SABINE COUNTY HOSPITAL DISTRICT
BOARD OF DIRECTORS
MEETING MINUTES

September 27, 2010

The Sabine County Hospital District Board of Directors met in Regular Session on Monday, September 27, 2010 at 5:30PM in the Sabine County Hospital Board Room 167.

Present
Phil Yocom, President
Earl Willis, VP & Treasurer
Joe McNaughten, Secretary
Dr. Lana Comeaux, Member
Richard Barnett, Member at Large
Becky Pardue, Office Manager

Others Present
Diana Taylor, Hospital Administrator
Duane Keating, Attorney 
Danielle Ebarb, Sabine County Reporter

I.	President Yocom called the meeting to order at 5:30 p.m.

II.	Mr. Barnett opened the meeting with prayer. 

III.	With no members of the public present for comment, Mr. Yocom continued the meeting.

IV.	Mr. Willis asked Mr. Keating for clarification on the District’s bid requirements for any form of insurance. Mr. Keating will get the specific language to Mr. Willis. Mr. Barnett moved to accept the consent items and financials. Mr. McNaughten seconded the motion.  Motion carried.

V.	Mrs. Taylor expects September to have the largest inpatient census this year.  The percentage of Medicare Inpatient Days has increased from 59.3% of all Inpatient Days in 2009 to 72.1% in 2010 as of the end of August.  Mrs. Taylor also reported the Hospital’s roofing project is complete and the intercom system has been upgraded.  Also, the number of clinic and ER visits are continuing to increase. In a meeting with the ER providers, Preferred has proposed the Hospital start recruitment efforts for an additional M.D. to join Sabine County Hospital’s staff.  All providers agreed that the focus of the position should be for an additional Family Practice or Internal Medicine provider with ER and Pediatric experience. According to Mrs. Taylor, due to Dr. Luther and Laura Crowell’s visits to specialists in Lufkin and Nacogdoches, several new admissions have been made into the Swing Bed Program.  In October, Mrs. Taylor, Shirley Naquin and Laura McCroskey will offer a presentation to the Case Managers from Memorial Hospital in Lufkin to encourage rehabilitation patients be sent to Sabine County Hospital’s Swing Bed Program.  Mrs. Taylor also mentioned that on October 8, 2010, the Hospital will have a changeover of Pharmacy Management.  Glynn Perry RHP, from Preferred Management, will assume the director position.  Two additional Pharmacy Techs will be serving as back-up to the existing Pharmacy Tech to insure 24/7 coverage at all times.  Continuing, Mrs. Taylor mentioned 24 hand-washing units have been installed in the Hospital’s hallways to increase infection control practices. Martha Dickerson, former Housekeeping Supervisor, has decided to retire. As a result, Tina Smith is now Supervisor and is doing a fantastic job. In comparison with the other four Preferred Managed hospitals, Sabine County Hospital has the smallest percentage of accounts receivables over ninety days old with an average of 32.04% and the least amount of gross days in accounts receivable with an average of 53.84 days.  Mrs. Taylor attributes those successes to the hard work of Margret Moore.  Also, employee appreciation day was a success. Tentatively, all of the Hospital’s department heads along with representatives from Preferred’s corporate staff will have a long range planning session at Cypress Bend, at the end of October. No Action Taken.

VI.	Mr. Barnett suggested keeping the regular Board Meeting dates of October 25, 2010 and November 22, 2010 and changing December’s meeting to the 20th due to the holidays.  Mr. Yocom moved accept Mr. Barnett’s proposal. Mr. McNaughten seconded the motion. Motion carried.

VII.	Mr. Yocom mentioned to the Board that Sabine County Hospital’s Depository with Sabine State Bank has expired.  Mr. Willis moved to request bids from local banking institutions for a new depository contract.  Mr. Barnett seconded the motion. Motion carried.  

VIII.	There is no new information concerning the shelter of last resort. No action taken.

Dr. Comeaux arrived at 5:46 p.m. 

IX.	Board Members noted no ad was found in The Sabine County Reporter following the August 23, 2010 Board meeting.  Mr. Willis moved to entertain bids from the public to trim trees (minimum eight (8) feet off the ground) on the land located between the Sabine County Hospital and the Hemphill Family Medicine Office. Once job is complete, the clean up and safe burning of debris would be required. Bids must be submitted to the District Office no later than October 21, 2010. Mr. McNaughten seconded the motion. Motion carried.
 
Board went into recess at 5:54 p. m. 

X.	Upon return of all Board Members at 6:00 p. m., Mr. Yocom moved to go into executive session.  Mr. Willis seconded the motion. The meeting went into executive session at 6:01 p.m.

XI.	The meeting returned to regular session at 6:16 p. m. with no action taken as the result of the executive session.

XII.	Board Member Comments:
Mr. McNaughten: none
Mr. Willis: Discussed with Mr. Keating the District’s Liability Insurance with Preferred.  He then asked that discussion be added to next month’s agenda to include the District’s Liability Insurance and the District’s Worker’s Compensation Insurance in association with bid requirements.
Dr. Comeaux: Would like to discuss ways to add funds to the Dr. Grover C. Winslow Scholarship Fund.  She would also like to discuss ideas for services to autistic children in our community.
Mr. Barnett: none
Mr. Keating: none
Mr. Yocom: none  

XIII.	Meeting adjourned at 6:21 pm.

_________________________________                 ___________________________________
Phil Yocom, President				Joe McNaughten, Secretary
Sabine County Hospital District			Sabine County Hospital District
Board of Directors 					Board of Directors