Norman Regional Health System

NRHA Agenda

09-26-2016

Posted: 09/23/2016

NORMAN REGIONAL HOSPITAL AUTHORITY
September 26, 2016
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

A. October 2016 Employee of the Month, Derrick Davis, Housekeeper II, Environmental Services, Gene Hill, Manager, Environmental Services

III. Approval of the August 22, 2016 Board Meeting Minutes Mr. Clote (Pgs. 6-17)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. FY 2016 Audit Presentation Kevin Gore, Partner, BKD (Pgs.18-101)

ACTION NEEDED: Approve or Disapprove FY 2016 Audit as Presented and Recommended by the Audit and Finance Committees

ACTION TAKEN: ___________________________________

V. Performance Updates Dr. Smith (Pgs. 102-118)

ACTION NEEDED: None, Information Item Only

VI. Approval of the August 2016, Norman Regional Health System Financial Statements Mr. Hopkins (Pgs. 119-168)

ACTION NEEDED: Approve or Disapprove August 2016 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VII. Medical Staff Dr. Williams

A. Report from the September 14, 2016 Medical Executive Committee

ACTION NEEDED: None, Information Only

B. Recommend Approval of the Revised “Office of Inspector General (OIG) List of Excluded Individuals/Entities Policy” (Pg. 169) (Pgs. 75-78)

ACTION NEEDED: Approve or Disapprove the Revisions to the “Office of Inspector General (OIG) List of Excluded Individuals/Entities Policy” as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: ____________________________________

C. Recommend Approval of the Revised “Processing Medical Staff Applications for Initial Appointment and Clinical Privileges Policy” (Pgs. 170-172)

ACTION NEEDED: Approve or Disapprove the Revisions to the “Processing Medical Staff Applications for Initial Appointment and Clinical Privileges Policy” as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: ____________________________________

D. Recommend Approval of the Revised “Processing Medical Staff Applications for Reappointment and Renewal of Clinical privileges Policy” (Pgs. 173-175)

ACTION NEEDED: Approve or Disapprove the Revisions to the “Processing Medical Staff Applications for Reappointment and Renewal of Clinical privileges Policy” as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: ____________________________________

VIII. Strategic Planning Committee Dr. Anderson A. Report from the September 12, 2016 Strategic Planning Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee Mr. Cubberley

A. Report from the September 19, 2016, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Approval of 2016/2017Bond Resolution (Pgs. 176-191)

ACTION NEEDED: Approve or Disapprove The 2016/2017 Bond Resolution as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

C. Recommend Capital Equipment Purchase Request (Pgs. 192-197)

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

ACTION TAKEN: _____________________________________

X. Old Business Mr. Clote & Mr. Splitt

XI. New Business Mr. Clote & Mr. Splitt Recommend Appointment of Richie Splitt to the Medical Park West, LLC Board as Chairman Replacing David Whitaker

ACTION NEEDED: Approve or Disapprove Appointment of Richie Splitt to the Medical Park West, LLC Board as Chairman Replacing David Whitaker

ACTION TAKEN: _____________________________________

XII. Administrative Report Mr. Splitt

ACTION NEEDED: None, Information Item Only

XIII. Proposed Executive Session.

A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. § 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 Medical Staff Items

ACTION TAKEN: ____________________________________

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

1. Recommend New Provisional Medical Staff Appointments:
a) Carlos Cabrera, DO, Active Staff – Emergency Medicine Department
b) Ryan Davis, MD, Active Staff – Radiology Department
c) Ayesha Farhan, MD, Active Staff – Behavioral Medicine Department
d) David W. Board, MD, Clinical Privileges Only – Radiology Department

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Brandon Pierson, MD, Active Staff – Surgery Department
b) Bilal Piracha, MD, Active Staff – Medicine Department
c) Chelsea Risinger, DO, Active Staff – Emergency Medicine Department
d) Crystal Sparling, MD, Active-Affiliate Staff – Pediatrics Department

3. Recommend Medical Staff Reappointments:
a) Aaron Boyd, MD, Active Staff – Medicine Department
b) Stephanie A. Carter, MD, Active Staff – OB/Gyn Department
c) James Fields, MD, Active Staff – Pediatrics Department
d) Robert Gaston, DO, Active Staff – Medicine Department
e) Christina Harris, MD, Active Staff – Pediatric Department
f) Juliana McClain, MD, Active Staff – Pediatric Department
g) Rajkumar Reddy, MD, Active Staff – Pediatric Department
h) Julia Stoltenberg, MD, Active Staff – Pediatric Department
i) Thomas Thurston, MD, Active Staff – Pediatric Department
j) Tony Tran, MD, Active Staff – Medicine Department
k) Ajay Verma, MD, Active Staff – Pediatric Department
l) Lisa Waterman, DO, Active Staff – OB/Gyn Department
m) David Williams, MD, Active Staff – Medicine Department
n) Shelba Bethel, MD, Active-Affiliate Staff – OB/Gyn Department
o) Wesley Hinz, MD, Active-Affiliate Staff – Medicine Department
p) Serena Mitroo, MD, Active-Affiliate Staff – Medicine Department
q) Brian Herb, PA-C, Allied Health Staff – Medicine Department
r) Jamie Lynch, APRN-CNP, Allied Health Staff – Hospital Medicine Dept.
s) John R. Taylor, MD, Consulting Staff – Medicine Department
t) Matthew Mendlick, MD, Clinical Privileges only – Radiology Department

4. Recommend Additional Clinical Privileges Dr. Lana Nelson is Requesting Robotic Assisted General Surgery Privileges. She has Successfully Completed Her Education and Proctored Cases and Meets the Privileging Requirements

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 1-4]

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

ACTION TAKEN: _______________________________________

XIV. Board Open Discussion

XV. Closing Comments

XVI. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________.

MISSION: Norman Regional Health System will serve our community as a leader in health and wellness care.

VISION: Norman Regional Health System will be the provider of choice to improve the health and well-being of our regional communities.

2016-2017 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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