1 ADAMS COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 East ...

ADAMS COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
East Adams Rural Hospital
903 S. Adams
Ritzville, WA 99169
Meeting of the Board of Commissioners
December 30th, 2010
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PRESENT: Kirk Danekas Chairman
Nancy Miller
Vice Chairman
Joyce Preston
Secretary
Stacey Plummer
Board Member
Jerry Crossler
Board Member
Mark Barglof
Administrator
Charles Sackmann, MD
Chief of Staff
Valerie Eckley, MD
Medical Staff
Jennifer Wilbur
Interim Chief Financial Officer
Brenda Herr, RN
Interim Chief Nursing Officer
Jeff Reynolds
Clinic Manager
Francie Barnes
Administrative Assistant
ABSENT: Kellie Ottmar, Vicky Johnson, Valley Health Resources
GUESTS: Jim Bostic, Sally Hause, Carla Bergstrom, Sharon R. Englehart, Pat Stark, Gregg Herr,
Tim Smith, Michelle Fode-Smith, Mike Lynch, Harriet Lynch, Dennis Thompson, Jerry L. Snyder,
Neva Malby, Dave McCormick
INTRODUCTIONS
Chairman Danekas asked each guest to introduce themselves.
APPROVAL OF MINUTES
The meeting was called to order at 7:00 by Kirk Danekas, Chairman. He announced that the
Safety Committee report was moved to the Consent Agenda. Stacey Plummer noted a correction to
the November 18 th Board meeting minutes page 2, 4 th paragraph, first line, the word Q-Rae should
be QRate. Jerry Crossler made a motion, seconded by Joyce Preston to approve the November 18 th ,
2010 minutes as corrected. The motion passed.
Nancy Miller made the motion seconded by Stacey Plummer to approve the December 2nd,
2010 Special Board meeting minutes as presented. The motion passed.
CONSENT AGENDA
Joyce Preston commended the staff’s effort and pointed out the recent positive trend,
commenting that we’re going in the right direction. Joyce Preston made a motion, seconded by
Nancy Miller to approve the consent agenda as presented. The motion passed.
MEDICAL STAFF REPORT
Dr. Sackmann reported that the Lind Clinic experienced an internet speed problem for a
short period which has since been solved. November was a pretty good month for clinic visits. ER
volumes were down but hospital numbers were fairly decent which showed a fairly strong month.
The future installation of the new 16-slice CT scanner is exciting but it will leave us without CT

capability for a short period of time. We will inform our business partners prior to and during that
time to arrange for CT exams.
CEO REPORT
Mr. Barglof reported:
1) We are working to secure the purchase of the new CT scanner. The floor needs to be
reinforced under the new unit for machine stability. The plan is to have the new scanner in
place near the middle of February.
2) He attended the hospital district unemployment compensation board meeting the first week
of December. The trend is that rates are going up and more workers are collecting
unemployment for longer periods of time. Dale Tuvey will need to be replaced as executive
as he is planning for retirement next year.
3) He also attended the WSHA Board meeting and Public Policy meeting earlier this month.
They heard about the policy priorities for next year and the expected cuts to the state budget
and how that will impact healthcare. He sees the biggest impact on us experiencing an
increase in charity care. Scott Bond will be transitioning into the new CEO role in April as
Leo Greenawalt retires.
4) Leslie Smith has been hired as our new Human Resources Director. She starts January 10 th
and the QHR HR assessment will guide much of her work. We are excited to bring this
service back in-house.
5) The District had a good turnout for the employee Christmas party. Brian Shanaman was
awarded the Employee of the Year award.
6) Jennifer Wilbur, Interim CFO and he met with the county treasurer and her staff. They
reviewed the warrant process, investments, bank accounts, resolutions currently on file, and
documents that need to be updated. Laura Danekas will arrange for them to meet with their
investment broker to try to improve our investment income potential.
COMMITTEE REPORTS
FINANCE COMMITTEE
CFO REPORT – Calvin Carey is not in attendance this evening. We are transitioning away
from Valley Health Resources at the end of the year. Jennifer Wilbur, ICFO will review the
November Financial statements that Calvin provided. However, they have not been reviewed with
him. Stephen McFadden asked about the CFO position and whether we will be posting for the
position. Mark replied that the money budgeted for purchased services has been moved into the
wages category for 2011. He sees the interim transition continuing for a period of time. Jennifer
reviewed the statements. There were 30 patient days for the month, 9 Swing Bed days, ER visits
were down, CT and Laboratory numbers were a little lower. CT and Lab numbers are influenced by
the number of ER visits. We’re seeing a trend of growth in the Physical Therapy department .
The 2011 budget makes allowances for a 3% rate increase to our fees for services. The new
fee structure will be effective 1-1-11.
Resolution 10-9 was presented to authorize the deposit and withdrawal of East Adams Rural
Hospital monies in the Local Government Investment Pool in the State Treasure and to give the
Administrator and the Chief Financial Officer the authorization to order the deposit or withdrawal
of monies in the Local Government Investment Pool. This was done to update a previous resolution
which had names of staff or individuals who were no longer employed or contracted by EARH and
to take advantage of higher interest income. Joyce Preston made a motion seconded by Jerry
Crossler to adopt Resolution 10-9. The motion passed.
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WARRANTS & VOUCHERS
Joyce Preston presented the following warrants for approval. Accounts Payable Warrants
#43443 to #43665 for the amount of $347,128.96 and an additional $317,164.07 was for payroll
direct deposits and payroll tax deposits. Nancy Miller made a motion, seconded by Stacey Plummer
to approve the warrants and vouchers as presented. The motion passed.
HUMAN RESOURCES COMMITTEE
The committee met with the absence of Calvin Carey. The hiring of Leslie Smith, the new
HR Director was announced. An employee forum meeting was announced for January 19 th @ 5:30
for staff to meet with the Administrator.
PROFESSIONAL RELATIONS
They met on December 17 th to discuss:
1) The purchase of Inland Cardiology by CHS (the group that purchased Deaconess).
2) WSHA Public Policy Committee
3) Hiring Leslie Smith, the new HR Director
4) Medical Staff By-laws need to be reviewed.
The question was asked about the two physician contracts that are up for renewal. The existing
contracts have been extended until the end of January.
OLD BUSINESS
None
NEW BUSINESS
US Bank has been contacted authorizing the removal of VHR from conducting bank
business and adding Mark and Jennifer to the account.
Since this is the Commissioner Annual Meeting, it is time to re-elect officers. Nancy Miller,
Vice Chairman stated that she does not wish to accept the role of chairman. She made a motion that
Kirk Danekas remain in the Chairman position, which was seconded by Jerry Crossler. The motion
carried. Nancy will remain in the position of Vice Chairman. Current positions stay in place. Mr.
Danekas thanked the Board for their confidence in him.
New Board assignments for committees are as follows:
* Finance – Kirk & Joyce
* QI- Jerry and Nancy
* Kirk will assign the rest
There were three new hires last month. They are: Kristin Berry – Per Diem CNA for both
the clinic and hospital, Kristen Moore – full time MA who filled a clinic vacancy, Rae Whitman –
Per Diem RN. There was one termination: Wes Reed – Per Diem RN.
Brenda Herr, Interim CNO gave a presentation for a new Cardiac Monitor. The current
system we have is only 4 years old and the hard drive failed. Also, as of January 1 st , there is no
more service support or parts available. The monitor is essential to the Emergency Room, to our
cardiac patients, and taking vitals signs. The proposed monitor has advanced capabilities. It can
take up to 16 patients. An EKG can be run off it, can take immediate blood pressures, and is self
monitoring. It has a 5-year warranty with unlimited updates and training. It can also be transferred
and installed into our future new facility. This single unit would replace the various different
systems we currently have that don’t match. It’s a system that can run throughout the facility. A
motion made by Nancy Miller, seconded by Joyce Preston to take it out of Funded Depreciation and

purchase the monitor. The new monitor will cost approximately $87,000 (including installation,
shipping and tax).
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PUBLIC COMMENT
It was asked if Mr. Barglof had a signed contract. Yes, he signed his contract which was
effective as of 12-1-10 and he is now an employee of Adams County Public Hospital District #2.
Jerry Snyder asked how the transfer of funds worked per Resolution 10-9. Jennifer
explained that all of it is contained within the Treasury fund. Some has to stay liquid but the rest
can be moved. The Resolution allows for the transfer of funds only. All money is held by the
Treasury.
Nothing back from Travis or the City – meet after.
Dave McCormick asked if the sales tax revenue for the purchase of the new cardiac monitor
will stay in the community. The document says FOB which implies that it does.
Jim Bostic commented that the employees donated $500+ to the community from the Buy-alunch,
Give-a-bunch program and donated $750+ to the food pantry this holiday season.
The Board went into executive session at 7:55 pm to discuss Medical Staff Credentialing.
The executive session was expected to last until 8:15. The Board came out of executive session at
8:15 pm. Jerry Crossler made a motion, seconded by Joyce Preston that Scott C. Edminster, M.D.,
Deanna D. Davidson, D.O. and Donald B. Canaday, M.D. be reappointed to the Medical Staff of
East Adams Rural Hospital. The motion passed.
Joyce Preston made a motion, seconded by Jerry Crossler to adjourn the meeting. The motion
passed. The meeting was adjourned at 8:16 pm.
Respectfully Submitted,
Francie Barnes
Administrative Assistant
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Secretary of the Board
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