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NHRMC BOT Agenda for 042313 NMkal G..k. Board of Trustees Meeting THE AGENDA PACKET PROVIDED TO THE BOARD OF TRUSTEES CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION. MISSION STATEMENT New Hanover Regional Medical Center is a team centered,value focused, teaching provider of quality health care to all in need of its services. Meeting Ending Time Is Estimated. Cape Fear Building C Conference Room Tuesday,4/23/2013 5:00- 7:00 PM ET 1. Call to Order Presented By:John D.Fuller,Chair (5:00 p.m.) a. MISSION STATEMENT New Hanover Regional Medical Center is a team centered,value focused,teaching provider of quality health care to all in need of its services. 2. Employees of Excellence and Leader of Excellence(Inform) Presented By:Jack Barto (5 minutes) -March Employee of Excellence-Janice Williams,Environmental Services -April Employee of Excellence-Larry Holmes,Plant Ops/Maintenance Services -Leader of Excellence-Christy Spivey-Director,Emergency Department 3. Education (Inform) a. 2013 Quality Goals Readmissions Report(Inform) Presented By:David Parks and Terry McDowell (10 Minutes) 4. Approval of Consent Agenda (ACTION) Presented By:Board Chair (5 minutes) a. Approval of Minutes (ACTION) -January 25,2013 Board Retreat(ACTION) -February 26,2013 Regular Meeting(ACTION) b. NHRMC Foundation Board Appointment(ACTION) c. Audit Committee Recommendation i. NHRMC 2013 Compliance Work Plan Revision (CONFIDENTIAL) (ACTION) Master Page# 1 of 4-Board of Trustees Meeting 4/23/2013 d. Finance Committee Recommendation i. Bond A&B Refinancing Resolution (ACTION) e. Nominating Committee Recommendations i. Health Sciences Foundation Board Appointments (ACTION) ii. Lower Cape Fear Hospice Board Appointments (ACTION) f. Quality Review Committee Recommendations i. Environment of Care 2012 Annual Reports (ACTION) ii. Environment of Care 2013 1st Quarter Report (ACTION) g. SEAHEC/GMEC Regular Report(Inform) h. Foundation Report(Inform) i. Nursing Congress Report(Inform) j. Pender Memorial Hospital Report(Inform) 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. April Audit Committee minutes are not available at this time. 6. Executive Committee Report(Inform/ACTION) 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. Master Page#2 of 4-Board of Trustees Meeting 4/23/2013 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 IT'S NEXT MEETING. April minutes are not available at this time. a. Financial Summary- March 2013 (Inform) Presented By: Ed 011ie 8. Information Technology(IT) Committee Report(Inform) Presented By: Mike Wilkinson,PhD (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. 9. Nominating Committee Report(Inform) Presented By:John Pace,MD (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. 10. Quality Review Committee Report(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.Medical Staff Applications for Initial Appointment,Applications for Reappointment and Request for Change of Status and for Allied Health Professionals Initial Duties,Continuation of Duties and Request for Change of Status/Sponsor/Practice. (ACTION) 2.Proposed changes to Affiliate Status.(ACTION) 3.Proposed addition of Administrative Status.(ACTION) 4.Proposed change to the timing of the General Medical Staff meetings.(ACTION) 5.Proposed revision to the Medical Record Rules and Regulations.(ACTION) b. Quality Review Committee Regular Quality Dashboards(CONFIDENTIAL) (Inform) Please request to move into closed session to discuss quality reports. Master Page#3 of 4-Board of Trustees Meeting 4/23/2013 11. Strategic Planning and Facilities Committee Report(Inform) Presented By:Richard McGraw (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. 12. President of the Medical Staff Report(Inform) Presented By:Henry Patel,MD (3 minutes) 13. President of the Medical Center Report(Inform) Presented By:Jack Barto (10 minutes) 14. 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 NCGS 143-318.11(a)(1)and NCGS 131 E-97.3(ACTION) 15. Next Meeting(s) (Inform) Presented By:John Fuller a. Special Called Board of Trustees Meeting-Tuesday, May 7,241.3, at 7:30 a.m. in the Cape Fear Building C Conference Room b. Regular Meeting- Tuesday,June 25,2013 at 5:00 p.m. in the Cape Fear Building C Conference Room c. Calendars for May and June 16. Adjournment Presented By:John Fuller Board of Trustees John D.Fuller,Chair,John R.Andrew,Jonathan Barfield,Carl Brown,Dr.Joseph Cooper,Robert Greer,Ronald Isyk,Patricia Leonard,Dr. Robert Lubanski,Richard McGraw,John Monroe,Dr.John Pace,Dr.Henry Patel,David Swain,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,Colin Bracey,Avery Cloud,Dr.Joe Pino,Lori Feezor,John Gizdic,Martha Harlan,Matthew Heywood,Aline Lasseter,Ed 011ie,David Parks,Dr.Sam Spicer,Keith Strawn,Tom Walsh,and Kathy Batchelor Master Page#4 of 4-Board of Trustees Meeting 4/23/2613