Name of Observer: Judy Hucka
Observed Meeting: WhidbeyHealth Board of Commissioners Date of Meeting: July 18, 2024 Members present: James Golder, president; Ron Wallin, Gregory Richardson, Marion Jouas (virtual), Kate Rose Members absent: none Others present (staff, media, public): CEO Nathan Staggs, Dr. David Lemme, chief of medical staff (virtual), Dominic Symes. HealthTech EVP/Staffing Solutions & Chief Revenue Officer; Shanna Harney-Bates, Quality; Paul Rogers, CFO; John Gleason, administrative chief of staff. Others present (staff, media, public): Summarize the main issues discussed at the meeting: The meeting consisted solely of regular staff and status reports, and an executive session. No action or votes were taken after the executive session. Dominic Symes. HealthTech EVP, repeated a past comment that the hospital needs to be “ruthlessly vigilant” against cyberattacks. He noted that hospitals are the No. 1 target for cyberattackers right now, and they pose as financial personnel to gain entry. HealthTech is working hard to stay on top of this issue. The executive staff and board continue to watch finances carefully. The consensus seems to be that the hospital district is making gradual progress to getting on better sound financial footing, but is not completely there yet. There was also a comprehensive report on human resources activity, including hiring, terminations, and staff turnover. Turnover is much improved over past years. Difficulty in hiring medical staff – doctors and nurses – continues to be a challenge but also is improving gradually. , List any issues on the agenda relevant to any LWV state or local positions or programs: (League positions can be found here: e - LWV Whidbey Island) None Do you recommend local League action or study on any of these issues? N/A Was the meeting conducted in an open, business-like, and civil manner? Yes Consider the following questions and respond if relevant: Was the agenda made available prior to and at the meeting? Yes Did members adhere to the provided agenda? Yes Were any non-agenda items discussed? No Was there adequate discussion of issues? Yes Were any “Executive Sessions” called? Yes Was there adequate opportunity for public input? Yes Was background material available to the public? Yes, upon request Did any member recuse themselves during the meeting? No List any other concerns or observations: The board is very good about stating the purpose of executive sessions, clearly stating when they are coming back out of executive session, and indicating whether any action or votes will be taken when they come out of executive session. Observer E-mail: Judy Hucka Date submitted: 7/18/2024
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Name of Observer: Judy Hucka
Observed Meeting: Whidbey Health Board of Commissioners Date of Meeting: June 20, 2024 Members present: James Golder, president; Ron Wallin, Gregory Richardson, Marion Jouas (virtual), Kate Rose Members absent: none Others present (staff, media, public): CEO Nathan Staggs, Dr. David Lemme, chief of medical staff (virtual), Dominic Symes. HealthTech EVP/Staffing Solutions & Chief Revenue Officer; Shanna Harney-Bates, Quality; Paul Rogers, CFO; John Gleason, administrative chief of staff. Others present (staff, media, public): Vicki McFarland (spelling not confirmed), Whidbey Island resident. Summarize the main issues discussed at the meeting: The meeting consisted solely of regular staff and status reports. Of particular interest is always the Finance Report, given the financial problems the hospital district experienced a few years ago. The financial trends are mostly improving, though this warrants careful monitoring by our Observer Corps. According to CFO Paul Rogers: Patient volumes are up significantly, which is good. Of particular note are increases in newborns, indicating WI residents are using the hospital to deliver their babies, and outpatient visits, “our strong suit” according to Rogers. Gross patient revenues are up (“a record”) and May ended with a total revenue surplus of $768,000 (the first time in the black this year), long-term debt is down (though still high compared to industry benchmarks), accounts receivable are down (meaning the hospital is collecting money owed to it faster), cash on hand is improved. The overall Financial Strength Index rating is still negative and rated “poor,” “but is moving in the right direction.” Related to this, Moody’s recently downgraded the district’s bond ratings, but Rogers noted that the district may be able to improve its rating in 4-6 months. CEO Nathan Staggs noted that the hospital has added a net of 27 providers since Jan. 2023 and hopes to expand hours at pharmacies and walk-in clinics soon. He noted that wages are competitive, but lack of affordable housing is a challenge. Temporary “traveler” nurses are still required in some areas of the operation. List any issues on the agenda relevant to any LWV state or local positions or programs: (League positions can be found here: - LWV Whidbey Island) Do you recommend local League action or study on any of these issues? N/A If ‘yes’ what action do you recommend? Was the meeting conducted in an open, business-like, and civil manner? Yes Consider the following questions and respond if relevant: Was the agenda made available prior to and at the meeting? Yes Did members adhere to the provided agenda? Yes Were any non-agenda items discussed? No Was there adequate discussion of issues? Yes Were any “Executive Sessions” called? No Was there adequate opportunity for public input? Yes Was background material available to the public? Yes, upon request Did any member recuse themselves during the meeting? No If yes, for what reason? List any other concerns or observations: Observer E-mail: Judy Hucka Date submitted: 6/25/2024 Name of Observer: Robin Porter
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