NRHA Agenda

08-24-2015

Posted: 08/20/2015

NORMAN REGIONAL HOSPITAL AUTHORITY
August 24, 2015
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

September 2015 Employee of the Month – Christy Hall, Department Assistant, Vascular Access Clinic – Phillip Mobbs, Manager of Imaging Services/VAC and Jeff Farley, Supervisor of VAC

III. Approval of the July 21 Board Study Session and the July 27, 2015 Board Meeting Minutes ... Mr. Clote (Pgs. 5-18)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. Performance Updates ... Dr. Smith (Pgs. 19-37)

ACTION NEEDED: None, Information Item Only

V. Approval of the July 2015, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs.38-84)

ACTION NEEDED: Approve or Disapprove July 2015 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VI. Medical Staff ... Dr. Whitesell

A. Report from the August 12, 2015 Medical Executive Committee

ACTION NEEDED: None, Information Only

VII. Governance Committee ... Mr. Clote

Report from the August 24, 2015 Governance Committee

ACTION NEEDED: None, Information Item Only

VIII. Patient Quality and Safety Committee ... Mr. Sherman

Report from the August 3, 2015 Patient Quality and Safety Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee ... Mr. Cubberley

A. Report from the August 17, 2015, Finance Committee

ACTION NEEDED: None, Information Item Only

X. Old Business

XI. New Business:

A. Recommend Approval of the Revised FY16 Patient Safety Plan ... (Pgs. 85-100)

ACTION NEEDED: Approve or Disapprove the Revised FY16 Patient Safety Plan as Recommended by the Patient Quality and Safety Committee

ACTION TAKEN: _____________________________________

B. Recommend Approval of the Revised FY16 Performance Improvement Plan(Pgs. 101-120)

ACTION NEEDED: Approve or Disapprove the Revised FY16 Performance Improvement Plan as Recommended by the Patient Quality and Safety Committee

ACTION TAKEN: _____________________________________

C. Approve the Medical Staff Conflicts of Interest Policy ... (Pgs. 121-127)

ACTION NEEDED: Approve or Disapprove the Medical Staff Conflicts of Interest Policy

ACTION TAKEN: _____________________________________

D. Discuss and Select a Date and Time in October 2015 for a Board Strategic Planning Retreat

ACTION NEEDED: Approve the Date and Time in October 2015 for a Board Strategic Planning Retreat

ACTION TAKEN: _____________________________________

XII. Administrative Report ... Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XIII. Proposed Executive Session.

A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. Section 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 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) David Miller, DDS, Active Staff – Surgery Department
b) Saria Refai, MD, Active Staff – Medicine Department
c) Cynthia West, MD, Active Staff – Pediatric Department

2. Recommend Appointments of Medical Staff in the Provisional Period:
a) Jennifer Baker, MD, Active Staff, Pediatric Department
b) Kathryn Cook, MD, Active Staff – Pediatric Department
c) John Ruth, MD, Active Staff – Pediatric Department
d) Kaustubh Sagdeo, MD, Active Staff – Pediatric Department
e) Wade Bittle, PA-C, Allied Health Staff – Emergency Medicine Department
f) Kimberly Franks-Martens, APRN-CNP, Allied Health Staff – Surgery Dept.
g) Mary Underhill, Psy.D, Allied Health Staff – Surgery Department

3. Recommend Medical Staff Reappointments:
a) James Bond, MD, Active Staff – Surgery Department
b) Samuel Dakil, MD, Active Staff – Surgery Department
c) Matthew Davis, DO, Active Staff – Emergency Medicine Department
d) Kurt Feighner, DO, Active Staff – Emergency Medicine Department
e) Thomas Ingmire, MD, Active Staff – Emergency Medicine Department
f) Philip Jones, MD, Active Staff – Surgery Department
g) Zakary Knutson, MD, Active Staff – Surgery Department
h) John Seagraves, DO, Active Staff – Emergency Medicine Department
i) Kyle Toal, MD, Active Staff – Surgery Department
j) Shelba Bethel, MD, Active Affiliate Staff – OB/Gyn Department
k) Leighann Price, APRN-CRNA, Allied Health Staff – Anesthesia Dept.
l) Charles Anderson, DPM, Consulting Staff – Surgery Department
m) Corey Ponder, MD, Consulting Staff – Surgery Department
n) Donald Roberts, DDS, Consulting Staff – Surgery Department
o) Quang Tu, MD, Courtesy Staff – Surgery Department

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 (1-3)]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B (1-3)]

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 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.

2015-2016 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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