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SHAUGHNESSY REHAB HOSPITAL - BOARD OF TRUSTEES AGENDA MARCH, 1979 & MEETING MINUTES FEBRUARY, 1979 a,"Rehabilitation Joseph C.Affanato Executive Director Dr. J. Robert. Shaugbnessy Hospital efferson Avenue/Salem,Rlassaclu.tsitts0,1970• (617) 745-9000 A G E N\D-,A BOARD OF TRUSTEES Tuesday, March 20, 1979 I. CALL TO ORDER: 7 :00 p. m. II. MINUTES OF LAST MEETING (enclosed) III . REPORTS : A. Financial Report B. Medical Staff Report C. Standing Committee Reports IV. UNFINISHED BUSINESS: A. Management Advisory Service Progress Report B. Laundry Contract C. Progress Report on Day Care D. Blue Cross Contract E. Rate Setting Appeal F. Review of Personnel position description* G. Review of Housekeeping, Maintenance Bid Specifications* V. NEW BUSINESS : A. Appearance of Department Heads at Meetings B. Review of job descriptions and recommendations C. Availability of Department Head Monthly Reports (see enclosed copies) VI . OTHER BUSINESS VII . ADJOURNMENT * These items have already been forwarded for review. a &DR. . SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL MEETING OF. BOARD OF TRUSTEES February 20, 1979 The February meeting of the Board of Trustees was held in the Board Rrxxn on Tuesday, February 20, 1979. The meeting was called to order at 7:04 P.. M., Mr. Brophy presiding. Trustees present were: Messrs. Brophy, Blenkhorn, Carnevale, Pelletier,Noonan, Richard; Doctors Shaughnessy and Kaplan; Mesdames Norton, Moulton and MacDonald. Also present were Messrs. Aff_anato, Centorino, McEwen and Doctor Krukonis. Absent was Mrs. Frasero Mr. Jennings and Mr. St. Pierre. MINUTES OF PREVIOUS MEETING Upon motion duly made and seconded it was VOTED TO APPROVE THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES HELD JANUARY 16, 1979. REPORTS RE W OF Mr. Affanato introduced representatives of Servicemaster, Mr. James Holland, SEWICEMASTER .Area manager and Mr. Gary Sparkes, Regional Manager. Mr. Holland discussed CONTRACT the discrepancies between ServicemasterIs understanding of what was required at the hospital and what was apparently expected. It was ServicemasterIs judgment to emphasize plant operations and maintenance to comely with stan- dards and he reviewed their progress in this direction. Pair. Holland stated that they welcomed the opportunity to review their program with the Board and that he was sure that a reinspection of the hospital in the near future would find the hospital would meet all expectations. Mr. Brophy thanked them for coming in and after further discussion, the Finance Committee was charged with the responsibility of reviewing the specifications for these contracted services and to make a recommendation as to a course of corrective action. FINANCIAL Mr. Carnevale asked Mr. McEwen to review the Finance Report for the month REPORT ending January 31, 1979. The Cash basis shows expenses under budget for the month by $12,000 and for the year to date, under by $320,000. For the seven months ended January 31, 1979, we show an excess of receipts over dis- bursements amounting to $432,000 which will be reduced by accruals of $124,000 or $308,000. Accounts Receivable increased by 2.4% which is represented by inhouse receivables. Statistics remain constant.. The actual year-to-date deficit incurred by the hospital amounts to $221,000. Mr. McEcwen summarized by stating that he still projects a total loss of $500,000 for the fiscal year. (see attached statements) FRIrNIDS' Mr. Carnevale briefly reviewed the Friends Account and discussion followed AC(; NT regarding the purposes of the account and who controls the funds. It was recommended that a copy of the bylaws and formation of the corporation be forwarded to all Trustees for review and discussion at the next meting. aM NUTES r BOARD OF TRUSTEES BRUARY 20, 1979 t- Page 2 RESPIRATORY A review of a proposal for doing our own respiratory. therapy to increase revenues was presented by Mr. Carnevale who also stated that the Finance. Committee is going to look into Pharmacy on the same basis. On motion made and seconded it was VOTED TO ACCEPT THE REPORT OF THE FINANCE C)C Il, ITTEE. MEDICAL, Doctor Krukonis reviewed the Annual Meeting of the Medical Staff held on STAFF January 18, 1979, the Staff Roster, Chiefs of Services Roster and the Audit on Urinary Tract Infections which were presented at that meeting. After discussion, on motion made and seconded it was VOTED TO ENDORSE THE MEDICAL STAFF RECOM M=IONS TO ACCEPT THE NEW STAFF ROSTER, THE CHIEFS OF SERVICE AND THE AUDIT ON URINARY TRACT INFECTIONS. STANDING COMMITTEE REPORTS The report of the Building & Space Committee was received as informational. (see attached) N[Tr"zING Mrs. Moulton reported for the Nursing Committee on the many courses, workshops a- ITT and programs being rim by the Director of.. Nursing for professional nurses. She announced that the nursing Service had donated such items as stacking chairs, books for the nursing library- teaching slides,audio visual aids., patient equipment, tuition for educational programs, etc. Problem areas in nursing continue to be with the low rate of ccn pensation paid to Junior Attendants, and obsolete job titles. Mrs. Moulton reported that the Director Of Nursing would like to initiate a program for training of Nursing Assistants. After discussion, on motion made and seconded it was VOTED TO ENDORSE THIS NEW PROGRAM AND TO GIVE MISS DUMONT AUTHORITY TO PROCEED WITH THE NURSING ASSISTANTS PROGRAM. A second motion was made and seconded and it was VOTED TO SEND A VOTE OF CONFIDENCE AND THANKS TO MISS DUMONT FOR THE FINE PERFORMANCE OF HER DUTIES WITH THE HOSPITAL. Mr. Affanato discussed the problem of job titles, stating that he was going . to look into the organizational chart of licensed people, that he wanted a strong second person to complement Miss, Dumont and help reorganize the nursing department. UNFINISHED BUSINESS MANAGEMENT 14r. Carnevale reported, 'that Price Waterhouse is approaching completion of ADVISORY Phase I and the Management Advisory Service will define our needs for con- -SERVICE version of present systems. The Finance Cammsittee has been satisfied with current performance. He explained that Phase II would be to find software to fit our requirements and which would go on the Univac system of the City. r MINUTES -- BOARD OF TRUSTEES FEBRUARY 20, 1979 r Page 3 LAUNDRY Mr. McEwen reported on his discussions with Peter's Laundry regarding the CONTRACT contract and their agreement that we would pay for only one-half of replace- ment costs with an inventory on a weekly basis. The loss of inventory has declined over the past several months and a system of weighing laundry is being worked out. MANAGEMENT Mr. Carnevale asked the Board to consider the MAS again, stating that we- ADVISORY need to decide on someone to do the work of Phase II, possibly seeking bids SERVICE for the contract. After discussion, on motion made and seconded it was PHASE II VOTED TO RETAIN PRICE4VMM(XJSE TO DO PHASE II AS RECOMrETDED BY THE FINANCE COMMITTEE. DAY CARE The recent opening of the Day Care Center on February 12 was reflected by CENTER the Director and it was reported that we presently have seven patients with twentyt-one referrals from the vNA. E,UE CROSS- Mr. Affanato reviewed the negotiations with Blue Cross and the four sub- CONTRACT stantial changes in this addendum to be sent to Blue Cross. (see attached capsule version) Doctor Krukonis presented his reasons for urging the hospital to enter the contract, such as implementation of cardiac rehabilita- tion and the fact that it would open the door to other types of patients. Mr. Brophy discussed his plans for a high-level Blue Cross meeting which he is attempting to establish for the evening of March 1, notices to be forth- mining upon confirmation of the arrangements. OTHER BUSINESS RATE APPEAL Mr. Affanato explained that the appeal of our rate on the 5th floor for the period July 1, 1976 - June 30, 1977 was coning up shortly and that we are looking for a final rate on March 8, 1979. SALEM The recent vote of the Salem Hospital Board to relocate their outpatient HOSPITAL rehab department was discussed by Mr. Brophy. He asked the secretary to read VOTE into the meeting the attached letter to Mayor Levesque on this subject. (attached) Doctor Krukonis remarked that he could see two different viewpoints, noting that the combining of Salem Hospital's in and outpatients services was not done for purposes of expansion. He reported that the Presidents of the two Medical Staffs are working together regarding some coordination of the two services and that there is still a spirit of cooperation between the two hospitals. Regarding the filling of the Personnel Director position, Mr. Affanato stated that he will combine and update the position with Mr. Salvo's input. Meeting adjourned at 10:12. Respectfully submitted, APPROVED: r Executive Secretary Secretary, Board of Trustees