NRHA Agenda

08-22-2016

Posted: 08/18/2016

NORMAN REGIONAL HOSPITAL AUTHORITY
August 22, 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. September 2016 Employee of the Month, David Gandesbery, Security Team leader – Michael Nabors, Manager Security Services

III. ICARE Update ... Mari Newcomer & Kyle Hurley IV. Approval of the July 25, 2016 Board Meeting Minutes ... Mr. Clote (Pgs. 5-15)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

V. Performance Updates ... Dr. Smith (Pgs.16-27)

ACTION NEEDED: None, Information Item Only

VI. Approval of the July 2016, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs.28-74)

ACTION NEEDED: Approve or Disapprove July 2016 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VII. Medical Staff ... Dr. Williams

A. Report from the August 10, 2016 Medical Executive Committee

ACTION NEEDED: None, Information Only

B. Recommend Approval of the Revised Critical Care Medicine Core Privilege Form ... (Pgs. 75-78)

ACTION NEEDED: Approve or Disapprove the Revisions to the Critical Care Medicine Core Privilege Form as Recommended by the Credentials and Medical Executive Committees  

ACTION TAKEN: ____________________________________

C. Recommend Approval of the 2017 Patient Safety Plan and Addendum ... (Pgs. 79-95)

ACTION NEEDED: Approve or Disapprove the 2017 Patient Safety Plan and Addendum as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

D. Recommend Approval of the Norman Regional Health System FY 2017 Quality and Performance Improvement Plan ... (Pgs. 96-118)

ACTION NEEDED: Approve or Disapprove the Norman Regional Health System FY 2017 Quality and Performance Improvement Plan as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

VIII. Patient Quality & Safety Committee ... Dr. Anderson

A. Report from the August 1, 2016 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee ... Mr. Cubberley

A. Report from the August 15, 2016, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Approval of the Revised Defined Benefit Plan – Investment Policy Statement ... (Pg. 119-139)

ACTION NEEDED: Approve or Disapprove the Defined Benefit Plan – Investment Policy Statement as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

C. Recommend Capital Equipment Purchase Request ... (Pgs. 140-148)

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

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 and Discussion Regarding the CEO Position Pursuant to 25 Okla. Stat. Section 307.B.

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 1-4 Below.

1. Recommend New Provisional Medical Staff Appointments:
a) Ernest Foster, II, MD, Active Staff – Emergency Medicine Department
b) Morgan Gossen, PA-C, Allied Health Staff – Surgery Department
c) Cheryl Montgomery, RNFA, Allied Health Staff – Surgery Department
d) Brian Moore, APRN-CNP, Allied Health Staff – Emergency Medicine Dept.

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Nicholas Plants, DPM, Remain in Provisional Consulting Staff – Surgery Dept.
b) Jeremy Tanner, APRN-CNP, Remain in Provisional Allied Health Staff – Medicine Dept.
c) Angela Vines, APRN-CNS, Allied Health Staff – Cardiovascular Medicine Dept.

3. Recommend Medical Staff Reappointments:
a) Geo-Philips Chacko, MD, Active Staff – Hospital Medicine Department
b) Eileen Fox, MD, Active Staff – Pediatrics Department
c) Donna Jackson, MD, Active Staff – Pediatrics Department
d) Thomas Kuhls, MD, Active Staff – Pediatrics Department
e) John McCarter, MD, Active Staff – Medicine Department
f) James McCurdy, MD, Active Staff – Surgery Department
g) Victor Wilson, MD, Active Staff – Pediatric Department
h) Paul Gillum, MD, Active-Affiliate Staff – Medicine Department
i) Julia Irwin, MD, Active-Affiliate Staff – Behavioral Medicine Dept.
j) Daniel Leiker, APRN-CRNA, Allied Health Staff – Anesthesia Dept.
k) Michael Confer, MD, Consulting Staff – Medicine Department  

4. Recommend Change in Staff Membership Category James Love, MD has requested to Change from Consulting Staff to Active Staff

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 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: _______________________________________

XIV. Board Open Discussion

XV. Closing Comments

XVI. 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.

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