Norman Regional Health System

NRHA Agenda

11-23-2015

Posted: 11/23/2015

NORMAN REGIONAL HOSPITAL AUTHORITY
November 23, 2015
5:30 p.m.
901 N. Porter
2nd Floor Board Room 

A G E N D A

I. Call to Order ... Mr. Clote

II. Introduction and Recognition of Outstanding Employee ... Mr. Clote

December 2015 Employee of the Month, Austin Marr, Distribution Transportation Coordinator – Sheila Miller, Manager Porter Dis/Trans/Environmental Services and Clyde Brawner, Director Dis/Trans/Environmental Services

January 2016 Employee of the Month, Joshua Etheridge, Emergency Department Tech – Rex Pace, Manager Porter Emergency Department and Gail Grego, Director Emergency Services

III. Behavioral Medicine Update ... Dr. Jawed

IV. Approval of the October 17 Board Strategic Planning Retreat and the October 26, 2015 Board Minutes ... Mr. Clote (Pgs. 6-22)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

V. Performance Updates ... Dr. Smith (Pgs. 23-36)

ACTION NEEDED: None, Information Item Only

VI. Approval of the October 2015, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs. 37-86)

ACTION NEEDED: Approve or Disapprove October 2015 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VII. Medical Staff ... Dr. Whitesell

A. Report from the November 4, 2015 General Medical Staff Meeting

1) Proposed Revisions to the NRHS Medical Staff Bylaws ... (Pgs. 87-89)

ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Bylaws as approved at the November 4th General Medical Staff Meeting

ACTION TAKEN: _________________________________

2) Proposed Revisions to the NRHS Medical Staff Rules & Regulations ... (Pgs. 90-92)

ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Rules & Regulations as approved at the November 4th General Medical Staff Meeting

ACTION TAKEN: _________________________________

B. Report from the November 11, 2015 Medical Executive Committee

ACTION NEEDED: None, Information Only

C. Recommend Approval of the Revisions to the Family Medicine-Emergency Department (non-Emergency Medicine Residency Trained) Request Privilege Form ... (Pgs. 93-96.)

ACTION NEEDED: Approve or Disapprove the Revisions to the Family Medicine-Emergency Department (non-Emergency Medicine Residency Trained) Request Privilege Form as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: _____________________________________

VIII. Governance Committee ... Mr. Clote

Report from the November 23, 2015 Governance Committee

ACTION NEEDED: None, Information Item Only

IX. Strategic Planning Committee ... Dr. Anderson

Report from the November 2, 2015 Strategic Planning Committee

ACTION NEEDED: None, Information Item Only

X Finance Committee ... Mr. Cubberley

A. Report from the November 16, 2015, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Capital Equipment Purchase Request ......................................... (Pg. 97-98)

ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

XI. Old Business

XII. New Business:

A. Establish Dates and Times for 2016 Authority Meetings ...

Section 933 of the Oklahoma Open Meeting Act requires the Authority to submit the date and time of its regular meetings for the coming calendar year. NRHA meetings have been scheduled for 5:30 p.m. on the fourth Monday of the month this past year. The schedule below describes similar dates and times for the Authority’s monthly meetings in 2016

January 25
February 22
March 28
April 25
May 23
June 27
July 25
August 22
September 26
October 22  
November 28    
December 19 or 26

ACTION NEEDED: Approve or Modify the Proposed Dates & Times for the 2016 Authority Meetings

ACTION TAKEN: ____________________________________

XIII. Administrative Report ... Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XIV. Proposed Executive Session.

A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. Section 307.B.4. to Discuss with Legal Counsel Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below

ACTION NEEDED: Move to Convene into Executive Session to Discuss with Legal Counsel the Above Referenced Items

ACTION TAKEN: ____________________________________

B. Medical Staff Recommendations Regarding the Medical Staff Members/Applicants as Listed in XII B (1-4) Below

1. Recommend New Provisional Medical Staff Appointments:
a) Jeremy Woodson, MD, Active Staff – Surgery Department
b) Lauren Haymans, PA-C, Allied Health Staff –Surgery Department
c) Bilal Ahmad, MD, Consulting Staff – Medicine Department
d) Reid Breckwoldt, MD, Teleradiology Privilege Only – Radiology Department

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Kathleen Combs, MD, Active Staff -- Pediatric Department
b) Monica Sagdeo, MD, Active Staff – Pediatric Department
c) Bradley Wilson, MD, Active Staff – Surgery Department
d) Daniel Leiker, APRN-CRNA, Allied Health Staff – Anesthesia Department
e) Desiree Herring, APRN-CRNA, Allied Health Staff – Anesthesia Department
f) Sarah Smith, APRN-CNP Allied Health Staff – Pediatric Department

3. Recommend Medical Staff Reappointments:
a) Satish Arora, MD, Active Staff -- Medicine Department
b) Kumar Ennamuri, MD, Active Staff – Medicine Department
c) Brian Ellis, MD, Active Staff – Pediatric Department
d) Rita Hancock, MD, Active Staff – Medicine Department
e) Merl Kardokus, MD, Active Staff – Radiology Department
f) Ronnie Keith, DO, Active Staff – Surgery Department
g) Sudhakara Kunamneni, MD, Active Staff – Pediatric Department
h) Tariq Mahmood, MD, Active Staff – Medicine Department
i) Chintan Parikh, MD, Active Staff – Medicine Department
j) Joe Voto, MD, Active Staff – Anesthesia Department
k) Richard Wedel, MD, Active Staff – Radiology Department
l) Misty Hsieh, MD, Active-Affiliate Staff – Medicine Department
m) Kelley Lobb, MD, Active-Affiliate Staff – Medicine Department
n)` Elise Wiesner, MD, Active-Affiliate Staff – Medicine Department
o) Glen Diaz, APRN-CNP – Allied Health Staff – Pediatric Department
p) Andrew Goldberg, MD, Consulting Staff – Medicine Department
q) Elaine Nordhues, MD, Consulting Staff – Medicine Department
r) Tan Pham, MD, Consulting Staff – Medicine Department

4. Privileges Only – Teleradiology
a) Gregory Homer, MD, Teleradiology Privileges Only – Radiology Dept.
b) Chad Rabinowitz, MD, Teleradiology Privileges Only – Radiology Dept.

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 XII B (1-4)]

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

ACTION TAKEN: _______________________________________

XV. Board Open Discussion

XVI. Closing Comments

XVII. 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.

2015-2016 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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