NHRMC Agenda 02-28-12 N...Iy...N W.tlatl
M.®ka6 C.rpr
Board of Trustees Meeting
THE AGENDA PACKETS PROVIDED TO THE BOARD OF TRUSTEES MAY CONTAIN PRIVILEGED AND CONFIDENTIAL INFORMATION.
Meeting Ending Time Is Estimated.
Cape Fear Building C Conference Room
Tuesday,2/28/2012
5:00-7:00 PM ET
1.Call to Order Presented By:John D.Fuller,Chair (5:00 p.m.)
2. Employees of Excellence and Leader of Excellence(Inform) Presented By:Jack Barto (5 minutes)
-January Employee of Excellence-Erica Yourkiewicz,RN-Centralized Nursing Resources
-February Employee of Excellence-Shauna Ruoff,RN,BSN,OCN-Zimmer Oncology
-Leader of Excellence-LDI 28-Ellen Jordan,Manager-PAT/OP Lab/Medical Mall
3.Education/Information Update-EPIC Installation Status(Inform) Presented By:Heather Thornton and Gail Hinte
Epic Educational Report to the Board 022812--Page 4
4.Approval of Consent Agenda(ACTION) Presented By:John D.Fuller (5 minutes)
a.Approval of Minutes of the December 20,2011 Regular Meeting of the Board of Trustees(ACTION)
BOT Min 12 20 2011 kd-Page 13
b.Lower Cape Fear Hospice and LifeCareCenter Board Appointments(ACTION)
LCFH Nominations 0212-Page 16
c.Executive Committee Recommendation-NHRMC Organizational Chart(ACTION)
NHRMC org chart draft 5-013112-Page 21
d.Quality Review Committee Recommendations-(Privileged and Confidential)(ACTION)
i.Patient Grievance Policy Amendment(ACTION)
ii.Environment of Care Seven Written Annual Reports for 2011 (ACTION)
e.SEAHECIGMEC Report(Inform)
Graduate Medical Education Report22812-Page 22
f.Foundation Report(Inform)
Foundation BOTUpdate.Feb2012-Page 23
g.Nursing Congress Report(Inform)
Nurs Gong Feb Report-Page 24
h.Pender Memorial Hospital Report(Inform)
PMH Report 022812-Page 25
5.Audit Committee Report(Inform) Presented By: Robert G.Greer (5 minutes)
PLEASE NOTE THAT THE CONFIDENTIAL COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL
BE APPROVED BY THE COMMITTEE AT IT'S NEXT MEETING.
These minutes are confidential.
The February Audit Committee minutes are not available at this time.
6.Executive Committee Report(Inform) Presented By:John D.Fuller (5 minutes)
PLEASE NOTE THAT THE COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL BE APPROVED
BY THE COMMITTEE AT IT'S NEXT MEETING.
Exec Comm Min 012412-Page 26
a.Patient Communication Policy Review(Inform) Presented By:John D.Fuller
7.Finance Committee Report(Inform) Presented By: Ron Isyk (5 minutes)
PLEASE NOTE THAT THE COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL BE APPROVED
BY THE COMMITTEE AT IT'S NEXT MEETING.
The February minutes are not available at this time.
FC Min 1.24.2012-Page 28
FC Min 12.15.2011-Page 30
a.Financial Summary-January 2012(Inform) Presented By: Ed 011ie
NHRMC January Financial Packet 022312-Page 32
PMH Financial Packet 022312-Page 42
8.Information Technology(IT)Committee Report(Inform) Presented By: Dr.John Pace (5 minutes)
PLEASE NOTE THAT THE COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL BE APPROVED
BY THE COMMITTEE AT IT'S NEXT MEETING.
December 13,2011 min-Page 48
January 10,2012 Special Working Session min-Page 51
February 21,2012-Page 54
9.Nominating Committee Report(Inform) Presented By: Dr.John Pace
PLEASE NOTE THAT THE COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL BE APPROVED
BY THE COMMITTEE AT IT'S NEXT MEETING.
10.Quality Review Committee Report and Recommendations(Inform/ACTION) Presented By: Helyn Lofton (5 minutes)
PLEASE NOTE THAT THE CONFIDENTIAL COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL
BE APPROVED BY THE COMMITTEE AT ITS NEXT MEETING.
These minutes are confidential.
a.Confidential Medical Executive and Credentials Committee Report(ACTION) Presented By:Helyn Lofton
PLEASE REQUEST TO MOVE INTO CLOSED SESSION TO DISCUSS ANY OF THE FOLLOWING INFORMATION.
Request for Approval of:
1.Applications for Initial Appointment,Reappointment,Review after Provisional Year,Request for Expansion of Privileges,Request to
Extend Leave of Absence,and its recommendations for Allied Health Professionals Applications for Initial Appointment,Continuation of
Duties,and Request for Change of Sponsor.(ACTION)
2.Reappointment of No Volume Physicians Policy.(ACTION)
b.Committee Regular Quality Reports(CONFIDENTIAL)(Inform)
IF YOU WISH TO DISCUSS ANY OF THESE REPORTS,PLEASE REQUEST TO MOVE INTO CLOSED SESSION.
11.Strategic Planning Committee Report(Inform) Presented By:Richard McGraw
PLEASE NOTE THAT THE CONFIDENTIAL COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL
BE APPROVED BY THE COMMITTEE AT IT'S NEXT MEETING.
SP FAC Com 01 13 12-Page 57
12.President of the Medical Staff Report(Inform) Presented By: Dr.Bob Lubanski (3 minutes)
13.President of the Medical Center Report Presented By:Jack Barto (10 minutes)
14.Other Business Presented By:John D.Fuller
a.Other Business
b.Closed Session(ACTION)
Request To Move Into Closed Session pursuant to NCGS 143-318.11(a)(1)and NCGS 131 E-97.3;NCGS 143-318.11(a)(5)(1);NCGS 131 E-
97;NCGS 143-318.11(a)(3);and NCGS 131E-97.1 and NCGS 134E-257.2
15.Next meeting(Inform) Presented By:Dr.John Pace,Acting Chair
a.Regular Meeting-April 24,2012 at 5:00pm in the Cape Fear Building C Conference Room
b.Calendars for March,April and Remainder of Year with changes
Board Calendar March 2012-Page 59
Board Calendar April 2012-Page 60
16.Adjournment Presented By: Dr.John Pace,Acting Chair
Board of Trustees
John D.Fuller,Chair:Dr.Virginia Adams,Jonathan Barfield.Carl Brown,Dr.Joseph Cooper,Robert Greer,Dr.George(Van)Huffman,Ronald Isyk,Helyn Lofton,Dr.
Robert Lubanski,Richard McGraw,John Monroe,Dr.John Pace,F.D.Rivenbark,David Swain,and Michael Wilkinson
Standing Guest of the Board
Dr.Henry Patel,Chief of Staff Elect