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HomeMy WebLinkAbout02-17-1976 .YY✓n 1 i 130AIZ'D OF D11ZECTCe'I BUSINESS MINUTES Dee - Y - Y` February 19, 1976 ►ey~ 1 The Board of Directors of Flow Memorial Hospital met on Thursday, February 19, 1976 at 7;00 p, m, with Dr. Charles H, Saunders presiding. Other Hoard membe f present were Mr. John Carter, Mr, Robert Henzler, Dr. George Holladay, Mr. Bra Moore, Mrs, Paul Simpson, and Mr, A. J. Testa, Also present were Mr, Wallace Duvall+ Me, Diana Kutsky, Dr. William Midgett, Dr. Erwin Taboada, Mr, Dill Vokonas, and Mr, Dale Wagner, The minutes of the January Board meeting were reviewed, as well as the called Board meeting of February 10 concerning ambulance service, Mr. Moore moved that both sets of minutes be approved; this was seconded by Mr. Carter and passed by voice vote, Dr. Holladay read the minutes of the Finance Committee meeting and noted that the Finance Committee had recommended approval of the financial statements the bad debt charge-off amount of $82, 289. 27, and the charity charge-off amount of t $6,956,67. Mr, Testa moved that the oharge-off lists he approved; this was seconded by Mr. Henzler and passed by voice voto. Also, Mr. Testa moved that the Finance Report be approved; this was seconded by Dr. Holladay and passed by voice vote. I ~ 11 1 Mr, Duvall read the Joint Conference Committee minutes and discussed the f i utilization of the xeroradiography unit and the nuclear medicine unit, Also, an ultra sound system is being used on a trial basis, and evaluation of different units E is being done prior to the ordering of a system for the hospital Mr. Henz1or moved that the report be approved] this was seconded by Mr. Moore and passed by j voice vote. t Mrs, 5imhson read the minutes from the Foundation Board meeting and ex- plained that she had resigned from the Foundation Board, She mentioned that the Foundation originally was to have a representative from Lewlevillej now that Mr, Moore is available to serve, she suggested that he replace her on the Foundation Board, Mrs, Simpson moved that the Foundation report be approved] this was seconded by Dr. Holladay and passed bye voice vote, Also, Mrs. Simpson moved that Mr. Moore be approved as a new metnbor of the Flow Memorial Hospital Founda tion Board of Direotorej this was seconded by Mr. Carter and passed by voice vote. Mr. Duvall read the Administrators Report and reviewed the status of the ambulance service agreement negotiations. He reported that Dr, Saunders, Dr. Midgett, and he had met with Westgate officials today, and all points of the agreement had been satisfactory, with the exception of Westgate's concern that Plow would seek the traurna center designation, Mr, Henzler moved that the Admin- istrator's Report be approved] this was seconded by Mrs, Simpson and passed by voice vote, r Dr. Midgett gave a report from thn Medical Staff. He noted that the applica- tions to the courtesy staff of Vr. Andrew J'adk',ton Lanior, Dr, Thomas Shelton Power Dr. Larry Clone Schneider, Dr, Frank llayr=4 Dehnisoh, and Dr, Angel (J, Negron with privileges in the Emergency Room had been approved by the Credentials Committee and the Executive Committee. Also, the application for the Active Mediea Staff of Dr, Erwin L, Taboada with privileges in psyohiatry had been approved, 1 1~~y'fW~'gJ(TYf 1'+ `$g4). OS n 1 ae ne .!n , 5 e ,rs~anm~ ryv L, ry Q#~I Yp! c.<rr.nr+~ a R 1 iY M-r,@3 Y a HOARD Or, DIRECTC`M1, BUSINESS MINUTES Dole February 19, 1978 P,9. 2 Dr, Saunders commented on the new Medical Staff Newsletter which had been pub- - lished recently, Dr. Midgett stated that Dr. Miller had indicated to him that he felt the newsletter was a good mechanism for keeping the doctors informed on various matters, Dr. Saunders asked about the Patient Care Committee, and Dr. Midgett replied that it Is a good means of communication between the nurses and doctors. He also stated that he feels that Mrs, Jenkins Is doing a good job. Mr. Moore moved that this report be approved, including approval of applications to the Medical Staff; this was seconded by Mrs. Simpson and passed by voice vote, The Utilization Review Committev's minutes were read by Mr. Duvall, That Committee had reviewed 82 Medicare and 15 Medicaid admissions and 34 Medicare and 4 Medicaid extended stay cases witll all ed~iissions and extended stays being found to be justified. Dr. Holladay moved Oat a report be approved; this was `I seconded by Mr. Carter and passed by voice vote, Mr. Duvall presented the Nursing Audit Report. In lieu of auditing charts this month, some of the nursing supervisors had attended a workshop entitled "Perfor- mance Evaluation Procedures for Auditing and Improving Patient Care" in Austin and will begin using this new method and start selecting outcome criteria. One { cane was reviewed in detail by the Nursing Audit Committee. The review indicated some few areas of improvement needed but overall, the review was excellent, j Mr. Testa moved that the report be aeeeptedl this was seconded by Mrs, Simpson and passed by voice vote, Mrs. Simpson presented the Legislative Report. Her comments were pri- marily about the Health System Agency applications and the actions taken by the Coordinating Commission for Health Services and the Governor, It was noted that the Governor had accepted the recommendations of the Coordinating Commission and i had declined to approve any Health Systems Agencies during the first review cycle. Mr, Henzler moved that this report be approvedl this was seconded by Mr, Moore and passed by voice vote. 1 There was further disousoion concerning ambulance service negotiations, and Dr. Saunders thanked the Board members for contacting the County Commissioners to secure their support of the proposal,Y Mr. Testa. moved that a resolution (see j attached) be approved concerning Plows unintention to seek the trauma center; designation during a joint ambulance serving. Mrs, Simpson seconded the motion, f and the motion was passed by voice vote. It was the consensus of the group that the Board members should routinely I contact the County Commissioners to keep them advised of the activities at Flows j Also, Mr. Testa suggested that the Commissioners be invited one at a time to the Board meetings in an attompt to familiarize them, with hospital management, pro- cedures, and responsibilities and that a periodic luncheon be scheduled for the County Judge and Commissioners, as well as the C'ty Council members, 't'here being no further business, the meeting was adjourned at 8130 p, m, Respectfully submitted, i I gm A/ J, Testa, Secretary { E '+.'~1 nr61+1i1'•:iFi~I ~fv+L~l s-n: , _/Ml4tlllll'SIUI/Q9~IIY1AilUlll/q IIIMtlEIII YII m.=wxn L7 i. a BOARD OF DIRECTORS BUSINESS MINUTES Date January- 22, 1976 Pago 1 The Board of Directors of Flow Memorial hospital met at 700 p, m, on Thursday, January 22, 1976 with Dr, Charles Saunders, Chairman, presiding. Other Board members present were Mrr. John Carter, Mr, Brad Moore, Mrs, Paul Simpson, and Mr. A, J. Testa, Also present were Mr. Wallace Duvall, Ms, Diana I{utsky from the Denton Record Chronicle, Mrs. Gloria Madewell, Dr, W. M. Midgett, Mr, Tull Vokonas, and Mr. Dale Wagner. Dr. Saunders ro-tiewed the minutes of the previous regular meeting and the called meeting on January 8, iLt which time a resoDitlon was passed requesting the Flow 'em" al Hospital Fowidation amend their bylaws to delete the "common control" e elernen+., Mr, Moore mov^.d that both sets of minutes be apprw ed; this was seconded f by Mr. Garter and passed by voice vote. I Mr. Testa reviewed the rn'nutes of the two called Finance Committee meetings of'Decern!-c.- 22 at which timo they had recommended approval of a new twenty-four i, hoar physLAan coverage in Vie Emergency Room and January 5 at which time they had i recommended approval of the tentative audited financial statements and internal con- trol commenta and recommendations for fiscal year ending 9.30-75. Also, Mr. Test read the minutes of the regularly scheduled Finance Committee meeting on January 10 1076, At that meeting, the Finance Committer had recommended approval of the charity charge-off amount of $40, 584.13 and the bad debt charge-off amount of E $30, 504, 70, a salary increase of $100, 00 per month for the Administrator, and the j audit report and recommendations, Mr. Testa explained that the audit report repre- sented a "clean opinion" from the auditors with only a few adjustments and three comments from the auditors. He stated that the staff is to be commended in the area of accounting for this "clean" audit, The Finance Committee had also expressed some concern of the unfavorable expense variance in utilities, Mrs. Simpson moved that th recommendations from the Finance Committee as set forth in their minutes be approved; this was seconded by Mr. Carter and passed by voice vote, The Joint Conference Committee minutes were read by Mr. Duvall. Their meotin on January 19 had consisted primarily of a discussion of the possibilities for deeigna- tion of the Health Systems Agency, the current status of ambulance service, the qualit of food served to patients, and the good rapport between`thL, doctors and nurses. Mr, Moore moved for the approval of these minutes; Mr. Testa seconded the motion and the vote carried. Mrs. Simpson read the minutes of the January meeting of the Foundation Board of of Directors and explained that a proposed resolution to their bylaws had been intro- duced and will be voted on at their next meeting which would delete the common contro element between the hospital and the Foundation--viz. , that the Board of Directors of Plow Memorial Hospital no longer be authorized to appoint the Foundation Board mem- bers. The Voundatlon has authorized the purchase of 2 1VAC infusion pumps and one cardiac monitor /dofibrlllator for ICU, one regular isolette and one transfer igolette for the Nursery, 2 ice dispenser machines for nursing units, and an ultra sound system for Radiology. Mrs. Simpson moved that the Foundation report be approved] ' this was seconded by Mr. Carter, and passed by Voice vote, Mr. Duvall presented the Administrator"s Report and commented that the renova- tion project is, by money e ant, 21% completed. It is, however, approximately V33ID.4¢ ^EY.NY.S Ejiu.e.{eg fl I BOARD OF DIRECTORS " BUSINESS MINUTES - January 22, 1978 _z._. Pay 2 one-third completed construction-wise, Ile announced that he and Dr. Saunders are scheduled to meet with Dr. McCormick and Mr. Beare tomorrow afternoon to discuss ambulance service. Mr, Carter moved that th(s report be approved; it was seconded by Mr. Moore and passed by voice vote. The Medical Staff Report was given by Dr,! A'iidgett. As he had been unablo to attend the Joint Medical Staff Meeting on Tuesday night because of a "delivery, " he just reviewed the events of the Executive Committee Meeting held on Monday. A 3 primary discussion had been about the possibilities for designation of a Health System Agency for this area. Dr. Midgett explained that there are 12 Health Service Areas in the State of. Texas, ana each area will have a Health Systems Agency. other areas in the state had only one application for the HSA, there have been lth eeet groups which have submitted proposals for this 19-county area. Dr. Midgett also announced the now members of the Executive Committee of the Medical Staff for 1976, 1, e., Dr. W, M. Midgett, President; Dr. S. T. Love, Vice President; Dr. J. D. Harvey, Secretary; Dr, J. W. Rolland; Immediate Past Presidents Dr, R. J. Lee, Chief of 013-GXN; Dr. T. V. Patterson, Chief of Pediatrics; Dr. J. P. Spencer, Chief of Medicine, Dr. D. ll. Steiner, Chief of Surgery; Dr. K, L. Ford'. Pathology) Dr. A. M. Finlay, Radiology; and Dr. 11. M. McClendon and Dr. G. E. Hollada Members-at-Large, Mr. Testa moved that the report be a y, by Mr. Carter and passed by voice vote, pproved, this was seconded 4 I Dr, Saunders read a letter from Mrs. Kenneth Smith thanking the Board for their resolution concerning her work with the Foundation, Mrs, Simpson added that y Mrs. Smith has been well supported by the Found aNon.Board not only by their regular E attendance and expressed interest, but also in their acceptance of her ideas and pro- grams. I The report of the Utilization Review Committee was presented by Mr. Duvall. That committee had reviewed 82 Medicare and 19 Medicaid admissions and 44 Medi- ! care and 3 Medicaid extended 'stay cases, All admissions and extended stays had been justified, Mrs, Simpson moved that the report be accepted; this was seconded by i Mr. Moore and passed by voice vote, i Mr. Duvall then presented the Nursing Audit Committee's report, The Nursing I Audit Committee made an indepth study of the nursing care on 12 trans-urethral resection of the prostate (TURF) charts. Tl,oy had been concerned about the poor documentation of the physical and emotional health. However, documentation on the charts for observations of symptoms and reactions of bleeding were excellent in most cases, Mr. Carter moved that the report be approved, this was seconded by Mrs. Simpson and passed by voice vote, The Legislative Report was opened to reports from the Board members, Dr. Midgett said he understood that there will be nd funding available this ear for the national proposed health insuran y ca program and also that )'resident Ford had vetoed the funding bill for PSRO, Mrs, Simpson added that the common sit s been vetoed and explained why this would help hospitals to be protected against union strikes. Where was a discrrsslon of Social Security benefits and the deficit of its funds Dr. Midgett explained that when the program was started, the ratio of workers con- tributing to the Social Security program to persons receiving Social. Security benefits FORM 13.Ef8'ac:Raa.""'_ ' ON VI It4.,'.If,J! CO. YIRM 19. illl.YOlf V.1./. ~ ~ . A,aNry 5(1t re.(A e~::~rax~ r rrrrray II fYAu¢J N I BOARD OF DIRECTORS BUSINESS MINUTES 1fl76 Tanuary 22, 7abled was 7 to 1 and that now the ratio is 3 to 1, partly becausea of the broadenbility requirements and the increasing of bene£lts, Some pers.,ns who aphysically but who are not necessarily financially handicapped Fre even receive Social Security benefits, Mr, Moore added, Mr, Testa said thathat the insurance companies who write malpractice Insurance for physichospitals have, as a result of malpractice premiums, an excess of funds which is used to offset the loss which California has had as a result of their high incidence of j malpractice suits. Mr. Testa encouraged Mr. Duvall to find out what is going to be do e about state requirements to fund cases here and outside the state, Mr, Duvall stated that in Texas, there are varying rates for the areas that have either high or low nurn era of malpractice suits. Dr, Midgett added that even though the number of mal. practice cases as well as the amount of the awards decreased in Texas last year, Texa Insurance, and in particular his, rates Increased significantly, Mr. Carter moved that the Legislative Report be acepeted; this was seconded by Mr. Moore and f +roice vote. passed b Mrs. Simpson thanked Mr. Duvall for providing the Contemporary liooss tal Truste ship books; she said that she found it to be both Interesting and Informative. Also, she said she is anxious for the Trustee to begin its educational series next month, I The meeting was adjourned at 9:05 p, m, I ! Respectfully submitted, A. J. Testa Secretary g •~tihL:~YY3_.i-~ ' • txuw.lu• Alee.e cm, 1 flays, ii. 0114fle 11 CC 41.1/ I ,xe•;v 1 enrw 5'..:Ml'ldp ~s[1 y ADMINISTRATORS REPORT I BUSINESS MINUTES DA4 January 22, 1976 ~ r,q, 1 The renovation project is continuing slightly ahead of schedule. As far as the amount of money spent on the project is concerned, we are at approximately 21% corn- ' a pletion; however, the actual construction work probably exceeds 21%. Since our December meeting, we have enjoyed Christmas activities at the hospital, The various activities were well attended and enjoyed by everyone. The new Emergency Room physician coverage agreement will begin on February 18. This will require some adjustments Internally, and we are anticipating a much better service, k Our efforts have not been too productive concerning a resolution to the ambulance I servicei problem, Subsequent to the December 12 meeting with Mr. Feare, only one ' meeting has been held, That meeting was on January B with Mr. Dick Plater, Mr. L. A, Nelson, Mr, Ferry Lewls, and me, Dr. McCormick, Mr. Beare, Dr, Saunders, and i have.a meeting scheduled for 600 p, m, tomorrow, Although the Deeel» , « census was low, the January census has increased s'ub• iI II etantially. Respectfully submitted, Wallace L, Duvall Administrator wLDignt I r r n ~ ~:,r I I I,IM r•~1/ ,AV11014I'R, novel. ,1.%Ph, nun 10 ~,YASIi:M~ (y4-Yn N! fl"i-ilWty, r ai ui Y 9 HOARD OF DIRECTPRS _ BUSINESS MINUTES D,le R _ December 11, 1$75 pop Thr" Board of Directors of Flow Memorial Hosnital met at 700 P. m,' on Thbrgday; December 11, 1975 with Dr. Charles Fl, Saunders, Chairman,' preeIdinge Qthetpo'drd members present were Mr, John Carter,, Mr, lZobevt FJenzler, 'Dr; George P9hadtty, Mr. Farad Moore, Mrs, Paul Simpson, and Mr, 4; J. }rest's. Also present'wor~ Mr. Wallace Duvall, Ms, Diana Kutsky from the Denton Record Chronicles Mrs"' 016'ria Madewell, Dr, W. M. Midgett, Mr. Don Richey,, Mr, Bill Vokonas, and Mr, Date Wag ; nor, e The minutes of the previous meeting were'reviewed, and, Mr, He,nzler moved that they be approved, Mr. Carter seconded the motion, and thl, vote' carried. Mr, Testa read the minutes of the ]Finance Committee and noted-that by total dollars expended, the renovation prolget is 9, 25% domplets. flnat}olal statemedts~ were presented, and Mr. Carter moved that they be approved 'aject to any audit a4* E justmentsl this was seconded by Mr, 'Moore and passed by, voioe vote, Mr, Testeimove that the charity charge-off In the an;ount of $20, 228. 9$ and''the debt charge-qff In ` the amount of $440 809, 02 be approved: Thin Wag seconded b Mr q rter and pasgej by , k ~ voice vote, by, Mr, Carter moved that the entire financial report'W approved, •thia was seconded by Mrs. Simpson gnd.Fv,FFq, by, vp~'6e~,vote'I Mr. Duvall presented the 114y ~t roniAbe Joint Co ferA i included a for p nos Gromxn[tteB, Which proposal hour 'at'fiiil$ of ~he~ Jumergency,Room and the current at0tus of the ambulance situation,'• Mr. Ftel}xler m6vQd that ffr report he approved, this, yras seconded by Mr, Moore and passed by voice vote,, Mr. Duvall continued with the Adminiatratorre Report.The renovation prdjo6t ha been Inspected by the Texas State Department of Health Resource' at its 30% corApleti,on stage, and all construction is on schedule. Mr, Garland Wade, the Consultant`Xrcllitect had complimented Mr. Wagner's good record-keeping of,the project, Mr, Cotton,' our, I F Director of. Maintenance, had commented on the good quality ofwuA being-done and that a large quantity of copper, tubing had been salvaged and would be• sold, Mr; ;Testa-.move EEI that the report be approved] this was seconded by Mrs. Simpson 'and passed by voice vot , The report from the Medical Staff was presented by Dr,',Midgdtt In pr, iol)and's } 1 absence, He announced that the following officers were elecl:66 ~Dr. Mldgett0 esiden i Dr. Love, Vice President.I Dr. Harvey, Seeretaryl and Dr, Holladay and Dr. McClendo i Members-at-Large. One of the topics discussed at the Medicial Staff's meeting dealt with the Health ,5yatems Agencies to be established under the new Public Law 93-841. i The doctors had been disturbed at the lack of adequate prior information concerning the FISAIa and the deadline foi- filing applications to become the I-ISA for this area, Three F hearings are scheduled next week In regards to the North Central Texas Council` of Government's two proposals to become the HSA for this area. `There are three other a appllcAI ons, but hearings for these have not been announced yet; Mr, Carter moved is 4 the report be approved; this was seconded by Mr. Testa and passed by voice vote, F 'rho [Ittlization Review Report was presented by Mr, T)uv4ll, F,lghty-three Mom- r care and 10 Modicald admissions, as well as 32 Medicare and ti Medicaid extended stay cases had boon favorably reviewed, The Texas Medical Foundation has offered to per form all 'Ntlc XIX reviews at no cost to the hospital on a trial basis and will begin dri` so soon. Mr, Ilenzlor moved that the report be approved] this was seconded b of g ' Mr, Testa and passed by voice vote, :..,__a __.r" ~vtz~-srm ~:p"..."_.r..:.._ :~~.r.:. s:_~=r"•t1T. • Sao... n BOARD OF DIRECTORS r . - z...---:~-z• .._..-i~a ~:TSSC-_a..-Ts-. ~.r:'~tr m:-F~sl'^". _as~s '-._.zs. y BUSINESS MINUTES c... Decepiber 11, 1975 Pigs Z Dr. Mid ett announced ihat the Supreme Court has recently ruled that patients whose care is paid for by government funds lose their constitutional rights--i, e., lose l the privilege to select their physicians and lose the privacy of their medical records. Mr. Duvall presented the Nursing Audit Report of back injuries and back surgeries The nurses had recommended more In-service'education concerning orthopedic nursing.,, Also, the Nursing Quality Control Check Sheet had been used 16 the Nursery with the . only negative response relating to the non-availability on the unit of the Hospital Forma+ Lary. Mr. Carter moved that this report be approved; this was seconded by Mrs,' Simpson and passed by voice vote, The applications for Courtesy Staff prSvlleges In' the Emergency fleom of Dr. Andres Katz-Ungar and Dr, Clary William Bird were distributed for review. { Mr, Moore moved that they be approved; this was seconded by Mr. Carter and passed j i by voice vote. j i! The meeting was adjourned at 8114 p, m. Respectfully sgbmitted, ~ f A. J, Testa Secretary gm ~ r j IE J i If I r ,..w BOIA nn•uf„bioe U•., bfd r.unr.,. pnru V.f V1.Ma.e.a.ar.,rlr.f6y:uv.aea.i.1 • a!iw p Tutwiq 'JYLWA M.ZY/.Slf. • I'rt F Y BOARD OF DIRECTORS BUSINESS MINUTES DO. _ January 8, 1976 Peq. 1 The Hoard of Directors of Flow Memorial Hospital met in a called meeting at 12:00 noon on Thursday, January 8, 1976 with Dr, Charles Saunders, Chairman, presiding, Other Board members present were Mr, John Carter, Mr, Robert Henzler, Dr, George Holladay, and Mrs, Paul Simpson, Also present were Mr, Dale Wagner, Mr, Wallace Duvall, Mr. Bill Vokonas, and Mrs, Gloria Madewell, Dr. Saunders explained that the meeting had been called In order to resolvA " r ~r } question of the Hoard's relationship with the Flow Memorial Hospital VoundP',.'.Fn. In ~ the past, the Board has approved all appointments to the Foundation Board, Because of a suggestion from the hospital's auditors to either combine the hospital and the Foundation's financial statements or to distinctly differentiate the operational aspects of the two, after some discussion It was felt that the Board should adapt a resolution relinquishing its right to appoint the Hoard members of the Foundation, Mr, Henzler moved that the attached resolution requesting the Foundation to amend their bylaws to delete the common control element between the hospital's k Board and the Foundationts Board be adopted. This motion was seconded by Mr, f Carter and passed unanimously. Mrs, Simpson moved that advance notice of the meeting be waived ae It was IJ called by the Chairman only two days prior to the mooting, This motion was seconded J by Mr. Carter and passed by voice vote. The meeting was adjourned at 12:11. I ~ _ f Respectfully submitted, Charles H. Saunders, D.D,S, Chairman E + gm , i h ' i r r i FtN FYIAM ANA. 1 It Y_, ` l • I W11 I Ltwtl `9819: r, . w.... . Ge I„.. . /dIIII/t1 Y.l.N~ i A-AopoFtl~e(JOIcIen ~riangle i D 1010 SOR)PTURE FLOW G~MZOI~' t a HOSPITAL oeMTOr°uxr xas resot (817) S07.5801 RESOLUTION This resolution made this Sth day of January, 1978 by the Board of Directors of Flow Memorial Hospital. f WHEREAS Article III, Section 2 of the Bylaws of Flow Memorial Hospital Foundation, Inc, provides that all Directors shall be appointed to the Board by the Board of Directors of Flow Memorial Hospital; and WHEREAS, Article III, Section 3 provides that the Chairman of the Board ff of Directors shall promptly notify the Chairman of the Board of Directors of Flow Memorial Hospital of a vacancy and request that an appointment be made to the Hoard of .Directors; and i I WHEREAS$ the AICPA Hospital Audit Guide stRtes if related organizations are under common control of or common control with hospitals, their financial statements should be combined; NOW, THEREFORE, BE IT RESOLVPD that the Board of Directors of Flow Memorial hospital concur that it is desirable that common control do f es n with Flow Memorial Hospital Foundation, Inc,; not exist I THEREVORZO it is agreed that Flow Memorial Hospital Foundation, Inc, be requested to amend their bylaws to delete the common control element. i Cha: es H, Saunders, D,D, S,, Cha rman !John L, Carter/ r. Robert f enzle/r 40~ge Holladay, . D ' ' Mrs, Paul Sntpso y i r SptiP~JQYtS;'11A'}kl., Y.+„o-~4ei,.rxa sC».r.atcl...r ;..nn.. r.. , , , . kPW1Y, BMBM Vyypyj 9lyl ~ Nppy r tlUlyillVLJ11tA 1 V/y~ 11cIrv1L 1 6USINESS MINUTES Dais December 11, 1975 - 1 Page ' As most of you know, considerable amount of time has been devoted to attempts to satisfactorily resolve the ambulance question. Hopefully, this question 4 will be resolved soon, The renovation project construction is proceeding on schedule. Except for noise and minimal inconveniences, we have encountered no real problems with the construction, There have been some delays in delivery of some equipment, but it ,I has not slowed the progress of the project, Garland Wade, Consultant Architect , l with the State Department of Health Resources and Robert Carnes, Architect for A. 'Warren Morey Associates inspected the work yesterday. This represents the completion of 10% of the construction work, 't'here will be tEfrec or four additional ' Inspections during construction of the project in order to certify the completion of the various stages and establish the eligibility of reimbursement of the grant portion, Respectfully submitted, f ~pllaoe L, buvall I I Administrator WIDtgrn t i r i .t y i I/IM "411 A _..ir:mtr '--tr.: rr._r-.a•Y:~~1Y r". rr. _ . ,rflltnr, ,Troll tea, 40 HfM.f Uai- Fl WWI IA'!S r ~4K➢J[r !1 YY(AYd tJ Y 130AHD OF DIRECTO`II I BUSINESS MINUTES Dais [November 20, 1976 Pegs 1 The Board of Directors of Flow Memorial Hospital met at 700 p.m, on Thurs- day, November 20, 1975 with Dr. George Holladay presiding in the absence of the three officers, Other Board members present were Mr, Robert Henzler, Mr. Brad Moore, and Mrs, Paul Simpson. Also present were Mr. Wallace Duvall, Dr. J. W. Holland, Mrs, Gloria Madewell, Mr. Don Richey, Mr. Bill Vokonas, and Mr. Dale Wagner. s { The minutes of the previous meeting were approved. Dr. Holladay welcomed Mr. Moore as a newly appointed Board member and a throughout the meeting explained the different aspects and workings of the hospital and the Board and the various committees. Dr. Holladay read the minutes from the Finance Committee meeting and announ- ced that cash collections from patient accounts were the largest ever collected in one month, Mr. Henzler moved that the financial report be accepted Including the charity charge-off amount of $27, 166. 90 and the bad debt charge-off amount of $39, 264. 13. This motion was seconded by Mrs. Simpson and passed by voice vote. Th,~, Ja.lnt Conference Committee's minutes were read by Mr. Duvall. The minute' f Nx;`esed the medical staff's pleasure with the good service'that Flow con- tinues t Eve from the Dallas Blood Center (now the Denton County Blood v3ank ~I In its new facility which opened this week). Mrs. 'Simpson moved that the report be accepted; this was seconded by Mr. Henzler and passed by voice vote. I ~ Mrs. Simpson read the minutes of the November meeting of the ]Foundation Boar' and rioted that Mrs. Smith had been presented with the resolution which was passed by the Board commending her work with thr h'oundation. Mrs, Simpson said she plans a to talk to Mrs. Smith to suggest some typo of newspaper advertisement for contribu- tions before the end of the ,year. Mr, 14I suggested that local banks may be 1 willing to purchase the advertisemcut apace, printing their logo in only a small corner of the ad. Mr. Henzler moved that the report be accepted; this was seconded by Drs Holladay and passed by voice vote, ~j Mr. Duvall presented the Administrator's Report and told of the progress of the;[ renovation project and the unsettled question of ambulance service. Mr, Kenzlor i moved that the report be approved; this was seconded by Mrs. Simpson and passed by voice vote. { The Report from the Medical Staff was presented by Dr. Holland. He stated ~ that he has been fortunate this year to have such a fine group of dedicated doctors on the Executive Committee, New officers for the Medical Staff will be elected at their , r December meeting, The medical audit on myocardial Infaretion which had been approved by the Medicine Department and the Executive Committee was presented. Mr, ltenzler moved that the report Including the medical audit be appr.ovedi -his wa- j{ seconded by Mrs. Simpson and passed by voice vote. Mrs. Simpson moved that the Foundation Board members scheduled to rotate off the Board--namely, Dr, .Tones, Dr. Saunders, and Mrs, Smith--succeed. them- selves, This was seconded by Mr, Henzler and passed by voice vote. r ~ ~I y_._- _ - . tip. !i f ul, fr r. . .i. qi~V,. L~iviu •ii 1 (Y:M.LLMAq ..Yyjµ i RR I 13411ItP :Qt BUSINESS MINUTES n•r. [November 20, 1975 Nos Mr. Duvall explained that the radiologists had informed him that In addition to the originally approved project expenditures for x-ray equipment and improvements, the fluoroscopy room needed renovating at an approximate cost of $109, 000, After much discussion, however, they had agreed to postpone the purchase of a specials table for E. the special procedure room and substitute the 90/90 table. The special procedure roo would become a combination room also capable of fluoroscopic work. The breakdown # of the expenditures would be $145, 520 for the special procedures room, $13, 000 for the mammography room, $4, 018 for an automatic processor for the Operating Room. The bid of $45, 520 includes moving the tubes and other mechanical work with the equipment to bo relocated from room # 4 with the new Amsco table for cystoscoplc work and for moving Items from room N 4 to the new mammography room, Mrs. Simpson moved for 1 the approval of these expenditures; this was seconded by Mr. Henzler and passed by voice vote, I Mr, Duvall presented the Utilization Review report of 77 Medicare and 17 Medi- caid admissions and 27 Medicare and 8 Medicaid extended stay cases. All admissions and extended stays had been justified. Mr. Henzlor moved that the report be approved= this was seconded by Mrs. Simpson and passed by voice vote. The Nursing Audit of total knee. replacement charts was presented by Mr. Duvall, The committee had recommended better supervision of those participating in the care of patients and promotion of physical and emotional health of thepatlents on a'few of the charts, otherwise, they felt that the charts reflected good care, Mrs, Simpson moved i that the report be accepted: this was seconded by Mr, Henzler and passed by voice vote h ! Mrs, Simpson presented the Legislative Report and reviewed a recent article which had appeared in Trustee concerning the Department of Health, Education, and Welfare's pending ease over the validation of the Joint Commission on the Accreditation According acomditing procedures and ;whether or not these surveys are private, t g to the interpretation of public Law 82.603, HEW has the authority to evaluat JCAH's survey, She added that mart yy of the hospitals which had been deficient In the JCAH accreditation had not met the faro-safety standards; a high percentage of these hospitals, however, have already taken :.tops to correct the deficiencies, Mr, Henzler moved that the report be accoptedl this was seconded by Dr, Holladay and passed, There was a discussion of the draft of the goals prepared by Jim Carter, and Mrs. Simpson said she felt It contained some very, pertinent tnformatim , Mr, Henzler moved that the goals for the hospital as set forth In the document be adopted by the Board, Mrs. Simpson seconded the motion, and it carried by voice vote. Mr. Duvall announced that an otolaryngologist has stated that he will be moving to Denton to open a practice soon, This physician had responded to an advertisement whle was displayed at a spring stational convention held In Dallas for ENT specialists, This poster,has been reduced to lector-size and can be mailed to physicians who may be interested in moving to Denton. The meeting was nd journed at 8115 P. M. Respectfully submitted, George D, lloiladay, M, D. gm _ : A.ettrtg-.Chatrmart PIP lli a a M _ AAMiNIS'i',IfC~R..4g'L:s.__ s_ BU$INESS MINUTES n.~. November 20 1976 r,o. i ' i On 'T'hursday, November 13 we had the closing of the loans at the Denton County ' a f National Bank. At that time we received a chock for the Hill-Burton loan and the ched from the banks for the revenue bonds approved. f The renovation project is proceeding very nicely. The contractors are cooper- ative and are proceeding with full speed ahead, We are meeting weekly with the r architects and contractors, but we will probably not have to meet every week during I the entire construction. E ~ Specifications for the x-ray equipment were prepared and given to those people who desired to submit bids--namely, General Electric, Gilbert :{-Ray, Litton, and { 1 Kincheloe, Those bids were reviewed at the Finance Committee meeting on Monday evening. As you know, the Auxiliary Awards Event was held Ootober 23; the Employee Awards Dinner was held on October 30 with Judge Dan Trammell as the speaker. ~ L ~I One twenty-year pin was received, as well as two 16-year piney six 10-year pine, 11 I, eleven 6-year pine, and fifteen 3-year pins. A great deal of my time has been spent wrestling with the ambulance question. I spent most of my day today with Jim White, Dan. Trammell, and Bob Beare trying to arrive at an acceptable solution. We are meeting again. at 100 on Monday to try to f arrive at a solution. Respectfully submitted, Wallace L. `Duvall I Administrator Wt,brgm j j r II 1. _ it wa II 101 1 M 1tl1 bH tll . l V, it r u L11 arn:7~:eraI101P=1S 44eI :Z-Y~.iYC ~.:~u•_:!-L-r: O k A k 11H3vaxr_ ' Y ' itV V 1A . _ _ • rMW[n. ppLNiMI Nyp■ pppppp~(( RM .,Sitq r.'.V~ptl1w ~ M51F;gt YA!{F'FJ~ " S ~1 M .<n BOA,ID-p CUT, . - F'-Mak HOSPYT: BUSINESS MINUTES o•f• October 23 1975 Polo The Hoard of Directors of Flow Memorial Hospital met at 6100 p6 m# on Thursday October 23, 1975 with the Chairman, Dr, Charles H. Saunders, presiding. All other members were present, I. e„ Mr, John Carter, Mr, Robert Henzler, Dr, George Holladay, Mrs, Paul Simpson, aid Mr, A. J. Testa, Also present were Mr, Wallace Duvall, Mr, J, D. Elder, Dr, J, W. Holland, Mrs, Gloria Madewell, Mr. Don'Rlchey Mr, Lill Vokonas, and Mr. Dale Wagner, r Mr, Carter moved that the minutes of the previous meeting be approved as mailed; thls motion was seconded by Mr. Henzler and passed by voice vote. The election of officers for the new term was conducted b Mr, ~ y Duvall. , Mrs, Simpson moved that Dr. Saunders be re-elected Chairman and thanked him for his past faithful service to the Board, Mr. Carter seconded the motion, and f,. I ! Dr. Saunders was elected Chairman by acclamation, Dr. Holladay moved that Mr. Carter be re-elected Vice Chairman, and Mr. Henzler seconded the motion, Mr. Carter was elected Vice Chairman by acclamation. Dr. Holladay moved that Mr. Testa be re-elected Seoretaryi Mr, Henzler seconded the motion, and Mr. Teat' was re-elected by acclamation. The resolution commending Mrs, Byron Smith for her, past and future work with I the Foundation was distributed and signed, The resolution will be presented to her at the next Foundation meeting which Is scheduled for November 13, Mr. Carter read the minutes of the Finance Committee meeting, and the financia reports were reviewed, Dr. Holladay moved that the monthly financial reports be approved subject to the completion of the annual audit, This motion was seconded by Mr, Carter and passed by a voice vote. -Dr. Holladay moved that the bad debt charge. off amount of $18, 236. 90 and the charity charge-olf amount of $14, 758, 36 be approvedl this was seconded by Mr. Henzler and passed by voice vote. Tho proposed rate inoreailes were presented. Mr. Duvall explained that in 1974-76, expenses pnr patient day had risen from $123, 68 to $150.14, largely due to Increased salaries and inoreas utility, gas, and telephone rates. Mr. Wagner stated that the rates should not have to be raised for another year, Mrs, Simpson moved that the proposed rates be approvedi this was seconded by Mr. Carter and passed by voice vote, The rateg will be effective November 1, 1075, Mr, Duvall read the Joint Conference Committee's minutes and briefly discussed the proposed hemodialysis unit and the change In the Obstetrical Department's Mules and Regulations. Dr, Holladay moved that this report be approved= this motion was seconded by Mr. Henzler and passed by voice vote. Mr. Duvall then read the Administrator's Report and discussed his role in a public hearing in Austin. The newly formed Health Facilities Commission Is required to hold public hearings before the new Texas Health Resources and Development Law becomes effective, According to the certificate of need portion of the new law, there' can be no change of bed capacity or major change In services without an approved certificate of need. The law, Mr. Duvall explained, should prevent unnecessary and . costly duplication of equipment, Dr, Holland presented the Medical Staff Report, He suggested that a survey be , f done prior to F'low's acquisition of a dialysis unit to determine If there Is a need for ,:,+e.e,a IemPu, RReu leJUnrJU,+ei, I,,,tte INV CA , :ICi Ypy~, r % IT W W Bd 6'.!'.laH • R[yy/ ~><~.o-a .^1 N y M BOARD 011' D11iE1CT~' FLOW MEMORIAL HOSPTT4 BUSINESS MINUTES October 231976 r.9, two such units in Denton. He stated that three physicians had been suspended from the r medical staff, in accordance with the Rules and Regulations, because of delinquent I charts, lie also stated that he had served on a sub-committee from the Denton County Medical Society which had been meeting with a sub-committee from the Denton County Health Planning Council concerning ambulance service for Denton County. The sub- committees recommendation had been that the fire dep,irtment(s) provide the service for Denton County. Dr. Holladay moved that this report be approved; this was seconded by Mr. Henzler and passed by voice: vote. Mr, Duvall reviewed the minutes from the Utilization Review Committee and { stated that 89 Medicare admissions and 38 Medicare extended care cases had been justified by the committee. Also, 14 Medicaid admissions and 3 Medicaid extended care cases had been justified. Mr. Carter moved that the report be approved; this i was seconded by Mr. Henzler and passed by voice vote. The Nursing Audit Report was presented by Mr. Duvall. The Nursing personnel ( had audited pediatric gastroenteritis charts with most of their recommendations being for improved documentation on the charts, Mr. Henzler moved that the report be accepted; this was seconded by Mr. Carter and passed by voice vote, I The applications of Dr, Benjamin Hughes for Active Medical Staff privileges in radiology and Dr. Nicholas Schenck and Dr. Thomas Glenn for Courtesy Staff privi- leges in the Emergency Room were distributed' for review, Dr. Holladay moved that f Dr. Hughes be approved for Active Staff privileges; this was seconded by Mr. Carter and passed by voice vote. Mr. Henzler then moved that Dr. Schenck and Dr, Glenn be approved for the Courtesy Staff privileges to the Emergency Room-with Dr. Schenckls approval contingent upon his receipt of a Texas license. This was `L seconded by Dr, Holladay and passed by voice vote. III Mr. Duvall announced that an ENT specialist had Indicated that he would be +J+~ moving to Denton In June, and there is also a possibility that another ENT specialist I~ f will be moving here soon. Mrs, Simpson presented the Legislative Report and distributed a copy of a ~I synopsis she had prepared of an article which appeared in a recent issue of Trustee concerning PSRO, The article outlined the steps which a Kansas City hospitAi ok for internal audit, Mrs. Simpson stated that plow should set its own standards and not be required to be audited by an outside group, The PSRO regulations, she said, are to be effectlde January 1, 1976. Mr. Duvall, however, explained that some critor a have already been written and approved and are now In use by the Medical Audit i Committee, In other legislative matt'crs, Mrs, Simpson said that Senator Church has pro- posed a bill which would freeze the Medicare deductible at its present rate, thereby preventing it from being raised to the proposed $104, Also, there is a bill before Congress now which would raise the minimum wage on a graduating scale to $3, 00 oer hour by January 19781 hearings will be conducted soon regarding this proposal. Dr. Holladay moved that the Legislative Report be approvedi this was seconded by !j Mr. Testa and passed by voice vote. ''•tl p10 _ - NV, Itl,.l. Moab CO.. IL A;1b,1,11,.11 R,V,1G 14 U.11 f 130AR0 OF DIRECTC' . FLOW MEMOR[AL HOSPIT 'Af BUSINESS MINUTES o.i•_ OcjjtobgLL3, j 76 _ --,plot 3 The meeting was adjourned at 7; 00 p, m. , and the members of the Board of Directors were guests at the Auxiliary Awards Pinner. Respectfully submitteds A, J. Testa. Secretary gm i ;i t f i , I r iar. Y.ll• ~ lxnwur RUeu Ce, f~~nR,lu~1u1 'KAW11U?Vlr«a~:.v ndfhnvcwns '/.+4,4..,.««.M•«ti,... v i :aYSa~ 1r1111Y" Y»n P r ` A 'PORT ` ADMINISTRATOR'S TADMINISTRATOR'S ~a9. 1 BUSINESS MINUTES Data October 23, 1976, go On Monday, September 22nd, I presented oral testimony at a public hearing in Austin regarding proposed rules and regulations for administering the certificates of k i need portion of the new Texas Health Resources and Development law. Texas Hospital Association officials and other members presented written and oral testimony at the hearing. The final rules and regulations conform to the suggestions and recommendations made at the hearing by THA officials and members. , ~j As you know, I have devoted some time during this pas month to the evaluation of ambulance service needs and ambulance service proposals. The sub-committee of F f the Denton County Health Planning Council has recommended that the responsibility for ambulance service be assigned to the Fire Department with County involvement, too. I This recommendation will be made to the full Health Planning Council tomorrow, and I their recommendation will be presented to the County Commissioner's Court on Monday and then to the City Council(s). i j We have signed the renovation project contracts met with the general contractor and the major sub- contractors i and work will commence on Monday, October 27. 1 took a day of vacation last Friday and was privileged to speak to the graduate students in Hospital Administration at Trinity university last Friday morning, f + Respectfully submitted, 'I Wallace L., Duvall Administrator 1 I WLD1gm i I,JY:-.. . mii]...YIf~:bf '-tl c. i~Y /YL:u.1Y 1tc0,O C/,JI.YLJweq. E ~ feRUt„' r dAn 1 A:NSM.VY~ R31{aM HOARD OV D11{LC"11Qi S « 8USINESS MINUTES Dais September 18, 1976 r.y, 1 The Board of Directors of Flow Memorial Hospital met at 7;00 p, m, en Thursday, 5uptomber 18, 1076 in the Library with Dr. Charles Saunders presiding, All fiot{rd muthbers were present, including Mr, John Carter, Mrs, Geraldine Crawford, 'I Mr, Robert llenzler, Dr, George Holladay, Mrs, Paul Simpson, and Mr. Al 'l'usta. t AlHo present were Mr, Wallace Duvall, Mrs, Wilma Fritz, Dr, Joe Holland, Mrs, f Gloria Madowell, Mr. Don Richey, and Mr. Dale Wagner. , Ij Dr. !Holladay moved that the minutes of the previous meeting be approved as ~I mailed; Mrs. Crawford seconded the motion; and it passers by voice vote. Mr, Carter i moved that the minutes of the special meeting on August 27, 1075 concerning selection I~ of an auditing firm be approved; this was seconded by Mrs. Simpson and passed by voice vote, 1 Mr. '!'eats read the minutes from the Finance Committee meeting, Mr. Carter moved that the financial statements be approved; this was seconded by Mrs. Simpson and passed by voice vote, Mr. Testa moved that the charity charge off In the amount of $7, 060. 58 and the bad debt charge-off in the amount of $20, 941. 18 be approved, Mr. Carter seconded the motion, and the vote carried, Mr, Testa moved that the j minutes of the Finance Committee be approved; this was seconded by Mrs. Crawford and passed by voice vote. Mrs. Simpson read the minutes from the F'oundation's meeting. The 30070 attendance of the Foundation at their meeting, she feels, bespeaks the interest of the f members, She announced that the Foundation had hosted a luncheon for 0.11 of its past and present Board members and all persons or companies contributing amounts of $500 or more. Dr. Saunders added that the luncheon, he felt, was well received, i, Mr. Duvall read the Joint Conference Committee's minutes and discussed the ~I Hoed for physician recruitment. Dr, Holladay stated that a new ophthalmologist is ~j scheduled to open u practice in Denton soon, The "number one priority" is for an ENT u specialist. Mr. Testa moved that the report be approved; this was seconded by Mr. Flenzler and passed by voice vote, f Mr. Duvall continued with the Administrator's Report and stated that he expects the actual construction work of the renovation project to begin October 6. I Dr, Rolland presented the Report from the Medical Staff and discussed the need for code 00 resuscitation guidelines to be posted in certain areas of the hospital, in- eluding the nursing stations, the looker rooms In Recovery and the Operating Room , and the Emergency Room, This would be helpful for physicians, other than cardiolo- gists, who night respond to a code 09, Dr, Holladay asked Mr. Duvall to get some rlarificatiCa as to a physicians liability when responding to a code 09t id est, would Ittis come under the "good Samaritan law?" Mr. Henzler moved that the Report be approved; this was seconded by Mrs, Crawford and passed by voice vote, { j The Application of Dr. Charles 0, Lewis for active medical staff privileges in f pathology was distributed for review, Dr, Holladay moved that his application he approved; this was seconded by Mr. Carter and passed by voice vote. 141r8, Slmpsun moved that a resolution commending Mrs. Smith for organizing ant f plaiming the Foundelion's Recognition Luncheon be written and presented to her, II :}.1#11131, 1t0ROC3 'i Otis 1d 11. R33J1:~~~:. .~J.iv'.v. _..-'L'[S • .I i ..C-0 { N RgUUg R1 t, I„.1. O'M1'il M1 ' w ~ i 14NflWA® pUR I ~!:lY~Y9f BUSINESS MINUTES o...`TY"-- September 18, 1976 Pass 2 c Mrs. Crawford seconded the motion, and the vote carried, Mr. Duvall agreed to writ f the resolution, S The Utilization Review Committees minutes were presented by Mr, Duvall, He noted that 87 M ~d[care admissions and 27 Medicare extended care oases, as well as 2). Medicaid admissions and 2 Medicaid extended care cases had been favorably reviewed, Mr, Carter moved that the report be approved; this was seconded by Dr. Holladay and passed by voice vote. Y j Mr. Duvall presented the Nursing Audit Report of myocardial infarction charts h and noted the listed recommendations for improvement. Mrs, Crawford moved that th report be approved; this was seconded by Mrs. Simpson and passed by voice vote. I ~ Mr. Carter moved that the resolution stating that it is the intent of the hospital to issue revenue bonds for the loan portion of the renovation project be approved as written. Mr. Henzler seconded the motion, and the vote carried. f Dr. Saunders announced that the Board would, meet In special session on Monday, October 6, 1976 at 7x30 a, m. In the barge Private Dining Room for a breakfast meetin I for the final closing of the loan for the renovation project, j Mrs, Simpaon presented the Legislative Report, She stated that the American { Medical Association had sued the Department of Health, Education, and Welfare con- cerning the utilization review requirements. 'HEW, however, made an agreement-with the AMA to revise the admission requirements, She o4o stated thit the 8J% nursing differential for Medicare patients had ,0ookrolastAted, According to the,fresident of II the Texas Medical Association, the new malpr"tico tnsuranoq is,not working as ! intended and major legislation needs to be passed to alleviate the ;problem, his now insurance, Mrs, Simpson noted, is only for doctors or hospitals who have been turned down by two other Insurance companies, The TMA had indicated that a $600, 060 suit { limit should be Imposed and that the lawyers part of the settlement should be propor- tioned so that the patient gets the major part, Mr. Carter moved that the legislative Report be approved; this was seconded by Mrs. Crawford and passed by voice vote. Dr, Holladay discussed two bills currently before the (louse of Representatives, Ones if passed, would make' It easier for HMO's .to get started, He suggested that a study could be done to show the actual cost of such a program it all risk patients are con- f sidored. Another bill being introduced would require Congressmen to review all !I edicts In the Federal registry before they become law, Dr, Holladay urged the members to write their Congressmen in support of this bill, if they are so inclined, Mr. Testa presented an engagement letter to Touehe Ross and Company which would authorize them to conduct the 1974-1976 audit for the hospitals He addendum to the letter to indicate that the reporting suggested an ~ procedure. is to simultaneously report all confidential and financial information to the Board of Directors and to the f City and County, Dr, Holladay moved that the letter be.approved and mailed to Touche Rose with the addendum; this was seconded by Mr. Henzler and passed by I voice vote, Mr, Testa moved that Mr, Dale Wagner, the new Assistant Administrator for Fiscal Affairs, be authorized to sign checkel this motion was seconded by Mr, Carter and passed by voice vote, ' .rv N ul9 ~s1r:'4 ny-s+= -~:mzssasns+rc::zau:::m=.-::tears cr M i 130AilD O DCREC t 'I'QFi S . BUS NESS MINUTES o... September 18 1,976. Dr, Saunders announced that Judge Dan Trammell had.Informed him that Mr, Al Tusta and Mr. Robert llenxier had'been renominated to the Hoard of Directors by the Commissioners Court. i j There being no further business, tho meeting was' ad journed of 8;36 p. m. Respectfully submitted, I A, J, Testa Secretary r, ! gm t / r ,f ~ III li ' .Mt{a LLIIAIlOID!! IMHe, 1111YAIY - 't~~~=-'i-s•"~+- Igrrll it Y.11 rags: io, Wool can AN ORDER by the Board of Directors of the Denton County - N; City of Denton, 'texas, Hospital Board, authorizing 3 the issuance of notice of intent to issue bonds payable from net revenues, WHEREAS, this Board of Directors is of the opinion that the issuance of revenue bonds is vital to the completion of the financing plan for the planned hospital of the Board; and WHEREAS, the Board is given the power to issue revenue bonds under the provisions of Article 44941»l by following the provisions of said statute, now thareforet BE IT ORDERED BY THE BOARD OF D'IREC'TORS OF THE DENTON COUNTY - CITY OF DENTON, TEXAS, HOSPITAL BOARD- SECTION It The Chairman of the Board of Directors of the Dentonn o~L~ unty - City of Denton, Texas Hosppital Board is author- 1 ` ized and directed to cause a notice, In substantially the following form set forth in Exhibit A, to be published once a week for two consecutive weeks, the date of the first publication to be at least fourteen (14) full days prior.to the date set therein for consideration o the passage of the resolution authorizingg the issuance of such bonds, The form and content of such notice is hereby approved, S C IO Further orders are rarerved until the dote set in such notice for the consideration of the passage of the j, resolution authorizing the issuance of ouch r venue bondse PASSED AND APPROVED this day of , j 1975, i Chairman, oar'iT~of Di so~'o a, ' a Denton. County City of Denton, Texas, Hospital Board 4 ATTEST; i , JotLar oar c rec ors, Denton County - City of Denton, Texas, Hospital Board (Seal) I rn Mrr, ♦r..-ice.. i sAatn< Y t 'r A EXHIBIT A t NOTICE OF INTENTION TO CONSIDER ISSUANCE OF REVENUE BONDS NOTICE IS HEREBY GIVEN that the Board of Directors of the Denton Count City of Denton, Texas, H a ita1 Board will convene a ' t ,.~d o'clock, A,M,, on the day of Oc.!`e.~ , 1975, in the yow Memorial Hospital Buttg, Denton, eF"xa;"for the purpose of considering the passage of such resolution which ! may be required to authorize and provide for the issuance and j payment of revenue bonds in a maximum rincipa,l amount not to exceed $570,000 (in one or more series for the purppode of providing modern health care facilities, to-wits the improvement, enlarging, furnishing and equipping the Hospital System. The maximum maturity of such bonds shall be July 1, 2000. E ~ The bonds shall state on their face; The owner boreof shall never have the right to demand payment of this obligation from - taxes levied by the Hospital Board, I TO CERTIF WHICH, witness my official signature, this i day of 1975 , r '~`x-• L.f`~. ~~+c',s• rya. c;. i Win, Board of Directors, Denton County - City of Denton, Texas, HnepitaI Board i 4 q _ . I HKlW"? rVM'q pll4jWCp t ~lawxlp 1,6tt !AV?i W9 1'p2YR I tnrFYrSi:Ij1 : tIMK■$~11 , 9 ADMINISTRATOR'S iiEPOR'r BUSfNESS MINUTES September 18, 1976 P,q. 1 I A great deal of my time, as well as some other staff members, has been spent on the renovation project. We have continued our efforts to complete as much main- tenance work as we can before the renovation construction work begins, We have had several conversations with the bond counsel, Mr, Gilliam of the i State Health Department, and officials in the city and county concerning some of the detailed legal requirements involved In esst..'nbling the necessary documents for closing the loan. At a meeting with city gill county officials, local bankors, and the bond counsel on September 10, we were t..We to work out a change In the proposed language of the bond resolution which will give us a more favorable interest rate. On September 16, 1 received information that the Department of Health, Education, and Welfare had approved with some minor exceptions the proposed bond resolution. I anticipate that we will be able to sign the contract next week and complete the formal closing within two weeks. That means that the construction will begin on or about I Monday, October 6. { We are approaching the time when we need to make a commitment on some - I equipment in order to get delivery on the equipment to coincide with the completion of the work. We plan for the work to begin in the Cysto Room, therefore, we have evaluated the bids for the cysto table and have made a commitment to Amoco for the cysto table, at a cost of about $8, 800. 00. Amoco submitted a bid which was less than two other companies, and their table was the choice of the urologists. As sane of you know, there was a Recognition Luncheon for the Foundation on September 11 for those who had made substantial contributions to the Foundation. I believe that the luncheon was a success and that Mrs, Smith should be commended I' for,her efforts, j I As you are aware from reading the newspaper, the Denton Countq,Health Plannin Council has offered to study and make recommendations on emergency ArAbulance service. This offer was made to the County Commissioners, the Denton City Councils LJ I and the Lewisville City Council this week, and 1 expect the study to start'ii.imedlatefy, f I On Tuesday, September 16 1 attended a meeting In Dallas with members of the Texas Hospital Association Executive Committee and the Comprehensive Health Planning Committee to discuss the proposed rules and regulatione concerntng the ! certificate of need applications in Texas, The proposed rules and regulations contain some provisions that appoar to be more restrictive than the law Intended. Therefore, the Texas Hospital Association will prepare written and oral testimonies concerning I this for a hearing on Monday. Since i am the Chairman of the Comprehensive Health Planning Committee, 1 have been asked to make the main presentation at the hearing, After a considerable search for a controller or Assistant Administrator for I Fiacal Affairs and with Mr. Testa's assistance and the concurrence of the Finance Committee, Mr, Dale Wagner Aas been employed in this capacity, Mr, Wagner has had some excellent experience, and we anticipate that he will be able to make a contribution to the better management of Plow Memorial Hospital, . Respectfully ubtt~(i,~t`ed~ WLD:gm Wallace L. Duviiiil ,Administrator 's.Y•_"t!.., ..t «•YS.a~~ r.«.:-tr.~.W.de•.~ ~ ~.2z....-~_-...,....~.. lo,+ /.010 11M6110AW ,11011• to. 11f lit., 111lhall 111.11. It U 6 10 i M BOARD OF DIRECTO S, FLOW MEMORIAL HOSPITAL BUSINES5 MINUTES . c.l W iAul;us' 21 L8 _ _L - ~•y The Board of Directors of Flow Memorial Hospital met at 7;00 P. m, on Thursday, ( August 21, 1976 with Dr. Charles Saunders presiding, Also present were Mrs. a Geraldine Crawford, Mr, Wallace Duvall, Dr. George Holladay, Dr. J. W. Holland, Mrs. Gloria Madewell, Mr. Don Richey, Mrs. Paul Simpson, and Mr. Bili Vokonas. i Dr. Holladay moved that the minutes of the previous meeting be approved as mailed. Mrs. Crawford seconded the motion, and it was passed by, ,voice vote. i r~ Dr. Holladay read the minutes from the Finance Committee meeting. I( that the charge-off amount of $32, 180. 19 and the bad debt amount of $5, 879. 97e cued be approved. This was seconded by Mrs. Crawford and passed by voice vote, Dr. Hollad { moved that the financial reports be approved. This was seconded by Mrs, Simpson and i passed by voice vote. There was a short discussion concerning accounts receivable and the length of time betwoen billing a patient and receipt of payment insurance company, the individual, or Medicare/Medics d, It woted hatither the accounts receivable total is lower, though, than it has been. Dr. Holladay moved that ! the entire report be approved; this was seconded by Mrs, Crawford and passed by voice vote. k ( Mr. Duvall read the minutes from the Joint Conference Committee meeting and ! said that there had been a discussion concerning the proposed medical school at Texas 4 I Woman's University and the total cost to the patient per unit of whole blood, br. Holladay moved that the report be accepted; this was seconded by Mrs Crawford a and passed b voice vote 1 ~ I ~ Y , ii Mr. Duvall presented the Administrator's Report and announced that the Denton f Record Chronicle is planning to publish a supplement in their August 31, 1976 news- paper in conjunction with the hospitalls twenty-fifth anniversary. Dr. Holladay moved that this report be accepted, The motion was seconded by Mrs, Crawford and passed by voice vote, I i Dr, Holland presented a report from the medical staff. He stated that he distri- bution of the newly revised dies ster plan had been postponed until he can check with Westgate to see if there fire any conflicting scheduling of physicians in the plan. `Ile F discussed the proposed ;easing of emergency ambulance servfoe in Denton scheduled for December 13 and r,)me possible' alternatives to the funeral homes' plight. Dr, Holl day moved that this'ri~port be acceptedi this was seconded by Mrs, Crawford and passed by voice vote. r The applications for Emergency Room privileges of Dr. Hugh R. Poindexter, Dr. Malladi R. Sastry, and Dr. Thomas E, Steffen were distributed for review, Dr. Holladay moved that they be approved for the privileges requested; this was seconded by Mrs. Simpson and passed by voice vote. A resolution was presented which stated that it is the intent of the Board to award the contract for the renovation project to the low bidder, Dr. Holladay moved that the resolution be passed; this was seconded by Mrs. Crawford and passed by voice vote. .,pother resolution' concerning the financing of the cost of construction exceeding the past 0.4 Is rM+na,pIMM CM. AA rre, u.ueu ITOYAIY f y Zr'DIRI,C!TnRC nO~L~A S TAL.... ESS MINUTES Dole Augus t 21, 1978 grant, IIEW Ioan, and Indicated local funds by the issuance of revenue rage I icate of obligation bonds was presented, Dr, bond ds or 2 roved, The motion was secondnoey d y Mrsials, hCrawford and passedaby vo# a voteton 7tha uvall said that Ehe city and coufficad indicated that the additional ing for the project should be handled by the hospital, He added that the f tes in the low bid had been accepted, too, ive r. Duvall presented the Utilf: ation Review Committeeis report and said that 107 re admissions and 38 Medicare extended stay cases had been reviewed, Also 13 id admissions and 'one extended stay Medicaid case had been reviewed, All had vorably reviewed by the committee. d] this was seconded by Mrs. Simpson Mrs. Crawford moved and passed by voice vote. the report be There was a discussion of using the extra beds in the hospital as skilled nursing ✓ beds, Mrs, '1,mpaon Indicated that there was proposed some funding for rural hospital to use beds for skilled nursing, Dr. Holladay, however, said he felt we were elassifie as a metropolitian hospital and would not qualify for the funds, Texas Hospital Association had applied to the Department of Health] Duvall said that th Education, and Welfarkt foie this purpose, and poselbly after our renovation is co couli 'A- used for skilled nursing, mp eted, our extra bed Mrr, Duvall presented the Nursing Audit report and said that 10 pediatric gastro- enteritis k%114rts had been audited and were all In fine shape, ! nursing staff is doing a very thorough audit of the charts severally, he said, the j ° this report be aeehpted# It was seconded b Mrs, Mrs. Simpson moved that and Dr. Saunders asked what the status is of the infection ~tn the Nursery. by Mr. Duva voice vote, explained that there hod been five cases of a virus infection within two weeks last lmonthl there has only been one case since that time and I~ t was apparently unrelated to the firs Mrs, Simpson presented the Legislativn Report, She said that the federal district court filed a permanent injunction from eliminatin g the 8. 8% nursing differential for Medicare patients, She said that hospitals and physicians are being urged to together to solve common problems. She also d iscussed a proposal from Medicare which would cause pharmacists to dispense the least expensive o we like generic drugs to Medicare Patients. The cost of setting up such a law and the governing agency would cost, though, $88 million, Dr, Holladay added that there to a serious question of the biological equivalency of generic drugs, ! insurance news and said that the Insurance Commi ission hascapproved some ra es for e i physicians and hospitals, Mr, Duvall added that the Texas Hospital Association has established a non-profft Insurance 'company. Although this new compady has not i released its rate lfat, he feels that their rates may be cheaper than other companies. Dr, Saunders announced that Mr, Duvall had been advanced to the .Fellowshi degree in the American C011e401of'Hospital Administrators and congratulated him on I this honor. 1 There being no further business, the meeting was adjourned at 8:20 F m j p , i Respectfully submitted, l gm ,e,rr.rf~ A, J, Testa, Secretary P. _ /,fFfle 1116.1.1. n>rN ylq r MUM 'A I30AR1) ON'DIREC1'ORS.-Special Meeting K• : Y.._-R ._.3.:t...3+-moaYelfAtn. .a:A~^v.->L~sFrJS;v-_:a.n:a---•-_- BUSINESS MINUTES August 27, 1976 _ i,qe ~ . The Board of Directors of Flow Memorial Hospital met in a special called meeting on August 27, 1076 with Dr, Charles Saunders presiding. Others present were Mr, John Carter, Mr, Wallace Duvall, Mrs, Wilma Fritz, Mr, Robert Henzler, Dr, Goorge Holladay, Mr. Don Richey, Mrs. Paul Simpson, and Mr, A. J. Testa, The Board of Directors met to discuss and act upon the request of the Finance Committee to consider a change of auditors for the upcoming audit for f[scal year ending September 30, 1076, The firms present to present proposals to serve were Peat, Marwick, Mitchell and Touche Ross, Representing PMM were Mr. Albert H. Cloud, Jr, and Mr. Robert W Lambert. Touche Ross was represented by Mr. Paul Higgins, Mr. Clem H Sleme , ~ and Mr. Sam Rhodes. Both firms presented a history of their respective firms and E proposals for an audit for Flow Memorial Hospital and stated that even with the time o' ` elemont being short, both were prepared and adequately staffed to perform an audit. F ;i Following a discussion on qualifications of both firms, Dr. Holladay moved that. Flow Memorial Hospital inform Coopers and Lybrand that they would not be engaged to perform the upcoming audit and that Flow Memorial Hospital engage the services of the firm of Touche }toss, This was seconded by Mrs. Simpson and carried by voice vote with Mr, Testa abstaining, The meeting was adjourned at approximately e130 p.m. J Ito pecIfu11 submitted, r A. J. Testa Secretary i f I ' l,l. D31N 14,bll1C Mn0.. t0,. H.rfb IIIIMN. IrHrlaHUlr r ,R ADMINISTRA'TOR'S REPORT BUSINESS MINUTES August 21, 1975 r,9e 1 I As you know, the bid opening for the modernization and renovation project was scheduled for 2:00 pl m, Tuesday, August 12, 1975. We were pleased that Dr, Saunder was able to attend the bid opening. Since the details of the bidding, as well as the financing of the project, are covered In the h'inanee Committee's Report, I will not need to duplicate that information In my report. We are continuing the process of { assembling required information for the closing of the loan and expect to be able to E award the contract within the next 3-4 weeks. In the meantime, our Maintenance j personnel are continuing their work to prepare for the beginning df the project con- struction. i i was pleased that Mrs. Simpson invited me to attend a reception for Congressma Ray Roberts on Wednesday, August 13. As you know, Congressman Roberts and his staff have been very helpful to us. We have a committee that is working diligently on the 25th anniversary activities, Mrs. Simpson and Mrs, Byron Smith' have been kind enough to meet with this committe Roy Appleton, III and other Denton Record Chronicle staff members are working diligently on a special section for the Sunday, August 31st edition, As other plans are J formulated to highlight events, we will report them to you. Respectfully, + i Wallace' L. Duvall Administrator WLD:gm t i I•..no111 .,lu nu b o.r co. Al W% nu.nn _ 14.nn tNVll i r~... 6 i4WU>: ~YIWI wkSNy4y~ r M BOARD OF DIRBCT,^,S i BUSINESS MINUTES Date Ally 24, Y 975 Pegs 1 The Board of Directors of Flow Memorial Hospital met at 7;00 { July 24, 1975 in the Library with Dr, pt on Thursday,) Y Charles Saunders, presiding, Other directors ~ present were Mr, John Carter, Mr, Robert Elenzlor, Dr, II I, I Simpson, and Mr, A. J. Testa, Also present were Mr, loo George ton 111, , Mrs, fall iMiss Roz , j Baker (Dallas Blood Center), Mr, Wallace Duvall, Dr. J. W, Holland, Mrs. Gloria ells Madewell, and Mr. Don Richey, I I The minutes of the previous meeting were reviewed, Dr. Holladay moved that they be approved as mailed; this motion was seconded by Mr. Henzler and passed by voice vote. ! Mr. Testa read the Finance Committee's report, including a report of cial statements and the proposed Deferred Como the tor. finan- Mr, Testa moved that the, contents of the report bo accepted; this motion was sseconded by Dr, Y Holladay and passed by voice vote, Mr. Testa moved that the Bad Debt amount of $11, 206.69 and the Charity amount of $24; 599, 20 be approved; this was seconded by Dr. Holladay and passed by voice vote, Mrs. Simpson read the minutes from the Pounda+ion's meeting and their approved I amendment to the bylaws, Mr. Henzler moved that this report be accepted, It was seconded by Mr. Carter and passed by voice vote. Mr Duvall moved thatthis report beeaccept d. Dr. iiHolladay seconded the motion, and the vote carried, the vote Mr. Duvall pvesented the Administrator's Report and favorably reported on the nurse aide class which had just been completed and stated that another one is scheduled to begin soon. Dr. Holladay moved that the report be accepted; this was seconded by Mr, Carter and passed by voice vote, i Dr, Holland presented a report from the Medical Staff and read the minutes of the last Executive Committee's meeting, He said that he had appointed a 1316od Dank Committee which had met this week and approved a statement of the status of blood procurement (pro Dallas Blood Center), Dr, Saunders introduced Miss Baker from the Dallas Blood Center and asked her if thoDallas Blood Center would have 100% volunteer donors, Miss Baker replied that they would have this by January 1, 1976. She also answered questions concerning blood Inventory and minimum number of persons requir I for a mobile drive, She stated that their next step is to set up a' local Board of Director for the D'ehton County Blood Batik. The target state for opening this new facility is September 15. The blood bank's hours of operation will depend 'upon the donor demands E j She emphasized that none of the hospitals which the Dallas Blood Center serves has had I to postpone any elective surgery because of unavailability of blood, Four medical audit reports Were p><~esentedi` acute myocardial infarction; acute bronehYtis; laryngo- E traeheitie, and upper respiratory Infection in children 13 years and under; appendectonn i and eholecysteotoMy, 1)r, Holladay moved that'the Medical Staff Report , inoluding the Statement Pertaining to the Status of Blood Procurement" and the four audits, be accepted; this wab seconded by Mr. Carter and passed by voice vote, p :r gi{,N.c !Y r ppp~~~rrryyyNY:rvY ML I 1~p~~DCTO~""'t ~ BUSINESS MINUTES Deis Jul 2,M 1975u . P,ya Y~ The application for the Medical Staff with privileges limfted tor.th Teesta staergmoveeecyd Room of Dr, Richard M. Watkins was distributed and reviewed, M that this application be approved; the motion was seconded by Mr. Henzler and passed by voice vote, I Mr, Duvall presented the Nursing Audit Report in which diabetes charts had been examined, He Indicated that proper followup has been done on all charts needing attention, Mrs, Simpson discussed the slowness of physicians recording diagnoses on charts, thus slowing down insurance payments to the hospital and ab ents . D responded P r, Ho that through the efforts of Mrs. Linda Brown, Director of Medical Records, along with a letter and personal calls by him to physicians having delinquent charts, all charts had been brought-up to date as of June 30, He added, however, that this is a continuous problem, Mrs. Simpson presented the Legislative Report and outlined the suit which the American Medical Association filed against HEW concerning the nursing differential for Medicare patienta, She also discussed the malpractice act and noted that of the i 84 hospitals covered under the Argonaut Insurance Company, 49 have had their rates raised Without the 90 days notice required by the Insurance Commission, of the rising cost of malpractice insurance fo A discussion ~ for physicians and hospitals followed. Mr, Carter moved that the Legislative Report be approved; M this was seconded 'b r, Henxler and passed by voice vote. Y Mr, Testa moved that the Board reaffirm their approval of "The Patients' Bill of Rfghts, which is published by the American Hospital Association, this motion F was approved, The "Policy Pertaining to Bargaining with Employees Through Representatives or Third Parties" was presented, Dr. Holladay moved that this be approved, The motion was seconded by Mr, Henzler and passed by voice vote, Mr. Testa presented a framed document from the Amigos de las Americas commemorating Flow Memorial Hospital for its assistance in their training program, This will be displayed in the hospital, There being no further business, the meeting was adjourned at 8:I5 p, m, Respectfully submitted, A, J. Testa Secretary i , r e4: • M1NMH -10 t ~/.C YKl7Y ADMINISTRATOR'S 'PORT lhlUTES July 24, 1975 you know, we received permis.?ion to advertise for bids for the renovation ► 131d notice was placed In the newspaper on July 3, 4, and 5, 1975 with a bid opening date of 2;00 P. m, August 6, day that nine people had picked u 976' The architect informed rnd thers had Inquired about the So.. p we and specifications from his office newspaper gave us the usual fine coverageeon the stat islofeouro renovation i good ever uly 1, we received the obstetrical delivery table, Needless to say, yone is pleased with the new table, On July 11, a twelve week nurse aid training the hospital under the auspices of the North Texao Tray in a was completed here at We were able to hire eleven graduates of that course, Due g to nd the e need ucation erally for nurse j aides In the county, another course is being offered by the North Texas Training and Education Cooperative, } We are continuing to prepare for the beginning of the renovation project, The i! f of the new developer f bthe uilding St. Pawls building has been occupied with the opening ~ 1 I able to devote his time to our project. He has promised mel that he will concentrate, f on our project next week, i }I Respectively submitted, Wallace L,, Duvall kiminiatrator j WLDtgm I r i ` /161• t,•......__._._ II •"'-I~-'' '"'r".°". .a.:. . /NIIILILII I'r1101i C0,. /IN/M1Ltq.11 ~4 . . //UItNIY 1,. t t° 1 w( i yiHq?II "ol a1 r _n Old "J ~y=..~1QltI~-L~?f=!_ 4<: BU,$)NESS MlNL)TES Dafe une 19, 2076 Pag• t j The Board of Directors of Flow Memorial Hospital met at 7x00 p, m, on Thursday June 19, 1976 in the Medical Library with Mr. John Carter, Vice -President, presiding Other Board members present were Mrs, Geraldine Crawford, Mr. Robert Henzier, Dr. George Holladay, Mrs. Paul Simpson, and Mr, Al Testa, Also present were t Mr. Roy Appleton, III, Mrs. Rozelle Baker (Dallas Blood Center), Mr. Bill Briscoe (Wadloy Institute), Mr. Wallace Duvall, Mr, Gene Hartman (Knights of Columbus), Dr, Norwood Hill (Wadley Institute), Mrs, Wilma Fritz, Mrs. Gloria Madewell, Dr, William Mldgett, and Mr. Bruce Woods (Denton Jaycees). The minutes of the previous meeting were reviewed by Mr, Carter, and there 1 were no additions or corrections to the minutes. Dr. Holladay moved that the minutes i be approved; this motion was seconded by Mr. Henzler and passed by voice vote, Mr, Testa presented the Financial Report and noted that the balance sheet shows j that p'low's liquidity continues to Improve, Mr. Testa moved that the charge -off total of $23, 894, 23 and the medically indigent charge-off total of $6, 489, 800 as well as the financial statements, be approved. This motion was seconded by Mr. Henzler' and passed by voice vote. Mr. Duvall presented the Administrator's Report and announced that we have (j finally received approval of IYEW for our renovation project, He also talked about the proposed professional building, Mrs. Crawford moved that this report be accepted; It was seconded' by Mrs. Simpson and passed by voice vote, Dr. Mldgett gave the Medical Staff Report and distributed the applications for the Medical Staff from Drs, Flanagan, Jackson, Kelly, Henderson, Pena, Spencer, Thomas, and Wiley, which have been recommended for the below listed privileges f by the Credentials Committee and the Executive Committee of the Medical Staff; Active Staff— I Gerald Patrick Flanagan, D. O, , General Practice Gregory Lawrence Jackson, M. D„ Pediatrics I Roger..8ugene Kelly, M. D. , Internal Medicine and Nephrology (pending receipt of Texas license to practice medicine) f Horacto Pena, M. D. , General Practice John Saul Spencer, M.D., Internal Medicine and Cardiology (pending receipt of Texas license to practice medicine) Thomas Joseph Thomas, M. D. , Urology Arthur Sloan Wiley, D. O„ General (Family) Practice Courtesy Staff— Mary tonne Henderson, M. D. , Dermatology Ur, Holladay moved that these applteation.~ be approvedi this was seconded by I Mrs. Crawford and passed by a vofoo vote. Dr. Holladay moved that the Medical Staff Report be accepted; this was seconded by Mr. Testa and passed by voice vote, Mr. Duvall presented the Utilization Review Committee Report noting that thirty Medicare and five Medicaid charts had been approved, Dr, Mldgett exple..1ned that Flow's physicians have been doing utilization review since 1086 and had started doing I Pet" a's1B ,:ti•- IxnNr.+v Aueu to,, Ic+ar+, It i+en 4 ~ III+IID IM V., BOARD OT` DIR ~ u IJCTORS, FLOW Mn, MORIAL HOsinTAL BUSINESS MINUTES oats June 18, 1976 „r. pays 2 these reviews to comply with the Medicare law. Mrs. Simpson moved that the Utiliza- I{ tion Review Committee Report be approved; this was seconded by Dr, Holladay and I passed by voice vote. Mr. Duvall discussed the Nursing Audit Report and stated that Nursing personnel had reviewed seven trauma charts, He added that Mrs. Jenkins plans to expand this audit in the future to include a "live" audit, I. e., not only audit of documentation on i charts but also an audit of actual nursing care. Mr. Henzler moved that this report I be accepted, this was seconded by Mrs, Crawford and passed by voice vote. Mrs. Simpson presented the Legislative 'Report and said that Medicare, in trying to reduce its costs, is trying to discontinue the 8J% nursing differential; this proposal in still in litigation, however, Dr, Holladay discussed the two malpraetice Insurance bills which are before the Texas Senate. One of the bills provides for a joint under- writing commission, and the other imposes a two-year time limit for filing a clvim-- except for children, in which case the time limit is 8 years, Mrs. Crawford moved ` k that this report be accepted; it was seconded by Dr. Holladay and passed by voice vote. I Dr. Hill from Wadley Institute and Miss Baker from the Dallas Blood Center briefly spoke about their respective blood banks and their proposed plans for establish.. ing a blood bank in Denton. They also answnred questions from Mr, Hartman and Mr, Woods, who were concerned with what would happen to their organizationst blood { drives if either Wadley or the Dallas Blood Center open a Denton facility. An endorse- ment of a blood bank proposal is still pending. i There being no further business, the meeting was udjourned at 8i 16 p, m. Respectfully submitted, A. J, Testa Secretary gm l I f INFI,<4F1'AI,a RC ~O IUHFII .r / ' IIF.O 'MIF❑FIFV.. ■ f BUSINESS MINUTES Dale June 18, 1978 Page 1 After many months t y s of waiting, complying with new requirements, and wonderin whethor the bureaucratic process would ever run its course, we finally received offictal HRW approval of our renovation project, This Information was given to us by telephone from Congressman Ray Roberts and then by letter from HLW's Regional Office In Dallas and the Hill-Burton office in Austin. The architoct has responded to the comments made by the officials in the Hill-Burton office during this review of the detailed plans and specifications, We are awaiting approval of the architectfs response and the'permission to advertise for bids, Our Maintenance Department personnel continue to make as many modifications as possible to keep the cost of the project down. As you have noted, the average daily census for the month of June has been much better. than the month of May. Historically, the average daily census has been less in the month of June than it was in the month of May. Out-of-town medical meetings, as well as doctor's vacations and vacations of tither people in the community, probably caused this low figure for May, With the anticipated arrival I of three new phyaw(ans,the first of July, perhaps our census picture will change again. T have talked with several people about our Professional Office Building. Since the word has spread, several have inquired about the building, 1 believe t [ thgt we are approaching the magic number of 3016 tentative' commitment of the leasable space. Paul Thompson, the developer, Will be in Denton tomorrow to talk with prospective tenants, Our personnel situation seems to be stablixing somewhat. This is related to the semesters beginning again, but credit must be given to the positive influence and resourcefullness of our new Director of Nursing, too, i Respectfully submitted, r Wallace Y Duvall Administrator WLDigm , 1eI„8616 . rxuw.,r AMAOC01. IQIN14, M INN$ p s ^ BOARD ,Ole DIRECTCa a` BUSINESS MINUTES Us J May 220 1975 Page 1 4 The Board of Directors of Flow Memorial Hospital met at 7:40 p, m, on Thursday, May 22, 1975 in the 23oard Room with Dr. Charles Saunders presiding, Other director, present were Mr, John Carter, Dr. George Holladay, Mrs. Paul Simpson, and Mr, A. J. Testa, Also present were Mr. Wallace Duvall, Dr, J. W, Holland, Mrs, Gloria Madeweil, and Mr. Don Provost, Mr. Testa moved that the minutes of the previous meeting be approved as dis- tributed, this was seconded by Mr. Carter and passed by voice vote. r i Mr. Testa read the Finance Committee minutes, He added that he had received f the mentioned letter from Coopers and Lybrand outlining the deferred income plan. This plan will be mailed to the members of the Finance Committee before their next meeting, Mr. Testa moved that the Finance Committee minutes be approved; this was seconded by Mr. Carter and passed by voice vote, Mr. Testa then reviewed the financial statements and stated that the hospital had Incurred a loos of $822 for the month of April, with a $40 700 loss for the first seven months of the year. He applauded the admirable job being done in collection of receivables. Mr. Testa moved that the financial statements be approved; this was seconded by Mr. Carter and passed j by voice vote. Mr. Testa moved that the charity and bad debt amounts of $8, 957, 27 and $21, 081, 52 be approved] this was seconded by Mrs. Simpson and passed by voice vote. Mr. Provost distributed the changes made to the 1975-78 budget and explained that the changes reflect the suggestions from the Finance Com ittee. Mr. Testa moved that the revised fiscal year 1975.70 budget, I. e, , "proposed Operating Budget and Cash Requirements, " "Proposed Operating Budget Salaries Detail, " and "Capital k;xpenditures; Budget, " be presented to the City and County no later than June 1, 1975. This motion was seconded by Dr. Holladay and passsd by voice vote. At some later data, if needed, a meeting with the City and County can be called to discuss the budget. Mr. Testa moved that the financial report as,a whole be approved; this was seconded by Dr. Holladay and passed by voice vote. Mrs. Simpson read the 11 oundation minutes, Dr, Saunders asked that a report of the utilization of the new Nadi-camera be ready for the next Board meeting. Utili-' nation of the xeroradlography machine was discussed. Mr, Duvall explained that the profit from the mammograms helps to balance the deficit in other departments of the hospital. MX. Provost added that the profit made on the mammograms is not as high as the number of mammograms performed might indicate because of the indirect costs j for personnel, room, supplies, etc. Mrs. Simpson moved that the minutes be approved as read; this was seconded by Mr. Carter and passed by voice vote. Mr. Duvall read the Joint Conference Committee minutes relating what had taken place at the Executive Committee meeting. Dr. Holladay moved that the minutes be approved as presented; this was seconded by Mr. Carter and passed by voice vote. Mr. Duvall read the Administrator's Report discussing the renovation project and National Hospital Week. Mrs. Simpson moved that the report be accepted; -this was seconded by Dr, Holladay and passed by voice vote, Dr. Holland presented a Report from the Medical Staff and said that at the Tues- day medical staff meeting a motion had boon passed concerning medical audit. The motion stated that the different departments, 41. at surgery, medicine, eta., would be responsible for writing their own audit crlteria'to be presented to the Executive ._~'t .-_...r_ ~'Ei'~LL:'_~'~'..~'1'.YS~..C.•~_Yt-.`~...~..~.. __.~-.G~_..._....~.. ,±~.~.Y. '~:S~:L" Ji..w .s t...µ rnln\-r. .:,..;..1 . _.....VM.\I/IIh1V:IM1.M1(/AI.IIIh 1111A'll... IIIFIII 1.11./. ~.,r I MNAIM.•.~ Wqt " BOARD Or DInECTC"`~ I _ f BUSINESS MINUTES D616 _ May 22, 1975 page 2 Committee for approval, This procedure will be followed at both Westgate and Flow. ` There was a discussion concerning the inadequate staffing in the Intensive Care Unit. { Dr, Holland stated that he had talked with an employee from ICU who felt that, in I addition to the main problem in ICU of inadequate staffing, there had not been adequate on-the-job training for Q years, On-then-job training, she felt, is a very important factor in training and stimulating the personnel in ICU, Mr, Testa expressed his concern over this problem and said that we need to take definitive action to alleviate j the problem, Mr, Duvall stated that, in addition to advertising for personnel, he is f contacting persons who may know of available personnel. It is hoped that Dr, Spencer will provide some on-the-job training and will help solve some of the morale problems. Dr. Rolland said that Dr. Yord's suggestion of hiring a third-year resident to provide o on-the-job training on a once-a-week basis is well worth considering, Dr. Holladay added that possibly training sessions could be combined for the personnel at Westgate and Flow, Dr. Holladay moved that the Report of the Medical Staff be accepted; thin l was seconded by Mr, Carter and passed by voice vote. i Mrs. Simpson commended Dr. Rolland for his ability as President of the Medical Staff and added that he is doing a fine job. Mr. Duvall reviewed the Utilization Review Committeo's report listing 34 Medicare and 16 Medicaid charts which had been reviewed, Dr. Holladay moved that this report be accepted; it was seconded by Mr. Carter and passed by voice vote, Mr. Duvall reviewed the Nursing Audit Report, wherein 10 congestive heart failure charts had been audited. Mr, Carter moved that the report be approved; this was I j aeconded by Dr, Holladay and passed by voice vote, Mrs. Simpson presented the Legislative Report and asked Dr. Holladay to review the proposed malpractice act, lie stated that there are three different bills--(1) dealing with a ward limitation, (2) dealing with premium rates and contingency fee basis, and if (3) dealing with a joiut underwriting pool. He briefly explained each. Since Governor Briscoe has declared this an emergency, Dr. Holladay feels that some malpractice act will be passed by the 64th session, Mrs. Simpson reported that the HMO bill had been passed and signed by the Governor. She explained some of the compromises to the H132104 which is now awaiting the Governor's signature, She noted that all states, ex- cept California, have submitted their health services area plans, Dr. Holladay moved that the Legislative Report be approved, 'i'bis motion was seconded by Mr. Carter and passed by voice vote. Dr, Mrs. Simpson moved that the applications for Emergency Room privileges for Phillip Committee Oakes d the Dr. Peter Zidd, which have been Epproved by both the Credential Executive Committee of the Medical Staff, be approved. This was seconded by Dr. Holladay and passed by voice vote. - There being no further business, the meeting was adjourned at BAO p, m, I Respectfully submitted, E A, J. Testa, Secretary gm r.O nln ._.e:~:r.-r_ .v ^.r^-. ._s- x:r-•:saa _..>~..rtr-- _.._._r r .ou. r.......,. . i.n r,. yrY Irw I. N.\',4'7P IPil BOARD OF DIRECTORS, FLOW MEMORIAL II01WYTAL BUSINESS MINUTES April 24, 1975 Page I The Board of Directors of Flow Memorial Hospital met at 700 p, m, on Thursday April 24, 1975 with Dr. Charles Saunders presiding. Other Directors present were y Mr, John Carter, Mrs. Geraldine Crawford, Dr. George Holladay, Mrs. PaulSimpso 4 and Mr, Al Testa. Others present were Mr. Wallace >Duvall, Mrs. Gloria Madewell, Mr, Don Provost, and Mr, Don Richey. Immediately preceding the meeting, a demonstration was given by Dr. Alex s Finlay and two representatives from General Electric concerning the new Radicamera, Y f the nuclear medicine equipment which has been recently installed at Flow Memorial Hospital. Some poloroid pictures of example now studies done with the equipment were shown, and the Radieamerals capabilities were explained. Mrs. Crawford moved that the minutes of the March meeting be approved as j mailed; this was seconded by Mr. Carter and passed by voice vote. Mr. Testa reviewed the financial statements noting that the hospital had lost $69, In March. He noted, however, the high percentage of collections as 91% fo'r year to .i date and 95% fnr the month of March, Mr. Vesta moved that the financial statemomts . be accepted, This was seconded by Dr. Holladay and passed by voice vote, Mir. Tes r moved that the Bad Debt amount of $23, 312.52 and the Charity and Medically Indigent Charge-Off amount of $16.734.46 be approved. This was seconded by Dr, Holladay I and passed by voice vote. Changes in the patient account procedures were discussed. It was suggested that an appropriate method. be devised for identifying any VIP patients, i, as patients with r` good credit ratings, so that they1will not have to comply with the ordinary requirement i, concerning deposits,'' etc, Mr, Testa moved that the financial report as a whole be ,c t approved, This was seconded by Dr, Holladay and passed by a voice vote, z Mr. Duvall read the Joint Conference Committee report and noted that Dr. John >F Spencer, an internist from Chicago, has decided to open a practice in Denton arriving , about July 1, 1976. ' 'Or, Holladay moved that the report be accepted; this was seconded by Mr,, Carter and parssed by voice vote. 1. r! Mr, Duvall presented the Administrator's Report and discussed the impending approval to advertise for bids for the renovation project and the utilization review plan which was submitted to the Texas State Health Department. Mrs, Simpson moved that the Hoard accept this reports this motion was seconded by Mrs, Crawford and passed l by voice vote. 7 17r, Holland presented the Medical Staff Report and discussed the fact that the tW ;i medical audit oriterlas which had been presented to the Medical Staff at their meeting this week had not been approved. Even though the criteria would be used for internal audit, there is a feeling of apprehension among the physicians that this information could be at some later date subpoened, Dr, Holladay stated that he had been advised that if we don't participate with HEW, they will formulate the review procedures, and j' the hospital will still be paid for Medicare patients. Mr, Duvall, however, stated that he was told that the hospitals would lose Medicare money if they do not comply j I ! ,NA Y.~~/ M11111AMU AI</AIlOu 11RAO.IIII,a{ IRI.II, ItlY LL// L ~ 1 -woo w 1 gnaw-: 191 q%aFU+rA ' Y 4 . ARD OF D1 Q BUSINESS MINUTES rin 1 24 197b y;. with the specified review procedures. A discussion followed concerning whether quality of medicine is assured when employing utilization review or whether the high cost of,funding utilization review is economically practical to-seek out the small i; amount of fraud in the medical profession. Mr. Duvall stated that retrospective auditing is a requirement for accreditation for the hospital, There is, however, a "fear" among physicians concerning what will become of utilization review records and that requiring utilization reivew is another step toward government's control of rnedicin j Mrs. Cruwford moved that the Board accept the report of the Medical Staff; this motion i was seconded by Mr. Carter and passed by voice vote. Mr. Duvall read the Nursing Audit Report in which 10 myocardial infarction chart } had been reviewed by pursing personnel, The report indicated that there was a need for better documentation of doctor's orders and action is being taken. Mr, Carter, moved that the report be accepted; this was seconded by Mrs. Crawford and passed by voice vote. I Mrs, Simpson presented the Legislative Report and discussed the health planning agencies provided for in Public Law 93-641. She noted that the Texas Medical { i Association endorsee the proposal to have the health planning agencies under the 1 auspices of the State Health Board, and that the Governor endorses a plan to place the health planning agencies under the auspices of a three-man commission, Dr. Holladay moved that the Board accept this report; this was seconded by Mr. Cai-ier and passed by voice vote. Dr. Saunders announced that a noon meeting has been scheduled to brief the new City Council members on the renovation project. Mr, Duvall is scheduled to meet i with the County Commissioners this Monday to discuss the mechanics of the loan for the project, Mr, Duvall announced that the Loan Consultant from the State Department of Health had been in Denton yesterday and had met with Jim White and Dan Trammell ' concerning the mechanics of the loan, There was some discussion concerning who would hold the bonds. Mr, Testa said that we need to find out what the requirements 'f are concerning the bonds from the Department of 'Health, Education, and Welfare, and then a decision concerning the holding of the bonds should be dependent upon the re ( quireihents of HPIW, 1 } t Mr, Testa announced that the Denton Chapter of Amigos de las Americas extends jj their appreciation and thanks for the use of facilities and personnel time needed to train their 23 morbbers who'will be, going to Central and South America this summer for the 1 thnoculation program. He announced that the ArAigos have engaged Justin Wilson for May B for a program and have richeduled a'charityf walk for May 3 to raise additional funds for the trip. Also, May 4 will be Amigo Day at Six Flags Over mexasi discount tickets can be purchased from the members. Mr, Carter moved that the applications for Dr. Eugene Janus for courtesy staff privileges in internal medicine and Dr. Claudio Lehmann for courtesy staff privileges in the Emergency Room be approved, This was seconded by Mrs. Crawford and passed by voles vote. i f Nn. ~.eu ~ 1u IN u.{.F. ' +++4'A14NpNU•Ef.MA4nw4+i ptN..+'•I+- NAI{ItIF„'AIpA{„g11ArIA,I1lINlli IFI, . ~I A -1 ' yq wool 11 'Aj 'BOARD OF DzRE(")oRs je PLC' tCYm>it~• ' ~.JSC~06ti1 e~~® ~Il' BUSINESS MINUTES ~rdf. April 24, 2975 Page 3 The proposed withdrawal of Denton County from the North Central' Texas Council t of Gm rjrnmonts was discussed. In view of the upcoming hearing concerning this possi- bility, Mr. Testa moved that Mr, Duvall prepare a letter for Dr. Saunders' signature t supporting the health care factor of COQ. This was seconded by Mrs. Crawford and passed by voice vote. Dr. Saunders read a letter from Miss Lillian Estes thanking the Board of Directors for their framed resolution which had been presented to her upon her retirement., The meeting was adjourned at 9; 9t) p. m. a Respectfully submitted, A. J. Testa Secretary 1 t h t: k , 4 • , I f#I 3 ~ v www:Iwui...M.rdwV 11th 1 1 l t~V 1! FT'T RN NY1q. 4:NYIM PAN YA,{71 BUARD Off' DIRECTORS (Wn9~ y y t3USINESS MINUTES Dn, March 20, 1975 1, Paga 1 The Board of Directors of Flow Memorial Hospttat,met at 7;30 p, m, o day, March 200 1975 with Dr. Charles Saunders presidia on Thurs- were Mr, John Carter, Mrs, Geraldine Crawford, Mr, g Other Directors present Robert a nzier, Dr, George Holladay, ,Mrs,. Paul Simpson, and Mr, A. J. 'Testa, Also present were Dr, J, W, Holland, Mr, Wallace Duvall, Mr. Don provost, Mr. Don Richey# and Mrs. Gloria Madewell, Dr. Holladay moved that the minutes of the previous meeting be approved as ! mailed. Mi Crawford seconded the motion, and the vote carried. Mr, Carter read the Finance Committee+s Report. Dr. report be approved. Holladay moved that the This was seconded by Mrs. Simpson and pawed by voice vote. Mr, Carter moved that the Board approve the Bad Debt amount of $828. 95 1 ► amount of $22, 585, 510 and the Charge-Off amount of $32, 103. 22. Thi the Charit II seconded by Mr, Henzler and passed by voice vote. emotion was offal report as a whole be accepted; this was Mr. Carter moved that the ;Fine W voice vote, eeconded by Dr. Holladay and passed by Mr, Duvall expressed his concern for the $22,211 lose incurred by the hospital during February. He explained that the loss is clue to the reduction j daily censua And the type of patients being admitted, j A discussion of the cause of the low census followed, and Dr. Holland said that the number of patients be in average office is lower than normal, too, and that he is seeing' b tag seen in his i admitted to the le s hospital, s d c j over a longer period of timer•then the remarked that if the centsustcontinue's to I~ e matter should be examined, decrees ' Mrs, Simpson read the mi of the Plow Memorial Hospital F'oundatioa and rioted y that they meeting of the Board r dance at this meeting, The Foundation u rec had had a e IN r w I amount of $6,8230 and fund the different g cod to purchase eurglaal equipmenttintthe cost of a new obstetrical delivery 't hen ' Mrs. en special contributions and the full F reports this was seconded b , Simpson moved that the Board accept by Mr K!ttir the ter and passed by voice vote. Mr. Duvall read the minutes of the ttoint Conference Committee and noted that that'meeting had been devoted primarily to a d; scussion of the meeting. n the e Committee of the Medical Staff, Mrs, Crawford moved that the report be accepted as reads this was seconded by Mrs. Simpson and passed by voice vote, . Executive ~ Mr. Duvall prese,.ted the AdmInistratorts Report and stated that two Nuclear Data machine have arrived; the computer for the machin(, is expect ed to about two weeks, The machine can, however, be used now--even Harts arriv puter which analyzes the isotope stiudles, to arrive without the oom- Dr. Holland reviewed the medical staff meeting of Tuesday night of this we There had been a lengthy discussion on utilization review requirements, 31 there Is a certain amount of Opposition to acceptance of an He said that He said that after the March 25 Blue cross meeting c utilization elines for oncerning utilization review) he will call a meeting of the Executive Committees of Flow an the respective Utilization Review Committee Chairmen, Westgate and They will then try to come up with some guidelines by the April 1 deadline. Dr. Holladay moved that the Board accept the report of the medical staff; this was seconded b voice vote. y j Y Mr. Carter and passed b j ~w...,,., coca d A 1! , eaPneue, ene■e ee.acne nuner~~_. ,ti+tte i■ u 'tj tiff ~k W Ik1FIJ'Iq Igpp■1 lll~~~ ~ YM^rtllryq I 7 ISFA40» ,,.8 ARD b_b'b~~ ,ACT BUSINESS MINUTES D06 arch 1975 Pogo 2 I Mr, Duvall Presented the Utilization Review Commltteels report and explained what items considered in the utilization review process are included In the Texas Medical Poundation}s guidelines, Dr, Holladay moved for the acceptance of the report. I Mrs. Crawford seconded the motion, and the vote carried. Dr. Holladay stressed that any guidelines cannot disregard the judgment factor on the part of the physicians. i Mr. Duvall presented the Nursing Audit Report in which nine recovery Room charts had been reviewed. Mr. Henzler moved for the acceptance of the report. Dr. Holladay seconded the motion, and the vote carried. Dr. Holladay asked if it ` would be feasible to convert an older wing into an extended stay facility and said that from a financial standpoint, he felt that it would be a good thing to do. Mr. Duvall 1 said that we will examine that possibility as well as other alternatives when the ` i renovation project Is completed. i Mrs. Simpson reviewed current legislation and said that a national health incur- ance bill has just recently been introduced in Congress. Another law which the AHA strongly endorses has also been Introduced which would provide for examination of J malpractice' liability insurance. She said that Govenor Drisooe has introduced a bill in the,Texas Legislature which would make It necessary for insurance companies to clarify. insurance policies using a more simple and more uniform language. She added that some states are requiring hospital trustees to pursue continuing education-. + f as much as 10 hours per year. D,r, Holladay moved that the report be accepted; this 1 ( was seconded by Mr. Henzier and passed by voice vote. 1 Dr. Saunders presented a resolution commending Miss Lillian Dates for her wor as a Registered Nurse at Flow Memorial Hospital for 19 years. She will be retiring the end of this month. Mr. Testa moved that the Hoard adopt the resolutions Mr. Henz r, seconded the motion, and the motion passed unanimously. Mr. Duvall announced that the hospital will hoist a reception for Miss gates on April 2 from 3.00 to 5:30 'p. m. and extended an invitation to each of the Doard members to attend. Other acts of recog- nition planned by other groups and organizations was mentioned. There being no further business, the meeting was adjourned at 8:40 p1 m. Respectfully submittedt A. J, Testa Secretary gm I I laim 0.615 14 Q.I.A INIILIAFI'1111.1/CO.r IIF•INIfll41{II i ADMINISTRATOR'S RJ^ORT BUSINESS MINUTES car. March 20 1976 page 1 ' On Wednesday, February 28, Flow Memorial Hospital hosted the monthly meeting of the glacklands Hospital Division. Approximately 36 people attended the meeting. The program consisted of a presentation on selected portions of PL,92-603 1 by a member of an auditing firm. We also hosted about 26'junior high students from the l lrst Methodist Church on Sunday evening, March 2. Den Richey and I conducted a tour of the Emergency . E Room and X-Ray Departments for them.. _i On Wednasday, March 6, a delegation consisting of Dori Provost and three of -his employees, Don Richey, and I attended a glue Cross Workshop in Dallas. I believe that the meeting was excellent and helpful for all who attended. rt ` Texas Hospital Association officials asked me to represent the THA at a special ~ L 1 ! meeting of the American Hospital Association for the Allied Hospital Associotion$in I Chicago on March 10 and 11. The meeting concerned PL 93-841, utilization review 1 requirements, and the malpractice insurance problem. I was pleased to represent •THA and believe that the meeting was profitable for me, also. r As most of you know, the architects presented the final plans and specifications for the renovation project on Monday evening, March 17. On Tuesday, 'Don Richey delivered two copies of the plans and specifications to the Texas State Department of ( I Health, As soon as these plans are reviewed and approved by the Texas State Depart ment of Health, we will be authorized to advertise for bids, We must allow 30 days { for submission of bids and then evaluate and perhaps negotiate"the contract. We still expect to meet the June 30 target for awarding the contract. We started our annual budget preparation yesterday. This will occupy some of our time for about six weeks. F Y.. MA0.61a ~..-.W 001111A WOOD Ce ,u.rn.iwnon ,n,vew u., v1 . ADMINISTRATOR'S R1''"0RT , BUSINESS MINUTES~o,t. March 20, 1976' P s. 2 One part of the Nuclear Data equipment arrived yesterday, and the remainder of the equipment is expected tomorrow. We are anxious to get this equipment into service, With the increasing emphasis on out-patient care, our diagnostic capabili- ties become more important, Respectfully submitted, Wallaoe L, Duvall Adiministrator I {tr I ~ 1 E' I r4r,' - x f k~rs ~ j 1 J 1 F E ` r, r ' S Poo wH ..oft"hye^1I n awrw g1TM/.11 •r•' pR41f...eee~■~■~■ Ai i Y BOARD OF DICtL,:C'COiis," .,OW IVIXA10RIAL. 1-10SPITAL BUSINESS MINUTES Daio January 23, 1975 , Papa k r The Board of Directors of Plow Memorial Hopsital met at 7;00 p, m. In the Medical Library on Wednesday, January 23, 1975 with members present as follows; Dr. Charles Saunders, prosidingl Mr. John Carter; Mrs, Geraldine Crawford; Dr, George Holladay; Mrs, Paul Simpson; and Mr. A. J. Testa, , Also present were Dr. J. W. Holland, Mr. Wallace Duvall, Mr. Donald Provost, Dr. Charles Sanders, ! Mr. Don Richey, and Mrs. Gloria Madewell. The meeting was called to order, and Dr. Saunders Introduced Dr. Charles Sanders, Minister of the First Christian Church of Denton, who is Chairman of the Chaplaincy Committee of the Denton Ministers Association. Dr. Sanders presented a proposal to have a chaplain at Flow Memorial Hospital on a part-time basis, He . proposed that the chaplain could visit with patients in the hospital who have no church preference and could also Inform other Denton ministers when a member of their congregation is admitted to the hospital. Flow Memorial Hospital would be undor no s,:> financial obligation for the chaplain's salary; however, plow would need to furnish him some place to hang his hat. " Mr, O, II. Carpenter, a retired, baptist minister, would be the chaplain and would divide his time (a j I pproximately 26-30 hours. per week) between Westgate Hospital and Flow Memorial rfospital, Mr. Carter moved that the I Board approve the Denton Ministers Association proposals this was seconded by f Mrs. Crawford, and the motion passed by voice vote. ` j Dr. Holladay moved that the November minutes be approved as mailed, Mrs. Simpson seconded the motion, and It passed by voice vote. Mr. Testa read g the Monthly Financial Report and moved that the financial statements and reports be approved as presented; this was seconded by Mr. Carter, and the motion passed by voice vote. ( Mrs. Simpson read the minutes of the Hoard of Directors of the Flow Memorial 1 Hospital Foundation meeting, Dr. Saunders noted that Mr. Duvall was also appointed to the committee to look into the matter of possibly amending the by-laws, E Mrs,. Simpson moved that they be approved as amonded; this was seconded by Mr, Carter, and the motion passed b voice vote. ! Mr. Duvall read the Joint Conference Committees report and discussed the I new utilization review standards. Dr, Holladay moved that the report be accepted j as presented; this was seconded by Mrs. Crawford, and the reotion passed by voice i vote. Mr. Duvall presented the Administratorfs Report and discussed a proposal fro the Red Cross fora blood bank. Iced Cross representatives are checking into the questiin as to whether or not the blood bank would be self-supporting, He noted that currently a unit of blood costs the hospital $35. 00. He said that the Red Cross might possibly open a dis tribution center in Denton. Dr. Holland presented a report from the medical staff. He said that he is happy with the cooperation of the new :executive Committee as evidenced by their unanimous attendance at the Executive Committee meeting on Monday, He announced i - - . .r. 1. ..1A11 of i ~ ul I, I ' 1 BUSINESS MINUTES' Dote P_ '--_-:~=~_•r-~~:--~-.~....---.-~,.._._. ~ ago s that, he chiefs of the clinical departments for 1978 are Dr, 073-GXNi Dr, C, 0, Sattler, Pediatrics; Dr. Jim Jones, Medicine, li Damon, Surgery/~ ' h`ord, Pathology. Mr. Testa moved that the report be accpeted. This motion was seconded by Mr, Carter, and it passed by voice vote, Mr. Duvall discussed the new utilization review requiromentp and stated that acceptance of criteria by the medical staff might be difficult. Ile said that there is a 60-day "grace" period before the February 1, 1975 deadline in which to adopt criteria. Texas will stand to lose $33, 000, 000 in Medicaid funds if the utilization review criteri are not adopted and followed "to the letter, " + Mr, Duvall read the Nursing Audit Report which listed ten newborn Infant charts which had been reviewed, Mr. Testa said that some follow-up should be done to see if the recommendations on the Nursing Aduft Reports are tieing followed, Mr. 'Testa moved that the report be accepted; this was seconded by Mrs. Crawford and passed by tt voice vote. I„z I Mrs, Simpson presented a report concerning health care legislation before Cong a; ress. She also read part of an article by Sylvia Porter concerning national health Insurance which had appeared in the Dallas Mo~ r. ning News. j rt" Dr, Saunders said that two medical residents, Dr. Harold, who are interested in opening Don licit and 17r, Barry and some Denton physicians. ,praetices in Denton, were entertained by him Mr.. Testa moved that the Board approve allocation of the hospital's to the pension plan at 25/75%, to the Aetna and fixed funds respeetiv ly, his wasbution seconded by Mrs, Simpson and passed by voice vote. I Mr, Testa moved that the Board authorize the Administrator or the Assistant Administrator for p'tscal Affairs to negotiate with a lending institution to purchase e l radioisotope unit in the amount not to exceed $$0, 000, 00 at the current lending rate j not to exceed 10% for a period not to exceed 80 months, This was. seconded by Dr. Holladay and passed by voice vote. ~I I I I Mr, Testa explained that his son, Richard, wants to work at Plow M pital as an orderi emorial Hoe the or elsewhere,, on a basis, Because of,hisorela! onship to ae Board member, Richard will heed the Board , is approval before he can be hired. Dr, p the v?' cation of Richard Testa as a part-time orderly hmoved that the d is was secondedaby M ere Crawfo ap~h ' and passed by voice vote. f i There being no further business, Mrs. Crawford moved that the Board be adjournedi this was seconded by Mr, Testa, and the Board was adjourned at approximately 10100 p.m. } Respectively submitted, A. J. Testa /gm Secretary ~ low a o u ~ ft ,klt.tp ~O Jn,1.Jllln,❑ ~ ~-++=51YY-~-r-=..y: y-i l kf N n ?IGllly,.,•r j "Wi 6 OEKd ~~~..^yyyppp{{{ SAS M ADMINISTRATOR'S ltEl?^,,ttr ' UUSIWESS MiNUTUS ooo January 23, 1975 Palo I f Since my report last month, I,and the staff have continued to work on the plans for the renovation project; however, the federal funding situation has cast some shadows on our project. We are still optimistic that Congress will insist that the f President release the finds that were tentat[vely allocated by the state. 1 On the 7th of January, I mat with the Red Cross representatives and repre- sentatives of the Denton Osteopathic Hospital and Westgate Hospital to examine the Red Cross blood program. We are awaiting a specific proposal from the Red Cross concerning the provisions for blood. I have been informed by Mr, John Guyer that due to Westgate Hospital's I I notification that they need to reduce their contribution to the LVN program, this program will be reduced from two classes per year to one class per year. There is some question about having enough funds to even have one class per year, Mr. Guyer { is trying to determine the availability of some other funding locally, but he Is not € I optimistic about obtaining these funds. At least part of the reduction of LVN students will be offset by Cooke County Junior College. They have applied for approval to j start an LVN school In September of this year, and I expect It will be approved. LJ I They wlll,not need any financial contributions from the participating hospitals, The effects of the economic conditions are becoming evident in Denton, We are seeing several times as many applicants for positions now as compared to those 4k u applying a few rhontha ago. Part of the reason might be attributed to the new semester beginning at the local universities, but it seems to be more related to the economic conditions. Respectfully submitted, Wallace L, Duvall Administrator . a~ iF , hUd0.'IA•. lu ~wM e 13OA11D O DIRBC_T(X"#s`) i 8ti51NESS MINUTES Defe Z7ecember 18 1974 - pays ! ' The Board of Directors of Plow Memorial hospital met at 7.04 p, m, in the Medical Library on Wednesday, December 18 1974 with members present as follows; Dr. Charles H. Saunders, Mrs, Geraldine Crawford, Dr, George i Holladay, and Mrs, Paul Simpson. Also present were Dr. H. M. Burgess, j a 1 I I . Mr, Roy Appleton, III, Mr. Wallace Duvall, Mr. Don Provost, and Mrs, Gloria I Madewell. The meeting was called to order by Dr. Saunders. The minutes of the previous meeting were approved as mailed. Mr. Provost discussed the financial E I f E 1, r J statements. Dr. Holladay, moved that the financial statements be accepted] this 1 r J 14 was seconded by Mrs. Simpson, and the vote carried, Mr. Duvall noted that it taken approximately 83 patients per day to break even, Dr. Holladay noted that ' Its I the year's profit of $646, 00 will not buy much new equipment. Drs Holladay ' moved that the bad debt charge-off total of $620. 76 be acceptedi this was seconded s' ( by'Mrs. Crawford, and the vote carried, Dr. Holladay moved that the report of the financial committee be approved; this was seconded by Mrs. Crawford, and the vote carried. t. Mr, Duvall presented the Joint Conference Committee's minutes. "kly Mrs. Sim, A son moved that they be approved as read; this was seconded by Dr, Holladay, the EE % and th vote carried, Mr. Duvall read the Administrator's Report. Dr, Holladay moved ' that It be accepted as read; this was seconded by Mrs. Crawford, and the vote carried. Dr. Burgess presented the Medical Staff Report and noted that the medical staff had voted to associate themselves with the Council of Medical Staffer this, f ! however, Is a, tentative association, He thanked the Board for an enjoyable E association during the past year. Dr. Holladay moved acceptance of the medical ki _''~I•~.=rte-rte . I ~ '`.4«w<I MY hhpwl!A ~aM-V..-Ii iraMd ly lR-eFNF.til4:J• AtIIItINI 0110I5 CO EI II YN, IIIINt II `T`"-~iL•C_~-»,. f~ {{~,:.al~ya Firdw.:IH+S~. II t -M Y ^p BUSINESS MINUTES Data December- report; this we, seconded by Mrs.. Crawford, and the vote carried, Dr. Burgess announced the results of the medical staffts election of officers. Those electerl as officers for the combig year are Dr. Joe Holland, President; Dr. William Midgett Vice President; Dr. T. O, Blucker, Secretary; and Dr, is George Holladay and H. M. McClendon as Members-at-Large for the Executive Committee. Mrs. Craw- ford moved that the Board accept the results of this election; this was seconded by j Mrs. Simpson, and the vote carried. t , I Mr, Duvall read the Utilization Review Committee Report. Twenty-five I~ extended care patlentst cases were reviewed satisfactorily, He then presented the Nursing Audit Report concerning patients 66 years of age and over with ~.r fractured hips. Mrs. Simpson moved that the audit report be accepted its reads this was seconded by Mrs. Crawford, and the vote carried, Mrs, Simpson presented the Legislative Report. She noted that no new t legislation has been passed. She outlined some recommendations from the j Department of Health, Education, and Welfare for new legislation. Dr, Holladay moved acceptance of the report; this was seconded by Mrs, Crawford.. and the vote f< carried, Mrs. Crawford discussed Scotland's national health insurance program, k ~t The meeting was adjourned at 7;45 p. m. Respectfully submitted, fi~s• . Y A, J. Testa, Secretary to the Board of Directors .I I ~ •1 f .,IM b'6i6 ,M LLtt10H• aa0.. COIt Rolm. 1411.04 IIIIM1 P1, V LI. 2 ~r ...•.IN Vri,~11, aRMh ldi..e\II.V/<lL e✓II . N.:ti)Yi....,n i.....i.: . i.l .....i... r.......... r _ .a.i.. 1/A I.// ~11f~1'1 S N wa Fee C'~ ~j ~ pllpNlli ADMINISTRATOR'S 1~06-'ORT BUSINESS MINUTES Daia~ December 18, 1974 Paoa I, On irriday, November ~2, 1 attended the Texas Hospital Association Mid-year, Meeting in Austin. This meeting was devoted to a review of activities of, the first half of the year- and a review of projects and activities for the remainder of the i i j. year. A great deal of my time as well as the architect's has been devoted'to . planning for the renovation project On Tuesday, December 3, members of the hospital staff, the architect, State Department of Health representatives, and Health, Vucatlon, and Welfare representativea met in Dallas for a Stage II review of the plans. This review was for the purpose of assuring that plans encompass the requirements necessary to meet the minimum standards and I correcting the deficiencies previ%usly noted, Stage III review will not be a ! formal meeting. Our final plans and specifications will be mailed to the State i~ Health Department for the next review, 1'pon approval of the final plans and j apecifiuatlons, we will be able to advert'{se for bids, 1 Although the hr -spita~operatsis on a fiscal year starting in October, our + i I medical staff is on a calendar year bfists. Since the medical staff is just Ii completing Its year of activities and I have been here most of that year, I am pleased to state that I have received excellent support and cooperation from the officers and members of the medical staff. I look forward to a continued cooperative relationship with the med teal staff and the Duard of Directors. i { Respectfully submitted, Wallace L. Duvall Administrator I .n..~\a-,t.,r niO~iP ~ x r-:'~•e._:~xL~xC~a z•~+-~.-z?r~•.:r_:-~:~-- . rxav.rv. arw~~f•GY1M4 R{ I 1 AOAR.D OF D1RI~CTORS fpl , BUSINESS MINUTES Deft November 21, 1974 r+a• I I The Board of Directors of Flow Memorial Hospital met at 7-00 p.m. on a Thursday, November 21, 1974, with members present as follows; Dr. Charles H. Saunders, Mrs. Geraldine Crawford, Dr. George Holladay, Mrs. Paul Simpson, and Mr. Al Testa. Also present were Dr. H. M. Burgess, Mr, Roy Appleton, III, Mr. Wallace Duvall, Mr. Don Provost, and Mrs. Gloria Madewell. The meeting was called to order by Dr.. Saunders. Dr. Holladay moved that the minutes of the previous meeting be approved as mailed, the motion was seconded by { Mrs. Crawford, and the vote carried. Mr. Testa presented the Finance Committee Report and disuessed the financial + I statements, Dr. 1.ollnday moved that the financial statements be approved, subject to l ~ 4 E i any changes as a result of the audit, this was seconded by Mrs, Simpson, and the vote carried. Mrs. Simpson moved that the charge-off total of $18, 579, 98, the bad debt charge-off total of $754, 19, and the charity charge-off total of $2, 908.12 be accepted. I I This motion was seconded by Mrs. Crawford, and the vote carried, Mrs. Simpson read the Foundation's minutes and moved that they be accepted as i i read, This was seconded by Dr. Holladay, and the vote carried, Mr. Duvall presented the Joint Conference Committee's minutes, Dr, Holladay i moved that they be accepted} this motion was seconded by Mrs. Crawford, and the vote carried. Mr, Duvall read the Administrator's Report. Dr. Holladay moved J~ that it be accepted as reads this was seconded by Mrs. Crawford, and the vote carried. Mr. Duvall noted that some construction not under contract for the renovation project. I j had begun, Mr. Duvall said that the Maintenance staff had knocked out a wall in the Radiology Department to provide for a corridor necessary to `meet safety standards. +i By Mow's personnel doing soihe of the renovation work, we will save some of the I expense, Since the grant was approved, construction costs have rLen so much that it j j wAl be necessary to utilize P'low's Maintenance men to do part of the work. I..r 9.01 a ►X111.IM t' NC dO Ode It MLI IIU,, H MIAiI, N Y3P ...axat.M.Ykl.h a. lHn:.... r.`Y..r.:_.- • r.: i- .i 1. .1 iAI !JI a 1!Y'YbU+ H r.r BOARD OF DIRECTORS BUSINESS MINUTES will November 21, 1974 Pago 2 Dr. Burgess presented the Medical Staff report. He said that the Credentials { Committee and the Executive Committee had recommended approval of Dr. David B. 1 Strong and Dr. Guy B. Kindred for Emergency Room privileges. Mrs. Simpson move that the Board accept the recommendation; this was seconded by Mr. Testa, and the E motion carried. i , Mr. Duvall read the Utilization Review Committee Report. Twenty-two Medicar and Medicaid cases had been reviewed. Dr. Holladay moved that the report be accepte i i I Mrs. Carwford seconded the motion, and the vote carried. Mr. Duvall mentioned that a representative from Medicare had surveyed the hospital this week and discussed pro- cedures for Utilization Review. He then presented the Nursing Audit Report and said that the audited records Indicate that Nursing Service is doing a good job of docu- menting the care given, Mr. Testa moved that the report be accepted as read this was seconded by Dr. Holladay, and the vote carried. Mrs. Simpson reviewed legislative action. She reviewed a bill which had been i signed by President Ford that will go into effect January 1, 1975 concerning third party provider reimbursement policies. A discussion followed of the possible effects of the recent election on upcoming health care legislation, i, e„ loss of congressmen who are strong supporters of health care legislation. Mr. Testa moved that the 3 legislative report be accepted as presented; this was seconded by Mrs. Crawford, i and the vote carried., Dr. Saunders urged all present to go to the Pediatric area and see the now "Sesame Street" murals presented to the Hospital by the Benefit League. Mr. Testa rpioved that the meeting be adjourned, and Mrs, Simpson seconded the motion, The vote carried, and the meeting was adjourned at 800 p.m. Respectfully submitted, L I I - I A. J, Testa, Secretary to the Board i j r lira 11l6i9 e+rnru.r Anowe ee., n.na,u uea, I I iy..411'l':r N : i11V.rN 1f.L'R9M . ~ G r t ADMINISTRATOR S R R ' BUSINESS MINUTES a.r. November 21, 1974 lap, 1 n On Friday, October 28, the annual awards event for our Auxiliary was held. The many hours of service represented by the awards was very impressive. We have a fine, dedicated group of Volunteers, ably directed by Dixie Clardy. Then on Tuesday, October 29th, the annual event for our employees was held. Twenty-eight employees received 3, 8, 10, and 15 year awards representing f a total of 144 years of service at Flow Memorial Hospital. This was the month for annual awards events. On November 14, the Dallas Hospital Council held its annual awards event. Dr. Saunders was an honored guest i ~ s C' at that event, and Roy Appleton, 11 was our news media guest at that event. - I x A greet amount of my time and the time of other hosp'ital'staff members I ; has been devoted to detailed planning for the renovation project as well as examining ways and means of financing anticipated additional construction costs and equipment r costa. The next review by the State Health Department and regional HEW office is scheduled for the first weok in December. We are confident that we will meet. 1 ' the deadlines set by the State Health Department. Respectfully submitted, ( Wallace L. Duvall, Administrator j f y toom Elvis i ' ~r r ~Frlt,IlY, RIrd YO Ee LIIMiII ILLIYOM lAr.f1E "'W~llWrf!MYiidttlkW+Yw q. MSVWiIa.M ,tl!fih'FHmy,♦ N..o. u: ,w .,n .uo.. n•..• •norKWN *y~~1~i f low i mw- 4A r.oi~n OF DI RrcTOi,s tltlS,ll\CS$ MIi~UIFy 4llo arCtOl7or l!'I i~!+!-aszt=,~rrrs'-..' Thursday, F Aoard of Directors of Fla'r Mehorial IlosPltat.mot at 7.00 P.M.1 October Saunders, Mr. John Carter, ll1, 19711, brtth members present as fo11a'rs : 0r. Char 1os 114 Mr. A. J. Testa, Mrs. Paul Simpson, Mrs. Gernldlno Crawford, Mr. Robert Ilenzler, and Dr. e Holladay. Also present ivbre Dr, H, ti,IRurgess, Fir, F!allace i)ovall, Mr. Don Provos Georg ` Appleton, Dr. F. A, Remillard, and Mrs. Mar}, Lou Forrora. fir. 8111 Vokonas, Mr. Roy App Dr, Saunders wele(vmd Mrs. Crawford to the Board. the minutes of the previous Poard meeting be approved as mallod. Mr, Testa moved that Mrs. Crawford seconded the motion, and the vote csrrled. Dr. Saunders stated that this was the time for olectlon of officers for the coming l i Testa moved that Dr. Saunclurs 1i ? year, and he asked Mr. Duvall to conduct the election. Mrs i I he approved as Chairman of the Poard by acclamation. Mrs. Simpson seconded the motion, i ` and the vote curried. 'Mrs. Simpson moved that Mr. Carter be approved as Vice-Chairman. Had. Mr. Menrler moved that fir. Tasty { j f Mr, Testa seconded the motion, and the vote tat be approved as Secretary, Mrs, Slmjison seconded the motlon, and the voto carried. appreciation for the Board's cornfidonce in realocting him as ~ Dr. Saunders expressed ahead of us. it w111 - i j Chairman for the comirlp yea' and stated that we have some big tasks require everyone work.Ing together, Arid he looks forward to working with the Board. of Mr, TostA, Mr .4 ne Would ba composed m Dr. Sound ors stated that the Finance Com ttt Carter, and Dr. Holladay, lir.'Testa presented the finance Committee 'Report, The Financial Statements were discussed with their approval being subj6ct to the, annual audit completion which is cur- rently, Pr~rnss. Mr. Hander moved that the report be accepted'as read with the rantly, provisions as stated, Mr. Carter seconded the motion, and the vote carried, Mr. Duvall read the Administrator's Report. Mr. Garter moved that the report be The vote carried. accepted, and Mr.,Testa seconded the motion. Dr. Burgess Staff RoPor~The Crodentl0 " and.Cxecutive Com- mittee the Medical ne goers) practitioner, be approved p' LorAc to the Poord that Robert Lloyd, M.D,r g¢ ti. D, ba approved for Emdrgancy Pbom f Privitegea and"that Jim Ancgnostis, e hadleal Staff 1s pleased that vu is participating in our nursinn Ills,{, Uydl (ji /YINt1AVV Rt<°II t/,.1U1,N1111N/11 ' .I. . , y„Iq.91.4+J4N DNMa9x.64.n w . u ~ . e aH. n . I ~RVln1/...., I 1 w rOAf'fr• ()F DI RFCTorS ` +✓rPY-'= ~rza:x-air rs. ~::-r_~ ce:::~~,uz A~rirsynrv~vmm_e,~+.- asr~rra~•._•_-•••.,.--_. - - rr_.ermamsct.zrn3t- ~-ras Iz UUS114CSS M4114UT` L-S Dale octol~c~=.~1!!~~~7~'- L--~ - ~•~:p~_? r~ Li4'JCL:Y~'C:.t'14:lit'~1'l'~.•...~:.: _.i'~ii.'..~~L'. pr6ora6; Mr. Testa moved thnt the two doctors be app,rovod by the noard for their respective privileges, Mr. Carter socondad the motion, and the vote carried. Mr. Carter moved that the report be accepted, and Mrs. Simpson seconded the motion. The vote r carrlad, f f ! The now Medical Stnff nylaws as presented lost month were discussed. Mr. IlenzIar i movod that the bylaws he approved as suhmlttod, and Mrs, Simpson seconded the motion. The vote carried unanimously, i ` Mr. Duvall read the UtIllzatlor Rovlow Committee Report. All 17 cases reviewed ware r approved for further stay, Mrs. Simpson moved that the report be accepted, and Mr, Carte seconded the motion. The vote carried. ! Mr. Duvall road the Hursing Audit Report. Hine 00 observatlon charts were rovlowed,' { A few were incomplete with recommendations for better record keeping. Mr. Henzler moved' that the report be accepted, And Mrs. Crawford seconded the motion, The vote carr ed. Mrs, Simpson presented tho Legislative Report. Congress Is In r'ecoss, The Health flan nine CIII PP9gti vies approved by the Senate labor, t t4dlfare Commlttee on Oetehar yth, The. House version was cleared for a vote, but no vote was taken; Dlscussi'on cbncerninp tho bill folla-lad. Mrs. Simpson also reported on on article In the recent Trustee con I r: cernlnp a survey of hospital Sonrds. Mr. Carter moved that the report.be accepted, an'J,` E Dr. Ilolladay seconded the motion. The vote carried. Mr.-Testa moved that the meeting be adjourned, and Dr. Holladey seconded the motion.;, The vote carried. The moetinil adjourned at 8:1$ P,(4. Respoctfully submitted, A. J. Testa Secratery to the hoard r~ retw U'l119 lMUranuk,ro~ote., lr.orn, r~uier. maieworr h{u~w41~k'L~fI~~Rb{'AFlAN•>J~4kd'NYLNS! ..,.x.e ...N.:„.a.. wx....... .wanu 4 M ADMINISTRATOR'S RLI'P lr iL:".. fh l3USINESS MINUTES Ddi. October 24, 1974 P`q• 1 ,I - ¢pYSL'~"JYfz.Y1Y.~ t'G»'.'t.C'.~.~.~-ertrT.~r1iv'~•« W~~i~~.~ Our Auxiliary hosted the district meeting of the Texas Association of Hoapital Auxiliaries on l4 riday, September 27th at the Ramada Inn, It was my pleasure to extend a welcome to this group. All reports Indicate" that this was a successful meeting. On Thursday, October 3rd t;)O F riday, October 41h, I attended tho legislative hear- Inge at the University of 'T'exas at Arlington as a Texas Hospital Association advisor- observer, The legislators were conducting a joint meeting of the Subcommittee on Public health to determine what legislation might be needed in this area. Various li 44 people testified before the hearing, and my tASlr was to assist the members of the cos- ~ l mittee in summarizing and synthesizing the testimony, It was a most interesting meet- ing, and I will be curious to see what changes and now laws might be enacted its a } i result of tilts, On Wednesday, October 9th, Mr. Dance Cotton, Mr. Bill Vokonas, and I attended a meeting In Dallas with our architect, State Health Department representative, and HEW representative for the purpose of revidwing our renovation plans, Changes that i we had recommended received approval of the State Health Department representative f and the HEW representative. t On'Thursday, October 10th, the Medical Committee met and reviewed the plans again, Wo are continuing to pursuo the renovation project so that we will be able to meet the deadlines that are imposed on as. In addition, we are continuing our efforts to'reduce or contain costs. Respectfully submitted, t 4 Wallace L. 'Duval! Administrator .y..•e ••rr•eeni-.~_• C194~'111 - ^i:L~-''S_ !1fiL3.~!'YS i i "awl r 16 ;,BOARD OF DIRECTOR~~ BUSINESS MINUTES Data September 19, 1974 Pago The Board of Directors of Flow Memorial Hospital met Thursday* September 19, 1974, with members present as follows: Dr, Charles H. Saunders, M.r. John Carter, Mr, A. J, Testa, Mr, Carl Began, Mrs. Paul Simpson, and Dr, George Holladay, Also present were Mr, Wallace L, Duvall, Mr, Don Provost, Mr, Bill Vokonas, Dr., • C. Basher, Dr, O. C. Berg, Mr, Roy Appleton, 111, and Mrs, Mary Lou Ferrara. j Robert Henzler was unabfe to attend, i Dr. Holladay moved that the minutes of the previous Hoard meeting be approved as ~ submitted, Mr. Degan seconded the motion, and the vote carried, Mr. Testa read the Finance Committee Report. The Pfnanoial Statements were ~ j reviewed, Mr, Testa moved that the August Balance Sheet and Statement of Operations ~ . 1 ~ i be approved, Mr. Dogan seconded the motion, and the vote carried. Mr. Testa moved that the Charity Charge-Off list for August in the amount of $9 f!!! 41..43 and the Bad Debt Charge-Off list for August in the amount of $20841. 78 be Approved. Mr. Carter seconded the motion, and the vote carried, ' Mrs, Simpson presented the Foundation Hoard Report. Mrs, Simpson moved that f E he report be aocepted, and Mr. Carter seconded the motion. The vote carried, Mr, t Degan moved that Dr. J, M, Jones, Dr, Charles H, Saunders, and Mrs. Byron Smith f be reappointed to the Voundation Board for another three year term as recommended by " the Foundation Board, Mr, Testa seconded the motion, and the vote carried. Mr. Duvall Presented the Joint Conference Committee Report. Mr, Carter moved { that the report be accepted, and Mr. Degan seconded the mutlon. The vote carried, Dr. Holladay suggested that In addition to considering the purchase of a book on industri poisoning, the hospital might purchase resource mat-;rlala to have available in the Emergency Room, Mr, Duvall stated that the hospital presently has a poison control center complete with resource materials and that the boots on Industrial poisoning will be investigated; ~Llbl ~y ttlAiMq BOARD OF DIRECTOR ~ BUSINESS MINUTES Dale ~Se~itcmber 19, 1974 p.Itb Mr. Duvall read the Administrator's Report. Mr. Degan moved that the reaccepted, and Mr s. Simpson seconded the motion. The vote carried. Dr, Burgess and Dr. Rolland were both unable to attend the meeting; therefMedical Staff Report was postponed. Dr. Holladay submitted the names of the following doctors, who have been recommended by the Credentials Committee and Executive Com mittee, to the Board for,their approval., Owen C. Berg, M. D. , Urologist; Francis A. Remillard, M. D. , General Surgeon; and Robert L. Ridley, M. D. , General Practitioner i for Active Staff privileges and Ronald R. Coble, M. D. , W. C, O'Donnell, Jr. , M. D. ~ I I and Arthur C. Schmulen, M. D. for Eynergeney Room privileges, Dr. Holladay moved that these doctors be a } pproved as submitted, and Mr. Degan seconded the motion. The vote carried, .I 1 'Mrs Duvall distributed copies of the revised Medical Staff Bylaws. He stated that the Medical Staff has acted with approval on the bylaws, and they are being submitted for the Board's approval, a Mr, Duvall presented the Utilization Review Committee Report. Twenty-seven caa were considered, and all were approved for further stay, Mrs. Simpson moved that the report be approved, and Dr. Holladay seconded the motion. The vote carried, i Mr. Duval read the Nursing Audit Committee Report, They examined ten cases in Post Partum, and there were.only a few incomplete areas on the charts, Mr, Carter , moved that the report be accepted, and Dr. Holladay seconded the motion. The vote carried. I Mrs. Simpson gave the Legislative Report. She stated that the private pension plan legislation was signed on September 2nd by President Ford and . this bill includes hosP.i talc. Mr. Duvall stated that this law may effect our pension jan, but we are n P of surd a present. Mrs, Simpson also mentioned that the Council on Wage and Price Stabilization has been set up, Dr, Holladay stated that the Ways and Means Committee may meet sia . IINmI )ouch truxi. A ~ . IxYlrt11~4l. 11t~t. /4.,x L... ,.v. vrd~ora~'fY i . Y BOARD OF DIIUCTOIISOO"~ rr MINUTES Deli September 19, 1974 No$ cuss National ffealth Insurance, U r, Saunders, expressed the Board's appre- rs. Simpson for filtering the legislative proceedings and summarizing them rd, impson thanked the Board for the beautiful flowers they sent to Mr, Simpson rhil s in the hospital, She also expressed her satisfaction with the services of sduring her husband's stay, Mrs, Simpson commented on the Board of Trustees meeting In Fort Worth that she j and Mr. Duvall attended on Se ptember 14th It was worthwhile, and she felt that we measured up to the standards set at the meeting, Mrs. Simpson made a motion that the Board present a resolution to Mr, began for i his service as a Board member since June 24, 1988. Mr. Testa seconded the motion, f and the vote carried, Dr, 'Saunders expressed the Board's disappointment at f his leavin , h and thanked him for his counsel over the years. Mr, began stated that he had enjoyed ' working with everyone. Mr. Testa stated that an addendum needed to be added to the Finance Committee i Report. The Finance Committee has recommended that we continue with the firm of pp Coopers and Lybrand as our auditors for this year, Mr, Testa moved that the Hoard I approve this firm, and Mr. Carter seconded the motion. The vote carried, f ~ V The meeting adjourned at 8138 P.M. i + Respectfully submitted, A. J. Testa Secretary to the Board 441 t I I • ~s::rzirmrz~n_`-:sci..:e:xsar.~ ~>e~a<:cuac•..• ~ .MIIl111Y.1[010 L4, {l..q•~IIH011 Cr w_yg ...O G•'+`:_...~ i ,1.1,11. lug 11 p¢ryWa ~y6RMN. •1* P ADMINISTRATOR'S RI 1 T ` BUSINESS MINUTES DO@ September 190 1974 P,9. 1 A joint disaster exercise was conducted on Friday, August 23rd. The exercise f was planned, coordinated, and evaluated by the Civil Defense primarily, with the Fire Department, Police Department, and all the hospitals participating. The realism I injected by the simulated casualties, who were made up by a drama professor, contra- . E buted greatly to the success of the exercise. The exercise was deemed successful by everyone' In that it served the purpose of testing and pointing out areas that need to be h given more consideration in the event of a real disaster of larger proportion. Several j changes will be made in our internal disaster plan as a result of this exercise. On Thursday afternoon September Sth and ail day Friday', September 6th, the Department Heads particlpatod in a Creative Problem a ivtn Workshop conducted by Mr, Jim Carter. Mr. Carter Is a doctoral student at North Texas State University, and he has been involved to presenting this kind of workshop for several years. This j 1 7 is a beginning of a planned program for continuing education for the Department Heads, On Saturday, September 14th, it was my pleasure to attend the Texas Association of Hospital Governing Boards and Administrators aorrzinar in FIN, Worth with Mrs, Simpson, The information that was presented was pertinent, timely, and of value to the and, I believe, to Mrs. Simpson. i f Respectfully submitted, + Wallace It. Duvall, Administrator I I , t-i4,1y.""-' 1".~•J,.C_'t_y h!Y.eY:-==z.x~........_ _ _ _ C^`..i'x~:.3'✓C•rte=sT~ 101Y n.0 B hrfit 'III pl tOlp foyp[rll r. Illl, ONO gyn.., .lSi!:P4 . 'a.'u e:!/a(~ll./i1J Ale / rr 1 IAI\111. I\1 f W W mpW A VlaG,.YY Kw1DT WUll Y v HOARD OF DIR8CTOR 1 BUSINESS MINUTES Dale August 22, 1974 Pape 1 l' The L.oard of Directors of Flow Memorial Hospital met Thursday, August 22, 1974, 4 with members present as follows, Pr, Charles H. Saunders, Mr, A. J. Testa, Mr. Ca 1 i Degan, Mrs, Paul Simpson, and Dr. George Holladay. Also present were Dr. H. M. j Burgess, Mr. Wallace Duvall, Mr. Don Provost, Mr. Bill Vokonas, and Mrs. Mary Lo i" Ferrara. Those unable to attend were Mr, John Carter and Mr. Robert Henzlor. Dr. Holladay moved that the minutes of the previous Board meeting be accepted as mailed. Mrs. Simpson seconded the motion, and the vote carried, J Mr, Testa presented the Finance Committee Report. Mr. Testa moved that the I~ f July Financial Statements be approved. Mr. Degan seconded the motion, and the vote carried. Mr. Testa moved that the Charity Charge-Off list for July In the amount of 1 $8, 811, 64 be approved, and Mrs. Simpson seconded the motion, The vote carried. i Mr, Testa moved that the )read Debt Charge-Off list for July In the amount of $10, 096, 61 E be approved, and Mr. Degan seconded the motion.. The vote carried. Mr. Testa f moved that the Financial Report be accepted, and Mr. Degan seconded the motion, The vote carried. Mr. Duvall read the Joint Conference Report. Mr. Vesta moved and Mrs. Stmpsosi seconded that the report be accepted. The vote carried, Mr. Duvall read the Administrator's Report. Dr. Holladay moved and Mr. Degan seconded that the report be accepted, The vote carried, Dr, Burgess presented the Medical Staff Report. The Credentials and Executive Committees recommend to the Board the approval of the following doctors for Active J Staff privileges) John P. Anderson, M. D. , Orthopedic Surgeon; Jules P. Brown, M. D y i Radiologist; Joe H, Oliver, M. D., Psychiatrist; and Edward C. Sacher, M. P., Urologist, For Courtesy Staff privileges limited to the Emergency Room the following doctors were recommended for approval, J. Paul Crider, M.D.; all L„ Daley, 1~ti;1~'l r Waymort Drummond, M. D,; Frank .E, Elliott, M. D.; R. A, Moore, M. D.; Don roam h-616 P0WI ,V a.,A$001., a.,.a., 144101411 .,i01ao14 u 1 .