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SHAUGHNESSY REHAB HOSPITAL - BOARD OF TRUSTEES MEETING MINUTES JUNE, 1979 aDRJ. T SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL MEETING OF THE BOARD OF TRUSTEES June 26 , 1979 The June meeting of the Board of Trustees was held in the Board Room on Tuesday, June 26, 1979. The meeting was called to order at 5:20 p.m. , Mr. Brophy presiding. Trustees present were: Messrs. Brophy, Blenkhorn, Carnevale, Noonan, Pelletier, Richard and St. Pierre; Doctors Kaplan and Shaughnessy; Mesdames Norton and Moulton. Also present were Messrs. Affanato, Arnold and Centorino, and Doctor Krukonis. Absent were Mrs. MacDonald and Mr. Jennings. 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 ON 14AY 15, 1979. REPORTS FINANCE Mr. Carnevale reviewed the financial statement for the month ended May 31, C9 -TTTEE 1979, showing total patient revenue at $297,712 over budget with expenses $43,807 under budget. Schedule of cash receipts and disbursements indicates an excess of $534,233 -in cash receipts over disbursements. Accounts Receivable for the eleven months are definitely up at $1,080,881, partially because of increases in our costs and the billings for the Day Care Center. It was suggested that Day Care items be separated out as to which are patient services and which are transportation services. On motion made and seconded, it was VOTED TO ACCEPT THE FINANCIAL REPORT FOR THE MONTH ENDED MAY 31, 1979. MEDICAL Doctor Krukonis reported on medical staff items requiring Board approval STAFF as follows: (1) Amendment to Article 4 of the Medical Staff Bylaws regarding contractual arrangements between the Paid Hospital Physician (Medical Admissions Coordinator) ; (2) Acceptance, with regret, of the resignation from the Medical Staff of Sabin S. Levenson, M. D.; and (3) Approval of Medical Staff audits on Use of Diuretics and the Re Audit of the Outpatient Department. After sane discussion and explanation, on motion made and seconded, it was VOTED TO ACCEPT THE RECOMMENDATIONS OF THE MEDICAL STAFF REGARDING THE AMENDMENT TO ARTICLE 4 OF THE BYLAWS, THE RESIGNATION OF SABIN S. LEVENSON, M. D. AND THE APPROVAL OF THE AUDITS ON USE OF DIURETICS AND RE AUDIT OF THE OUTPATIENT DEPAMENT. Minutes a Board of Trustees June 26, 1979 - Page 2 STANDING COMMITTEE REPORTS BUILDING & Mr. Pelletier reported that housekeeping was in good order. Problems in SPACE maintenance areas continue to be with the ventilating system and that the COMMITTEE landscaping should be made to match the Salem Hospital grounds with more woodchips and ivy planted. It was suggested that Mr. Foley of the Park Department might plant the missing tree in the road if we purchase it with hospital funds. HUMAN Miss Norton reported on the meeting of her committee held on May 30, at which RESOURCES three candidates were chosen for the Director of Personnel, namely Mr. Keller, CORUTIEE Miss Bouchard and Mr. Corrigan. After discussion it was moved, seconded and VOTED THAT THE PRESIDENT DIRECT A LETTER TO THE MAYOR INDICATING THAT IN VIEW OF THE INVESTIGATION OF THE CANDIDATES, WE WOULD LIKE HIM TO CONSIDER THE FIRST CANDIDATE SELECTED BY THE COMMITTEE, FOR APPROVAL BY THE CITY COUNCIL. On motion made and seconded it was VOTED TO ACCEPT THE STANDING CODM7ITEEE REPORTS. UNFINISHED BUSINESS RATE Mr. Affanato reported that a mare favorable computation has come down from SETTING Rate Setting which includes dietary, and that we are being compared to the Martha's Vineyard Hospital which is a.hospital-based SNF unit. D- .TOR OF Mr. Affanato reported that the comni_ttee would be interviewing four candidates F1--AL for this position following the meeting and that the results of these interviews SERVICES would be transmitted to the Trustees. LAUNDRY Mr. Carnevale reviewed the laundry contracts received, stating that Peter's CONTRACT Laundry was again the low bidder but that we would need to add to the contract the fact that replacement costs would be his costs. After further discussion, it was moved, seconded and VOTED TO ACCEPT THE BID OF PETER'S LAUNDRY AS THE LOWEST BID, INCLUDING IN THE CONTRACT.THAT REPLACEMENT COSTS WERE TO BE BORNE BY PETERS, WITH LOSSES IN EXCESS OF 15% TO BE NEGOTIATED. $700,000 The separate account established recently for the hospital by the City Council REVOLVING was discussed. Mr. Affanato explained this account would enable us to see ACCOUNT what happens to the revenue generated by the hospital, and that the $700,000 appropriated by the Council for this purpose was from our own budget. NEW BUSINESS VAN Convents about the use of the van were aired and the fact that the Auxiliary USAGE was concerned that the van was not actually being used for the purpose for which it was intended, especially since the start of the Day Care Center. Mr. Noonan requested that copies of the log used by the van driver be made available to the Board. GRANTS The availability of grants from HEW under the Domestic Assistance Catalog which is available in the Planning Department of the City was discussed by Mr. Noonan. A motion was made and seconded and it was VOTED THAT THE DIRECTOR CONSULT THIS CATALOG (Page 315, Section 13, #624) CONTACT THE REGIONAL OFFICE AND REPORT TO THE FINANCE CCMMITIEE WITHIN TWO TN=S AS TO THE AVAILABILITY OF GRANTS. e Minutes - Board of Trustees June 26, 1979 - Page 3 JCAH Doctor Shaughnessy questioned the fact that JCAH had not as _yet visited the hospital for an inspection. After discussion it was moved, seconded and VOTED THAT THE TRUSTEES INSTRUCT THE ADMINISTRATOR TO PROCEED D4 EDIATELY TO HAVE THE JCAH INSPECT THE HOSPITAL. SERVICE- Mr. Affanato announced that the present contract with Servicemaster would MASTER expire on August 1, 1979, but they had given us a breakdown of costs to CONTRACT continue the contract for five years. Mr. Noonan stated that in the interests of the City we should go out to bid on this contract. After discussion, it was moved, seconded and VOTED THAT THE HOSPITAL GO OUT TO BID FOR THE MAINTENANCE,HOUSEKEEPING, GROUNDSKEEPING & SECURITY SERVICES. The President explained that no meetings were scheduled for July or August but that special meetings may be called because of the items of business which are still pending. Meeting adjourned at 7:45. Respectfully submitted, APPROVED: Executive Secretary Secretary, Board of Trustees