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SHAUGHNESSY REHAB HOSPITAL - BOARD OF TRUSTEES MEETING MINUTES SEPTEMBER, 1979 DR. R ERT SHAUGHNESSY CHRONIC DISEASE/REHABILITATION HOSPITAL MEETING OF THE BOARD OF TRUSTEES September 18 , 1979 The September meeting of the Board of Trustees was held in the Board Room on Tuesday, September 18, 1979. The meeting was called to order at 7:05 p. m. , Mr. Brophy presiding. Trustees present were: Messrs. Blenkhorn, Brophy, Carnevale, Jennings, Noonan, Pelletier, Richards and St. Pierre; Doctors Shaughnessy and Kaplan; Mesdames MacDonald, Moulton, Norton and Sullivan. Mr. Brophy opened the meeting with an introduction of Mrs. Christine Sullivan, newly appointed Trustee, to the members present, as well as Mr. Louis Kausel, newly appointed Director of Fiscal Services. MINUTES OF THE PREVIOUS MEETING Reviewing the minutes of the meetings of June 26, 1979 and July 24, 1979, the President reminded the Board that it is the prerogative of the Board to ask questions about the minutes and that they should be aware that a vote to accept the minutes is a vote in agreement with its contents. Thereafter, upon motion duly made and seconded it was VOTED TO APPROVE THE MINUTES OF THE MEETINGS OF JUNE 26, 1979 AND JULY 24, 1979 AS WRITTEN. The President reviewed the minutes of the meeting of August 13 with members of the Board, staff, our attorney and account and Blue Cross representatives wliich was held in preparation for a meeting before Rate Setting scheduled for August 22. It was the President's feeling that the hospital was not well prepared to appear at this hearing regarding our capabilities to provide the services under the CR-1 contract. At this meeting Mr. O'Leary brought to our attention House Bill 6430 which if passed by the House and Senate would force Blue Cross to provide us with the same contract as is held by the acute hospitals. It was the attorney's feeling that we should not sign the contract at the present time, awaiting the outccme of this bill, as we would be bound by the terms of the CR-1 contract. The third reading of the bill was scheduled for September 17, but we have not heard anything as yet. Mr. Carnevale added that Blue Cross was presently putting together an alterna- tive to this bill which might be worthwhile. REPORTS FINANCIAL The,Treasurer reviewed the Financial Statement for the year ended June 30, REPOR.P 1979. The Income Statement indicates a deficit of $176,065 for the year, as ccupared to $866,302 for last year, which indicates a significant improve- ment. The Schedule of Revenue shows actual revenue of $6,396,000 as compared to last year's figure of $5,455,000, indicating increased volume as well as aute rd of Trustees 1979 - Page 2 an increase in rates. Mr. Carnevale indicated that a breakdown had been done of the Day Care revenues, that the Finance Ccumttee had reviewed it and was satisfied with it. ' Total expenses for the year were $4,437,805 which was under budget by $289,032. The Schedule of Cash Receipts and Disbursements shows a total of $4,738,144 received for the year and $4,456,054 disbursed, leaving an excess of $282,090 for the year in cash. Last year resulted in a deficit of $287,000 on the cash basis. The Accounts Receivable Summary showed a balance of $1,419,766 at the end of the year. Mr. Carnevale indicated that monies such as the $143,270 due from Medicaid Rate Adjustment and the state running out of money were res- ponsible for this figure being unrealistically high. BAD DEBTS Reviewing the Schedule of Bad Debts, Mr. Carnevale reported that they had been reviewed by the Finance Committee who had voted to write off $188,565 and to put these accounts out for collection. This would be a direct reduction on our receivables balance. Mrs. Sullivan asked whether Hill-Burton monies were written off on bad debts. Mr. Kausel replied that they were not written off, but were a deduction. He also stated that the policies governing Hill-Burton were being revised and that he would prepare an update for the next meeting. MEDICAL In the absence of the President of the Medical Staff, the Secretary reported STAFF that there was an item on the agenda for the upcoming Quarterly Medical Staff meeting scheduled for September 20 which requires Board action, the approval of various physicians for medical staff membership. After discussion, ON MOTION MADE AND SECONDED IT WAS VOTED THAT SUBJECT TO THE APPROVAL OF THE MEDICAL STAFF, THE FOLLOWING APPOINTMENTS BE CONFIRMED: William P. Adams, M. D. Associate Staff with privileges in Surgery Frederick O. Buckley, Jr. , M. D. Active Staff with privileges in Surgery James J. DiResta, D. P. M. Consulting Staff with privileges in Podiatry William J. Goldman, M. D. Active Staff with privileges in Internal Medicine Murray J. Goodman, M. D. Active Staff with privileges in Orthopedic Surgery Maurice Greenbaum, M. D. Active Staff with privileges in Internal Medicine. Roger Mason, M. D. Active Staff with privileges in Surgery f1� ute - Board of Trustees ep r 18, 1979 - Page 3 STANDING COMMITTEE REPORTS BUILDING & SPACE Mr. Pelletier reported that he had been in contact with Mr. Foley of COMMITTEE the Park Department who has agreed to provide us with two park benches and that he would replace the missing tree from the median strip in the road, with the cost of the tree to be billed to the hospital. NURSING There was no report from the Nursing Committee. COMMITTEE NOMINATING Mr. Richards reported that the Nominating Committee had met and submitted COMMITTEE the following slate of officers for the year 1979-1980: President: Robert S. St. Pierre Vice President: Effie MacDonald Treasurer: Anthony Carnevale Secretary: Mildred Moulton It was moved and seconded that the nominations be closed. It was then VOTED THAT THE NOMINATIONS BE CLOSED. On motion made and seconded, it was VOTED THAT THE SLATE OF OFFICERS PRESENTED BY THE NOMINATING COMMITTEE BE ACCEPTED BY THE BOARD OF TRUSTEES. FUND RAISING Reporting for the Fund Raising Committee, Mrs. MacDonald stated that the CODMLIT'i Auxiliary planned to donate $1,200 to the Rehabilitation Department for an exerciser, $1,200 to the Recreation Department and $200 for pedals for the Nursing Department. ITUMM RESOURCES Miss Norton reported that a new Director of Volunteers had been selected COMMITTEE by the new Personnel Director and that Mr. Kausel was the last person selected by her ccmmittee and he had just come aboard this week. SALEM HOSPITAL Mr.Noonan reported that the Salem Hospital Board had reconvened recently but that he had no report. On motion made and seconded it was VOTED TO ACCEPT TI- STANDING COMMITTEE REPORTS. UNFINISHED BUSINESS Reviewing the status of the Executive Director's position, Mr. Brophy reported that he had spoken with our attorney, Mr. Quinn who stated that negotiations were underway and that he expected to report some progress in the near future. He stated that he anticipates a chance to review a draft of the offer prior to the offering. Some concern was expressed about the legality of the Board's operating the hospital under the con- ditions existing. Mr. Jennings summarized the situation by stating that there were only two ways to go: (1) to proceed to negotiation or (2) to proceed to go to court. It is his opinion that we have not allowed a Board of Trustees 18, 1979 - Page 4 a sufficient amount of time to get a response. BLUE CROSS Referring to the study which was requested by Mr. O'Leary in preparation for going before Rate Setting on the Blue Cross contract, Miss Dumont presented her report which is attached. Mr. St. Pierre requested that Miss Dumont acquaint Mr. Affanato with her study as he might be asked to work as a consultant on this matter. Summarizing her report on utilization of the hospital, Miss Dumont stated that it was apparent that we were not seeing the Blue Cross type of patient, and that there was a routine for these rehabilitation patients to go first to an acute hospital and then to one of the other rehabilita- tion hospitals for a period of time. Doctor Woll stated that in reviewing these studies he sees that the Blue Cross CR-1 contract offers this hos- pital little or nothing and is very unrealistic. He made a very strong appeal that we go slowly on this contract and bide our time to see what is happening in the Legislature. He complemented Miss Dumont on the excellence of her report. PERFORMANCE Mr. Brophy reported that he had asked Mr. Affanato to fill out a Performance APPRAISALS Appraisal form which he had provided for Miss Dumont, Doctor Woll and Mr. 4 Corrigan. He read the memorandum received from Mr. Affanato (attached) and requested the Secretary to send copies of these appraisals together with the suggested forms to each Trustee in preparation for review at the October meeting. TIME CLOCKS Time clocks were discussed as well as the recent article in the Salem Evening News announcing that clocks had been purchased and it was anti- cipated that all union personnel would soon be required to punch. It was agreed that the hospital should wait to see what the directive is from City Hall regarding time clocks. OLD BUSINESS SERVICEMASTER Mr. Brophy reported that he had received a new contract from Servicemaster along with a letter stating that-it was their intent to keep Mr. Greene at the hospital for at least one year, although their legal department did not deem it proper to include this in the contract. Copies of the contract are to be distributed to the Finance Committee for approval at the next meeting. Mr. Brophy, outgoing President, expressed his appreciation to those present for their considerable efforts, guidance and direction during the term of his presidency. The meeting was turned over to the incoming President, Mr. St. Pierre, who welcomed the new Trustee, Mrs. Sullivan, and said he looked forward to working together with both old and new Trustees. 1 There being no futher business, the meeting was adjourned at 8:30. Respectfully s t�,�_tt , APPROVED: