SABINE COUNTY HOSPITAL DISTRICT
BOARD OF DIRECTORS
MEETING MINUTES

December 20, 2010

The Sabine County Hospital District Board of Directors met in Regular Session on Monday, December 20, 2010 at 5:30PM in the Sabine County Hospital Board Room 167.

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

Absent
Dr. Lana Comeaux, Member

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

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

II.	Mr. Willis opened the meeting with prayer. 

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

IV.	Mr. Willis moved to accept the consent items and financials. Mr. Barnett seconded the motion.  Motion carried.

V.	The next regular board meeting will remain as scheduled on January 24, 2011. No action taken.

Mr. & Mrs. McNaughten arrived at 5:34 pm.

VI.	A payment of $29,351.91 was made towards the Out Patient Upper Payment Limit Program.  According to Mrs. Taylor, Sabine County Hospital will in turn receive $83,286, resulting in a net gain of $53,934.09 for Out Patient expenses. The payment will offset the Hospital District’s regular payments to Preferred Management. Mrs. Taylor then stated to date, inpatient census for 2010 is averaging 2% higher than in 2009. As of the end of November inpatient days equaled 1,189 with an average of 108 per month and an average length stay of 3.3 days.  Outpatient visits for the year are averaging 531 per month with the Emergency Room seeing an average of 306 patients per month.  With no major deficiencies, Sabine County Hospital participated in an Emergency Room Trauma Survey during November.  Towards the end of November, a double board certified physician conducted a site visit as part of Preferred Management’s attempt to recruit a physician. Mrs. Taylor says their plans are to enter into a retained agency search beginning in 2011 to find a physician for the community. Laura Crowell, LVN, has been named the new Clinic Manager.  Continuing Mrs. Taylor explained that evaluations have begun concerning bids received for medical records dictation systems, hospital telephone services and colonoscopy equipment.  Mr. Willis moved to accept the reports.  Mr. McNaughten seconded the motion. Motion carried.

VII.	Discussion of the Out Patient UPL payment was conducted during the Hospital Administrator’s Report. No Action.

VIII.	Mr. Willis suggested having the Board Members’ Texas Public Funds Training, during one of their regular monthly meetings. He stated the necessary criteria could be met within thirty to forty-five minutes. According to what Mr. Willis learned during training, it is necessary for the Hospital District to adopt Public Funds Investment Policies and Procedures.  A draft was offered to Board Members to be discussed and potentially adopted during the next regular meeting. No Action Taken.

IX.	After reviewing the 2011 Texas Hospital Association Conference Agenda, no Board Members felt it necessary to attend.  Mrs. Taylor then mentioned that she will be attending the conference.  She will bring back any material she thought would benefit the Board.  No Action Taken.

X.	With all the changes in the healthcare system and with the Texas Organization of Rural and Community Hospital’s (TORCH) concentration on hospitals like Sabine County, Mr. Yocom and Mr. Willis expressed interest in attending the 2011 TORCH Conference in Dallas, Texas on April 6 - 8, 2011.  Once the agenda for the conference is available, Board Members will revisit their plans to attend. No Action Taken.

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

XII.	After much discussion, Board Members determined more information is necessary before a decision can be made on the Sabine County Hospital District’s Depository. Specifically, Mr. Willis will obtain the previous six month’s return on sweep accounts from First Bank & Trust East Texas and Sabine State Bank to compare during the January 24, 2011 meeting. Mr. Barnett moved to table until the next regular meeting.  Mr. McNaughten seconded the motion. Motion carried.

XIII.	There is no new information concerning an Adult Day Care Service Facility. No action taken.

XIV.	Mr. Yocom moved to go into executive session.  Mr. Willis seconded the motion. The meeting went into executive session at 6:25 p.m.

XV.	The meeting returned to regular session at 6:38 p.m. with no action taken as the result of the executive session.

XVI.	Other than wishing each other a Merry Christmas, no Board Members had additional comments.

XVII.	Meeting adjourned at 6:40 p.m. 

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