Board Session Agenda

02-27-2017

NORMAN REGIONAL HOSPITAL AUTHORITY

February 27, 2017 5:30 p.m.

Norman Regional 901 N. Porter

2nd Floor Board Room

A GE N D A

Call to Order ................................................................................................................Mr. Clote

Introduction and Recognition of Outstanding Employees...........................................Mr. Clote

A. March 2017 Employee of the Month, Meghan Bedwell, Registered Nurse II, Progressive Care Unit, Paul Jones, Director Med/Surg Critical Care

Approval of the January 23, 2017 Board Meeting Minutes ........................Mr. Clote (Pgs. 5-16) ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

Performance Updates ................................................................................. Dr. Smith (Pgs. 17-32) ACTION NEEDED: None, Information Item Only

Approval of the January 2017, Norman Regional Health System Financial Statements ................................................................................................................ Mr. Hopkins (Pgs. 33-82)

ACTION NEEDED: Approve or Disapprove January 2017 NRHS Financial Statements ACTION TAKEN: ____________________________________

Medical Staff .......................................................................................................... Dr. Williams

A. Report from the February 8, 2017 Medical Executive Committee

ACTION NEEDED: None, Information Only

VII. Patient Quality & Safety Committee ................................................................... Ms. Greenleaf Report from the February 6, 2017 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

NRHA Agenda 2 February 27, 2017

VIII. Finance Committee ............................................................................................... Mr. Cubberley A. Report from the February 20, 2017, Finance Committee

ACTION NEEDED: None, Information Item Only

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

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

Proposed Appointment of Mr. Hopkins and Mr. Cubberley to the NRH Medical Park West, L.L.C. Board of Managers as Recommended by the Medical Park West, L.L.C Members .............................................................................................................Mr. Splitt

ACTION NEEDED: Approve or Disapprove the Appointment of Mr. Hopkins and Mr. Cubberley to the Medical Park West, L.L.C. Board of Directors as Recommended by the Medical Park West,

L.L.C. Members
ACTIONTAKEN: _____________________________________

Approve Revisions to the Registered Nurse First Assistant Privilege Request Form ........................................................................................................... Mr. Splitt (Pgs. 83-86)

ACTION NEEDED: Approve or Disapprove the Revisions to the Registered Nurse First Assistant Privilege Request Form as recommended by the Medical Executive Committee and

OR/Surgery Department
ACTION TAKEN: _____________________________________

Proposed Revisions to the 2017 Infection Prevention Plan Policy...Dr. Smith (Pgs. 87-96) ACTION NEEDED: Approve or Disapprove the Revisions to the 2017 Infection

Prevention Plan Policy as submitted
ACTION TAKEN: _____________________________________

NRHA Proposed Bylaws Ad-Hoc Committee Discussion .................................Mr. Clote

Administrative Report ....................................................................... Mr. Splitt ACTION NEEDED: None, Information Item Only

NRHA Agenda 3 February 27, 2017

XII. Proposed Executive Session.

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 and CEO Progress

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

ACTION TAKEN: ____________________________________

Medical Staff Recommendations Regarding the Medical Staff Members/Applicants as Listed in XII.B 1-4 Below.

1. Recommend New Provisional Medical Staff Appointments:

a) Harry Wright, DO, Active Staff – Medicine Department

b) Christi Pendergraft, MD, Active Affiliate Staff – Medicine Department

c) Lara Rodkey, APRN-CNP, Allied Health Staff – Medicine Department

d) Sean Mills, APRN-FNP, Allied Health Staff – Emergency Medicine Department

e) Brittney Wicks, APRN-FNP, Allied Health Staff – Hospital Med. Department

f) Brittney Osborn, PA-C, Allied Health Staff – Emergency Medicine Dept.

g) Lauren Hill, PA-C, Allied Health Staff – Surgery Department

h) Johanna Moses, PA-C, Allied Health Staff – Hospital Medicine Department

i) Sean Olsen, PA, Allied Health Staff – Emergency Medicine Department

j) Janis Rosenfeld-Barbash, MD, Privilege Only-Teleradiology Staff – Radiology Dept

. k)

Vimal Patel, MD, Privilege Only-Teleradiology Staff – Radiology Dept.

2. Recommend Advancement of Medical Staff from Provisional Status: a) Namali Pierson, MD, Active Staff – Medicine Department

3. Recommend Medical Staff Reappointments:

a) Tom Connally, MD, Active Staff – Surgery Department

b) Clay Cochran, MD, Active Staff – Surgery Department

c) Terry Hill, DO, Active Staff – Emergency Medicine Department

d) Quentin Lobb, MD, Active Staff – Anesthesia Department

e) Anderson Greenhaw, MD, Active Staff – Anesthesia Department

f) Mason Lawrence, MD, Active Staff – Anesthesia Department

g) Richard Myers, DO, Active Staff – Emergency Medicine Department

h) Richard Brock, DO, Active-Affiliate Staff – Emergency Medicine Dept.

i) Ben Harvey, MD, Consulting Staff – Surgery Department

j) Martin McBee, DO, Consulting Staff – Emergency Medicine Department

k) Jason Benn, DO, Consulting Staff – Emergency Medicine Department

l) Kent Bays, PA-C, Allied Health Staff – Surgery Department

m) Veronica Worrell, PhD/Pa-C – Allied Health Staff – Surgery Department

n) Tracy Parker, APRN-CNP, Allied Health Staff – Emergency Medicine Dept.

o) Jorge Gorton, PA-C, Allied Health Staff – Emergency Medicine Department

p) Sheryl Ronne-Delinger, APRN-CRNA – Anesthesia Department

NRHA Agenda 4 February 27, 2017

4. Recommend Request for Change in Staff Membership Category
a) Mark Damon, II, MD Change from Active Staff to Consulting Staff –

Emergency Medicine Department
b) Robert Frantz, MD, Change from Active Staff to Consulting Staff –

Emergency 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 1-42]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced

Medical Staff Members [As Listed in XII B 1-4] ACTION TAKEN: _______________________________________

Board Education Session: Hospital-Based Out-of-Network Billing ........................Ms. Carter

Board Open Discussion

Closing Comments

Adjourn
ACTION NEEDED: Motion to Adjourn the Meeting
ACTION TAKEN: _______________________________________.