Posted: 09/20/2012
NORMAN REGIONAL HOSPITAL AUTHORITY
Board Meeting
September 24, 2012
5:30 p.m.
901 N. Porter
2nd Floor Board Room
A G E N D A
I. Call to Order ...Ms. Campbell
II. Introduction and Recognition of Outstanding Employees ...Ms. Campbell
Employee of the Month October 2012 –Susan Green, RN, Intensive Care Unit (ICU) Charge Nurse – Heather McDade, Manager ICU & Progressive Care Unit (PCU)
III. Acceptance of Anne Luttrell and Richard Luttrell Painting Donations in Honor of their Father, Dick Luttrell – Wendy Fiebrich, Director of Volunteer Services
IV. Approval of the August 27, 2012 Board Meeting and September 5, 2012 Special Board Meeting Minutes ...Ms. Campbell (Pgs. 5-14)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
V. FY12 Audit Presentation ...Kevin Gore, Partner, BKD
ACTION NEEDED: Approve or Disapprove FY12 Audit as Presented and as
Recommended by the Audit Committee
ACTION TAKEN: ___________________________________
VI. Performance Updates ... Dr. Smith/Mr. McAdams (Pg 15)
ACTION NEEDED: None, Information Item Only
VII. Approval of the August 2012, Norman Regional Health System Financial Statements
Mr. Hopkins (Pgs. 16-65)
ACTION NEEDED: Approve or Disapprove the August 2012, NRHS Financial Statement
ACTION TAKEN: ___________________________________
VIII. Medical Staff ...Dr. Whalen
A. Report from the September 12, 2012 Medical Executive Committee
ACTION NEEDED: None, Information Item Only
B. Recommend Approval of the Addition to the Rules and Regulations Regarding Discharge Summary ...(Pg. 66)
ACTION NEEDED: Approve or Disapprove the Addition to the Rules and Regulations Regarding Discharge Summary as Recommended by the Medical Executive Committee
ACTION TAKEN: ____________________________________
IX. Quality and Safety Committee Report ...Ms. Campbell
A. Report from the September 20, 2012, Finance Committee
ACTION NEEDED: None, Information Item Only
X. Operations Committee Report ... Dr. Anderson
A. Report from the September 10, 2012, Operations Committee
ACTION NEEDED: None, Information Item Only
XI. Finance Committee Report ...Dr. Burcham
A. Report from the September 17, 2012, Finance Committee
ACTION NEEDED: None, Information Item Only
B. Recommend Capital Equipment Purchase Request ...(Pgs. 67-71)
ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests
ACTION TAKEN: _____________________________________
XII. Governance Committee Report ...Mrs. Campbell
ACTION NEEDED: None, Information Item Only
XIII. Old Business ...Ms. Campbell
XIV. New Business: ...Ms. Campbell
XV. Administrative Report ...Mr. Whitaker
ACTION NEEDED: None, Information Item Only
XVI. Proposed Executive Session. ...Ms. 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 and to Discuss the Annual Evaluation of the CEO
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 XVI B (1-4) Below
1. Recommend Medical Staff Reappointments:
a) Aaron Boyd, MD, Active Staff – Medicine Department
b) Mark Camp, MD, Active Staff – Medicine Department
c) Shelba Bethel, MD, Active Staff – OB/Gyn Department
d) Archana Gautam, MD, Active Staff – Cardiovascular Medicine Department
e) Roy Mullins, MD, Active Staff – Medicine Department
f) Leslie Ollar-Shoemake, DO, Active Staff – OB/Gyn Department
g) Thomas Thurston, MD, Active Staff – Pediatrics Department
h) David Williams, MD, Active Staff – Medicine Department
i) Gerald McCullough, MD, Active Affiliate Staff – Surgery Department
j) James Silman, MD, Active Affiliate Staff – Medicine Department
k) Sanober Malik, MD, Consulting Staff – Medicine Department
2. Recommend New Provisional Medical Staff Appointments
a) Saboor Rashid, MD, Active Staff – Emergency Medicine Department
b) Michael Saumur, DDS, Active Staff – Surgery Department
3. Recommend Appointments of Physicians in the Provisional Period:
a) Juliana Bizzell, DO, Active Staff – Emergency Medicine Department
b) Travis Brown, DO, Consultant Staff – Emergency medicine Department
c) Benjamin Godfrey, DO, Active Staff – Emergency Medicine Department
d) Joshua Whorton, MD, Active Staff – Medicine Department
4. Recommend for Additional Clinical Privileges:
Robert Holbrook, MD, Request Privileges to Perform ERCP Independently.
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 XVI B (1-4)]
ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XVI B (1-4)]
ACTION TAKEN: ____________________________________
E. Proposed Vote to Approve Annual Evaluation of CEO
ACTION NEEDED: Approve or Disapprove Proposed Vote to Approve Annual Evaluation of CEO as Recommended by the Governance Committee
ACTION TAKEN: ____________________________________
XVII. Board Open Discussion
XVIII. Closing Comments
XIX. 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