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NRHA Agenda

10-27-2021

Posted: 10/21/2021

I. Call to Order ... Mr. Cubberley

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

A. November Healer of the Month Catherine Sison, Supervising Nurse, 4North Med/Surg Unit, presented by Tracee Barton, Nurse Manager, 4North Med/Surg Unit

III. Board Education: Merit-Based Incentive Payment System (MIPS) Performance 2020 ... Ms. Rachel Minatee

ACTION NEEDED: None, Information Item Only

IV. Board Meeting Minutes ... Mr. Cubberley

A. Approval of September 27, 2021 NRHA Board meeting 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. Jawed

A. Report from the October 13, 2021 Medical Executive Committee

ACTION NEEDED: None, Information Item Only

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

A. Report from the October 4, 2021 Patient Quality & Safety Committee

ACTION NEEDED: None, Information Item Only

VIII. Finance Committee Meeting ... Mr. Hopkins

A. Report from the October 18, 2021 Finance Committee

B. Approval of the September 2021 Norman Regional Health System Financial Statements ... Mr. Hopkins

ACTION NEEDED: Approve or Disapprove September 2021 NRHS Financial Statements

ACTION TAKEN: ____________________________________

C. Recommend Capital Equipment Purchase Request

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

ACTION TAKEN: _____________________________________

D. Recommend Approval of Charity Care Financial Assistance Policy

ACTION NEEDED: Approve or Disapprove Charity Care Financial Assistance Policy as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

E. Recommend Approval of Administrative Adjustments Policy

ACTION NEEDED: Approve or Disapprove Administrative Adjustments Policy as Recommended by the Finance Committee

ACTION TAKEN: _____________________________________

IX. Old Business ... Mr. Cubberley & Mr. Splitt

X. New Business ... Mr. Cubberley & Mr. Splitt

A. Establish Dates and Times for 2022 Authority Meetings

Section 933 of the Oklahoma Open Meetings Act requires the Authority to submit the date and times of its regular meetings for the coming calendar year. NRHA meetings have been scheduled for 5:30pm on the fourth Monday of the month this past year. The schedule below describes similar dates and times for the Authority’s monthly meetings in 2022

Note: There is no proposed meeting date for December 2022

January 24
February 28
March 28
April 25
May 23
June 27
July 25
August 22
September 26
October 24
November 28
ACTION NEEDED: Approve or Disapprove the Proposed Date & Times for the 2022 Authority Meetings

ACTION TAKEN: ________________________________

B. NRHA Trustee – Officer Elections (November) ... Mr. Cubberley

C. CEO Annual Evaluation (November) … Mr. Cubberley

D. Proposed Changes to the NRHA Board of Trustee Bylaws

ACTION NEEDED: Approve or Disapprove the Proposed Changes to the NRHA Board of Trustees Bylaws as presented by the Governance Committee

ACTION TAKEN: ________________________________

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; Discuss the Purchase or Appraisal of Real Property Pursuant to 25 Okla. Stat. § 307.B.3

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) Annette Ntsama, MD – Hospital Medicine – Active
b) Kara Hatlevoll, DO – Hospital Medicine, Privileges Only
c) Lucy Lane, MD – Radiology – Privileges Only

2. Recommend Advancement of Medical Staff from Provisional Status:
a) Chelsea Rommel, DO – Hospital Medicine – Active
b) Pierre Ruhlmann, MD – Pediatrics – Active
c) Eric Sparks, DO – Emergency Medicine – Active
d) Amanda Lowry, APRN-CNP – Pediatric – Allied Health

3. Recommend Medical Staff Reappointments:
a) David Miller, DDS – Surgery – Active
b) Greg Rohde, DPM – Surgery – Active
c) Joel Razook, MD – Medicine – Active
d) Mohammad Farukhi, MD – Surgery = Active
e) James Bond, MD – Surgery – Active
f) Jason Leonard, MD – Anesthesia – Active
g) Mark Scott, MD – Surgery – Consulting
h) Meghan Scears, MD – Medicine – Consulting
i) Ronald “Hal” Bays, APRN-CRNA – Anesthesia – Allied Health
j) Jennifer Fleck, APRN-CRNA – Anesthesia – Allied Health
k) Amber Moser, APRN-CRNA – Anesthesia – Allied Health

4. Information Only
a) William Hinojosa, DO requesting Robotic Privileges
b) Kevin Schubach, PA-C has met the required proctored cases for Arthogram and Bone/Bone Marrow biopsies
c) Joseph Karam, MD proctored temporary privileges to assist William Hinojosa, DO

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 1-4

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.