Posted: 02/23/2012
NORMAN REGIONAL HOSPITAL AUTHORITY
Board Meeting
Monday, February 27, 2012
5:30 p.m.
901 N. Porter
2nd Floor Board Room
A G E N D A
I. Call to Order Mrs. Campbell
II. Introduction and Recognition of Outstanding Employees Mrs. Campbell
A. Employee of the Month March 2012 – Beverly Woods, RN, Behavior Medicine Services – Sandi Fabri, Manager of Behavioral Medicine Services
III. Approval of the January 23, 2012 Board Meeting Minutes (Tab 1)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
IV. Performance Updates Dr. Smith/Mr. McAdams (Tab 2)
ACTION NEEDED: None, Information Item Only
V Approval of the January 2012, Norman Regional Health System Financial Statements
Mr. Hopkins (Tab 3)
ACTION NEEDED: Approve or Disapprove the January 2012, NRHS Financial Statement
ACTION TAKEN: ____________________________________
VI. Medical Staff Dr. Whalen (Tab 4)
A. Report from the February 8, 2012 Medical Executive Committee
B. Consider Revising Section 15.1 of the Medical Staff Bylaws to Add Cardiovascular Medicine as a Department of the Medical Staff as Approved by the Active Medical Staff Members
ACTION NEEDED: Approve or Disapprove Revising Section 15.1 of the Medical Staff Bylaws to Add Cardiovascular Medicine as a Department of the Medical Staff as Approved by the Active Medical Staff Members
ACTION TAKEN: ____________________________________
VII. Report from the Quality and Safety Committee Mrs. Campbell
ACTION NEEDED: None, Information Only
VIII. Planning Committee Dr. Anderson
A. Report from the February 113, 2012, Planning Committee
ACTION NEEDED: None, Information Item Only
IX. Finance Committee Dr. Burcham (Tab 5)
A. Report from the a February 20, 2012, Finance Committee
ACTION NEEDED: None, Information Item Only
B. Recommend Capital Equipment Purchase Request (Pg. 76)
ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests
as Recommended by the Finance Committee
ACTION TAKEN: _____________________________________
X. Old Business Mrs. Campbell
A. Proposed Purchase by the Authority of a 10% Membership Interest in Greater Norman Surgery Center, LLC, and the Limited Guarantee by the Authority of Certain Proposed Indebtedness of Such Entity. (Tab 6)
ACTION NEEDED: Approve or Disapprove the Proposed Purchase by the Authority of a 10% Membership Interest in Greater Norman Surgery Center, LLC, and the Limited Guarantee by the Authority of Certain Proposed Indebtedness of Such Entity.
ACTION TAKEN: _____________________________________
XI. New Business: Mrs. Campbell
A. Infection Prevention Plan Revisions (Tab 7)
ACTION NEEDED: Approve or Disapprove the Infection Prevention Plan
Revisions as Submitted
ACTION TAKEN: _____________________________________
XII. Administrative Report Mr. Whitaker
ACTION NEEDED: None, Information Item Only
XIII. Proposed Executive Session. Mrs. Campbell
A. Proposed Vote to Convene an Executive Session to Discuss with Legal Counsel Pending Internal Peer Review/Credentialing Investigations Regarding the Medical Staff Members/Applicants Listed Below Pursuant to 25 Okla. Stat. § 307.B. 4
ACTION NEEDED: Move to Convene into Executive Session to Discuss with Legal Counsel the Above Referenced Items
ACTION TAKEN: ____________________________________
B. Approve or Disapprove the Medical Staff Recommendations Regarding the Physicians as Listed in XIII B (1-3) Below
1. Recommend Medical Staff Reappointments:
a) Andrew Black, MD, Active Staff – Surgery Department
b) Asim Chohan, MD, Active Staff – Medicine Department
c) Katherine Hays, MD, Active Staff – Medicine Department
d) Robert Holbrook, MD, Active Staff – Medicine Department
e) Tan Pham, MD, Active Staff – Medicine Department
f) Michael Villano, MD, Active Staff – Medicine Department
g) Chadwick Webber, MD, Active Staff – Radiology Department
h) Kiran Prahbu,, MD, Consulting Staff – Medicine Department
i) Martha Royall, ARNP, Allied Health Staff – Pediatrics Department
j) Kim Wiese, PA-C, Allied Health Staff – Medicine Department
2. Recommend New Provisional Medical Staff Appointments
a) Kimball Pratt, MD, Active Staff – Surgery Department
b) Sergio Garcia, MD, Consulting Staff – Medicine Department
c) Michael Martin, MD, Consulting Staff – Surgery Department
3. Privileges Only
Rajvee Shah, MD, Teleradiology – Radiology Department
C. Request to Adjourn Out of Any Such Executive Session and Return to Regular Session
ACTION NEEDED: Approve or Disapprove Adjournment of Any Executive Session and Return to Regular Session
ACTION TAKEN: ____________________________________
D. Proposed Vote to Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B (1-3)]
ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B (1-3)]
ACTION TAKEN: _______________________________________
E. Consideration of an Exception to the Requirement in Section 15.2 of the Medical Staff Bylaws that the Chair of the Behavioral Medicine Department be Board Certified Until July 1, 2013 at Which Time the Elected Physician Must Provide Documentation of Board Certification
ACTION NEEDED: Approve or Disapprove an Exception to the Requirement in Section 15.2 of the Medical Staff Bylaws that the Chair of the Behavioral Medicine Department be Board Certified Until July 1, 2013 at Which Time the Elected Physician Must Provide Documentation of Board Certification
TAKEN: _______________________________________
XIV. Board Open Discussion
XV. Closing Comments Mrs. Campbell/Mr. Whitaker
XVI. Adjourn
ACTION NEEDED: Motion to Adjourn the Meeting
ACTION TAKEN: _______________________________________
MISSION: Norman Regional Health System will provide quality and compassionate health care services and education to our regional community in a responsive, efficient, and safe manner.
VISION: Norman Regional Health System will improve the quality of life in our regional community.
2012-2013 Strategy Statement: Norman Regional Health System will provide leadership through the development of action steps to achieve and be recognized as the health system of choice for patients, physicians, and employees; the healthiest regional community; and the health system with the best facilities and quality outcomes.
Contact Kelly Wells
Norman Regional Health System
Office (405) 307.2143
Fax (405) 307.2144
Email NRHS_Corporate_Communications@nrh-ok.com