Posted: 8/24/2023
I. Call to Order ... Mr. Cubberley
II. Introduction and Recognition of Outstanding Healers ... Mr. Cubberley
A. September 2023 Healer of the Month Gayle Doyle, Clerk, Health Information Management, presented by Tressa Lyon, Manager, Health Information Management
III. Board Education: Cybersecurity Risk Review ... Mr. Kelly
ACTION NEEDED: None, Information Item Only
IV. Board Meeting Minutes ... Mr. Cubberley
A. Amendment to the June 26th, 2023 minutes
ACTION NEEDED: Approve to Amend June 26th, 2023 Minutes
ACTION TAKEN: ___________________________________
B. Approval of the July 24,2023 Board meeting minutes
ACTION NEEDED: Approve or Amend Minutes as Circulated
ACTION TAKEN: ___________________________________
V. Performance Updates ... Ms. Anderson
ACTION NEEDED: None, Information Only
VI. Medical Staff Updates Dr. Voto
A. Report from the August 9, 2023 Medical Executive Committee
ACTION NEEDED: None, Information Only
VII. Patient Quality and Safety Committee ... Ms. Greenleaf
A. Report from the August 7, 2023 Patient Quality & Safety Committee
ACTION NEEDED: None, Information Item Only
B. Recommend Approval for the FY2024 Quality & Performance Improvement Plan ... Ms. Anderson
ACTION NEEDED: Approve or Disapprove the FY2024 Quality & Performance Improvement Plan as Recommended by the Patient Quality & Safety Committee
ACTION TAKEN: ____________________________________
C. Recommend Approval of the FY2024 Patient Safety Plan Ms. Anderson
ACTION NEEDED: Approve or Disapprove the FY2024 Patient Safety Plan as Recommended by the Patient Quality & Safety Committee
ACTION TAKEN: ____________________________________
VIII. Finance Committee Meeting ... Mr. Wagner
A. Report from the August 21, 2023 Finance Committee
B. Approval of the July 2023 NRHS Financial Statements
ACTION NEEDED: Approve or Disapprove July 2023 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: _____________________________________
IX. Old Business ... Mr. Cubberley & Mr. Splitt
X. New Business ... Mr. Cubberley & Mr. Splitt
XI. Administrative Report ... Mr. Splitt
XII. 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;
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- 3 Below;
1. Recommend New Provisional Medical Staff Appointments:
a) Jessica Schumann, DO – Emergency Medicine – Active
b) David Smith, MD – Emergency Medicine – Active
c) Hilary Mahoney, PA-C – Hospital Medicine – Allied Health
d) Nicole Hughey, APRN-CNP – Cardiovascular Medicine – Allied Health
e) Sunil Gujrathi, MD – Radiology – Privileges Only
2. Recommend Advancement of Medical Staff from Provisional Status:
a) Khairuddin Memon, MD – Radiology – Active
b) Michael Martin, MD – Surgery – Active
c) Hannah Elliott, PA-C – Radiology – Allied Health
d) Hunter Graham, APRN-CRNA – Anesthesia – Allied Health
e) Tracy Mast, APRN-CNP – Pediatrics – Allied Health
f) Courtney Smith, APRN-CRNA – Anesthesia – Allied Health
g) Aaron Ruger, PA-C – Hospital Medicine – Allied Health
h) Caroline Trommels, APRN-FNP – Pediatrics – Allied Health
i) Neil Anand, MD – Teleradiology – Radiology – Privileges Only
j) Clayne Benson, MD – ECMO – Cardiology – Privileges Only
k) Shannon Bownds, MD – Teleradiolgy – Radiology – Privileges Only
l) Jonathan Coll, MD – Teleradiology – Radiology – Privileges Only
m) Rayn Frederiksen, MD – Teleradiology – Radiology –
Privileges Only
n) Jill Furubayashi, MD – Teleradiology–Radiology – Privileges Only
o) Xavier Garcia-Rojas, MD – Teleradiology–Radiology –
Privileges Only
p) Matthew Hermann, MD – Teleradiology–Radiology – Privileges Only
q) Jeremiah Jansen, MD – Teleradiology–Radiology – Privileges Only
r) Michael Karachalios, MD – Teleradiology-Radiology – Privileges Only
3. Recommend Medical Staff Reappointments:
a) Marvin “Dan” Isbell, MD – Surgery – Active
b) Samuel “Edward” Dakil – Surgery – Active
c) James Bond, MD – Surgery – Active
d) Smaranda Galis, MD – Medicine – Active
e) Pierre “Andre” Ruhlmann, MD – Pediatrics – Active
f) Ronni Farris, MD – OB/GYN – Active
g) Eric Sparks, DO – Emergency Medicine – Active
h) Lucas Trigler, MS – Surgery – Consulting
i) Quang Tu, MS – Surgery - Courtesy
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- 3
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: _______________________________________
XIII. Board Open Discussion
XIV. 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.