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HomeMy WebLinkAbout02-19-1978 , y ri 91/JLY r D l aerraYS~ M BOARD Ol" DIi?DCTORS. _BUSINESS MINUTES DM, y • Ju, ! 9 1073 ll ~ Pege 1 The Board of Directors of Flow Memorfal hospital met Thursday, `July 19, 19730 with members present as follows: Dr. Charles 11, Saunders, Mr. Carl Degan, Mr, John Carter, Mrs, Paul Simpson, and Dr, Charles McAdams. Dr, Wm. 1;, Coleman, Dr. George Holladay, Mr, Leonard E. Watson, Mr. C. L. Tomlinson, Mr, Don Provost, and Mr, John Moody of the Record Chi-onicle were also present. Mr. Walter ray and Mr, A. J. Testa were unable to attend. The minutes of the June Board meeting were amended as follows: the fifth sen- tence in the third paragraph on page one was reworded to read, "1t was felt that our i f f , certificates of deposit should be placed at their expiration date of June 34th in the E i institution paying the highest interest rate, and a study be made of the banks in Denton with the idea that we review our depository and see if we want to change". Mr. Carter moved that the minutes of the previous Hoard meeting be approved as corrected. Mr. Degan seconded the motion, and the vote carried, Mr, began read the Finance Committee report. Mr. D j pgan moved, and Mr. Carter seconded, that the report be accepted. The vote carried. There was a brief ' discussion concerning the Financial Statement. Mr. Degan moved that the Balance i Sheet and the Finauc.tat Statement for the month of June be approved, Mr. Carter seconded the mptionr and the vote carried. Mr. Degan made a motion that the Bad Debt Charge-Off list for July in the amount of $21, '187. 74 be approved, The second , was made by Mr. Carter, end the vote carried. i Mr. Degan moved that the Hirst Denton County National Bank be continued as our cepository for the next year and that it be reviewed again at the end of the year, Mrs, Simpson seconded the motion, and the vote carried, Mrs. Simpson gave the Foundation Deport. She stated that Mr, Orr had talked with 3~~+ Mr. Knight and that Mr. Knight had sold the Forester jewelry and would be paying off the bank note, Mr. began mode a motion to accept this report, and Mr. Carter i q >44M1? .J,IpY qY➢W ~1GY.HIW I Qprs3y 13oARD OF DIRECTORS -Y - - r BUSWI:SS MINUTES Dee 19, 1973 seconded the motion. The vote carried. Mr. Watson gave the Joint Conference Report. Mrs. Simpson moved, and Mr. Carter seconded, that the report be accepted. The motion carried. Mr, Watson read the Administrator's Report. Mr. Degan moved that the report be accepted. Mr. Carter seconded the motion, and the vote carried. a Dr. Coleman gave the Medical Staff Report. He stated that the anesthesia depart- ment was again discussed, and that the By-Laws Committee had started meeting to revise our present by-laws to coincide with the recommendations made by the Joint 4 ' Commission on Accreditation of Hospitals. A motion to approve this report was made j by Mr. Degan. Mrs. Simpson seconded the motion, and the vote carried," Mr. Tom Fouts was present to discuss the proposed fund raising drive for a Center for the Hospital. Mr. Tomlinson briefed the Board on the Radiation Therapy proposed location and the approximate cast for a linear accelerator and the required housing facilities. Mr. Fouts stated that he would be willing to contact a limited num- bar of large contributors who might be interested In contributing to a. memorial for Dr. f t' Jim Pedigo, He suggested putting the donations into escrow and refunding the money if enough is not raised, Mr. Fouts asked the Board for a letter outlining the project, I specifying that the money would be refunded if enough was not raised, and giving the i t Board's approval of the project, Dr. McAdams moved that the Board approve the . IA. drive to raise the funds for a Radiation Therapy Center at an approximate cost of $3000 000, and that the Board give Mr. Fouts their full support. Mr. Degan seconded the motion, and the vote carried. Mr, Degan moved that a resolution be passed by the Board to authorize Mr, Tom Fouts to act, on behalf of Plow Memorial Hospital, as Chairman of a committee to direct the campaign to raise $300, 000 for the establish- ment of a Radiation Therapy Center. Dr, McAdams seconded the motion, and the vote, carried. Mr, began suggested writing a letter to the City and County asking for their ' ~15d#•Wi14)iK~ O~tir~ BOARD OF DIRECTORS BUSINESS IVINUTES Da,o JL,.y 19, 1073 Pago 3 approval of this project, Mrs. Simpson the Legislative Report. Dr. McAdams made a motion that the meeting be adjourned. Mr. Carter seconded tho motion, and the vote carried, d Respectfully submitted, Charles H. Saunders, DDS Chairman of the Board I i i i ? s I LJ f ' ' _•y:- -..SR .....:_[.:1:".. .Yt x..t -.......:...::"Y✓_. _]ctG'Y.rL_-_.i_S' 1,G~4Y..'.1:. ,r,r ❑.~i1 A fir err b:.: LJr r.r idr'r i~.ro.r. r, i tiYI1FR' C fi N+~lLL 1 ADMINISTRATO1t'S HUPon"J, BUSINESS MINUTE Dafo - Y I9, 1973 - _ Page l We are encouraged by our cash position and it continues to improve. Wa are experiencing some decreased census that can be attributed to the summer months and vacations, but we are trying to adjust to the Situation, We closed nursing station SB on Wednesdays and as a result, we will be able to reduce our part time nursing person. nel. We are also encouraging others to take their vacation during this slow period. We hope that this action will make up for some of the deficiencies in operations that we j' might expect. r I I spent the middle two weeks of the month on vacations and since return( 3 t,g, have I been following up on the progress that has been made toward the linear accelerator proaset. In this connection I think that it should be brought to the Board's attention that I i one of the important points under Public Law 92-603 is that any capital expenditures excess of $100, 000 has to be approved by the a n I.' pproPriate health planning a enc g Y. which for us would be the North Central Texas Council of Governments. The review type of a buildin of any g program would be done by the local health planning council, but the i review on items of equipment would be performed by the regional health plannin c In Arlington, After this approval ha g ounei s been granted, it has to go to the Governor's r.. Cortlmiftoe on Comprehensive Health Planning for their a pProval. The approval of the health planning council is Important if the hospital is to be reimbursed on this co Medicare. st by ' Our modernization and renovation program has been approved b by the local health { Planning council and the regional health planning council in Arlington, and the ap roval from the Governor's Committee on Comprehensive health Planning should c week. o p m a this We feel like this will be favorable. I talked with Mr. Harold Smith in the Hill. f 1 Burton office In Austin concerning our project, and this Is the status of it. extending the Hill-Burton program has been signed by tlto president for another year to ~ . expire June 30, 1079, however, at this point the program has not been funded, and we~ e v :yy w!'11 f"Rl-!P `SS Ln1 do rn1 ~N41iVP . v... ..3. Z._ 1 11 . I\ L LI . • AnMr~vrsrxnrolz~s RFPOR _ _ _f"'_1 ~ r BUSINESS MINUNS onto Ji.ly 19, 1973 ragn 2 hope that the President does not impound the funds if they are approprrat :d. by Congress s i If this is not done, then we should know sometime in late fall whether or not our project) will be approved and funded, so we will just have to wait, II Aire, Mary Carroll, Operating Room Supervisor, has resigned to be effective this i Friday, and we are in the process of looking for a replacement for her, We received our check from the t•ity Wednesday in the amount of $91, 888. 67, r Reenectfully submitted, I. ; L onar V. Watson, FACFIA Administrator I F i a., f I r, .f 1i • ..i.....1`..1 1\. 1i♦,: x•,11.•\I I"II. . IY '..Io R 1111 C:Y I Ii0Ahll OF _DIR2 C. O11S BUSIIvE' S MINUI LS June 21, 1973 _ _ P.qp 1 The Board or Director.ci of Flow Ntemorial hospital met Thursday, June 21, 1973, ~j I with members present as follows; Mr, Carl Degan, presiding, Mr, John Carter, Mrs, l! l Paul Simpson, Mr, A. J. Testa, and Dr, Charles McAdams. Also present wore Dr, iI Wm, Coleman, Mr, Leonard 1, Watson, Mr. C. L. Toml3nsor, Mr, Doi) Provost., F and Mr, John Moody of the Record Chronicle. Mr, Walter Ray and Dr, Charles H. Saunders were unable to attend. Mr. Carter moved that the minutes of the previous Board meeting be approved as I mailed to the members du) ing the past month, Mr, Testa seconded the motion, and the vote carried, Mr, Testa gave the Finance Committee Report, Mr, Testa made a motion. that the report be accepted, Mr, Carter seconded the motion, and the vote carried,,! .A- ,discus-sion followed concerning the placing of our regular deposits and our certificates of I deposit, Mr. Testa stated that the Administrator and Comptroller should be ;liven the prerogative to decide which bank to place our funds with, It was felt that o.4 certifi- cates. of deposit should be placed at their expiration date of June 30th in the institution paying the highest interest rates and our depository changed at the end of our fiscal year. Mr, Testa moved that the May Balance Sheet and I+inanci'al Statement be approved, Mrs. Simpson seconded the motion, and the vote carried, Mr, 'resia moved tl at the Charlty Charge-Off list for the month of June in the amount of $E3; 324, 8 1 the Bad Dobt Medicare Charge-Off list for June in the amount of $2130. 00, and the Bad I; Debt Charge-Off list for June in the amount of $25, 297, 81 be approved, The second was made by Mr, Carter, and the m.,tion carried, Mr, Watson gave the Joint Conference Report, Mr. Testa moved, and Mr. Cartel i ~r F (;seconded, That the report be accepted. The motion carr;ed, f There was no Administrator's Report for the month, u br.' Coleman gave tho Medical Staff Report. He stated that the Medical Staff had r, ,...u 11 ,11 ~IY\Ill ♦ r ~,~T,1fe'lXAkl4nl.a•anr w. .a~.+fwr.raen..:, ~ n ~au\, Ai y i. . 4un+ i.,r i."!~,........,.. r , a 13OA11D OT' DIRECTOIIS - BUSINESS MINUTI-S Dal- ,,une 21, 1973 v"u 2 `their quarterly meeting this month. They discussed the recommendationa made by the JCAIi, and they approved tho applications of Dr. Josert, A, Lynn, Dr, Beaufort Cooper~i and Dr. C. 11, Cottrell to the Active Staff along with Dr, James E. Hyde to the Dental Staff, Mr. Testa made a motion that these four doctors be approved for staff privilege by the Board, Mr, Carter seconded the motion, and the vote carried, Dr. Lynn was I present, and Dr. Coleman introduced him to the Board Members, Dr. Lynn gave a brief summary of his background and credentials, Dr. Coleman regretfully stated that the Medical Staff is one less due to the death,of Ur. Jim Pedigo, Mr. Testa moved the I a resoluation be made'by the Board on behalf of Dr, Pedigo, I Dr. Alex Finlay was present to apprise the Board that a 6 to 7 year old Cobalt: j Therapy Unit in good condition has been made available to Flow Hospital, The hospital would be responsible for transporting the Unit from Oklahoma to Denton and for con- structing a building to house the Unit. A discussion followed. Mr. Testa recommende C that the Board appoint a committee to investigate it further. it was suggested that the committee be composed of Dr, Finlay, Dr, McAdams, Mr. Watson, and Mrs, Byron Smith. Mr. Testa asked Dr. 'Finlay to contact the Oklahoma donor and ask them to hold the Unit for us while we conduct our Investigation, Mr. Watson stated that the Dental County Health Planning Ccnuneil met last Monday afternoon to review our renovation project request, They approved it; and now it will • be reviewed by the North Central Texas Council of Governments, and their report will be sent to the I11,11-Burton office to Austin. ' Mr. Watson reported that the Medical Advisory Committee met this past month to discuss the organizing of a Department of Anesthesiology, They have presented their recommendattais to Mr. Watson, and he has sent a ropy of'these recommendations to Dr. Wright and Dr.. Love asking for their opinions. As of today, Mr. Watson has riot } t e ' heard from them. .Ry/~?;;b~aW : I3 y1N Fnni,i v. Rua. M.i,u r.v ,'i .o ,vHVr n , ,c, 13OAr D 01.' D1S,7✓C TORS BUSINESS MINUTES ~ „1411e 21, 1973 rdq„ 3 Mr. Watson ropm•ted flint lie had heard from C. Dean Davis, legal counsel for the i f; 4 Texas Hospital Association, concerning the procedures involved in creating a hospital District Bill, The bill can only be created when the Legislature is in session, and the Constitutional provision has established the 750 figure as a maximum. We can use our t a current bill or have one completely redone, Mrs. Simpson suggested using our current bill and having the election in November with the other elections, Mrs, Simpson gave the Legislative Report. She reported that we lost the legisla- tion in Austin on the Certificate of Need Bill. ' The price freeze was mentioned, and Mr Watson stated that the hospital has frozen its salaries also, Mrs. Simpson reported that the hospitals have been given a year's extension for the repayment of their 1 Medicare funds, Mrs. Simpson also mentioned the HMO's and the hSRO's, Mr. Testa moved that the firm of Leatherwood and Ward be approved as our I~ auditove for the coming fiscal year, Mr, Carter seconded the motion, and the vote , carried. r I The meeting was adjourned. Respectfully submitted, A.- J. Testa j Secretary to the Board , tj J • t S pPyrts. FN G,iflM M 4Y+VW,. M : 13OAlt.D 010 DIRECTOR,. BUSINESS MIIAL)I ES nar, Alay 24, 1.973 ra4. 1 The Board of Directors of Plow Memorial Hospital met Thursday, May 24, 1973,_. with members present as follows; Dr. Charles 11. Saunders, Mrs, Paul Simpson, Mr, Carl Degan, Dr. Charles McAdams, Mr. John Carter, and Mr. A, J. Testa, Dr, Wm +I I D. Coleman, Mr. Leonard E. Watson, and Mr. Don Provost were also present. Mr, Walter Ray and Mr. C. L, Tomlinson were unable to attend, 1 Mrs, Simpson moved that the minutes of the previous Board meeting be approved as mailed to the members during the past month, Mr. Degan seconded the motion, and I! the vote carried, ` i Mr. Degan gave the Finance Committee Report. A motion to accept the report was I made by Dr. McAdams and seconded by Mr, Carter, The motion carried. Mr. Degan moved that the Balance Sheet and the Financial Statement for the month of April be approved. Dr. McAdams seconded the motion, and the vote carried. Mr, Degan moved that the Charity Charge-Off list'for'May In the amount of $3, 880, 09 and the gad I; I Debt Charge-Off list for May in the amount of .$35, 218.80 be approved. Mr. Carter seconded the motion, and it carried, i s Mrs. Simpson gave the Foundation Report and made a motion that the report be accepted. Mr. Degan seconded the motion, and the vote carried. 1 Mr. Watson gave the Administrator Is Report, , A motion was made by Dr. McAdam to accept the report. Mr, Degan seconded the motion, and the vote carried, Dr. Coleman gave the Medical Staff Report, The anesthesia problem was discusse and is still not solved. A letter from the University of Texas Medical School in San I Antonio regarding their continuing education program for physicians and other medical ' personnel was read and discussed, If he Executive Committee felt that this program would be beneficial, Dr. McAdams moved and Mr. Degan seconded that the Medical I j Staff Report be accepted. The motion carried, k ~t ' r 't'here was a discussion concerning adopting a policy on Bargaining with EmplcyM'.rs ~....,-....a.. ..,._l~~ww0f 8..,,_,,..... hlln,lu. DIrD,D tD /1/,Iruu.tl, x•- a~~:r . 1IH11EHY,• ~li'ISY'YI MW%ft1~ ' Iryp6'j Y BOARD OF DIRrCTOR~L, j BUSINESS MINUTES oAr.A May 24, 1973 }1 2 Through Representatives or Third Parties, Dr, McAdams moved that the policy be ~ accepted, Mr. Megan seconded the motion, and the vote carried. A copy of the policy is attached to the minutes. Mr. Watson reported that last Friday we sent all the necessary documents to the North Central Texas Council of Governments for their approval, E They have advised Mr. Watson that the Denton County Health Panel will review these documents first. I Then a committee of the North Central Texas Council of Governments will review them i I and forward their recommendation on to the Hill-Burton office, Everything else is ready to submit to the Hill-Burton office tomorrow. The board needs to adopt a reso- lutton designating someone as signator for the Hill-Burton grant and loan. Dr. I McAdams moved that Dr, Charles H. Saunders, Chairman of the Board of Directors, ' t be authorized to sign all documents regarding the request for a 11111-Burton grant or i I I guaranteed loan. The motion was seconded by Mr, began, and the vote was unanimous. Attached in a copy of the r i esolutlon, Mr. Degan suggested that the letter from the Anesthesiologists to the Board be ff referred back to the Executive Committee. The Board members were to agreement, j I and k was decided that Mr. Watson would write a letter to Dr, ' Wright and Dr. Love I informing them of this decision, ' I The proposed 1973-74 budget was presented. Mr. Degan moved that the budget be approved and sent to the City and County for their approval, Mr. Carter seconded thq motion, and the vote carried, 4 Mrs, Simpson gave the Legislative Report. Mr. Watson stated that the Certificate of Need bill was out of the Committee and had boon placed in suspense. It is ready to I be acted upon, Mrs. Simpson commented on the bills being considered concorning the minimum wage law and the health insurance plan. Dr, Saunders asked if the hofpltal would be having another summer medical'.. r I„k Ore I 6 r~ ~.s~" _:~c:r~c~~<•~=~-°~---~.-_~ ! IV 1. . 1'lllc.l4 f. Jq.IL IHPA. dda 9 tn~ j BOARD OIr DIRECTO1tS.-1 _ j DUSINESS MINUTES Nfe May 24, 1973 3 student., Mr. Watson stated that we had requested one, but as yet no one has been i~ assigned to Flow. Dr. McAdams moved that the meeting be Rdjourned, and the vote carried. j Respectfully submitted, i A. J. Testa ! Secretary to the Board i j k i i i 4 i I f f f I' i f f ' .1 .-.~.-Y^`S3:•:~-~t.«. - ~«~J.~. Y-.L:.= ~~-.~Y-`~:..~'._:-_ ~.:.y1~~..!Y""~.~`-LS:S'...~._~ti-..~« ~ .1 rD.Y 0 (110 1'M.1(ItY, ad.D to it to rr IllNnl Y l . r I r r ..r.r.n... IbYlID 14 ■ -171 LM1Y{.YNN JyM: ADMINISTRATOR'S 13a3a' ~r r. y BU~IIZS MINUTES *ay 24, 1973 PAge 1 The past month has been a rather routine month, 1 attended a seminar on "Alternative Organizations for Comprehensive Prepaid Health Care" presented by the r Engineering and Management Sciences Corporation for the American College of Hospital Administrators, This meeting was held in Arlington at the Six Plags Inn on April 30 - May 2, There were 19 participants in the seminar coming from Oklahoma, Kansas, Arkansas, Maryland, Washington D. C. , and Texas, The seminar consisted of a general discussion on the planning, organization, and operation of a Health Main I to- nance Organization. We have all seen and read articles concerning this topic, but this I seminar on the specifications was very well presented with the seminar leader being neither pro nor con for the HMOs. I feel that 1 gained a great deal of knowledge con- cerning the HMOs; and If we have any organization in town who wishes to organize one, then I would $%-better position to represent the views and interest of the hospital In i this matter, .,.t two and a half full days of discussion, it was the general consensus E of opinion, including the seminar leader, that if anyone proposing a IiMO would spend all of his time in planning and never become operational, it would be a success, , I feel that I must comment on the day that ive observed National Hospital Week,. I think that this was a good change of pace for all of the employees, and that it was e f of eye by all, including those who did the serving, etc. We had an excellent committee that planned the event, and we owe thorn a word of appreciation folr the fine job they did. 1 Next year we plan to have something for each day of National Hospital Week, simular to last year, I We are very gratified and pleased with the results which have been attained in our financial condition. The entire Administration and directors-of departments have 1 played a large part In this favorable position. We realize that there are areas of weak- t noes, and we are continually striving to improve these, 14 The Texas Hospital Assoclation Convention was held in Houston this past Monday, 1 144H PIJI ~p „1, 11, 11 L1LH ~N~..U.~=::21~ •~L' '~Lf k- a ,ssgy Y A . ' 1 AD MIN) STIIATOli'S 11LPCGit'i' r^1 BUSINESS MINUTES no. May 24, 1973 Ng 2 Tuesday, and Wednesday; and we had the following people represent fng the hospital,` Mr. Provost; Mr, Floyd Colburn, our Director of Material Manageinentj Mrs, Dixie Clardy, our Director of Voluntecrs• f , Mrs, Mary Carroll, Operating Room Supervisor; Miss Pinabelle 13allard, CRNA; and myself, 't'here were also'three or four members o the auxiliary that attended the me eting, The meeting was very well organized, and j Houston certainly has the facilities to handle such'a convention. On Monday morning we attended the opening session and heard the key note speaker James H, Cavanaugh, Ph, D. , Staff Assistant to the President of Health Affairs, Washington, D, C. lie read i ~ [ a very carefully worded presentation which did not contain anything new or different, 4 ~ J and he was certainly presenting the President's plans for national health coverage. Ala, on Monday we heard the session on the "Regulated Consumer" by Mary Bennett a~ Peterson, author from Washington, D. C. tier presentation was strlctl on con I I ~ • Y sumeris and Don and I felt that she was mainly selling her book The ttegu~~o~u ~ On f Tuesday morning we attended the session on "Phase 111) Regulations ~ Affecting Health Care providers" by Richard Garvey , Chief of Operations and Analysis Branch, Health ~ j Division Office of Price Monitoring, Cost of Living Council, Washington, D, C, Also " I on Tuesday I heard the presentation on "Revenue Sharing and Its impact on Hospital Financing" by Arthur S. Fefferman, Chief Economist, Joint Committee Internal Revenue Taxation, Washington, D, C, After hearing his presentation, there is very little hope of us being able to obtain ilhy funds through revenue sharing. It was refresh j Ing to hear hie presentation in that he did not have a prepared speech but spoke entirely r f from his vast knowledge and experience, We attended the session on "Legislative Review" which was presented by Horace M. Cardwell, Chairman-Elect, America f f n Hospital Association, Ile Is Administrator of Memorial Hospital in Lufkin, so next ea € • y % the President of AHA will he !'rcfm Texas. A l i ppoaring on the panel with him was Leo Clehrtg, M. b,, Vice President F R ederal Relations, American Hospital Association,f ow A 918 . _--~~r_r cx'ssit •za _s..- Ic014 Cf IIf1,Tll\ICtu _._.«_._✓~-:`:Y~ ..-_.X ,It \ HIV ~ 4 •4~ Ntl~.Y J $''''[IrrrrS~JIAiIA ADMINTST11A'TOWS RF,7'OIti' [iUSINESS MINUTES o„o M,,51 24, 1073 P 3.._. Washington Service Bureau, Washington, 1). C. Also appearing was O. Ray Hurst, Executive Director of Texas Hospital Association, who discussed the impending leglsia i E tion to the state legislature affecting ilia hospitals and health affairs in Texas, I feel r j that it was a worth-while convention but not really anything new or exciting was present d. During the month we have had some personnel changes. A third nurse anesthetist { has been employed, but another one has resigned, -so we have no gain in this departmen t I iI j We have employed a registered nurse for the Operating Room, and she will begin her ' fff E j i duties on June 10th. Recruiting and retaining employees still seems to be one of our i 4 biggest problems, but In talking with other administrators this is not unique to our hos- pital. r, " ` Some encouraging events have happened during the month that relate the communi i ties interest In the hospital. Virst we have submitted a project to the Denton Benefit League, Then the Medical Auxiliary and a group of sororities in town have both asked ¢ for projects for which to use their funds, During the month, we have worked on and completed the schematic drswth4s, out- line specifications, and cost estimate on thb renovation project. These have alroady 1 been submitted to the North Central Texas Council of Governments for their approval and will be forwarded on to the Hill-]3urton office in Austin probably tomorrow. i The finalized budget has been completed. A lot of time and effort was spent in this r area, and I feel that we have an operational budget for the coming year. ! Victor Equipment Company has presented the hospital with a welding kit to be used f rt yti in our M,,intenance Department, and the Evening Llon's Club has donated to the hospital ass shelves to be mounted above each bed to be used for flowers, etc. They made these shelves, furnished the brackets for their installation, and our maintenance people Installed them, Our scrapbook received High Distinction in its category at the Texas hospital IuAM to•B,8 F e err... rlly lf+IYY 11 1 W, 44. r~ I , } ADMINISTRATOI3'_S 1113POR 1' BUSINESS MINUI FS nala May ?4, 1973 - _ Pe90-4 h; Association Convention. This Is a tribute to Mrs. Dixie Clardy, our Director of t' Volunteers, and to our pink ladies for accumulating and assembling this scrapbook, i 1 Respectfully submitted r• z Leonard L. Watson, VACHA Administrator • i 1 . 1 I l yy a r y ~~rV to , t cf s, I r-- r, 'F ♦ 1 _ .:L.JtYaL:StY E:II'=a'3.~1C's:Gt _:JL'Ci...7..... CCf s'L' 1.:: t^ ,_C L.~.i...- _...:L -..L-: '_.Y'... s w~■ 11,tl1B 1rrU~u~r eriare cu., Y~un,~u ifo r rrHUl ,r u r ~ ~ I uu, r, AW Mal Y 111~A411r1.~'l9ZA'1'C1T•',~fi ItIF.I'F'~,"I' iiFl ! BU511• BS MINUTES o,+, he ;,ruar,y 22, J J)'13 During the past month, we have boon quite busy on several different items, We have boon working to fret everything ready for the Joint Commission survey which will { 1 be conducted on February 23rd and 261.11, We feel that we have everything pretty much in order for this survey, and all of the deficiencies that were noted on the last survey have been corrected with,the exception of two, We feel confident that rye will be accred ll i i t , ited for another two years, but we also realize that there will he deficiencies found for us to work on during this period of time, i I During the month, we have rehearsed our External Disaster Plan a+ least three I ' ! { times, One time it Just involved the department directors. The second time there was j a simulated disaster alarm sounded, and everyone was expected to respond as though It was a real alert, We were pleased with the response from this practice alert, but !I~ ' there were some deficiencies noted which we will need to improve during the next few 1 weeks. We will also have an External Disaster drill this summer using a group of + I students or scouts as casualties. Mrs, Halden, Mrs, Freeman, Mr, ToMlinson, and I participated in the county wide disaster preparedness alert which was held at the City 1 Hall, I think that everyone participating in the alert was surprised at the problems the <f f r. ` hospital is involved in during a disaster. We all were involved in the interviewing and selection of an architect for the i '1t1i remodernization and renovation program of the hospital, and we feel that we are now in a position to move forward with this programs This has been a busy month as we have gone from a high census of 166 to a low of 118. We had to open up SB in order to take care of the increased census, and we '0111 ' i have it opened with patients on the unit. The increased census gave us an opportunity f to clean out the rooms on 3B as they were practically all filled with miscellaneous item , ~t I I some of which were discarded, given away, or stored elsewhere, The rooms will be kept in readiness in the future and will not be used as siorago areas, ~,tt r` WAY• g81Q =~•_txr_~~l~~y~.~::y~-sstSY•atTtz: =!~-=1Mr 1It Al (d; t CO,art V I _ t-~rY c_'3'_.. y.6~'27t"':.~?s'^f.la~tl.~~f.~fY'SIYC -i.Jgy~•4~ * ~ISy ~,I u111 POIM1141t A tI { k~ a "ADM TN[STRATORJ;S ]?1;A,~ r,'i' BUSINESS MINUTES o T'ebrnar I 22, 1,973 pa4~ 2 I'I The financial statemcuts rare continuing to reflect our very fnv,-) ablo firznncial i ? position, This is one thing of which we are }goad. We also realize that there is still. room fot• improvement, and we will continue to ' matte improvement and ohdnge l>roeo- ~I durea and programs as thciy become necessat•y rind time permits, Respecifully submitted, i Leonard lJ, Watson 1'ACf-iA Administrator J 4 iI J n I ~ ' r, ; f i c 11( t f , 1 If' , ^^r`F. ~ 444 Y r,~ r i ,rnu uxv All 090 to 14 xx N. lu kiq~ h101t019V11 M ` , Y I BOARD OF D[RLC 1 C)1tS Y Paqu BUSINESS MINUTES D610 ' ~ ~ F'elai uir 22' 197,1 The Board of Directors of Fjow Memorial Hospital met Thursday, February 22, 1873, with members present as rollows: Dr. Charles 11, Saunders, Mrs, Paul Simpson{! Mr, A. J. Testa, Mr. Walter Ray, Mr. Curl Degan, and Dr, Charles McAdams, Also~I l~ present Nvere Mr, Leonard E. Watson, Mr, C. L, Tomlinson, Mr, Don Provost, Mr, F j Warren Morey, architect representing Warren Morey & Associates, and Mr, John Moody of the Record Chronicle. Mr. John L, Carter was unable to attend, I Dr, Saunders called the meeting to order. Mr. Ray moved that the minutes of the E last monthlo regular meeting and the three called meetings in February be approved as C I A. mailed to the directors prior to this meeting, Dr. McAdams seconded the motion, Th vote carried, t- f 1v~ i I Mr, Morey distributed copies of his firm Is standard oontractto each of the membe s present. Mr. Vesta suggested that the Finance Committee meet as soon as possible to ,t review the contract before signing it. The other directors were agreeable. W" Mr, Testa gave the finance Committee Report, Mr, Tests moved that the report, et4 a the Charity Charge-Off list for February in the amount of $738. 031 and the Bad Debt . r Charge-Off list for February in the amount of $29, 877. 33 be accepted, The motion was seconded by Mr, Ray, and the vote carried, Mr.' Testa also moved that the January Financial Statement and the'Balance Sheet be approved, Mrs. Simpson seconded the ! motion, and it carried, OV i ' Mr, Watson gave the Joint Conference Report. Mr. Degan moved, and Mr. Testa I , 4s} seconded the motion to approve this report. The vote carried, rr' Mr. Watson gave the Administrator's Report, The motion was made by Mr. Testa and seconded by Mr, Degan to accept this report. The voto carried. 44 Dr. Coleman was unable to attend, so the Medical Staff Report was deferred until° l next month, Mr, Watson stated that the recent Senate Bill 42 would change the composition of i r ~I M . BOARD OF DIRP,CTORS BU51Nk5S IvIINU7F5 uei{ FG])ruary 22, I973 p,q, 2 ~ the Board of I•realth by adding an Administrator and four other professionals, Dr, Saunders moved that the Administrator write a letter to our representative and senator t stating our support of the bill, Mr. Hay added to the motion that tine letter be signed by both the Administrator and Dr, Saunders, Mr, Degan seconded the motion, and the i vote carried. Mr. Watson discussed the hospital's policy on abortion. Mr, Ray made a motion that the policy be approved as mailed, Mrs, Simpson seconded the motion, Those voting in favor of the motion were Dr, Saunders, Mrs, Simpson, Mr, Hay, Mr, Degan, r and Dr. McAdams. Mr, Testa cast a dissenting vote. The motion carried, Mr, Watson stated that with the architects about to begin their work, we needed to I form a Building Committee composed of at least two Board -members, a representative of the Medical Staff, a representative from the Administration, and the. architect, This Committee would meet every week or two to outline and study the different programs, yt set the priorities, and take whatever action was 3iecessary. Discussion followed, Mr, u~ 4ay moved that Dr, McAdams and Mr, Degan be the Board's representatives, Mr. a, Testa seconded the motion, and the vote carried, Dr, Saunders stated that he would also attend the meetings as an ex-officio member, Dr. Saunders suggested Inviting It 1 . `K Dr,' Kenneth L. Wright to RVrve on the committee as the Medical Staff representative, Tho directors present were in agreement. . Mr. Tomlinson gave a report on the hospital's inspection by the Texas State Department of Public .tlealth. The state inspector was Mr, Blll Everett, who was rl,. r'r accompanied by a local inspector and a member of the Herman Blum Engineering firm, t > A copy of the report will be sent to us in about two weeks, Mr, Watson reminded the Board that the Joint Commission on Accreditation of Hospitals would arrive Friday morning, February 23rd around 900, He asked that all I ' directors possible meat with the field representatives at the opetiing meeting and at the t(e I.ti1f I,5111,J1, CO 1„AY. Illla ll Y r< -10 11~\ f.LM BOARD Olr DIRECTOIIS.,BUSINESS MINUTES Oa{a~ 1reb1 uarly 22, 1973 vrt~1 3 dinner and summation conference to be held Monday, February 26th, Dr. McAdams fl and Mrs. Simpson said that they, would he at the opening meeting; and Mr, Degan, Mrs 14 Simpson, and Dr. ,Saunders said that they would attend the dinner and summation con- i Terence on Monday, Mr, Watson reported that he had contacted a representative of James A. Hamilton, i Inc, a health planning firm, and requested that their firm make us a proposal. As they are involved at this time in a survey for the Noi th Central Texas Council of Governments, their proposal will be delayed until after the completion of this survey, Mr. Degan moved that we postpone our investigations until after the report from the I j NCTCOQ is received, Mrs. Simpson seconded the motion, and the vote carried. Mr. Watson presented the Dental By-Laws for the Board's approval, Dr, McAdam moved that the Dental i 13y-Laws be approved, Mr. De an I ~ g seconded the ,motion, and the vote carried. Dr. Saunders stated that he had represented the Board before the Auxiliary of the j Hospital where he had expressed the Board's appreciation for all the services rendered by the volunteers associated with this program, ; Mr, Watson stated that he had attended the Dallas Hospital Council meeting and i gave a brief outline of the items discussed, f ' Mr, Vesta moved that the meeting be adjourned. Mr. Ray seconded the motion, I and the vote carried, Respectfully submitted, j f t A. J, Testa Secretary to the Bdard ]yy}pU { V~ 3I palm 0,0$8 /Nh,If IYh 1' If\Ih1 M„ If MIY. IIIIT b{ IIIh,L Ir Y , . ~ ~{r ( rwy.~ BOARD OI' DIRECTORS r rT~ SS MINUTES oaf. Mat ch 30,1973 pago e Board of Directors of Flow Memorial hospital met Thursday, March 22, 19173,, NvIth members present as follows; Dr., Charles H. Saunders, Mr, John Carter, Mrs. Paul Simpson, Dr, Charles McAdams, Mr, Walter Ray, and Mr, Carl Degan, Also present were Dr, Wrn. E, Coleman, Mr. Leonard 1-1, Watson, Mr, C. L. Tomlinson, 111 Mr, Donald L, Provost, and Mr. John Moody of the Record Chronicle, Mr. A. J. Testa was unable to attend, Dr. McAdams moved that the minutes of the previous Board Meeting as mailed to the members I during the past month be approved. Mr, Carl Degan seconded the motion and the vote carried. Mrs, Simpson gave the Tbundation Report. Mr, Carter made a motion that the report be accepted, and Dr. McAdams seconded the motion. The vote carried, ~ { j Mr. Watson gave the Joint Conference Report, A motion was made by Mr. Ray an k ~ f seconded by Mr, Carter to accept the report. The vote carried, Mr. Degan read the Finance Committee Report, Dr, McAdams moved that the l report be approved, Mr, Carter seconded'the motion, and it carried.. Mr. Carter moved that the February Financial Statement and Balance Sheet and the Had Debt Charge-Off list for March In the amount of $32, 974. 07 be approved, Mrs. Simpson seconded the motion, and the vote carried, Mr. Ray made a motion that the hospital ( not make any further appeals to the Economic Stabilization Program at this time. The I ~ second was made by Mr. Carter, and the motion carried. R ~ Mr. Watson presented the Administrator's Report, Mr, Ray moved that the report be accepted, and Dr. McAdams seconded the motion. The vote carried, n Dr, Coleman gave the Medical Staff Report. He stated that the Medical Staff is . a j ! E waiting fol~ the report from the Joint Commission on Accreditation of Hospitals, and he reported that the Infections Control Committee is beginning to function, The Executive Committee and the Credentials Committee have approved the reappointment of Dr. Dale 9 , ' lMAYr pool . VAO b IN BOARD OF AIR8CTORS~`!.-.._~~~~_ BUSINESS MINUTES Me March 30, 1973 Page 2 F son, Dr. Thomas O, Blucker, and Dr, E. M, Taylor to the active Medical Staff he appointment of Dr. Hugo Klint to the courtesy Medical Staff, Mr. began moved the Board approve these four doctors for their respective privileges. Mr. Ray II f seconded the motion, and the vote carried, Dr. McAdams moved that the Medical Staff t` report be approved, Mr. Degan seconded the motion, and the vote carried. F s Mr, Degan made a motion that the architect's co;itraet be signed, and Mr, Carter G seconded the motion. The vote carried. Immediately following the meeting Dr. ' Saunders signed the contract. Mr, Tomlinson reported that we have received the written report from the survey I done by the Health' Facilities Construction Section of the Texas State Health Department and a representative of the district ct Hill' Burton office in Dallas, The report listed deficiencies that were noted in our existing building, This report will'Allow our archt- 3~ tests and engineers to proceed with their plans, incorporating the correction of these d .r t ficiencies, j t„ . )M Mr, Watson reminded the Board members that they were to meet with the City Council and the Commissioners Court Monday night, March 26th at 7:30 P, M, in the hospital,cafeteria for an informal discussion. f , I All of the members were sent a copy of the Patient's Bill of Rights which has been proposed by the American Hospital Association. Mr, Watson briefly discussed the bill. Mr. Watson reported that the personnel on the Intensive Care Unit have formed an ICU Cardiac Patient Club, They invite their former patients to each meeting and 21lscuss post cardiac routine with them, The Hoard felt that the Club would prove to be beneficial. ;i'1, Mr. )Vatson reported that the employee turnover rate for the month of February was b%, and he would like for It to drop to 4%, The turnover rate for the fiscal year fi y, through )February is 11. 1%, 1 ~ ~'f~Q i ........_-.r - ~r-~rsYtr~ :=-ar--~•~~._•-=-_.__ r-mss.-s 4k too ,.!lll.,..... 0 -file U.,Alto et0, It AN IN. I U4,01 „ IIIYlle,4V1 BOARD OF THRECTORS BUSINESS MINUTES Daler,1 March 30, 1973 Mr. Watson stated that one Item suggested by the surveyor for JCAH was that we _ f try to attend one of the Trustee-Administrator-Physician conferences, The purpose of these conferences is to explain the mechanics of the PSRO concept which will be In UL-LA ted by 1075. The closest one to us, according to the surveyor, will be held In Little } Rock, Arkansas this summer, However, Mr, Watson contacted TINA, and there 4vill be s a conference scheduled In Texas probably in late summer or early fall in either Dallas f or Houston. When we get the definite meeting place and time, then we can made arrangements to attend, ' Mr. Ray moved that the meeting be adjourned. Dr, McAdams seconded the motion 1 and the vote carried. t~ Respectfully .submitted, E I ~ I Charles H. Saunders, D. D. S. Chairman of the Board P x ole, r ( f. I' 5 ' I i ` , , v4 r ''nIM tl61 tl a~...,•..-. ...~~s--~-._zs~r- }y V;;.. letliu H. /R 1•e Ce /t..,41(urau Iprtrel • `+1{11,': Pl . A17hI1NIS'i'ItA'l'UR'S It1;I'C'~i' I suslnll=ss MlrlurES o,t, March 22, 1973 Page The past month has been a rather routine period, The census has been quite good, and we anticipate It to continue through April, We are still very pleased with the con- . k t tlnucd improvr-ments in our financial position and in our accounting procedures and programs, Accounting procedures and programs are .,ow being developed which will j give the Administration some numbers to use in making%management decisions. During the past month, we have made some progress toward the improved mninte.. nance of our patient rooms, In fact, for the past week or ten days we have had 3C closed down with all of the patients being moved out. Maintenance has F gone into the rooms and replaced plugs, repaired formica, replaced ceiling tiles, etc, , the painter has repainted the entire rooms, and housekeeping has completely redone the floors and I i cleaned the rooms and furniture. We intend to take several rooms at a time until we got the entire nursing unit done in this matter. We are doing this while we have 323 open, r I We have re.. ived our new Folder-Cross Folder for the laundry, and this piece of equipment is doing a good job, It has certainly improved the morale of the people work mfr' Ing in the laundry, as they fool that we are interested In them, and they are proud of it, Most of the month has been devoted to trying to stay informed on the now thinga the are coming out in regard to the delivery of health care, such as IIItI, the abortion ques- tion, and the role of Blue Cross as the intermediary for hospitals in the health insuranc program. It just about keeps one person busy staying up with the new laws, the differe t interpretations of these laws, and how they r affect the individual hospital. Respectfully submitted, Leonard H, Watson, PACIIA Administrator 1S w=MgkT' N 6401 "'"1 I NY\~ )30MIT) OP ))M.iCTOR.S,.., ~ t._..~.. ~S(-Y_~ _..c ~ _1~____ _ ..mss - _ :7.__•__._..~i_..._._~ ~ ~ ~_.__..._=s~~ L:Y^3c t BUSIi*SS MINUUS nbib April 19, 197:3 r(hb 1 f The Board of Directors of Flow Memorial Hospital met Thursday, April 19, 1973, € t with members present as follows; Dr. Charles 11, Saunders, Mrs, Paul Simpson, Mr, Car) Degan, Mr, A, J. Testa, and Dr, Charles McAdams, Dr. Wm, E, Coleman, Mr, Leonard no, Watson, Mr, C. L, Tomlinson, Mr. Donald L. Provost, Mr, Al Tyle ' Mr. Warren Moro,y, Mr, Robert Carnes, and Mr. John Moody of the Record Chronicle - wore also present, '.Chose unable to attend were Mr, John Carter and Mr. Vk alter Ray, A mottorl was made by Mr. Degan that the minutes of the previous Board meeting r be approved as mailed to the members during the past month, Dr. McAdams seconded the motion, and the vote carried, Mr. Testa gave the Finance Committee Report, 'Mr. Testa moved that the report be accepted, and Mr. Degan seconded the motion, The vote carried, Mr, Testa moved that the Bad Debt Charge-Off list for April in the amount of $27, 851, 78 and the i 1 Charity Charge-Off list for April in the amount of $311, 95 be approved, Mrs, Simpson seconded the motion, and the vote carried. Mr. Provost read his Comptroller's Repor as requested by Mr, Testa, Mr, Degan moved that the March Financial Statement and Balance Sheet be approved, Dr. McAdams seconded the motion, and the vote carried. Mr, Morey, Mr. Carnes and Mr. Tyler reported on the progress of our moderni- zation program, Mr, Tyler stated that the two priorities given to him were the domes tie hot water system on 2B and 3B and the air conditioning system In the operating rooms. Corrections have already boon made in both areas with further improvements planned. Mr. Carnes discussed the schematic drawings and answered questions from the Board membors. Mr. Watson gave the loint Conference Report, Mr, Degan moved that the report ! i be accepted, and Dr. McAdama seconded the motion. The vote earrled, ,I Mr, Watson read the Administrator's Report. Mrs, Simpson moved that the report be accepted, Mr. Vegan seconded the motion, and the vote carried. J K,Y b•418 YYt H. url d• J4 Ca .It U(hltttO I,i HICH L, ' t a.vre+ G BOARD OF DIRECTOl1S i- i 1>=v-~- ' BUSINES$ MINUTES Val- April 19,._ 1973 Page 2 ~ I Dr, Coleman gave the Medical Staff Report. He stated that the establishment of an I f Anesthesia Department was again discussed, and Dr. Wright and Dr. Love have been asked to prosent their organizational plan to the Surgery Committee. Three new mem- bers of the Medical Staff have been approved by the Executive Committee, and they will be presented to the Board. after they have been approved by the Credentials Committee. A motion was made by Dr. McAdams to accept thlio report. Mr. Degan seconded the motion, and the vote carried. Mr. Watson reported that the hospital will observe National Hospital Week on May 9th. There will be a luncheon at the hospital for the employees, the hospital BoaH the Medical Staff, and the auxiliary. Dr, Saunders stated that he had asked Mrs. Simpson to review all correspondents received from the legislature and give a resume of these reports at each Board meeting I Mrs. Simpson had agreed; 1 Mr, Wa tsori stated that the legislature has proposed an amended house Bill X304 i which will extend the membership of the State Department of Health to 15 members. Dr. McAdams moved that the meeting he adjourned, and the vote carried. Respectfully submitted, A. J. Testa Secretary to the Board t T _ :.v-_ c_ ~.r r a .av' ...G1.-' ~ = S-r"~ .L a..>-. ~.Y_C~:x'z'sc•= r1L~1 Vlr tl 91(l ! / phi1I I RIt04,C 7 In.,s 11 loll Mi If .1 J 4 ' BOARD OF A1n8,, CTORS P %ALLVM M1 ETIN0 .I ._i:_~:z:.a.~•._z.r._x:r,.:..___:-:: .sa-•~..~.:-~-:__-::: allSINESS MINUTES Dale April 26, 1973 Pa9° 1 The Board of Directors of Flow Memorial Hospital met Thursday, April 26, 1973, i for a called meeting, Those present were Dr. Charles 1 Saunders, Dr, Charles McAdams, Mr. Carl Degan, Mrs, Paul Simpson, and Mr Yolin Carter. Mr. Leonard I Watson and Mr. C. L. Tomlinson were also present. Those unable to attend were Mr. A. J. Testa and Mr. Waiter Ray. The purpose of the meeting was to discuss the direction to take on the moderniza- tion and renovation program. After a general discussion concerning the working drawings that had been presented by the architects, the following motion was made by Mr. Carter and seconded by Mr. Degan that the architects be authorized to proceed with the schematic drawings, outline speoifications, and cost estimate including a v i patient elevator. This material should then be presented to the North Central Texas Council of Governments and to hill-13urion office in Austin. The motion carried, i i The matter of financing this program was discussed with the following motion being made by Mr. Degan and seconded by Dr. McAdams that we apply for a Hill- l Burton grant for 80% of the total cost, a government guarai:teei loan for an additional 40%, and our contribution would be 10 . The motion carried. The Administrator reported that Dr. Finley had approached him concerning the installation of a cobalt unit for the hospital, Dr. Pinlay indicated that he could got a benefactor to provide the funds for the cobalt unit plus the building that if would take i to house it. It was the consensus of the Board that if the full amount could be donated, we would be interested in talking to Dr. Finley further about the project. Respectfully submitted, j } Charles 11. Saunders, ADS r Chairman ,of the Board f ~ ( N.AJ11 ~ .....L L'L•_~J uU, ~\~Olvl[J., N1.]1l lull lfi iT...'_ `~"-'2`1J~-41: Iy~Vl ,f~~, I Y p ADMINJSTRATOR-'S REV( t'1' • . : z : BUSINESS MINUTES ohie April X 9, I D73 It is becoming more difficult for me to submit an Administrator's 13eport because s? much of the Information Is presented in the Joint Conference Report, the Comptroller's Report, or the Medical Staff Report, I feel that we need to follow up on some type of physician coverage for the emer- gency room, I have written to the legal. counsel of THA asking for an opinion on the contract that we would sign with the Physicians Placement Group for this type of cover- age, Mr. Davis reported that the contract violates the 'T'exas Medical Practice Act as it relates to the corporate practice of medicine. I have been in contact with Mr. Joyce of Physicians Placement Group and asked him if he has encountered this kind of proble with any other hospital. He stated that he had, but that he had been able to ciroumvent f j it by applying for a charter as a foreign corporation. If the Secretary of State approves the charter, then they would be able to offer physician coverage under this type of con- tract, He stated that this had w6rltdd Ili tW6 6thor stated Where they prBvide coverage, The budgons in the final stage of completion. It will probably be completed aroun the first of May and sent to each of the Board members for examination and approval, We have had two department heads resign during the month, Mr, Cecil Chaffin, our Food Service Director, has been transferred to a Morrlson's food service account In Florida, and Mr. Jim Casey, ourDJreclor of Personnel, has resigned to enter semi- retirement. Both of these men have been hospitalized recently with heart problems. Mr, Bill ]loops has been transferred to Flow as Food Service Director by Morrison. He has the experience, and I feel that he will do a fine job. He appears to be the typo o . I, E person who will cooperate and work with the other, people in the hospital. An applicant I i has also boon interviewed for the position of Director of Personnel, ' j Respectfully submitted, L gonare4d r, Watson, PACHA Admintstrator i _ _.:r pz^ti_Gi . n -_Y:e__... .r.:Y-e'_~.c _tr.:~'.' u,.._.- q EIOARD Or nrr~r c'rc:~la~ CAL l D 12.I1 ING BUSINESS N1114UTCS wog ' `,ebruavy 12, 1075 ra9o 1 F The Board of Directors of II'Iow memorial llospitai not Mondry, rebrunry 12, 1073, for a called meeting, 't'hose present were pr, Charles I-1. Saunders, Mrs, Paul Simpson, Mr, Carl Degan, Mr. Walter Ray, and Dr, Charles McAdams, Mr, Leonard Watson and Mr. C. L. Tomlinson were also present. Those unable to attend were Mr, A. J, Testa and Mr, John Carter. The architectural firm of Jarvis, Putty, and Jarvis was interviewed, Mr, Don Jarvis acid Mr, Bill Smith were representing this firm, and Mr. TvlcGuiro was repre- senting the mechanical and electrical engineering firm, f After the conclusion of the interview, there was a general discussion concerning the selection of an architect to proceed with the plans and specifications for our remod- eling and renovation program, There was a motion by Mrs, .rtrnpson, seconded by Mr. Degan, that the architectural firm of A, Warren Morey, Associates be selected as the architect for this project. The motion carried,' Those voting in favor of the motion li ~ 1 were Mrs, Simpson, Mr, Degan, Mr, lay, and Dr, McAdams, Dr Saunders cast i a dissenting vote; Respectfully submitted, A•, J. Testa Secretary to the Board i i '..HwwM...«n......., -`~~Y~ ~•.`'S..~~.^:YSi f~ :~Y't~~•_t_ ~Y:L :~Y..5~2._..YS~tG'~••~R-~.AYL11T9Ltf'C /elrpllB pnuinl.r Alru,ta„Inl+, uul/il , ~ Iq 11101141.E t FF ea BOARD OF DIiUXTOI3= CALLED) MEETING .•iBU..~e:T._~:~C•-~~~~~._.l~.~-Y1L.L-L:fr SINUS MiNUT[S Aa~a February 8, 1973 rage l The Board of Directors of Flow Memorial Hospital met Thursday, February 8, 1 1973, for a called meeting. Those present were Dr. Charles 11. Saunders, Mrs, Paul Simpson, Mr, Carl Degan, and Dr. Charles McAdams. Mr, Leonard Watson, Mr. C. I L. Tomlinson, and Mr, Don Provost were also present. Those unable to attend were Mr. Walter Ray, Mr. John Carter, and Mr, A. J. Testa. j f The purpose of the meeting was to interview representatives from two arohitectura i firms. First to be Interviewed was the firm of Oglesby, Wiley, and Halford, Mr. Halford represented this firm, and a representative from Zumwalt & Vinther was present. The second firm interviewed was Warren Morey & Associates, Mr, Morey represented his firm, and Mr. Herman Blum, representing Herman Blum & Associates I was also present. I Respectfully submitted, 'i A. J. Testa Secretary to the Board ' L + -11 1 I 1 r ,...a•.••A.R.l. R..... .r_rn..p tr„ ~rsr blll~f{H Woo '4v vA . Awiywl Y "i ~.rAl~Jlj ~e I JIM 130ARD of I)I1ZLI,,CTOl35 - CALLED MNEIIII1NG 7Pe90 z SiIJFSS Mlldll iE5 Deis ~cbruary 5, 1973 The Board of Directors of Flow A,Iemorial Hospital met Monday, l obruary G, x9790 for a called meeting, Those present were Dr. Charles 11. Saunders, Mrs. Paul Simpson, Mr. Carl Degan, Mr, A, J. Testa, and Dr, Charles McAdams. Mr, Leonar i I Watson, Par. C. L. Tomlinson, and Mr, Don Provost were also present, Mr. Walter f Ray and Mr, John Carter were unable to attend, f The purpose of the meeting was to Interview two architectural firms as follows; 1. Clutts and Parker was represented by Mr. Jim Clutts and one of his assoct- ates and a representative of Zumwalt and Vinth"r, the engineering firm that they would ,i be using. I f 2. Roscoe DeWitt was represented by Mr, Jim Wright, and Mr. Clarence Gilmore represented his.firm of engineers, i Respectfully submitted., f ~ A. J. Testa Secretary to the Board i i I j i f $ttdo 0.616 f IMIeICIAI l11 OIIe('O. I I MI N. IN.1111 ' P41 Oro 6 Imp SIC Y r ~IIFVf~.r.w 11NE4 Y 4 S T;OAM) 01' lliill t" T41 90 rA dUSINC._I . „41NUIf , ~r Julmi;;v 18, 111 'I'Ire Board of Directors o!' Vlow Memorial Hospital met Thursday, January 18, t I Ij J973, with membur,s presrni as follows: Ur. Charles 11, Saunders, Mr, John Carter, Mrs, Paul Simpson, Mr, A. J. Testa, Mr, Walter Ray, and Dr, Charles McAdams, ' I ~I Also pre .ent were Dr, Wm, E, Coleman, President of the Medical Staff, Mr, Leonard L T;, Watson, Mr, C, L, Tomlinson, Mr. Don Provost, Dr. H. M. ~ Burgess, Chairman II of the,A'ledical Advisory Committee, Mr. Henry Barner, reprosentative from Booz- .Allen and Hamilton, Inc, , and Mr, John Moody of the Record Chronicle. Mr. Carl Dogan was unable to attend r Mr. Testa moved that the minutes of the previous Board Meeting h.s mailed to the I members during the past month be approved, Mr. Carter seconded the motion, and it carried, ~ f f TJr, Coleman gave the. Medical Staff Report. He stated that they discussed the I) preparation for the coming examination by the Joint Conference on Accreditation of Hospitals. Mr. Ray made a motion that the report be accepted, Mr. Testa seconded the i t I motion, and the vote carried, Dr, Saunders suggested that the critique by the Joint Conference lie presented at noon on February 28th so that all Board members possible 3 could attend, E Mr, Watson had mentioned previously the need to obtain the services of a health planning consultant to make a study of the community as to the needs and services that ( the should be rendering. This was alsp one of the recommendations made by the Medic # f Advisory Committee Atone of their earlier meetings. Mr. Watson introduced Mr, E Barner, a representative of Booz-Allen and Hamilton, Inc„ and Mr, Darner discussed I the type of work that his firm does and the type of survey that lie thought might interest ~I us. The Board Mombers had numerous questions for him, and the consensus of opinion€l was to ask him to make a written proposal setting out the points that he had discussed with an approximate cost estimate and a time frame for doing this type Of survey, ~t::-Cf ..J :~.~.'1y»=•.i^SZ>_~ •Ya c•!~ _t i._1.~.«-' ,L1: ~tr._ - _'y'_. rc.~.~~s SS•Y=19-•]:bn_~••••••tCt~`.."S~'t ~°Cx:9.~. f,n In r,i: it" III C.C CO.r It N., r, l l kill 1& /IIIVIIO 11 P„ p WON 1k0f1 r •130ARD OF DJRJ C11i'ol?s 0USINBS 1vllNU7ES January 18, 1073 P,,qo ? ' i)r, Saunders sugi;r,sted that we also hear from other health planning consultants, ~I I and he asked Mr. Watson to contact other firms and arrange for their representatives 1 to meet with us, Mr. 'Testa gave the Financial Committee Report. Mr, Carter moved that the report and the Financial Statement and Balance Sheet for the month of December be ll e approved, Dr. McAdams seconded the motion, and the vote carried. 1 Mr. Testa mado a motion that the Charity and Medically Indigent Charge-Off List for January in the amount of $800, 45, the Medicare Charge-Off Joist for January in the amount of $10 880, 85, and the Bad Debt Charge-Off List for January In the amount of i $21,107, 42 be accepted, Mr. Carter seconded the motion, and it carried. Mrs. ,5impson read the Foundation Board H,eport. Mr. Ray, moved, and Mr. Testa seconded, that the report bo approved, The motion carried. Mr, Watson gave the Joint Conference Report. A motion was made by Dr. McAda s and seconded by Mr, Ray to accept the report, The vote carried, Mr, Watson gave the Administrator's Report, Mr. Carter moved that the report b f approved, Dr. McAdams seconded the motion, and it carried. Mr,,•Watson stated that there will be a meeting at the Green Oaks Inn in Ft, Worth on February 17th and 18th of the 'T'exas Association of Hospitals' Clovurning Board. Dr, J Saunders said that he hoped everyone on the hoard would be able to attend. Mr, Watson reminded each of the Board members that th©Iv were sent a copy of the Bill-Burton proposal outlining the charity requirements, He stated that we would probe ably use the option of 3% of our operating expenses less the Medicare- Medicaid reim- bursements, Dr, Saunders read a letter that Mr, Watson had received from the family of n former patient stating their gratitude for the fine servico providod by the hospital, Mr. Watson mentioned our renovation program, and the weed to aotlvate Our plans, { x~r:.-:r_a-.~>~e_r_.:=:,>= rsr.>xs:re - ~5-.. ~ -:.ns~=><r_:.:.::ur-..r~:as•_.r.!~..a• :tr. r:_~:x n-:.-.•:--:1 //IM 0.616 , IN It 1 .11VI'11f000 GO. IfIII V, 1111Vf11 IRIr11HV41,. { I I LAW . Owl BOATtJ) 07 ]~litl:C' lfc1J35 i11NUTLS le , y io, 1w~ ~ . llnil;l PerJe 3 iIi »r. SAWA(c rs subtlesteld having other architects and engineers come out to survey our physical J'acillties and presc,nt their recommendations to the Board. A discussion fol- lowed.Dr, McAdams moved that we continue with Warren Moroy Associates, ' and Airs. I Simpson seconded the motion, The motion was defeated. Mr. Testa moved that we i j have other architect firms Apd engineers make a survey as soon as possible, Dr, I McAdams added to the motion that the application be ready to submit to 11111-Burton no later than May 16, 1973, Mr, Carter seconded the motion, and it carried. 1 I Mr. Testa moved that,yhe meeting be adjourned, and the vote carried, f Respectfully submitted, { A. J. Testa 1 Secretary to the Board I 1 i i r j . r y ~ i I - -~x - _ ...~..••~l_.~=~•'~C:=Y~~'s aY~r.'...'-=.:1'.'_~"~TK.YYi.:'•::•:J 111 Jxlllf li YY 111ld.d f7. II Ax,YrlµHaf ,.IY Ir. IVY 1 I i 1 I~ iti~,hc)1~.'r M)MINif 1'1 - tA . 'V 0) S >JS1tdf:5:( " I G! „!U'fCS o .lnnury 18, 1078 ry~ k i heir, Tomlinson, 'Mr. Provo:it, Mr. Watts, and myself have been meeting at f I various tirnles tinting the past rrontlt with a representative of 113M soliciting their 1 assistance and cooperation in the developing and dot.nmenting of the various programs wr: have on our computer. We feel that these mect.ings have been somewhat productive in that we have solldi.fied our thinking into the programs that we would like to have and ,h to the contents and reports that we want generated from these programs, We are par- titularly interested at this time with accounts receivable, fixed assets, payroll, genera lodger, and financial statements being prepared by the computer. We have been doing some of these functions, but we have some refinements that we would like to add to the programs. With these refinements, we hope to have all of these programs in operation) ff I by August 1st of this year, The enrollment for our Retirement Program has been completed, and we had 132 out of 142 eligible employees to unroll in the program. We feel that the interest of the employees was real good toward the Retirement Program, i We concluded a seminar on Tochniques of Effective Communication directed by Mr, Jim )Musick from the extension service of 'T`exas A&M University, We had approx- imately 20 of our department heads and supervisors to attend this seminar and to I receive their certificates, This seminar was conducted from 1,00 to 400 P. M, on I ! Tuesday through Friday for a total of 12 hours instruction, We feel that these seminar i are helpful to our people, and we anticipate having another one in late spring or early summer( We had a reception on December 28th for those employees retiring as of December f ` 31, 1972. There were five ladies so recognized, and we presented them with a check for $500, less deductibles, and a racking chair. We feel since they were the first ones i to bo retired, we should do something in this manner to .recognize them, In the future i we have thought about presenting rocking chairs to all employees retiring. to tv tj-0 f(1... l/, 61:14 It 1('%lots.11 u 1 , 1111, IN I1H1[Cn Y1! i. YCHKaT I~ . 999 I I, DU•;III' MiNIJ~rS o,ll• J;,mkiary 101973 _._P".ge z Wo received our check in the arnount of 43, 950 from the Count as their part of their contribution to the hospital, I I~ 1 During the month we have had some meetings and disciissions with the anesthestolor ~I gistr, and the Chairman of the Department of Surgery concerning anesthesia coverage, We ure at this time investigating the possibilities of getting a third anesthesiologist and have him also serve as Medical Director of Respiratory Therapy and'the recovery room. The hospital would pay a fee to the anesthesiologist for this service, We and I the physictano feel that therdepartment of Respiratory Therapy would be strengthened, and the part that we might pay would be offset by the increased revenue generated by ~ I the department. We hope to have the full details worked out to be sumitted to the T3oar& f at our Pebruary meeting, I We are encouraged by the communities interest in the hospital in that different I I i organizations have been calling us and want to know what equipment they can buy for they hospital as a project for their organization, This is the type of interest that we want and encourage, The past month has been a very busy month for all of us, and I would like to say that our department directors and employees have done an outstanding' job iii meeting the increased demands put on them by the increased census. Sometimes we fail to f realize that when there is increased sickness and increased hospital admissions, our employees, too, are subject to the same sicknesses. Onone day we had 10 who were ill and unable to report to work, and this slack had to be picked up by the other people, E We do feel that we have a'good staff who is geniAnely interested in the hospital and the patients, and I think improvement is being made everyday in this regards, i E Mr, Leonard Thompson, director of Respiratory Therapy, has resigned= and lie is s being replaced by Mrs, Pauline Loflin, who is a HN and has had comparable experience J i J in respiratory therapy, hn fact, she established the department at John Teter Smith In . w..... n.,-... ♦n rrn rv nu..u IINIIp HU>1 1 11 I, ADIVIINI`?TBAll'C)PIS 1t1 LL IiO f~ 13U51PJr tall~lUl'E:; a,~~ January 18, 1979 N~yo 3 'r Ft, Worth, With the change in this pogition, it makes it more timely for its to try to t, I. obtain someone who can give medical direction to the department. ~i I thinlc that the comptroller's Report and the Financial Statement express our C! feelings toward the financial position of the hospital, and we are very pleased with this, j tj It is our opinion that further, improvement can and will be made in this area, As I have mentioned before, we will be surveyed by the Joint Commission on Accreditation of Hospitals on February 23rd and 26th, which Is a Friday and a Monday, The surveyors will be ,f M, P. VandenBosh, M, D. and Mr, Gene J. Pawl, who io l an administrator and I understand is also a registered nurse. I think that it would be desirable to have someone from the Board of Directors present at the summation C conference, which will be held on Monday afternoon, Most all of the deficiencies that j were noted on our last survey have been corrected or are in the process of being nor- If rooted, (1) It was requested that we have an automatic extinguisher system in the hood 1 I I over the ranges in the kitchen, and (2) that our fire alarm system he tied in with the i City's fire Department. Orders for these two projects have been placed and will be completed by VebrUary 20th, US) It was suggested that we rehearse our Extet-nal Disaster Plan, A new plan has been developed by the Disaster Committee of the i Medical Staff and will be rehearsed within the next few days. Also, there is to be a Civil Defense Organized Emergency 4poration simulated exercise to be held at the j Denton City Ball on January 31st, This is an exercise that will take place in case a major disaster saoh as a tornado struck the city, and we will have a representative of I the meeting, This will count as one disaster rehearsal program. j I fool that we sliomd instruct our architects and engineers to proceed with our j , modernization and renovation program taking into consideration the local codes, the Hill-Burton codes, the State Department of llealth license code, and tab Life and Safety i s codes which were revised in 1071, We feel that if they would use these as their guide, q AIN: 4.~~lsn~."o~asa•J8y Y 11Kg11 A19006NCO 11 ~614, 1"'•_ M1 e~qW I i I slw~ft tan toll ADMINISTRATOR IS RHIPOR71 BUSINESS MINUTES Dn~e' i~ J+anuary 18, 1f173 - _ , J r:.:,,1 4 II we would net be too far off 1)ex8d in attythtng that we would plnn to do in this, nrogrom, ? I havQ talked to a representativr at THA, and they see nothing coming out in the near I a } i future which would supers edc tlyQSe codes, There will probably be a now NFPA coctf, t f ( oerrtiug out lator which will. supersede all of these codes, but the cotnmltieQ that is { II changed with the responsihi lity of writing these codes has not been organized. It could conceivable be that in 4 or 6 years we would have to change some parts of, our electri- cal and mechanical system to comply with this standard, but I think that the cost of this would be offset by the increased cost of arts and p labor that would occur during this time, I ~ i We have been experiencing difficulty In recruiting experienced aides and orderlies, and we have this past Monday started an aide anti orderly class, The class will cover { I a 80 hours of instruction, and we have 17 students enrolled; 13 aides and 4 orderlies, 4 I~1 I would like to close my Administrator's Report with something that f ran across In a communique from the 'Texas Hospital Association today) Ivry MUCH TO III DONE : LET'S GET WITH IT >;,ac <u.,,= h weeit see ~ ms to bring bigger and more autnarous problems and, on occasion, I ' the load seems too heavy to bear. But there's always been a way, and there will alway ] be a way to get those things done' that need to be done, so long as it's tempered with the ! J 1 courage to shrug off those things that need not nor cannot be done. All of which brings to mind the oft repeated story seen most recently in the RAB 3 "Chairman's Letter" of 4*S ~ f duly 10, about Winston Churchill who was noted for his love of brandy. It seems the Prime Minister was visited by a delegation of temperance ladies who came to complain about his heavy consumption of the fruit of the vine, One ]title lady declared, "Why Mrj Prime, Minister, If a21 the brandy you drank In a your was poured into this' room, it f ^ would come up to hero, " Mr, Cfu u,chi I ll solemnly looked at the floor and the ceiling and the lad3I' f s hand somewhere Hoar the mid-way mark, Then itQ muttered, "My dear, i i t F~ ✓Ft I I_~- 1 - :-.:.'s ..ter..-•_xam r.«eo.,.a+.-. Ief 11 q.H RIr01f 10. Iferll11L115 'F'''»~:x~~•~-~SStm. :._2.:.2."at~e- J ~t• I 111111. Ir V.1,1. n F"O S US. INE55 f~IhdUTCS ~allll~2l'. 18, Y much to do, so llttte J time to do it, " So br. Yt ]3espeetfully submitted, Leonard I,, 4Vatg011, IPACHA ! Administrator 'r l~ 4 hy+% 1 J. l ~ v ib'1I , j ty[. 1 ~M1~I.RV~Wr ~.b., nV~1 "L.`.IC ~.:C.Y~~[Y .'1_'1~.:1'.t~T.'SVS'-:ylf33tit...2'Y..1 °XL•~ Y~~ AYIfn,~^/1111..G,1111... 4 ywawt 5 ~>+espvlM r ADMINLS HATnlt'S 1U1r' )it'1' + Ir BUSINESS mINU7tS G .Jecembo 21, r,y, 1 The activities for the past month hav,, boon rather routine, but I would like to com-' ment on a few items of interest. I j We began the enrollment of employees in the Pension Program on Wednesday afternoon, and hopefully we can have the total enrollment completed within a few days. l i We have been in contact with three different health planning consultants, and we will have a representative, Mr, Henry :Garner, at our January mooting from Booz, All , and Hamilton; Inc. I feel that this is one of the top firms in this type of work, and they are presently doing studies for Dallas and Tarrant Counties, C0C3, Baylor Hospital, an ,S , I I r• tc • Thigh Plains Hospital of Amarillo, I think it would be well if we invited the Chairman of M1 the Medical Advisory Committee to attend the meeting as this recommendation was 1 ' y made b them at one of theit initial meetings. 1 think that one of the most gratifying things during the month was that we did { I receive our final audit report from Loatherwood and Ward, We are very pleaded with the manner and professionalism that they showed in their conducting the audit proce- dures and their willingness to assist us in questions pertaining to the preparation of , ' the 5-62 and the Medicare Cost Report. i The maximum security rooms have been completed. In fact, we have a patient in I one of the rooms at the present time, and it has proved to be very beneficial, 14~_ x : I would like to report that severalyears agh wt en the late Mr. Newton Razor gave r checks in the amount of $10, 000 and $5, 000 for the implementation of a MI Computer f System, the .hospital was unable to proceed with this installations and they asked that th i cheeks be returned, which was done, The checks were never cashed, and this past Tuesday we received the two checks and a letter from the estate saying that'they did no E ` wish to cash the checks and were returning the checks to us with all stipulations remov , i FLrd etfully submitted, ' GU2 , W atson, p'ACkIA 1 >~'~v~ _.s.--.<ex•~aasu+,c<cr~r~ur~:=arraa~mn.-:rn~ ,.,~~W l.,,,, r~ u ~ t , r y ~.LfAAg111 ..710AT?,D Ol' iI,CTORS ` "iY TSL~ 'S .1^SS :•ll 1h r_4 _ -..9C BUSINESS MINUIFS o..~Decembri 21, 1072 _...._,z_ My. t f The Boarcl of Directors of Plow Memorial Hospital rnot Thursday, December 21, 1,072, with members present as follows; Dr, Charles I1, Saunders, Mrs, Paul Sim' I ii, I)SO Mr, Carl Degan, NIr, John Carter, 114r, A. J. ~ Testa, and Dr, Charley McAdams, l Also present were Dr, Ccorge Holladay, Mr. Leonard Watson, Mr. C. I„ Tomlinson, and Mr, Don Provost, Mr, Walter Ray was unable to attend, i A motion was made by Mr, Carter that the minutes of tho previous Board meeting be approved as mailed to the members during the past month, Dr. McAdams seconded i the motion, and the vote carried. i Mr. Warren Morey, architect with Warren Morey & Associates, discussed his reasons for using Herman Blum Engineering Firm stating that he felt their engineering ' integrity was unquestionable, He had used them for years and would anticipate con- 1 i z tinuing to do so unless directed by the Board to change, f i Mr. Testa read the Finance Committee Report, Dr, McAdams moved i that ` the i E ' report be accepted, Mr, began seconded the motion, and it carried, Mr. Carter movod that the Financial Statement and the Balance Sheet for the month of November 4 be approved, Mr. Degan seconded the motion, and the vote carried, 1 ~ Mr, Testa made a motion that tho Bad Debt Charge-Off List for December in the ` amount of $160 978. 19 and the Charity and Medically Indigent Charge-Off List for 1 I -Yl December in the amount of $1, 612,20 be approved, The motion was seconded by Mrs, Simpson, and the vote carried. i i Mr. Watson gave the Joint Conference Report, Mr, Degan moved, and Mr. Carte seconded, that the report be accepted, The motion carried. 1 i Mr, Watson gave the Administrator's Report, A motion was made by Mr. Testa and seconded by Mrs. Simpson to approve the report. The vote carried. I Dr, Holladay gave the Medical Staff Report during dinner as he was unable to attend the meeting, Dr. Saunders stated that the board deeply appreciated the past 1 >`:~=~-a~~ ~.--Y.~•arm--"-----r~•sa~*rne-axzmz>rr,.._..o-ruaea>Asa:arrr.-..rm-.'.........._...__~ i IVllltll\1 ett04 OO.It,H r, ltl Nell I,Ir Itu IY V.1 J, } ~ i 0 m,. -yl r "W= DOARD Ol bIltr;CT01t BUSINESS MINUTES ors., Occember 21, 1972 V4ho 2 service that Dr. Holladay lead given us as a representative of the Medical Staff, Dr, r Holladay reported that the Credentials Committee and the Exocutive Committee are R recommending that the following physicians and dentists be reappointed to their respec-I f five staffs, ACTIVE STAFF 0. H. Adams V. it. Alvarez R. 13. Boatwright Do rC, Boyd "is M. Burgess E. R. Burkhalter 1 C. R. Chung W. E. Coleman J. F. Collins, Jr, i 1 R. S, Croissant J. IT. Damon M. E. Donaldson J, 1C. Dowling J. W. Dunn P. J. Dyer dr,.. a. V. Edgar 9. To 1lizondo .7. J. Foldnian A. M. Finlay X. L. ford Scott Haggard a J, D. Harvey C3, E. I•]olladay is W. Holland J. 11, Jones C. L. Kinard F.. D. Kurrus Ho J. Lee it. M. Lockwood S. T. Love tx , C. A, McAdams 14. L. Mcllrayer 14, M. McClendon W, C. McCormick W, M. M'idgett J. IT. IV1{l]er W.' S. Miller Virginia Moreland 11. V. Norganrd R. b. Nunn To V. Patterson S. J. Pedigo S. M. Rampoldi Fr. F', Schlegel D, Ho Steiner 7, D, Thomas P. E. Weathers IJugene'Wolski „ • f K. L. Wright A. E. Wyss CQURTI!SY STA 'r R. J. Boren 13. E. Davis W. F. King L I I L L. A. C#ifford H. ` To McSwatn R. P, Norgaard Phuangnoi Phitaksphraiwan Paul 'Picket J. G. Quarry W, A. nemley, J. W. Sears W. A. Cluynen John Redman DENTAL, TTAPP W. to I3oynton. John Bryant Frank A. Camp a{ F, W. Cothern W. A. Crawford Ralph Davis i Griffin 13, Huey Iianiilton Jones R. B, T{indriek Gene G. Morris R. J, Nelson W. E. penley i I FT. It. Reed , C, IT, SAunders P. !3, Silvernale G, L. Simmons D, F. Speck Dr. Holladay also reported that Doctorq Blucker, 'T'aylor, and Jackson had been a dropped from the Active Staff because they had not attended the required number of A departmental and staff meetings as called for in the I3yLaws, There was a motion by ;j Dr, McAdams, seconded by Mr, Degan, that the Medical Staff Report as submitted by i .r,;.r t::: ~r r....._..c.: z •.:.:._x -s ~.•tirf... . t: rw.-c a r_:mn.:_ . ms.~nrr. >:e.e~-.s q .,.x B•!IU Ixt, v,, n. x.<a. to ll n.x.lu nen _r:-nu.••• ,ar..x.YU,,.A 0" 1 4 ,`snara ~il,YMd 13OAan or l)IR'Iocro1lS IqB'{ i3USll~lCSS I~tIi4UTFS oAla December 21, 1072 rage 3 i ! Dr, Holladay be accepted, The motion carried, Mrs. Simpson opened a discussion concerning the Priority Note 7 of the Auditors, Report, The Board felt that action on the Forester Instate needed to be initiated so that I ' the Foundation could start receiving its money. Mr. Watson reported that Mr, Henry Darner, a health planning consultant repre- sentative from Booz, Allen, and Hamilton, Inc, , would be at our January Board meet- ing to tell us what is involved in their services, Mr, Watson reported on the Shared Management Services program offered by THA f THA will provide an industrial engineer to do a time and management engineering study for the hospital, and the hospital will pay TIIA a monthly service fee, Mr, Watson suggested that they might do a study in our Housekeeping and Laundry Depart» t merits after the first of the year, Mr, Watson stated that a remodoling 1~iogram for the two private dining rooms wa d , being considered, It would involve removing the wall separating the rooms, and com» binin these rooms !l , carpeting them, and possibly buying new furniture, Mr. Watson explained that the Texas State ]Department of Health was requiring all € I hospitals to issue written statements concerning their nondiscrimination policy. l ven though our hospital has been in compliance with these resolutions, the Board needed to formally accept therm as hospital policy, Mrs, Simpson moved that the resolutions be f,` ` II accepted, Mr. Carter seconded the motion, and it carried, Mr. Testa moved that the meeting be adjourned, and the motion carried. Respectfully submitted, I A, J. Testa Secretary to the Board i ,fP •eurW r.._r_a ::3r_v:: a-+- .as~4:r ~~.a>cffi=r_:a::,._r .i ~ _,::-s=>~---xs.1¢~-r -~;,..•t ».r..,_~_c~•csa=araro-n~r~ar f 4' ,olR tl dlO 1+9,1,,9, R,corr to ttu,4,,,, ,rn . e•:•A,w. llleVAN ~YSt1ulY,y its;'' ,Ij/a}tli Kom ADMIN1ST1tATblt'S RIaPO.cR~T BUSINESS MINUTES oa~•I 1 NOVFMl31aIt 30, 1972 e 9 This report covers the period from our last hoard meeting, and i have nothing oally unusual to report as it has been a rather routine period, I believe that the finan- Aal statement has been covered quite adequately in the Comptroller's report, and we r ~ ontinue to be very pleased with the overall financial position of the hospital, This post - l ion is allowing us to make some routine improvements in the maintenance and house- eeping areas, One thing that is significant to me is our being able to pay the city the a' glance of our outstanding account with them, and this month we are current with all of ur vendors. Ee ` The $30, 000 of equipment purchased by the Foundation for the hospital has been rdered, and much of the equipment has already been received and is being used. We eel that all of it should be here by the first of the year. I x >°t Our oonsus for this month shows a very marked increase over last month; and of ourse, our revenues, will be increased accordingly. Dr. Seliskar, the new director of the County Health Department, has visited with I,. f EI e on two separate occasions, and I find her to be very interested in improving the over- I 11 health carp for all people of the county and willing to cooperate with us in any way hat she ean, There was a meeting with the Financial Advisory Committee concerning the Pension rogram for the employees of the hospital, and this proved to be a very good meeting, t is evident that they are willing to work with us on any project that we request their 2.,~. ssistance, ' We are finding it increasingly difficult to employee people such as maids and porters nd other people such as nurses and technicians. We are attempting to be more thorough I n our screening of applicants so as to decrease our turnover rate.. However, it seems ram our information that just about every hospital in the area is having the same prob- en,. E /ofY b 918 _:c_., r lr_.-.:'r.~;=tom c. .u.._.-z ~T...,..:.~'r••~tmb• I f 7 r....,.._.,,. /f111n4f •l(CAJ G0. 11AAIY,1l llht❑ - -T-. 14 f Al E„ iwward4 r ADMINISTRATOWS RE, PORT ~ . ~er~:.-':~--+=size.-c - I-~_s✓^rn ~r.,xu:__~.-r _ ~.,er BUSINESS MINUTES Ua+o NOVRMBER 30, 1972 A Pago 2 I guess the highlight of the month's activities was the auxiliary and employees' ward Fight which was hold on October 26th, At this occasion the auxilians received E heir various pins, bars, etc, and our eligible employees received service pins. The el ' ' oard was represented at this event by Mrs. Simpson and Mr. Carters Dr, John f, c.Farland of Texas Woman's Vniversity was the guest speaker, and I thought that he E rought an excellent address. " Respectfully Submitted, ~,eonard ilZ aon, )tACY3A Administrator S C I ~t; r I r I ~ Ir I ..Z`t~.-YY ~..'?yY.~.'_. _:CY V]~i6':;;Y`~ y ":~2`.'~..TS3"•.••.tY: .:~if•..'ti'.L`:::•'y ^W'L'1tIL2('Y"Y ..1=e.es~..r....:J("irtY.[t3" rar>, U•P18 Per Tien+. Auanto erl.n uuleu ~y'"1'` 'ALA R E ucr~r ADMINISTRATOR'S AN' ` AI/ REJ:10111 I^ ' i3USINESS MINUI GS n.~o OCTOBER 11l, 1972 rage 1 j In my initial interview with the Board prior to my employment, I stated that there I II , were three areas that could have great bearing on the financial condition of the hospital.l I believe at that time this was one of the main consideratir^,is of the Board. The three areas that I indicated to tho Board that possibly could bo causes of the present condition, were; i1? a sound aclmi.ssion, credit and collection policy, (2) the number, of employees 1I Ij II on the payroll, and (3) the purchasing habits of the hospital. After being present for the, past 14 months, I find that I was correct in the three areas that I have mentioned. Prior to proceeding further with city report, I think it would be proper to state nay f ti.. philosophy toward hospital administration; one that could possibly be adopted by the 1 Board of Directors for the hospital, j 1, 1 believe that we must be devoted to safe guarding the health of those fortunate I~ I I Enough to enjoy it as well as those who have lost it, i j 2, That we must cooperate with other health care i.na;'tutions and related agencle j In managing an effective and efficient' operation, ! 444 The above two statements are elaborated to cover the following areas, I TO OUR PATIENTS, We believe that our first responsibility is to provido a (comprehensive program of quality health services, covering the physical, emotional, spiritual, and sociological noads of our patients, In addition, we respect the needs of ,lie ; our patients' family and visitors, I ~ r I Within the I161ts of available recourses, Nve must provide needed health sorviees I 4 J for the poor and clisadvautaged. II TO OUR ASSOCIAT£;S, To our dedicated Medical Staff, we assure the creation an I~ l` maintenance of 7n environment that supports and mainJuius excellence in health care, i This Includes the operation of a well maintained physical facility; the use of modern andli safe equipment; the hiring of qunlJfied, capable, supportivo personnel; a.nrl a climate „ i that encourages i creative approach to the complex O)anges in the delivery of desired 4~ (19NM®' ONO I ~r ADMINISTRATOW") A 1JA1, It '1JORT ' S'-m 'C ~.tit c:G..CrG-1 BUSINESS MINUM Do, OCTOBER 19, 1972 pag, 2 care( I To our loyal employees we pledge security, opportunities for advancement, and ~ I. a pleasant atmosphere in which to perform their. dutirrs. Security will net only include protection from the environs but also a just and commensurate wage and salary program along with appropriate benefits. Opportunities will be availabler to employees through f various educational and training programs developed to assist them with their interest and abilitier,. To our managemel it and suporvIsoryr Loam, we promise to provide, in addition to the above, the opportunity to accept responsibility to operate in their area with the ~.i maximum plc+groe of freedom, creativity, and innovation that is consistent with the Yh I goals of tine hospital. i To our volunteers and auxilians we promise to provide a challenge that will r' ; ( stimulate their interest in serving their fellow man, 1 ` 'sell of these groups in turn is expected to respond with a dedication, inspiration, i and perseverance necessary to achieve a continually improved standard of patient care, " r TO TIM COMMUNITY. We acknowledge our responsibility and health care to the t^ citizens of Denton )7 + eaten Count and tt ' to surrounding area, We strive to see, a all ' people regardless of race, color, creed, sex, age, or national origin. As good citi- zens, we accept our role as }participants in coinmunity affairs. ~ our interest in the community health needs is shown by participation in the local f ~ i Denton County Health, Panel, the Blacklands Area Hospital Council, and various other health agencies. We unselfishly cooperate with other institutions and related agencies to provide for the effective delivering and development of health care services, I~ TO OIlll. COUNTY, We must operate our hospital in compliance with the spirit and; intent of the various: f~.deral, state, and locul laws. We must actively participate in P ,E associations connected with health care; that is, the AlIA, the T HA, the American Ef ,~r xr ~ r-..., ur. .r n -/r.. a a J1' .11 II LIVJII ~ jt I rwrMtH(, ADA1INl.STRA'1`01VS ANNUAL 11Is'POllj, fIIJSINS ss MINUTES 7 0c'rol3I;11 19, 1s72 w_ I Page 3 College of rlospiltil Administrators, the Joint Commisylon on Accreditation of Ilos Atals, and other appropriate agencies such as city and 1 d state board of hetrith. By doing this, it becomes our oblignliori to evaluate the needs , trands, and technology of 1~ ff~~ health care and support those that have merit, 1'U 11)I1CA'i'ION, glow A~crnorial Ills})ftal reaffirms its continuing r c.• 'f Ali it ' ommitnsent to oducatJori in the liealtlL carp field. Wd "all operate and cooperate with quality pro- r grams to train professional personnel and serve as a primary clinical center for hi J++ school, college or university based r high p ograms in the communit We Shall support pf~z•ticlpate In det~ela yini~ + programs and + ' 1 aimed at Improving Our personnol, We encourage 1 continirin ~ i t . g personal and professional developanent of those rendering patient care, and I ! we support the extension of health education to the public at large. e OUR FINAL, ItESI'ON,ST]3IL,I'1.1'. The management of 'Flow Alemorial I30spital, through the cooperation of t}ze entire staff, prom0os to conduct it II? s financial affairs in f j such a InaniZC ~ r so that noeded oquIpmcnt can be purchased, new facilities modernv, aed, and new sorvices provided to meet growing and changing needs, The management shall c ii be ever mindful of the rising health care cost and endeavor to contain' thorn without sacrificing quality care to those it serves. I In view. of the above philosophy, l would like to comment and review sorne of he activities of the past year, i hinancfal. Payition, A + + s I statod in my opening remarks, the number one concern I~ at the beginning of the past year was the financial condition of the hospital. I sound thatri . j there was excellent 11ardware present for the handling and recording of financial data. I+ ; { The I13A4 System 3 Is it 20th centerY accounting machine, but I believe we have liricl ]Fitts r, Y ccnful-y people opci'Ming It. Mr. Provost fy working, hard and diligently to correct this sltuiition, it has the capabllity to prnvide us %viih Mitch accounting data that will serve Its an excelleni bac,is foz• making management decisions, 11 is the goal of management ' I t j~~s, n. U air: r . i r._ t• ii l.i. ia...is. } ,yf 10 PIYIfYY ~ k ~.Tttgg i~ tRA COILu AP?A"JfAL REPORT DMTTQ ~`I rrPh4. to get maximum capability out of the'System 3, but not on a crash or panic basis, It i~ will be our goal to have all accounting systems and all present procedures refined on the System 3 this fiscal year. The improvement in our financial condition will be discussed in six parts; i f I 1. Our Improved cash position is due to a firm admitting and credit and collection 1j I I policy, I believe that the now have completed the initial collection effort on all of the ~f I+ old accounts. This has caused some unfavorable action from some of the accounts, but E~ It was necessary. Wo, are now working with recent accounts;, and the letters and tele- phone calls have decreased substantially, The admitting and credit and collection polic.; I. has certainly improved our cash position as verified by our year ending financial state- Monts. I~ h 2, The contract with the City and County has certainly been a big factor in our Improved cash position. i 3. Improved purchasing procedures and controls have been s substantial part of our financial condition. As we are now on a cur.,ent pay status with our vendors, we f ' are in a much better position to do competitive purchasing. I 1 4. Improved controls on our revenue producing departments has had its Impact f !j on our financial position., I I 5, The number of people on the payroll has decreased by about 35 this past year, ~ i I; without it decrease in the quality of patient care. ij 0. 1 believe that'tlie I informing and Involving of i our Department Directors in the jl management process tins had an intangible effect on our financial condition. A copy of II fF the department netivity is given to each Department Director monthly, and lie can see 'I how his department is performing as to budget, etc. Also the balancu sheet is given to I ench Director quarterly. The Director was involved in the preparation of his depart- li incutnl budget turd will be nocountable for nny differences= thik lie understands. The i I it - ` A17M1NIS'VRA'PO).VS AN L, RLPOR`1' BUSINESS MINUTES n~~.• ~ ~ OClO13L12 19, 1972 N100 $ Department Directors are pleased and feel that they have contributed to the improved I finalleful position, I am Very pleased with the overall performance of the hospital for the past year, !There is one item that concerns me and that is our average daily census, b`or the past Il ~I! year it was 110, and we need 114 for a break oven situation, I get the impression that I ~ ; r f Denton is growing in population, but our admissions only increased 116 over the previow:' ' I year, In my opinion this can bu explained by: { 1. People are now using hospitals for acute care only, Laboratory, x-ray, and If I 1 3 surgery is now being done on an out-patient basis, i j f ~ IE r 2. High cost of hospital care has its influence on admissions, II 3, Physicians treating patients Ili their office rather than admitting and having to f I III complete all the paper work. 1 4. People using out of town C.nysi.cians, 5, People using out of town hospitals, I heliove'that one reason people used out of 1 I II town hospitals is the p:-st reputation of Flow. It was in a financial crisis, and it is 1 ! inherent as part of the American tradition that people usually will not support a loser, i whether it Ise a football, baseball, basketball team or a hospital. 1. believe that people consider the financial crisis and patient care to be synonymous, both bad. I think that I IC , i J I~ it is going to take the efforts of all of us to change this attitude, In this regard I would ~ recommend taking an ad in the newspaper publishing our statement of financial condition' ' f and certain pax-to of our statistical report. f~ personnel, At this point I fool that we have a good hospital staff, oven though II there are some aroan in which personnel are presently being monitored and evaluated, II It has been neceysFir,y during the year to make some, personnel changes; this has been at fl times difficult for us as well arf for the perf;onncl involved. I will not be hasi.tunt to I~, 3 make future changes if it will benefit the hospital, 3 V 1 4`~ Aftw R i pasasr,r _ ~ ADMINISTRATOR'S ANNUAL, IIEPOR'i auslN is'INUTB c~ ,f OCTOBER 190 1972 d Personnel laolic.ios. New personnel policies have been developed during the year, These policies involved the Department Directors in their formulating. A formal I Personnel Department has been organized, and they are constantly monitoring and li changing these policies as new laws and new interpretations of old laws are constantly ~I corning forth, I believe that the general attitude and moral among the employees is fl II II~ ~ good. We will have those employees who will be unhappy with certain policies and administrative decisions, but these decisions are made for the hospital as a whole and ii not for individual employees, j Our fringe benofits, such as our insurance program, vacation and sick leave policy, and the proposcd Tension program, are competitive with other hospitals. } 1 f ( We are investigating the costs of a Workman's Compensation program with a $100 1 deductible on injury claims. This will protect us if we have a serious injury,' { ~I sducatian. Flow is the clinical practice hospital for the LVN program sponsored the Denton Independent School District. f blow is also one of the clinical practice hospitals .for the Cooke County, Associate Degree Nursing program, We encourage our Department Directors, nursing supervisors, and head nurses to h attend seminars in their field, With the rapidly changing ideas and concepts, I feel that;, d it is noc©saary, pnd I encourage them to attend, F 1 Iahysical 131^i,t, I find that our physical plant is adequate with the following three ! !exceptions. f, 1. Some of our service areas need to be enlarged to accommodate tho change in hoaith delivery, 2. The mechtmical system is not operating efficiently. I~ i 3. Parking, i. A firm of archite'ets and en{~ineers have been naked to make a survey of our needs i~ j 4f'i.a t... i. f. i i i. -1 'mmHg ADMINISTI2A'PORtS ANNUAL, RBPCit,j, ~0.:::::J.WSyy'..ty~++'W~~., ss ♦'a'r'as2~. ~~1~:12sZS:~c:eL-._ ~r _a:u QUSR SS MINUTES Doi'OC7"o1ir~IZ 10, 1072 No4P 7._ and equipment defic:ancies anti to make recommendations with cost estimates, I l~quipment We have during the year made some equipment purchases. The 1 major items were the new monitoring system for ICU and the film processor for x-ray. I° Modlcal Staff, The medical staff has been most cooperative and responsive to our 1 policies. { I believe that the basic administrative policies have been instituted, and progress li has been made on the implementation of these. I feel that the administration and the l Board s{iould not becomes complacent but should look forward to the future and make some five, ten, fifteen year plans, The Health Delivery System is changing, and we ! Ii are going to have to change with It or be lost in the shuffle. I would suggest the follow- ing for initial thinking and discussion; 3 1, Emergency Room, The employing of emergency room physicians or contracts f~ s'r ing the services to an organized emergency room group, 2. As our out,-patient service increases, this presents a parking ~ problem. We II need to provide adequate assessable parking for out-patients, I ' 3, We need to meet the total health needs of the community, not just provide aoute I care, There are a number of fragmented groups and organizations providing this ser- t j vice in a fashion. I'm speaking of Well.-Baby Clinics, Pre-Natal Clinics, Home Care, etc, 1 believe that if all these: health care functions could be coordinated by one central + control; quality care could be provided for all the people. This does not rule out the I~ possibility of building a separate building on the hospital property for out-patient elinids! ! I ! and doctor offices. 't'hese physicians would be paid by the hospital. Pho ideal organi- II xetton for this type of a system would be a Hospital District with an operational admin ~ j istrator and a physician na Medical Dirvetor and with the coordinating of all the pro- 1 i grams under onr, mmlral control. This would provido the investigation and application ~j foi, federal health funds for some of these programs. The federal funds nrid control s j II t i KUM t ' ADMINISTRA'I'OWS AN ' 1AL, 131-:I)ORT BUSINESS MINLJTT.~S nr,' OCT013EM 19, 1972 P.90 p f'. I. f~ might present objections to such a program, Wo are already udder some of the coritrolq I~ so we might as well got some of the funds tot- our health projects and our people, { ! If the Board adopts the above thinking and philosophy, I woulu recommend a com- bined meeting with the commissioners court and city council and communicate our 0 j thinking and ask for their comments and recommendations, I~ II f The Medical Advisory Committee should also be consulted. 1 'a l I have attempted to present the above few comments in an objective manner, but jJ I it is difficult to be objective due to our havl~g some Icnotivledge of the local situation E and problems, I would strongly recommend to the Board the employing of a professional. I 1 health consultant - planner to evaluate our present system and how best we could make future plans based on what route the future Health Care Delivery Systom takes, Pieoe» meal planning and short-range thinking threatens to jeopardize the potential of the ! ! i i {iii , I healthcare system to meet the challenges it faces, 1 think it better for,us to initiate I change, rather than wait and have it forced on us by some ci.ttzens' group, I~ In suniniary.I would like to 7tate that on the whole I feel that we have had a very jl successful year, and I boliievo that in great part it can be attributed to the Board accept ing its responsibility and setting the broad policies under which the hospital is to I~ + I f , operate and then leaving these policies for the administration to implement, Respectfully submitted, I 3 IIA i! Leonard Ts, atson h h 1~ Administrator I, : 13OArRDc ~0r DIRBCTO SUPPLEMENTARY M1NUT 'S .r_^.•ar:_s:.-i-rax u_. =.~L•=.~c•.t_~-=r_=:y~~.,~.. _..-•-t.._sevsra-r._y~y---rae.~_ BUSINESS MINUTES omo SEPTEMBER 29, 1972 Pogo 1 The list of Bad Debt Charge-Offs in the amount of $129, 766,18 and the Charity and Medically Indigent Charge-Offs in the amount of $10,667.64, which were discussed in tho Board meeting on Thursday, September 21, 1972, were mailed to each of the Board members on Wednesday, September 27, 1972, As of Friday, September 29, 19720 an affirmative vote had been received from all of the Board members except Dr. McAdams who was out of town and could not be contacted, E Respectfully submitted, A. J. Testa Secretary to the Board f . it 1 l I t II f 3 + ; I r riuu.•, el o.:co..o .,I.i un.., ,_..,,.x,:11 rq, ran A i'. ~ r 1rM.R 11 ADMIN""RATOR'S llr~)RT ..,_::>.~rm:~:.:~'_.- -r_m__=-_.: r~zrc:avl:: z_=z:_:-r_~__=--•cn~~=:.->nsr~us=cysr= BUSINESS MINUTES oa+o JEPTEM13ER 21, 1972 Pale 1 I would like to comment on the Financial Statement for the month of August from r three different aspects. I am real pleased with the cash balance on hand as of ' August 31st, I am, also, encouraged by the increased census for the month of August, i which resulted in the largest month we have ever had as far as gross patient revenues are concerned; and the net margin for the month was a substantial one, indicating to us that if we have the census, the hospital can be operated in the black. One item that I am particularly pleased with, and the office staff should he congratulated on, is the r,. reduction of our credit balance to $29, 000, We are slowly but surely getting our accounts cleared up in every respect. , We would like specifically to have a retirement plan for our employees, and specifications have been submitted to six companies for their use in submitting their I pension plan proposals tows, ' We hope to have all of these proposals in the ndxt few J I ! days and to be in a position to make a recommendation to the Board' as to the content of the plan and the company which we would recommend servicing it, We have been meeting with the architects daring the month, discussing the reno- vation plans, and looking at drawings and cost estimates which they have presented to u s, Mr. Tomlinson, Mr. Provost, and I attended seminars on the Wago-Prins Control last week and find that we are going to be required to complete forms S52 and S18 for requesting an exception from the internal revenue service. We find that we need to file an exception oven though we are in substantial compliance with the Wage-price Program, Mr Tim Casey attended a se►ni11ar to San Antonio this past week for 'Personnel f Directors. There are a number of now interpretations being put forth regarding ! employment pr►icticos and policies. It is getting more difficult each day with the more I liberal interpretations of these policies, and we are trying to keep abreast of these r,.q NO, 4 11 I'•Rr.iprr ll.Yr l'.r9 •r•.. LLtP'i IPI'rf l' Ir, r l .I h ADMINISTRATORS RY ORT BUSINESS MINUTES DaI6 dEPTEMIiER 21, 1972 P,,sa 2 i .~'-`1..:.x.5 -~.R~ Policies to always be in compliance with their regulations, J In view of the above, we had Mr, Lenn Jones, personnel consultant to THA, come f 1 and discuss some of chose interpretations with our directors of departments, Monday. I think-this discussion will benefit all of us in the interpretation of the policies that the administration of the hobpital. has to institute. At least they will- know the reason for i } the policies and that it is not gust some screwball idea of the administration, f I feel that the program for the dedication of the Ed and Bess rovester wing went ~ very well, and I was much encouraged by the attendance at the program. The now food service delivery system has been ordered, and parts of this system have been delivered. We are waiting the delivery carts themselves at this I~ II timo. It is hopeful that they will be here next month, and we can pit this new system f+ to-use. J~ Rospectfully submitted, on d~,1~4~lats~on A CHA Administrator 1 i 1 i .FI141 R LIaRI C:.. N nr INe!p IN I. R J[[i F fff w 'ADMINISTRATOR S REPORT 1 $USINESS MINUTES oM• ~6UST 24, 1972 Pago 1 In regard to the Financial Statement for the month of July, the deficit for the month a can most definitely be contributed to the low census experience during the month and also partly due to the increased salaries, as July was a heavy vacation period and extra people had to be scheduled in order to cover for those on vacation in some departments. One positive comment about the July Financial Statement is that bur accounts payablo are continuing to decrease, and we are approaching a current status with our venders, This puts us in a much better bargaining ' position with there as we will be able to pay our accounts on time, I believe our biggest account outstanding is with the City, and that is due to the utility bills that were allowed to accrue for about two years. That has been decreased this year from $68, 000 to $28, 000, and we hope to have this completely 1 paid off within the next few months. Then we would be current with everyone. The potential for the month of August looks much better than July as the average daily eensu for the first 21 days of this month is 113, compared to 93 for the first 21 days of July and our patient revenue shows an increase of $38, 000 over the same period last month. Progress still continues to be made in our business office, . Positive programs are j being completed, and new ones initiated which would give us better and more accurate f information from a management point of vie;v, E I would like to report that Mrs, Fran Michels has left the position of Therapeutic Dietitian, and she is being replaced on a temporary basis by Mrs, Grace Greenwood, j ADA, who has had considerable experience at Methodist Hospital in Dallas. We have employed an ADA Dietitian on a permanent basis to begin on October 2, 1972, She is Mrs, Patricia Snyder, who has resided in Denton for the past 6 or 6 years, She is now employed as Clinical Dietitian at Presbyterian Hospital of Dallas, and she has her '3. S. and M. S. from Texas Woman's Ilniversity. She is 32 years old, and we fool that she will fit in and continue the programs that were started by Mrs. Mtchels, We fool very fortunate to have filled this position with this type person, odlR rrur .r a,.nrc C'.Ii rrr,, i, r.. r. rar rrf a t-rWwn 'y ADMINISTRATOR'S RE _ P RT BUSINESS MINUTE N1, 'A OUST 24, 1972 Pegs 2 Mr, Chuck Hall has replaced Mr, Harold Woolsey as Chief physical Therapist. Mr, Woolsey resigned his position to complete his doctoral dissertation at North Texas., The Committee, that was appointed to investigate pension plans, completed their work and presented me with abroad specification as to what they would like included in a pension plan to be offered to the employees. I have met with Mr, Tomlinson and Mr, Provost, and we have further discussed the plan and have arrived at a set of specifi- cations that we would like to give to two or three different companies for them to use in presenting their plan and cost of the plan, We hope to have this completed and ready to present to the Board at our September meeting, I Mr, Provost, Mr. Tomlinson, and I have met with representatives of Moore Business Forms regarding their proposal for an automated revenue, data, collection I . system for the hospital. I plan to get, with Mr. Provost and Mi. Tomlinson within the t next ten days and further discuss this proposal to see if it has merit for our hospital; and if so, make our recommendations to the Board. I did attend the American Health Congress in Chicago McCormick Place on August 7-10, and the following will be my report on the convention. I will start by saying that the weather in Chicago was cool, in the neighborhood of 51% and it was cloudy and between a mist and a rain practically all of the time, This Is the first year for the American Health Congress, and this replaces the previous meetings that were I' referred to as the American Hospital Association, The l.meriean Health Congress included four organizations: the American Hospital Association, the Catholic Hospital f Association, The American Nursing Home Association, and the hospital industries Association; and between the four organizations, there were a great number of people in attendance, I have not seen the final registration figures at this time, The theme for i the convention was "It's Better When We're 't'ogether", and this was very evident by the s program topics that were presented, some 220 topics in all, 1 Attended practically all Y. rl Y}MAIt IMMY["~ ■J EW W ■ ADMINISTRATOR'S REPORT BUSINESS MINUTES Dela i LJOUST 24, 1972 Page 3 the plenary sessions as well as some of the sectional meetings. The first plenary I session was entitled "Health; Our Most Precious Natural Resource" given by Mr. Hugh II Downs, television personality, ecologist, author and lecturer. He more or less set the theme for the convention; and i will state before going further that the same problems are still facing hospitals, and very few of them have been solved. It seems that each e year they are just presented in a more highly theoretical and philosophical manner in E order to make them more palatable. I attended the general session "Delivery Systems' Real and Ideal" that was given by Mr. Robert Cunningham, Editor of Modern Hospital I Magazine, His topic covered the identifiable ~ roblems and unmet needs in our present F delivery system, and what priorities should be set by the patient, consumer viewpoint. I f He gave a very interesting discussion, and there were two reactors to his presentation, I I I E One was a Mr, Bert Seidman, Director, Department of Social Security, American Federation of Labor, Mr. Seidman, of course, being labor oriented did not agree with h Mr. Cunningham's approach; and as to a national health care program, he thought that the Kennedy-Griffiths program was the one of choice.' I attended another session ~ r entitled "Quality - The Role of the Chief Executive" that was given by a Mr, Ray E. Brown, Executive Vice President, Northwestern University - McGaw Medical Center, Chicago. Mr, Brown is one of the leading authorities in hospital administration and in the hospital field, and his topic was concerned with how the chief executive influences quality, directly and indirectly. His conclusion was that the chief executive does 1J directly influence the quality of care provided in his institution. Another plenary sos- II i sion I attended was on "Changing Values and Health11and the speaker was His Eminence. Terence Cardinal Cooko, Archbishop of New York. This was n very inspiring presen- tation, I attended a session on "Financing of Care - An Overview of the Issues", and this presentation was made by Samuel ,J. Tibbitts, President, Lutheran Hospital Soclaty j of Southern California, Ile outlined the historical causes of the present financial situat " • • a 111111)IIV 11 r WWI F ADMINISTRATOR'S RE D RT 1 8ti~~N~SS MINU h oe1a AUGURS" 24, 1972 legs in the fteld, and the implications of the future problems if they are not solved. I attended a session on "Financing - Lease vs. Buy, What are the IssuesThis topic was discussed by Martin E. Zimmerman, President, Teloo Leasing, Inc, of Chicago, Robert J. Forsberg, Peat Marwick Mitohell and Company, and Steven M. Blaes, Attorney, These were the main meetings that I attended; but I, also, attended some of the smaller sectional meetings. There was a very elaborate exhibit display, and I j f believe that ninety percent of the exhibits had to do with automation in the hospital as it relates to accounting systems, data collection systems, laboratory, and the computer- ized diagnosis of EKGs. All of the major business machine firms were represented J with elaborate dioplays such as IBM, Burroughs, NCR, and some that I have never 1 heard of, All of the exhibits were very interesting, and McCormick Place made an Ide setting for the convention as there was adequate room for the various sectional neeting r no matter how large the attendance; and there was plenty of room for the exhibits in that they were not all jammed up togethE,., and you did have room to view the display,` This covers the main points of the convention; and, of course, there Is always the most important part, and that is the visit with other administrators, esp6oially those I attended North Western with. I found out that they have the same prot:loms in their i hospitals that we have in ours. I would like to express to the Board my appreciation for their permitting me to attend this convention, I would be remiss if I did not express again my and my wifels, and I am sure that I can speak for the Provostfs and Tomlinson's, appreciation to the Board for the party that was held for us At Ar, Dagan's home. During the month, we have made some minor alterations in the building; namely, li the expanding of the Personnel Department. There is, also, plans to allocate more i spare to the Pharmacy, These are alterations that are being performed by our own maintenance people. t we ADMINISTRATOR'S RHPORT BUSINESS MINUTES NO, GUST 24, 1972 ~ Page 9 1n addition to the personnel changes mentioned in the C m o ptrollarts Report, and those that T havo •mentioneu above, there have been changes in personnel below the i managemont level which we believe are necessary for us to have a well functioning, i efficient hospital. Bofors terminating these people, we are trying to see if they can t fit into another department in the hospital. i Respectively submitted, , l f \J 1 1 L ona`~l son, ~ACIiA Administrator I . { I ' 1+ 1 , I 1 1 I I i I' 1 i I f _ 10•~ i0 eliYII I,O M1•H)IL R r s i ' BOARD OF DIRECTORS •i:YtiG:~~~"__•~r•S::i BUSINESS WNUTES Doc ~ Y JULY 20, 1972 Page 1 The Board of Directors of Flow Memorial Hospital met Thursday, July 20, 1972, with members present as follows: Dr, Charles III. Saunders, Chairman, Mr, A. J. Testa, Mr, Carl Degan, and Mrs, Paul. Simpson, Also present were Dr. Ed Coleman (Chief of Staff),, Mr, Leonard Watson, Mr, C. L, Tomlinson, Mr, Donald L, Provost, Mrs, Dixie Clardy (Director of Volunteers), and Mr, John Moody oc the Record Chronicle, Those unable to attend were Mr, Walter Ray, Mr, John Carter, Dr, Charles McAdams, and Dr, George Holladay, Dr, Saunders suggested that the minutes of the previous Board Meeting as mailed to { the members during the month be amended as follows: In the last paragraph on page ono, the new doctors' names should read Dr. David Nunn and Dr, John Hampton Miller, The i { second paragraph on page two should be reworded to read., "Dr, Saunders asked if the new form of the Daily Financial Report that was used this past month was satisfactory for the ri information of the Board wombers, The members stated that it was easier to follow than f I ! the past reports," The last two sentences in the fourth paragraph of pane two should read) "This will not be effective until publication in the Federal Register, siie, the final bill may f be different from that stated above, -As it relates to our 72-73 budget, we would be i required to do $120,000 of charity work," Mr. Degan moved that the minutes be approved I as corrected, and Mr, III seconded the motion, The vote carried, f Mr. Testa read the minutes of the Finance Committee Meeting, Mr, Degan m0G;a that the minutes of the Finance Committee, the Financial Statement for the month of June, 1972, and the Bad Debt Charge-Off list In the amount of $16,794,34 dated July 31, 1972, be approved, Mrs, Shrlpson seconded the rhotion, and the vote carried, The selection of auditors for the 1972 annual hospital audit was discussed, and It was decided that A,A, & Co, be informed that a now audit firm would be selected for the L 1972 audit, It was suggested that the Finance Committee would talk with representatives 4 from the firms of Laatherwood and Ward, P,M,M, and Arthur Youngi and Mr, Testa offered „„l.tllA hn,re cur 4 r row tc, a,,.,h, It urou u,ara i, o, , WWI t BOARD OF DIRECTORS m- _ r it BUSINESS MINUTES Date JULY 20, 1972 Page 2 to set up a meeting with representatives of these firms for Monday, Tuly 29, at 6315 P.M. Mrs. Simpson gave the Flow Memorial Hospital Foundation report, stating that she had already done some research into the history of Ed and Bess Forrester for the dedication ceremony. The report was approved by the Board, and the vote carried. Mr. Watson gave the Joint Conference Committee Report, 'M Testa made o motion that the report be accepted, there was a second by Mr, Degan, and the motion carried, Mr, Watson gave the Administrator's Report, A motion to accept this report was i trade by Mr. Testa, seconded by Mrs, Simpson, and the vote carded, I Dr. Coleman did not have a Medical Staff Report to give this month. Dr, Saunders r asked the Board members present how they felt ab6ut having each new doctor appear before f the Board, and the members were in favor of this idea, i Dr, Saunders introduced Mrs, Dixie Clardy, Director of Volunteers, who gave a E comprehensive report on her organization's activities for the past year, She Invited r 1 everyone present to attend their awards banquet to be held in October, 1 Dr, David Nunn, the new Ophthalmologist, was Introduced by Dr, Coleman to the ,I Board Members, Dr, Nunn gave a brief summary of his background and credentials, Mr, Watson reported that Mr, J. W, Jagoe, Jr, and family gave $6j000 to the hospital toward the purchase of a hot food pellet aystem, Mr, Watson also reported that I he was race, I, calla from different groups in town, such as sororities, asking for pro- jeots to ~,rrk on, f Mr, Testa commended Mr, Moody and the Denton Record Chronicle for their cooper- ation and support of the hospital. IE Mr, Watson reported that Warren Morey Associates now have the arehl'eotural plans i from Page, Souchdeland, Page, and that thay are proceeding with the formation of new plans; i toward the modernization of thu hospital. Wnrre❑ Morey Associates will be presenting i i !I Watson has written. li their proposal to the !curd before they begin work at the hospital, Iv r, NWpANV.,N+s•~M.rrat.Mn. r.ar..~. _ r. . ....r.+:.,~µ~.~. I rrMr...rrr~.wr.. , ,wr A BOARD Or DIRECTORS BUSINESS MINUTES Delc JULY 20, 1972 Page 3 to Mr, Collier of Hill-Burton concerning qualifying for a grant for next year to help pay f for this project. The administrator will be attending the AHA meeting August 7th through 11th In Chicago, He also hopes to take a vacation during the later part of August, Mr, vegan made a motion, seconded by Mr. Testa, to adjournrthe meeting, and the f vote carried, I Respectfully submitted, I A 1, Testa J ! Secretary io the Board off' i ..r.u..... r m'. r..n .rur, n 5h5 ITS\I1 He -BOARD or D1umons 8USINr-SS MINUTES Dale ,uivr 22, 1972 Pego 1 f The Board of Directors of Flow Memorial Hospital met Thursday, June 22, 1972, with members present as follows: Dr, Charles H, Saunders, Chairman, Mr, Carl Degan, Mr John Carter, Dr, Charles McAdams, d Mrs, Paul Simpson, Also present were Dr, heorge , Holladay, Mr, Leonard Watson, Mr. C. L. Tomlinson, and Mr, Donald Pro lost. Mr, A, J. Testa & Mr, Walter Ray were unable to attend the meeting, Dr. McAdams made a motion to approve the minutes of the previous Board Meeting as mailed to members during the month. There wr,s a second by Mr. Carter, and the motion 1 carried. Tyr, Saunders asked Mr. Provost to comment on his Comptroller's report, Mr Degan l then read the minutes of the, Finance Committee, Mr, laegan made a motion that the minutes of thi Finance Committee, the flnanclal Statement for the month of May, 1972, and the Charity Charge-Off List in the amount of $6,097,11 and the Bad Debt Charge-Off List In the amount of $15,590, 1,2 dated June 30, 11 1972, be approved, Dr, McAdams seconded the motion, and the vote carried, w f Mr, Watson presented the Joint Conference Committee Report, Mr, Carter made a motion, seconded by Mrs. Simpson, to approve the report;and the vote carried, ~ I Mr, Watson presented the Administrator's Report, Mr, Degan made a motion, r seconded by Mrs, Simpson, to approve the report; and the vote carried, Dr. Holladay gave the Medical Staff Report, rfo stated that Dr, Dunn, who will be moving into an ofilce next to Dr, Holladay and engaging in a solo practice of ophthalmology, and Dt, Miller, who will be associated with Dr, Midgett In the practice of Gynecology and Obstetrics, have been approved by the Credential Committee, Dr, Holladay mentioned that Chuck Jones, the new extern, was working out, He also stated the t Medicare will prey for a private room only if the doctor tools that it is a medical necessity for the patient; and as a result, the doctors will begin to state on their report i what type room these patients need, Motion wan made by Dr, McAdams and seconded by ,..,,opt Y rY)14DM IltpAtK~ IYKIIi f: L IYCWIii? . r , ,BOARD Or DIRECTORS i . ~BUSLNCSS MINUTES ~I1I_ 22 , 1972 Paso 2 Mr, Degan to accept this report; and the motion carried. Dr. Saunders mentioned the Daily rlnancial Reports that were sent to the Board Members this month, and the members stated that It was easier to follow than the past reports, Mrs, Simpson noted that Mr. Provost was doing an excellant lob with these reports, Mr, Watson stated that lie had been approached by a member of the medical staff a' concerning hiring a part-time public relation's man The Board requested that IV. r, Watson check into this further and present his findings at the next meeting , Mr, Watson presented a directive concerning the guidelines for charity care for I hospitals receiving the Hill-Burton Grant, >;ach hospital will be required to aacept charity cases up to 3% of the it operating cost or 10% of the original Hill-Burton Grant, whichever Is less. This will not be effective until publication In the federal Register and the final may be different from that stated above) As It relates tc'our 72_73 budget, we will be required to do $120, 000 of charity work, I Mr. Watson read a letter from a farmer patient expressing his appreciation for services rendered while at the hospital. Motion was made by Mr, Carter and seconded by Dr. McAdams to adjourn the meeting, and the vote carried. I I Respectfully submitted, i i A, J, 'feats Secretary to the Board 1 I I 411 „„J C,N 4•/51,1 lYYlldlFl RI10,0 C, If 11WF.I111Y011 W CIIYIIY III 0 .I F. I ADMINIST'RATOR'S HPORr BUSINESS MINUTES Dal, )une 20, 1972 Pago 1 Copies of the approved budget have been delivered to the City and the County, ( Seven copies were delivered to Mr, Wiiite, City Manager, and six copies delivered to Mr, Bailey, County Auditor, for them to distribute to their respective groups, 1 mentioned to Mr. White and Mr, Bailey that we would like to have a meeting with the City Council and Commissioner's Court as soon as possible for their discussion and approval of the budget, r~ land several members of the hospital staff attended the Hospitel Association meeting In tort Worth during the latter part of May, Several of our nurses and employees of othe, deparunenm visited the conference on daily basis, and they seemed to appreciate + being afforded this opportunlty and felt that they learned more from attending some of the e meetings and especially the exhibits displayed, The T14A meeting next year will be held In Dallas. About 14 or 16 of our department heads attended a Manager/Departmental/Supervisor seminar conduoted by the extension service of Texas A d M, The meeting was conducted at the Texas County Coop on Monday through Thursday from G to 9 P,M, Those attending seemed to appreciate the opportunity to attend this type of seminar, and they were exposed to information that would assist them In their daily work. We are cons!de'ring the possibility of offering other programs of this type to our department heady; and other supervisory people beginning in September, There are three seminars that we could like presentedt ' ,1) Techniques of Communication, (2) Employees/ Problems/Solutions, (3)Tralning for Maximum Productivity, Baoh seminar will be a twelve hour course and will be presented by the Management Development 1rogram from Texas A & M. We would have the sessions held at the hospital in the afternoon from 1 to 3 P.M. The class size would be limited to 20 people, and the cost would be $450 per course, '-t e. L. Y. '--t a:"_'-r ~Yf ~.~m: Zr-__r.. n.:-':'.'.-'._a~.:.~~1i•.S-1tL'Y~S:lfe3 ~'G]>r_~~~L'JC.~:tY. C`'.st. ~.w••.. l.OYM p-fl IR.... ia.r ri , Hrn,nf• vN,Yt Uy,MIY tIb lM li •f~/w,Y1v2tl' M I dd log" h htWNWi i■ 1qU> ADMINISTRATOR'S UP017 11U$INESS MINUTES Dale ~ile 70, 19'72 Pego 2 Ahrs,lvarlorle Young resigned as administrative secretary, and Mis, Mary Lou rerrara has been employed to fill this position, We are still trying to get copies of the drawlnq of the different building phases to give to Warren Morey and Associates so that they can progress with the planning. We are experiencing some problems In getting copies of these plans, but I feel that we (r will be able to work It out, We would like to got them as soon as possible so that we 1 can get something definite; and show some effort that we are moving towards a renovation program. Respectfully submitted, 7 ~ E Leonard C, Watson E I Aft-tnlstrator i r l 5 ` tv Y .^Y«E-.-.•.:..~i:=.:;'s'.r..-~.mrsa~rsersa:rssrzu~-~'»~i .-_x-v ir :-_stxr_YrsY.'nrcmrr~-.m_se'T<h'rSYCUSZS-rlmrz~d:rn. y i ` roieNA111.,. "nui,nI. euaora,it to ,eIt nnn rr;eurIN n.+. r' I HU1VI iiV lJlltHi Vft' 6 I ceuni (3tJS111NSS lA1N111! S ~,,ro ;'`1y 18, 1372 r~ once 1 E We are very pleased with the financial statement for the month of April, and May is starting out like It will be about the same as for April, If the census continues to hold we will have a very successful month of May which will put us two good months back-to- back and put us in a very favorable position, f We are seeing real results In the reorganization of our Business Office, and I~ particularly as It relates to having a dismissal bill for the patient when they are ready to ~I { leave the hospital, The presentation of this dismissal bill has increased our collections i quite substantially, j f A good part of our work during the past month has been related to the preparation of ` I I~ the budget, and l am most encouraged and pleased with the interest and enthusloslsm j f exhibited by our directors of our various hospital departments In the preparation of their budget, Mr, Provost and Mr. Tomlinson did an 1 I outstanding job in directing this program 1 I ~ ( and assisting the directors In the preparation of their budget, especially In the orgies of I t~ consultation and assistance. As a result of all of these people participating in the prep; oration of the budget, we feel that a realistic budget has been put together that would fj afford us the capabilities of prt• lding the quality of medical care that we all went to provide for the community, II I ~l 7r,",14 Pert of our time and energy was spent In the planning and preparation of the Natlonal'l Hospital Week celebration, I feel that this was a real big sucoess and added to the overall, j Improvement of the moral of the employees. Again, this was a team effort and much of!! ll i the credit for it should go to the directors of, our departments, for they were very much II 1i involved In the planning of the various events, 'I } III { Is The architecturcil firm of Warren Morey and the mechanical engineering firm of j I 1 I' Hermon Blum A Associates were contacted and asked to come and consult with us con- . corning the problems that we are having with our mechanical systom, and the utilization i' I ; of some of our vacant space for the enlarging of some of our departments, The more FI ~ are.. _ , ,p.Y~~IIM1 1'IY +C 111 1a. C4 I1f11 R NNMM I9At W IV~M.1hy~ YMOR. ROp■p I MOM R .41;1. p Hli1G'L1V1~llt!-tlUlt'SItLI'V}<1SI ~I SS f 11hlUl'E; r,"~ a 1 a 1972 Y r, 2 salient points that were discussed with them were., r ~ t j 1, The air conditioning system In surgery was discussed and we asked them to Investigate the possibilities of the,proper air condltioning of the surgical suite, and,' I~ in particular, the individual room thermostats so that each room can be controlled " temperature wise, Independent of the other rooms, 2. The central heating and air conditioning of some of our present areas Is not working efficiently and they were asked to pay particular attention to this, i 3. They were asked to investigate the possibilities of central heating and air condition; II Ing or all of the building, ell.minating the window units, i i 4. The water distribution system and, in particular, that on 26 and 3S wao asked to be I chocked, ff i I 51 The electrical system was c'allec to their attention as some of our circuits are over li loaded at the present time, l f 60 They were asked to check out compressors and to determine If we have enough II tonnage to adequately air condition the antlre building. The following items were f discussed with them as It relates to design. I a. The relocation of Physical Therapy to a larger area, I I b, The converting of the present Physical Therapy space for X-ray to be used i for Therapy Units and the Scanner, I I f' e. The relocation of the morgue so that a proper ventilation system can be installed it d, A space for the relocation of the Chapel no that It could 1 +s ~e largo enough to j provide the services that It should, fj E Thaw man made a tour of the entire building and took all of the plans that we had ~ f it regarding the three differe7 it construction ha u p es, They are going to revlew those plans and will be back In touch with us In approximatoly two wooks, possibly forsanother tour cif the building, They will probably have a summary recommendation and a cost esthnate " a "WWI ADM INIS TRATOR'3 +ROORT Elf1ild~S ~.tiifE11'C;i le~c y 18, 1972 for us tit that time, There will not be any cost to us and at that tlrne they will outline r f+ their program and what the charge would be for their preparation for plans and specifications ~R 'for the correction of our defiatericles; I also discussed what we have done in regard to the machamcal system, dl t' ~i ~I in particular, the air conditioning of surgery with Mr: Millard [death, He concurs with the route we are taking to trying to 'solve the situation and stated that he would be most ha , to wgrk with the architects and engineers in their program, Respectfully submitted I j Leonard B. Watson it Administrator f If ii t I `.w...~...~+.~ rwf.w. . A I Y L ll I e !ntAfitl -L=..~~t mss, ~ BUSINESS MINUTES oaro Ajx1I 20, 1972 BOARD Or DIRECTORS Palo I f The Board of Directo... of Flow Memorial Hospital me'-- hursdayApril 20, 1972 with the following presents Dr. Charles H. Saunders, Chairman, Mr., A. J, Testa, Mr. Carl Degan, Dr. Charles McAdams, Mrs, Paul Simpson, Mr, Leonard Watson, Mr, C. L. Tomlinson, Mr, Donald Provont and Dr, George Holladay, President of the Medical Staff, Members not attending were Mr, John Carter and Mr, Walter Ray. i Mr, Carl Degan made a motion to approve the minutes of the prevtous Board Meetin as mailed to members during the past month. There was a second by Mrs. Simpson, and carried, Mr. Testa asked Mr. Provost to give a summary of his activities for the past month,; 1 e i Mr. Provost stated that Arthur Andersen & Co. were present and should complete their work Ii on the hospital audit this week, Mr. Provost also reported that the hospital budget for our year beginning October I is about 75 percent complete. He stated that the'direotors of the E departments`Aad been very cooperative and interested and conscientious In preparing the budget for their respective departments, Mr, Provost was authorized to open a savings accoupt to be used for depositing our Social Security Funds, Authorized' 6lgnatures for the account are the same as for the other II~ II r hobpltV *tocountsi They are Mr, Watson, Tomlinson, Provost and Gilliam, Mr, Degan commented upon the new format that Mr. Provost had used to present Ithe flnanolal,statement this month, i Mr , Testa stated that the financial statements for the month of March looked very E . encouragingi although we did sustain an operating loss in the amount of $3,992, A list of +i Charity Accounts wore presented to be approved for charging off. There was a motion by Mr. Degan and seconded by Mr, Testa that the attached llst,ln the amount of $36,W.85, ba approved as charity and so noted on the books of the hospital, The attehced list of I Bad Debt Accounts, In the amount of $20,913,15$ were presented for approval to be charged off, There was a motion by Mr, Testa and a second by Mr, Degan thpt this list be charged: J off and no noted In the records, The motion carried, i • +rurr,-r..rc1:-:sr:rnrxrre-rrx~arersu~nwnr,-gin y IeYM 4 61d ~"+e•"Yftr a.nrrrter~~.Y:srnaurrssf,terr.~_y,titrr.~ ••~••-.•.,~uer~m7-..vr~aams-.ua.s•ar_-~-•tartt InYll<I111'att010 CdIf r.Ih, 11114111 IUYIle lr Vll I 1I` I ~Y .name' 1 1 F I xWV".- O BUSINESS MINUTES oars rll 20 it rigs 2 w 1 ti._. asrsmro v~zayu:v=' There was some discussion about specific accounts o., both the Charity List and thr, I Bad Debts List,. and the Administrator reported that as new Information Is obtained concern-• h , j Ing any of these accounts that collection would be instituted, He stated that the list of 1 1 E bad debts would probably be turned over to one of our third party collectors for action. Mr. Watson gave the joint Conference Report. Dr, McAdams made a motion to accept his report, there was a second by Mr. Testa, and a vote carried, Mr. Watson gave the Administrator's Report. Mrs. Simpson made a motion that his ! report be accepted as presented, seconded by Mr. Testa, and a vote carried, I Dr, Holladay, presented the application of Dr, Chui R. Chung for Medical Staff privileges and stated that the Credentials Committee had approved him for temporary active ` i ~ E ~ staff privileges until he has established residence in Denton. There was a motion by Dr } McAdams, seconded by Mr, vegan that this motion be approved. Motion carried. i I 1 p 9 !f I Dr, Holladay also brought up the need for a holding area for deranged mental I patients. This, he felt, was necessary, not only for the safety of the patients, but of ; j other patients and the employees, The Administrator was asked to investigate the posoibil- ities of providing some type of room for this service. 041)r, McAdams made a motion that the report of the Medical Staff by Dr, Holladay be approved. 'there was a second by Me, Testa, and a vote carried, j Mr, Watson reported that we have a new pharmacist who began his duties during II r this month, It was felt that his addition to the staff will give needed strength to that de fl pertinent, l Mr. Watoon gave a report of the trouble that the hospital had encountered with the boiler the previous week, and also said that insurance would pay for this expense, and it I~ Is being repaired, Mr, Watson reported that I'low Memorial Hospital will be the primary teaching I~ hospital for Cook County Jr, Collage as they begin d two-year Assoofate Dogroe Nursing' .ro~;ur.+rrua=ear.:ru>r.~a-:~~ra:a.rowncY~rrra:_eafnu:erm-m:.~12rxectrstt! ::irrarr~,•crorcr,-r:.a~YSro-.vrrecmrur_.,~•xrYiu:uz.:.:-smwfyar-i i ; , ` rm.b Bl9 rrfAU,AW All e, o to. &I l fnr, nus.ys rul«a,l u r, s~' F , yp rnesna OARb D ORS ~n> BUSINESS MINUTES o.f. Anl 20, 1972 Page 3 ( Program this fall, The hospital at Munster and Gainesville will also participate in this program. At this lI point we do not yet know what this will mean in the way of expenditures fl for us, and we do not anticipate that It will be much, but It is felt that we will greatly benefit from the program, j The Administrator report,•d that Dr. Finley and Lockwood would be using our X-ray i Department for doing outpatient work beginning this Friday. The administrator stated that he felt that this was a step In the right direction In-the utilization of our facilities for out- :f i patient services, , a f The Administrator asked permission of the Board to engage the services of an 1 architectural fire to do a study of o+ir present building, and In particular the investigation' 1 ' of the deftolanoles that now exist and the a t` pproximate cost of correcting these deficiencies. He stated that the primary areas are in the matter of water distribution to 28 and 313, the JN V I central air conditioning of the areas in the hospital that are not on central air and heating, an the instituting of the proper controls in the operating rooms so that 'Individual rooms could be controlled as to temperature needs, There are other areas In the hospital that we would i~ like to+have explored as to the probabilities of relocating some of these areas, primarily ~t• tr ~ relocating physical ¢A~ Therapy to some I I other area In the hospital as they need more apace, using the existing Physical Therapy Department for X-ray Department in that the therapy ynits could be located there as well as the scanner, This would free up the room used for ~ 4i JS the scanner to as used for expansion of the tKG Department, The Admin1btrator reported ~I that one of the problems that we are facing in Increasing our outpatient Laboratory X-ray 1 services is convenient parking facilities for these patients so that they do not have to walk F ' long distances, He stated that one area that could be used for this is the area between'the I present emergency parking area and the street, This area could be built up and could ~ . accommodate 15 or 20 cars, j 1' I'iY'SCYay::YlYYttlA'.Vl.Y'1 r~ ( IaIY N.fIfO ++r~rst~r «s-•.YtSax-•e.r.-e.'-'fa•r.'+-- :'aY+\C,Gl:{ , , lxttiu,+r ate,ete„lrl,n,uuen s~fmuer:.:v~~. ' , PbIb1C MMM j xIOU aUHnt~ Vt uin,~''~,1Vn.7 MINESS MINUTES `Sri I 20o 1972 The AdmlrUstrator also ►'4• 4 mentioned the possibility of relocating the Chapel Into a i larger and more,aocesslble area and then the r of the present Chapel for Board (loom an other email meotings using , i Where was a motion by Dr, McAdams that the Admtnls ' with an arch itectural_eng(r,eerln Elan trator be authorized to consult and sec.- what type of arrangements we could ! with them as to cost and to have aid work out this information was seconded and carried, for the next Board meeting, The motion i There was a motion by Mr, Degan, seconded by Dr. MaAda be authorized to proceed with National Hospital Week lens ms that the Administrator i !i carried. p as he has outlined, The motto Mr,. Watson reminded the Board that May 22 thru 25 is the meeting of the Texas ° Hospital Association in Port Wort hA He stated that it is very valuable to attend and would be worthwhile to the meetings go through thy' exhibits and see the multitude of equl m ! ~I Vi j supp1108 that are being offered for h'os'pitals, p ent and , I the Administrator reported that In March we had 386 full time equivalent employees and this had been decreased in April to a j pproxlmately $70, 'The meeting adjourned to go Into Exeautlve 3e881on to d! f sauss a pe.rs4nnel problem, l?,, Respeotfully submitted, r. , r , y~~ f A. J. Testa .y Secretary to the Board A , , r ~ r II r+ {,t, ~ tl 4YtTlglCy~iW~C.•E3,M' L~,yy~.K~` r 1 . . llrJrerAVi'A~~j(p_!~o„1 ~~y,~jl ll dell ~Y9D.sllt~y'~jCx.'+ObY'utmYrlG4yL1,:1C.tmCL11t..=+.•.`A.'+'CMt!uf, IAldfll 1. V!! 1 1 , i AGENDA I BOARD OF DIRECTORS i PLOW MEMORIAL HOSPITAL December 23, 1971 i { i I. Minutes 114 Committee Reports A, Finance Committee - Mr, Testa B, Foundation Board - Mrs, Simpson tk' C, Joint Conference Mr, Watson ~ i f 1110 Administrator's Report I V I IV, Medical Stuff Report - Dr, Robert Croissant R` V, Q ~uelnese " VI, N f ' Jeiness q ~ { t. , i r ~ 1t a lln t ~ i I III t -k I ' BUAft1J UF' ll1k1;C;i'Uku' ~ •$USINESS M_ INUMS ua r- I r.,, December 23, 1971 i^, Page 1 'The Board of Directors of Flow Memorial Hospital met Thursday, December 23, 1971 at 7100 p.m, in the Board Room of the Hospital. Ali members were present as follows: Dr, Charles Saunders, Chairman, Mr, A, J, Testa-, Mr, Carl Degan, Mr, Walter Ray, r Mrs, Paul Simpson, Mr.-John Carter and Dr, Charles McAdams, Dr, Robert Croissant I Presid6:.t of the Medical Staff, was present and also Mr, Watson, Tomlinson and Gilliam 4 I Mr, Testa moved that the minutes of the November board meeting be approved as f! mailed out during the previous month to Directors, There was a second and the motion carried, I j Dr. Croissant presented two new physicians on the Medical Staff, Dr, A. F, Carib , r a pathologist associated with Dr, Ford, and Dr, J, Dan Harvey, Interne] Medicine, These men were invited to the meeting to meet the board of Directors and also for the Board ' to meet the new members of the Medical Staff, ~Y. Dr, Saunders asked Dr, Ford, who was present to make a preghiltatlon on the ! I Coulter Chemistry. Analyzer, to make his presentation, This presentation previously was f ` I made to the Finance Committee and a pproved, subject to the approval of the Board, The a, ! Finance Committee and Joint Conference Committee had voted to recommend that the Coulte i j( Chemistry Analyzer be Installed on a 3-month basis as presented by Dr, Ford with no coat. or risk to the hospital, At the end of the 3-month period It would be determined by Dr, Ford whether or not the maahine meets the needs and expectations that he expected, ~ 11 ~It Dr, Ford and Dr. Carib discussed the various operations and techniques of the machine 41' . 1 rl and answered questions asked by the Board, Dr, Ford assumes the risk if the hospital c1Y t« signs the lease agreement, as the hospital will pay the lease *I payments and deduct this amount from the amount due Dr. Ford as per our contractual arrangement with him, tf \.a I Mr, Testa made the motion that the hospital sign the lease arra ngement for the ~ i ` machine with a 3-month trial period after installation for evaluation, If it does not perform f }~F to the expectations of the pathologists, the machine will be removed and the lease a r 1 n t, _ ee 11.' 1014 fj 01U -.z:s :fit ;.t.. r..,.., ,NIIII IIY, p1t4MV[G. :•:.:=YY:t.. ,14W Yi Yr l\~II ..,dc:: 't. S, tta'R Itt ~ 1 sit{ _..MnY IVf4~3. I.. You" ar], d r86Ai2D OF 131R1;CT6Rq 1i BUSINESS MINl1TeS December 23, 1971 Page 2 ment voided, Dr, McAdams seconded the motion and it carried, z Mr, Testa recommended that the monitoring sYst fE em equipment be referred to the ~ Priorities Committee of the Medical Staff which meets the last week of Dec ' Qmber, 4 Under Medicare Law, it is more beneficial to the hospital if donors to the hospital give non-restricted gifts, f The Finance Committee Report was presented b Mr Testa. by There was a motion by ' I Dr, McAdams that It be accepted as read. The motion was seconded and carries,! I Mr, Testa discussed the Financial Statement for the month I 1 ending November 30.4 187J i He ekplained that the Finance Committee had had an opportunity to visit with representative a ~ { from Arthur Andersen, At this present time we have asked them to hold off on the balance of ;l the audit pending notice to them of how we want t to proceed, Que to the condition of the q records and the absence of personnel for the period being audited, they have boon d v I unableI r1 1 ;t complete the audit, We are at the crossroads rlght now of trying tp ilha'a competent con- troller to whom we can designate responp,bilitiea in helping uh to ~ get this accounting records ; In condition for an audit, Arthur Andersen has advised us that they will come back for a balance sheet audit, As soon as we employ a controller, the balance sheet will be ' presented to the City and the County, It will probably be several weeks before we can hav y4, a controller on the lob, It may take 46 to 60 days for him to have edequateptlme to dater- 'a E mine balances, and then perhaps take Arthur Andersen three or four cveeks to finish this ! Audit and give us their opinion. Judge Todd, Mayor Finlay, City Manager White and Mr, Bailey, Count Auditor, Y I ' t r Indicated thug definitely do, want the report, perhaps on an Interim beets, between now and,! f- c~ 1 September, 1972, The administrator has boon authorized to interview candidates and 1- 1;, r I preferably one with a C, P, A, cortlflgato, to help our Accounting Department, W `~`}r with this type of person to this a feel that position that we will be able to get our records In a con- I dition so that an audit and an opinion can be expressed on thom, 1 <IM II . ~I i C r p II IN" i Or. '1 i. G,o CEn 911, Irh lH>n 1 .rx: . ri l-:.i:.^.U-ri it r~ Ai , rJm BOARD O- P D1REOT'ORS BUSINLSS MINU1 rS - December 23, 1971 vs se 3 Mr, Testa made the motion to accept the financial statement for the month ending November 30, 1971 on the Revenue Statement, but not on the Balance Sheet, There was a second and the motion carried, r Mrs. Simpson read the foundation Board report and made the motion that the report be accepted, Mr, Carter seconded the motion, which carried, 4 Dr, Croissant brought the Medical Staff Report, They had a staff meeting and an C election of officers, We have been in receipt of the official letter from the Joint Commisaio h on Accreditation, Tl,e Staff has corrected most of the deficiencies as they relate to the i staff and a few others are in the process of being corrected. It is necessary that we Chang I our by-laws to reflect that medical records be completed within 15 days after discharge, ph ; , J rather than 30 days as at present, This will be voted on at the next staff meeting, I Dr, Croissant re ported that Dr, Ed Coleman was elected Chief of Staff for next yeari Dr, John Collins, secretary! Dr, George Holladay, President of the Wdical Staff, Dr, f7` ~ t 1 i 1, W. Holland and Dr, C, A, McAdams are members-at-large to attend Executive Committee meetings, < 1 Chairmen of Departments and Special Committees are as 10110wst Medicine Dr, McCormick t, fly Surgery Dr. Burkhalter OB-GYN Dr, Boatwright I t Pediatrics Dr, Alvarez ,t Laboratory & Pathology Dr, Ford ~;l""~' t 4, lnfeatlon - Dr, Dowling Al, Medical Records ~ Dr, Duna ` Disaster Pharmacy Dr, Boyd ) ' Dr. Donaldson Tissue & Transfusion Review- Dr, Mldgett By-laws Dr, tovo ' Public Relations - Dr, Thomas rh, X11 h PWMMI ~ IIYY BOARD OF DIR11CTORS l?USINl:SS MfNUl F.S ecember 23, 1971 P400 9 The new Executive Comm follows i ittee of the Medical Staff for 1972, was presented a 3 I I Dr, George Holladay, President Dr, Ed Coleman, Chief of Staff Dr, John Colllne, Secretary Dr, W, C, MoCormiek, Medicine Dr - E. R, Burkhalter, Surgery Dr, R, 8 Boatwright, On-OyN j Dr, V. R, Alvarez, Pediatrics Dr, K. L. Ford, Laboratory and Pathology Dr, Robert Look wood, Radiology Dr, Charles McAdams, elected at large 1 Dr. 7, W, Holland, elected at large I ~ 1 n addition to the physicians listed, the following persons attend the Executive j t; - Staffineetings Mr, Watson, Mrs, Long, and Mrs, Linda Brown, ,I. Dr, Croissant gave the names of new members` to the Medical Staff that were approved by the Credientials Committee, the Executive Committee and by the Medical ~ Staff, They are Dr. Dan Harvey, Dr, A, F, 'Garib and Dr, r, d, Qisei ry for active 4 4 staff membership, Dr, phuan ~t+ao, , t gnol phltaksphlraiwan (hereinafter called Dr. Not by the hospital staff) and Dr, L. A. Gifford were presented for courtesy staff membership, Mr, Degan moved that we approve the courtesy staff members, Mr, Testa t4~~1r l seconded the motion which carried, 1 1 yLht~ j a a t ` Dr, Croissant further stated that the Medical Staff for the coming year was presented for reappointment with Dr, King being transferred from active to courtesy staff J If upon his request, The balance of the list remains as last year, (copy of list enclosed) Mr, Degan made a motion that the doctors be appointed to the active medical staff 3 l as listed, There was a second to the motion which car ried, Dr, Croissant re +1~ t a~{ ported thatthere had been a change in the roster to be used in f' 1941+ . the Emergenoy Room, Anesthesiologists, pathologists, and radlologlots would be ~4 t I 'I i t N;, - dropped from tho Fmergoncy Room Roster and everyone else continue as usunl except the t ` four obstetricians would make all the CB drop-in cases, Ct ,1 'J 1 PhHrtLLU Pluhe 0'. Yf.R1h 11114tH _vc. 'sr.CC_ II y Hihfton vf, .01'}x:. h Mlt«nu1 , .~'1trSth,BOARn pi? b1R1;croRS BUSINESS MinlUI ES Da le t Ar mr_c. r-- r"cemb 23, 1971 Dr, McAdams moved to acre t the Medical Staff ne ort,y Mr. TTesta seconded the + Or. Saunders expressed a i ppreciatlon to Dre Croissant for working year Us President of the Medical Staff, He with us this past ' has been very helpful in working as Mason officer between the staff and the board, t } 1` Mr, Testa asked what had been done about liability Insurance for f Application to determine premium rates has been provided and Mr. Watson directors, son stated that the application would be compieted and submitted, The Medical Staff has asked that if we have a problem for them, to work on to let # them know, The'Chiaf of Surgery has never had an o pportunity to evaluate to administration as to how the Operating Room is being run and how the Surglcal Staff is heing run, Dr, Croissant brought up for approval the Physicians Utilization Review recommendation to change reviewing of records which they require It 1, 21) 1 Medicare, we continue under ^E Dr, McAdams moved that we accept it ss recommended, Mr, Aegtrn seconded the The Board went into Exeoutlve sesslan to discuss Prospective financial Advisory Committee, mem/>~ers?to the IdY„ A, i !{espectfully submitted, y Vesta ~•Secretary to the Board ~ y L. f I At ji I 'ALf IaYaoro'" :,Y lit ..w„•~ ItI n1., ILN;l1 _...•f k.. , gqfYYf~.: 11HI<4 H:1:'. a ~ uP M6 ACTXq ADAMr COURTESY i ALV AttG t Moms 01 BLUCKER Its J, BOREN R• B, BOATPRICIIT B, H• DAVIS r D, K, UOYD' W. F, KING no No DVAGRS5 no To MCS{JArir ' { B• li• BUARRALTER. COLE) fAN VZROYNrA Z0H> LAD J, Of QUARRY i it F. COLLINS, JRI PAUL PICKETT R, fi• CROISSANT W, As 1its7dLCY J, 11, DAC(ON M, J, W. SEARS B, DONALDSON Lt ARD#.q 01PFORD t J• K. DOWLTNG PHUAN NO P11lTAtfSpH y+ J• W, DUNN 11e1rwAv (herelpiter celled I)r• Nol C~ f a• V, MAR by h08pitat staff) . J, ELIZOVDO r r At no YINLAY D- xAI, I j L, FORD Jd' 'I f A@ 1', OA~rS W, E. $OYNTON W. At b1tYNtss JOHN NT fi' I 'SCOTT IIAOOARD 1tRYANV PRANK' A, CAtV J, DAN 11ARVEY 0, B,' f1OL•x.ADAY F• W' Covig I,V W• At ORAIMORD 4t'. -Js W. HOLLAND RALPH DAVIS DALE JACKSON ORr:7n$ B, HUEY J• N• JON19 C HAMILTON jouis L,• KrNARD P4 R, no KrN13 ICK h . D, KURRUB fiBNR 0,', NOttltr$ LEE R, 'J, N~,SOH R, 1.1, LOOKWOOD fl. W. PENLnY g' To LOVE N, No RL'L11 A, lrDA<~ls o. M• • 14CU H, SAU1iDSRS L 1L1YER P, B, St1,VONA))D k` LfsNl)ON 00 L. W4 Co SX1R90N9 MOCO 1fIJ70J9UTirCK D, 1:, SPECK ' w• s, D41LL1;R f 11,V 00AGAAD xo. V• PAPCliRSON r 6 J, POZOO , .M l it ~ RA1fiOL))x I r,,. JOl RElI,4teY , Y M, F, SCfILL'fJLL t1" Bo M, TAY) OB 44`s ol, D ~HOSlA -us L+UC)HL+ 140LGI:) K, L WEi011T it At z B, WYSS . 3i(glYF -10 J( ~wrynn FINANCE vIMITTEE MINUTES Jteanuary ary 17, 197722 Pap Page i ~LYK1~.:.fTT2S~~«^_CS SCf.1G`~C ..:~""'~.w-:T~~i.,i~ -1 ~Y... •_=3YM... ~r~_L~:~:~•.~• ~.1~.1`'li~.~S 1 V t 1'he Finance Committee of Flow Memorial Hospital met January 17, 1972 with momber present as follows: Mr. A. J, Testa, Chairman, Mr, John Carter, Mr, Carl began, j Mr, Leonard Watson, and Mr, C, L, Tomlinson, -Dr, Charles McAdams and Mr, John I Gilliam were also present. f Mr. Testa commented on the financial statement for the month of December, There 1 was a discussion with Mr. Tomlinson and Mr. G11118m concerning the aged trial balance t on accounts receivable, and in particular the accounts listed in the over 180 day category In Medicare and also In Commerical Insurance, Mr, Gilliam explained that this was due 171 : j in part to the fact that they have not been reclassified by Data Processing In that if an ~~tt I I account was admitted as an Insurance account that the classification was not changed If their status changed, He stated that we are working on this at the present time and ` hopefully will have a more accurate classification and aged analysis of the accounts t 1}'~ ( receivable for the next Board meeting, It was,polnted out that we d(d'ti'ot have a list of H t charged off accounts at this i i point due to the fact that we have not had ample time to analysis these accounts to determine if they are charity, medical, indigent, or bad debts, and that this would be accomplished, and we will have a charge off list reflecting those ~i aocounts at the and of six months, Mr. Testa questioned or stated that we needed to have a'different system for , f I expensing the expenses to pharmacy. He stated that a percentage of sales should be used4 for purchases and this amount reflected In the pharmacy expenses as well as In the ~ lJ• inventory account, fl" The Finance Committee recommends that the operating statement for the month of 1 4 December be approved, but that approval of the balance sheet be deferred until we have I i the final audited 'statement, I ' The Administrator reported that Mr, Donald Provost has been employed as Controller I,r f rth~• ; and would begin duties January 31, There wan a discussion as to what the priorities r r+ ,i rJf V', j 1~ 1 ~ 1JIM to-. Yrn, UJFI:VcUki' II IJA, aROM1r~ CJ-•t It 04 IN. r ~,110's Z.-.c~a.Lr :~r__,ylytfy i ' ` ' r, Page ,aq~vIMITTE9 MINUTES anuar 17, 1972 2 vr'uld Be for him and the possibility of a time table established for the completion of a the Controller these priorities. The Administrator stated that after/ has been on board for a few days that we should Invite representatives from Arthur Andersen & Co, to come and brief him on what they have experienced during the audit and to leave their working papers so that he could proceed with the preparation of a balance sheet as of September 30, 1971, This r' would be his number one priority, Mr. Testa asked about the liability insurance for the Board of Directors. The Administrator presented the completed form with the exception of the amount of Insurance coverage desired and Mr, Testa took the form and will turn it In to the agent for use in f, making a proposal to us concerning limits of Insurance and cost, i f The Administrator stated that he would like to have a Fidelity Bond on the four (4) top administrative personnel along with four (4) other of the office personnel Involved 1 In the receipt and collections of monies, He stated that he would like 'to have a $25,000 i limit on each of these eight (8) people now, and investigate the possibility of adding this blanket coverage on all other personnel connected with the hospital with a limit of approximately $5,000, Mr, Taste made a motion to obtain a rider Immediately on the eight, (8) key people and then to check and Investigate the possibility of adding a blanket t'~ ` I bond on the other employees. The motion was seconded by Mr. Degan and barr!ed, The Administrator reported that we had received a royalty check from Atlantic { Richfield Company, in the amount of $418.36, 1 There being no further business, the meeting adjourned at 9.00 p.m, Respectfully submitted, b~ I 1 , , r AX ,Testa, Secretary to the Board 5~' l ..i-w•.`.: .~SS~.:'.Y:%:'. °~J.^.'.~hT.'-'~'~t"_'1:2:::... 00 sS=•.Y•Su'~~.'iiti~`~Y:Jt.~t'YC1~5`.%S_':.>L'~~51.2 2L'!Y.'1~M.. l .,,...?.w b 0 1 0 P I N Pill n, A1006 Co to.. u,.rN•;.`..`,I'. u Ir,ror, V.,^r..,., 1 wool. r unc+ BOARD I OF DIRECTORS . --.^."..-lt+`<~-C'~s.:.l::tl.!-:a--::.:::scz.biit70.-i~~x.'iis:^~'ztlt*3rS.`-~r~+sG.YS+.-w112'~1m ax:LS~Yai:.:_ BUSINESS MINUTES ur~r'~ovember 18, 1971 r ~ an4o 1 The Board of Directors of Flow,Memorial Hospital met Thursday, November. 18, 197 , with members present as follows: Chairman, Dr, Charles 11, Saunders, Mr, Testa, Mr, Degan, Mrs, Simpson, Mr, Watson, Mr. Tomlinson and Mr, Gilliam, Dr, Croissant, i President of the Medical Staff was also present, Mr, Tommy Bonk from the Denton Record Chronicle was present as well as two representatives from the Denton Junior Chamber of Commerce, Dr, John White and Larry Hood, Mr, Walter Ray, Mr, John Carter and.Dr, p McAdams were not present, Dr. Saunders called the meeting to order by welcoming the guests, I Mr. Degan made a motion to accept the minutes of the previous meeting as mailed out to Board members prior to then eeting,.. Mr. Test, seconded the motion and a vote i! j carried, I Mr, Testa read the Finance Committee report, Mr, Tetita moved the acceptance of ( the Finance Committee report with one correction, there Was a second, and a vote carriee, f I I i Mrs. Simpson read We J'oundatlon Board Minutes, Dr, Saunders made a motion to j accept the report as presented, Mr, Degan seconded the motion and a vote carried,, i i Mr. Watson gave the Administrator's report. Mr. Degan made a motion to accept the motion as read, Mr, Testa seconded the motion, and a vote carried, Dr. Croissant gave a br iof Medical Staff Report, Mr, Watson gave the Joint Cvlferonce Committee Report. Mr, Testa made a { motion to accept the report, Mrs, Simpson seconded the motion and a vote carried,f I It was decided to moot on the next regularly scheduled meeting date of December 23, 1971, I i; The Board went into Ixecutlvo Session to discuss possible prospective members of the Medloal Advisory Staff to the Board, f I Respectfully submitted, A. J. Tocsin, Socretary. i `I f _ADMINTSTRATOR`S REPORT _ ecember 23, 1971 Peg• I 1 } The Administrator's report for this month will be brief, but there are three or four I~ items deserving of reporting and discussion. The Financial Statement for the month of November, I feel, is a good one concerning the dally c:ansus for the period. The average day of census for the month of November was 106 patients per day, and it takes about 115 i patients to be In just a little better than a break even situation, I feel that we should mak every effort to try and determine why the census is not any higher than it Is, I would like to report that the lest payment has been made on the note at Denton County National Sank and this will free up an additional $11,000 per month for accounts payable, One Item that I feel is of a serious nature is that we do not have an Plevator on emergency power. During the electrical storm a few days ago we were on auxiliary power i for some 30 minutes and there was an occasion to use the elevator for the transporting of a patient, but we were unable to do so because we do not have an elevator on emergency r power, I asked Mr. Pope to get an estimate from a contractor as to what It would cost to i put an elevator on emergency power and this estimate is $718. I feel and recommend that we proceed with this project. I We have been Interviewing applicants for the position of Controller for the hospital Betweer, 35 and 40 applicants have been Interviewed with a sufficient number having a CPA Certificate that I feel that we should employe one with the Certificate, There were { ten or twelve applicants who have completed various parts of the CPA exam,.but In general they want about the same amount of salary as those who already have the certificate, so it would be to our advantage to proceed in this manner, + Medicare auditors have been here and completed their audits of our cost reports for 19680 1969, and 1970, and find that we owe them approximately $67,000, This hai been brought about by the mlefiguring of the hospital based physicians, and also there was a discrepancy In 1969 in the total number of pat{ant days reported. This number of j ( ie,w Me I$ /tilt IC A4 Alto to Co., l 1RAYS i 111110,$ 11I6I10 IM Y.6,. . 1 i N Asa AbM1NTS'F1IATQR'S REPORT - MMITTEE MINl1TES o~, _ P~4~ 2 =-~z~:~'• ,.__~x--.~.__ ]December 23, 1971 days was about 3,000 days which would lower our per day cost; therefore, reducing our Medicare reimbursement, f Being on the PIP reimbursement method instead of the per case method was part of ? I the cause of the overpayment by I, lue Cross to us, We are going to try and see where the 31000 day discrepancy occurred, and If we cannot find It, we will probably have to accept the blue Cross audit figures, We will also compute our cost report for 1971 and j i f this report should reflect a payment to us, and we will offset against the amount that we li ~ ,I• owe Blue Cross, As we are getting more information concerning the Phase 11 of the Wage and Price fE Administration, we are necessarily going to have to give some salary Increases, Some I of the department heads have not had a salary Increase for the past year, and I believe E that they are deserving of an Increase. I am sure that other businesses will be increasIN !j A ( their prices under the Phase 11 Program which will mean that we are paying more for the f[1 supplies that we purchase, and we will be paying more social security. With the salary t! ) Increases, I feel that we will have to Increase our rates by approximately G percent, I (II N am recommending that we inn, ease our room rates by $3.00 per day across the board ~1 and some of our other tees will bo Increased from a ? pproxlmately 4 to 6 percent or to lI t the amount the law allows under the Phase It of the program, I I~ I sincerely fell that we are making progress In reorganlzatlon of the Business Office, I feel that new procedures and controls have been instituted; although It may not1b seem apparent. We are now balancing the ATB hardback copies weekly and the two balanced today without a discrepancy. We still have a ways to go in the Business Office, Y " but we feel that progress is definitely being rnade and when the new controller Is on i I board to handle the o,,counting functions, then this will free up some people to do and It work on routine office procedures,and especially as It relates to credit and collections. I~ fl Our bolloctions for December hove been good and oncowaging up to this polnt, ;r .mar- ' err t<tlID 1 -All: IO,PIrr, 4. url ~..Yl vrlr. l4 Hiry «n ~nww HLlVI11V1a11tH1Ult b ItGt'Vlll MMITTEE MINUTES o,,y December 23, 1971veg• 3 '.--~..-=z- i 1 did appear on a TV program with Dr, r inlay and judge Todd as a panel to discuss the financing of flow, This'was a' 36-minute"program and there is Just not enqugh time to discuss such a complex problem as this in this length of time, but 1 feel that it was fruitful and beneficial, We did set aside this past Tuesday as the day for employee's Christmas dinner, A de jo~'(6us meal was prepared by the Dietary Department, and was served 'to all employees aft o and evening meal, compliments of the hospital, I would like to wish each of you a very marry Christmas and a :happy and satisfactory New Year. We realize that 1972 is going to be a very crulral year for Plow, ! ' and l will dedicate myself and staff to the task at hand and try to arise and meet the t fl challenges facing us, and T would earnestly solicits your cooperation, understanding i and support as we approach the New Year, ' Respectfully submitted, f { Leonard B, Watson E Adm inlstrator i I E i bar'.: V t{ r i! III , I~ ~ 1177 ! r. a i._ CL _ re1r 8.810 nxnWe.f pro+u CO.P...14 , u, wir i xnw ClIJMRi/ VI LlriGlJlvc\O l $U INESS, MINUTES balA arch 23J 1972 r~ Pago I~ -c_.r.__.....--s:.:'_~----.~r:..:ei. rxs=rms.=•.`--:~-.-~:ax:. cis~:.u°I, The Board of Directors of Flow Memorial Hospital met Thursday, March 230 1972 at ` 700 p,m, in the Board Room of the Hospital, Dr, Charles E. Saunders, Chairman, preside Other directors present were Mr. A. 1. Testa, Mrs. Paul Simpson, Dr, Charles McAdams, I and Mr, Carl Degan, Dr. Ed Coleman (Chief of Staff), Mr, Watson, Mr, Provost and t Mr, Tomlinson were also present, Directors not attending were Mr. Carter and Mr. Ray. Dr, George Holladay, Preside 't of the Medical Staff, was also unable to attend, Dr. McAdams made a motion to accept the February Board of Director's minutes as previously mailed to Directors, Mr, Degan seconded the motion, and carried, Mr, Testa made a motion that the Board accept the minutes of the finance Committee f~ Meeting, seconded by Mr, Degan, and carried. ~I f Mr. 'testa made a motion that the Operating Statement for the month of February be approved, seconded by Mr. Degan, and carried, Mrs, Simpson gave the Flow Memorial Hospital Foundation report stating that it was a very enthusiastic meeting with the new Directors from the Medical Staff, Dr, Joe W. Holland and Dr, 1. H. Tones, attending, Mrs. Smith had sent material ahead of time to ± them on the financial situation and Information about the Foundation. The doritors had read ff! It and seemed to be very enthusiastic, Mrs, Simpson made a motion that the minutes be I; accepted, seconded by Mr. Testa, and carried. f I Mr. Watson gave the Joint Conference Committee Report, Dr, Saunders moved that the Joint Conference Committee Report be accepted, there was a second by Mr, began, and,' carried, Mr. Watson gave the Administrator's Report, Mr, Degan moved the acceptance of the" report, seconded by Mr, Tests, and carried, Dr, Coleman gave a brief report from the Medical Staff, , - _ .S~~r~ yrt:d: r :r... 1. . rc,+11.fil6 J r , k OF DIRECTORS w__ M BOARD BUSINEtS/ M1NUT6 wfa r March 29, 1972 2 Dr, Saunders gave a report on the status of the Betty Tone B1a2ler Estate. Mr. Degan moved that the Board approve the transfer of the estate from the hospital to the Foundation }I as indicated In the instruments drawn by Mr, George Hopkins, Attorney, Dr, McAdams i. secondAd the motion, pending the advice to go ahead from legal counsel, A vote to the otion carried, subject to the legal advice. f Mr. Watson gave an analysis report of the laboratory as operated by Dr, Ford. Mr, i Watson compared the first five months of last year with the same period this year, I Mr, Watson seemed to feel that the laboratory is working out for us under Dr, Ford's direction. f Mr. Provost reported on the meeting that had been held with Mr, Goff Alexander of iArthur Andersen & Co. Mr. Alexander had indicated that he felt he could give a clean I opinion on the balance sheet. He estimated the audit was 60 percent complete and once the crew go back to work It would take about two weeks to complete, Mr. Alexander had indicated that he would send up a more experienced crew for the completion of the audit, k H also advised that we keep Mr, Strlctland to do some of the audit work. He gave an Indication of what he thought they would have to do, and it did not look like it would be very substantial, j Mr. 'testa moved to have Arthur Andersen & Co, proceed with the Balance Sheet t edit, as of September 30, 1971, immediately, There wHS a second by Dr. McAdams, and ~ carried. t 17r, Saunders moped to adjourn, there was a second, and carried. l t Respectfully submitted, A. J. Testa 1 s f Secretary to the Board ,.atl010 „r•. ~ t,4, a, ow te./t".v iun , i s y )y/r1(! i I ADMT NTSTRATOR'S REPORT ~ 7INt NUTES u4,") March 23, 1972 Pago / ~ ld like to comment on the February Financial Statement, particularly in the Pago as, Our cash position Improved over the previous month with also a reduotlo In our Accounts Payable. Our ratio of current assets to current liabilities Is about 2.6 to f~ I which Is lust about the national average. Our total expenses for the year-to-date is ! continuing to remain lase than that which was budgeted for the year, and we are encour- aged by this, The admissions to the hospital show a two percent Increase over the same ? period last year, and our census days of care also shows an increase over last year, with f~ our average length of stay of six (6) days the same as last year, which Is very favorable, r Our payroll as of March 7 Indicated that we had 385 fulltime equivalent employees I ~ I employed in the hospital, and using a daily average census of 120 patients, would mean A that we had 3.2 employees per patient or occupied bed, The national average is some- thing like from 2,7 to 2,9 employees per occupied bed. I have discussed this matter with ~ a 11 i ' r our department heads and asked them to evaluate their departments and see where the t v ~I could reduce their staff. I am of the opinion that we could reduce our fulltlme equivalent 1 I] + from 386 to 365 without deminishing the quality of patient care, Mr. Tomlinson and Mr. Pope and myself have been working on the mechanical I i iif ++J I problems of the hospital for the last two or three weeks, We feel that we have arrived at f a solution to one of the problems, and this Is In regard to a separate hot water source fori I the laundry, which will not be a drain on the hot water source for the other parts of the r hospital. We have investigated the lint problem In the Operating Room and have determine that the lint is not coming through the air condltionIng vents, but It is coming off the line and being blown around In that area. We are waiting on `re 9 port from the Surgical I Committee as to what their desires are concerning Surgery before we make any further plan 1 r . In this regard, We have had the controls people In p and surveyed the situation, and I jf probably we could Improve the situation In Operating Rooms No, 1 and 2. We are also i "Al BUSINESS MINUTES e March 23, 1972 f P.go 2 ~a-r_F_.~::.._____.. _~--ns~: ~ ~ =c_._.~.___.. "---'rte=~' Ij having problems with the conducttve floor in Operating Room No, 3 that we will have to give attention to In the next few days. f For the past week and a half we have been using a food delivery system that is ! j i made by Aladdlan. We will be evaluating this system for the next three or four weeks, and shortly thereafter we will have a recommendation to make as to a different type of food delivery system for the hospital. { Both the Medical Advisory Committee and the Financial Advisory Committee have ; met during the month. 1 feel that they are going to be able to make a very worthwhile contribution to the hospital in the way of recommendations, I F Respectfully submitted, Leonard E Watson Administrator C is j I . ra : _ ___-o ..x v..-.. xn• d 01q ,n r ,•r CV.Nre. t .n'i, tri -Y ADMINISTRATOR'S REPORT , BUSWE~SS MINUTES na,o February 29, 1972 We have had discussions during this month with Mr. Burns of the City Parks Depart- ~1 ment, Mrs. McKnight and Mr. Allmon in regard to landscaping around the hospital, Mr, ,(((j Burns has ordered the ground ivy to be set out and instructed our yardman in the proper procedure to be used In planting the ivy, Mrs. McKnight and Mr, Allmon are going to II Involve their respective garden clubs In some type of landscaping or beautification ~i program around the hospital, They were most Interested to be able to become Involved in this type of work for the hospital again, ii I, We have had numerous meetings with our department heads In arriving at a set of I personnel policies which were understood by them, and In which they think could be underr stood by the employees. In general, these policies are ones that are most commonly r found in other hospitals and the fringe benefits such as vacations and sick leave are ll E ` pretty much the same as other hospitals in the belles area for their employees. It copy i I 1 of these policies have been sent to each of you for your comment or approval. We are In ' great need for a set of approved policies as woare now operating under about two or three I ' different sets that have been presented by previous administrators. We had a firm to come in and to make a aomplates list and chock of all of our blo_ fj medical equipment for electrical hazards, All of our equipment was generally In very y acceptable limits as to voltage leakage and also having proper ground, Normally hospital of this size would have a t •,'I I pproxlmatoly 125 pieces of electrical bto-medical equip E i ment, but this hospital has 151 'pieces which is certainly above the average, The plugs ~•'r ; In the patient's rooms wore also checked for proper grounding, etc, As a feedback from our patient opinion survey, we are getting enough response to ~l Indicate to us that we need to improve ' our food delivery system, We are getting too many negative responses to the hot food being hot, and the cold food being cold, and as a j result we have been In discussion with our Dletltian and Food Service Manager as to how f this could be improved, We have looked Into one system that we are going to use on a , 11 OtN I I p -10 WA~J MKM 1 AbMINISTRATOR'S REPORT BUSINESS MINU1 E;S February 24, 1972 a,Qa 2 six week trial basis to evaluate. The Food Service Manager Indicated that one of the II IJE reasons causing our problem was the lack of a steam table for keeping the food warm after" 3 Jf A is,prepared, I have okayed the purchase for two additional steam tables which we hope I will solve this Immediate problem, but we are still unhappy with the present delivery I f system which we have. I r I ' Dr, Saunders and 1 attended the Texas Hospital Association Governing Board Meetin j In Austin on February 12-13, The topic of the entire meeting was the Changing Concepts ~ . t r' E In the Health Delivery System, The Blacklanda Hospital Division of the Texas Hospital Association met at Flow Hospital on February 23, We had approximately 45 people in attendance for a vary Inter- 1 (I eating program and a very well prepared meal served by our Dietary Department, ii During the month, I guess the most talked about subject among hospital employees ) ~I • ~ I I f was the announcement of a new hospital being built In the City, I think that I would be i derelict in my duties if I did not express an opinion on the building of additional hospital facilities, I am all for the free enterprise system, but I feel when it comes to the building' of additional h i o lpttal facilities that the decision should be based on only one consider- atlon, and that is "need," In practically till of our readings and addresses by those they I~ who are authoritative In the health care delivery system/atate that one of the mein reasons for increased hospital costs is the duplicatlon of facilities and services, Another hospital '4. I } { ! at this point would h e a duplication of services, as at this point additional beds are not ( needed. I' A duplioation of facllities would have the ultimate effect of increased costa to the ( patients who used these facilities, Also another hospital at this point would dilute the I hospital staff, i E One of the most urgent problems, I feel, facing the hospital at this point other than cash flow and a proper accounting system is the correction J of the mechanical problems d d k JAiVltS APMJNISTRATOR!S RRPO'RT BUSINESS MINUTES NI," ebruary 24, 1972 that we encounter from day to day In the hospital operation, These problems are found In the mechanical system of the hospital and particularly In the water distribution and heating and cooling system which could be tied In to water distribution, I feel that these j areas are our most pressing problem at the present time, I feel that If there is some way In which we could engage a mechanical contractor or engineer to come and evaluate the ~ system, and make recommendations for its correction then we could make an application for 1 Hill-Burton to pay for half the cost of the renovating. This would mean that we w ±f ~ Quid have to come up with one-half of the cost of the project. I think at this time it Is almost III 1 ' Impossible to make a cost estimate of a project such as this without the services of an i engineer. Hill-Burton funds are more readily a vallabla for this type of work in preference to new constructions In fact, for the first six months for fiscal year 1972, July thru f 1~ f December, no Hill-Burton money was spent on the construct ~ !on of new general hospitals ~j and the bulk of their money was spent on modernization projects, { ~ i Respectfully submitted, it Leonard E. Watson, Administrator I , f II fi I I .it 4',. r 1 f f AGENt)A BOARD OF DIRECTORS PLOW MEMORIAL HOSPITAL January 20, 1972 i f T. Minutes if. Comm lttee Reports t C A. Finance Cornmlttee - Mr, Testa B, POUndatlon Board Mrs.' Simpson C. Joint Conference Mr. Watson - J I ii I III, Adminlstrator,s Report - Mr, Watson IV, Medical Staff Report - 1 Dr, George Holladay V. Old Business Ei VI, New Business 4 Pldel[ty Bond t ly J 6 1 I f gJ ' J11 I i aNAF11. sJnKU U, uittr,IJivHb BUSINESS MINUI FS Dak ,,'~nuary 20, 1972 avg. 1 The Board of Directors of Flow Memorial Hospital met Thursday, January 20, 1972 fl I I i ~~at 7;00 p.m, In the Board Room of the Hospital, Mr, Carl Degan, Vice-chairman, presided! J,at the meeting, Other directors present were Mr,'A, J. Testa, Mrs. Paul Simpson and Dr, Charles McAdams, Lr, George Holladay, President of the Medical Staff, Mr,. Leonard f I It Watson, Mr, C,. L. Tomlinson and John Gilliam ware also present, Representatives of the 11 Denton Record Chronicle were Mr, John Moody and Mr. Jim Burnett, i r Directors not attending were Dr, Charles Saunders, Mr, John Carter, and { Mr. Walter Pay. Dr, McAdams made a motion to accept the minutes of the December Board meeting ' ~f I as mailed out to directors during the previous month, Mr, Testa seconded the motion 1 which carried.I ' Mr A ~I i J ( . J. Testa gave the Finance Committee report, There was a discussion con_I, cerning the report and the financial statement, Mr, Testa made a motion to approve the II report and approve the Income and expense statement for the month of December, with- holding approval on the balance sheet since those will be carryfng values that will come ~I from our audited period ending Sei:tember 300 1971 at which time all subsequent balance shgats will be subject to approval, Mrs. Simpson seconded the motion whidh'carried, EI r Mrs. Sim peon gave the Foundation Board report, A motion was duly made and seconded to accept the report, which carried, Mr, Watson gave the Point Conference Report, There was a discussion of the Utilization Review procedure changes, Dr. McAdams moved to accept the Joint Conference i i i Committee report, there was a second to the motion which carried, J li ? Mr, Watson gave the Adminlatrator's Report, Dr, McAdams made a motion to ij { i f accept the report, Mrs, Simpson seconded the motion which carried, i ~ i i! nlrrn O f n 4 U ,Jir i,. _ c.:~ e r 6111 r lu. r: .b ur rUrhnHY 1 r _ .GIr ,.wtvA b ,r BOARD or D1 RECroRS 0l1sfNC5s Kimil'les n,ro ' ~)nuary 20, 1972 Pego 3 ' all costs of installation, There is also to be a plaque Installed on the inside of each floor of the hospital wings, Also, other bids should probably be solicited for this lob, Dr, McAdams requested that Mr, Watson begin preparing an evaluation report of the hospital Indicating what he felt the hospital needs to set as goals, and how long he !feels will be needed to accomplish each goal, I Mr, Watson re i` ported that Mrs, Lillian Estes would begin duties rtbruary l as a j Hospital Hostess, As a nurse, she will be able to work in all areas of the hospital, and f { In particular, with families of patients, There being no further business, the meeting adjourned at 8:20 p,m, r i r ~ II i' f i g f i I MIM1t{II\1 III OId ('D 1( 1%. 1115 .1 .T1_..~:; gill r i - ADMINIS~`ttA'f4i~+S t2Ehbt2'r _ _ BUSINESS MINUTES Dill",, January 20, 1972 Pego 1 t Most of our efforts since the last report have been directed to the employment of a I , Controller, This matter has been finalized and we have selected Mr, Donald L, Provost, C,P,A, as Controller. He will assume his duties on January 31, 1 972, We are excited I about this addition to our staff and certainly our expectations are great as to what, with his assistance and direction, we can accomplish in the improvement of our general + accounting and business office function, The new Medical Staff committees have been appointed for this year and we took forward to working with a great number of'these committees and, In particular, at this 1 I r; POO time the Infection Committee with Dr. Dowling as chairman, A I would like to comment on the financial statement for the month of December, Our average daily census was 106 patients per day and it tak I, es about 112 patients per day to be on a breakeven basis, Our daily census for January to date is quite encouraging In i 1 that we are averaging 126 patients per day, + As to tha financial statements, our ratio of assets to liabilit'-ss is two to one which issatisfactory, b ut r ou cash position is somewhat less than optimum, For the three months of this accounting year our expenses are running $67, 000 below the budgeted amount which Is encouraging, f y, Our room rates were increased $3.00 per day across the board, effective January 15 Our Intensive Care dally rate was Increased $5,00 per day effective January 25, These I+ V Increases were discussed with our intermediary` and we were told that this Increase was tE \ iri line with tho guide lines of Phase I. of the Wage and Price Program, Our employees received their increases on the cheek they received on the 19th of this month except the nursing personnel, and this will be reflected on their check of the 28th of this month We have noticed increased cost in expendable supplies and food purchases. These room + Increases are just about what other hospitals In our area are having to do to offset Increased costs, E 11.0 -.-u::rm...x: car•. IAI,: ".l~ I'll 11 !1lt Pile A- _C: Li'- .d.., Y... . 0 cc. 11.1\IlI IA 011 I C, It 1% 1 w ir"'Y L: h AIM~9, r I 1 ae~m a9~1 U& # ADMINISTRATOR'S REPORT BUSINESS MINUTES owl'~january 20,- 1972 Page 2 The monitoring equipment for I.C.U. has been ordered and will probably be here and Installed sometime In February, The total cost of the monitoring system was approximately $21,000, and It has been obtained on a lease agreement at the monthly rate of $4S0. This equipment is composed of five stationary patient monitoring units plus t the base station and automatic E. K. G, printout plus two telemetry units. The telemetry units will provide capabilities for monitoring patients other than those In 1,C.U, I It seems that every month we are having to purchase some item of equipment to I replace that which has worn out. This month we were having to replace two boller feed pumps to replace two that are just completely worn out, These pumps cost approximately i. $450. each, We are also having to replace one cooling unit for one of the refrigerators In the Dietary Department, We have been nursing two of these units along for the past six or eight months, but one has just gotten beyond the point of repair and we have to I f replace it. The cost of, this unit Is approximately $300, Mrs, Jong and T attended a meeting with the officials of Cook County junior College in regard to the Associate Degree of Nursing Program, The curriculum was discussed and a tentative contract was presented to each of the hospitals participating In the program, There were some changes suggested and these will be incorporated, We should have this program and contract ready for discussion andapproval or disapproval by the March meeting, Respectfully submitted, ,c rl . ~ Leonard E, Watson I f { Adm Inistrator If ~ ~ f I! ~ _ ~ InHhu44 Aub,D fb.b, „4, Illi1N1 •••„iNlbH V.4.r i ~I YtlY7lY. -10 BOARD Oh DIRECT bC2S IUA BUSINESS MINUTES nai, r"lnuary 20, 1972 PAq* 2 Dr, Holladay gave the Medical Staff Report. He explained the change to Rules and r ~Regulations of the Medical Staff as required for Accreditation of the hospital, which I; I1requires that physicians complete patient's chars.wlthln 15 days after discharge from the hospital, rather than the 30 days as previously required. This change has been approved E~ t! by the Executive Committee of the Medical Staff, the Medical Staff, and Dr, Holladay If presented this change'to the Board of Directors for their approval, Mr. Testa made a motion that the Rules and Regulations be changed as requested, Dr, McAdams seconded they { motion, which carried. r° Dr. Holladay gave a brief report of the proposed SAMA-MECO student program. This is a program of the Medical and Health Manpower Office, Texas Hospital Assoclatlon,' wherein'medicai students spend time in a hospital in a study-work program, Me, Testa made a motion that•the Board request two SAMA-MECO students foe an ` eight-week period, preferably pre-Junior or pre-senior students, Although the program is ' open to pre-senior students, several other preceptorship-like programs are available to j them, and the assignment of a pre-junior student may be more likely. Dr. McAdams 1 seconded the motion which carried, Mr. Degan suggested that after the hospital had j participated in the program for an eight-week period that Dr. Holladay give a report as to how successful it has been for our situation, Mr. Watson presented terms and rates of a fidelity Bond, in the amount of $25,000 each for 11 key employees In the hospital, with $10,000 coverage for all others. i Mr. Testa made a motion that we obtmin the fidelity Bond as presented by Mr, f Watson. Mrs, Simpson seconded the motion which carried. There was a discussion about putting letters honoring Ed and Bess Forrester on the Bast end of the new hospital wing facing Scripture Street, It was decided to discuss the i details of the lettering with Mr. Weldon Knight, Attorney at Law, Executor of the Forrester Estate, ascertaining that the specifications are accurately stated, and that the bid include` t r . ~I r' Ir'1. [1.61 f3 _ P+„i i\41 \hC\0Cr N11.r1auMli. 'Irl I.1l+Nr v t ,10 Y„1W. rc ! 40rent financial statements are not enolo ed, p464lrtg and of audit bnd; aloring entrl#e from Independent Auditors; E Arthur Andersen & C7o, Mrs, Young I r n BOARD Or DIRECTORS BUSINESS MINU1'CS ovember 18, 1971 Pago 1 The Board of Dh tors of Flow Memorial Hospital met Thursday November 18 1971, with members present as follows; Chairman, Dr. Charles H. Saunders, Mr. Testa, Mr, E Degan, Mrsl Simpson, Mr. Watson, Mr, Tomlinson and Mr, Gilliam, Dr, Croissant, President of the Medical Staff was also present, Mr, Tommy Bonk from the Denton Record z Chronicle was present as well as two representatives from the Denton Junior Chamber of Commerce, Dr. John White and Larry Flood. Mr. Walter Ray, Mr. John Carter and Dr. I McAdams were nt)t present, j Dr, Saunders called the meeting to order by welcoming the guests. Mr, began made a motion to accept the minutes of the previous meeting as mulled out to Board members prior to the rgeeting,. Mr.. Testa seconded the motion and a vats ` carried, R, I Mr, Testa read the Finance Committee report, Mr, 'fi'esta movAd the accoptance of the Finance Commtt~ee report with one correction, there was a second, and a vote carried. Mrs. Simpson read the Foundation Board Minutes, Dr, Saunders made a motion to i acospt the report as presented, Mr, Vegan seconded the motion and a vote carried, Mr. Watson gave the Administrator's report. Mr, Megan made a motion to accept the motion as read, Mr, Testa seconded the motion, and a vote carried, Dr. Croissant gave a brief Medical Staff Report, ~ . Mr, Watson gave the Joint Conference Committee Report, Mr, Testa made a I ~1 motion to accept the report, Mrs, Simpson seconded the motion and a vote carried, It was decided to meet on the next regularly scheduled meeting date of December 23, 1971. j The hoard went into l:xwcutive Session to discuss possible prospective members of } the Medical Advisory Staff to the Board, { Respectfully submitted, t AF-41,. Mesta, Secretary --7 7 .w... _ 1 al . _ 111 I I \ 5 1 ` 1. .'T.''..•:2R . -::L.. ::i~. `I ,RI \I 1411 Rll f0 Y~ 11 V Illl1 II RI~V. I L, 1]IY l.CSG v1Y rat;` ' AI,,: ~l'4L6ty -a' r IYIILM 1 a I fa 9U MIN MINUILS o~ November 18, 1971 pa9R Z Since our last meeting, we have continued our efforts In improving the physical r f' plant as it relates to maintenance and housekeeping, We are continuing a program of I painting in various areas In the hospital and also the purchasing of some ceiling the 1 to replace some of the old deteriorated the In the ct,rrldor on the first floor that runs east and west by the cafeteria, We have also encouraged, and I believe we have been successful, in Improving the housekeeping functions In the building. We have also installed the panelling In the large private dining room which did Improve the acoustics somewhat, The Fire Marshall made his yearly Inspection of the premises pursuant to our ; making application for our n!w,14bonse abd he noted no mafor deficiencies. In fact, C there were only two Items of a very minor nature, and, in general, he complimented us on the condition of the building as it relates to fire safety, One of the recommendations made by the Joint Commissionwas the connecting of our Fire Alarm System to the City Fire Department, We have had some preliminary discussions with the City Fire Marshall In this regard and will proceed on what is involved Ina connection of this type, i visited with Mr, Burns of the City Parks Department in regard to the ground Ivy for the barren areas around the entrance walk at the front of the hospital, Mr, Burns was very Interested and wanted to be of assistance to us and he stated that he would go ahead and order 1 000 ground ivy plants and would come and work with our grounds keeper so that they could be properly planted, ' a i, The Ladles Auxiliary had their annual bake sale this past Friday and It was a very ! successful venture for them in that they netted in excess of $600. In their general meeting", t yesterday, they voted to purchase a new Isolette for the Nursery, This Item would cost 3i I I approximately $1,900. We take for granted too often, I think, the value that an auxiliary 1 11'OIR •.'_•Y J7. y_..._.; t.. _~.._Jt:Z•YL :'S:aL' .SYAY+: 1 IMIVrUl1 ql tGSi,~.'15AH[r:r4irl ..Nltn 154Vr ' I r ul ADivilNtsTRArofz's ReroRr - _r. r.v:_-. :.-s ~x--_: xx -~_-=-.-_n_-_av.~>r.•_rr :.a:a~a•__-. :a--:~-ar~ 1 BUSINESS MMTES e41(" Vovember 18, 1971 (1~ Page 2 Is to the hospital, but they do make a very valuable contribution, not only In service, but In kind, T would encourage each of us to express our appreciation to them for their very fine contributions. I have ordered 3, 000 Patient Survey Booklets which I am going to have the office present to each dismissed patient for their evaluation or their opinion of the services ! rendered. This opinion survey will cover the following areas; Admitting Procedures, The Nursing Care, Housekeeping, Food, Visitors, Dismissing Procedures end also some other areas, These surveys can be completed by the patient after they go home and mail` to us at no cost to the patient. We will use this information in improving those areas as ;E trdicated by the survey. I Me had a Civil Rights, or Title VI, Inspection yesterday which we compiled with E in general, There are some notices that we have to post in regard to nondiscrimination in admitting, ~ i tl , We also had a representatlvo'from the State Health Department to review our { utilization review plan yesterday, and found one major deficiency that will have to be + corrected. 'This Is t f hat our extended stay period is 13 days and the chart has to be reviewed by the physician within the next 7 days as to the necessity for continued 1 hospitalization, The physicians have been reviewing these records, but they have not s. been within the 7 day period, Also, we will have to Institute an on going study project E of some type, E ~ I E The month has been very busy and In some respects vary frustrattr5g for us In that !f f we have employed two controllers and we still do not have one at this time, The auditors ~ I moved their troops in on November 8 and this has been a very busy and trying time for all E'E ~f of the Business Office Personnel, There were three, and sometimes four, members on the auditing team from Arthur Andersen and it takes just about one of our office personnel for r E each one of them getting the various sources of information for them, As a result of our 11 AIA ..._.._.e_r:•:s~ x:: :v-..•i. cct:-~S~ris-.zi __1.,- .t. r~xrc:rr^-z+•-•-- 1 „N 1101\ V 1 1 r. • 1 ._...•r .r.J,.'ua I~r.W1 .,...N Ylr II•.. l Fri W.rr "maw %VM R t AI' ADMINISTRATOR'S REPORT _ BUSINESS MNUTES u,In November 19, 1971 3 people b'eing occupplEd by the auditors same of our routine office work has gone undone. We particularly wanted the auditors to proceed at this time so that we could file our Medicare Cost Report for the year ending 1971 and possibly get additional funds as a result of the cost report. This report can not be filed until there is an audited financial statement, The office personnel should be commended for their hard work and patience, The Medicare auditors will be here the 29th of this month to audit our cost report ending September 30, 1970 and we feel that this possibly will be as detailed as our Independent audit, f I would like to report on a very successful meeting that was organized by our 3 ; therapeutic dietitian, Mrs, Frances Michels, As this Is National Diabetic Week, she ' j wanted to have some type of,-program relating to Diabetes. She got Dr. Ford and Dr, J!J McCormick to assist her In putting on this program entitled "Let's Discuss Diabetes," An I r Invitation was extended to the people through the press and radio and there were 62 people in attendance at this meeting, From reports that I get is that it was well received, ~ ( r and I think possibly could be the beginning of other programs of this type relating to the 7 ' hospital on other subjects, I { .l I would like to briefly comment on the financial statement for Ootober, We did reflect an increase in revenue over expenses, but we are not at all pleased with this report, We feel that It should be more and we are particularly concerned In the statistical I „I report' In that admissions for Obtober of this year were 51 under admlesions for the same, month last year, We are unable to ascertain why the census is not Increasing with the Increasing population of the area, T would like to report on one Item of miscellaneous i !income in excess of $12,000 as this was a refund on our group N"lth and Life Insurance Policies with Blue Cross, The group Is state rated and our experience was such that we j ' s; H C earned this refund. As the release of the price freeze is more understandable, f we hope to up-grade our Slue Cross Group, making it t I' r._:. :.._-..L-x.~C9f~~ a1r_•.e_,~:~.-r*-reC_c~rs:::ae T..: -f. x•r 1t ~.YC._..__~: Cis •r_.-._o.~ u=.:~Y~:r :eL~W _Y__...:~ E i Y.. ro,v bUId ,.nnusr P a.c [o., Q'r.rx ;rln cu ni.r,o lu+, I~ 14 1iX V 1 ADMINISTRATOR'S REPORT BUSINESS MINUTES November 18,_ 1,J71_. 4 compulsory for all employees to be covered by the insurance, with the hospital paying' full dues for both the hospitalization and life Insurance portion and, in so doing, to eliminate employee discounts on hospital bills, This would also pay for any accident occurring on tho job rather than us having to pay out-of-pocket money, for those omployees~ hurt on the job and not covered by the Insurance group, Since being on the job here, 1 have been particularly concerned about the hospital's true compliance with the Wage and Hour Law, In this regard, 1 had Mr, j Lenn Jones, a personnel consultant with the Texas 1ospital Association, to come and } review our Wage and Dour Policy and to see If we were to compliance, There were some 4 deficiencies noted and we V),-.make every effortt.o correct these deflclengies. 1 did Ij II Jask Mr, Jones to meet with our department heads and they understand these deficiencies, 1 It would help us tremendously if all of our nonexempt employees were on a time clock f so that a more adequate record could be maintained. We are going to Install one additional clock to take care of this problem and with some other changes, we will be F i 11 in substantial compliance with the Wage'and Hour Law, Respectfully submitted, j eonard E. Watson, Administrator f t t j j I 1 1 1 is"~ 11 r..c..:. .s.:~:-=•r_.• _ __-i_ ~ rc: <t J_'r__ { Jar tl610 7 tH,o.nit Jra cn,i,.JrJ.er!N r e t , { I ti ; JJ . emu" "Vol. rY.r. s. furor. p ! AGENDA HOARD OF DIRECTORS FLOW MEMORIAL HOSPITAL October 21, 1971 ! I I. Minutes I f II. Committee Reports 1s I A. Pigance Committee Mr, Testa r' f j: B, Foundation Board - Mrs. Simpson 0, joint Conference Committee - Mr, Watson ! III. Administrator's Report IV, Medical Staff Report » Dr. Robert Croissant C~ I V, Old Business VI, New Business r ` f .4~• J ,I • I I i I 4A10ARD OF DIRECTORS ~ BUtINESS MINUTES o,io September 23, ).971 Peso j, The Board of Directors of Plow Memorial Hospital ;net Thursday, September 23,1971 i with members present as follow; C;ialrman, Dr, Charles H. Saunders 0 Mr, Carl r.Legan, Mrs, Paul Simpson, Mr, John Carter, Dr, Charles McAdams, Mr, Leonard Watson, andi f , Mr. C. L, Tomlinson, Dr, Robert Croisrrant, Preside.:it of the Medical Staff and Dr, George Holladay, Chief of Staff,were also present, Unable to attend the meeting were 1 1 ~ Mr, A. J. Testa and Mr. Walter Ray, , Mayor Vinley, Mr. Tommy Bonk of the Denton Record Chronicle, representatives of the Junior Chamber of Commerce, Mr, Don Dyal, Mr. Bob Hooper, Terry Hood, C, P,A, 3 r I and Mr. Hankins Powers, State Treasurer of the Junior Chamber of Commerce were present, f Dr, Charles Saunders, Chairman, presided at the meeting, The minutes of the last meeting were read, Mr, began made the motion to a 3 pprove the minutes, the motion was E seconded by Mrs, Simpson and vote carriud, ' _COMMlTr)E Rr'PORTS I The Finance Committee Re F f port was given by Mr, Degan, The gross profit of 1$64,000, anet positive cash flow of $1,400 with a rather low census for, the month of August, Patient statistics were down and the cash- flow drain of about $33,000, Mr, Qegan' moved the adoption of the Financial Statement for the month of August. The motion was scconded by Mr. Carter and the motion carried. Mr. began gave a report of the thinking of the Finance Committee on the using of a third party agency for collection purposes, + Mr, Tomlinson gave a report of the conference set up with both prospective collection agencies, Each agency agreed to send letters of agreement reflecting the terms undef which they would be willing to work, The Administration will execute letters of I agreement. The hospital is to keep a strict control of the accounts given to each collection agency, Methods of control are being worked out with,the auditors, I ~ l , '`6f ii til, ~~'li444 v r,Wp~ y. _ BOARD OF DIRFCTgS L r~ t BUSINESS MINUTES nano September 23, 1971 emu' - gaga 2 Mr, began stated that the Finance Committee would recommend, and he would make a motion. that the administrator enter Into a contract with each of these two companies following the guide line:] as set out in the conference. The motion was seconded by Mr, Carter, and a vote carried, Dr. Alex Finley, the Mayor of Denton brought a message and a charge from the ' City Council and also from the County, The Mayor charged the Board to review the duties ~I of Flow hospital and to operate the hospital as a corporate business, He suggested that r ~E a financial advisory and medical advisory committee be appointed by this Board and urged that people put on committees be chosen on the basis of ability and Interest, and not polities, It Is Imperative that each committee be charged with their responsibility so that I objectives can be accomplished, Each committee should be given rules and a stated length- 1 I~ I of appointment or time limit to accomplish objectives, Time limits should be set out for { each step of a project, including a time for reporting back to the Board. To havz a better tool for self-evaluation, yo,~ should have set down your ! objectives fat the Board to accomplish for the next year, You should be planning for five ! and possibly ten yeers in the future, You will need the help of many segments', Conolderatlon should be given to impact of the new airport on Flow, How will you I develop, as a satelite, as a general hospital, or major hospital, Services that you offer depend to a lgroe extent on your decisions to these questions, In determining the services J' your long-range plans should set the time table, A good example was the decision to use f i the last money for low revenue construction rather than high, and the development of a plan on, paper to be sure it Is still pertinent to the day, r ! Mayor Finley encouraged the Board to encourage the Medical Staff to take added responsibility, to develop fine public relations with the community and build a fine Image, It may be desirable to use younger people, and to not up a junior Board, which is the trend' lu government and corporate managemen.. Don't limit committees to only those set out in i k h ru1~f. F ~ BOARD OF DIRECTORS f BUSINESS MINUTES ae~e September 23, 1971 Page I the By-Taws, use lots of imagination, and enlist the entire county In reaching goals for the hosplt;il, r I j Mayor Finley also offered the Board the use of the Chamber of Commerce meeting room for Its meetings. Mrs. Simpson read the August m Inutes of the Foundation Board. Mrs, Simpson moved the acceptance of the report as written. There was a secona and the motion f~ i carried, Mr, Watson read the Joint Committee Meeting Report, Mr. Carter made the motion that report be approved as read, there was a second by Mrs, Simpson and the motion carried, j Mr, Watson gave the Administrator's report, Mrs. Simpson made the motion that ! the report be approved as read, Mr, Carter seconded the motion, which carried, ; { The Infections Committee is working on a satisfactory method of reporting Infections t I In the hospital, or a paper solution to be used for reporting infections. They had not come up with a form that they are satisfied with. The operating room added three j registered nurses tp the staff, and the medical staff approved the Minimum Care Unit, 1 I ' The Medical Staff, established a Priorities Committee which consists mainly of i the Ueoutive Committee, and the purpose of which Is to take Into consideration equipment needs and to prevent duplications and to establish priorities as to which pieces of h , equipment were needed, This would be valuable In planning the budget for the next year. Mr, began made the motion that the report be accepted, The motion was seconded ` r by Mr. Carter and the motion carried, ; Dr. Thomas Blunker from Searcy, Arkansas was,approved as a new member of the 1 l Staff by a vote of approval, Mr. Watson gave a report about the Physical Therapy Department and stated that J a new registered physical therapist had been employed, and reported that the department Y le lx 9 0,8 /xYNUA r N c earl Ir,xrr lU etp Iaa[ l,~i„l~ly~G.l l fir' aw -10 ~.WAMI I MUM i u keg , 'i°`~1~ 1 BOARD or DIRECTORS V A~1 --r - s-__ BUSINESS MINUTES Dais STEMBER 23, 1971 gag* 4- was showing improvement, and It is expected that Income from that department will be significant, i In an agreement with Physical Therapists Associates, they will supply services seven (7) days a week, and maintain the equipment and purchase any additional equipment needed. They are experienced in setting up traction equipment. This type of arrangement Is on a 55/45 basis, After the revenue reaches $5, 000 the basis will be 50/50, Mr. Watson also mentioned that the Joint Committee on Accreditation will be here, 4 for one day only, October 14. Dr. Saunders encouraged members to come and meet the committee. Mr, Watson reported that Cook County Junior College had asked us to bean 1 affiliated , participating hospital In their two-year Nursing Program that they are to begin ! ) in September of 1972, We have gone along with them pending their presentation of their contract as to what we are to provide and what is expected of us In being affiliated, It will mean some expense to us, mainly in the matter of providing ward libraries, w l" rTr. Watson also mentioned that someone should make a thorough survey of the hospital mechanical system to determine the source of our trouble, and to make a cost 11 , II estimate as to how much It will cost to correct the- defects In it, j Dr. Saunders mentioned that we may not have done the fob of preventative I malntsoance that should have been done. A deceased family had left their estate valued at 511,050 to the hospital and had set out In their will provision for making these funds available to us for the purchase of capital equipment, Judge Boyd and Dr, Lockwood were a E , ppolnted executors of the fund i and would approve the expenditures, If An election of officers followad, The new offtcGrs for the coming year are. ; and Dr, Charles 11, Saunders, Chairman, Mr. Carl Degan, Vice-Chairman,/Mr, A. Is Testa, Secretary. i w..,. n....e...w, Ih11rcu11 nt o_-: , s. ~a _ Yrr~ r N6 BOARD OF DIRECTORS LJSIN&SS MINUTES o; September 23 971 Mr, Watson dlacussed the feasibility of having Mr, Richard Kelsey represent + the hospital on a retainer basis, i Dr, McAdams made a motion to employe Mr. Kelsey on a retainer basis fora jj salary of $100 per month for six months to a year trial basis, The salary is subject to change depending upon the amount of work he performs, + The motion was ,saconded by Mr. Dogan and a vote carried. Mr, Watson was asked to giva a report in three or four months; Mr. Watson gave a report of the number of staff in the Nursing Department, Mrs. Simpson gave a brief report on the progress of the yardwork. ' There being no further business, the meeting adjourned. ~ fl Respeotful]y submitted, { Mr,- ;Testa, Secretary ~ its f Y i s r AU / MlfV1S'AWS'JUk'S"tthYUHl q SU6IN6SS MINUT5S oay.-~ September 23, 1971 Palo This report will cover the activitles from August 1 through September 7an y subsequent reports will cover the period from Board Meeting to Board Meeting. Initially I would like to state that I have been very pleased with what I have found here. The hospital staff has been very receptive and cooperative and eager to fit In and make whatever changes that are suggested. The Medical Staff has been very cooperative and friendly and have been very willing to assist me in solving some of the problems that I have encountered. f. One of the main problems that we encountered was''!1(>organlzwWn and functions I~ of the Business Office and we have been concentrating our efforts and attention to the I+ corregting of this situation to a system that we would like, I felt that we needed to havel a person In charge of the Business Office who had had experience in hospital business . operations and one who would be capable of reorganizing the Business Office and i,. implementing a system which we would approve and which would encompass the re- commendations that were made In the Arthur Andersen and Company Bluebaok and the Henry Reports, We found such a man In Mr. Tomlinson to put In this position and the a changes are being made, and we hope to have the office changes we would like by some- where around October 1. !Z i Our efforts were directed to the hospital Housekeeping. Department In that we I wanted the housekeeping services improved, We authorized the p.uchase of house- t I keeping supplies so that they could do a more adequate and efficient job, We have had i~ detail men from one of our suppliers to come In and give In service training to the people in this department as to the proper maintenance of floors, In general we wanted, ;i and I think we achieved to some extent, a cleaner building, i We have also instructed and encouraged the Maintenance Department to do a more rol•8,618 :.ra...~-r::r~-.e..>.:.a`••~.e::-_~-.•s::rc-_:.rz•~resm•.. ~-...-rarv~W=ris.•a-`-`ms.••rf~~ - lnlneHt ru••a Ca. In.rq luuiu I .y w ~NpA~ i s ,,.ADMI~'YSTftAT'~OR'S 121)SOl2T' BUSINESS MINUTES D, September 23, 1971 p.4. 2 effective Job of maintenance and to do small repairs that would not be a great outlay of money, but would Involve only timer Some of these repairs and preventative maintenanc have been accomplished during the last six weeks, i In regard to the Business Office, It was felt that we had too many people working In too small an area and to remedy this situation, with Board approval, we have converts patient's rooms 131 thru 136 to Nursing Administration Offices and my office will move to the present Nursing Administration Offices. Personnel will move to the office occupied by Mrs, Michels and the present Administrator's Offices will be used for Business Office functions, We also feel that this will solve one of our congestion problems in that we will be able to move those people waiting to be discharged and admitted Into the present Insurance Office and get them out of the hall. I We also have been working on now personnel policies which will be presented to the Board at the October meeting for approval. We & have department head meetings every other Monday and the department heads were Involved in the drafting of these policies. During the month of August we were surveyed by a representative of the State Li Health Department in regard to our licenser. There were a few deficiencies noted but none of major proportion. A set of admission and discharge policies were also presented j to the Board and approval was made and these policies have been implemented in part, We feel that we should have a stronger person as a department head for our Laundry and Housekeeping Departments, A'man has been employed to be the department head encompassing both of these departments and he will report October le, He Is o l man who Is very strong In laundry operations; In fact, he to In charge of a laundry in one of the larger Fort Worth hospitals, He has not had as much experience In housekeeping, t f but we feel that he could function in this capacity, The present department heads will , fl f i remain as number one supervisors In the respeotlve departments. I ~~~t. wYea-1'.•~«L::-:~-SC-.-..rr..St4 G•«~:Y'_=sa-:~`YSx- t.~ ~ - ►.H¢ur, A[f eAO JC,AH nurri, rar H: H'. , ~ i r B ADMINISTRATOR'S REPORT y BUSINESS MINUTES^ nl~`September 23, 1971 o..3 s One of the weakest revenue producing departments In the hospital was the Physicals, I r Therapy Department and we have a registered physical therapist who reported for duty this past Monday, Vte department is already showing signs of lmproviment and we are very pleased that we can Improve our patient care through the efforts of this department. .i Mrs, Nancy Gilliam has been serving as Administrative Secretary and due to her and her husband's leaving around the first of thc: year, I felt that It would be to our advantage to employ a secretary who would be with us In our Initial planning and follow J the plans through as they develop from time to time, Mrs. Marjorie Young has been employed as Administrative Secretary, _ It was brought to my attention by one of the physicians that the electrical clrcults I and equipment have never been checked in the operating rooms and I, C, U, and recovery room. This is a very important item and we asked a Dallas firm to come and make a survey and test these electrical circuits and equipment. This was done this past Tuesda , E f i There were no serious deficiencies noted and those that were called to our attention will Il i. be corrected by our own Maintenance Department, As to the financial statements, I would like to mention two things, One is that j I from the first of August to the first of September our accounts payables were reduced from $244,000 to $143,000 and our notes payable from $104,000 to $70,000, This I; reduction was the result of our receiving $92, 000 from Medicare to cover our cost ~I report for the year ending September 30, 1970, Two items on the financial statement that are of particular concern to us, and we are working diligently to correct thin, and that is the large amount of charged off f accounts as bad debts and charity and our cash position, I i !I ~ ra., ry tll! DnnunlV enD.D to,It Alt" LLUNDn I IOItlV~ 1 ADMI%k At6A hftA BUSINESS MINUTES n? September 23, 1971 'y1 r,4, 4 I this is my initial report, I would be remiss if I did not say that I have been y pleased and encouraged by the people of Denton and in nerticular the Board J edical Staff, and also' the City Council and Comm Lasloner' a Court, I think that with this type of encouragement and cooperation that we will be able to hopefully solve some of the problems that have been plaguing Flow for the past few years, Respectfully submitted, J eonard E, Watson, Administrator i I I , f + I~ r r,fw G•AIA :-_ra-u~ ~•.v:...~, t:>rr--:.- :nx~.J 7` hfllfBll'Mt10Md C,, tlt lflyll HYiif , ,E ,r= ADMINISTRA OR'S REPORT- i . ~ _ BUSINESS MINU?'ES oA,'' October 21, 1971 Page Since our last Board meeting most of our work and attention has been devoted to preparation for the survey by the Joint Commission, The Joint Commission survey was held on October 14. The survey team was a most congenial and understanding team, and In general, domplimented the hospital. There were several deficiencies noted, none of which could be classified as serious deficiencies, but ones that should be corrected, I These deficiencies weres 1. Only prepackaged drugs should be taken from the Pharmacy when pharmacist is not there, r. 2. Pharmacist not recording visits to nursing units, and should do this regularly, I 3. All drugs need to be in looked areas. I t ~ i 4. A C02 or dry chemical fire extinguisher was not in dietary area, 5. A plan in writing for Social Service Department, The department could be set IIJ i up and supervised by a consulting qualified social worker, I I The fire alarm system needs to be corrected with a direct line being set up to I the fire station, i ~ 7, Rehearse external disaster plan twine a year, I f B. Fire drills should be held quarterly for all shifts , Need to have rule to assure completion of medical records within 15 days after discharge and this rule must be enforoed, f l` 30, Medical Records Committee will increase scope of review to include Emergency. i Room records, charts on the floor, and those in file and report to the p j Executive' Committee monthly, 11. Operation notes have to be completed promptly, signed, datad and attached to chart and documented as to date dlctru,;l and transcribed, i 12. Pathological reports signed by pathologist and not by seoretsry, f 13. Physician director for Anesthesia Service, ' l ( -l 14, Medical Staff committee should regular rtwiew blood transfusion procedures In hospital, Only recommendation made by last survey that had not been corrected, I F ~I rx,ND 010• '~:avrsrn,r_-.r..rr~z--vra•.~vazrY:rsYacrcx:~:sx~:.~r_x~--se:ax~s-asx~l x!.~y1,~ /xrurn Vr.ne„fO., M.Yx,~uixEU ~ I NYRY. RIM t ADMINISTRATOR'S REPORT w BUSINESS MINUTES n,!.")October 21 1971 j The surveyor noted also that on their last survey there were eight (8} deficiencies i noted and that upon checking that seven (7) of these had been corrected. He complimentedli the hospital upon that achievement, The survey team was going to recommend to the Joint Comm tsslon that we be approved for a two-year term which is the maximum length of approval. The administrative offices have been completed and the Administrator and secretary have moved Into these offices, They are very functional and we are very pleased with them. r' The work has been progressing on the office being readied for the Personnel Department, This should be completed the latter part oft this weak and Personnel moved. After Personnel moves then the business offices will be expanded into the offices that were used by Administration and Personnel. The yard has been given a good shot of fertilizer during the month and with the recent rains I think that Improvement can be seen In our yard, I Mr, Bill Johnson, the new department head In charge of Laundry and Housekeeping, began his duties this past Monday. We feel confident that he will do an excellent job In ! this capacity and that we can see lm;-irovement in our laundry and housekeeping detvices f Mr, Zelman Joseph resigned as acting Accounting Controller and Mr. Tomlinson and I myI pit have been Interviewing applicants for the ' position, We do have two applicants that;; we will ask to come and most with members of the Finance Committee, Mrs, Frances Michels, our therapeutic dietitian, attended the American Dietetic Association in Philadelphia, Pennsylvania which she re I ported was very beneficial to her and much was learned, ; Mrs, McClana, with two of her technicians, attended the Central Supply Workshop at Children's Hospital in Dallas one day during the month. Respectfully submitted, i Leonard E. Watson, Adintnlatrato pouclav • s+. IO,D Co. ,1,4 H"II tI,lO - 1:11-t1Z14.1'CG[-. IUSN . _ ~ 111 V I I Y AY raw" ,414 [YFaS 1 5 BOARD Of DIRECTORS BUSINESS MINUTES bolo August 261 1971 - Page The Board of Directors of Plow Memorial Hospital met Augu +I at 26, 1971, with members, fIIl present as follows, Mr, Al Testa, Mr, Carl Degan, Dr, Charles McAdams, Mr, Walter I i f f Ray, Mr, Leonard Watson, Mrs, Paul f Simpson and ; Mr, zelman Joseph. Also present was ~f EE~ Dr, Robert Croissant, President of the Medical S+qff, Unable to attend the meeting were l I j II~ Dr, Charles Sounders and Mr, John Cater, ~j I~ Jim Burnett of the Denton Record Chronicle introduced Mr. Tommy Bonk, who will ~I be our new representative of the paper at the regular Board meetin s, j g Mr Testa went on to express the Board's appreciation to Jim for his excellent work with and for the hospital. It was agreed among the Board members that rim had been an asset to the hospital, and the Board commended him for his fine , reporting. I ~ Mr, Degan called the meeting tb order, Mrs, Simpson moved that the Julo'i.Anutes be approved and accepted as mailed, Mr. Testa seconded , and the motion carried, I I FINANpR QQU TTE ; Mr, Testa read the minutes of the Finance Committee meeting held August 23 1971, This was the first month that tce Pinanoial Statements have been com- plstely computerized, The operations of the ~ospltaj,during the month of July were at a loss, caused substantially by the Charity and Bad Debt Provision, Approximately $16,571 I~ h "was written off during July. Mr, Testa announced that fhe. staff is doing everything possible to.reduoe the percentage of Charity and Bad Debt. The percentage is not adequate r based upon professional service reported, Mr. Testa felt that July would have beena break-even month had the Charity and Bad Debt remained at 129 H a Informed the Board that about $763, 000 is colieotable of Accounts Receivable, There are other receivables :r I r II ' which we still have a right to coll~ct, even though they are not listed as assets, Dr, McAolima moved that the Financial Committee report be accepted, Mrs, Simpson seconded Motion carried. l Ir ~ i r -._co._r.d •::hrv-Z+✓a.: is r.rz s. r.rsn..__;' I t BOARD OF DIRECTORS !j BUSINESS MINUTES title August 26, 1971 Page FOUNDATION BOARD, firs, Simpson announced that the Founaatlon Board would resume L' Its monthly meetings beginning In September, They did not meet in August. MrDICAL STAFF REPORT; Dr. Croissant presented the application of Dr, William A. r i f Guynes to the Medical Staff of Flow Memorial Hospital, His application had been ap- proved by the Executive Committee and the full Medical Staff. Dr, McAdams made a :j motion that Dr. Guynes be appointed to the permanent Medical Staff, Mrs. Simpson seconded, Motion carried. Dr, Croissant announced that the Infections Committee is still pointing out deficiencies in the general maintenance of the hospital, although there i+ ~i has been some Improvement. There is still a shortage in personnel services, particularly li in the Operating Room, Mr, Degan moved that the report of the Medical Staff be accepted it as Information, Mr, Testa seconded, Motion carried, if 9LD Bj)53NSS' None i ~INESB: It was decided the Board of Directors would meet the third Thursday of each month Instead of the fourth, with th(: Joint Conference a nd Finance committees meet Ing the preceding Monday, ~j f~Mr. Watson informed the Board of the $10,000 reserve with Beneficial Finance, He ~ ~i met with Mr. Weis Tuesday morning, at which time Mr. Weis presented him with a check Ij for $41700,53, By December 31j 1971, other accounts will be paid off, Mr, Watson does not approve of the PIP payment of Medicare. He suggested that w - i go on an Individual claim basis, where the hospital would receive current flnencing in the jl amount of approximately $8,000. Submission for approval will be done on a daily basis, The date between billing and date of j receipt would be approximately 2 - 3 weeks. We if have recontly been audited by Medicare and received a substantial check, It was a desk audit, however, and not an internal audit, Mr. Ray moved that the changes Mr. Watson had suggested regarding Medicare payments be accepted and approved, Mr. Testa 1; s I jj 1 BOARD OP DIRECTOR BUSINESS MINUTES Dale August 26, 1971 pogo 3 ]f seconded. Motion carried, Mr. Watson reported that the Physical Therapy Department is very weak at the t current time, and we are still in the process of reviewing applicants for Physical T J here- ))fE plsts, Mr. Watson Informed the Board that should the hospital not obtain a registered ~Physical Therapist, many hospitals are leasing these departments to groups of physical ~ +rl fr Therapists, He will get all the details and have them av I,I allable at the next Board meeting,J, The Pathology Contract with Dr. Ford was discussed. Mr, Degan questioned the termination clause. Autopsies will be done on a fee basis at $125, 00 per autopsy, 6 However, this is in addition to his regular professional fee, Dr. Croissant noticed that the contract did not reflect a separate autopsy arrangement, It was agreed to amend the contract to read " ~I can be canceled by either party with 30 days notice, " This was ~J originally a 90-day notice, Termination would be negotiated by Mr, Watson. i The new Admission and Collection Policy was discussed as attached Mr, Ray moved that we adopt the policy as written, Dr, McAdams seconded, Motion 1~arried 3-2, Other items discussed were the possibility of outside collection agencies and Indigent patients, ff~ If Mr, Degan celled for an Executive Meeting, The other members present adjourned. j Respectfully submitted I I Al Testa, Secretary !I II n i F I EXECUTIVE COMMITTEk}.~ ~ BUSINESS MINUTES aai, August 26, 1071 Page 1 There was a special Executlvo Committee meeting called following the regular meeting of the Board of Directors meeting on August 26, 1971,'' + Mr, Watson discussed the need for an Assistant Administrator to be primarily In charge of the organization and functional aspects of the Business Office, He stated that I + the person whom he had in mind was Mr, C. L. Tomlinson who is a graduate of Texas Tech with a major in accounting, He has served in hospitals in the Business Office capacity and has been administrator of three different hospitals, He stated that his salary would be $13,100 with the other usual fringe benefits, There was a motion by I Mr, Testa, seconded by Mr. Ray that the Admtnl trator be authorized to employ this ~l j person. j The Administrator re ported a need for more room for the Business Office, and that j he had too many people confined to a small area, The personnel is not able to function as efficiently as they could if they were scattered out. He stated that the rooms 131- 139 would be converted to Nursing Administration offices and that the Administrator's 'I office would be moved to the present NursMg Administration offices, rata Processing would be moved to the present Administrator's office and the insurance girls would be I~ la J moved into the present Data Processing office, The waiting area for people waiting to be 1I admitted and discharged would be moved where the present Insurance girls are, Thls j would relieve the congestion In the front lobby and make it more easy for people to get fl to the elevators. He stated that the cost of the rearranging would be about $1,200 - $1,500, Our own maintenance personnel could do most of the work, There was a motion , i{ I ~E by Mr, Testa and seconded by Mr, Ray that the Administrator be authorized to proceed with this plan. ~I Respectfully submltted, ;i r Leonard atson, Administrator HMtB 't tfiYFY1r EXECUTIVE COMMITTED BUSINESS MINUTES u,r< August 26, 1971 ~r Page. 1 ~I There was a special Executive Committee meeting called following the regular << meeting of the Board of Directors meeting on August 26, 1971. Mr, Watson discussed the need for an Assistant Administrator to be primarily In charge of the organization and functional aspects of the Business Office, He stated that rl the person whom he had In mind was Mr, C. L. Tomlinson who Is a graduate of Texas Tech with a major In accounting, He has served #u hospitals In the Buslnes i s office cnpaC~tty endis„been ad 1nkstratQr pa,~ th,e,rQ, di . ,~fgrsnt hospitals. ,?.g,stated..th {,ale j; -,salary wouldbe.•513,-140 with'the,othep usual-fringe,bensfitts.':-The re- was, a motion+by Vesta, riec' ndedlb 'Mr 116'.- 'that y that fhs'Adinlnl trat'uth ' 7 sor be a or led ~to•emp}oy thl's rf. .J' PLY .fir. ,j, f'iI " v',.t1"..,t p. ',n' ~ , r { The Administrator reported a need for more room for the Business Office, and that W"hatl td`6"m+aAy j~t~b}~ifl dn'fln ~d fiS'a' ~1n't~ll a>=e'~'~+Ns9tirirf'ei ~ not bb'1•e'Yd' fcft3~'ioh"~. E as efficlently as they' could If they were, scattered out, , He stated that the rooms 131- ' 139 would be converted to Nursing Administration offices and that the Administrator's r , office would be moved to the - present. Nursing Administration offiaro Data Processing would be moved to the preseni Administrator's office and fha lns,,rance girls would be moved into the prosent.Dats Processing office., The waiting area for peoplo,tvafting;to be; jt II admtttad and discharged would be moved where the present Insurance girls are, 'This I' would relieve the congestion In the front lobby and make it more easy for people to get • to top elevators, He stated that the cost of the rearranging would be about $1,200, r $1,500. Our own maintenance, personnel could do most of the work, 'there was a motion by, Mr,. Testa, and seconded by Mr, ..Ray, that the Administrator be.,authorized to proceed . , . with this plan, ' Respectfully submitted, eonar atson, Administrator ADMINISTRATOR'S REPOR BUSINESS MINUTES ud1d September 23, 1971 I! This report will cover the activities from August 1 through September 23 and my i subsequent reports will cover the period from Board Meeting to Board Meeting, Initially I would like to state that I have been very pleased with what I have found here. The hospital staff has been very receptive and cooperative and eager to fit in and make ((i I whatever changes that are suggested, The Medical Staff has been very cooperative and friendly and have been very willing to assist me In solving some of the problems that Ihave encountered. I One of the main problems that we encountered was the organization and functions h I of the Business Office and we have been concentrating our efforts and attention to the a correcting of this situation to a system that we would like, I felt that we needed to have, I J; a person in charge of the Business Office who had had experience In hospital business . f operations and one who would be capable of reorganizing the Business Office and ~I a implementing a system which we would approve and which would encompass the re- commendations that were made in the Arthur Andersen and Company Bluebaek and the Henry Reports. We found such a man In Mr. Tomlinson to put in this position and the I changes are being made, and we hope to have the office changes we would like by soma j ~E I j where around October 1, Our efforts were directed to the hospital Housekeeping Department in that we wanted the housekeeping services Improved. We authorized the purchase of house-, keeping supplies so that they could do a more adequate and efficient job. We have had " detail men from one of our suppliers to come In and give In service training to the ' i people In this department es to the proper maintenance of floors, In general we wanted, I and 1 think we achieved to some extent, a cleaner building, ~ I i We have also instructed and encouraged the Maintenance Department to do a more i ADMINISTRATOR'S REPORTS BUSINESS MINUTES uai~ September 23, 1971 effective lob of maintenance and to do small repairs that would not be a great outlay of money, but would Involve only time. Some of these repairs and preventative maintenance have been accomplished during the last six weeks. In regard to the Business Office, It was felt that we had too many people working In too small an area and to remedy this situation, with Board approval, we have converted natlent's rooms 131 thru 136 to Nursing Administration Offices and my office will move I to the present Nursing Administration Offices, Personnel will move to the office occupied by Mrs, Michels and the present Administrator's Offices will be used for Business Office functions. We also feel that this will solve one of our congestion j problems In that we will be able to move those people waiting to be discharged and I admitted Into the present Insurance Office and get them out of the hall. We also have been working on new personnel policies which will be presented to the Board at the October meeting for approval. We do have department head meetings 1 , ` every other Monday and the department heads were Involved In the drafting of these E E ~ f polictes. During the month of August we were surveyed by a representative of the State Health Department In regard to our licenser. There were a few deficienoles noted but none of major proportion. A set of admission and discharge policies were also presented li to the Board and approval was made and these policies have been implemented in part. We feel that we should have a stronger person as a department head for our Laundry and Housekeeping Departments, A man has been employed to be the department Ihead encompassing both of these departments and he will report October 18, He to a man who Is very strong in laundry operations; in fact, he is In charge of a laundry in one of the larger Fort Worth hospitals. He has not had as much experience In housekeeping, i but we feel that he could function in this capacity, The present department heads will I I remain as number one supervisors in the respective departments, ~ , ! :aaaw, r aes~s.... nmI +soxr ADMINISTRATOR'S REPORT,. BUSINESS MINUTES iar September 23, 1971 rago3 One of the weakest revenue producing departments In the hospital was the Physical i Therapy Department and we have a registered physical therapist who reported fcr. duty this past Monday. The department Is already showing signs of Improvement and we are ( very pleased that we can Improve our patient care through the efforts of this department, JJ Mrs, Nancy Gllllam has been serving as Administrative Secretary and due to her and her husband's leaving around the first of the year, I felt that it would be to our advantage to employ a secretary who would be with us in our initial planning and follow the plans through as they develop from time to time. Mrs. Marjorie young has been r, i employed as Administrative Secretary, i. It was brought to my attention by one of the , ',~,4'intans that the electrical circuits and equipment have never been checked in the operating rooms and I,C,U,, and recovery room. This Is a very important Item and we asked a Dallas firm to come and make a survey and test these electrical circuits and equipment, This was done this past Tuesday, There were no serious deficiencies noted and those that were called to our attention will i be corrected by our own Maintenance Department, v As to the financial statements, I would like to mention two things, One is that j from the first of August to the first of September our accounts payables were reduced li from $299,000 to $143,000 and our notes payable from $104,060 to $70,000, This reduction was the result of our receiving $92,000 from Medicare to cover our cost I, ` report for the year ending September 30, 1970. Two Items on the financial statement that are of particular concern to us, and we i r It are working diligently to correct this, and that Is the large amount of charged off I accounts as bad debts and charity and our cash position, J.A 'UOSR~ 1 Deno ADMINISTRATOR'S RI;PORT~ Bl1SINESS MINU7(S na~~ September 23, 1971 4 I As this Is my initial report, I would be remiss if I did not say that I have been ~i extremely pleased and encouraged by the people of Denton and in particular the Board i~ and the Medical Staff,. and also the City Council and Commissioner's Court, f think that with this type of encouragement and cooperation that we will be able to hopefully solve some of the problems that have been plaguing Flow for the past few years, f Respectfully submitted, r.l n:8.1. •a.. r... 4~i~.l:N. nt. .~i7~J. S~//, /~~~,/\(//,L r jj •Leonard,D; Watson; -lYdmin.#stratot'' .'r' • 1.•.•, • L~.r l• l.Ir 1.1~j, • • • ..*'.I• ~l `I• ..t•'. .Ir•. . 14.\I ~ 1.• • ~ •1 r ~1, ,~1 ♦.~If' "'n', .r' }r4 h: 4, q11;. iA, Y. .1,'. • i!~ ..1'••• " If . '.r' IJ, .'e'. r. J.. 1~. .'Y•1'J•, .t.~+~~•J4:~y ~ rl i i t FINN* Rv' BOARD OF DIRECTORS BUSINESS MINUTES ome August 3, 1911 i' The Board of Directors called for a meeting on August 3, 1971, at 6.00 p.m, Those f attending the meeting were Dr, Charles Saunders, Mr, Al Testa, Mir. Carl began, Mrs, Paul Simpson, Dr, Charles McAdams, Dr, Kenneth Ford, Mr, Leonard Watson, and 1 Mr. Zelman Joseph, The mein topic for consideration was the contract with Dr. Ford relative to the pathology contract, Dr. Ford presented different formulas or types of contracts for the ! payment of pathology service, The one that he recommended was the Mutual Working j j Agreement, which was also favored by the Administrator. There was considerable dis- cussion concerning these different types of payment with the motion being made by Mr. j Testa and seconded by Mr. Degan that we enter Into the Mutual Working Agreement with I ~ Dr, Ford with the following formula to be used in computing his percentage: Gross Revenu J less 12%, giving Adjusted Gross, Thirty per cent of 88% of the adjusted gross will be our I percentage. Subtract our percentage from the adjusted gross will give Dr. Ford his part. (73,5% of 88% of Gross Revenue would give the same result), Part of the agreement was i i that this contract would be reviewed periodically with the possibility that the percentage may be changed as the gross revenue is Increased, The motion carried. Mr. Testa reported on his and Mr, Degan's meeting with representatives of Arthur Andersen & Co, regarding the hospital audit. There were four main points that were dls- cussed which were approved by the Board and will be forwarded to Arthur Andersen & Co. by letter. Dr, Saunders brought up the luncheon that was held by the representatives of the I hospital and the Press regarding a uniform press code for the hospital. This meeting was j f held at the Country Club using Dr. McAdams' membership, The discussion was as to the + method of payment of this luncheon and it was the unanimous decision of the Board that I { Dr. McAdams should present the bill for this luncheon to the hospital and they will relm» M BOARD OF DIRECTORS BUSINESS MINUTES oa,~ ugust 3, 1971 Page 2 burse him for this expense. ~E I There being no further business, the meeting adjourned, f Respectfully submitted, i r i I Mr. Al Testa, Secretary r { f „ i I t I i E $ .xsxx -r BOARD OF MANAGERS i 8i1SINES$ MINUTES uet. my 22, 197Y sago 1 The Board of Managers of Flow Memorial Hospital met Thursday, July 22, 1971, with f members present as follows: Dr, Charles Saunders, Mrs, Paul Simpson, Mrs, Schelia ' Fong, Mr, Al Testa, Mr, Carl Degan, Mr. John Carter, Dr, Charles McAdams, and Mr, Zelman Joseph. Also present were Dr, Robert Croissant and Dr, George Holladay, 'I i President and Chief of Staff, respectively, of the Medical Staff, Mr. Walter Ray was E unable to attend the meeting, I D G r, Saunders called the meeting to order, I The Board reviewed the corrected minutes, Mr. Testa made the motion that the June ~I minutes be approved and accepted as corrected, Mr, Degan seconded, and the motion j carried unanimously, Dr. Saunders welcomed three members of the Denton Jaycees who were present at e the meeting, representing the Jaycees' interest in the hospital and community, + l'INANCE COMMYTT l Mr. Testa noted that the financial statements for June Indicated M the hospital sustained a lose of approximately $883.00 from operations. There was a 1 l i positive cash flow, however, which means that from an operating standpoint, the hospital LJ has improved its cash flow position by $13,500, 50 Y 0, The loss of $883, 00 was substantially 11 leas than the a pprrxtmately $16,000 that had been projected. Mr. Testa informed the f' I~ Board that there had been a decrease in expenses, and the trend was to the right directlon !11 In the future, we will not only see a positive cash, flow, but also abreak-even or better If position, He announced that next month we will pickup approximately $800 in interest it we have accrued, Balanre Sheet: Accounts Receivable are slightly In excess of $800,000, and the staff ls,making tremendous progress in reducing Accounts Receivable. Many accounts have been taken off active accounts list and charged to the Allowance I, Account, We are continuing to provide for charity and bad debts at the rate of 12%, even ~i though for June, it was 13,79'x, This was necessary to order to cover other accounts that ii iii ndrJtY' F7 ' M 1 BOARD OF MANAGERS ^ oJSINESS MINUTES oa,o 2 .1 - duly 22, 1971 _ a"g' ~ I that we do not want to charge off In large sums at the end of the year. Through our ad- missions policy, we are in a better position to control our receivables, Arthur Andersen & Co, , Mr, Testa advised, has been engaged to perform an audit for I the fiscal year ending September 30, 1971, Mr, Testa urged the staff to be prepared for the auditors so that Arthur Andersen could come in and truly perform an audit without ex- cessive ive paper work on their part, Mr. Testa moved that we have placed a Fidelity Bond coverage, not to exceed $S0, 000 I on any one employee In the hospital. It can be provided on a blanket coverage with very little cost. If it has been written, the resolution would not be necessary, Mr, Carter G seconded the,*''`„ ' Motion carried, There was no further discussion of the matter, Mr. Testa moved that Financial Statements be accepted as mailed, Mr. Degan seconded, and the motion carried unanimously, j { FOUNDATro BOARD; Mrs, Paul Simpson read the minutes of the Foundation Board meeting held July 8, ' 1971, She announced that '-5133,50'had been sent in for memorials in the month s of June, and $264,30 interest had accrued on Certificates of Deposit, The bank balance currently stands at $416,03, Mrs, Simpson moved the Foundation Board minutes be accepted as Information, Mr, Degmn seconded, Motion carried unanimously, D INISTRATOR'S REPORT: Mrs, Scholia Long, acting administrator, read the Admlnlstratc~ '9 Report, Mr, Testa moved we accept the administrator's report as Information, Mrs, ' Simpson seconded, Motion carried, Mrs, Lang announced that all department heads had been very cooperative and efficient in their respective sections of the Joint Commission on Accreditation Survey. i I;DICAL STAFF REPORT: Dr, Croissant advised that Dr, S. Rampoldi's application had been viewed and approved by the Credentials Committee and the Medical Staff, The Medl- i cal staff recommends that the Board accept his application to Flow Memorial H'ospital's i i? BOARD Or MANAGERS Page BUSINESS MINUTES oa+o ' July 22 , 1971 Medical Staff. Mr, Degan made a motion to that affect. Mr, Testa seconded. Motion ~carrled unanimously. Dr, Croissant announced that the Press Code was presented to the Medical Staff and IIE approved, Mr. Carter moved that we accept Dr, Croissant's report as information. IkkMrs. Simpson seconded, Motion carried. ~I r IOLA BUSINESS; None. INEiY BUSINESS; The Flow Memorial Hospital Newspaper-Radio-Television Code of ~'Cooperatlon was presented to the Staff. Jim Burnett of the Denton Record Chronicle reviewe i the Press Code and found it to be comprehensive and fair, Mrs. Simpson moved that we j adopt the Press Code as presented. Mr. Degan seconded. Motion carried unanimously, Dr. Saunders announced that the contract with the Cityaand County had been signed ,and approved, He advised that there will be a joint meeting of the City, County, and I'Ihospltal Tuesday, July 27, The City and County will adopt the contract, and then approve the budget. The purpose of going under 44041-1 was to enable the hospital to borrow money and to take away the 10 limitation on contributions. however, the hospital is still restricted from borrowing money. It was questioned as to whether or not Richard Kelsey, hospital attorney, had seen and approved the contract, Mr. Kelsey was contacted and he informed Dr. Saunders thAt he i lit had not seen a final copy of the contract, Mr, Testa moved that the Board adopt the contra with the provision that Richard Kelsey review it before signing it, Mr. Degan Wonded, Motion carried unanimously, The By-Laws of the Board of Managers of Flow Memorial Hospital were presented to the Board members. There was only one change, that being the fiscal year would be from I C ''10otober 1 to September 30, Mr, Testa moved that we accept and adopt the by-laws as presented, Mr, Degan seconded, Motion carried unanimously. BOARD OF MANAGERS BUSINESS MINUTES Dale u-~ -1_ JUIy 22, 1971 pA94 q~ Dr, Saunders brought out two hems of Interest, 1. Mrs, Michels, our therapeutic dietitian, has been asked to talk to the Rotary Club, and has received letters and telephone calls commending her for her Interest, She Is making a fantastic effort to get out Into the community, 2, Mr. Watson was here at the hospital July 21 and 22 and met with all department heads, Mrs, Long, and Mr, Joseph, Mr, Watson seems to be well satisfied with the hospital facilities and records of the various departments, Mr. Henry and Mr. Cashon came in from Oklahoma City and went over the implementa- tions of the consultants' report, Mr. Henry will write Dr. Saunders a final report at a I later date. He feels like he has done all he can do here, but will always be ready to help j should we need him. Mrs, Simpson advised that the Comm Is aloners Court is very strongly In favor of I moving the Health Department to the hospital, providing we have the room, Thus, Mrs, McKenzie would be hero at the hospital, readily available. Dr. Saunders said that the ~I Commissioners Court should obtain a proper presentation of the proposal, However, he stated, final decision would pend with Mr, Watson, Dr, Croissant strongly objected to the move on behalf of the Medical Staff, He said It would Involve considerable out- patient volume of people at the hospital for public healthmeasures, Dr. Saunders thanked Mrs, Long and Mr. Joseph for their hard work during the ad- ministrator's absence, There being no further business, the meeting adjourned. E Respectfully submitted, r C Al T(asta, Secretary t j I r v i y i~t S , PAWN WWI BOARD OF MANAGERS ~ f - BUSIMSS 141NUTCS. no June 24, 1971, f; . _ . The Board of Managers of, Flow Memorial Hospital met Thursday, June 24, 1971, with ;members present as follows: Dr, Charles Saunders, Dr. Charles McAdams, Mr. John ,Carter, Mr. Walter Ray, Mr, Al Testa, Mrs, Paul Simpson, Mr, Carl Degan, and Mr, k ~1Julian Wells, Also present was Dr, Robert Croissant, President of the Medical Staff. f ~I ` .Dr, Saunders called the meeting to order, MINUTMr. Degan moved that the May minutes be approved and accepted as mailed. Mrs, Simpson seconded the motion. Motion carried unanimously. i FINANCE COMML'El; REPORT: Mr, Testa analyzed the Cash Receipts and Disbursements i E i Statement and announced that we are asking the staff to come up with a po»_I,y for r ~determining criteria for handling bad accounts and uncollectibles, Also to be determined ! i ~Iis whether or not we would be able to collect some of the accounts beyond the Statute of Limitations. , A resolution was made,by Mr. Testa which concerned selecting Arthur Andersen & Co'. 'public accounting firm, to be engaged for the audit year ending September 34, 1971, and ; that they be responsible to the Board, as in the previous year, for reporting their findings, , ?t was recognized that we will make this Information immediately available to the City and County, also. Ii There was general discussion concerning the dissatisfaction of the City and County of {ilast year's audit, Mr. Testa replied that part of the problem was the fact that records of , k :the hospital were not in a condition to be audited without a great deal of work. this 1{ meant additional professional fees rather than in-house bookkeeping work and time. I.Mr, Testa further advised that he has met with Arthur Andersen on a preliminary basis and 'has Informed them that selection of their company would require the approval of the Board,, h and if the Ctty's and County's contract is in effect at that time, It will require their I~approvai also, :Mr. Testa explained the two main objections of lost year's audit of the C, 113 yj yaw at BOARD OF 1v,ANAGUS aUSlh'LCS Iv,iNl'iCS tlhr, June 24, 1971 r City and County as befirg; 1, They felt like they were not timely fnformed'\of certain confidential memorandums i the Board had, The break down In communications has brought doubts as to d accept Arthur Andersen again this year, 2, Accounting records were not in condition to be audited not be *any different from an other The 'work and fees will Y firm. We plan to save money In this way; Staff will do a great deal of preparation of the audit work papers. Arthur Andersen wlll•come In and truly perform an audit rather than doing an excessve amount of paperwork, Mr, Testa stated that there will be reduced fees foriauditing this l I year. ~lt was agreed among the members of the Board that Arth } ur Andersen does a very thorough I lob of auditing, Mr. Testa advised that on July 15, we should be able to have our com- ~ putei runs of the financial statements, ! f 4 Mr. Testa made the motion that we engage Arthur Andersen & Co, as our auditors J i for the coming year, Mrs. Simpson seconded the ~ motion. Motion carried unanimously, Mr. Testa discussed the Profit and Toss Statetent, He informed that we are on a ull accrual accounting basis. The hospital sustained a loss of $8,906 for they month of ~However, this was opposed to a budgeted less of $16,000, Provision for Charity 4 and Bad D ; able ,I is still at the rate of 129'0, The Balance Sheet was discussed briefly. f Through better co}!action efforts, the staff has been able to reduce'the receivable days Ly nine days, which means we are holding receivables 71 I~ days Instead of 80, Our obJectiV 1 is 45 days s N4. Testa moved that the Financial Statements be approved and accepted as mailed, ~I 1W r. Degan seconded, and the motion carried unanimously. it Further commenting, Mr. Testa recommended that we amend the agreement with ',James')., Henry and Associates, signed April 26, to ad)ust the amount by $45,00 so the if invoice can be a I' pproved for payment, This amendment will authorize payment of the I statement of James L. Heilry arfd Associates, plus an additlomil two (2) hours of time that i was not originally authorJ4ed, ' Mr, Te I U,•la made fhr motlnn that the agreement be II i rMMbs i 1 BOUD Cf MANACCRS lJ..lhl.:>S f, 1, lI, VS June 24, .1971 3 ..I r amended, Mrs. Simpson sebonded, Motion carried unanimously. I Mr. Wells briefly discussed the Patient Statistics, He commented that they were not ' too unusual, We show an Increase In admissions, but total number of patient days was it ! i very little more. than last month's, . The statistics showed that we were clown in lab tests f{ considerably, Seventy-two per cent ocoupancy rate, he noted, was a less than favorable per pant, Mr, Wells also brought to the Board's attention an increase In the cash , III balance. s, Simpson -announced that the Foundation Board did not meet If I~rllATIN B IRI7; Mr F U 4 _ ~I I li f , In the month of June, but they would meet In July, ! c i CQ.vF)~ > N F C,QA 7IT1L1 R1,PC7RT: Mr, Wells rear! the minutes of the Joint Con- ference Commnlttee Report, Mr, Testa moved that the minutes be accepted as read, I Mr, Ray seconded, The motion carried unanbnbusiy, k . e A P Mr. Wells presehtad his report as attached, Mrs, Simpson ,T (tAT O RUM ~ _i? 5 ► "made the motion that the Administrator's Report be approved as read, Mr, Carter seconded' Motion carried unanimously, 'Shen was general disbussion of the inventory of useable Items to be conducted the first of July, Mr. Wills informed the Board that a linen inventory had been conducted' I oaelier for the hospital', own benefit, r ! IjDICAI, s,rr±U 1'QfT; Dr. Croissant ritated that he had nothing to acid to the mint C,onference Committee Report, I' DL I) Ij,SIN$, .S Mrs, 5hi son brought a the poor condition of the yard, Mr, We113 I~ I~ Informed that we earn short of qualified pcrsonncl to provida up-1,(In the yards alid Il gardens, j NJ~N! BUi~3~1~IGS;' Dr, S`uundcrs weloumad 1) r, Charles McAdams to tho Board of hinnagerb, Mr, WoltieY It ay advIOnd that con"lderable ne4roti~,tlon has been under way with !I +P~ l nww4~ 6 BOARD or MANAGERS , r r 11~1t..E „ f,l• r ^I ,I1JUTr~ rJ lone 29, 1971 .::9 1 I Weldon Knight, Attorney at l.a~'r, Fxecutor of the rorrester Estate, and with Mr, Jesse Sons,,' I the tenant who holds a nine-year lease on the estate. A proposition was arrived at that f II j 'Jesse Sons was agreeable to and would be willing to accept the corner nook of land as previously discussed at the hoard meeting and shown on the map, Incl,uding a slight additional amount of land, as full and final settlement of his lease of the property. Mr, Ray stated that he would agree with Mr. Knight that this would be a fair proposition, and it ~I I! ' 'was agreed that this property was not to exceed 205 acres, Mr. Ray advised that Weldon Knight, as executor of the estate, had the power to exercise this transaction without the Board's consent, but would like to know the Board's feelings In the matter, Mr. Ray, as fff ha member, was recommending that the Board concur In this proposal and asked for a motion t to that effect, Mr. Ray made the motion, Mr. Degan seconded, and it carried unanimously' f that the Board go on record as approving this proposal, whidh in everyone's opinlon, , I J~seemed to be an equitable dlsj5ositlon of the matter, There being no further business, the meeting adjourned, Respectfully submitted, Al Tesm, Secretary. f I •il if' r BOARD 01' MANAGERS AGERS Jwie 29, 1971 The Board of Nlanagers of Flo,v r;emorlal liospltal called for a special meeting I "rune 29, 1971, at 7:00 ' P.m. Members present were Dr, Charles Saunders, Mrs, Paul ;Simpson; Mr. Welter Ray, Mr. Carl Degan, and Dr. Charles McAdams, The Board meeting was a closed meeting since It involved a personnel matter. At the I meettng, Mr. Julian Wells submitted t P o the Board his resignation as administrator of Flow it fI~Memorial Hospital. It was agreed that Mr. Wells would be afforded the three months lil ! severance pay as.per his contract, and would stay probably on at h3<l:~4 Zno'Lhcr week or I~ itwo. Motion was made by Mr. Ray and seconded by Mr. Degan that Dr, Charles Saunders' j ;signature be placed on the hospital-accounts to countersign' checks wtth Mr. Joseph, ~I IIII ~ ; i effective June 30, 1971. Motion carried unanimously, There eing no fu.ther business, the meeting adjourned'at 7:45'p.m, r r Respertfully, submitted, ; Al Testa, Secretary I I. I I sli • E II :4aYQ ,aUYNR r yu.6:Xa)W RApM ~I O'JS1hJL5G P1!PlUli`; oo,r"Vay27, 1971: i The Board of Managers of Flow Memorial Hospital met Thursday, May 27, 1971, with members present as follows: Dr. Charlcs li,.Saunders, Mr, Carl Degan, Mr, Al Testa, ; 5 Mrs, Paul Simpson, Mr. Walter Ray, Dr, Robert S, Croissant, and Mr,, Julian Wells, The Board presented Mrs, Jeneame Bol(var with an orchid and engraved silver tray in appreac,, iation for her hard work and devotion while the Administrative Secretary at Flow. Gratitude was also extended to Mr. Tommy~Letz for his effort: , time and hard work. Dr, Saunders } commented that the Business Office had certainly made a lot of headway and are indebted to Mr. Letz for'his help. ! NU Mr, Degart made a motion that the April minutes be approved as mailed, Mr, Testa seconded the motion. Mbtion carried unanimously. III l~1NAIVGE COMMITTEE REPORT; Mr, Testa asked Mr, Wells to give a report on patient statistics for the month of April, Mr. Wells stated that April was a low occupancy m6mth~ t J E 316 patient days less than the prior month. April typically reflects a low census probably 111 ~ due to the Easter holidays and various factors, Mr. Testa asked the Staff for the month o£, i April to make sure that financial statements of the hospital be put on am accrual basis, He l, l added that we would be on a full accrual basis beginning In the Month of April, Mr, Testa discussed the Profit and Less Statement, He. commented that'.,it still reflects a gross revenue of $309,716 and a total operating expense of $280,060,. giving us a gross operating, I profit of $29,655,82, This did reflect an Increase in otir cost picture over our prior method of handling expense allocations, This, of course, will allow us to present a true 1 ploture 'of all costs In the month they are incurred, The charity and bad debts provision was again continued at 12% in an effort to devflop a proper reserve and to mnaning'fully re- j E ! Elect the financial picture of the hospital. This leaves.us with a $19,000 book loss; but 1 due to the non-'cash deprectatfon charge included, the actual cash loss would be nominal which would in effect ieave us with a net loss of approxlmOtely $5,000, A review'of the r1Y3Y(1y, e.Y-' .c ~r.-i'1-tramhh~-ct. :wrYm--tGfu P91~Gtt3Y~.~~..$r.'C~i~3~'s2'~[^.t~"3 ~.s' Ma`f119Y11:a ~'y~,9or . ra}r 8 x)18 ,P~ " ~r "!~A u+-:^..~ v ,L., J'•w a .k 'nllWit, Y r\::lk~tMw~ael.'`lcr rllh.'Gf. e`i`1.'$r..,.f.Y.,..J,. , Illrv}le ~r r f , J.f ~ rt4 . ..«w.1rLGFiJLiar~.YaO.dr11w..IW r•-Iw'{A ~,n,rl,.~ I. UVt11v IJ VIIV Ui lord:u,nu f J~Il1 i`. MI!f IIiF[' h,,,r. ay 27 197 N}_2 iI z.-. Y:. ...L.l:[j j IndtVidual departmental expenses reflects no major cha rtes except that social security 'and employee benefits are being reflected asodopartmental expenses. Mr, Testa 'corn- mented that during the month of ~prll, we have reducecl Accounts Rhceivable by $348,000, The ataff has been asked to analyze accounts for bad debts. He also pointed out that the hospital is still-solvent from the standpoint that Its capital from various sources is in ILI excess of $4.3 mil1Ion. Mr. Testa went over the Analysis of Cash 12ecelpts and Disburse* 1 ( Me nts: He Informed the Board that we continue to show extremel ! y good results from our ~ 1 f ! f extra collection efforts with !ha total of $310,966 in actual cash received. Even after t ,meeting our cash commitments and making our $11', 000 bank 1¢~ pa.yment', we still re- fleet a debit balance of $29,453,36 which still represents a h.,althy'positlon from a cash standpoint as compared to past experlence.•* The Balance Sheet reflected some format ~ r I changes as requested by'Mr, Testa. ,We are closing orrt some accounts because it was ~ { at the end of the month when we decided to do this, and, therefore, it was *too late to Show this effect on the April statement. "or 1"`atance; the First State Bank a'ooountI the. Building Fund account, Beneficial Finance Account were olgsed out and will be reflected i on the May statement, Moti.gn made by the chairman of the rlnance Committee that the 1 financial statements be aoeepted• Mr. Ray seconded the motion:' Motion carried. I rOUN1JATIQN 9g=: Mrs, Simpson read the minutes of the roundation Board meeting, i I Mrs, Siinpsot, made a motion that the Foundation Board report be acee'pted. Mr', Testa " seconded the motion. Motion carried, i } 1OINT .ONF1 RBN E.COMMITjEE RpI OLT,-, Mr. Wells read the minutes of the Joint Con- f~ terenae meeting,' Mr; 'began made a motion, and It was secom.ded by Mr, Vesta that the I i minutes be. accepted. Motion catried uma'nimously, i 'i 1 } AbIy1,INT_ STRA 91215 81 ORT, Mr. Wells l.rese' rated his report as attached, MI.,. Wells r commended the Business Office staff on a fine lob and for ;thelr fine efforts. Motion was ' made by Mr, Ray an ' ' dkaeconded by Mrs, Sip I Itp6on that the Adm 17lshator's Report be 1 IfIF 11 019 • rs i -.cc11, 1 , • IMIIIII.VI Alt I, Gd Ill Hrl l ltl,{rl ~ L ~'G"t ;Y. try .p ~.~,L'.-.]y~,•ar ~ ♦\..iv. Ail..i t 1 rill}tOJ1y1 i ` sv ayi. 4a •^t.[',:ra,aAd ...1:!.~.w \I.,. t.iNAY 1.1: A'.)a,. ..dlw AUy1'14rq .r at n.i lJltL .MY.n Y.: w+1lW l ..,V w. , t I I w /mKrNrY~ 1 1 Rzi BOARD UP MANAGERS i i3U l?dkSS atnL:S May 27, 1971 r.. P1~~ 3 accepted, Motion carried unanimously, i MEDICAL t111:6 P GPORT; Dr, Croissant stated that he had ti o o report from the Medical r Staff except to stress the shortage of nurse'anesthetlsts, adding that specialists of thls type are very hard to find. He added that there was a shortage of time e•,d space in the + Operating Room and felt that we should consider getting ~f additional personnel to handle mofe cases, Mr, Testa made a motion that the Medical Staff report be accepted. Mr. Degas i sAcr. -Jed the motion, Motion carried, I I j 1 OLD BU-,$I_NEH,None. , I NFW_BUSINESS; Dr, Saunders presented an (nvo(ce from James L, He+iry and Associates for their management consulting fee In the amount of $3,219,50. It . was pointed out that ~ an additional report from Mr. Henry regarding the purchasing and Inventory control will be forthcoming. Mt. Ray motioned that this Invoice as attached be paid, Motion was seconded by Mr, Testa. Motion carried unanimously, Dr. Croissant presented the revised Medical Staff By-Laws and Rules and Regulations ~ i which had been mailed to the Board previously, Mrs. Simpson reviewed the changes in 1' the By-Laws, The Board requested that the following correction be m • ade In the M edtcal ~ Staff By-Laws: Artical VII, Section 2, Joint Conference Committee - shall consist of t the President and the Vice-President of the Active Medical Staff, three members of the I Governing Board, and the hosoltal admit+i 'ra or, The Board also requested that under i Rules and Regulations, Department of Internal Medicine, S. Intensive Care Unit, i D, General Regulations, 4, Personal Belongings - °When a patient is admitted to the j Intensive Care Unit, ~hls personal belongto l f i gtwlll be turned over to a member of his I E family for safe-keapingD When no family member Is avalloble, the patient's belon in s t II 0 g if i will be turned over to the Housekee 'lng D p apartment for storage, " The Board requested plv YNl It 1, , P,ry1, t0.slu rrv, ll.l+.lf • a.n 1 ru w.e.. ea..L by l'•dYi i 6 'kl111B. M BOARD OP MANAGERS fq, Rt1SINLaS h4iNU1CS o„ May 27, 1971 F,ge 4 that the rules and regulations reflect 11" act that the patient's belongings be turned over to the Admitting Office rather than the Housekeeping Department, j Dt, Croissant stated that severalSdepartmental amendments In the Rules and Regu- lations had been made by, the Department of Internal Medicine and the Department of !j Surgery, They are as follows: . 1!!`1111 A. Department of Internal Medicine - (1) Number of corrections were made. All. ..,r;, : (2) 2,. Qualifications for membership; 1. Has been.changed from "Membership ' is limiteg, to AraKwatgs a .cr dltc d_rnedical srhoota to "Membership is JJ --S-e limited to phvslclans,'. , B, Department of Surgery (1) A. Has been changed from "Chalrma+, of the Surgical Comm'ltteeto "Chairman of the Surgical Department,,(2) E, Operating Room. '4, Has been changed from, "A permit is to be signed for all elective surgery-by the patient or closest•of kin and 1n the case of a married female, the husband must ad-sign before surgery is to proceed. The mother and father or legal guardians must sign for all minors," TO "A permit is to be signed for all elecilve stlrgsry by the patient or to the case of mInore'or unconscious patients; the person r legally responsible for them. Mr. Ray made a motion that the Metlical Staff fay-Taws anu RUlee and Regulations f j 1 11 as amendea he approved, Mr. Dega i seconded the motion. Motion carried unanimous!y Dr. Saunders reported that the Board has made a prellminary' study of the 1971-1472 budget andwlll be meeting with the City and County governfng bodies to finalize this. ~I Jim Eur"att, Denton Record Chronicle Reporter, asked questions of fir, .Saunders: ,I ! • (1) Will the Board accept all or otily part of the llo4ry Ma,lagement Report- I ; i concerning the Business Office'` wrw BOARD OF MANAGERS ~r BJSENHC MINUTES May 27, 1971 s'; Mr, Testa stated that most steps have been tal;cn that were suggested,uy the report, % Basically, we concur with all recommendations, and we will see that all steps are Implemented. Positive steps havd'been tr in, ! (2) The Denton Record Chronicle would like to have a copy of ever document i referred to in the Board meetings, Mr. Burnett said the only way he could receive I k a copy would be from the County and City. The paper office seems to thllk that It f all real business Is being conducted ln;the cafeteria before coming upstairs.. Dr. Saunders commented that we have to furnish. It to our governing bodies at the same -t ime, This Is -done after the Board meeting~. Mr, Testa stated that he 4iad no r objections to the paper's having access to the material In the folders of the Board members, but would not think that they should have access to' the proposed budget ; since it is not.an official document until approved.by the City and County, f Dr. Saunders agreed that Mr. Burnett could have a copy of all documents. { There being no further business,-the Meeting adjpurned. ! ,.Respectfully submitted, i 10 ' Af Testa, Secretary j . I I ' ' f . 3 FO Y.1NtIVtNad raxnwa. ADMINISTRATOR'S RUOR'' rn I' B'USIt BS, Iv'1NUrl 5 Uato^May 27, 1971 Page Most of the activities that would bear commenting in the Administrator's Report ,fff have been reflected In the previous reports. However, we would first commend our business office staff for the tremendous effort that has been put forth during the past two or three months In getting our records up-to-date, developing and processing voluminous materials for the consultants report and, to say the least, working almost 1 ' I y 1 night and day to develop the data for next year's annual budget, All of these aotivities f must have bean carp ied on over and above the day to day demands of running the hospital. ; i Considering the number of meetings we have had recently, I am sure everyone is pretty well up-to-date on the activities and status of the hospital operations at this ;j point. We are going forward very actively Implementing suggestions brought to us ' t from the consultants whlch, in essence, do not change but compliment our own schedule I and plans of operation, f Respectfully submitted, R. t 11 Ilan E. Wells, Administrator 11 4 ` N l Li~.....,T z: . .1. r'1C4_[S If t 1864a 610 _ 1411{011.'+E bm lO Inns 111, 4 .,i I! ' 'til:RY)f 1 I4Wi`e4F 1 E , seen , Milli y rOUNDA'P10N BOARD May 13 1971 - The Board of Directors of flow Memorial Hospital Foundation met Thursday, Ivay 13, 1971, with members present as fdllows: Mrs, Byron Smith, Mr. W, C, Orr, Dr, Walter Miller, Dr, 11, M, Burgess, Dr, H, M. McClendon, Mrs, Paul Simpson, Dr, Charles Saunders and Mr, Jul lan WeIJs, The minutes of the previous meeting were read and approved, The financial report as attached was presented and reviewed, Mr, Orr noted that the dertlficates of deposit h.+d been diversified among the banks donating to the F I ~ ounda tion in proportion to the amount donated, Mrs. Smith stated that cards had been printed to be mailed to ddnors to the f Foundation in lieu of the letter which has been sent in the past, She further added that the Foundatll)n letterhead had been revised and showed samples of each to the members present, Mr. Orr stated that he and Dr. Miller had not yet developed a letter regarding tax 1 1, } advantages to possible benefactors to the Founlat ion, however, Dr, Miller had collected' brochures used by other institutions which he distributed to members, The Forester estate was discussed, however there have been no further development i There being no further business, the meeting adjourned, 1 Il Respectfully submitted, [ 36 rS.g ln1 son , p Secrets l 1 1 E if f ~f l Ilse .Ill c' p• t3 ._y:'~. f U,Itu,U'I, .0.4 C, ~i 'f ~ ~ _ FPM amNN - aT fAW>t i IBMgI'M1 Y VJ1 BOARD 0I' MANAGERS 4 {ltl:lt11:55 ivllhliF!~a +m'(0 3ril 26, 1971 r^~° 1 The Board of Managers of Flow Memorial Hospital met April 26, 1971, at 7;00 p.m, with members present as follows: Dr, Charles Saunders, Mrr. C', rl Degan, Mr, Al Testa, Mr, Walter Ray, Mrs, Paul Simpson, Dr. Robert Croissant, Mr, ,-Alan Wells and Mr, I Zelman Joseph. MrNVxis, Mrr Degan made a motion that the minutes of the March meeting be accepted as mailed. Motion was seconded and carried unanimously, N _AN CF COMMITTEE EP RT: Mr, Testa reviewed the financial statements and pointed 1 out that provision for charity and bad debts was an estimate of charity and bad debt cases' and does not necessarily mean the amount actually charbed off. He added that in the future we will be working on a definition to divide charity and bad debts r He stated 3 1 that beginning with April, subsequent months will be reflected on a pure accrual method of accounting. He added that the revenue is now on an accrual basis, however not all ! of the expenses are, i Mr. Wells further reviewed the financial statements pointing out that our net profit for the month was $5,504, He stated that under expenses, $15,000 was added for accrue payroll. He further pointed out that budget figures are total budget divided by 12 and do not take Into consideration high and low peaks and must be used as a general guide only. ` 3 Mr, Wells stated thore was very little variance in the monthly departmental expense but I~ # did make the following notations; I, Maintenance expense reflects two months utility bills, 21 Medical Records reflects a negative charge which really means Income' which we received from attorneys and insurance companies for furnishing copies of medical records data, 3. Central Supply reflects some increase since setting up a par-Inventory system,; f , 4, tab and Pathology expense reflects our adjustments In the contract ariAnge- rn.e [t•f lFl rut, 1,•,,, r,rt,.•. r., too., 'L.Wnl ..intr.irl ,r Y r • V= ' Mt,, N BOARD Ot' MANAGERS GI)51i!+ ,5 t.;N ~IJIIr:, ?,r,! tpti,l 26, 1971 ,3 2 'monts and this figure should be more meaningful as we progress further Into the year, I S. Radiology no longer reflects an expense for physicians' fees since separate 1 billing began effective March 1, ` 6, The slight Increase in Anesthesiology expense Is reflected In the large amount Il s ' of surgery during the month and there is a corresponding increase In revenue, 7. As we have previously Indicated, administrative expenses were up as we have , temporarily added staff to accelerate the handling of our large accounts receivable prob- Iem, Our telephone bill is for two months, The auditing expense was three times as much as anticipated since we havA agreed to accelerate' payment of Arthur Andersen's fee,1 Interest expense was a cumulated expense Item necessary to get our bank loan interest properly adjusted, i Looking at the total expenses year-to-date, Mr, Wells noted that we are well JJ within our budget, and he anticipates continuation In this direction, I Mr, Wells pointed out that we have discoverer' that Housekeeping and Malntenance~ operations based on a square footage have been incorrect since we have been showing approximately only 62,000 square feet. Mr, Brydson of Page, Southerland, Page, advise„ us,that the correct figure Is 1020 449 square feet, This wltl make a tremendous difference , E In the per square foot cost in the operations of these areas, 1 Mr. Wells stated that even With $11,000 payment of the bank loan, we still ended f up with a positive bank balance, a direotlon which we most assuredly Intend to follow, .s Mr, Wells further stated that as far as the balance Sheet was concerned, there was no particular comment except that we are in the process of getting all Items on an t E. 1 accrual basis and making proper adiustmtnts on Inventories, i Our statistical report reflected that patient days of 762 were up over the annual k average of 3,971, There was some question as to why the average ohRngad and we die- ! i covered that In the past, newborn days were Included 'In the figures, We went baceali ( .3. 1 ,may i ]ffR:VR{•" p19~9i i r %awl l BOARD OF MANAGERS I t April 26, 1971 r 3 it way and took them out and roflgured the averages, Ivir, dells further stated that the f , Occupancy rate Is now being carried as 156 beds and Dr. Saunders recommended that U~ this be shown on this statement each month, The amount collected from accounts that had been charged off was discussed and Dr. Saunders stated that he understood that considerably more had been collected from this area than our records reflect, Mr. Wells stated that a large amount had been collec-~~ i ted from these old accounts during April and would be rnflected In the April financial statemdnts. i The case of a North Texas,State University studs t who a allegedly w as refused treatment In the emergency room. was discussed, Mr, Wells Inf•~rmed the board that Flow 1i I Hospital has no student policy and Flow's policy is that anyone in need of emergency treatment will be treated In the emergency room, and If It is not an emergency the patient, will be referred for routine care, , It was further pointed out that only physicians admit I patients to the hospital, This partioular case was not a medical emergency and the { patlot was referred to the North Texas Infirmary, Mr, Ray made a motion that the financial reports be accepted, Mrs. Simpson seconded the motion, Motion carried unanimously, Mr, Testa stated that Flow Hospital had purchased a portable x-ray machino'July I, 1 1970, from G'llbert X-Ray Company, In the amount of $6, 963.14. The note has now been I roduoed to $20740.89, The Finance Commit too made a motton that ratification of this i note be approved per the attached resolution, Mr, Degan seconded the motion., .Motion Lflj carried, Mr; Vesta presented 6 resolution authorizing change of signatures on actlve bank f i; accounts, The Finance Committee made it motion that the'res•olution as attached be f accepted; Mr. Ray seconded the motion, Motlon carried unanimously, , I~ 11 w~ , Acl R5 sw M BOARD OF MANr April 26f 1971 9_.. _ 7 6. - Mr, 'testa Informed the Board that for the past several-years the hospital has received annual•contributtons from,a dbnor In memory of her parents. The only restriction on the donations Is that the funds be, used for coronary care equipment, supplies and r maintenance, Mr, Testa presented and read a resolution regarding the disposition of this fund and suggested that It be amended to read as follows, RL•'SOLVED, That Flow Memorial Hospital reflect in Its financial statements the MCClurkan Coronary Account at the I 1 ` Denton County National Bank In the amount of W2,83, Purther, ounty National Bank In the amount of $262,83, i~urther, ~ that all disbursements be made by direct check with proper receipts for such disbursements to reflect the purpose and intent of said account, and that we account for all receipts and disbursements, E Mr, Testa recommended'that a letter of appreciation be sent ~ to the donor with 6 report of how the funds are used, The Finance Committee made a motion that the resolution as amended be adopted, Mr. Ray seconded the motion: Motion carried, r j Mr. Testa informed the Board that the Flnanoe Committee had recommended that Mr. Orr, First State Bank, be contacted in regard to releasing a portion of the $28,000 i held in the first State Bank Reserve Account Mr, Testa then read a letter from Mr , esta tho~ I z rsad a letter ~ fro m M r , Wells to. Mr, Orr confirming this conversation 'and a resolution approving this transaction, l~ The Finance Committee made a motion that both the letter and resolution as attached be approved, Motion was seconded and carried unanimously, A The Finance Committee further recommended that the Bullding'Fund Account, the s j' Equipment Saviggs Account and the Beneficial Trust Account be•ciosed. Mr. Ray soeonde the motion. Motion carried unanimously, ' 1 k Mr. Testa advised tha,Hoard that he and Mr, Vegan met with Flrat Southwest Co, II , I representatives in regard to possible financing of the hospitaldeficit. Ile st I~ ated•that f ! nothing has been resolved and no arrangement's were made, I 1 t ti1YJ1V1 % BOARD OY MANAC;INS - April 261 1971 r\ t g' 5 JOINT CQNPrRF`NCf COMIVII'f2_E RLNRD, The minutes of the Joint Conference Committeeit + meeting were read by Mr, Wells, Mr,, Ray made a motion that'they be accepted as a I matter of Information. Motion was seconded and carried unanimously, 1 ~gIvIIt~IS'f`~1TQtZ'S ftt~~Oit_~: Mr. Wells' report was pre,iented as attached, ~i i ' FDI AL STAE UPR_T, Dr, Crolssant'submitted the application of John W. Redman, ` M.D. , for approval of the Board, Dr, Redman's application was reviewed and approved by the Credentlals Committee and he was elected by the Staff for active staff membershiv j Mr, Degan made a motion that Dr, Redman be elected to the Active Medical Staff of.Flow Memorial Hospital, 'Mr, Testa seconded the motion. Motion carried, f Dr. Croissant further reported that the entire staff by-lass and rules and regula•• . I. i lions Including all previous amendments have been revised, fie stated that at the last if staff meeting, the w4ff did dote approval to the now by-laws, rules and regulations. t { It was suggested that revisions . a the by-laws be marked and copies sent to the board mombers for study,' The by-laws will be taken lup at the nett board meeting; I OI,D gU W S8- Mr, Wells advised the Board that Mr, 1'rancis Young is tagging all ' equipment for inventory control and is also logging It as he goes, j Mr. Wells further advised the Board that ho has an appointment with Mr, John Matt Howard to survey the building, ~j NV,E BUBINES$. Dr, Saurdors asked for approval of a contract with Jemed" L, Henry Assootates, hospital consul'ants, Mr. Degan made a motion that the contract as attache 11 j be approved, Mr. Testa seconded the motion, Motion carried, ,k ,ADIOURNM>tJT;. There being no further business, the titeeting, adjourned, i Respectfully submitted, • j I y Al Testa, , Secretary I a ~ xe 1 t 1 h ' S „ April 2& ,1971 ; REBOLVED, That the Hoard of Manabers of Flow h Memorial Hospital approve issuance of a.note In the amount of $6 j ,963.19, 1 now reduced to $1,740,890 for the purchase of a'portabie x-ray machine, purchased July 1,- 1970, from Gilbert X Ray Company, 1 RESOLVED,' That the Hoard of Managers authorize ~ s ignatui•c s If If on Its active bank accounts to be Julian E. Walls, Administrator; Ir T, R,. Letz Controller; and Jeneane BollveExecutive Secretary, E 1 ' whose signature will be used as a co-signer only In the absence bass of one or the other above authorized persons and that she keep a I r { I log of any checks she Is required to co~-sign fora approval of the ` administrator and documentation; RESOLVED FURTHER, That all other previous authorized ~ j p, signatures be rovoked effective immediately,t ' l ti 1 RESOLVED, That Plow Memorial Hospital reflect in its floanclal statements the McClurkan Coronary Account at the nenton County National Bank in the amount of $262.83, Further, that all disbursements be made by direct check with proper reoelpts for such dlsbursornents to reflect the purpose and Intent of said er J account, GG 1 t b _ ,:wry.. ,i t RESOLVEll, That the Board of Managers approve the terms of agreement for the hospital consultants who are assisting with I the hospital business office funrtlons and inventory control i system. ! RESOLVED, That the Board of Managers approve the i administrator's letter to Mr, W. C, Orr requesting that the 4 balance In the reserve account at First State Bank be released f a i .to the hospital and further that by doing so the hosptta; will tI repurchase on demand the balance of any future delinquent accounts, t . Lj~` : 1{ t ~f 4 y k, tti`. r 4i' a. I ~ M~Wl1 VVV f4W,M/ nnl 4 IMSTRATOR'S REPORT April 22, 1971 - 141ost of what can be said In the Administrator's Report has been covered In + both the finance Committee report and the Joint Conference Committee minutes n l being a d we will try to avoid being redundant at this time, We continue to experience high census and a good financial picture o» a current basis, and feel like the hospital is making considerable r ~ progress overall. We are continuing our efforts to improve our f business office activities and are still on a reasonable soiled ule of completing our com- puter disk prouram, I 1 I In keeping with the financial report, the beneficial Trust Account, the Building +iI Fund Aocount and the Equipment Savings Account will be closed and the balances placed `f In the general fund, r ! We are at this time working on our 1971-72 budget and hope to have It com- ' a' } pleted within the next week or ten days, ! e ' Continued preparations arty also being made to be ready for our accreditation + lnspectlon.whioh will be l ~ forthcoming sometime this year, We , an most lustitutions, continue to experience personnel shortages in the I~ profes.61 ,aas and are making every effort to recruit the necessary L personnel to fill our vacancies, t ` As our operational record continues to reflect, the tremendous effort being I~ i I r + r put our by everyone to upgrade our businESS office functions is reaping dividends, We ~ r I F know that with the support we are getting from over one in short time our operations will be at that point which will gain and deserve the confidence of all of us. S s 1I! I )ullari Wlells, A6m[ instrator'+ r - l 1JVFItUJ tJY 1V11l7V/1l.rttt3 i • Imo"' irch 25, ,1971 i The Board of Ivla na gers of plow Memorlll Flospltal met Thursday, March 25, 1971, with members present as Degan, Mr, follows, Dr. Charles Saunders Mrs; Paul Sim pso n, Mr. Carl John Carter, Dr, Robert Croissant, Mr, Tommy Letz and Mr, Julian Wells, x 11 M N TFS' Mr' Degan made a motion that the minutes be a ' j pproved as maned, Mr, Ii Carter seconded the motion. Motion carried, I JfA TNone. 1 Il ; G i iiINANCF 'OA~A~TTTEh~ppT; The financial statements were revlewu j' d and Mr, Letz rj noted that this report reflected a 28 da ; Y period. Mr, Wells added that $93, 000.00 had ' i fff been recelved from Medicare and an $11,000,00 payment had been n made on the bank loan. Dr. Saunders stated that Mr, Testa had requested that the 'u ++I name of the Statement of Source and Application of Funds be changed to Analysis of Cash Receipts and Dls- ' bursements, go further stated that Mr. Testa was concerned primarily about the charge off list, Mr. Testa felt we should go ahead and charge off i usel not ess accounts and change our attitude toward collections on them. It was his opinion that even though L 9 It j. would be a $200,000,00 charge off at one time, we need to reflect an honest accounts N receivable figure, The method of charging off accounts was discussed at length and this will be pursued to the next Finance Committee meeting, Mr. Degan made a motion that jj it ; the financial statements and charge off list be accepted, Mr,, Carter seconded the motionl, t t~+ fly I Motion carried unanimously, , X-QtND NMA-R-DREPMR-TI The minutes of the Foundation Board meeting were read s, by It Mrs, Simpson, Mr, Carter made a motion that the Foundation Board report be accepted as read, Mr. Degan seconded the mot!on, Motion carried unanimously, A. Mr, Wells read t he minutes of the Joint Conference Committee meeting, Mr, t7egan made a motion toecoept the committee report as Information, lvlr. Carter seconded the motion, Motion carried unanimously, c 1 j .J n, NRBf r IWO tsUML) Clt wErilvivotl<,b 1171 LAP_1vLQL15j R1~1QR_~ Rf_1?UR1'; The Adnllilts trator's Repot was presented as aLtachod' +I Mr, ~j Wells stated that the Board will have a copy of the budget by May 1 so that It can be 1 presented to the City and County by June 1, - ff The method of Inventory was reviewed by Mr. Wells and he pointed out that It will t, be a perpetual Inventory, I i Mr, Carter made a motion that the Administrator's Report be accepted, Mrs, Simpson I I i ff seconded the motion. Motion carried, f ) QA . _7A REPORT] Dr. Crols'saiit stated that there wehe no problems'in regard to ' nursing service or patient care. He further stated that the bylaws are under advise: :f E nent'I by the Staff. Or, Croissant stated that the doctors are preparing for accreditation and E 1 added that he sees no problem In that area , Mr, Carter made a motion that the M edlcal Staff ff report b ~ be accepted. Motion was seconded b Mr, D 1 Y egan and carried unanimously, ' i ii QLn B~StNESS~; Dr, Saunders asked If Mr, John Matt Noward had been contacted In regard to checking our maintenance, Mr. Wells stated that he would contact Mr. Howard. j Mr. Wells added that we have a numger of outside rap orts on our boilers and air-oondi- 4E tloning. Dr. Saunders said he still felt Mr, Howard should be contacted as an outside party, k The proposed contract between Floay, the City and the Co (f unty was reviewed, I~ ELECTION OF OFFICERSi Mr, Carter ma de a moil ~ on , r: that W. Degan be elected Vice- N Chairman and Mrs. Simpson seconded the motion, Mrs, Simpson made a motion that Mr, t; t + Te9ta be elected Secretary, Mr, Carter seconded the motion, Both motions carried i'• i unanimously, PAF'IIULOCY CUNTIte1CT: The amended pathologist contract was presented as attached, Dr, Saunders did recommend its adoption, Mr, began made, a motion that the amended ? contract with Dr. Ford be accepted, Mr. Carter seconded the motion, Motion carried, 1M A{f 4 r~ I I 1 I 1 BOARD 01' NIANAGPI18 larch 25, 19/1 3 There being no further business, tha meetlag ad)ouened, 5 1~ f I Respectfully submitted, ~ II 1] Al Testa, Secretary i' f i lIE ~ ~ i IIi 1 ~ ~I I II ~ I tI I ' jI I( y 1 11 i 1 ~ 'yli 1 , 1 1 Maw s OARD OF MANAGERS 'S MINUTES bruary 19, 1971 a The Board of Managers of Flow Memorial Hospltal met February 19, 1971, at I; 7 P/M•, in the Board Room of plow N,emorlal Husp[tal, Those present were Dr. Charles i ~ Saunders, Mr, Al Testa, Mrs, Paul Simpson, M., Carl Degan, Mr, John Carter Admin- lstrator Julian Wells and Controller Tommy Letz. r Sl. The meeting was called to order by Dr, Saunders. The minutes of the pre- ,1 . ' vicus meeting were approved as rnaihed, y il.~SOMMIfx_ .EJ, REpoRp The financial statements and charge offs were dls- ff oussed and Mr. Carter moved that ~I I they be approved and this was seconded by Mr, Testa, {r`I 11 Motion serried. , During the discussion of the charge off list, It was brought out that +rlj' during the Finance Committee meeting It was Agreed that an all-oyt effort rfti I. should be I made to accelerate either collections or total write-offs of the large older accounts . receivable. The Board approved moving in this direction as soon as possible, The F Board also approved the recommendation to increase room rates to $42. 00 for semi-private, rooms and $49,00 for private rooms. Earlier discussion co cef n ning'thls indicated that the general consensus was that everyone would prefer not tb have made an increase but r there was simply no other means of obtain! q. ng revenue since we have no taxing powers. I I , Mr, Carter pointed out that as reflected in the American Hospital Association 1969-1970 r I Cost Analysis Statistical Report, there was an 18,1% Increase In costs and these ousts would have to be met some way. Mr, Testa, new board member, brought up a point that we would do well to check the status of our preventive maintenance of our mechanical equipment. In essence) , Mr, Testa pointed out that it would not be good business to be "penny wise and pound ~II fool(sh" in preventive maintenance, with which everyone agreed, Mr, Wells pointed ! out that a specific boiler inspection form furnished by the insurance companies Is being filled out daily b I~ y our personnel showing the maintenance and checks being done, t ncue tulee., n.. r~ U T/(l /1/111\ INIT.... I 1 11 ,t, w.. , u a`1 '~f.i_~h 'vv Ic-aati'''? t! >v,`f •'1I ,,Y4 ~ f''^ ° l:+' 1 Meow Owl { 11 ami 1 I *00 >iQARD OF MANAGSRS l Jebruary 19 1971 Polp 2 Also, additional routine inspections and repairs are I e g made, This includes having an engineer been orne In monthly and make tests on the fluids, particularly the bromides, t i to see that all units are aperat(ng at the proper level, It was felt that I John Matt Howard, at North Texas State Unlversity/ perhaps Mr, look at our current status and Mr. Well's agreed t could be of assistance to taking a f to contact him to see if he would be available for this, Mr. Testa Inquired as to what type of inventory we had and was a at this time, have no com dulled that we } piete inventory of equipment, It was agreed that a complete f Inventory should be taken with a means of putting permanent numbers or markin the equipment so lnventorted. This gs on is to begin as soon as possible. a;'t CONFERENCE COA Iv1ITT 1 h EP The minutes of the Joint, Conference Com- 1 mitteemeeting were read and approved, 1 Ak I ''IJNbAT ON 80ARri Rxn -RTC N { trs, Simpson r,,;jd the minutes of the Foundation Board Z11 ~`f I meeting, Mr. Testa asked if the funds on deposit were located in one ba n, r advised that the nk, When s~~at~. they were, Mr. Testa suggested that It be div#ded among several banks i since the limit of FDIC Insurance is $20,000; and the Foundation's ! funds amount to I f approximately $60, 000. 00. The members of the Board agreed that the m oneY s hould i+ } { be distributed in several banks, R~ ~bMINISTRATQR' ,f ;tip' R 'i'CIRT. Attached. ~ r! Dr. Croissant stated that there were no spedific events that ~f had not been cuvered in the Joint Conference Committee report and that work was still being done on the B - ' Y Laws revision, ~f OLD B r~INF~~, None, ~ i N C3 Ir! Mrs. Simpson moved to elect Dr. Charles Saunders President of the It . { Board again. This was seconded by Mr, began and motion carried. M moved to elect Mr, Testa. Chairman of the Finance Committee and this was seconded by ~ , N Eli i 'q i{~ ,R: i ~ ~~1 ~ " 'wi' r e . 4'. ! ~ ~ ; , :r . I(~~4 ~ ti i BOARD 00 MANAGERS eovebruary 19, 1971 rs~ 3 I - f lvtr, Carter, Motion was approved., ; ' The Board unanimously approved a resolution Commending Mr. Dorosll young for his years of ser ice as a member of the Board of Managers and made a motion that a letter of appreciation be sent to Mr. young, Motion was seconded and carried. There being no further business, the meeting adjourned, ,r 1 tll c' Respectfully submitted, a e r' ~ x a: s r 4 'hTe I 4. I r.. , F 1. J• t fA ~y VIII ` ~ _ ~ i ~ ~I ~ 111 I. ~S1A EL' S ' ..~c' ~.t.x.•a : ter. ~ 1 ~ W •+w.... aim. n c vv f: ,n L_.... ar,r~0 r.~ f 13 t i I ua~w tftvl BOARD or M!1'DlACES BUSINESS MINUTCS J Dal, nuary 26 1971 ...c:. - PayI 1 The Board of Managers t of Flow Memorial f Flow Memorial H ospitaI met Tuesda _ with members present as follows: Dr, Char y' January 26, 1971, les Ii, Saunders, Mr, Dore Walter Ray, en Young, Mrs. Paul Simpson, Mr, John Carter Dr, George Hollada Wells and Mr, Tommy Letz, Y, Mr, Julian ,l4 Mr, Carter made a motion that the minutes be ado 1 ' Young seconded the pted as maUed, Mr motion. Motion carried unanimously, 'A 11 R>; T. Ir T- The December financial Mr, statements were reviewed b , LOU and It was noted that December was a y ~4 I surgery schedule, It good revenue month due r,r toa high t'r was noted that the occupancy rate in lanuar is good Mr, Wells noted that the telephone bill Is the only item missing from the Dea ember a' charge off list was discussed and t statement, The he large amount of out-patient bills was dls Several suggestions were made for strengthening the culls cussed, Mr, Wells stated that he had re collections in the emergency room. ~ viewed the procedures for bad debt c Offs and would be bringing recomm allectlo f, endations to the Board regarding nsand charge ging off accounts; posslbl a new policy on char- y a new category of accounts being charged off In 30 to 90 de s( Mr, Wells further stated that we are dropping the Master C'ha y I m lttee recommended and made a motion that the financial statements l ~f I~ off list In the amount of $39,002.51 be approved. Mr. C t Motlan carried, after seconded the motion, t l ; ~p~ rfJINT The minutes of the joint Confc,ance Comm read by Mr, Wells and lttee meetirl'g accepted for Information, + I P T' Mrs, Simpson read the minutes of the January Foundation i Board meeting, It was !1 noted that the Foundation has a pproxlmately $7S1000,00 In assets; The Foundation Board report was acre ! pted acs information. INIS RATOR'S REP I. Mr, Wells stated that during Decerriber,work cor !!i ' ,ttnued ~f J, I trying to get rho accounts on 1\ 5 I l I 1 L receivable in line, Mr, Wells and IBM r presentatlves I v r, A0f X,.u„v 1u„•uS`ms:, e met z Y.w _ h ilk" r'd v ~'.y ~•h,P.iSt. ~~J i( ° ~'~{y, f sirs?a ,'.;j hf SJ~ 1 w4wki awaft BOARD OF MANAUERS aUSlilllSS ,~IIPdt)i'(;S n,i„ uary 26, 1971 and reviewed Flow's pr ogress, All accounts are In the computer and we have control of our accounts, Those'pat[ents covered by Lnsurance or medlrare will not be billed except ~ J by special request and all other accounts will be billed automatically each thirty days, Mr. Wells stated that he Is very optimistic at this time, He stated that we will get our disk system February 19 or earlier which will simplify our billing procedures and also r provide instant information. Mr, Wells further stated that we are coded for Itemized k, "I C I I drug bills which will reduce the need for one or more full time employee, Mr. '4V ells stated that we are still behind on Insurance however, we have hired several emplo ee f to help bring us to current status, y s tt f Mr, Wells Informed the Board that we've contlnaed to r educe personnel where possible as emplayees have left, He stated that he plans to meet each Monday 1 with department heads to keep current on the staffing situation, morning Mr. Wells stated that It had been necessary for him to terminate his house- keeping director, The assistant housekeeping director has attended housekeeping semi `''SSI Lnars and Mr. Wells indicated that he is going to give her on opportunity to direct this r department, Mr, Wells stated that we are utllizIng the LVN students, however, he added that since they aro students ) va they cannot be used as employees, He I we use State School students and Job Corps students as well es LVN further stated that students, F,\l Mr, Wells Informed the Board that he had prepared a public progress report rr concerning the computer and billing system f c or the newspaper, The audit report was reviewed. It was noted that there were 2700 less pat[ 'i dot's In 1970 than In 19 en~t 69. Further, there was an increase in expenses of 22% and an Increase of revenue of 14%, Mr, Wells stated that even though the loss was less than had been pralected, we lost $1P.?,000,00, The handling of patient notes with finat, fl r r 1 Dial Institutions Was ' tfa } i fi ~ •z ~ discuss ld ~ and r P ; }a 1. ..y,... , r s. + ,"y a d. 1. 1.¢' Yl =4' a~ G~,~,J~ a Y . r d54 7S , y NEEL ,.vWc i NOW BOARD Or MANAGERS EiUiliI~aS hlhiUTLS wary 2G, 1971 (~I Pip 3 r Mr. Wells stated that this Is being reviewed, f Mr. Carter made a motion that the Administrator's Report and the Auditor's ' i Report be approved,) Mrs, Simpson seconded the motion. Motion carried, MED10AL STAFF REPORT Dr. Holladay, Chief of Staff, presented and read letters of commendation to the Board of Managers and Mr. Wells from the Medical Staff common- ding them for their efforts In upgrading If t3 ~ patient care, Copies of the letters are attached, Dr, Holladay stated that following further investigation by the Credentials Committee, the Executive Committee of the Medical Staff did recommend that Dr, G, V, ' II r Ed ' , a f gar be appointed to the Medical Staff, Mr, Carter made a motion that this application 55 I be approved. Mr. Young seconded the motion, Motion carried unanimously, ~R i' OLD BU '[NES4 Mr, Ray reported that he had given a list of names. of persons who had I Indicated interest In buying the land from the Forester Estate to Weldon Knight, lndepen- f site i ,YL, 1 f ' dent executor of the will, and asked Mr, Knight to tell these I persons the Boardls asking 'k1A' t price for the land, Mr, Ray further stated that it was his opinion that it was Just a mat ter of formality that the court a I ~tp+ - pprove the Boards petition to name the new wing the Ed 't and Bess Forester Wing in compliance with the will. rJEW BUS]IJhSS! Dr, Saunders reminded the Board that election' of officers Is to be held In January, Dr, Saunders suggested that In view of the reorganlzatlon of Flow under Article 99991-'11 election of officers should be held in February, Mr. Ray made a II motion ' that election of officers be postponed until the February meeting, Mr. Young seoor,ded the motion. Motion carried, i There being no further business, the meeting adJourned, y I~ ' Respectfully submitted, Y y 77II III G I~ I h~ it elf 1 "N' 13. IS Id 4 t I / f . ~ 'Y>' °^e'<', r Q r,iii"IS ° 1', V . S':, I t : ! 1~ ~,>a YyJ 'V.' l -<< l t v 'q l:✓i L v, 0'~(~4 rh,.yl. + 1 ~i.1~~s 1 + Y r ,eve. wswau~ xwa 1 I i 11' t. i I { FILmE 1~r< 4)' t~..~ .e:. n. 1, kf=de c,_.F 1 .~„r.. 4,4 ,4 f