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The Scotland County Hospital Board of Directors met in regular session on Tuesday, April 28, 2020, via Zoom Meeting. The Open Session was broadcasted via Facebook Live. In accordance with the Missouri Sunshine Law §610.020.1. As a best practice and if possible, public governmental bodies should take advantage of their website and social media pages to post recordings or live streams of public meetings. Board members and Administration present, in person: Board Members: Chairman Curtis Ebeling, Vice Chairman Joseph Doubet, Secretary Lori Fulk, Treasurer Robert Neese, Member Joni Lloyd and Nicholas Hatfield.
Others present in person: Dr. Randy Tobler, CEO, Dr. Celeste Miller-Parish, COS, Dr. Jeff Davis, CMO, Elizabeth Guffey, RN, CNO, Alisa Kigar, MBA, Communications Specialist, Michael Brandon, MBA, Controller and Ken McMinn, IT Supervisor.
Present via Zoom: Dwight DeRosear, Maureen Kahn, CEO/President BCS, Patrick Gerveler, CFO/Executive Vice President BCS, Meagan Weber, Therapy Services Supervisor, Cathie Overhulser, HR, Terri Schmitt, QA/Safety Supervisor and Brenda Prather, recording secretary.
Chairman Ebeling called the annual reorganization meeting to order at 5:30 pm. A motion was moved and unanimously approved to move New Business A. for first agenda item and opening action. This is the Management Service Agreement with Blessing Corporate Services (BCS). Chairman Ebeling offered background and history in the development of this Management Agreement with Blessing Corporate Services, Quincy, Illinois. A motion was moved and unanimously approved to accept the agreement. A signature by Curtis Ebeling was obtained. Maureen Kahn, RN, MHA, MSN, President/CEO Blessing Corporate Services signature has been obtained. Mrs. Kahn stated she considered it an honor and privilege to work with SCH and looks forward to serving SCH’s community and continuing to provide the quality care and programs.
Chairman Ebeling was presented a plaque for 17 years of service to the Board of Directors and offered comments. He swore in Nicholas Hatfield to the Board of Directors. The Board reorganized as follows: Chairman-Lori Fulk, Vice Chairman-Joni Lloyd, Secretary-Joe Doubet and Treasurer-Robert Neese. Committee appointments were made.
The regular monthly business meeting commenced and was conducted by the new Chairman, Lori Fulk.
Under Quality Improvement/Safety Committee, Terri Schmitt outlined the history and need to streamline the policy development and approval procedures. A motion was moved and unanimously approved to accept Mrs. Schmitt’s plan for policy management.
The Financial Report was presented by Michael Brandon, MBA, Controller.
Gross patient revenue for March: $3,069,250; Net Patient Revenue for March: $1,283,671; Net Patient Revenue Per Day, March: $55,600; Expenses per day, March: $58,335; Total Operating Expenses for March: $1,915,480; Net Profit/Loss for March: ($430,831);Net profit/loss before depreciation for March 2020: ($344,962); Net profit (loss) YTD FY ’20: ($407,220); Net Profit (Loss) YTD FY ’19: ($1,208,507); Net profit (loss) YTD before Depreciation: $366,322
Dr. Miller-Parish, Chief of Staff, explained the process of developing and following guidelines for reopening elective surgical and semi-urgent procedures. She is working with Dr. Tobler on updating the 2020 Medical Staff Committees.
Under Operations, Dr. Tobler gave a COVID situational status, reporting the disease prevalence is stable for nearly two weeks. He discussed business recovery-reopening, expense management and revenue trends all related to the COVID crisis. He announced that the Department of Natural Resources application for the HVAC renovation has been submitted. He reported the Revenue Cycle process has been vastly improved despite the Accounts Receivable remaining above goal; while continuing to plan with Blessing Health System for future solutions. The Edina Medical Services is scheduled to open on June 1st. The oncology renovation project received state survey approval. Under Medical Staff, Dr. Tobler reported Dr. Ly Phan, Board Certified General Surgeon, will be in-house to cover general surgery Friday – Sunday twice monthly as well as vacation coverage. Resuming elective surgery phases were reported in detail. Dr. Tobler reported Dr. Robert Remis, Board Certified Urologist, will start in late May. Rheumatology, Allergy/Immunology and Orthopedic services are being resumed selectively. Under Personnel, Dr. Tobler reported the resiliency of the entire staff is inspiring; furloughed staff have been selectively recalled to serve in different roles; and the intention is to restore full hours, rates and staff levels depending on demand and available reliable revenue to support them. Under Advocacy, Dr. Tobler reported SCH has been very active in local, regional, national & international media using the opportunities to advocate for present and post COVID-19 rural health payment and regulatory reform.
Maureen Kahn Maureen Kahn, RN, MHA, MSN, President/CEO, Blessing Corporate Services commented on Blessing’s COVID-19 patient activity.
CHIEF MEDICAL OFFICER REPORT
Dr. Davis highlighted the process where furloughed employees may apply for unemployment. Employees may continue paying their portion of health insurance while SCH continues with employer portion. He gave updates on COVID testing, positive cases, inpatient and outpatient utilization and finances, updates of supplies and situation status. He reported the hope to slowly re-open clinical visits in the Rural Health Clinics as well as continue the Virtual Health program. Also, closely monitor for COVID outbreak while doing non-vulnerable elective procedures in the Surgery Center beginning this week. Dr. Davis reported his advocacy effort this month regarding COVID relief by speaking with staff from Congressman Sam Graves, Senator Roy Blunt, Senator Josh Hawley, Senator Cindy O’Laughlin and State Representative Greg Sharpe and his continuing ongoing contact with them. Dr. Davis participated in 4 Facebook Live programs for the community regarding COVID this month and conducted an interviewed with KBIA-NPR in Columbia regarding rural healthcare and COVID effects.
Ethics- All personal finance disclosure statements have been filed with the Missouri Ethics Commission, prior to deadline of May 1, 2020.
The Blessing Management Agreement approved at the beginning of the meeting will be initiated on May 1, 2020. COVID-19 related personnel management policies from the consent agenda were discussed. A motion was moved and unanimously approved to accept the policies presented. A motion was moved and unanimously approved to fund a staff member enrolled in an on-line education program with a matching grant from HSG. Credentialing reappointments, temporary privileges, extended temporary privileges were presented along with pending credentialing and insurance credentialing. A motion was moved and unanimously approved as recommended by the Medical Staff to approve the credentials.
Those Present Onsite: Fulk, Lloyd, Doubet, Neese, Hatfield, Dr. Tobler, Dr. Davis, Michael Brandon, Elizabeth Guffey with DeRosear and Brenda Prather via Zoom.
Matters discussed: furloughed employee call backs and their refusal to return; AVEC contract: behavioral issues relating to furloughed employees and professionalism; practitioner contracts.
Meeting adjourned at 8:50 pm.
The next board meeting is on May 26, 2020, at 5:30 pm in the Library Conference Room. There are no visitors allowed in the Hospital at this time and no guests will be allowed in the meeting. According to CDC guidelines, social distancing will be practiced by board and staff in attendance. The meeting will be on Facebook Live. Public Comment Policy and Request For Time on a Board Meeting Agenda forms are available online at www.ScotlandCountyHospital.com. Due to the NO VISITORS ALLOWED rule, citizens can complete the form and scan and email to email@example.com or mail to Administration at SCH, 450 E. Sigler Avenue, Memphis, MO, 63555. The form must be received by 9 am on 5/26//20.