The Kiowa County Hospital District and County Board met in regular session on June 27, 2017 at 6:32 p.m. at the Bransgrove Building Meeting Room.

District Board members present were: Robert Woods, Mary Eikner, Priscilla Waggoner, Sylvia Shields and Cathryn Anderson. County Board members present were: Craig Kerfoot, John Negley and Lori Shalberg. Absent: Kim Harris (called) and Dennis Pearson (called)

Others present: Shannon Dixon, Char Korrell, Colette Martin, Tom Davis, Cindy McLoud, Braylynn Eder and Kevin Siefkas.

The meeting was called to order by Woods, Vice- Chairman of the Board.

COUNTY VOTING MEMBERS: Shalberg, Kerfoot and Negley

APPROVAL OF MINUTES: A motion was made to approve the May 30 minutes with spelling error fixed by Shields and Negley seconded it. All aye.

AGENDA: Add Executive Session. A motion was made by Eikner to approve the Agenda as amended and it was seconded by Shields. All aye.

POLICIES & PROCEDURES

We have Ambulance Guidelines and Remote Pharmacy practices up for review. A motion was made by Kerfoot to approve policies presented and Woods seconded it. All aye.

2016 AUDIT: Mandy Brown presented and reviewed the 2016 Audit. She found no issues and gave a clean opinion. We did have an EMR incentive payment and cost report settlement that gave us extra income for 2016. Discussion followed. Mandy let the Board know that she received the RFP from us and she will not be submitting a bid for next year’s audit. The Board thanked her for her many years of work.

STANDING REPORTS

CEO: We are working on the Conditions of Participation for all departments. We want to be survey ready. Each department will have their own book with Conditions of Participation in them along with all necessary documentation. As we were going through these, we realized that we were not compliant on the ECU Pharmacy. Casey Clark called the State Pharmacy Board and discussed this with them and we made changes to be compliant.

The DOLA grant has been completed and final report issued. We will have to deobligate about $9,243.19 due to not having enough expenses. Caring for Colorado final report is due June 30.

Eastern Plains Consortium had a phone call this month. They will be working on getting more Hospitals involved. The consortium has applied for a HRSA grant to help with expenses.

Meghan Buck will be doing her clinicals at St. Francis as soon as possible. We are shooting for a July 31 completion date.

Pharmacy proposal bids are due back by July 14, 2017.

Our health insurance increased about 18 percent. We put out for bid and our team reviewed all proposals and chose to go with CEBT. They have similar benefits and the premium is lower. They are allowing the deductible from January 1 with Colorado Choice to roll over to CEBT.

Dr. Yakel will no longer be coming to Eads after his July 3 visit. He has purchased his own practice. We will be looking for another podiatrist to come to Eads.

Stephanie Green has resigned. Her last day will be July 27, 2017. We have started to work with some recruiters for a mid-level or maybe two. We talked to Dr. Knaus today about working for us. He only wants to do one week a month. We will be talking to the other Docs Who Care providers also. We have discussed our requirements and what we can live with and without. We will also be looking at the financial side and see what we can afford also. We need to promote who we are as a clinic and remind the public that even though we do not have a full-time provider, we are still providing good care. Tom Davis stated that there are several PA students in the area that are looking for placement. Other facilities are having problems recruiting also. Dr. Lenderts does not want to spend another winter here, but he will not leave us until we find coverage.

CFO: We will not have our finance meeting any more. We have prepared and will begin using a new financial report format next month. The May financials were reviewed. We are still having issues with Medicaid. Over all we had a decent month. We prepared an analysis for the Eads Medical Clinic. The expenses have increased some, but our visit count has gone down. Our last annual RHC review showed a six percent decrease in visits. We are working to expand services and find a fulltime provider.

NSIDE: We are working on the Conditions of Participation and making sure they fall under the CAH operational items. When we had our pharmacy review, they only reviewed what was in our Pharmacy not what was in the ECU. We need to make sure that it is all reviewed. Dr. Feinsod did rounds today. He does a great job. Colette will be meeting with Darci and Renay tomorrow. She has not seen anything but engaged and attentive staff. We have a good dietary department. We are working on a list of requirements for a provider.

HOSPITAL QUALITY & SAFETY: We received our HCAHPS report. We only had one patient. They had good things to say about us and would recommend us to others.

OTHER

Kerfoot would like to put the charitable foundation on the agenda for next month.

We are still waiting to hear about the grant for the telemetry machine and glide scope.

We will be sending out a few dates in August for approval to schedule the Board retreat.

We will be working on an updated provider contract that includes language regarding paying back any sign on bonus or moving expense if they leave early.

The meeting was adjourned at 7:58 p.m.

Respectfully submitted,

Kiowa County Hospital District Board

Sylvia Shields, Secretary-Treasurer