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NHRMC Agenda - Board of Trustees 022613 w,ax.oe»zE Board of Trustees Meeting THE AGENDA PACKET PROVIDED TO THE BOARD OF TRUSTEES CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION. Meeting Ending Time Is Estimated. Cape Fear Building C Conference Room Tuesday,2/26/2013 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-Ryan Mosely,Food Services -February Employee of Excellence-Jeremy Sikorski,—Point of Care Testing -Leader of Excellence-Laurie Whalin—Clinical Manager of the Pharmacy 3.Education(Inform) a.Medical Staff Quality Initiative 2012 Department Winners(Inform) Presented By: Dr.Henry Patel b.Neonatal Quality Presented By:Dr.Sherri Carroll c.Governance Institute Report-February Conference Presented By:Ron Isyk 4.Approval of Consent Agenda(ACTION) Presented By: Board Chair (5 minutes) a.Approval of Minutes-December 18,2012 Regular Meeting(ACTION) BOT Min 12 18 2012-Page 3 b.SEAHECIGMEC Regular Report(Inform) Graduate Medical Education Report 02252013-Page 8 c.Foundation Report(Inform) Foundation Board Report 0213-Page 10 d.Nursing Congress Report(Inform) Nurs Report 0213-Page 11 e.Pander Memorial Hospital Report(Inform) PMH Board Report 0213-Page 12 5.Audit Committee Report(Inform and ACTION) Presented By: Robert 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 ITS NEXT MEETING. These minutes are confidential. February Audit Committee minutes are not available at this time. a.Recommendations from the Audit Committee-CONFIDENTIAL(ACTION) PENDING APPROVAL BY THE AUDIT COMMITTEE AT ITS 2/25/13 MEETING 1.NHRMC 2013 Compliance Work Plan(ACTION) 2 PMH 2013 Compliance Work Plan(ACTION) 6.Executive Committee Report(InformIACTION) Presented By:John 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 ITS NEXT MEETING. Exec Comm Min 012213-Page 13 a.Recommendation from the Executive Committee-Approval of Corporate Bylaws Amendment(ACTION) Presented By:John Fuller Bylaws Proposed 012213 redlined with Executive Committee changes 012213-Page 16 7.Finance Committee Report(Inform) Presented By:Ronald 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 ITS NEXT MEETING. The February minutes are not available at this time. FC Min 12.17.2012-Page 38 a. Financial Summary-January 2013(Inform) Presented By: Ed 011ie 8. Information Technology(IT)Committee Report(Inform) Presented By:Dr.Mike Wilkinson (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. IT Committee Minutes 021913bwkd mw final-Page 40 9.Quality Review Committee Report and Recommendations(Inform/ACTION) Presented By: Patricia Leonard (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.Quality Review Committee Recommendation-Confidential Medical Executive and Credentials Committee Report (ACTION) Presented By: Patricia Leonard PLEASE REQUEST TO MOVE INTO CLOSED SESSION TO DISCUSS ANY OF THIS INFORMATION. Request for Approval of: 1.Applications for Initial Appointment,Applications for Reappointment,Review After Provisional Year,and Request for Expanded Privileges; and,Approval of Allied Health Professionals Initial Duties,Continuation of Duties,and Request for Change of Sponsor.(ACTION) b.Quality Review Committee Regular Quality Reports(CONFIDENTIAL)(Inform) Please request to move into closed session to discuss quality reports. 10.Strategic Planning and Facilities Committee Report(Inform) Presented By:Richard McGraw PLEASE NOTE THAT THE COMMITTEE MINUTES INCLUDED IN THIS AGENDA PACKET ARE FOR INFORMATION ONLY AND WILL BE APPROVED BY THE COMMITTEE AT ITS NEXT MEETING. SP PAC Com 01 15 13-Page 43 11. President of the Medical Staff Report(Inform) Presented By: Dr.Henry Patel (3 minutes) 12.President of the Medical Center Report Presented By:Jack Barto (10 minutes) 13.Other Business Presented By:John Fuller a.Other Business Presented By:John Fuller b.Closed Session(ACTION) Presented By:John Fuller Request to move into closed session pursuant to Closed Session pursuant to NCGS 143-318.11(a)(1)and NCGS 131E-97 3(ACTION) 14. Next meeting(Inform) Presented By:John Fuller a.Regular Meeting-April 23,2013 at 5:00pm in the Cape Fear Building C Conference Room b.Calendars for March and April Board Calendar March 2013-Page 44 Board CalendarApril 2013-Page 45 15.Adjournment Presented By:John Fuller Board of Trustees John D.Fuller,Chair;Dr Virginia Adams,John R Andrew,Jonathan Barfield,Carl Brown,Dr.Joseph Cooper,Robert Greer,Ronald lsyk,Patricia Leonard,Dr,Robert Lubanski,Richard McGraw,John Monroe,Dr.John Pace,Dr.Henry Patel,David Swa?in,Michael Wilkinson and David Williams Standing Guest of the Board Dr.Clyde Harris, Chief of Staff Elect Staff Jack Barto,Mary Ellen Bonczek,Donna Bost,Avery Cloud,Dr.Joe Pino, Lori Feezor,John Gizdic.Colin Gruber,Martha Harlan,Matthew Heywood,Aline Lasseter,Ed 011ie,David Parks,Dr.Sam Spicer,Keith Strewn,Tom Walsh,and Kathy Batchelor