The Community Memorial Hospital Board of Governors met at 7:30 pm this day, Monday, June 2, 2008.

Those present were:

Board of Governors

Raymond Riehle, President

Steve Caryer, Vice President                                                                 

Janice Kline, BOG Member

Lynne Grandey, Secretary/Treasurer

Peter Kennerk, BOG Member

Mel Fahs, President/CEO          

Sharon McGowan, Chief Financial Officer

Michelle Waggoner, Chief Operating Officer

Jane Zachrich, Chief Nursing Officer

Gregg Harpel, Director of Ancillary Services

Pam Franklin, Director Administrative Services

Lori Wein, Executive Assistant

Absent:

Todd Wiley, MD, BOG Member  

REVIEW OF MINUTES:

The minutes of the April 28, 2008, Board of Governors Meeting was presented for approval.  After review of the minutes a motion for approval was made by Steve Caryer and seconded by Peter Kennerk.  Roll Call Vote:  Riehle-yes, Grandey-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Wiley-absent.

REPORTS:

1. FINANCIALS:

A. Audit Review:

Brad Shaw and Larry King from Blue and Company reviewed the 2007 annual financial audit.  Mr. Shaw reported that the audit was a clean audit and had a favorable opinion.  There were two audit comments about contractual allowances and debt covenants.  They reviewed several ratios and found that on most ratios Community Memorial Hospital was at a level comparable to other critical access hospitals.  The auditors explained that even though there was a large loss for 2007 there were many positive indicators.  The volumes continue to grow and CMH continues to recruit physicians.

B.  Financial Report:

Sharon McGowan reviewed the April 2008 financial statements.  Total gross revenue variance for April was $180,244 or 7% less than budget and $495,226 or 27% greater than prior year.  The gross revenue was less than budget due to the reduction in emergency room visits.  Inpatient revenue was less than budget $22,978 or 4% and better than prior year $161,480 or 48%.  Patient days for acute care were over budget 5 days or 3% and over last year 79 days or 94%.  Swing bed days were over budget 10 days or 11% and over last year 9 days or 10%.  Inpatient revenue is under budget due to the mix of patients that were hospitalized.  There were more medical patients who require fewer services than a surgery patient.  The budget was developed with the expectation that there would be four inpatient surgery cases per month.  It was assumed that they would be cases other than C-Sections.

2. MEDICAL EXECUTIVE COMMITTEE:

A. A summary of the Medical Executive Committee meeting on May 16^th was included for review.  Recommendations approved at this meeting included:

1. Initial Appointment:

Ø Kerry Hicks, MD – Active Family Physician/OB privileges through May 31, 2010.

2. Reappointment:

Ø Denise E. Blad, MD – Active Family Physician/OB privileges through May 31, 2010.

Ø Subbarao Dasari, MD – Courtesy Emergency Services privileges through May 31, 2010.

3. End of Provisional:

Ø Thomas Sterling, DO – Courtesy Emergency Services privileges through May 31, 2009.

The Board of Governors accepted the recommendations from the Medical Executive Committee for approval of the above privileges.  A motion for approval was made by Janice Kline and seconded by Lynne Grandey.  Roll Call Vote:  Riehle-yes, Grandey-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Wiley-absent.

3.         QUALITY COUNCIL:

A.  No report.

4.         CEO REPORT:

            A.  Discussion Agenda:

1.  Press Ganey Quarterly Report: 

Ø Michelle Waggoner gave a presentation on Press Ganey information for the first quarter of 2008.

2.  Projects Update:

Ø MRI – Gregg Harpel gave a presentation on the installation of the new MRI.  Have already received inquiries from Fort Wayne Orthopedics, Defiance Regional and random patients.  Will be operational by June 16^th.

Ø Phase II – Currently working on mechanical bids.

Ø Assisted Living – Moving slow but forward.  Sue Allison is currently talking to local contractors and investors.

Ø Café Changes – Michelle Waggoner distributed a handout of the new room service menu.  Room service will be implemented in July.

Ø Employed physician referrals – Mel Fahs discussed CMH employed physicians referring patients to our specialists instead of outside groups.

Ø Story – Mel Fahs read a story from an OB patient describing the wonderful care she received at CMH.

Ø Other – Pam Franklin distributed the Community Benefit Report.

Meeting adjourned at 9:07 pm.

NEXT MEETING:  June 30, 2008.

________________________________                            _________________________________

                    Raymond Riehle, President                                  Lynne Grandey, Secretary / Treasurer