Mangum City Hospital Authority Tuesday, March 23, 2021 05:00 PM via Videoconference

The Trustees of the Mangum City Hospital Authority will meet in regular session on Tuesday, March 23, 2021, at 5:00 PM.  This session will be held via Videoconference in accordance with the State of Oklahoma Statutes. 

In accordance with Oklahoma State Statutes during the Declared Emergency for the COVID-19 outbreak, all public meetings for the Hospital board will be held via Videoconference.  The public is invited to join the meeting by clicking on the following link.

Join Zoom Meeting
https://us02web.zoom.us/j/87471811337?pwd=RWg3ZXk0eVY5d3A4d0lHS05pdXZQUT09

The public can view the videoconference live on the City of Mangum webpage (www.cityofmangum.com/Stream.html) as well as the City’s YouTube Channel (Search YouTube for “City of Mangum”). 

CALL TO ORDER

ROLL CALL AND DECLARATION OF A QUORUM

ELECT CHAIRMAN AND VICE CHAIRMAN

• 1.Discussion and possible action to elect a Chairman and Vice Chairman for the Mangum City Hospital Board.

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.

• 2.Approve February 23, 2021 Regular meeting minutes.

• 2-23-21 MCHA Minutes Document.pdf (0.05 MB)

• 3.Approve February 18, 2021 Medical Staff Minutes.

• 2-Mangum - Medical Staff Meeting Minutes February 18 2021.pdf (0.05 MB)

• 4.Approve February 11, 2021 Quality Meeting Minutes.

• 3-Mangum - QAPI Minutes JANUARY #'s held February 11 2021.pdf (0.65 MB)

• 5.Discussion and possible action regarding amending, adopting, approving, rescinding, or updating the following policies and procedures. All polices were made available to board members digital format for their review and will be made available to the public as requested in paper format at the hospital within 48 hours.

  HIM-001 Approval Letter for Amendment Request

  HIM-002 Videotaping Audiotaping and Still Photography

  HIM-002A Consent for Photography/Multimedia and Authorization for Use or Disclosure

  GEN-001 Plan for the Provision of Care

  GEN-002 Admission Criteria and Process Plan

  GEN-003 Utilization Management

  GEN-004 Communication Plan

  GEN-005 Performance Improvement Plan

  GEN-005A Performance Improvement Project Plan

  GEN-006 Staffing Plan

  GEN-006A Interview Evaluation Form

  GEN-007 Staff Development Plan

  GEN-008 Risk Management Plan

  GEN-009 Quality Management Plan

  GEN-010 Sentinel Event Plan

  GEN-010A Sentinel Event Confidentiality Agreement

  GEN-010B Sentinel Event RCA Workbook

  GEN-010C RCA Template Form

  GEN-011 Patient Safety Plan-Moved to EOC Manual

  GEN-011A Patient Safety Officer Appointment-Moved to EOC Manual

  GEN-012 Pet Visitation Plan

  GEN-012A Animal Visitation Event Log

  GEN-012B Pet Policy Education

  GEN-012C Pet Visitation Criteria Checklist

  GEN-012D Pet Visitation Log

  GEN-012E Veterinarian Attestation

  GEN-013 Service Animal Plan

  GEN-014 Incident Reporting Plan

  GEN-014A Incident Log

  GEN-014B Patient Incident Report/QA Review

  GEN-014C Medication Variance Report

  GEN-014D FDA Med Watch Form

  GEN-015 Hospital Policy. Plan Development & Review

  GEN-015A Hospital Policy Plan Template

  GEN-015B Hospital Policy Plan TOC Template

  GEN-015C Hospital Policy Plan Approval Cover Sheet

  GEN-015D Policy and Plan Development, Review, Implementation Process

  GEN-016 Hospital Education Plan

  GEN-016A Education Needs Assessment

  GEN-016B Education Sign-in Sheet

  GEN-016C Post Education Evaluation Survey

  GEN-017 Hand Off Communication

  GEN-017A Hand-Off Communication Tool (Facility to Facility)

  GEN-017B Hand-Off Communication Tool (Shift to Shift)

  GEN-018 Telemedicine Services Plan

  GEN-019 Video Surveillance and Use

  GEN-019A Request to View Video Surveillance

  GEN-019B Video Surveillance Viewing Log

  GEN-020 Patient Identification

  GEN-021 Failure Mode and Effects Analysis (FMEA)

  GEN-021A FMEA Instructions

  GEN-022 FPPE/OPPE

  GEN-022A FPPE/OPPE Notification Letter

  GEN-022B FPPE/OPPE Workbook

  GEN-022C Quick Facts FPPE/OPPE

  GEN-023 Vendor Management Plan

  GEN-023A Vendor Sign-In/Sign-Out Sheet

  GEN-024 Prohibiting Firearms and/or Weapons on Hospital Property

  GEN-025 Search of Patient Care Areas, Individuals and/or Personal Property

• 8a-Mangum - HIM - Approval Cover Sheet.pdf (0.05 MB)
• 9a-Mangum - Hospital Plans - Approval Cover Sheet.pdf (0.05 MB)
• 8b-Mangum - HIM - Table of Contents.pdf (0.03 MB)
• 9b-Mangum - Hospital Plans - Table of Contents.pdf (0.04 MB)

FURTHER DISCUSSION

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

REPORTS ARE INFORMATION ONLY AND DON'T NEED TO BE APPROVED OR VOTED ON.

• 6.CEO/Administrator's Report

• February Interim CEO Report.pdf (0.21 MB)

• 7.CCO Report.

• 4-Mangum - February 2021 CCO Report.pdf (0.04 MB)

• 8.Financial Report.

• 6-Mangum - February Financial Reports.pdf (0.85 MB)

• 9.Clinic Operations Report.

• 7-Mangum - RHC Clinic Operations Board Report.Feb2021.tdc.pdf (0.86 MB)

• 10.February 2021 Quality Report.

• Mangum 2021 Quality Report to Med Staff GB with Graphs.pdf (1.27 MB)

OTHER ITEMS

• 11.Discussion and possible action to remove Zac Zachary and Marie Harrington from the First National Bank and Trust Hospital Bank Account.

• 12.Discussion and possible action regarding the review and approval of The Oklahoma Blood Institute Agreement.

• 10-Mangum - The Oklahoma Blood Institute Agreement.pdf (0.21 MB)

• 13.Discussion and possible become a of membership Greer County Chamber. Item requested by Board Member Heiskell. (regular membership $2500.00)

OLD BUSINESS

• 14.Discussion and possible action on Hospital Roof agreement with The City. 

• Agreement between the City Manager and the Hospital CEO regarding the Hospital Roof.pdf (0.01 MB)

• 15.Discussion and possible action regarding possible changes to the agenda and the presentation of data as requested by Board Member Heiskell.  Specially, to remove all financial reports from the current format of the consent agenda, making them a separate item on the agenda, to be presented monthly.  This was tabled from last month however it was brought up in the following item in the meeting on February 23, 2020.

EXECUTIVE SESSION

• 16.Discussion and possible action to enter into executive session with regard to the credentialing of Doctors and providers in accordance with Title 25 O.S. §307 (B)1.

  •                Re-credentialing

  o                Benjamin Love, MD - Courtesy Privileges - Recredentialing

  o                William Gregory Morgan, III, MD - Courtesy Privileges - Recredentialing

  o                Kenna Wenthold, ARPN-CNP - Courtesy Privileges - Recredentialing

• 17.Discussion and possible action with regard to the litigation update with AHSO/First National Bank of Vinta/ MedSurg/SCA et al. wherein, with advice of the attorney, such disclosure will seriously impair the ability of the public body to process the claim with possible executive session in accordance with 25 O.S. 307(B)(4). 

OPEN SESSION

• 18.Discussion and possible action in regard to executive session, if necessary

• 19.Discussion and possible action with regard to executive session number 2.

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

Duly filed and posted at 3:00 p.m. on the 19th day of March 2021, by the Secretary of the Mangum City Hospital Authority.