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The monthly meeting of the Kiowa District Hospital Board was held at 7:00 p.m. on August 24, 2010 at the Kiowa District Hospital, Kiowa, Kansas. Present were board members, Zack Odell, Robert Armbruster, Robert Stark, Lori Schrock and Dan Lukins.     Also present were Alden Vandeveer, CEO, Administrator; Robin Lewis, CFO; Karla Johnston, DON, Carla Dunigan, Manor Interim Administrator; Nicole Tronsgard, Manor DON, Jan Smith, Manor Assistant DON; and community guests.
Zack Odell asked for approval of the agenda.   A motion to approve the agenda was made and seconded; motion carried.
Zack Odell asked for any corrections or additions to the regular meeting minutes of July 22, and special meeting minutes for July 19, and July 26, 2010. A motion to approve the minutes of the July 22 regular meeting, and July 19, and July 26, 2010 special meeting was made and seconded; motion carried.
Stan Michel with the Kiowa Planning Commission was next on the agenda. Stan told the Board that there is supposed to be a 20-year plan in place for the City in order to receive grant money. The last plan was done in 1980. The plan is to be the vision and goals for the City of Kiowa and where the community would like to see Kiowa in 20 years.
The City is asking the Hospital to write a summary of what their goals and vision for the Hospital are in 20 years.
Under financial reports Zack Odell called for a review and approval of the payment of bills for the Hospital and Manor for July. A motion to approve the payment of bills for the Hospital and Manor for July was made and seconded, motion carried.
Zack Odell then asked for a review and approval of the Hospital uncollectibles and bad debts. A motion to approve the Hospital uncollectibles and bad debts was made and seconded; motion carried. After much discussion on bad debts and the ability to collect, the Board asked that Robin Lewis and Alden Vandeveer bring 2 or 3 options to the next Board meeting.
Zack Odell asked for a review of the Hospital statistics and financials. Robin Lewis presented July financials. There were 17 admits and 64 days of acute and swing bed care. Outpatient visits were at 634, and Clinic visits were at 374.
July financials show gross patient revenue at $330,188.16 with total operating revenue at $357,441.89 and operating expenses of $295,250.18 with the addition of non-operating revenue of $45,333.39 resulting in a loss of $9,100.02.    Cash decreased by approximately $124,000. The cash total as of today’s date is $634,451. A motion to approve the Hospital statistics and financials as presented was made and seconded; motion carried.
Carla Dunigan presented the July Manor census and financials. Census for July was 28.13; there were 29 residents at the end of July. July financials show gross patient revenue at $127,548.50 with total operating revenue at $130,838.75 and operating expenses of $157,225.66 with the addition of non-operating revenue of $5,011.42 resulting in a loss of $24,364.10. A motion to approve the Manor census and financials as presented was made and seconded; motion carried.
Next on the agenda was the Building Committee report. Alden Vandeveer reported that he has talked to 6 or 7 design build companies, he will choose approximately 4 and ask that they submit a request for proposal (RFP) or facility master plan. He will get suggestions from the companies on whether to build new or remodel.
Next on the agenda was
the CEO report on the following:
1. Operations Issues and Updates, nothing to report.
2. Human Resources are still working on policies, procedures and forms.
3. Life Safety report, Van handed out a Life Safety report.
4. Nursing Services Issues and Updates, nothing to report
5. Management Action Plan (MAP), the HR updates on recruitment and retention need added at the next update
6. Hospital foundation, Van is working on this project and hopes to bring it to the next Board meeting.
Next on the agenda was the Manor Administrator report. Carla Dunigan reported that the floors at the Manor needed to be stripped and waxed. She presented two quotes to the Board, after some discussion. Robert Armbruster made a motion to approve the J&J Cleaning bid not to exceed $3,500; Lori Schrock seconded; motion carried.
Carla also reported that she had some compliments on the food and care from new residents. Van has a pretest session on October 21 and 22 in Newton, KS and testing will be in November. Carla and Van attended the KACE convention last week; Van commented that he received a lot of good information from the meeting.
Next on the agenda was Old Business:
1. Healthland and EMR-Robin Lewis presented the Board with several handouts on EMR and Meaningful Use. She asked if the Board would like the sales representative from Healthland to come and visit. After some discussion the Board agreed to have Zack do a telephone conference with Health-land.
Next on the agenda was New Business:
1. None
At 8:25 Zack Odell asked for a 5-minute break
At 8:30 p.m. A motion to go into executive session for RM/QA and non-elected personnel was made and seconded; motion carried.
At 10:15 p.m. A motion to go back to regular session was made and seconded; motion carried.   Dan Lukins made a motion to approve the RM/QA; Lori Schrock seconded; motion carried.
A motion that the meeting adjourn was made and seconded, motion carried.
LORI SCHROCK, Secretary