NRHA Agenda

10-27-2014

Posted: 10/23/2014

NORMAN REGIONAL HOSPITAL AUTHORITY
Board Meeting
October 27, 2014
5:30 p.m.
901 N. Porter
2nd Floor Board Room 

A G E N D A

I. Call to Order ... Ms. Wiens

II. Introduction and Recognition of Outstanding Employee ... Ms. Wiens

A. November 2014 Employee of the Month Johnny Grandstaff, Clinical Applications Analyst, Health Information Technology (HIT) – Randy Hart, Manager, Applications Support

III. LEAN Project Presentation – EMSSTAT and Patient Financial Services Billing Process – ... Eddie Sims and Jeff Mincher

IV. Ebola Readiness Plan Review ... Judy Stuart

V. Approval of the September 9, Board Study Session, September 15 Special Board Meeting, and September 22, 2014 Board Meeting Minutes

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

VI. Performance Updates ... Dr. Smith

ACTION NEEDED: None, Information Item Only

VII. Approval of the September 2014, Norman Regional Health System Financial Statements ... Mr. Hopkins

ACTION NEEDED: Approve or Disapprove September 2014 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VIII. Medical Staff

A. Report from the October 15, 2014 Medical Executive Committee Meetings

ACTION NEEDED: None, Information Only

B. Proposed Revisions to the NRHS Medical Staff Rules & Regulations

ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Rules & Regulations as approved the Medical Executive Committee

ACTION TAKEN: _________________________________

IX. Governance Committee ... Ms. Wiens

X. Patient Quality and Safety Committee ... Dr. Anderson

Report from the October 13, 2014 Patient Quality and Safety Committee

ACTION NEEDED: None, Information Item Only

XI. Finance Committee ... Mr. Cubberley

A. Report from the October 20, 2014, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Capital Equipment Purchase Requests 

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

ACTION TAKEN: _____________________________________

C. Recommend the Revisions to the Charity Care-Financial Assistance Policy

ACTION NEEDED: Approve or Disapprove the Revisions to the Charity Care- Financial Assistance Policy ... as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

XII. Old Business ... Ms. Wiens

LifeCare Oklahoma Region Network Update

ACTION NEEDED: Approve or Disapprove Administration to continue exploring the potential partnership with like-minded facilities in Oklahoma in a new organization developed from VHA LifeCare

ACTION TAKEN: _____________________________________

XIII. New Business:

Discuss Waving of Right of First Refusal and Estoppel Certificate on Sale of Westside Medical Office Building

ACTION NEEDED: Approve or Disapprove Waiving of the Right of First Refusal and Estoppel Certificate on Sale of Westside Medical Office Building

ACTION TAKEN: _____________________________________

XIV. Administrative Report ... Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XV. Proposed Executive Session. ... Ms. Wiens

A. Proposed Vote to Convene an Executive Session to Discuss with Legal Counsel (i) Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below, (ii) a Pending Internal Investigation Regarding the Billing of Services Provided to Employed Physicians, Pursuant to 25 Okla. Stat. Section 307.B.4, and (iii) Annual Performance Evaluation of David Whitaker, President and Chief Executive Officer

ACTION NEEDED: Move to Convene into Executive Session to Discuss with Legal Counsel the Above Referenced Items

ACTION TAKEN: ____________________________________

B. Approve or Disapprove the Medical Staff Recommendations Regarding the Physicians as Listed in XV B (1-4) Below

1. Recommend Medical Staff Reappointments:
a) Gauitam Dehadrai, MD, Active Staff – Radiology Department
b) Lesa Mulligan, MD, Active Staff – OB/Gyn Department
c) Mudassir Nawaz, MD, Active Staff – Medicine Department
d) Senthil Raju, MD, Active Staff – Medicine Department
e) Mehran Shahsavari, MD, Active Staff – Hospital Medicine Department
f) Kristin Thorp, MD, Active Staff – Medicine Department
g) Stephen Yang, MD, Active Staff – Medicine Department
h) Kristen Sweet, APRN-CNP, Allied Health Staff – Cardiovascular Medicine Dept.
i) Karen Tyndall, Ph.D., Allied Health Staff – Medicine Department
j) Robert Arthur, MD, Consulting Staff – Medicine Department
k) Sergio Garcia, MD, Consulting Staff – Medicine Department
l) Lorry Krous, MD, Courtesy Staff – Pediatrics Department
m) Philip Miner, MD, Courtesy Staff – Medicine Department
n) John Grimmer, MD, Teleradiology Privileges Only – Radiology Department

2. Recommend New Provisional Medical Staff Appointments
a) Ahmad Sarwar, MD, Active Staff – Cardiovascular Medicine Department NRHA Agenda 4 October 27, 2014
b) John Stepanek, DO, Active Staff – Emergency Medicine Department
c) Michael Kalcich, MD, Active-Affiliate Staff – Emergency Medicine Dept.
d) Heather Wilson, MD, Active-Affiliate Staff – Pediatrics Department
e) Daniel Leiker, APRN-CRNA, Allied Health Staff – Anesthesia Department

3. Recommend Appointments of Physicians in the Provisional Period:
a) Michelle Barnes, MD, Active-Affiliate Staff – Medicine Department
b) Carl Recine, MD, Teleradiology Privileges Only – Radiology Department c) John Seagraves, DO, Active Staff – Emergency Medicine Department
d) Christopher Sidden, MD, Teleradiology Privileges Only – Radiology Dept.

4. Recommend Additional Clinical Privileges/Changes in Staff Category:
a) Matthew Podany, Radiology Practitioner Assistant, is requesting Inferior Vena Cava Filter Placement Privileges – required proctored procedures were met
b) Sanjay Narotam, MD, is requesting Moderate Sedation Privileges – required qualifications have been met

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 XV B (1-4)]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XV B (1-4)]

ACTION TAKEN: _______________________________________

E. Proposed Vote to Approve Annual Evaluation of CEO

ACTION NEEDED: Approve or Disapprove Proposed Vote to Approve Annual Evaluation of CEO as Recommended by the Governance Committee

ACTION TAKEN: _______________________________________

XVI. Board Open Discussion

XVII. Closing Comments ... Ms. Wiens/Mr. Whitaker

XVIII. 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.

2014-2015 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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