NRHA Agenda
08-24-2015
Posted: 08/20/2015
NORMAN REGIONAL HOSPITAL AUTHORITY
August 24, 2015
5:30 p.m.
901 N. Porter
2nd Floor Board Room
A G E N D A
I. Call to Order ... Mr. Clote
II. Introduction and Recognition of Outstanding Employee ... Mr. Clote
September 2015 Employee of the Month – Christy Hall, Department Assistant, Vascular Access Clinic – Phillip Mobbs, Manager of Imaging Services/VAC and Jeff Farley, Supervisor of VAC
III. Approval of the July 21 Board Study Session and the July 27, 2015 Board Meeting Minutes ... Mr. Clote (Pgs. 5-18)
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
IV. Performance Updates ... Dr. Smith (Pgs. 19-37)
ACTION NEEDED: None, Information Item Only
V. Approval of the July 2015, Norman Regional Health System Financial Statements ... Mr. Hopkins (Pgs.38-84)
ACTION NEEDED: Approve or Disapprove July 2015 NRHS Financial Statements
ACTION TAKEN: ____________________________________
VI. Medical Staff ... Dr. Whitesell
A. Report from the August 12, 2015 Medical Executive Committee
ACTION NEEDED: None, Information Only
VII. Governance Committee ... Mr. Clote
Report from the August 24, 2015 Governance Committee
ACTION NEEDED: None, Information Item Only
VIII. Patient Quality and Safety Committee ... Mr. Sherman
Report from the August 3, 2015 Patient Quality and Safety Committee
ACTION NEEDED: None, Information Item Only
IX. Finance Committee ... Mr. Cubberley
A. Report from the August 17, 2015, Finance Committee
ACTION NEEDED: None, Information Item Only
X. Old Business
XI. New Business:
A. Recommend Approval of the Revised FY16 Patient Safety Plan ... (Pgs. 85-100)
ACTION NEEDED: Approve or Disapprove the Revised FY16 Patient Safety Plan as Recommended by the Patient Quality and Safety Committee
ACTION TAKEN: _____________________________________
B. Recommend Approval of the Revised FY16 Performance Improvement Plan(Pgs. 101-120)
ACTION NEEDED: Approve or Disapprove the Revised FY16 Performance Improvement Plan as Recommended by the Patient Quality and Safety Committee
ACTION TAKEN: _____________________________________
C. Approve the Medical Staff Conflicts of Interest Policy ... (Pgs. 121-127)
ACTION NEEDED: Approve or Disapprove the Medical Staff Conflicts of Interest Policy
ACTION TAKEN: _____________________________________
D. Discuss and Select a Date and Time in October 2015 for a Board Strategic Planning Retreat
ACTION NEEDED: Approve the Date and Time in October 2015 for a Board Strategic Planning Retreat
ACTION TAKEN: _____________________________________
XII. Administrative Report ... Mr. Whitaker
ACTION NEEDED: None, Information Item Only
XIII. 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 XIII B (1-3) Below
1. Recommend New Provisional Medical Staff Appointments:
a) David Miller, DDS, Active Staff – Surgery Department
b) Saria Refai, MD, Active Staff – Medicine Department
c) Cynthia West, MD, Active Staff – Pediatric Department
2. Recommend Appointments of Medical Staff in the Provisional Period:
a) Jennifer Baker, MD, Active Staff, Pediatric Department
b) Kathryn Cook, MD, Active Staff – Pediatric Department
c) John Ruth, MD, Active Staff – Pediatric Department
d) Kaustubh Sagdeo, MD, Active Staff – Pediatric Department
e) Wade Bittle, PA-C, Allied Health Staff – Emergency Medicine Department
f) Kimberly Franks-Martens, APRN-CNP, Allied Health Staff – Surgery Dept.
g) Mary Underhill, Psy.D, Allied Health Staff – Surgery Department
3. Recommend Medical Staff Reappointments:
a) James Bond, MD, Active Staff – Surgery Department
b) Samuel Dakil, MD, Active Staff – Surgery Department
c) Matthew Davis, DO, Active Staff – Emergency Medicine Department
d) Kurt Feighner, DO, Active Staff – Emergency Medicine Department
e) Thomas Ingmire, MD, Active Staff – Emergency Medicine Department
f) Philip Jones, MD, Active Staff – Surgery Department
g) Zakary Knutson, MD, Active Staff – Surgery Department
h) John Seagraves, DO, Active Staff – Emergency Medicine Department
i) Kyle Toal, MD, Active Staff – Surgery Department
j) Shelba Bethel, MD, Active Affiliate Staff – OB/Gyn Department
k) Leighann Price, APRN-CRNA, Allied Health Staff – Anesthesia Dept.
l) Charles Anderson, DPM, Consulting Staff – Surgery Department
m) Corey Ponder, MD, Consulting Staff – Surgery Department
n) Donald Roberts, DDS, Consulting Staff – Surgery Department
o) Quang Tu, MD, Courtesy Staff – Surgery 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 XIII B (1-3)]
ACTION NEEDED: Approve or Disapprove the Medical Executive Committee Recommendations Regarding Credentialing of the Referenced Medical Staff Members [As Listed in XIII B (1-3)]
ACTION TAKEN: _______________________________________
XIV. Board Open Discussion
XV. Closing Comments
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.
2015-2016 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.
