Norman Regional Health System

NRHA Agenda

12-19-2016

Posted: 12/16/2016

NORMAN REGIONAL HOSPITAL AUTHORITY
December 19, 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

January 2017 Employee of the Month, Loraine Buss, Case Management Associate, Transition of Care – LeAnn Richardson, Director of Case Management

III. Approval of the November 28, 2016 Board Meeting Minutes ... Mr. Clote (Pgs. 4-15)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. Performance Updates ... Dr. Smith (Pgs. 16-24)

ACTION NEEDED: None, Information Item Only

V. Approval of the November 2016, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs. 25-74)

ACTION NEEDED: Approve or Disapprove November 2016 NRHS Financial Statements

ACTION TAKEN: ____________________________________

VI. Medical Staff ... Dr. Williams The Medical Executive Committee did not meet this month.

VII. Patient Quality and Safety Committee ... Report from the December 5, 2016 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

VIII. Finance Committee ... Mr. Cubberley

A. Report from the December 19, 2016, Finance Committee

ACTION NEEDED: None, Information Item Only

B. 2016 First Amendment to the Norman Regional Health System Consolidate Retirement Plan ... (Pgs. 75-76)

ACTION NEEDED: Approve or Disapprove the 2016 First Amendment to the Norman Regional Health System Consolidate Retirement Plan as Submitted

ACTION TAKEN: ____________________________________

IX. Old Business ... Mr. Clote & Mr. Splitt

X. New Business ... Mr. Clote & Mr. Splitt

A. Recommend Approval of the Revised 2016 Compliance Program ... (Pgs. 77-160)

ACTION NEEDED: Approve or Modify the Revised 2016 Compliance Program

ACTION TAKEN: ____________________________________

XI. Administrative Report ... Mr. Splitt

ACTION NEEDED: None, Information Item Only

XII. 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 XII.B 1-2 Below.

1. Recommend New Provisional Medical Staff Appointments:
a) Robert Burwell, DO, Active Staff – Anesthesiology Department
b) Ting Kon Chen, MD, Active Staff – Anesthesiology Department  
c) Todd Gleaves, MD, Active Staff – Anesthesiology Department
d) Kevin McKeown, MD, Active Staff – Anesthesiology Department
e) Nigam Sheth, MD, Active Staff – Anesthesiology Department

2. Recommend Medical Staff Reappointments:
a) Carrie Barton, MD, Active Staff – Emergency Medicine Department
b) Edmund Braly, DDS, Active Staff – Surgery Department
c) Gautam Dehadrai, MD, Active Staff – Radiology Department
d) Daniel Kite, DO, Active Staff – Emergency Medicine Department
e) Monica Sagdeo, MD, Active Staff – Pediatrics Department
f) Kristen Sweet, APRN-CNP – Cardiovascular Medicine 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 XII B 1-2]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XII B 1-2]

ACTION TAKEN: _______________________________________

XIII. Board Open Discussion

XIV. Closing Comments

XV. 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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