billing codes. 

The Board reviewed and discussed HB 1168 also known as the reinsurance program that is being discussed at the State Capitol. Char will provide the Board with information on the bill and its potential negative impact on rural hospitals. 

CFO 

The February financials were reviewed and showed a profit for the month. In February, days cash on hand was 100, days in AR was 88, operating margin was 5%. 

Staff will be working with Intacct to possibly change the format of the financial statements. 

CNO 

Staff have been working diligently to input patient information into Athena and provide education and trainings to ensure information is being documented in a consistent manner. 

Protocols on sepsis 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. 

Both Sangre de Cristo and Lamar Area Hospice have contracted with KCHD for inpatient hospital hospice services. Patients will now be able to choose which agency they would like to have provide this service. 

The Eastern Plains Healthcare Consortium plans to meet on April 12th in Burlington to further discuss the possibility of shared staffing.

HOSPITAL QUALITY & SAFETY 

The Quality Report Scorecard was reviewed. There were two med errors. There were three falls with no injuries noted. Infection rate was 15%. There were no decubitus ulcers reported.

OLD BUSINESS 

AVERA eCARE 

A portion of the expense for the set up of Avera eCare will be covered by federal funds. We are getting closer to implementing Avera eCare telehealth services in the emergency room. 

NEW BUSINESS 

HVAC 

Staff continue to work to identify our needs regarding the HVAC system. KCHD will submit a grant request to Department of Local Affairs (DOLA) to assist with the HVAC expenses. The proposal is due to DOLA on April 1, 2019 and would require a 50/50 match. KCHD continues to look at other funding opportunities to offset the anticipated expenses. Three companies have visited KCHD and expressed an interest in contracting to complete the HVAC project. 

MEMORIAL FUND 

The Lori Shalberg Memorial has generously provided funds that will be used for the purchase of several large screen televisions as requested by Lori. 

HEALTH FAIR 

The annual Health Fair is scheduled for Friday, April 5th and Saturday, April 6th from 7 am - 11 am at the Eads Elementary School. 

ADJOURNMENT 

The meeting was adjourned at 7:50 pm. Motion by Whitney Barnett and seconded by Sylvia Shields. All aye.

Respectfully submitted

Kiowa County Hospital District Board 

Sylvia Shields, Secretary-Treasurer