Interim CFO Tim Powers presented the financial report for February and March 2020 to the HGH Board of Trustees.
Interim CFO Tim Powers presented and explained the February and March 2020 financials. CFO Powers believes good strides are being made with the Cerner system implementation. He reviewed patient days, admits, daily average census and AR aging. Board Secretary Miller suggested a board meeting be scheduled as soon as possible to go over the financial numbers. Board Chairman JoAnn Casalez suggested a meeting at 5:30 p.m. Tuesday May 5, 2020, and every two weeks thereafter. Trustee Ken Tipton asked about additional expenses due to the COVID-19 pandemic and if some of those expenses will be reimbursed with the stimulus payments. CFO Powers explained how the COVID expenses are being accounted for. To date, $900,000 has been received from CARES Act funding. Administration will begin working on the interim cost report tomorrow. Chairman Casalez asked board members to send her an email with any questions they may have for the budget meeting. CEO Cole advised the state is expecting final budgets to be sent in at the normal time.
Business Items-Other Reports
1. Hospital Administration-IT/ proposal to purchase Panasonic recorder-controller and software for security video recording in the amount of $19,517.91/ IT-Administration - CEO Cole requested this item be tabled. No action was taken.
2. Hospital Administration-IT/ proposal to enter into an agreement with Triyam healthcare data management solutions to extract, convert and archive existing EHR systems medical records data into the new Fovea medical records archival system for a project fee in the amount of $56,945 and license and maintenance fees in the amount of $2,283 per month/ IT-Administration - COO Love advised it will cost approximately $300,000 to continue with Medhost, which is not feasible. The prices for the proposed new archival system are more economical. Trustee Tipton asked if Medhost can be terminated right away. COO Love responded Medhost will be in use until December 31, 2020. Trustees unanimously approved the purchase of healthcare data management solutions to extract, convert and archive existing EHR systems medical records data into the new Fovea medical records archival system for a project fee in the amount of $56,945 and license and maintenance fees in the amount of $2,283 per month from Triyam as presented.
3. Hospital Administration / proposal to enter into an agreement with Nevada News Group for promotional and advertising services in print media in the sum of $450 per week and in broadcast media in the sum of $3,000 per month / Administration - This item was tabled. No action was taken.
4. Hospital Administration / proposal to enter into an agreement with Care Adopt for telepsychiatric evaluation, medication management and collaborative care management services / Administration - Practice Administrator Johnson said various options for psychiatric services have been considered and all are expensive. Johnson said there is a significant need for the services and the proposed care adopt services are low compared to others. The community will be well served even though it is not a money maker. Trustee Gene Hunt asked how quickly the services can be obtained. Administrator Johnson advised they can be in place by the end of May. Trustees unanimously agreed to enter into an agreement with Care Adopt for telepsychiatric evaluation, medication management and collaborative care management services as presented.
5. Hospital Administration / proposal to enter into an agreement with Danny J.Sayegh, MD, to provide family practice, nursery call and other medical services / Administration - CEO Cole provided a background on Dr. Sayegh and noted CNO Cushway previously worked with Sayegh in Las Vegas. One provider was out when the COVID-19 restrictions were put in place and it was unknown if other physicians would be affected. CEO Cole asked Sayegh if he would be interested in working on a temporary basis for six months to provide needed services and to see if he fits with the organization. If Sayegh works out, it may be an opportunity to stop using other locums. Trustees unanimously agreed to enter into an agreement with Danny J. Sayegh, MD, to provide family practice, nursery call and other medical services as presented.
6. Hospital Administration-Finance / proposal to authorize certifications of the validity of accelerated payment requests from the Medicare remittance program / CFO-Administration - Controller Kim Plummer advised that due to the COVID emergency legislation, the district is able to request an advancement on Medicare payments, but the advance funds will have to be paid back. The certifications authenticate the validity of the accelerated payment requests. Trustees unanimously agreed to authorize certifications of the validity of accelerated payment requests from the Medicare remittance program as presented.
All board members thanked and expressed appreciation for the efforts of the staff in dealing with the challenges created by the COVID-19 pandemic.
Trustee Hammargren said he welcomes the return of elective surgeries and he encourages people to come back to the hospital.
Chairman Casalez thanked interim CFO Powers for his department's efforts to implement the Cerner system.