NRHA Agenda
06-26-2017
Posted: 06/23/2017
NORMAN REGIONAL HOSPITAL AUTHORITY
June 26, 2017
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 Employees ... Mr. Clote
A. July 2017 Employee of the Month, Sheldeen Jenkins, RN Prem IV, Surgical Services – Amy Bass, Director of Surgery
III. Approval of the May 22, 2017 Board Meeting and May 31, 2017 Special Board Meeting Minutes ... Mr. Clote (Pgs. 6-21)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
IV. Performance Updates ... Dr. Smith (Pgs. 22-42)
ACTION NEEDED: None, Information Item Only
V. Approval of the May 2017, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs. 43-92)
ACTION NEEDED: Approve or Disapprove May 2017 NRHS Financial Statements
ACTION TAKEN: ____________________________________
VI. Medical Staff ... Dr. Williams
A. Report from the June 14 2017 Medical Executive Committee
B. Recommend Approval of the 2018 Patient Safety Plan ... (Pgs. 93-105)
ACTION NEEDED: Approve or Disapprove the 2018 Patient Safety Plan as Recommended by the Medical Executive Committee
ACTION TAKEN: ____________________________________
C. Recommend Approval of the Revised Norman Regional Health System FY 2018 Quality and Performance Improvement Plan ... (Pgs. 106-129)
ACTION NEEDED: Approve or Disapprove the Revised Norman Regional Health System FY 2018 Quality and Performance Improvement Plan as Recommended by the Medical Executive Committee
ACTION TAKEN: ____________________________________
VII. Patient Quality and Safety Committee ... Ms. Greenleaf Report from June 12, 2017 Patient Quality and Safety Committee
ACTION NEEDED: None, Information Item Only
VIII. Strategic Planning Committee ... Dr. Weber/Ms. Price Report from June 7, 2017 Strategic Planning Committee
ACTION NEEDED: None, Information Item Only
IX. Finance Committee ... Mr. Cubberley
A. Report from the June 19, 2017, Finance Committee
ACTION NEEDED: None, Information Item Only
B. Recommend Approval of the FY 2018 Budget ... (Pgs. 130-161)
ACTION NEEDED: Approve or Reject the FY 2018 Budget as Recommended by the Finance Committee
ACTION TAKEN: _____________________________________
C. Recommend Approval of Capital Equipment Purchase Requests ... (Pgs. 162-195)
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
A. Proposed Revisions to the 2016-2017 Risk Management Plan ... (Pgs. 196-215)
ACTION NEEDED: Approve or Disapprove the Revisions to the 2016-2017 Risk Management Plan as submitted
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 1-5 Below.
1. Recommend New Provisional Medical Staff Appointments:
a) Sameer Mohammed, MD, Active Staff –
b) Joel Kardokus, MD, Active Staff – Hospital Medicine Department
c) Ryan Carter, MD, Active Staff – Hospital Medicine Department
d) Steven Roberts, DO, Active Staff – Emergency Medicine Department
e) Vijay Kolli, MD, Consulting Staff – Medicine Department
f) Arveitta Edge, MD, Active-Affiliate Staff – Medicine Department
g) Winter Bathe, PA-C, Allied Health Staff – Surgery Department
h) Serina Madden, ARNP, FNP-C, Allied Health Staff – Pediatrics Dept.
2. Recommend Advancement of Medical Staff from Provisional Status:
a) Jennifer Enteshary, APRN-CRNA – Anesthesia Department
3. Recommend Medical Staff Reappointments:
a) Richard Kirkpatrick, MD, Active Staff – Surgery Department
b) Jeremy Moore, MD, Active Staff – Surgery Department
c) Benjamin Panter, MD, Active Staff – Surgery Department
d) Vincent Gonzalez, MD, Active Staff – Emergency Medicine Department
e) Marshall Rea, DO, Active Staff – Emergency Medicine Department
f) James Williams, DO, Active Staff – Emergency Medicine Department
g) Lance Williams, DO, Active Staff – Emergency Medicine Department
h) Stephen Ingels, MD, Active Staff – Pathology Department
i) Robert Littlejohn, MD, Active Staff – Pathology Department
j) Rosalie LaVon, MD, Active Staff – Medicine Department
k) Joe Riddle, MD, Active Staff – Medicine Department
l) Christian Sieck, MD, Active Staff – Medicine Department
m) Joel Holloway, MD, Consulting Staff – Medicine Department
n) Amanda Lewis, PA-C, Allied Health Staff – Surgery Department
o) Stephanie Porter, PA-C, Allied Health Staff – Surgery Department
p) Deborah Reed, PA-C, Allied Health Staff – Emergency Medicine Department
4. Recommend Request for Additional Clinical Privileges
a) James Neel, MD, is Requesting to add Independent Cardiothoracic Robotic Surgery Privileges
C. Corrections to previous MEC Credentials
Date
|
Original
|
Correction
|
November 1, 2016 | A. Alvin Bradford, MD B. Nancy Brown, MD |
A. Alvin Bradford, DO B. Nancy Brown, DO |
January 2, 2017 |
A. Reid Breckwoldt, MD
B. Shrilekha Parikh, MD
C. Bilal Ahmad, MD
|
A. Reid Breckwoldt, MD
B. Shrilekha Parikh, MD
C. Bilal Ahmad, MD
|
April 4, 2017 | A. Lana Nelson, MD B. Patrick Livingston, MD |
A. Lana Nelson, DO B. Patrick Livingston,DO |
May 2, 2017 |
A. Stephen Lindsey, MD
|
A. Stephen Lindsey, MD
|
D. 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: ____________________________________
E. 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: _______________________________________
F. Proposed Vote to Approve or Reject the Corrections to Previous MEC Credentials as Recommended by the Credentials and Medical Executive Committees
ACTION NEEDED: Approve or Disapprove Corrections to Previous MEC Credentials as Recommended by the Credentials and Medical Executive Committees
ACTION TAKEN: ____________________________________
XIV. Board Education Session: Provider Compensation: Minimize Risk & Maximize Collaboration” ... Mr. Manfredo (Pgs. 216-232)
XV. Board Open Discussion
XVI. Closing Comments
XVII. Adjourn
ACTION NEEDED: Motion to Adjourn the Meeting
ACTION TAKEN: _______________________________________.
July 24, 2017 Board Education Topic: Medical Staff Categories and Functions – Dr. Boyd & Dr. Smith
August 28, 2017 Board Education Topic: Physician Engagement – Mr. Splitt, Dr. Boyd, & Ms. Carter Disruptive Behavior
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.
2017-2018 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.