NRHA Agenda

01-23-2023

Posted: 1/19/2023

I. Call to Order ... Mr. Cubberley

II. Introduction and Recognition of Outstanding Healers ... Mr. Cubberley

A. January 2023 Healer of the Month Louis Porter, Environmental Service Technician II, presented by Clyde Brawner, Director Environmental Services & Distribution/Transportation

B. February 2023 Healer of the Month Willa Pendley-Griffin, Registered Nurse II, presented by Annette Troxell, RN, Patient Care Services and Tracy Mills, RN, Nurse Manager

III. Board Education: High Reliability Organization ... Ms. Anderson & Ms. Largent

ACTION NEEDED: None, Information Item Only

IV. Board Meeting Minutes ... Mr. Cubberley

A. Approval of November 28, 2022 NRHA Board meeting minutes

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

B. Approval of December 19, 2022 NRHA Board study session minutes

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

V. Performance Updates ... Ms. Anderson

ACTION NEEDED: None, Information Item Only

VI. Medical Staff ... Dr. Voto

A. Report from the November 9, 2022 Medical Executive Committee

ACTION NEEDED: None, Information Item Only

VII. Patient Quality & Safety Committee ... Ms. Greenleaf

A. Report from the December 5, 2022 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

VIII. Strategic Planning Committee ... Dr. Weber

A. Report from the January 9, 2023 Strategic Planning Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee Meeting ... Mr. Hopkins

A. Report from the January 16, 2023 Finance Committee

B. Approval of the December 2022 Norman Regional Health System Financial Statements Mr. Hopkins

ACTION NEEDED: Approve or Disapprove December 2022 NRHS Financial Statements

ACTION TAKEN: ____________________________________

C. Recommended Capital Equipment Purchase Request

ACTION NEEDED: Approve or Disapprove Capital Equipment Purchase Requests as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

X. Old Business ... Mr. Cubberley & Mr. Splitt

XI. New Business ... Mr. Cubberley & Mr. Splitt

A. Review NRHA Board Meeting Locations

ACTION NEEDED: Approve or Disapprove NRHA Board Meeting Locations

ACTION TAKEN: ____________________________________

XII. Administrative Report ... Mr. Splitt

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 (i) Pending Internal Peer Review/Credentialing Investigation Regarding the Medical Staff Members/Applicants Listed Below; and (ii) CEO Evaluation.

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) Dwight Sublett, MD – Pediatrics – Active
b) Mary Nixon, MD – OB/GYN - Active
c) Yasir Ahmed, MD – Medicine – Consulting
d) Stefhanie Gonzales, PA-C – Surgery – Allied Health
e) Brenda Lawrie, APRN-CNS – Cardiovascular Medicine – Allied Health
f) Amber Fox, APRN-CNP – Pediatrics – Allied Health
g) Lisa Pace, RNFA – Surgery – Allied Health
h) John Hotchkiss, MD – Radiology – Privileges Only
i) Archana Lucchesi, MD – Radiology – Privileges Only
j) Jason Burns, DO – Radiology – Privileges Only
k) Amy Kirby, MD – Radiology – Privileges Only
l) Lincoln Patel, MD – Radiology – Privileges Only

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Meaghan Saumur, MD – Surgery – Active
b) Jacquelyn MacIntosh, DO – OB/GYN – Active
c) Mahrukh Ali, MD – Hospital Medicine – Active
d) Abhishek Polavarapu, MD – Medicine - Active
e) Kelly White, APRN-CNP = Cardiology – Allied Health
f) Jessica Franklin, APRN-CRNA – Anesthesia – Allied Health
g) Fang Yu, MD – Teleradiology – Privileges Only
h) Kara Hatlevoll, DO – Nocturnist/Procedure Team – Hospital Medicine – Privileges Only

3. Recommend Medical Staff Reappointments:
a) Mudassir Nawaz, MD – Medicine – Active
b) Lesa Mulligan, MD – OB/GYN – Active
c) Gautam Dehadrai, MD – Radiology – Active
d) Graham Roberts, MD – Radiology – Active
e) Wayne Berryhill, MD – Surgery – Active
f) Alexander Jones, MD – Surgery – Active
g) Jeff Raines, DO – Emergency Medicine – Active
h) Brant Bennett, MD – Medicine – Active
i) Shari Jones, MD – Medicine – Active
j) Steven Schultz, MD – Surgery – Active
k) Vytautas Ringus, MD – Surgery – Active
l) Shane Stidham, MD - Anesthesia – Active
m) Carrie Barton, MD – Emergency Medicine – Active
n) Daniel Kite, DO – Emergency Medicine – Active
o) M. Edmund Braly, DDS – Surgery – Consulting
p) Darren Dupus, APRN-CRNA – Anesthesia – Allied Health
q) Lara Green, PA-C – Surgery – Allied Health
r) Darren Gose, APRN-CRNA – Anesthesia – Allied Health
s) Glenroy Hines, PA-C – Surgery – Allied Health
t) Steven Braudway, APRN-CNP – Emergency Medicine – Allied Health
u) Jeffrey Bivens, PA-C – Medicine – Allied Health
v) Brooke Burks, APRN-CNP – Pediatrics – Allied Health
w) Karen Tyndall, PhD – Medicine – Allied Health

4. Information Only
a) Hannah Elliott, PA-C has completed proctored cases for Solid Organ Biopsy and Lung Biopsy
b) Nathan White, PA-C has completed proctored cases for Percutaneous Nephrostomy Tube
c) Michael Martin, MD requests Vertebroplasty/Kyphoplasty privileges
d) Mark Sauerwald, DO requests privileges for Endotracheal Intubation and Emergency Medicine Moonlighting
e) Elizabeth Richardson, DO requests privileges for Emergency Medicine Moonlighting

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 (MEC) Recommendations Regarding Credentialing of the Referenced Medical Staff Members As Listed in XIII B 1-4

ACTION NEEDED: Approve or Disapprove the MEC Recommendations Regarding Credentialing of the Referenced Medical Staff Members As Listed in XIII B 1-3

ACTION TAKEN: _______________________________________

E. CEO Evaluation

ACTION NEEDED: Approve or Disapprove the CEO Evaluation

ACTION TAKEN: ____________________________________

XIV. Board Open Discussion

XV. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________

MISSION: To serve our community as the leader in health and wellness care.

VISION: To be the provider of choice to improve the health and well-being of our regional communities.