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WEST WHARTON COUNTY HOSPITAL DISTRICT
BOARD OF DIRECTORS MEETING
AGENDA PREPARED AND POSTED: July 21, 2010
DATE OF MEETING: July 26, 2010
TIME OF MEETING: 6:00 p.m.
PLACE WHERE MEETING WILL BE HELD:
Dining Room of El Campo Memorial Hospital in El Campo, Texas
I. Call to Order
II. Announcement/Public Comments – [Presenters will be limited to 3 minutes and the Board is not required to respond to any items presented]
III. Welcome Medical Staff Members and Guest – Becky VonDerAu
IV. Review and Consideration of the Hospital’s Annual Audit Report [Action Item] Christa Worley – Parrish, Moody and Fikes
V. Approval of Previous Minutes of the regular meeting of June 28, 2010 - [Action Item] Tab 1
VI. Medical Staff Report [Action Item] - Dr. Goerig
a. Approved the following policies:
1. Follow-up on Positive Culture Reports and X-ray Variances in the Emergency Room
Department
2. GFR Screening
3. Patient Care Services in ER
4. ER Assessment and Triageb. Approved the PCA Order Form
c. Approved revisions to the Medical Staff Bylaws
d. Recommended approval of the following new Medical Staff/Allied Health Staff Members: Marie Percy, M.D., Emergency Room Physician; Emma Ogle, LVN, Dialysis Nurse and Adam Mignery, COTA, Allied Health Staff, Occupational Therapy Assistant
e. Recommended approval of the following elevations: Sun Nguyen, M.D., Emergency Room Physician; William Reisinger, M.D., Teleradiologist, Consulting Staff; Karyn-Ann Cumberbatch, M.D., Gynecologist, Courtesy Staff and Tarilyn Shelton, RN, BSN, Dialysis Nurse on the Allied Health Staff
f. Appointed Dr. Laurie Hulsman as Director of the Swing Bed Program
g. Physician/Medical Staff Issues
VII. Administrator’s Report – Buzz Currier
VIII. Review and Consideration of Financial Report – June 2010 [Action Item] – Tab 2 - Tish Zalman
IX. Patient Care Services Report – Desiree Vrazel RN, DON
X. Rural Health Clinic Report – Anita Crisp
XI. Public Relations Report - Tab 3 – Irma Rocha
XII. Unfinished Business
XIII. New Business
a. QI Reports [Action Item] – Board Member on Committee
Quality Improvement
Board – Quality Improvement – April/May
Ethical Issues/Organ Donation Report/Autopsy Review Report
Priority Issues – GFR Screening Policy and Procedure; Patient Care Services in ER Policy and
Procedure; ER Assessment and Triage Policy and Procedure; Levels Determined for ED Visits
Policy and Procedure; Follow-up on Positive Culture Reports and X-Ray Variances in the ER
Policy and Procedure; Patient Perception Questionnaire Results; Surgical Services Patient Satisfaction; HCAHPS Inpatient YTD Satisfaction; and Hospital Compare Survey of patients
Review and approval of Department’s PI 1st Quarter Activities1. Business Office 9. Infection Control
2. Cardiopulmonary 10. Lab
3. Dietary 11. Nursing: ER/M/S/ICU
4. Discharge Planning 12. Pharmacy
5. Environmental Services 13. PT/OT/ST
6. HIM 14. Radiology
7. Home Health 15. RHC
8. Human Resources 16. Surgery/ADS/AnesthesiaUtilization Medical Record Review Subcommittee Reports
Community Home Care; Utilization Management Review/Report
Hospital Specific Report OIE Measures, CMS Preview Report, PEPPER
Mammography Report
Blood Utilization Report/Transfusion Reaction
May Transfers and Transfer-Out Analysis Report
Emergency Room Statistics – ER Patient Time per Physician
Safety/Risk/Health Subcommittee Reports
Safety; Safety Recalls/Infection Control
Occurrence Reports – Peer Review (May and June)b. Review and Consideration of Reference Lab Bids [Action Item] -Tish Zalman
c. Review and Consideration of Bid from Letsos Company to Replace Fill in Cooling Tower # 2 [Action item] Tab 4 Buzz Currier
d. Review and Consideration of Bid from Siemens on Micro Instrumentation for performing Micro-Biology in-house [Action Item] – Tab 5 Buzz Currier
e. Review and Consideration of Air Conditioning System for the Surgical Department [Action Item] Buzz Currier
f. Review and Consideration of Contracts [Action Item] Tab 6 - Buzz Currier
XIV. Other Business
XV. Executive Session, as allowed under Section 551.001 of the Texas Open Meetings Act Government Code, specifically Section 551.072 Revised Statutes of Texas to discuss purchase, exchange, lease, or value of real property [Action Item]
XVI. Reconvene in Regular Meeting to take action from the Executive Discussion - Sale of Real Estate [Action Item] – Becky VonDerAu
XVII. Adjournment
NOTICE OF MEETING
Notice is hereby given that the Governing Body of the West Wharton County Hospital District will meet at 6:00 p.m. on the 26th day of July 2010 in the Dining Room of El Campo Memorial Hospital, in the City of El Campo, Texas for the purpose of:
See attached and above Agenda
CERTIFICATE
I certify that this notice of this meeting was posted in compliance with the Texas Open Meetings Act at the front entrance of El Campo City Hall of the City of El Campo and the front entrance of El Campo Memorial Hospital, the hospital web page and Mid Coast Medical Clinic on the 21st day of July 2010 at 4:00 p.m.
____________________________________________
Irma Rocha, Recording Secretary
OUR MISSION STATEMENT
El Campo Memorial Hospital is a community-oriented healthcare system dedicated to providing the highest standard of care for you and your family.
OUR VISION STATEMENT
El Campo Memorial Hospital will continue to take a leadership role in providing a high standard of quality service in the broad spectrum of health care. This is as defined by our values and with respect to the dignity of the human person.
OUR VALUE STATEMENT
Dignity
We treat everyone with dignity and respect.
Honesty
We believe our actions and words are guided by honesty and integrity.
Access
We believe that access to health services is fundamental to each person.
Excellence
We pursue the highest levels of quality service and
continuously seek to improve our processes.
Innovation
We strive to utilize the most effective technology and
innovation while maintaining financial responsibility.
Partnership/Collaboration
We recognize the importance of collaboration with other healthcare providers and community service agencies that will allow us to offer the highest quality and most cost effective healthcare services.
Wellness Education
We believe and are fully committed to the fact that wellness and education are the foundations of improvement of the health status of the population.
