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SHAUGHNESSY REHAB HOSPITAL - BOARD OF TRUSTEES MEETING MINUTES APRIL, 1979 aDIROBERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL MEETING OF THE BOARD OF TRUSTEES April 24, 1979 The April meeting of the Board of Trustees was held in the Board Room on Tuesday, April 24, 1979. The meeting was called to order at 7:20 P. M. Mr. Brophy presiding. Trustees present were: Messrs. Brophy, Blenkhorn, Carnevale, Noonan, Pelletier and Richard, Doctor Kaplan, Mesdames MacDonald, Moulton and Norton. Also present were Messrs. Affanato, Centorino, McEwen. and Doctor Krukonis. Absent weml-Ir. Jennings, Mr. St. Pierre and Doctor Shaughnessy. MINUTES OF THE PREVIOUS MEETING Upon motion duly made and seconded it was VOTED TO APPROVE THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES HELD MARCH 20, 1979. REPORTS FT ICE Reporting on the meting of the Finance Committee, Mr. Carnevale presented the .Co-,JVIITITEE following motions which had been passed: 1. That the new policies and procedures manual for the storeroom be implemented; 2. That the laundry contract be put out to bid with bias to be returnable to the Finance Committee, to be opened at a meeting; 3. That charges on all floors, including Day Care and van charges be modified, taking the place of an increase in 1980, and as allowed by Rate Setting Cam ission. After discussion, on motion made and seconded it was VOTED THAT THE ABOVE LTLREE RECOr14ENDATIONS OF THE FINANCE COMMITTEE BE APPROVED. MR. McEfATEN'S Mr. Carnevale read a letter directed to him from Mr. McEwen, resigning his RESIGNATION position as of May 18, 1979. On query of Mr. Noonan, Mr. McEwen discussed municipal and management constraints. It was the concensus of the board that Mr. McEwen had done a very good job and a motion was made and seconded that the Board not accept Ms. McEwen's resignation. The motion was amended to add that Mr. McEwen be informed that the Board is absolutelv satisfied with what he is doing. Mr. Noonan suggested that there be a meeting between Mr. McEwen and Mr. Brophy. Mi ut - Board of Trustees ri 24 , 1979 - Page 2 F e financial report for the month ended March 31, 1979, was presented by REPORT Mr. McEwen. Exhibit A shows total patient revenue ahead for the year in the amount of $576,000. The patient services expense is over by $18,000 due to a five-week month, while the nine months ended March 31, 1979 is $292,000 under budget. Cash receipts for the nine months are $453,497 in excess of dis- bursements. Accounts receivable are up $55,000 for the month. Statistics show that we have provided 1,056 more days than we had anticipated and ancillary services are over by 7,998. Total deficit incurred by the hospital for the nine months is $214,752 and we are still projecting a loss of between $400,000 and $500,000 for the fiscal year. On motion made and seconded the FINANCIAL REPORT UAS ACCEPTED AS PRESENTED. (see attached statements) MEDICAL Doctor Krukonis reported for the Medical Staff on the resignation of Doctor STAFF Cutler, the two physicians interested in the Hospital Physician position, and REPORT donation of $2400 which the staff plans to make. He reported that the Hos- pital. Physician would be .responsible for refining of the admissions criteria and asked for cooperation in finalizing the position of Medical Director for the SNF floor. On motion made and seconded the REPORT OF THE MEDICAL STAFF VMS ACCEPTED. STANDING CObMITI`EE REPORT'S There was no report for the Fund Raising Committee. NURSING Mrs-Moulton reported for the Nursing Committee on the following problems: CO_P4MITTEE (1) use of the van for Day Care patients; (2) timeclock; (3) location of morgue, with suggestion that we ask Salem Hospital for use of their facilities; (5) housekeeping improvement; (6) location of patient wardrobes; (7) use of corkboards in patient rooms; (8) need for public relations; (9) need for additional R.N.s for the summer; (10) change of workweek. TIMECIACK Discussion followed regarding use of the timeclock and after lengthy controversy, on motion made and seconded it was VOTED THAT ALL HOSPITAL PERSONNEL, WITH THE EXCEPTION OF THE FOUR DIRECTORS, SHOULD PUNCH THE TIMECLOCK, BEGINNING ON MAY 13, 1979. Miss Norton was recorded as opposed. HUMAN Miss Norton reported on her meeting of March 23, to review the position of RESOURCES Director of Personnel and Public Relations and to interview Mr. Salvo, and COMMITTEE on the subsequent meeting with the Mayor. She reported that the Mayor has approved the filling of the Personnel Director position, but at the old salary level. Mr. Salvo has rejected the offer and the committee plans to refine the job description, advertise, and interview new candidates. BUILDING & Mr. Richard reported that on his recent inspection of the hospital he found SPACE lack of ventilation in certain areas of the rehab department and some problems COMMITTEE with polishing of the stainless steel. He sulm arized by stating that the hospital as a whole showed improvement. NOMINATING The Nominating Committee reported on their meeting of April 24, that they COAM'LZTTEE had chosen to renominate Mr. Jennings, Mr. Richard and Mr. Blenkhorn, Mesdames MacDonald and Norton. For the two vacant positions, the proposed the following candidates.: Nicholas Xanthaky, William Quinn, Robert Cushman, Alexander Michaud and Arthur Bouffard. r vSS in es - Board of Trustees Ap 1 24 , 1979 - Page 3 On motion made and seconded it was VOTED TO ACCEPT THE RECOP*ENDATIONS OF THE NOMINATING COMMITTEE AND TO REFER THEIR REPORT TO THE MAYOR FOR ACTION. JOB DESCRIP- Mr. Affanato reviewed the job descriptions for the directors of the TIONS hospital, stating that he had been revising and updating them. His revisions are to be submitted to the Human Resources Committee for dis- cussion at the May meeting of the Board. PRICE- A review of the Price-Taterhouse project was presented by Mr. 14cEwen. WATERHOUSE The Phase I Report -- a limited review of operations and identification of information needs - has been submitted with recommendations and a timetable for implementation. The Business Office portion should take no longer than ninety days to complete, while the rest should take no longer than six months. Mr. Affanato expressed his appreciation to Price Waterhouse for a job well done, stating that he would not hesitate to rec- cennend them to other hospitals. BLUE CROSS Mr. Affanato announced that the Blue Cross contract had arrived and that a copy had been presented to the Mayor. Attorney O'Leary has reccm-ended that we contact Blue Cross to assure that the contract runs at least twelve months with a review at six months. Also a confirmation has been received from Blue Cross regarding the addendum to the CR-1 contract covering reim- bursement for outpatient physical therapy, effective May 1, 1979. A motion was made and seconded and it was VOTED THAT THE BO?1M OF TRUSTEES HAS ACCEPTED THE CR-1 CONTRACT AND ADDENDUM AS STIPULATED BY BLUE CROSS AND IT IS OUR IN- TENTION TO SIGN THE CONTRACT BINDING BOTH PARTIES UNLESS WE ARE ADVISED TO THE CONTRARY BY EITHER THE MAYOR OR THE LEGAL DEPARZiENT. THE SIGNING OF THE CONTRACT TO TAKE PLACE ON OR BEFORE MAY 4, 1979. RATE SETTING Mr. Affanato reported that our attorneys had met with the Rate Setting Camnission and that we have gone from a SNF rate of $40.27 to $48.16 interim rate and a final rate of $51.86 for the year 1977. Mr. Carnevale asked that Mr. McEwen be specifically included in all dealings with the Rate Setting and particularly concerning the retroactive charge from Welfare regarding 1976. NEU] BUSINESS A donation of $1500 from Parker Brothers to the Friends of Shaughnessy Hospital was announced. This is an unrestricted donation and may be matched by equal funds from General Mills. Mr. Affanato distributed an A.H.A. paperbound publication he had ordered for all board members entitled "Hospitla Trustee Development Program", suggesting that it might be of assistance to the trustees in their role. The meeting was adjourned at 10:17 p.m. Respectfully s.:',c:i.tted, APPROVED Lz ' Executive Secretary Secretary, Board of Trustees