NRHA Agenda

11-28-2016

Posted: 11/22/2016

NORMAN REGIONAL HOSPITAL AUTHORITY
November 28, 2016
9:00 a.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 December 2016 Employee of the Month, Vicki Johnson, Clinical Education Specialist, Learning Resources – Sara Hildenbrand, Manager Learning Resources and Organizational Development

III. Approval of the October 4, October 24, October 27, November 3, and November 5 2016 Board and Special Board Meeting Minutes ... Mr. Clote (Pgs. 6-26)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. Final Bond Issue Review ... Grant Ostlund (Pgs. 27-44)

V. Performance Updates ... Dr. Smith (Pgs.45-52)

ACTION NEEDED: None, Information Item Only

VI. Approval of the October 2016, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs.53-114)

ACTION NEEDED: Approve or Disapprove October 2016 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VII. Medical Staff ... Dr. Williams

A. Report from the November 16, 2016 General Medical Staff and Medical Executive Committee Meetings

B. Proposed Revisions to the NRHS Medical Staff Bylaws ... (Pg. 115)

ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Bylaws as Recommended by Medical Executive Committee and General Medical Staff Meetings

ACTION TAKEN: ____________________________________

C. Proposed Revisions to the NRHS Medical Staff Rules and Regulations ... (Pgs. 116-117)

ACTION NEEDED: Approve or Disapprove the Revisions to the NRHS Medical Staff Rules and Regulations as Recommended by Medical Executive Committee and General Medical Staff Meetings

ACTION TAKEN: ____________________________________

D. Recommend Approval of the New NRHS Cardiothoracic Robotic Assisted Surgery Privilege Form ... (Pgs. 118-121)

ACTION NEEDED: Approve or Disapprove the New NRHS Cardiothoracic Robotic Assisted Surgery Privilege Form as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: ____________________________________

E. Recommend Approval of the Revised Cardiothoracic Surgery Privilege Form (Pg. 122-124)

ACTION NEEDED: Approve or Disapprove of the Cardiothoracic Surgery Privilege Form as Recommended by the Credentials and Medical Executive Committees

ACTION TAKEN: ____________________________________

VIII. Strategic Planning Committee ...

A. Due to the Cancelation of the November 7, 2016 Strategic Planning Committee there is no report this month.

IX. Finance Committee ... Mr. Clote

A. Report from the November 21 19, 2016, Finance Committee

ACTION NEEDED: None, Information Item Only

X. Old Business ... Mr. Clote & Mr. Splitt

XI. New Business ... Mr. Clote & Mr. Splitt

A. Establish Dates and Times for 2017 Authority Meetings

Section 933 of the Oklahoma Open Meeting Act requires the Authority to submit the date and time of its regular meetings for the coming calendar year. NRHA meetings have been scheduled for 5:30 p.m. on the fourth Monday of the month this past year. The schedule below describes similar dates and times for the Authority’s monthly meetings in 2017

January 23
February 27
March 27
April 24
May 22
June 26
July 24
August 28
September 25
October 23
November 27
December 18

ACTION NEEDED: Approve or Modify the Proposed Dates & Times for the 2017 Authority Meetings

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 1-4 Below.

1. Recommend New Provisional Medical Staff Appointments:
a) Andrew Crabbe, MD, Active Staff – Anesthesia Department
b) Mark Fine, MD, Active Staff – Anesthesia Department
c) Rachael Hiebert, MD, Active Staff – Anesthesia Department
d) Chun Kwan, MD, Active Staff – Anesthesia Department
e) Mark Lau, MD, Active Staff – Anesthesia Department
f) Paul Le, MD, Active Staff – Anesthesia Department
g) Julia Rygaard, MD, Active Staff – Anesthesia Department
h) Jared Adams, MD, Active-Affiliate Staff – Medicine Department
i) Jeffrey Goucher, CRNFA, Allied Health Staff – Surgery Department
j) Stephanie Reddick, MD, Privileges only Teleradiology – Radiology Department
k) Marianne Ingels Bacharach, MD, Courtesy Staff – Emergency Medicine Dept.

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Matthew McGill, APRN-CNS, Allied Health Staff – Cardiovascular Med. Dept.
b) Saria Refai, MD, Active Staff – Medicine Department

3. Recommend Medical Staff Reappointments:
a) Wayne Berryhill, MD, Active Staff – Surgery Department
b) Alvin Bradford, MD, Active Staff – Emergency Medicine Department
c) Archana Gautam, MD, Active Staff – Cardiovascular Medicine Department
d) Tay Sha Howell, MD, Active Staff – Emergency Medicine Department
e) Lesa Mulligan, MD, Active Staff – OB/Gyn Department
f) Mudassir Nawaz, MD, Active Staff – Medicine Department
g) Senthil Raju, MD, Active Staff – Medicine Department
h) Vytautas Ringus, MD, Active Staff – Surgery Department
i) Ahmad Sarwar, MD, Active Staff – Cardiovascular Medicine Department
j) Steven Schultz, MD, Active Staff – Surgery Department
k) Nancy Brown, MD, Active-Affiliate Staff – Medicine Department
l) Kerri Backer, PA-C, Allied Health Staff – Surgery Department
m) Gregory Dinwiddie, PA-C, Allied Health Staff – Surgery Department
n) Darren Gose, APRN-CRNA, Allied Health Staff – Anesthesia Department
o) Lara Green, PA-C, Allied Health Staff – Surgery Department
p) Glenroy Hines, PA-C, Allied Health Staff – Surgery Department
q) Daniel Matlock, ARPN-CRNA, Allied Health Staff – Anesthesia Dept.
r) Natiel Oswald-Bauer, PA-C, Allied Health Staff – Surgery Department
s) Karen Tyndall, Ph.D., Allied Health Staff – Medicine Department
t) Rebecca Wellington, PA-C, Allied Health Staff – Emergency Med. Dept.
u) Chad Borin, DO, Consulting Staff – Emergency Medicine Department
v) Sergio Garcia, MD, Consulting Staff – Medicine Department
w) Gerry Holland, DO, Courtesy Staff – Emergency Medicine Department

4. Recommend Additional/Revised Clinical Privileges or Change in Staff Membership Category
a) Kenneth Coffey, MD, requested to change from the Active Staff to the Active-Affiliate Staff Category
b) Ryan Davis, MD requested analgesia/sedation privileges. He has successfully completed the education and meets the privileging requirements
c) James Neel, MD requested general surgery/general laser surgery privileges, sedation/analgesia privileges and pulmonary endoscopy privileges. He meets all the privileging requirements for these privileges

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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