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NRHA Agenda

04-26-2021

Posted: 4/23/2021

I. Call to Order ... Mr. Cubberley

II. Introduction and Recognition of Outstanding Healer ... Mr. Cubberley

A. May 2021 Healer of the Month Stacy Pattillo, Assistant Physical Therapy, Physical Rehabilitation, presented by Lisa Robertson, Manager, Physical Rehabilitation

III. Board Education: Just Culture ... Mr. Beyer (Pgs. 00-00)

ACTION NEEDED: None, Information Only

IV. Approval of March 22, 2021 NRHA Board meeting minutes ... Mr. Cubberley (Pgs.00-00)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

V. Performance Updates ... Ms. Anderson (Pgs. 00-00)

ACTION NEEDED: None, Information Item Only

VI. Approval of the March 2021 Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs. 00-00)

ACTION NEEDED: Approve or Disapprove March 2021 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VII. Medical Staff ... Dr. Jawed

A. Report from the April 14, 2021 Medical Executive Committee

B. Proposed Changes to the Medical Staff Bylaws ... Dr. Jawed (Pgs. 00-00)

ACTION NEEDED: Approve or Disapprove the Proposed Changes to the Medical Staff Bylaws as presented by the Medical Executive Committee

ACTION TAKEN: ____________________________________

VIII. Patient Quality & Safety Committee ... Ms. Greenleaf A. Report from the April 5, 2021 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee Meeting ...

A. Report from the April 19, 2021 Finance Committee

B. Recommend Capital Equipment Purchase Request ... (Pgs. 00-00)

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

ACTION TAKEN: ___________________________________________

C. Recommend Approval Contract Process Policy ... Mr. Hopkins (Pgs. 00-00)

ACTION NEEDED: Approve or Disapprove Revisions to the Contract Process Policy as Recommended by the Finance Committee

ACTION TAKEN: ___________________________________________

X. Old Business ... Mr. Cubberley & Mr. Splitt

XI. New Business ... Mr. Cubberley & Mr. Splitt

A. Proposed Revisions to the 2021 Infection Prevention Plan Policy……..……..(Pgs. 00-00)

ACTION NEEDED: Approve or Disapprove the Revisions to the 2021 Infection Prevention Plan Policy as submitted

ACTION TAKEN: ___________________________________________

XII. Administrative Report ... Mr. Splitt

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 (i) 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 1-3 Below.

1. Recommend New Provisional Medical Staff Appointments:
a) Sunil Mathew, MD – Cardiovascular Medicine – Active
b) Kristen Innes, MD – OB/GYN – Active
c) Rawel Randhawa, MD – Medicine – Active
d) Edward Fogarty, MD – Teleradiology- Privileges Only
e) Michelle Rossman, MD – Teleradiology – Privileges Only
f) Kevin Marcum, MD – Teleradiology – Privileges Only
g) Robert Schoaps, MD – ECMO – Privileges Only
h) Mark Maybauer, MD – ECMO – Privileges Only

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Ahmed Awab, MD – Medicine – Active
b) Sabrina Young, DO – Medicine – Active
c) Nzube Okonkwo, MD – Hospital Medicine – Active
d) Seth Brooks, DDS – Surgery – Active
e) Thomas Wolf, MD – Surgery – Associate
f) Benjamin Bigbie, MD – Medicine – Associate
g) Nicole Alvarez, APRN-CRNA – Anesthesia – Allied Health
h) Tracye Fowler, APRN-FNP – Emergency Medicine – Allied Health
i) Taylor Herzer, PA-C – Emergency Medicine – Allied Health
j) Amy Manfredo, APRN-CNP – Pediatrics – Allied Health
k) Deanna Prufert, APRN-FNP – Emergency Medicine – Allied Health
l) Micki Richardson, APRN-FNP – Emergency Medicine – Allied Health
m) Spencer Baird, DO – Hospital Medicine – Privileges Only
n) Madison Kilbury, DO – Hospital Medicine – Privileges Only

3. Recommend Medical Staff Reappointments:
a) J. Patrick Sullivan, MD – Anesthesia – Active
b) Robert Vogel, MD – Surgery – Active
c) Clifton Whitesell, MD – Surgery – Active
d) Kevin Penwell, DO – Emergency Medicine – Active to Associate
e) Ryan Turner, MD – Medicine – Associate
f) Marilyn Campbell, APRN-CRNA – Anesthesiology – Allied Health
g) Lindsey Lightner, APRN-CRNA – Anesthesiology – Allied Health
h) Stephen Isernhagen, PA-C – Surgery – Allied Health
i) Michael Crawford, PA-C – Surgery – Allied Health
j) Mary Underhill, Psy. D – Surgery – Allied Health
k) Kasey DeGiusti, APRN-CNP, RNFA – Ortho Central
l) Jennifer Enteshary. APRN-CRNA – Ortho Central

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 (MEC) Recommendations Regarding Credentialing of the Referenced Medical Staff Members As Listed in XIII B 1-3

ACTION NEEDED: Approve or Disapprove the MEC Recommendations Regarding Credentialing of the Referenced Medical Staff Members As Listed in XIII B 1-3

ACTION TAKEN: _______________________________________

XIV. Board Open Discussion

XV. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________

MISSION: To serve our community as the leader in health and wellness care.

VISION: To be the provider of choice to improve the health and well-being of our regional communities.