Mangum City Hospital Authority Tuesday, October 24, 2023 05:00 PM City Administration Building at 130 N Oklahoma Ave.

The Trustees of the Mangum City Hospital Authority will meet in regular session on October 24th, 2023, at 5:00 PM, in the City Administration Building at 130 N. Oklahoma Ave, Mangum, OK for such business as shall come before said Trustees. 

CALL TO ORDER

ROLL CALL AND DECLARATION OF A QUORUM

CONSENT AGENDA
The following items are considered to be routine and will be enacted by one motion. There will be no separate discussion of these items unless a Board member (or a community member through a Board member) so requests, in which case the item will be removed from the Consent Agenda and considered separately. If any item involves a potential conflict of interest, Board members should so note before adoption of the Consent Agenda.

• 1.Approve September 26, 2023 regular meeting minutes as presented.

• 2.Approve August 2023 Quality meeting minutes as presented.

• 3.Approve September 2023 Medical Staff meeting minutes as presented.

• 4.Approve September 2023 Claims.

• 5.Approve September 2023 Clinic Report.

• 6.Approve September 2023 Quality Report.

• 7.Approve September 2023 CCO Report.

• 8.Approve September 2023 CEO Report.

• 9.Approve the following forms, policies, appointments, and procedures previously approved through May 2023 by Corporate Management, on 9/14/2023 Quality Committee and on 9/21/2023 Medical Staff.

   

  Review & Consideration of Approval of Policy & Procedure: Provision of Healthcare Services for the Care and Treatment of Patients

   

  Review & Consideration of Approval of Policy & Procedure: Admission Criteria and Process

   

  Review & Consideration of Approval of Policy & Procedure: Utilization Management

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Communication Policy

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Staffing Plan

   

  Review & Consideration of Approval of Policy & Procedure: Staff Development

   

  Review & Consideration of Approval of Policy & Procedure: Pet Visitation

   

  Review & Consideration of Approval of Policy & Procedure: The Use of Service Animals in the Hospital

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy/Protocol and Other Development and Review

  Review & Consideration of Approval of Policy & Procedure: Hospital Education

   

  Review & Consideration of Approval of Policy & Procedure: Telemedicine Services

   

  Review & Consideration of Approval of Policy & Procedure: Video Surveillance and Use

   

  Review & Consideration of Approval of Policy & Procedure: Patient Identification

   

  Review & Consideration of Approval of Policy & Procedure: Vendor Management Policy

   

  Review & Consideration of Approval of Policy & Procedure: Prohibiting Firearms and/or Weapons on Hospital Property

   

  Review & Consideration of Approval of Policy & Procedure: Smoke and Tobacco-Free Policy

   

  Review & Consideration of Approval of Policy & Procedure: Prevention of Abuse and Neglect in the Hospital

   

  Review & Consideration of Approval of Policy & Procedure: Patient Visitation

   

  Review & Consideration of Approval of Policy & Procedure: Patient Rights

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Services for Very Important Person (VIP)

   

  Review & Consideration of Approval of Policy & Procedure: Chain of Command

   

  Review & Consideration of Approval of Policy & Procedure: Patient Rights and Responsibilities Notice

   

  Review & Consideration of Approval of Policy & Procedure: Interview Evaluation Form

   

  Review & Consideration of Approval of Policy & Procedure: Education Needs Assessment Form

   

  Review & Consideration of Approval of Policy & Procedure: Animal Visitation Log

   

  Review & Consideration of Approval of Policy & Procedure: Pet/Visitation Checklist

   

  Review & Consideration of Approval of Policy & Procedure: Veterinarian Attestation

   

  Review & Consideration of Approval of Policy & Procedure: Pet Visitation Log

   

  Review & Consideration of Approval of Policy & Procedure: Pet & Animal Visitation General Guidelines

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy/Form/Order Set/Protocol Review Process

   

  Review & Consideration of Approval of Policy & Procedure: Draft Policy/Document Submission & Communication Tracking Form

   

  Review & Consideration of Approval of Policy & Procedure: Policy, Forms or Other Documents Development, Review & Implementation Process

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy Template

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Protocol/Standing Order Template

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy/Other Document Feedback Form

   

  Review & Consideration of Approval of Policy & Procedure: Table of Contents

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy Approval Cover Sheet

   

  Review & Consideration of Approval of Policy & Procedure: Hospital Policy/Form/Documents/ Appointment & other Reviews Log

   

  Review & Consideration of Approval of Policy & Procedure: Guideline for Performing a Comprehensive Review of an Existing Policy, Form or Other Document

   

  Review & Consideration of Approval of Policy & Procedures: Education Training & Attendance Log

   

  Review & Consideration of Approval of Policy & Procedures: Post Education Evaluation Survey

   

  Review & Consideration of Approval of Policy & Procedures: Request to Access/View/Copy Video Surveillance Form

   

  Review & Consideration of Approval of Policy & Procedures: Video Surveillance Viewing Log

   

  Review & Consideration of Approval of Policy & Procedures: Vender Sign In/Sign Out Log

   

  Review & Consideration of Approval of Policy & Procedures: MRMC Generic Provider Time Sheet

   

  Review & Consideration of Approval of Policy & Procedures: Provider Time Sheet Policy

   

  Review & Consideration of Approval of Policy & Procedures: Immediate use IV Compound Skills Competency

   

   

  Review & Consideration of Approval of Policy & Procedures: Intravenous (IV) Compounding for Immediate Use and Preparation Area

   

  Review & Consideration of Approval of Policy & Procedures: Critical Lab Values

  Review & Consideration of Approval of Policy & Procedures: Seasonal Influenza

  Review & Consideration of Approval of Policy & Procedures: Staff Influenza Vaccine

  Program

   

  Review & Consideration of Approval of Policy & Procedures: Credit Cardholder Policy with attachments A and B

   

FURTHER DISCUSSION

REMARKS
Remarks or inquiries by the audience not pertaining to any item on the agenda.

REPORTS

• 10.September Financial Reports

OTHER ITEMS

• 11.Discussion and Possible Action to Approvethe Nuance Licensing Agreement with Mangum Family Clinic

• 12.Discussion and Possible Action to Approve the Mangum-Facility Credit Card-3 different options presented.

• 13.Discussion and Possible Action to Approve -the Mangum and CPSI service agreement.

• 14.Discussion and Possible Action to Approve-the removal of 4 metal trailers on the property.

• 15.Discussion and possible to grant 'view only' access to Mangum’s Operating and ARPA accounts with Sovereign Bank for Adrian Brownen.

• 16.Discussion and action to establish a contract for the professional services of a Certified Public Accountant (the “auditor”) for financial and compliance audits for fiscal years 2018, 2019, 2020, 2021, and 2022 for Mangum Regional Hospital and Mangum Regional Medical Center managed by, Cohesive Healthcare Management & Consulting LLC.  The last update the board received was November 2022 wherein, the board was advised the audit would soon be done. These audits are to be performed in accordance with generally accepted auditing standards as set forth by the American Institute of Certified Public Accountants, the standards for financial audits set forth in Government Auditing Standards issued by the comptroller General of the United States, and the audit requirements of Title 2 US Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance), including any future changes or replacement of these requirements applicable to the audit period in question. The completion/status is required for the City of Mangum's annual audit to be complete.

EXECUTIVE SESSION

OPEN SESSION

STAFF AND BOARD REMARKS
Remarks or inquiries by the governing body members, City Manager, City Attorney or City Employees

NEW BUSINESS
Discussion and possible action on any new business which has arisen since the posting of the Agenda that could not have been reasonably foreseen prior to the time of the posting (25 O.S. 311-10)

ADJOURN
Motion to Adjourn

Duly filed and posted at 5:00 p.m. on the 20th day of October 2023, by the Secretary of the Mangum City Hospital Authority.