MINUTES

BOARD OF COMMISSIONERS

LANE REGIONAL MEDICAL CENTER

October 25, 2010

The Board of Commissioners of Lane Regional Medical Center met on Monday,

October 25, 2010, at 7:00 P.M. in the Board Room.

BOARD MEMBERS PRESENT: Ms. Dell Guerra, Mr. Robert Williams, Mrs. Pat Gauthier, Dr. Jeff Gruner, Mr. Jimmy Jackson, Mrs. Joan Lansing, Mrs. Judy Myles and Mr. Mark Thompson.

BOARD MEMBER ABSENT: Mr. Goose Carroll

OTHERS PRESENT: Mr. Randall Olson, Mrs. Jennifer Johnson, Mr. Mike Zimmerman, Dr. Lydia Lewis, Mr. Robert Atkinson, Mr. Chip Holmes, Mr. Greg Romig with LaPorte Sehrt Romig Hand, Independent Auditors, and Mrs. Brenda Russell.

1. CALL TO ORDER: The meeting was called to order by Ms. Guerra.

2. INVOCATION: The invocation was given by Mr. Jackson.

3. PLEDGE: The Pledge of Allegiance was led by Dr. Gruner.

AGENDA APPROVAL: Administration requested discussion of the FYE 6/30/10 Audit be moved from the Committee Reports to follow Introductions. On a motion by Mr. Thompson, second by Dr. Gruner, the Board unanimously approved the agenda as amended.

INTRODUCTIONS: The October Employee of the Month was Rachelle Noland, RN in the Quality Resources Department.

Greg Romig with LaPorte Sehrt Romig Hand, Independent Auditors, was introduced.  

FYE 06/30/10 Audit: Mr. Romig addressed the Board regarding three findings to the Management Letter. He clarified the findings which were considered insignificant and non-material, but reportable. After discussion, Mr. Romig was excused from the meeting.

CONSENT AGENDA ITEMS: On a motion by Mr. Thompson, second by Mr. Jackson, the Board unanimously approved the consent agenda.

Minutes - Board of Commissioners – September 27, 2010

Minutes - Board Planning Session – October 7, 2010

Minutes – Medical Staff Executive Committee – October 7, 2010

Medical Staff Appointments

Kelly J. Boudreaux, Jr., M.D. – Courtesy Staff/Urology

Nakia A. Newsome, M.D. – Courtesy Staff/Cardiology William C. Streetman, M.D. – Provisional-Active Staff/Surgery

Allied Health Staff Appointments

Brian C. Mackey, CRNA

Joan Normand, RN, RNFA – Sponsored by Dr. David Rabalais

Reappointments

Active Staff:

William R. Clark, M.D.

Jennifer L. Jastram-Belcher, M.D.

Amrullah Khelghati, M.D.

Tracy M. Rauch, M.D.

Provisional Staff:

Anil K. Chagarlamudi, M.D.

Ted Z. Collins, M.D.

Courtesy Staff:

Fernando Arzola-Emmanuelli, M.D.

Joseph B. Boucree, Jr., M.D.

Shelley S. Davies, M.D.

Vincent H. Dodge, M.D.

Richard R. Graham, M.D.

Anthony M. Harton, M.D.

Angelle L. Klar (Berry), M.D.

Elizabeth B. Lindsey, M.D.

Brent L. Mazoch, M.D.

Ashley C. Record, M.D.

Taylor W. Sanders, M.D.

John R. Simmons, M.D.

H. Skipper Smith, IV, M.D.

Chris T. Trevino, M.D.

Consulting Staff:

Mark C. Davis, M.D.

Jannell F. Diaz-Horsley, M.D.

Stephen G. Fox, M.D.

David K. Kim, M.D.

Marc H. Paul, M.D.

Kellie D. Schmeeckle, M.D.

William J. Wong, M.D.

Jeffrey G. Zorn, M.D.

Allied Health Staff:

Aaron Bateman, NP

Anthony J. Catalanotto, PA

Bradley P. Chauvin, PA

Jude A. Hebert, RN

Angela Howland, PA

James B. Hyatt, PA

Michelle Raetzsch, PA

Status Changes

Anil K. Chagarlamudi, M.D. - Provisional to Active Staff

Ted Z. Collins, M.D. - Provisional to Active Staff

Resignations

Connie Gapinski, MD – Consulting Staff/Teleradiology

The following have elected not to reappoint:

Rachel M. Gruner, M.D. – Active/Internal Medicine

Elizabeth James, M.D. – Courtesy/Emergency Medicine

Rhondey Harford, M.D. – Consulting/Teleradiology

Ann Tran, M.D. – Consulting/Teleradiology

Margaret DeLaune, NP – Allied Health Staff

Timothy, Maynard, CRNA – Allied Health Staff

Kirt Talamo, PA – Allied Health Staff

Shirley Wade, NP – Allied Health Staff

Additional Privileges – David Wyatt, M.D.

Safety Officer’s Report – 2nd Quarter 2010

Bio-medical Director’s Report – 2nd Quarter 2010

Patient Care Contracted Services

Dashboard Indicators – August 2010

Retirement Committee Appointment – Bruce Williams – Term expires 2015

MEDICAL STAFF REPORT: The next Medical Staff meeting is scheduled for November 1, 2010. Board members were encouraged to attend.

FINANCIAL REPORT – SEPTEMBER 2010: The Financial Report for September 2010 was presented and discussed. Total Patient Revenue for the month was $22,544,314 with Total Operating Revenue at $5,107,484. Total Operating Expenses were $5,417,043 with a Net Income of ($290,721) for the month and ($689,650) year-to-date. On a motion by Mrs. Gauthier, second by Mr. Thompson, the Board unanimously accepted the September Financial Report.

CHIEF NURSING OFFICER’S REPORT:

Staffing: Staffing statistics for September were provided.

Staff Development: Four ACLS (Advanced Cardiac Life Support) classes are scheduled in October. ACLS certification is required for nurses to work in all specialty units of the hospital. The annual employee BASH was held October 18 - 20. This education is required for every employee to review policies and procedures required by The Joint Commission and DHH.

Quality Improvements: Quality improvements were achieved in the Intermediate Care Unit in the following areas: Above national average in RN national certifications; hospital acquired pressure ulcers; unit acquired pressure ulcers and restraint usage. Lane is compared to hospitals across the country through the NDNQI project through the American Nurses Association. Also noted was a decrease in restraints in all other nursing units of the hospital.

Pathway to Excellence: The completed Pathway to Excellence document has been submitted to the American Nurses Credentialing Center where it is currently being reviewed.

Room Renovations: Fifteen private and semiprivate rooms have been renovated on Second South medical surgical unit.

CNO Meeting: LRMC hosted a meeting of the area hospital CNOs and Deans of Schools of Nursing at the Bennett House on October 5, 2010. Representatives from Baton Rouge General Medical Center, Neuromedical Center, Southern University, Baton Rouge Community College, Southeastern Louisiana University and Louisiana State Board of Nursing were in attendance.

CHIEF EXECUTIVE OFFICER’S REPORT:

Major Activities:

Construction has started on Dr. Baron Williamson’s surgical space on the second floor of the Medical Plaza. Lane has been offered a 10% interest in the surgery center.

Since FASTLane opened over 14 patients per day are seen on average.

Meetings continue to be held with various medical specialties as well as OLOL and Baton Rouge General to enhance relationships and identifying ways to add services at Lane.

A meeting was held with the Chief Medical Officer at OLOL, Dr. Richard Vath and Dr. Curtis Chastain, Head of the Physician’s Group of OLOL. Discussions were held on working together for mutual benefits.

Lane has contracted with a group to provide CRNA coverage for a savings of approximately $150,000 per year.

The possibility of providing intensive outpatient psychiatric services, a hospital-based service, is being considered. These services would be managed by an outside management organization.

The Department of Health and Hospitals conducted a survey of the Nursing Home in the past few weeks with only minor recommendations.

Medical Staff Issues/Updates:

Renal Associates has submitted 13 applications for medical staff membership. CVT Surgeons have also submitted 6 applications for medical staff membership. CVT intends to do Thoracic procedures at Lane.

A group of ENT Surgeons have expressed interest in visiting Lane.

An offer was made to Dr. William Sweezer, Vascular Surgeon. He has, however, declined the offer and accepted a position at Duke University Health System.

Dr. Jeff Gruner will not be joining the Surgeon’s Group of Baton Rouge and OLOL. Lane is developing a plan to offer him employment.

Board Issues/Updates:

Board members were thanked for attending and participating in the Strategic Planning Session on October 7.

The Go Zone Bond Issue has been finalized.

11. COMMITTEE REPORTS:

Finance Committee – October 18, 2010: Minutes of the Finance Committee meeting of October 18, 2010, were presented and discussed. On a motion by Mr. Thompson, second by Mrs. Lansing, the Board unanimously accepted the minutes of the Finance Committee meeting of October 18, 2010.

FYE 06/30/10 Audit: The Finance Committee recommended approval of the FYE 6/30/10 Audit as presented. On a motion by Mr. Thompson, second by Mr. Williams, the Board unanimously accepted the FYE 06/30/10 Audit.

12. QHR ACTIVITY REPORT: Chip Holmes reported on the following QHR activities at Lane:

QHR is assisting staff with implementing recommendations from the chargemaster and case management reviews.

Jennifer Johnson and Karla Miller, Excellence Coordinator, presented a Pathway to Excellence presentation at the QHR Regional meeting held in Baton Rouge.

Jennifer Johnson, Kathy Peairs and Billy Conerly attended a QHR nursing conference in Nashville.

Mickey Bilbrey, VP, Eastern Operations, will visit Lane in December.

Assistance is being provided for the CEO’s evaluation process.

13. OTHER: None

14. PUBLIC COMMENTS: None

ADJOURNMENT: On a motion by Mr. Jackson, second by Mrs. Gauthier, the Board unanimously approved to adjourn.

Respectfully,

Randall M. Olson

Chief Executive Officer

RMO:bsr

Board of Commissioners

October 25, 2010

#1594

Publish: 12/01/2010

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NOTICE OF PUBLIC MEETING

WORK SHOP OF MAYOR AND C OUNCIL

CITY OF ZACHARY, LOUISIANA

4700 Main Street

Tuesday, November 30, 2010

6:30 p.m.

The Mayor and Council of the City of Zachary, LA will meet jointly with the Zachary Economic Development Committee in a Work Shop on November 30, 2010, at 6:00 p.m., at the Zachary City Hall, Council Chambers, to discuss a Strategic Plan for Economic Development to be presented to the Council by the Economic Development Committee.

The meeting will be an open and public meeting.

Jean Byers, Clerk of the City Council

CITY OF ZACHARY

PARISH OF EAST BATON ROUGE

STATE OF LOUISIANA

#1595

Publish: 12/01/2010

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NOTICE OF PUBLIC HEARING

MAYOR AND C OUNCIL

CITY OF ZACHARY, LOUISIANA

4700 Main Street

Tuesday, December 14, 2010

6:30 p.m.

The Mayor and Council of the City of Zachary, LA will meet in regular session on December 14, 2010, at

6:30 p.m., at the Zachary City Hall, Council Chambers, during which meeting there will be Public Hearings for each of the following ordinances:

1. Ordinance # 2010-23, pertaining to Vagrancy

2. Ordinance # 2010-24, pertaining to Theft of Goods

3. Ordinance # 2010-25, pertaining to Revocation of Dedication of Street

Right-of-way in Tract C2B1B1 of the Marshall M. Hughes Tract

Anyone wishing to be heard concerning these ordinances will be afforded the opportunity to speak at the appropriate time in the agenda. Following each of the Public Hearings, the Council will consider the final adoption of the ordinance.

Jean Byers, Clerk of the City Council

CITY OF ZACHARY

PARISH OF EAST BATON ROUGE

STATE OF LOUISIANA

#1596

Publish: 12/01/2010

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