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March Board of Director Meeting

March 31, 2014

McCook, Nebraska—Community Hospital Board of Directors heard annual reports at the March 19 meeting for the Environment of Care and Emergency Management, as well as a fourth quarter Infection Control/Employee Health Report. They also heard an update on the Anderson Center for Radiation Oncology and reviewed thank you notes.

Review of Activities

Dari Olson, Safety Director, presented the Environment of Care and Emergency Management annual reports. Under safety management, she noted that the 99% of the employees attended their annual all-day inservice training last year and 97% of new hires received their department specific training within the required days of hiring. Both measurements met goal for the year. Work comp incidents, which were 11 for the year, were up by four from the previous year.

Under Security Management, there were only 11 security incidences reported for 2013, as compared to 31 reported for 2012. Staff participated in a Code Adam last month, testing the HUGS security system in the new patient wing. She said there was good staff response.

In the area of Hazardous Materials and Waste, Olson reported training was held three times in 2013. Decon team members now number 34 compared to 21 in 2012.

Sharon Conroy, RN, BSN, Infection Control/Employee Health Nurse, presented the fourth quarter Infection Control/Employee Health Report to the Board of Directors. She said there were no health care associated infections reported for the targeted surveillance on surgery patients who received bowel resections, hysterectomies and all implants 90 days and one year out. There were also no infections reported for Foley catheters and central lines for the quarter. She said Community Hospital’s surgical site infection rate is only 0.3%, compared to the national annual rate of four to six percent depending on the area. One hundred percent of Community Hospital staff either received their influenza vaccine or signed a declination to be compliant with Nebraska legislature LB458.

Radiation Oncology Center Building Project Update

Also under Review of Activities, Ulrich reported recent progress on the Radiation Oncology Center to the board of directors. The hospital is still on track to provide a consult for the first patient in early April, and receive radiation treatment in late April. Brick work on the front of the center was started last week. Community Hospital will receive a certificate of Occupancy soon.

Open house for the center is scheduled for Friday, May 16 from 2-4 p.m. The program will be about 45 minutes with brief tours to follow. The public is invited.

Consent Agenda

The directors approved the minutes for the February 19 regular meeting of the Board of Directors, and the February 12 regular meeting for the Medical Staff committee.

Action to be Taken

Appointments and reappointments were approved for a variety of providers under Consulting Medical Staff and Allied Health Staff privileges.

Also under Action to be Taken the board approved engagement letters with Seim Johnson for audits of Community Hospital’s 403b and 401a retirement plans.

Board Education

Directors received an update on an education opportunity through the Bryan Health Connect Lunch ‘n’ Learn which was held March 4 at Community Hospital.

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