DRAFT

MERCER COUNTY HOSPITAL

GOVERNING BOARD MEETING

November 20, 2006

Mercer County Hospital

Meeting Room #1

7:00 P.M.

Members Present: Mr. Kevin Conway Dr. Dennis Palmer

Ms. Susan Ewing Ms. Iris Paulsen

Mr. Don Johnson Ms. Suzanne Ramer

Mr. Rex Johnson Ms. Sharon Sims

Mr. Bill Joseph Mr. Dick Stone

Members Excused /

Absent:

Others Present: Mr. Tim Putnam Ms. Susan Pearson

Mr. Myron Higgins Ms. Marjie Earl

Call to Order:

The November 20^th meeting of the Mercer County Hospital Governing Board was called to order by Mr. Don Johnson, presiding Chair at 7:04 P.M.

Minutes:

Minutes of the October 16, 2006 meeting were included in packets for review.

Motion was made, seconded and unanimously passed to approve the October 16, 2006 minutes as submitted.

Financial Report:

Mr. Tim Putnam, CEO reviewed the financial reports with the Board.

• Gross Patient Revenue for October was $1,491,009; Other Operating Revenue for October was $20,473. Gross Operating Revenue for October was $1,511,479; Net Operating Revenue for October was $1,104,946. Total Operating Expenses for October were $1,043,707. Fiscal Year 2007 loss from Operations was ($55,984) and Net Profit of $172,251. Gross AR Days are at 77.52. Discussion ensued.
• The hospital received notice from Adminastar Federal that they will not accept the Cost Reports that were resubmitted for years 2001 through 2005. The hospital will be contacting RSM McGladrey to discuss options.

Motion was made, seconded and unanimously passed to approve the financial report as submitted.

Planning/Operations:

§ Anesthesia Monitor – Mr. Tim Putnam reported the Anesthesia Group is requesting the replacement of the existing Anesthesia monitor. Several options were presented with new and refurbished models. Discussion ensued.

Motion was made, seconded and unanimously passed to purchase Datascope monitor equipment up to $15,000 for the Surgery Department.

§ IDPH Update – Mr. Myron Higgins reported the hospital has spoken with IDPH regarding the patient room renovation project and IDPH’s concern for the mechanical systems. At IDPH’s request, the hospital has submitted a timeline for review of these systems. Discussion ensued.

§ Master Facility Plan Update – Mr. Putnam reported the hospital is awaiting financial data from McGladrey and Pullen that will assist in the analysis and feasibility of the four Master Facility Plan options. Concerns were raised regarding the existing plumbing structure of the hospital. The hospital will work with Shive-Hattery to analyze the structure and report back to the Board.

§ IT Update – Mr. Putnam reported the hospital will in all likelihood need to purchase the IT Software and acquire a lease by the end of the year in order to obtain discounts. The hospital is finalizing details for the site visits and the Physician Fair.

Management Report:

§ Home Care and Support/Hospice Update – Ms. Marjie Earl, Manager of Home Care and Support/ Hospice gave a department update discussing increased volumes of programs. Annually, the Board must approve the programs to continue for the following year.

Motion was made, seconded and unanimously passed to continue the Home Care and Support, and Hospice program for another year.

§ Mr. Tim Putnam reported the Krystal Jungmann has been hired as the new Executive Director for the Mercer Foundation for Health.

§ Mr. Putnam reported the hospital received notice of approval for the County’s Wind Energy Grant. Discussion ensued.

§ Mr. Putnam reported the hospital had been asked to sign a resolution for the State of Illinois for “Smoke Free Illinois”. Discussion ensued

Motion was made, seconded and passed to for the hospital to support the “Smoke Free Illinois” resolution.

Quality Improvement Report:

Mr. Tim Putnam reported as part of governance oversight, monthly the Board will begin approving contracts, agreements, etc. through the Quality Improvement report as submitted by the Executive QI Committee.

Motion was made, seconded and unanimously passed to approve the Quality Report.

Medical Staff Appointments:

Mr. Tim Putnam reported the Credentialing/Peer Review Policy had been updated and passed by the Medical Staff.

Motion was made, seconded and unanimously passed to approve the policy.

Personnel:

§ Mr. Myron Higgins discussed options for Christmas bonuses for staff with the Board. Additionally the hospital will be coordinating a schedule with Aledo Main Streets for discounts to hospital employees, as well as providing a movie to employees and their families. Discussion ensued.

Motion was made, seconded and unanimously passed to approve a Christmas bonus of $100.00 for full-time and $50.00 for part-time and casual employees meeting the hours requirements and who are not paid at a premium rate, after taxes.

§ Mr. Tim Putnam reported that the hospital will be adding an unbudgeted part-time position to the Admitting Department. Previously the Business Office supported the Admitting area with approximately 20 hours per week. In addition to the loss of these hours, the Admitting Department has added additional duties due to the Business Office relocation.

The budget included a Senior Accounting position which the hospital has been unable to fill. Due to the new IT system and the additional need for accounting support, the hospital will be modifying current positions of IT/Payroll Manager to an IT Coordinator position, the existing Accounts Payable position will be changed to a Staff Accounting role and a new position will be created for Accounts Payable/Payroll. The new position will take the place of the Senior Accounting position. These changes will not exceed what is allocated in the budget.

A motion was made by Ms. Iris Paulsen, seconded by Mr. Dick Stone to go into Closed session. Roll call vote: Dick Stone, yes; Don Johnson, yes; Iris Paulsen, yes; Suzanne Ramer, yes; Kevin Conway, yes; Rex Johnson, yes; Dr. Dennis Palmer, yes; Susan Ewing, yes; Sharon Sims, yes; Bill Joseph, yes.

A motion was made by Ms. Iris Paulsen, seconded by Ms. Sharon Sims to return to Open session. Roll call vote: Dick Stone, yes; Don Johnson, yes; Iris Paulsen, yes; Suzanne Ramer, yes; Kevin Conway, yes; Rex Johnson, yes; Dr. Dennis Palmer, yes; Susan Ewing, yes; Sharon Sims, yes; Bill Joseph, yes.

Governance/Nominating Committee Report:

Ms. Susan Ewing reported to the Board that there will be two vacancies at the end of December, Iris Paulsen and Dick Stone. Dr. Dennis Palmer has agreed to replace Iris Paulsen, and in doing so would relinquish his role as representation of Medical Staff on the Board. Dr. Cristina Rosca would assume the role of Medical Staff Representative on the Board, as Vice-Chief of Staff.

Ms. Ewing reported on the achievements to date; development of a pool of candidates for future board openings, the committee is in the process of reviewing and submitting charters for approval, working on job descriptions, and developing the annual calendar.

The Board received copies of the Governance Assessment Program (GAP) Survey to complete and return to Administration in a sealed envelope. Results will be discussed at the December meeting.

Adjournment:

Motion was made, seconded and unanimously passed to adjourn the Board meeting. With no further business, the meeting was adjourned at 10:07 P.M.

Respectfully submitted,

Shannon Ziegenhorn, Administrative Assistant

_____________________________________

Susan D. Ewing

Secretary/Treasurer