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NRHA Agenda

NORMAN REGIONAL HOSPITAL AUTHORITY
December 22, 2008
5:30 p.m.
Board Room

A G E N D A

I. Call to Order Ms. Parsons

II. Introduction of the Outstanding Employee of the Month Ms. Parsons

January 2009 – Dustin Barthelme, Supervisor, Desktop Engineers, Health Information Technology – John Meharg, Director of Health Information Technology

Recognize Beverly Harkness for her Outstanding Service as Authority Member 2005 - 2008

III. Education Presentation – VHA OK/AR Trustee/Physician/CEO Conference Dr. Lindsey & Mr. McReynolds

IV. NRHA Committee Assignments for 2009 Ms. Parsons

V. Approval of the November 24, 2008 Minutes (Tab 1)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

VI. Clinical Quality Indicator Updates Darin Smith (Tab 2)

ACTION NEEDED: None, Information Only

VII. Approval of the November 2008, Norman Regional Health System Financial Statements Melvin Alexander (Tab 3)

ACTION NEEDED: Approve or Disapprove the November 2008, NRHS Financial Statement

ACTION TAKEN: ____________________________________

VIII. Medical Staff Dr. Boyd (Tab 4)

A. Reports from the December 16, 2008 Medical Executive Committee Meeting

ACTION NEEDED: None, Information Only

B. Recommend Approval of the 2009 Performance Improvement Plan (Pgs53-63)

ACTION NEEDED: Approve or Disapprove the 2009 Performance Improvement Plan as Recommended by MEC

ACTION TAKEN: ____________________________________

C. Recommend Approval of the Patient Safety Plan Revisions (Pgs. 66-80)

ACTION NEEDED: Approve or Disapprove the Patient Safety Plan Revisions for 2009 as Recommended by MEC

ACTION TAKEN: ____________________________________

D. Recommend Approval of the Affiliate Staff Policy Revisions (Pgs. 81-87)

ACTION NEEDED: Approve or Disapprove the Revisions to the Affiliate Staff Policy as Recommended by MEC

ACTION TAKEN: ____________________________________

IX. Planning Committee Dr. Ingels

A. Report from the December 8, 2008, Planning Committee

ACTION NEEDED: None, Information Item Only

X. Finance Committee Dr. Burcham (Tab 5)

A. Report from the December 15, 2008, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Capital Equipment Purchase Requests (Pg.90)

ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests

ACTION TAKEN: _____________________________________

C. Recommend FY08 Audit Footnote Revision Dr. Burcham & Mr. Alexander (Pgs. 91-100)

ACTION NEEDED: Approve or Disapprove FY08 Audit Footnote Revision as Recommended by the Finance Committee

ACTION TAKEN: ________________________________________________

D. Recommend NRHS Retirement Plan Revisions Dr. Burcham & Mr. Alexande r(Pgs. 101-271)

ACTION NEEDED: Approve or Disapprove NRHS Retirement Plan Revisions as Recommended by the Finance Committee

ACTION TAKEN: ________________________________________________

XI. 2008 Compliance Plan Revisions Mr. Alexander

ACTION NEEDED: Approve or Disapprove the Revisions to the 2008 Compliance Plan ACION TAKEN: ________________________________________________

XII. New Business

XIII. Administrative Report Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XIV. Audience Open Discussion

XV. Proposed Executive Session. Ms. Parsons

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 Medical Staff Recommendations:
1. Recommend Medical Staff Reappointments:
a) Chad Borin, DO, Active Staff – Emergency Medicine Department
b) Marcia Hoos-Reinke, MD, Active Staff – Emergency Medicine Department
c) Anupa Khastgir, MD, Consulting Staff – Medicine Department
d) Beverly Carter, CRNA, Allied Health Staff – Anesthesia Department
e) Josie Dean, PA-C, Allied Health Staff – Surgery Department
f) Gregory Dinwiddie, PA-C, Allied Health Staff – Surgery Department
g) Deanne Givens, CRNA, Allied Health Staff – Anesthesia Department
h) Dwight Thacker, CRNA, Allied Health Staff – Anesthesia Department

2. Recommend New Provisional Medical Staff Appointments:
a) Elaine Soter, MD, Active Affiliate Staff – Emergency Medicine Department
b) Jorge Gorton, PA-C, Allied Health Staff – Medicine Department -- MMC

3. Recommend Appointments of Physicians in the Provisional Period:
a) Jack Bair, MD, Active Staff – Emergency Medicine Department
b) Kimberly Fletcher, DO, Active Staff – OB/Gyn Department – MMC
c) Randall Herrin, MD, Active Staff – Emergency Medicine Department
d) Cecil Moore, DO, Active Staff – Emergency Medicine Department
e) Andrea Miller, DO, Active Staff – OB/Gyn Department – MMC

4. Request for Change in Staff Category:
a). M. Edmund Braly, DDS, Oral/Maxillofacial Surgery, Requests Change in Staff Category from Provisional Consulting to Provisional Active as Recommended by the Credentials and Medical Executive Committees
b). Vincent Montgomery, DMD, Oral/Maxillofacial Surgery, Requests Change in Staff Category from Consulting to Active Staff as Recommended by the Credentials and Medical Executive Committees

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 XV B. (1-4)]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XV B (1-4)]

ACTION TAKEN: _______________________________________

XVI. Board Open Discussion

XVII. Closing Comments Ms. Parsons/Mr. Whitaker

XVIII. 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.

2008-2009 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.

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Norman Regional Health System

Office (405) 307.2143
Fax (405) 307.2144
Email NRHS_Corporate_Communications@nrh-ok.com