Brookings Health System
Board of Trustees
Minutes of Meeting
April 24, 2023
The Brookings Health System Board of Trustees held a meeting on April 24, 2023, at the SDSU Foundation/Alumni Center in the Jensen-Smith Board Room with the following members present: Dick Peterson, Sheila Anderson, Lynn Darnall, Tracy Greene, Don Greiner, Mary Anne Krogh, David Meyer; Ex-officio: Brianna Doran and Ryan Krogman
Absent: Jim Morgan, Andrew Ellsworth
Management Present: Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO and Sheri Wiig, recorder
President Peterson called the meeting to order at 6:13 p.m.
A motion was made by Anderson, seconded by Krogh to approve the agenda. All present voted in favor; motion carried.
A motion was made by Greiner, seconded by Greene to approve the following consent agenda items: March 27, 2023 Board of Trustees meeting minutes, March 27, 2023 Finance Committee meeting minutes, April 19, 2023 Medical Executive Committee meeting minutes, March financials and payables. Total payables for the month of March were $4,290,444.03. All present voted in favor; motion carried.
Articles of interest included: “Nursing Alumni’s Generosity Takes Simulation Learning to the Next Level”, Stately Review 2022, and “Residency Slots not keeping up with doctor demand”, Keloland.com Original.
Merkley noted education/re-education will be provided to all staff on emergency preparedness and safety. An Emergency Management Coordinator guest speaker will present information to staff on how to handle an active shooter situation in different scenarios. Decontamination team training and fire extinguisher training will also take place. A full-scale exercise/drill is being planned for this summer. In May, Brookings Health System employees will celebrate Hospital & Nursing Home Week (8-12). A motivational speaker is planned as well as other activities throughout the week.
Wagner provided additional details on Medicaid Expansion for newly eligible South Dakotans and Medicaid funding estimates for The Neighborhoods at Brookview which should increase reimbursement 19% for Medicaid. In addition, on May 1st, upfront collections for self-pay patients will begin; the amount will be tiered based on estimated charges and will be mailed to the patient 3 days prior to their appointment date.
Hillestad commented there has been good feedback from area clinics on the promotion of new services available at Brookings Health System – Interventional Pain Management services offered Brian Kvamme, CRNA and Breast Conserving Therapy for early-stage breast cancer offered by General Surgeon Dr. Sara Marroquin. Hillestad also noted, the state radio system that connects all first responders on the same radio network statewide must be upgraded in 2023. Homeland Security grant funds will be used to upgrade radios at Brookings Health System.
Board Committee Reports
Administrative Committee Meeting
Board Secretary, Darnall, provided a report; the Administrative Committee met on April 18, 2023. Topics of discussion included BHS’s Investment Authority, Meditech Expanse/Avera Hosting Model, Hospice House, City Ordinance Chapter 42, Yorkshire Medical Building, Sports Performance Center, BHS’s Strategic Plan, Board Education Topics and Hospital and Nursing Home Turnover Data.
Committee member, Greene, provided a report; the Finance Committee on April 18, 2023. The committee reviewed and approved the payables, adjustments, and financials for March. Total salaries and wages for March were $2,430,615. Other topics of discussion were funding options for the Yorkshire Medical Building project and a Cash Flow Projection Update.
Committee Chair, Krogh provided a report; the Quality Committee met on April 18, 2023. Topics of discussion included FY22 Organ/Tissue & Eye Donation Report, BHS Community Health Worker presentation poster, Value Based Purchasing program and Peer Review update.
City Ordinance – Chapter 42
Merkley noted, proposed updates for Chapter 42 have been submitted and are tentatively scheduled to be addressed at an upcoming City Council meeting in May.
Medical Staff Credentialing
A motion was made by Meyer, seconded by Anderson to approve all credentialing as recommended by the Medical Executive Committee. All present voted in favor; motion carried.
Brookings Health System Strategic Plan 2023 – 2026 – Finance Pillar
Wagner presented an overview of the Finance Pillar goal which states, “Strengthen the financial position of Brookings Health System”. Seven strategic objectives were reviewed along with corresponding key activities. An open discussion took place, and a few recommendations/updates were suggested to maximize the plan, objectives, and activities. An updated Finance Pillar will be presented for review and the remaining pillars will be covered in upcoming board meetings.
Upon motion by Darnall, second by Greene, the meeting adjourned at 7:51 p.m. Motion carried unanimously.
Lynn Darnall, Secretary