The regular monthly meeting of the Cedar County Memorial Hospital Board of Trustees was held on Monday, May 20, in the hospital classroom. Attending were Judy Renn, president; Carla Griffin, vice-president; John Walker, secretary/treasurer; Julia Phillips and Marvin Manring, board members.

In new business, Josh Wilks, CPA, with CliftonLarsonAllen LLP, presented the FY 2019 audit report. Financial statements and supplementary information for years ended January 31, 2019 and 2018, were marked as a draft. Wilks stated they are finalizing the cost report and needed a little more time to complete the process. Wilks went on to review the audit, stating it was a clean, unmodified opinion. The hospital has $15.8 million in total assets. The hospital exhibited a net loss of $1,223,399 for the year.
Financial director Carla Gilbert gave the financial report for April. Total operating revenue was $2,066,946, over budget by $190,625. 
The board approved payrolls for Tuesday, May 28 and Tuesday, June 11. Accounts payable in the amount of $488,564.71 were approved.
Gilbert mentioned last month the board approved to purchase a browser-based vendor neutral legacy archive system from Homeland. Until that system is up and going, Witt and Gilbert asked Harris to consider a three-month support contract in order to access clinical information. Harris made an offer to provide this service for $12,233. Following discussion, the board voted to approve this offer.
Chief nursing officer Rob Simon gave the nursing report. The hospital has two new graduate nurses who will be assuming full time positions. One traveler is back to fill in some gaps and one RN is off on maternity leave. Simon said Kaisha Hooper does a good job with scheduling, which can be difficult at times. The wound care clinic has been busy.
For board education Witt mentioned the Department of Health and Senior Services is offering free expert assistance to Missouri critical access hospital governing boards. Witt distributed a five-step implementation guide and a sample assessment from GovernWell, which provides Governing Board Self-Assessment services to Missouri CAHs. GovernWell has set up conference call dates for 3-4 p.m. Wednesday, May 22, and 10-11 a.m. Tuesday, May 28, to provide more information. Witt also said MHA is offering a four-part webinar for board education for $200. Webinars are recorded and can be accessed at a later time. Topics include honoring responsibilities while avoiding micromanagement; medical staff matters; conflicts of interest; and Medicare fraud and abuse. Following discussion, the board decided to proceed with both of these educational opportunities.
Witt gave the CEO report. The first item for discussion was the tax levy proposition. Marketing director Jeanne Hoagland asserted a community support group needs to be formed. Discussion was held about potential members. Following discussion, the board voted to proceed with the Cedar County Memorial Hospital Order for Ballot Question in the Tuesday, Aug. 6 election, leaving the tax levy ceiling at $0.6112. Witt will deliver this Order for Ballot to the Cedar County Clerk by the May 28 deadline.

Board packets also included April statistics for the Stockton and El Dorado Springs county health department offices; and the minutes of the community services meeting held Wednesday, April 24. Witt mentioned community services manager Jenean Ehlers and her staff have reorganized the entire El Dorado Springs office and welcome the board members to stop by for a tour. 

Witt informed the board Derek Stockton resigned his position as environmental sanitarian in Polk County, but Polk County plans to continue to provide environmental sanitation staff for the Cedar County Health Department via contract.

Witt mentioned Ehlers and Susan Hall attended the Cedar County Senior Tax Board meeting in April. At that meeting, Ehlers said $4,500 of the $9,500 they were allotted for in-home services thas already been used, and they will be out of money to provide services for their 15 clients by the end of July. The Tax Board tabled the request for additional funding until the next meeting in July. Following discussion, the Board elected to send a letter to the Cedar County Tax Board explaining why this additional funding is vital to clients who are currently receiving in-home services paid for with senior tax funds.
Witt mentioned Dr. Wyant got started at the medical mall clinic Wednesday, May 1, and is doing well. Hoagland is planning an ice cream social on the front lawn of the hospital sometime in June to introduce Dr. Wyant to the community. Dr. Wyant provided sports physicals at Northeast Vernon County and will be providing them at El Dorado Springs School, along with Dr. Torontow; Debbie Johnson, FNP; and Neil Linsenmeyer, D.C.
Witt mentioned Carol Mays is retiring as the medical mall clinic director Friday, May 31. Interviews for her replacement have taken place, but no definite decisions have been made as of yet.
Witt informed the board last week we received notification that the American College of Radiology's Committee on Mammography Accreditation granted our mammography services re-accreditation for three years.
Witt reported we renewed the directors and officers/employment practices liability insurance with Providers Insurance Consultants, Inc. (HSG). The renewal premium was up 5% from last year to $14,858. Witt mentioned 5-8% is the average increase being seen for management liability in healthcare. Limits remain the same; there are two new endorsements.
Witt mentioned Stephanie Gant, director of the CCMH Exercise Center in Stockton, is planning a 5K/1-mile fun run Saturday, June 1, starting on the west side of the Stockton Dam. Registration is $20. T-shirts will be given to each participant. Call Gant at 276-7762 for more information. This is an equipment fund raiser for the exercise center.
Witt informed the board David McHenry, loss control consultant with CCMSI, was at the hospital Tuesday, April 23, to provide a driver safety class to seven of our staff who frequently drive hospital vehicles. The class was well received.
Witt mentioned she received a call from Kevin Costello, CMH Lake Stockton Healthcare Facility administrator, in regard to the sign shared by that facility and CCMH. Costello said they plan to take the CMH portion of the sign off and will no longer provide for the lighting of the sign. Costello told Witt he would keep her posted as to future plans for the sign, which is owned by CMH and sits on Stockton city property.
Witt reviewed in detail the CCMH annual periodic evaluation for FY 2019 (Feb. 1, 2018-Jan. 31, 2019). This yearly evaluation is a requirement of the Medicare Conditions of Participation. Discussion was held.
The Board voted to go out of open session and into closed session. Upon returning from closed session, the board announced they approved the minutes of the closed session held Monday April 15.

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