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KCHD Minutes for June 28, 2016

August 3, 2016
The Kiowa County Hospital District and County Board met in regular session on June 28, 2016 at 6:31 p.m. at the Bank Meeting Room.
District Board members present were: Robert Woods, Priscilla Waggoner, Sylvia Shields and Cathryn Anderson.  Absent: Mary Eikner
County Board members present were:  Kim Harris, John Negley and Craig Kerfoot.
Absent: Lori Shalberg and Dennis Pearson
Others present: Tristen Sheridan, Braylynn Eder, Dawn Back, Wendy McDowell, Char Korrell, Shannon Dixon, Kevin Siefkas and Stephanie Sewell.
The meeting was called to order by Robert Woods, Vice-Chairman of the Board. COUNTY VOTING MEMBERS: Craig Kerfoot, Kim Harris and John Negley APPROVAL OF MINUTES:  A motion was made to approve the May minutes by
Anderson and Kerfoot seconded it.  All aye.
AGENDA: Add Provider Recruitment and EMC Report. A motion was made to approve the agenda as amended by Shields and it was seconded by Kerfoot.  All aye.
OATH:  John Negley was sworn in as the newly appointed County Board Member.
FINANCE COMMITTEE: The May financials were reviewed. Patient days were reviewed. Swingbed has been busy. The ambulance was real busy this month also. Overall we had a decent month.   The check register was reviewed.
GRANT COMMITTEE: Sheridan stated that the plans were approved by the State. Emerald will be onsite Thursday to meet with Kevin for a walk through and to look at the sprinkler system. They are waiting on one more contract and then will begin construction sometime in July. As soon as they start construction, we can order the CT. It can take 60 to 120 days to get it.  Our reports are up to date and we have been reimbursed for our expenses so far.
CLINIC REPORT: Dawn Back and Kristen Dotson will be leaving. Nurse Richards started in June and will be the discharge and chronic disease nurse. Nurse Lawrence is working on refills and works with the providers on results. For our Rural Health status, we have to have a midlevel for at least 60 percent of time we are open.  One MD and two midlevels would be a good fit for the clinic. Korrell talked to the National Health Service Core and they stated that if we did not have a physician hired, then we could apply for underserved status.  This way we could possibly get a new physician through them and they would get reimbursed for their education while they were here.  Our bariatric and Medtronic programs are continuing to run
smoothly. Richards is working on education packets and Lawrence is calling regarding Health Fair visits.
Dawn Back is keeping her load light, so she can get all of her documentation completed. The Board thanked Dawn Back for her service to our community and let her know that she will be missed.
Physical Therapy, Emergency Department and a social media policy for the Personnel Manual were reviewed this month and signed off during Medical Staff. Kerfoot made a motion to approve the submitted policies and Anderson seconded it. All aye. Policies are reviewed yearly and updated as needed.
BOARD TRAINING: Eikner and Sheilds attended some board training through the Special District Association. The SDA, CHA and DOLA will be having board training specifically for Healthcare facilities on August 10 in Lakewood. We need to RSVP by August 1, so please let Sheridan know if you are interested in attending. Sheridan sent out the links to everyone for the Webinar training. This training is really good and she encouraged everyone to please watch this.
PROVIDER RECRUITMENT: We have a couple of doctors that are interested in working full time for us. They will be coming for interviews in the next couple of weeks. Dr. Santaguida is interested in working part time, about ten days per month. We may have to get a recruiter involved for a midlevel. Sheridan would like to have a full time MD and a full time midlevel and then keep our current part time provider. We need to think about housing. This could be an issue for recruiting providers. We could remodel the Marcum house into two apartments. We would need to get estimates again. We need to have a midlevel hired within 90 days after Back leaves to comply with our rural health status.
ECU & HOSPITAL REPORT: We had one fall and one infection. We currently have 16 residents.  Dr. Feinsod gave an inservice on antibiotics while he was here.  We are seriously short on C.N.A.’s. We will be having a C.N.A. class starting July 11. We have five people interested. Richards and Sheridan will be going to a learning session on the 30th regarding the MORE program for the Clinic. We had a community safety inservice on June 22 at the Cobblestone. We had some great presenters, but no public showed up. Everyone there was our employees.  The Sheriff and Fire Department had good presentations and our therapy, nursing and ambulance departments presented also.
We are working with Southeast Mental Health Group on a wellness program for our employees. We will pay for therapy sessions if our employees are interested. It will all be confidential.
2015 AUDIT: The Auditor could not make it tonight so Dixon reviewed the Audit with the Board. We received a clean opinion. On page 22 and 23 there are no benefits or adjustments included in these figures. She did express concern about the Clinic expenses. They keep increasing. We need to watch this carefully.  She said that if anyone had questions, please give her a call. A motion was made by Shields to approve the 2015 audit as presented and Anderson seconded it. All aye. An engagement letter for the 2016 audit was presented for review. There will be no increase in fees. A motion was made to approve the engagement letter for the 2016 audit by Kerfoot and Anderson seconded it.  All aye.
EVALUATIONS: It is time to do employee evaluations. Dixon asked about employee raises. We budgeted a three percent increase for 2016. Discussion followed. Waggoner made a motion to approve up to a three percent raise for employees and Kerfoot seconded it.  All aye.
Woods, Shields and Harris abstained.
A motion was made by Anderson that we go into executive session to consider personnel matters pursuant to and as permitted by CRS 24-6-402(4)(f)(I) and Shields seconded it.  All aye.
Executive session was convened at 9:00 p.m.
The meeting was returned to regular session at 9:39 p.m. The meeting was adjourned at 9:40 p.m.
Signed by: Sylvia Shields, Secretary-Treasurer

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