NRHA Agenda

02-22-2016

Posted: 02/18/2016

NORMAN REGIONAL HOSPITAL AUTHORITY
February 22, 2016
5:30 p.m.
901 N. Porter
2nd Floor Board Room

A G E N D A

Call to Order ... Mr. Clote

II. Introduction and Recognition of Outstanding Employee ... Mr. Clote

A. March 2016 Employee of the Month, Justin Smith, PT Assistant, Hospital Physical Rehab – Sara Merchant, Manager Physical Therapy

III. Norman Regional Health System Foundation ICARE Campaign ... Ms. Barnhart

IV. State of the State Report – Medicaid Expansion/Accepting Federal Funds ... Craig Jones, OHA President

V. Norman Regional Health System Employee Support Efforts for the Board 4X4 Initiative ... Kyle Hurley & Mari Newcomer

VI. Approval of the January 25, 2016 Board Minutes ... Mr. Clote (Pgs. 6-15)

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

VII. Performance Updates ... Dr. Smith (Pgs. 16-32)

ACTION NEEDED: None, Information Item Only

VIII. Approval of the January 2016, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs. 33-82)

ACTION NEEDED: Approve or Disapprove January 2016 NRHS Financial Statements

ACTION TAKEN: ____________________________________

IX. Medical Staff ... Dr. Williams

A. Report from the February 10, 2016 Medical Executive Committee

ACTION NEEDED: None, Information Only

B. Revised General Surgery/General Laser Surgery Privilege Form to Include Metabolic and Bariatric Information ... (Pgs. 83-92)

ACTION NEEDED: Approve or Disapprove the Revised General Surgery/General Laser Surgery Privilege Form to Include Metabolic and Bariatric Information as Recommended by Credentials Committee and Medical Executive Committee

ACTION TAKEN: _____________________________________

C. Revised Core Privilege of the Emergency Department Advanced Registered Nurse Practitioner (ARNP) Privilege Request Form ... (Pgs. 93-97)

ACTION NEEDED: Approve or Disapprove the Revised Core Privilege of the Emergency Department Advanced Registered Nurse Practitioner (ARNP) Privilege Request Form as Recommended by Credentials Committee and Medical Executive Committee

ACTION TAKEN: _____________________________________

D. Revised Core Privilege of the Emergency Department Physician Assistant Privilege Request Form ... (Pgs. 98-103)

ACTION NEEDED: Approve or Disapprove the Revised Core Privilege of the Emergency Department Physician Assistant Privilege Request Form as Recommended by Credentials Committee and Medical Executive Committee

ACTION TAKEN: _____________________________________

X. Patient Quality and Safety Committee ... Mr. Sherman

Report from the February 8, 2016 Patient Quality and Safety Committee

ACTION NEEDED: None, Information Item Only

XI. Finance Committee ... Mr. Cubberley

A. Report from the February 15, 2016, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend Capital Equipment Purchase Request ... (Pg. 104-112)

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

ACTION TAKEN: _____________________________________

XII. Old Business

XIII. New Business ... Mr. Whitaker

A. Proposed revisions to the 2016 Infection Prevention Plan Policy ... (Pgs. 113-123 )

ACTION NEEDED: Approve or Disapprove the Revisions to the 2016 Infection Prevention Plan Policy as submitted

ACTION TAKEN: _____________________________________

B. Proposed Revisions to the 2015-2016 Risk Management Plan ......................(Pgs. 124-133)

ACTION NEEDED: Approve or Disapprove the Revisions to the 2015-2016 Risk Management Plan as submitted

ACTION TAKEN: _____________________________________

XIV. Administrative Report ... Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XV. Proposed Executive Session.

A. Proposed Vote to Convene an Executive Session Pursuant to 25 Okla. Stat. Section 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 Items

ACTION TAKEN: ____________________________________

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

1. Recommend New Provisional Medical Staff Appointments:
a) Bradley Britton, MD, Active Staff – Surgery Department
b) Brian Morgan, MD, Active Staff – Surgery Department
c) Natalie Murta, DO, Active Staff – Emergency Medicine Department
d) Nazir Balouch, MD, Active Staff – Hospital Medicine Department
e) Jennifer Damitsian, APRN-CNP, Allied Health Staff – Emergency Med. Dept.
f) Samuel Elder, PA-C, Allied Health Staff – Emergency Medicine Department
g) Rachel Johnston, PA-C, Allied Health Staff – Emergency Medicine Dept.

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Saud Ahmed, MD, Active Staff – Medicine Department
b) Ahmad Ashfaq, MD, Active Staff – Medicine Department
c) Robert Cunningham, MD, Active Staff – Emergency Medicine Department
d) Kenneth Watson, DO, Active Staff – Emergency Medicine Department
e) Michael Klepper, MD, Active-Affiliate Staff – Medicine Department
f) Bethany Banakos, APRN-CNP, Allied Health Staff – Pediatric Department
g) Nichole Womble, APRN-CNP, Allied Health Staff – Hospital Medicine Dept.

3. Recommend Medical Staff Reappointments:
a) Katherine Hays, MD, Active Staff – Cardiovascular Medicine Department
b) Robert Holbrook, MD, Active Staff – Medicine Department
c) Barbara Landaal, MD, Active Staff – Radiology Department
d) Daphne Lashbrook, MD, Active Staff – OB/Gyn Department
e) Cuong Nguygen, MD, Active Staff – Medicine Department
f) Charles Rogers, MD, Active Staff – Hospital Medicine Department
g) Dustin Tedesco, MD, Active Staff – Medicine Department
h) Michael Villano, MD, Active Staff – Cardiovascular Medicine Department
i) Josh Whorton, MD, Active Staff –Medicine Department
j) Vanama Yerra, MD, Active Staff – Hospital Medicine Department
k) Amana Lowry, APRN-CNP, Allied Health Staff, Pediatric Department
l) Angela McCauley-Young, PA-C, Allied Health Staff – Medicine Dept.
m) Matthew Podany, RPA, Allied Health Staff – Radiology Department
n) Martha Royall, APRN-CNP, Allied Health Staff – Pediatric Department
o) Iftikhar Sandhu, PA-C, Allied Health Staff – Cardiovascular Med. Depart.
p) Michelle Terhune, APRN-CNP, Allied Health Staff – Pediatric Department
q) Kim Wiese, PA-C, Allied Health Staff – Medicine Department
r) Shripal Bhavsar, MD, Consulting Staff – Medicine Department
s) Melisa Boersma, MD, Consulting Staff – Medicine Department
t) Lucius Doh, MD, Consulting Staff – Medicine Department
u) Gary Larson, MD, Consulting Staff – Medicine Department
v) Kiran Prabhu, MD, Consulting Staff – Medicine Department
w) Jennifer Smith, MD, Consulting Staff – OB/Gyn Department

4. Recommend Request for Additional/Revised Clinical Privileges and/or Change in Staff Membership Category
a) Maril Weber, MD, has retired and requested to change from Consulting Staff to Honorary Staff
b) Marvin Isbell, MD is requesting LINX Reflux Management System Surgery Privileges. He has successfully completed his education and proctored cases and meets the privileging requirements for these privileges.

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 XV B (1-4)]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XV B (1-4)]

ACTION TAKEN: _______________________________________

XVI. Board Open Discussion

XVII. Closing Comments

XVIII. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________.