The Community Memorial Hospital Board of Governors met at 7:00 pm this day, Monday, July 27, 2009.

Those present were:

Board of Governors

Raymond Riehle, President

Steve Caryer, Vice President

Janice Kline, BOG Member

Peter Kennerk, BOG Member

Daniel Underwood, MD, BOG Member

Mel Fahs, President/CEO

Susan Hobeck, Interim Chief Financial Officer      

Michelle Waggoner, Chief Operating Officer

Jane Zachrich, Chief Nursing Officer

Pam Franklin, Director Administrative Services

Absent:           

Lori Wein, Executive Assistant

REVIEW OF MINUTES:

The minutes of the June 22, 2009, Board of Governors Meeting were 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, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Underwood-yes.

FINANCIALS:

1.         Financial Report:

Susan Hobeck reviewed the June 2009 financial statements.  Total gross revenue variance for June was $2,683,976 or 10.7% better than budget.  Inpatient revenue was 16.41% greater than budget and 22% greater than prior year.  Patient days for acute care were 9 days under budget and 1 day over prior year.  Swing bed days were under budget by 46 days and 81 days under prior year.  Inpatient surgeries were 4 cases over budget and 5 cases over prior year.  Respiratory Therapy was 148 over budget and 393 over budget and 939 procedures over prior year.  Physical Therapy was 31 procedures over budget and 13 procedures over prior year.  Inpatient lab tests were 660 over budget and 870 over prior year.

2.         Fifth Third Update

MEDICAL EXECUTIVE COMMITTEE:

1. A summary of the Medical Executive Committee meeting on July 17, 2009 was reviewed.  Recommendations approved at this meeting included:

A.   Initial Reappointment:

° Duane Johnson, DO – 6-month Provisional Active Family practice/Surgical OB privileges through January 31, 2010.

B.  Reappointment:

° The following Medical Staff members were recommended for reappointment through July 31, 2011.

Active Status

              Laverne L. Miller, MD                  Family Practice/OB

              Daniel L. Underwood, MD           Family Practice/OB/ER

              Robert W. Moore, DO                 Orthopedic Surgery

              Michael Kooistra, MD                 Family Practice/OB

Courtesy Status

              Kevin J. Kelly, MD                      Cardiology

              Charles F. Presti, MD                 Cardiology

              T. Eric White, MD                      Cardiology

              James H. Gray, DO                    Family Practice/Sleep Medicine

              Almario Tantoco, MD                  OB/GYN

              Richard G. Smith, MD                Otolaryngology

              Michael C. Overdahl, MD            Pulmonary Disease

Consultant Status

              Blandine Bustamante, MD          Pathology

Affiliate Status

              Robert P. Heck, PhD                  Psychologist

              Kathryn S. Watson, CRNA         Anesthesia

C.   Privilege Additional Request:

° Douglas White, CRNA – Affiliate Anesthesia Services – addition of regional nerve block with or without ultrasound guidance through February 29, 2011.

The Board of Governors accepted the recommendation from the Medical Executive Committee for approval of the above privileges.  A motion for approval was made by Steve Caryer and seconded by Janice Kline.  Dr. Underwood abstained.  Roll Call Vote:  Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Underwood-abstained.

QUALITY COUNCIL:

A.     Red Flag Rule – New Facility Policy:  After review of the new policy a motion was made by Janice Kline and seconded by Peter Kennerk to adopt the policy.  Roll Call Vote:  Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Underwood-abstained.

A. JCAHO Lab Report

B. Quality Council Minutes

C. Disaster Planning

CEO REPORT:

            A.   Press Ganey Quarterly Report

            B.   Hospital Operations

            C.   Conflict of Interest Disclosure Statements

            D.   Board Open Position

            E.   Dr. Blad’s Resignation

            F.   Edgerton Clinic Easement

            G.   Next Meeting – September 28, 2009

H.  Story

The regular meeting adjourned at 8:50 pm.  Steve Caryer moved to exit into Executive Session at that time Janice Kline seconded the motion.  Roll Call Vote:  Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Underwood-yes.

At 9:40 pm Dr. Underwood moved to adjourn the Executive Session.  Steve Caryer seconded the motion.  Roll Call Vote:  Riehle-yes, Caryer-yes, Kennerk-yes, Kline-yes, Dr. Underwood-yes.

NEXT MEETING:  September 28, 2009

________________________________                            _________________________________

                    Raymond Riehle, President                                  Janice Kline, Secretary / Treasurer