NRHA Agenda

07-28-2014

Posted: 07/25/2014

NORMAN REGIONAL HOSPITAL AUTHORITY
Board Meeting
July 28, 2014
5:30 p.m.
901 N. Porter
2nd Floor Board Room

A G E N D A

I. Call to Order Ms. Wiens

II. Introduction and Recognition of Outstanding Employees Ms. Wiens

A. Employees of the Year Introduction

Employee of the Month February 2014 – Risha Lindsey RN, PCU – Paul Jones, Manager ICU/PCU

B. August 2014 Employee of the Month

Kristen Ridley, RN, Same Day Surgery, Hospital – Irene Massad, Manager Same Day Surgery/Post Anesthesia Care Unit, Hospital

III. Approval of the June 23, 2014 Board Meeting and June 21, 2014 Board Study Session Minutes

ACTION NEEDED: Approve or Amend Minutes as Circulated

ACTION TAKEN: ___________________________________

IV. Performance Updates Dr. Smith

ACTION NEEDED: None, Information Item Only

V. Approval of the June 2014, Norman Regional Health System Financial Statements Mr. Hopkins

ACTION NEEDED: Approve or Disapprove the June 2014, NRHS Financial Statement

ACTION TAKEN: ____________________________________

VI. Medical Staff

A. Report from the July 9, 2014 Medical Executive Committee Meetings

ACTION NEEDED: None, Information Only

B. Recommend the Revised General Surgery Privilege Request Form

ACTION NEEDED: Approve or Disapprove the Revised General Surgery Privilege Form as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

C. Recommend the Revised Gastrointestinal Endoscopy Privilege Request Form

ACTION NEEDED: Approve or Disapprove the Revised Gastrointestinal Endoscopy Privilege Request Form as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

D. Recommend the Revised Pulmonary Endoscopy Privilege Request Form

ACTION NEEDED: Approve or Disapprove the Revised Pulmonary Endoscopy Privilege Request Form as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

E. Recommend the Revised Urology Robotic Privilege Request Form

ACTION NEEDED: Approve or Disapprove the Revised Urology Robotic Privilege Request Form as Recommended by the Medical Executive Committee

ACTION TAKEN: ____________________________________

VII. Governance Committee Ms. Wiens

VIII. Patient Quality & Safety Committee Mr. Sherman

Report from the July 14, 2014, Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

IX. Finance Committee Mr. Cubberley

A. Report from the July 21, 2013, Finance Committee

ACTION NEEDED: None, Information Item Only

B. Recommend the Board Consider the Relocation of the Breast Care Centers to the New Proposed Medical Office Building Located on the Medical Park West Property

ACTION NEEDED: Approve or Disapprove Relocation of the Breast Care Centers to the New Proposed Medical Office Building Located on the Medical Park West Property as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

C. Recommend Capital Equipment Purchase Requests

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

ACTION TAKEN: _____________________________________

X. Old Business Ms. Wiens

Continued Discussion Regarding Next Steps for Strategic Options Assessment

XI. New Business:

A. Recommend Approval of the Revised 2015 Patient Safety Plan

ACTION NEEDED: Approve or Disapprove the Revisions to the 2015 Patient Safety Plan as Submitted

ACTION TAKEN: ____________________________________

B. Recommend Acceptance of the 2014 Annual Evaluation of the Environment of Care Management Plans

ACTION NEEDED: Accept or Reject the 2014 Annual Evaluation of the Environment of Care Management Plans

ACTION TAKEN: _____________________________________

C. Recommend Approval of FY 2015 Quality and Performance Improvement Plan

ACTION NEEDED: Approve or Disapprove the FY 2015 Quality and Performance Improvement Plan as Submitted

ACTION TAKEN: _____________________________________

XII. Administrative Report Mr. Whitaker

ACTION NEEDED: None, Information Item Only

XIII. Proposed Executive Session. Ms. Wiens

A. Proposed Vote to Convene an Executive Session to Discuss with Legal Counsel Pending Internal Peer Review/Credentialing Investigations Regarding the Medical Staff Members/Applicants Listed Below Pursuant to 25 Okla. Stat. § 307.B.4

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

ACTION TAKEN: ____________________________________

B. Approve or Disapprove the Medical Staff Recommendations Regarding the Physicians as Listed in XIII B (1-5) Below

1. Recommend Medical Staff Reappointments:
a) Rene Ballard, MD, Active Staff – Medicine Department
b) Geo-Philips Chacko, MD, Active Staff – Medicine Department
c) James Fields, MD, Active Staff – Pediatrics Department
d) Paul Gillum, MD, Active Staff – Medicine Department
e) Donna Jackson, MD, Active Staff – Pediatrics Department
f) Johnny Johnson, DO, Active Staff – Medicine Department
g) Thomas Kuhls, MD, Active Staff – Pediatrics Department
h) John McCarter, MD, Active Staff – Medicine Department
i) Victor Wilson, MD, Active Staff – Pediatrics Department
j) Julia Irwin, MD, Active-Affiliate Staff – Behavioral Medicine Department
k) Michael Confer, MD, Consulting Staff – Medicine Department
l) John Taylor, MD, Consulting Staff – Medicine Department
m) Robert Blanch, MD, Privileges Only-Teleradiology – Radiology Department

2. Recommend New Provisional Medical Staff Appointments
a) Julia Stoltenberg, MD, Active Staff – Pediatrics Department
b) Tony Tran, MD, Active Staff – Medicine Department
c) Vikas Jain, MD, Active-Affiliate Staff – Medicine Department
d) Gloria Ayisis, APRN-CNP, Allied Health Staff – Hospital Medicine Dept. e) Brian Herb, PA-C, Allied Health Staff – Medicine Department
f) Sobia Ahmad, MD, Consulting Staff – Medicine Department

3. Recommend Appointments of Physicians in the Provisional Period:
a) Kela Lindsey, APRN-CNP – Allied Health Staff – Cardiovascular Med. Dept.
b) Victoria Corbin, DO, Active Staff – Emergency Medicine Department
c) Cuong Nguyen, MD, Active Staff – Medicine Department
d) Lakshminarayanan Ramakrishnan, MD, Active Staff – Medicine Dept.
e) Charles Rogers, MD, Active Staff – Hospital Medicine Department
f) John Wells, DO, Active Staff – Emergency Medicine Department
g) Chad Williams, PA-C, Allied Health Staff – Emergency Medicine Dept.
h) Rebecca Williams, PA-C, Allied Health Staff – Emergency Medicine Dept.

4. Recommend Reappointment to Provisional Status for another year due to no clinical activity Richard Beevers, APRN-CNP, Allied Health Staff – Emergency Medicine Dept.

5. Recommend Additional Clinical Privileges/Changes in Staff Category:
a) Lakshminarayanan Ramakrishnan, MD is requesting Internal Medicine Privileges
b) John Cherry, DO is requesting for independent performance of OB/Gyn Robotic Surgery Privileges – required proctored procedures were met
c) Matthew Podany, Radiology Practitioner Assistant, is requesting Liver Biopsies Privileges -- required proctored procedures were met

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 XIII B (1-5)]

ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B (1-5)]

ACTION TAKEN: _______________________________________

XIV. Board Open Discussion

XV. Closing Comments Ms. Wiens/Mr. Whitaker

XVI. Adjourn

ACTION NEEDED: Motion to Adjourn the Meeting

ACTION TAKEN: _______________________________________

MISSION: Norman Regional Health System will provide quality and compassionate health care services and education to our regional community in a responsive, efficient, and safe manner.

VISION: Norman Regional Health System will improve the quality of life in our regional community.

2014-2015 Strategy Statement: Norman Regional Health System will provide leadership through the development of action steps to achieve and be recognized as the health system of choice for patients, physicians, and employees; the healthiest regional community; and the health system with the best facilities and quality outcomes.