Board of Directors’ Meeting of
Tuesday, October 27, 2016
Call to Order
The meeting of the Board of Directors of Henry Hospital District was called to order by Chair
Mickley at 7:08 p.m. at the hospital conference room. Members present were: Directors James
Mickley, Dr. David Nelson, Bill Dale, Ann DeSmith, Steve Durian, and Janelle Pettit. The following
board members were absent: Duane Olson, Julie Atwell, and Denise Ward. Also in attendance
were Jeff Lingerfelt, CEO; Greg Voss, HealthTech Vice President; Kevin Stringer, HealthTech vice
president; Jodie Criswell, vice president of fiscal services; Dick Stone, attorney; and Kathy Tank,
executive assistant. Dan Linhart, RSM manager; Heather Henry, information technology manager;
and Lisa DeKezel, quality manager attended as presenters. Charlene Massarolo, health
information manager attended the closed session as a presenter.
Medicare Cost Report Presentation
Dan Linhart from McGladry presented the Medicare Cost Report. He noted that the hospital was
required to submit the report no later than five months after the end of the fiscal year. The cost
report calculates the reasonable costs to determine the proper amount that the Medicare program
should reimburse the hospital for services provided. He noted the various expenses that were nonallowable by the program inclusive of marketing, physician recruitment and advertising. He also
noted that the hospital’s home health and nursing home programs were not cost reimbursed and
paid based on other methodologies.
Dan provided the specific reimbursement affects of the hospital, sharing that Medicare owes the
facility for the 2016 fiscal year. He noted that based on the report, the 2017 rates for inpatient bed
per diem would increase, while swing bed will decrease. The outpatient payment rate will not
change. Dan also highlighted CMS final rules relevant to critical access hospitals.
Chair Mickley asked for a motion to approve the FY2017 Cost Report. A motion was made and
seconded: To approve the FY2017 Cost Report. The motion passed.
Education
Heather Henry presented a presentation of I.T.’s productive year and upcoming initiatives. She
highlighted the following:
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Migrating to a hosted solution for all third party software applications.
Implementation of the single sign on software
Implement Microsoft virtual desktop by the end of calendar year – all devices will
connect to the hosting site
Implement load balancing appliance between the hospital and the hosting center to
balance user activity over two separate internet circuits
Upgrade fax servers due to complications with the Windows 10 upgrade
Replace the current email solution, with the recent phasing out of the geneseo.net
email service
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I.T. department has had security reviews by ICAHN, annual network penetration test;
CloudWave, hosted solution pre-implementation security assessment; and RSM,
HIPAA security rule compliance assessment.
Heather and Lisa explained that the software approved for quality at the August board meeting will
not be purchased. Medisolv has determined that the system’s PQRS program will not work and we
will need to find a new software program. Lisa stated that MediSolv has returned payment and
agree that we need to find another vendor. Heather stated that more research has been done and
will be looking at another solution soon.
Quarterly Quality Scorecard
Lisa Dekezel referred to the quarterly quality dashboard in the board packet. She shared the
highlights of the report. Hammond-Henry is exceeding many of the national quality standards. For
the third quarter the inpatient overall patient satisfaction ranks 88th percentile. A motion was made
and seconded: To approve the quarterly quality dashboard. The motion passed.
Operations Review
Jodie Criswell presented the operational trends for the last twelve months, highlighting the graphs
in the board packet.
Consent Agenda
Chair Mickley referred to the following consent agenda:
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E.
F.
Closed Session Minutes of September 27, 2016
Board Meeting Minutes of September 27, 2016
Foundation Board Meeting Minutes of October 4, 2016
Executive Medical Staff Meeting Minutes of October 11, 2016
Home Health Advisory Committee Minutes of October 12, 2016
Community Benefits Report
A motion was made and seconded: To approve the consent agenda. The motion passed.
Auxiliary Report
Sharon Van Kerrebroeck was absent. Kathy Tank presented the auxiliary report. The auxiliary’s
jewelry sale proceeds were $1,449 and the scrub sale proceeds were $565.97. The recent
Southern Charm travel fundraiser proceeds were $2,280. The next fundraiser is “Power of the
Purse” to be held on November 10. Gently used purses have been donated for purchase.
Committee Reports
Finance Committee
Director Dale stated that the finance committee was held prior to the board meeting. The finance
committee received a capital purchase request. The finance committee recommends approval to
purchase nine stretchers for the emergency department. A motion was made: To purchase nine
stretchers for the emergency department in the amount of $54,273.30. On a roll call vote the
motion passed.
Director Dale stated that the finance committee also received a proposal to purchase robot surgical
system. The finance committee recommends approval to purchase a daVinci robotic surgical
system with an upgraded sterilization equipment and ultrasonic washer at a cost of $1,131,255. A
motion was made: To purchase a da Vinci robotic surgical system with an upgraded sterilization
equipment and ultrasonic washer, not to exceed $1,131,255 and allow the Foundation to move
forward with securing allow the Foundation to move forward with securing pledges to assist with
funding the robotic program. Discussion occurred. On a roll call vote the motion passed.
Director Dale stated that the finance committee received the September financials and financial
updates for the surgical clinic and RHP. Director Dale stated that the reports were provided for
information only, no action was required.
Administrative Reports
HealthTech Report
Jeff Lingerfelt referred to the HealthTech Report in the board packet and he shared that the
women’s health presentation on organ donation was appreciated by the attendees. The next
Foundation event is the bus trip to Chicago to see the musical “Annie”. Jeff also gave a brief
overview of the UnityPoint Medicare ACO - Next Gen Agreement. Jeff also stated that the
valuation of the RHP practice was received and this would be discussed in closed session.
Patient Care Services Report
Laura Domino was absent, so Jeff Lingerfelt referred to the Patient Care Services Report and
stated that 80 percent of the staff have taken the flu vaccination and most that have not received it
are prn employees.
Shining Star
Kathy Tank announced that Wanda Sierens Lucas, RN was the November Shining Star recipient.
Board Action
Tax Levy Ordinance No. 238
Jodie requested the approval of Tax Levy Ordinance No. 238. She explained that the $613,641
levy amount will be used to offset FICA and IMRF expenses which total $2,111,282. She noted
that the levy amount has remained at this level for over ten years. A motion was made and
seconded: To approve tax levy ordinance No. 238. On a roll call vote the motion passed.
Approval of September Bills
Chair Mickley referred to the bills. The total bills for the month of September are $2,510,521.78. A
motion was made and seconded: To approve payment of the bills for the month of September in
the amount of $2,510,521.78. On a roll call vote the motion passed unanimously.
Recess to Closed Session
A motion was made and seconded: To recess to closed session at 8:40 p.m. to discuss
credentialing of physicians and other healthcare professionals; purchase or lease of real property
for the use of the public body; and pending or probable litigation on behalf of HHH. On a roll call
vote the motion passed unanimously.
Reconvene into Regular Session
A motion was made and seconded: To reconvene the regular meeting of the Board at 9:10 p.m.
The motion passed.
Credentialing of Physicians or Other Healthcare Professions
A motion was made and seconded: To approve the medical staff appointments and
reappointments that were discussed in closed session. All appointments/ reappointments
will be effective October 31, 2016. The motion passed.
Adjournment
A motion was made and seconded: To adjourn the meeting at 9:12 p.m. The motion passed.
The preceding is my understanding of the issues discussed. Please contact me with any concerns
or questions.
Respectfully submitted by,
Kathy Tank
Executive Assistant