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NRHA Agenda

NORMAN REGIONAL HOSPITAL AUTHORITY
September 28, 2009
5:30 p.m.
Board Room

I. Call to Order Mrs. Parsons

II. Introduction and Recognition of Outstanding Employees Mrs. Parsons

September 2009 – Mike Foli, CST, Clinical Educator – Gary Crawford, Director Perioperative Services (Unable to attend)

October 2009 – Risha Lindsey, RN, PCU Charge Nurse – Heather McDade, Manager of PCU

Employee for the Quarter Moore Medical Center -- Kim Hoerr, Unit Assistant – Amy Blose, Manager Med-Surg/Peds/PCU

Employee for the Quarter Offsite Facilities (October – December 2009) – Cindy Kordis, Supervisor HealthPlex Diagnostic Imaging – Lisa Bradley, Manager of Diagnostic Imagining

Sean Lauderdale, EMSSTAT Crew Chief, Appointment to the Emergency Response System Development Advisory Council Effective September 1, 2009. The Council Oversees EMS Rules and Operations in Oklahoma – Eddie Sims, Manager EMSSTAT

Chat Williams, Wellness Coordinator at the Health Club, Named to the Board of Directors of the National Strength and Conditioning Association, a Professional Organization for Fitness and Strength Conditioning Professionals – Shawn Magee, Manager of Health Club

Employees of the Year Introduction Mr. Whitaker

  • Tracy Mills, RN – Family Birth Center (Unable to attend)
  • Neal Keith, RN – ICU
  • Jorge Rodriquez, Clinical Financial Analyst – Decision Support
  • Kellie Riggs, Secretary II – Health Club

III. Board Educational Session “Emergency Department Blueprint on Throughput” Dr. Frantz& Joan Greenleaf

IV. FY 09 Audit Presentation Representatives from BK&D

ACTION NEEDED: Approve or Disapprove FY 09 Audit as Presented as Recommended by the Audit and Finance Committees

ACTION TAKEN: ___________________________________

V. Approval of the August 24, 2009 Board Minutes (Tab 1)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

VI. Clinical Quality/Patient Safety Updates Darin Smith (Tab 2)

ACTION NEEDED: None, Information Only

VII. Approval of the August 2009, Norman Regional Health System Financial Statements Ken Hopkins (Tab 3)

ACTION NEEDED: Approve or Disapprove the August 2009, NRHS Financial Statement

ACTION TAKEN: ____________________________________

VIII. Medical Staff Dr. Boyd (Tab 4)

A. Reports from the August 27, 2009 General Medical Staff Meeting

ACTION NEEDED: None, Information Only Recommend Approval of the Revised Medical Staff Bylaws and Rules and Regulations as Recommended by the Medical Staff at the August 27, 2009 General Medical Staff Meeting (Pgs 57-94)

ACTION NEEDED: Approve or Disapprove the Revised Medical Staff Bylaws and Rules and Regulations as Recommended by the Medical Staff at the August 27, 2009 General Medical Staff Meeting

ACTION TAKEN: _____________________________________

B. Report from the September 9, 2009 Medical Executive Committee

1) Approve the Radiology Department Focused Professional Practice Evaluation (FPPE) Plan/Proctor Report (Pg 96)

ACTION NEEDED: Approve or Disapprove the Radiology Department FPPE Plan/Proctor Report as Recommended by the Medical Executive Committee

ACTION TAKEN: _____________________________________

2) Approve the Radiology Department FPPE Chart Review Report (Pgs 98-99)

ACTION NEEDED: Approve or Disapprove the Radiology Department OPPE chart Review Report as Recommended by the Medical Executive Committee

ACTION TAKEN: _____________________________________

3) Approve the Radiology Practitioners Assistant Privilege Request Form (Pgs. 101-104)

ACTION NEEDED: Approve or Disapprove the Radiology Practitioners Assistant Privilege Request Form as Recommended by the Medical Executive Committee

ACTION TAKEN: _____________________________________

IX. Planning Committee Dr. Ingels Report from the September 8, 2009, Planning Committee

ACTION NEEDED: None, Information Item Only

X. Finance Committee Dr. Burcham

A. Report from the September 21, 2009, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Approval of the Medical Office Building Sale Proposal

ACTION NEEDED: Approve or Disapprove the Medical Office Building Proposal as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

XI. Old Business:

XII. New Business:

XIII. Approve the Revised 2009 Utilization Management/Case Management Plan (Tab 5)

ACTION NEEDED: Approve or Disapprove the Revised 2009 Utilization Management/Case Management Plan as Recommended by the Medical Executive Committee

ACTION TAKEN: _____________________________________

XIV. Administrative Report Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XV. Audience Open Discussion

XVI. Proposed Executive Session. Mrs. 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) James Bond, MD, Active Staff – Surgery Department
b) Matthew Davis, DO, Active Staff – Emergency Medicine Department
c) Ed Dakil, MD, Active Staff – Surgery Department
d) Kurt Feighner, DO, Active Staff – Emergency Medicine Department
e) James Fitzgerald, DO, Active Staff – Emergency Medicine Department
f) Terry Hermance, MD, Active Staff – Emergency Medicine Department
g) Philip Jones, MD, Active Staff – Surgery Department
h) Mark Knudson, DO, Active Staff – Emergency Medicine Department
i) Karl Langkamp, DO, Active Staff – Emergency Medicine Department
j) Joseph Leonard, MD, Active Staff – Emergency Medicine Department
k) Gerald McCullough, MD, Active Staff – Surgery Department
l) Vincent Montgomery, DMD, Active Staff – Surgery Department
m) Shelly Zimmerman, DO, Active Staff – Emergency Medicine Department
n) Wesley Hinz, MD, Active-Affiliate Staff – Family Medicine Department
o) Susan Pulling, MD, Active-Affiliate Staff – Surgery Department
p) James Simmering, MD, Active-Affiliate Staff – Family Medicine Department q) Charles Anderson, DPM, Consulting Staff – Surgery Department

2. Recommend Appointments of Physicians in the Provisional Period:
a) Carrie Barton, MD, Active Staff – Emergency Medicine Department
b) Roy Mullins, MD, Active Staff – Medicine Department
c) Cherry Blevins, CRNA, Allied Health Staff – Anesthesia Department

3. Recommend New Provisional Medical Staff Appointments:
a) Sayeda Nazir, MD, Active Staff – Surgery Department
b) Benjamin Steinberg, MD, Active Staff – Emergency Medicine Department
c) Robert Todd, MD, Active Staff – Family Medicine Department
d) Bryan Treacy, MD, Active Staff – OB/GYN Department
e) Lucius Doh, MD, Consulting Staff – Medicine Department
f) Gary Larson, MD, Consulting Staff – Medicine Department
g) Kiran Prabhu, MD, Consulting Staff – Medicine Department
h) Quang Tu, MD, Courtesy Staff – Surgery Department

4. Recommend Approval of Amy Bacchus, MD, Additional Privileges Request for Moderate and Deep Sedation

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: _______________________________________

XVII. Board Open Discussion

XVIII. Closing Comments Mrs. Parsons/Mr. Whitaker

XIX. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________

REMINDERS: October 12, 2009 Board Study Session – Board Self Evaluation October 26th Board meeting -- flu shots will be offered to Board members.

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.

2009-2010 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