RECORD OF PROCEEDINGS

The Kiowa County Hospital District and County Board met in regular session on August 24, 2021, at 6:34 p.m. at Cobblestone Inn Meeting Room.

District Board members present were: Mary Eikner, Sylvia Shields, Craig Kerfoot and Ken Flory.

Absent - Meghan Buck (called).

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

Others present: Rene Larkin, Stormi Nash, Rachel Bletzacker, Gloria Trosper, Allan Lane, Stephanie Sewell, Cindy McLoud, Char Korrell, Ellen Lane, Taran Muehlbauer, Michael Archer, Matt Prince, Vince Colarelli, Brent Frazee and Beth Spady.

CALL TO ORDER

The meeting was called to order by Sylvia Shields, Chairman of the Board at 6:34 pm.

COUNTY VOTING MEMBER SELECTION

Karl Eikenberg, Claire Prince, and Pam Cole.

APPROVAL OF MINUES

A motion was made by Ken Flory to approve the July 27, 2021 minutes as presented. Motion seconded by Craig Kerfoot. All aye.

A motion was made by Craig Kerfoot to approve the August 16, 2021 minutes as presented. Motion seconded by Karl Eikenberg. 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.

PLANNER PRESENTATION

Vince with Colarelli Construction visited with the Board about options for a new campus. The Board discussed the advantages and disadvantages of a new facility. Vince Colarelli proposed a less expensive and more timely option where the building occurs elsewhere and is then shipped to Eads for assembly and final touches. Vince Colarelli would be the primary point of contact for all issues and concerns relate to the project.

CREDENTIALING

Dr. Lauren Thomas, Dr. Sean Buck, Tim Kynion, PA, Dr. Eric Lyders and Dr. James Bowie were approved for temporary privileges by Med Staff. Dr. Karin Liljestrand, Dr. Chad Knaus, Dr. George Gustafson, and Margarite Bechis were approved for active privileges by Med Staff. Dr. Dipti Nevrekar, Dr. Brian Steele and Dr. Shawn Corey were approved for telemedicine privileges by Med Staff. Motion to approve as presented by Ken Flory. Seconded by Karl Eikenberg. All aye.

Med Staff Bylaws Section 7.3 was amended to update the list of current providers that can perform medical screening examinations. Motion made by Ken Flory and seconded by Pam Cole. All aye.

POLICIES & PROCEDURES

The Board reviewed and discussed the summary of policy and procedure revisions regarding the Nurse Aid Program. Radiology policies will be reviewed and presented after changes have been made. Both polices have been emailed to the Board. All policies were reviewed by the Policy Committee and approved by Med Staff. Motion was made by Ken Flory to approve the Nurse Aid policies as discussed and seconded by Craig Kerfoot. All aye.

STANDING REPORTS

CEO

KCHD staff continue to work on the Hospital Transformation Project (HTP) outcomes. These measures will be tied directly to revenue.

KCHD would like to pursue funding through the USDA Recovery Grant. These funds would help construct a negative pressure room, obtain additional lab equipment and a hood for the blood bank. This funding does require a 25% match. Mary Eikner made a motion for KCHD to write for USDA funding. The motion was seconded by Craig Kerfoot. All aye.

Mental Health Matters, a project in collaboration with Southeast Health Group is looking to identify members of the community to participate in trainings. Several Board members are interested in attending the training. It was suggested that the Hospital Auxiliary Group and our local first responders might be interested as well.

Pathway Designs will be a KCHD to visit with the Board and staff starting September 1, 2021. They should conclude their visit on September 3, 2021 with an exit interview with the Board.

All Board members should now be receiving the CHA HeartBeat email notices.

There were several staffing updates. We have several openings in various departments at this time. Morgan King, PA will be starting with KCHD on September 7, 2021.

CFO

The July financials were reviewed and showed a profit for the month and year to date. In July, days cash on hand was 18 and days in AR was 87. We did receive a Medicare settlement.

There was a question regarding the check register. KCHD will follow up on this concern.

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

CNO

The recent CNA class of red at KCHD had four students. Three of the four students will be working at KCHD. We plan to offer another CNA class in October of 2021.

The medication management committee continues to review a few drug classes each month in an effort to reduce cost and waste.

Staff continue to work on the ED ALTO program and antibiotic stewardship process.

The Chemo class for nursing staff has been rescheduled for October 11th and 12th of 2021. KCHD is working to get everything in place for offering chemo at our facility. The chemo medications can be run through the 340B program.

HOSPITAL SAFETY & COMPLIANCE

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

CLINIC

Nothing new to report at t is time.

OLD BUSINESS

COVID-19 UPDATE

There have been several new cases in Kiowa County. Masks are now mandatory for all KCHD staff. KCHD continues to monitor the situation and make adjustments as needed.

Monoclonal antibodies are available at KCHD with a provider order.

HOUSING DEVELOPMENT

Brent Frazee visited with the Board about the Southeast Colorado Workforce Housing Project. In looking at Lot 6, Block 22 , Brent Frazee would recommend one two-bedroom duplex for the lot.

The current building would need to be removed from the property. Motion was made by Craig Kerfoot for KCHD to more forward with the agreement. Seconded by Mary Eikner. All aye.

NEW BUSINESS

BOARD OFFICER ELECTIONS

Elections will be held at next month's meeting as Sylvia Shields provided a letter resigning the Chair position as of September 27, 2021.

EXECUTIVE SESSION

A motion was made by Ken Flory to go into executive session for purposes of receiving legal advice to review legal structure of governance and consider revision to governance documents pursuant to and as permitted by CRS 24-6-402(4)(c). Karl Eikenberg seconded the motion. All aye.

Executive session convened at 8:20 pm and was returned to regular session at 8:45 pm.

ADJOURNMENT

The meeting was adjourned at 9:00 pm.

Respectfully submitted,

Kiowa County Hospital District Board

Mary Eikner, Secretary-Treasurer