LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING MINUTES

January 21, 2004

9:00 a.m.

Present: Vickie Randel Gene Meyer Jeff Novorr

Donna Osness Bonnie Peterson Tom Pagano

Lindy Eakin Simon Scholtz Andy Ramirez

David Corliss Robert Trepinski

Bob Schulte Deborah Thompson

Mark Praeger, MD Karen Shumate

Sheryl Jacobs Lee Reussner, MD

Verdell Taylor Janice Early-Weas

Joe Flannery Kathy Clausing

Others present: Jim Baker, Journal-World Reporter

Call to Order

Vickie Randel, Chairperson, called the meeting to order.

Approval of Agenda

The agenda was presented for approval as submitted.

MOTION: made by Bob Schulte, seconded by

Donna Osness to approve the agenda. Motion carried.

Executive Session

MOTION: made by Bob Schulte, seconded by Joe Flannery

that the Board of Trustees recess to Executive Session for

consultation with hospital attorney which would be deemed

privileged in the attorney-client relationship, to include the

CEO, executive staff and chief of staff. The open meeting

will resume in this room at 10:00 a.m. Motion carried.

MOTION: made by David Corliss, seconded by Bob Schulte

to extend the Executive Session to 10:10 a.m. Motion carried.

MOTION: made by Lindy Eakin, seconded by Donna Osness

to extend the Executive Session to 10:20 a.m. Motion carried.

MOTION: made by Bob Schulte, seconded by Donna Osness

to leave executive session. Motion carried.

After a short break the open meeting was called to order.

Board of Trustee Meeting Minutes

January 21, 2004

Page two

Consent Agenda:

Minutes of the December 17, 2003 & January 7, 2004 Board of Trustee meetings.
Planning Committee Report
Safety Committee Report

The Finance Committee and Operations Reports were pulled from the Consent Agenda for discussion.

MOTION: made by David Corliss, seconded by

Bob Schulte to approve the Consent Agenda as

modified. Motion carried.

Finance Committee Report:

Vickie Randel asked about the A/R Year End Report as to the total number of accounts increasing, and if we are properly staffed to manage these accounts based on standards recommended by LaPlant consultants in the past. Simon Scholtz replied that the number of accounts may decrease after the high December volumes are processed and we would look at the ratio in the first quarter, but that we do monitor staffing in relation to the number of accounts.

Operations Report – Clinical Services:

Bonnie Peterson reported that the Institutional Review Committee (IRB) was applying for the Federal Wide Assurance and IRB Registration and a report on the activities of this committee will be reported to the Board each month.

MOTION: made by Dr. Praeger, seconded by

Sheryl Jacobs to approve the Finance and

Operations Reports. Motion carried.

CEO Comments:

Physician/Hospital survey distributed at MEC with a due date of January 30.
LMH is applying for the National Healthcare Quality Award this year. A booklet has been received listing LMH in the Best Practices Category.
Dennis Moore was at LMH and reported why he voted against prescription drugs.

Old Business:

Hospitalist Program at LMH – Information was given to the Board as to the Hospitalist movement and Dr. Yockey’s decision to join Stormont-Vail, as well as the efforts pursued by LMH to keep him on staff. A Hospitalist Program Operational and Financial Pro-Forma was presented for review and will be discussed at the February meeting.
Gero-Psych Program – This program will be looked at again in three months and if the unit cannot sustain an average daily census of five it may be hard to keep the unit open. Dr. Pir Shah is working 12 hours per week providing inpatient services and can only cover late afternoons and evenings. A market analysis is being conducted as to services close to LMH for referral should the unit need to close. In looking at the referral pattern it was found that most admissions have been from outside the Lawrence area.

Board of Trustee Meeting Minutes

January 21, 2004

Page three

New Business:

No report.

Announcements:

Board/Medical Staff meeting January 26 at 5:30 p.m.
LMH Endowment Annual meeting is January 27 at 4:30 p.m. at the Hereford House.
Open House in Tonganoxie February 2 at 4:30 p.m.
Planning Committee February 13 at 12:00 pm
Quality Committee of the Board February 20 at 7:00 a.m.

Adjournment:

There being no further business, the meeting adjourned.

Respectfully submitted

David L. Corliss

Secretary

LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING MINUTES

February 18, 2004

9:00 a.m.

Present: Vickie Randel Gene Meyer Kathy Clausing

Donna Osness Bonnie Peterson Jeff Novorr

Lindy Eakin Simon Scholtz

Bob Schulte Robert Trepinski

Mark Praeger, MD Deborah Thompson

Sheryl Jacobs Karen Shumate

Joe Flannery Lee Reussner, MD

Verdell Taylor Andy Ramirez

Absent: David Corliss (excused)

Call to Order

The meeting was called to order by Vickie Randel, Chairperson.

Approval of Agenda

The agenda was presented for approval.

MOTION: made by Bob Schulte, seconded by

Dr. Praeger to approve the agenda as submitted.

Motion carried.

Executive Session

MOTION: made by Bob Schulte, seconded by Joe Flannery

that the Board of Trustees recess to Executive Session for

consultation with hospital attorney which would be deemed

privileged in the attorney-client relationship, to include the

CEO, executive staff and chief of staff. The open meeting

will resume in this room at 10:00 a.m. Motion carried.

MOTION: made by Vickie Randel, seconded by Bob Schulte

to extend the executive session to 10:30 a.m. Motion carried.

MOTION: made by Donna Osness, seconded by Sheryl Jacobs

to leave executive session. Motion carried.

The regular meeting convened at 10:30 a.m.

Consent Agenda

Approval of minutes for January 21, 2004 Board of Trustee meeting
Reports:

Finance Committee – approval of December, 2003 and January, 2004 financials
Operations
Planning Committee
Safety Committee
LMH Endowment

Board of Trustee Meeting Minutes

February 18, 2004

Page two

MOTION: made by Lindy Eakin, seconded by Sheryl Jacobs

to approve the Consent Agenda as presented. Motion carried.

Medical Executive Committee Recommendations

Dr. Reussner presented the following for approval:

MEDICAL STAFF - New Appointments:

David M. Borel, MD ( ID #592) – Appointment to the Active Staff from 2/18/04 through

1/1/05 with privileges in Pathology. Dr. Borel will provide coverage for the Lawrence

pathologists and can be reached through their office.

Ryan C. Davis, MD ( ID #595) – Appointment to the Active Staff from 2/18/04 through

6/30/05 with Emergency Medicine privileges requested. Dr. Davis joins the Lawrence

Emergency Medicine group and can be reached through the LMH Emergency Dept.

J. Douglas Gardner, MD - (ID #959) and

Edward N. Letourneau ( ID #594) –

Drs. Gardner and Letourneau were appointed to the Consulting Staff with privileges in

Rheumatology from 2/18/04 through 6/30/05. They are assigned to the Internal Medicine

Department and will be providing coverage for Dr. Nancy Nowlin.

MEDICAL STAFF - Reappointments

Christi L. Gilbert, DPM (Courtesy Staff; Surgery/Podiatry) - Reappointed from 2/20/04 through 6/30/05.

Lisa Hermes, MD (Consulting Staff; Medicine/Phys. Med. & Rehab) - Reappointed from

2/20/04 through 6/30/05.

MEDICAL STAFF - Privilege/Status Changes

Elias Chediak, MD (Active Staff; Psychiatry) - Change to Courtesy Staff effective 4/1/04. His current appointment extends through 12/31/05.

Charles Yockey, MD (Active Staff; Int. Med./Pulm.) - Change to Consulting Staff effective 3/1/04. His current appointment extends through 6/30/05.

ALLIED HEALTH STAFF - New Appointments

Kay Prather-Rodriguez, CRNA (ID # 596) – Appointed to the Allied Health Staff with

Nurse Anesthesia duties from 2/18/04 through 12/31/05. Ms. Prather-Rodriguez is sponsored by the Lawrence Anaesthesia group and can be reached through that office.

MEDICAL STAFF & ALLIED HEALTH STAFF - Resignations

Angela Bateman (Audiologist)

Jeremy J. Katz, MD (Anesthesia/Pain Management)

Daniel M. Merck, MD (Anesthesia/Pain Mgmt)

MOTION: made by Joe Flannery, seconded by

Dr. Praeger to approve the Medical Executive

Committee’s recommendations as presented.

Motion carried.

Board of Trustee Meeting Minutes

February 18, 2004

Page three

CEO Comments

No report this month.

Old Business

a) Hospitalist Program at LMH - Gene Meyer reported that we have learned that a company in Kansas City is doing Hospitalist work and wants to contact them to get more information on their program and this will be presented next month.

b) Breast Center Proposal - The Breast Center Team was introduced and were recognized for their work on this project. Bonnie Peterson presented an overview with the Team available for questions. The proposal was submitted with a recommendation to move forward.

MOTION: made by Verdell Taylor, seconded by

Sheryl Jacob to approve moving forward with the

Breast Center. Motion carried.

Announcements

Announcements were noted.

Executive Session

MOTION: made by Vickie Randel, seconded by Joe Flannery

that the Board of Trustees recess to Executive Session for

consultation with hospital attorney which would be deemed

privileged in the attorney-client relationship, to include the

CEO, executive staff and chief of staff. The open meeting

will resume in this room at 11:00 a.m. Motion carried.

MOTION: made by Sheryl Jacobs, seconded by Bob Schulte

to leave executive session. Motion carried.

The regular meeting convened at 11:01 a.m.

Adjournment

There being no further business, the meeting adjourned.

Respectfully submitted

David L. Corliss

Secretary

LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING M INUTES

March 17, 2004

9:00 a.m.

Present: Vickie Randel Gene Meyer Jeff Novorr

Donna Osness Bonnie Peterson Andy Ramirez

Lindy Eakin Simon Scholtz

David Corliss Robert Trepinski

Bob Schulte Deborah Thompson

Mark Praeger, MD Karen Shumate

Sheryl Jacobs Lee Reussner, MD

Verdell Taylor Tom Pagano

Joe Flannery Kathy Clausing

Others present: Jim Baker, Journal-World reporter; Patty Winslow, Marty Fairchild, Alex Fagan, Belinda Rehmer

Call to Order

The meeting was called to order by Vickie Randel, Chairperson.

Approval of Agenda

The agenda was approved with Introductions added before Executive Session.

Introductions

Bonnie Peterson introduced Patty Winslow, as the new Director of Surgical Services.

Executive Session

MOTION: made by Bob Schulte, seconded by Dr. Praeger

that the Board of Trustees recess to Executive Session for

consultation with hospital attorney which would be deemed

privileged in the attorney-client relationship, to include the

CEO, executive staff and chief of staff. The open meeting

will resume in this room at 9:45 a.m. Motion carried.

MOTION: made by Bob Schulte, seconded by Joe Flannery

to extend the Executive Session until 10:00 a.m. Motion

carried.

MOTION: it was moved and seconded to leave Executive

Session at 10:00 a.m. Motion carried.

The open meeting reconvened at 10:01 a.m.

Board of Trustee Meeting Minutes

March 17, 2004

Page two

Consent Agenda

1. Approval of minutes for: February 18, Regular Board of Trustee meeting

February 24, Special Board of Trustee meeting

2. Finance Committee - approval - February, 2004 financials

3. Operations

4. Planning Committee

5. Safety Committee

6. LMH Endowment

MOTION: made by David Corliss, seconded by

Joe Flannery to approve the Consent Agenda.

Motion carried.

General Medical Staff Recommendations

Dr. Reussner presented the proposed revisions:

1. Medical Staff Bylaws

2. Credentials Procedure Manual

3. General Medical Staff Rules & Regulations

MOTION: made by Donna Osness, seconded by Dr. Praeger

to approve the bylaw changes as presented. Motion carried.

CEO Comments

Gene Meyer reported on the following:

1. Letter received from Irene Cummings.

2. National Committee for Quality Health Care letter thanking LMH for their application & announcing the winner of the award as Trinity Health in Michigan.

3. Legislative luncheon March 18 in Topeka.

4. Acknowledged Joe Flannery’s recognition as Business Person of the Year.

Old Business

1. Saint Luke’s contract – Gene Meyer reviewed the issues that are being addressed in the contract to be presented to the Board before or at the next Board meeting. The name of the facility was discussed with consensus that it should be The Lawrence Memorial Heart Center in affiliation with Saint Luke’s Mid America Heart Institute.

MOTION: made by David Corliss, seconded by Sheryl Jacobs that the Board continue to direct Administration to pursue the Cardiovascular Consultants’ contract with Mid America Heart Institute of Saint Luke’s as was directed at a Special Board meeting on February 24, 2004, with an amendment that the name “The Lawrence Memorial Heart Center in affiliation with Saint Luke’s Mid America Heart Institute” be used as proposed by the Saint Luke’s contract, for approval by the Board at the April meeting or earlier. Motion carried.

Board of Trustee Meeting Minutes

March 17, 2004

Page three

2. Breast Center Program Follow-up – Bonnie Peterson reported that they are

moving forward with location as an issue at this time. Robert Trepinski will be taking the issues of space to the Facilities Committee for discussion and to make this a visible part of the Campus Master Plan.

3. Monarch Implementation – Tom Pagano updated the Board on the project.

The go-live date of April 13 has been delayed with a tentative date of May 5.

They should have a more definite date next week. They will have to do some

refresher training but estimating only 10% of those trained. They continue to

focus on the charge services area as to not disrupting the services. Training of

physicians is to begin the first week of April. Gene Meyer introduced Marty

Fairchild, project manager, and Alex Fagan with Cerner. Mr. Fagan reported on

working with the physicians and their involvement. Information is being prepared to

help physicians understand the system before going live. Basic training for

physicians will be done on the floors with time involved at 15-25 minutes

maximum.

4. Quality Reporting Results– were noted.

New Business

1. Physician Recruitment – Gene Meyer reported on neurology recruitment and interviewing two physicians.

2. LOGS current agreements expire this year and LMH has left it open if they choose to go out on their own. A decision is to be made by the end of the month. Recruitment of a sixth physician is in the process for 2005.

3. Mt. Oread – Today is Dr. Bremby’s last day leaving Dr. Gravino, Dr. Stueve and Elisa Drake, PA, at Mr. Oread. Looking at the extent of economic losses, LMH is looking at adding a second P.A. versus another physician.

Announcements – were noted.

Adjournment

There being no further business, the meeting adjourned.

Respectfully submitted.

David L. Corliss

Secretary