Posted: 07/21/2016
NORMAN REGIONAL HOSPITAL AUTHORITY
July 25, 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. August 2016 Employee of the Month, Lisa White, Clinical Outcome Specialist, Performance Improvement, Jenny Anderson, Director Quality& Performance Improvement
B. Recognition of Paramedic Austin Schudalla for Off-Duty Lifesaving Care –Eddie Sims, Manager EMSStat
III. Approval of the June 27, 2016 Board Meeting Minutes Mr. Clote (Pgs. 5-17)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
IV. Performance Updates Dr. Smith (Pgs.18-23)
ACTION NEEDED: None, Information Item Only
V. Approval of the June 2016, Norman Regional Health System Financial Statements Mr. Hopkins (Pgs.24-73)
ACTION NEEDED: Approve or Disapprove May 2016 NRHS Financial Statements
ACTION TAKEN: ____________________________________
VI. Medical Staff Dr. Williams
A. Report from the July 8, 2016 Medical Executive Committee
ACTION NEEDED: None, Information Only
VII. Strategic Planning Committee Mr. Sherman
A. Report from the July 11, 2016 Strategic Planning Committee
ACTION NEEDED: None, Information Item Only
VIII. Finance Committee Mr. Cubberley
A. Report from the July 18, 2016, Finance Committee
ACTION NEEDED: None, Information Item Only
ACTION TAKEN: _____________________________________
IX. Old Business
X. New Business Mr. Splitt & Mr. Clote
A. Recommend Approval of the Revised Identity Theft: Red Flags Rule Policy (Pgs. 74-83)
ACTION NEEDED: Approve or Disapprove the Revisions to the Identity Theft: Red Flags Rule Policy
ACTION TAKEN: _______________________________________________
B. Recommend Approval of the Norman Regional Hospital Authority Resolution of Acclamation (Pg. 84)
ACTION NEEDED: Approve or Disapprove the Norman Regional Hospital Authority Resolution of Acclamation as submitted
ACTION TAKEN: _______________________________________________
XI. Administrative Report Mr. Splitt
ACTION NEEDED: None, Information Item Only
XII. 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 and Pending Investigation and/or Action Regarding Norman Specialty Hospital, LLC
ACTION NEEDED: Move to Convene into Executive Session to Discuss with Legal Counsel the Above Referenced Medical Staff Items and Pending Investigation and/or Action Regarding Norman Specialty Hospital, LLC
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) James Neel, MD, Active Staff – Surgery Department
b) Norman Yeh, MD, Active Staff – Medicine Department
c) Megan Meier, MD, Active-Affiliate Staff – Medicine Department
d) Craig Lastine, MD, Teleradiology Privileges Only –Radiology Dept.
e) Blake Forcina, MD, Consulting Staff – Surgery Department
2. Recommend Advancement of Medical Staff from Provisional Status:
a) Roy Moss, MD, Teleradiology Privileges Only – Radiology Department
b) Justin Holbrook, APRN-CNP, Allied Health Staff – Emergency Medicine Dept.
c) Farzana Jahangir, PA-C, Allied Health Staff – Emergency Medicine Dept.
d) Ginger Thibault, APRN-CNP, Allied Health Staff – Pediatrics Department
3. Recommend Medical Staff Reappointments:
a) Carol Anderson, DO, Active Staff – OB/Gyn Department
b) Lydia R. Ballard, MD, Active Staff – Medicine Department
c) Rebecca Eagle, MD, Active Staff – Medicine Department
d) Steven Jimerson, MD, Active Staff – OB/Gyn Department
e) James Love, MD, Consulting Staff – Medicine Department
f) David Porter, MD, Active Staff – OB/Gyn Department
g) Deeksha Reddy, MD, Active Staff – Medicine Department
h) John Ruth, MD, Active Staff – Pediatrics Department
i) Matthew Ryan, MD, Active Staff – Medicine Department
j) Kaustubh Sagdeo, MD, Active Staff – Pediatrics Department
k) James Seay, MD, Active Staff – Pathology Department
l) Bradley Wilson, MD, Active Staff – Surgery Department
m) David Duncan, MD, Active-Affiliate Staff, Medicine Department
n) Seethal Madhavarapu, MD, Active-Affiliate Staff – Medicine Department
o) Desiree Herring, APRN-CRNA – Allied Health Staff – Anesthesia Dept.
p) Sobia Ahmad, MD, Consulting Staff – Medicine Department
q) Sean Keenan, MD, Teleradiology Privileges Only – Radiology Department
4. Recommend Request for Additional/Revised Clinical Privileges Namali Pierson, MD is Requesting Hematology/Oncology Privileges be added to her Internal Medicine Privileges since she has successfully completed her fellowship program as of June 30, 2016
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: _______________________________________
E. Proposed Vote to Approve or Disapprove Administration to Assess Actions Related to Norman Specialty Hospital, LLC
ACTION NEEDED: Approve or Disapprove Administration to Assess Actions Related to Norman Specialty Hospital, LLC
ACTION TAKEN: _______________________________________
XIII. Board Open Discussion
XIV. Closing Comments
XIV. 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.