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NRHA Agenda

I. Call to Order Ms. Campbell

II. Introduction and Recognition of the Outstanding Employees Ms. Campbell

Employee of the Month for September 2010 – Darcy Jenkins, Coordinator, Registration at Moore Medical Center – Jason Phenix, Manager Patient Access

III. Approval of the July 26, 2010 Board Minutes (Tab 1)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. Clinical Quality/Patient Safety Updates Dr. Smith/Mr. McAdams (Tab 2)

ACTION NEEDED: None, Information Only

V. Approval of the July 2010, Norman Regional Health System Financial Statements Mr. Hopkins (Tab 3)

ACTION NEEDED: Approve or Disapprove the July 2010, NRHS Financial Statement

ACTION TAKEN: ____________________________________

VI. Medical Staff Dr. Durica (Tab 4)

A. Report from the August 11, 2010 Medical Executive Committee Meetings

ACTION NEEDED: None, Information Item Only

B. Recommend Approval of the 2010 Performance Improvement Plan (Pgs 64-73)

ACTION NEEDED: Approve or Disapprove the 2010 Performance Improvement Plan as Recommended by MEC

ACTION TAKEN: ____________________________________

C. Recommend Approval of the Revisions to the Obstetrics and Gynecology Robotic Privilege Request Form (Pgs.75-78)

ACTION NEEDED: Approve or Disapprove the Revisions to the Obstetrics and Gynecology Robotic Privilege Request Form as Recommended by the Medical Executive Committee

ACTION TAKEN: _____________________________________

VII. Planning Committee Dr. Ingels (Tab 5)

A. Report from the August 9, 2010 Planning Committee

ACTION NEEDED: None, Information Item Only

B. 2010-2011 Strategic Initiatives (Pgs.80-81)

ACTION NEEDED: Approve or Disapprove the 2010-2011 Strategic Initiatives

ACTION TAKEN: _____________________________________

VIII. Finance Committee Dr. Burcham (Tab 6)

A. Report from the August 16, 2010 Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Capital Equipment Purchase Request (Pg.83)

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

ACTION TAKEN: _____________________________________

C. 3-Year Volume Summary Report Ken Hopkins

ACTION NEEDED: None, Information Item Only

IX. Old Business:

X. New Business: (Tab 7)

A. Recommend Approval of the Board Resolutions Presented, Regarding the 2010 First Amendment to the Norman Regional Health System Consolidated Retirement Plan for Employees and Physicians Involved in the Cardiology Acquisitions

ACTION NEEDED: Approve or Disapprove the Board Resolutions Regarding the 2010 First Amendment to the Norman Regional Health System Consolidated Retirement Plan for Employees and Physicians Involved in the Cardiology Acquisitions

ACTION TAKEN: _____________________________________

XI. Administrative Report Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XII. Proposed Executive Session. Mrs. Campbell

A. Proposed Vote to Convene an Executive Session to i) 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 ii) Pursuant to Section 307.B1 of the Open Meeting Act, discussion of the potential employment by the Authority or an affiliate of Paul Ayers, MD; Jeffrey A. Crook, MD; Archana Gautam, MD; Katherine Hays, MD; and Muhammad Salim, MD

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 XII B (1-4) Below

1. Recommend Medical Staff Reappointments:
a) Lydia Ballard, MD, Active Staff – Medicine Department
b) Kathy Dagg, MD, Active Staff – Medicine Department
c) James Fields, MD, Active Staff – Pediatrics Department
d) Eileen Fox, MD, Active Staff – Pediatrics Department
e) Paul Gillum, MD, Active Staff – Medicine Department
f) Julia Irwin, MD, Active Staff – Behavioral Medicine Department
g) Donna Jackson, MD, Active Staff – Pediatrics Department
h) Thomas Kuhls, MD, Active Staff – Pediatrics Department
i) Oswald Llanderosos, MD, Active Staff – Medicine Department
j) John McCarter, MD, Active Staff – Medicine Department
k) Gerald McCullough, MD, Active Staff – Surgery Department
l) Thomas Thurston, MD, Active Staff – Pediatrics Department
m) Lisa Waterman, DO, Active Staff – OB/Gyn Department
n) Victor Wilson, MD, Active Staff – Pediatrics Department
o) Wesley Hinz, MD, Active Affiliate Staff – Family Medicine Department
p) Seethal Madhavarapu, MD, Active Affiliate Staff – Family Medicine Dept.
q) James Simmering, MD, Active Affiliate Staff – Family Medicine Dept.

2. Recommend Appointments of Physicians in the Provisional Period:
a) Amy Bacchus, MD, Active Staff – Medicine Department
b) Jonathan Bryan, DO, Active Staff – Medicine Department
c) Diane Chambers, MD, Active Staff – OB/Gyn Department
d) Dan Isbell, MD, Active Staff – Surgery Department
e) Richard Wood, MD, Active Staff – Medicine Department
f) Sherri Henderson, PAC, PA-C, Affiliate Staff – Surgery Department

3. Recommend New Provisional Medical Staff Appointments
a) Lillian Otisi-West, MD, Active Staff – Hospital Medicine Department

4. Recommend Approval of David Porter, MD and Bryan Treacy, MD Requests for Additional Privileges to Perform Robotic Surgery Privileges

C. Consideration of Appeals Committee Report regarding T. J. White, CRNA pursuant to Section 1.16 of the Allied Health Staff Policy

D. Discuss the Potential Employment by the Authority or an Affiliate of Paul Ayers, MD; Jeffrey A. Crook, MD; Archana Gautam, MD; Katherine Hays, MD; Muhammad Salim, MD; and Michael Sellers, MD

E. 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: ____________________________________

F. 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: _______________________________________

G. Proposed Vote to Accept, Reject or Accept with Modifications the Appeal Committee’s Recommendations Regarding T. J. White, CRNA. ACTION NEEDED: Accept, Reject, or Accept with Modifications the Appeal Committee’s Recommendations Regarding T.J. White, CRNA ACTION TAKEN: ________________________________________

H. Proposed Vote to Approve or Disapprove the Resolutions Presented Relating to the Employment of Paul Ayers, MD; Jeffrey A. Crook, MD; Archana Gautam, MD; Katherine Hays, MD; Muhammad Salim, MD; and Michael Sellers, MD; and the Acquisition of Certain Assets Previously Utilized by Such Physicians in Their Private Practices (Tab 8)

ACTION NEEDED: Approve or Disapprove the Resolutions presented Relating to the Employment of Paul Ayers, MD, Jeffrey A. Crook, MD; Archana Gautam, MD; Katherine Hays, MD; Muhammad Salim, MD; and Michael Sellers, MD; and the Acquisition of Certain Assets Previously Utilized by Such Physicians in Their Private Practices

ACTION TAKEN: ________________________________________

XIII. Board Open Discussion

XIV. Closing Comments Mrs. Campbell/Mr. Whitaker

XV. 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.

2010-2011 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