LAWRENCE MEMORIAL HOSPITAL

BOARD OF TRUSTEE MEETING MINUTES

April 20, 2005

9:00 a.m.

Present:            Donna Osness              Gene Meyer                 Kathy Clausing

                        Joe Flannery                 Simon Scholtz               Connie Broers

                        Lindy Eakin                  Robert Trepinski           Lee Reussner, MD

                        Verdell Taylor              Deborah Thompson      Andy Ramirez

                        Bob Schulte                  Karen Shumate

                        Mark Praeger, MD       Janice Early-Weas

                        Sheryl Jacobs               Dana Hale

                        Judy Keller                   Jeff Novorr

                        Scott Bailey                  Tom Pagano

Others present: Chad Lawhorn, Journal-World; Ted Hempy, BKD; Paula Dupigny-Leigh, Mental Health Consultative Services and Channel 6 representatives.

Call to Order

The meeting was called to order by Donna Osness, Chairperson.

Approval of Agenda

The agenda was presented for review.

            MOTION: made by Judy Keller, seconded by

            Scott Bailey to approve the agenda with the

            moving of the Executive Session to the end

            of the agenda.  Motion carried.

Consent Agenda

            Reports:

a. Financials for March 2005

b. Governance & Planning Committee

c. Operations

d. Community Relations

e. H.R. Committee

f. Corporate Compliance

g. Safety Committee

h. LMH Endowment

This past month has been very busy with a lot of meetings and Gene Meyer expressed appreciated to the Board for their time spent attending the meetings.

MOTION: made by Verdell Taylor, seconded by

Joe Flannery to approve the Consent Agenda.

Motion carried.

Board of Trustees Meeting Minutes

April 20, 2005

Page two

Presentation of 2005 Audit

Ted Hempy with BKD reviewed the 2005 Audit.   It was a “clean” report with no unusual findings.  He noted that the LMH Endowment is now a component unit and the financial statements were incorporated.  There was no Management Letter this year as there were no recommendations to be brought to the Board’s attention.   Lindy Eakin thanked the staff for good clean operations.

Medical Executive Committee Recommendations

Dr. Reussner reviewed the report:

MEDICAL STAFF - New Appointments -

Jon T. O'Neal, MD (Active Staff; Occupational Medicine) -

Active Staff appointment effective 4/20/05 through 12/31/06 with Occupational Medicine

privileges.  There will be a provisional period of Dr. O'Neal's new membership, with

proctoring by and assignment to the Emergency Medicine Department.  Dr. O'Neal will

be working part-time with LMH Business Health and can be reached through that Dept.

MEDICAL STAFF - Changes in Staff Status or Privileges -

Carla B. Phipps, MD - Additional privilege, "Postpartum Tubal Ligation (PPTL)" effective 4/20/05.

April Bremby, DO - Current Leave of Absence extended to 9/18/05.

Marilee McGinness, MD - Withdrawal of Gastrointestinal Endoscopy privileges effective 3/28/05.

Paul Gisi, MD - Resignation effective 3/31/05.

ALLIED HEALTH STAFF - New Appointments -

Vikki Gambrill, CRNA (sponsored by Lawrence Anaesthesia group) -  

Liberty Transmeier, Dental Assistant (sponsored by Lynn Baker, DDS & Kirk Vincent, DDS -

Allied Health appointments effective 4/20/05 through 6/20/06 (Ms. Transmeier) and through 12/31/06 (Ms. Gambrill).

            MOTION: made by Sheryl Jacobs, seconded by

            Lindy Eakin to approve the Medical Executive

            Committee’s recommendations.  Motion carried.

CEO Comments

Gene Meyer reported on the following:

• LMH has successfully recruited two oncologists, Dr. Ekram and Dr. Schwartz to begin December 1, 2005. 
• A neurosurgeon has been interviewed and interested in Lawrence.  This is being studied as LMH must be able to justify volume.
• LMH received the VHA Clinical Excellence Award for the medical staff’s compliance with standards set for AMI & Heart Failure. 
• LMH has successfully recruited Dr. Yockey as Director of the Hospitalist program.  Start date to be determined when recruitment of a second & third physician has been accomplished.
• Recruitment of a Vice President of Nursing is underway.  Dana Hale has been serving as interim director until the position can be filled.
• The Annual LMH Health Fair had a very good turnout and kudos given to the laboratory staff as turnaround time was 20 minutes.

Board of Trustee Meeting Minutes

April 20, 2005

Page three

• The Annual Auxiliary Luncheon was held April 19 with a great attendance.  The Auxiliary presented a check to LMH for $50,000 for the Emergency Department expansion.

Old Business

a) Facilities Committee

• Surgery Study Report

The Committee reviewed the Master Campus Plan.  A copy of the consulting group’s study of the Surgery Suite was reviewed as to building a new Surgery Suite or renovating the current suite.   The best way to move forward would be to build a new Surgery Suite with two options, (1) after the ’69 wing has been demolished to build on the southeast corner of the campus or (2) when the Emergency Department has been relocated, to build a Surgery Suite in that location on the north end of the campus, which actually could be done cheaper and would meet the needs of LMH physicians.   Dr. Reussner stated that the concern of the surgeons is disruption during renovation and working through the end result wanted.   A new Surgery Suite would settle this concern.  There was also concern about parking as with the second option, parking spaces will be taken from the east parking lot and the additional parking will be needed.   LMH officials are talking to the city regarding the ambulance building located on the campus and also Woody Park.

b) Crisis Stabilization Service

Dana Hale reported on the task force that was developed to study mental health services provided by LMH.   Telephone calls were made to nine Kansas hospitals to determine how they dealt with mental health patients and it was found that Lawrence Memorial is currently providing care for the mentally ill patient in crisis consistent with all other hospitals without inpatient psychiatric services.    The Task Force‘s recommendation was to improved the quality of these services by establishing an Emergency Department Psychiatric Stabilization Service.  The requirements would be to dedicate space in the Emergency Department for two patient rooms, which would be taking the waiting room space in the main hall and the office adjacent to it to be converted to a room for this service; and a need for 4.2 FTE’s for 24/7 service.  The timeline for this service to take place would be approximately three months for renovation and employment of personnel.  There was concern as to the loss of the waiting area for family members of patients in the Emergency Room.  This is being addressed as to the use of the lab waiting area across the hall and, if necessary, using the surgery waiting area located further down the hall.  Lindy Eakin stated that what LMH now has in place is working well.  His concern is for the cost ($150,000) for the renovation along with the loss ($1 million) that will be experienced by LMH.    Gene Meyer commented that the service LMH is now providing is what a community hospital should be providing and also reported that he has been in touch with the Health Policy Forum in Washington, DC, as this is a national issue, and using Lawrence, Kansas as a case study.  Judy Keller asked as to Bert Nash’s support of the service.  Gene Meyer had Bert Nash review the proposal and they indicated support.  Gene Meyer stated that LMH reimburses Bert Nash for screening non-Medicaid patients and that this is unique.   The need to look at other sources for reimbursement for these services, such as taking it to the City and County is something that could be done, but it was felt we should wait until a major funding opportunity is present.

Board of Trustee Meeting Minutes

April 20, 2005

Page four

                MOTION:  made by Joe Flannery, seconded by

                Scott Bailey to approve the Crisis Stabilization

                Service as proposed.  Motion carried (8 yes 1 no).

New Business

a) Directors and Officers Liability Insurance was reviewed.

Announcements

Sheryl Jacobs announced that the LMH Endowment is starting their capital campaign and will be visiting with all Board members.   She asked that Board members please make time for them.

Executive Session

MOTION: made by Bob Schulte, seconded by Scott Bailey

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, CFO and chief of staff.   The open meeting to resume

in this room at 10:30 a.m.  Motion carried.

MOTION: made by Lindy Eakin, seconded by Joe Flannery

to extend the Executive Session to 10:40 a.m.  Motion carried.

MOTION:  made by Sheryl Jacobs, seconded by Scott Bailey

to leave Executive Session.  Motion carried.

The open meeting reconvened. 

Adjournment

There being no further business for discussion, the meeting adjourned.

                                                            Respectfully submitted,

                                                            Verdell Taylor

                                                            Secretary