The Governing Board of the Kane County Human Resources Special Service District held their monthly meeting on November 5. Hospital Administrator Sherrie Pandya announced the hospital had hired TJ Peterson as a full time pharmacist. He will be starting on December 1, 2013.

Chief Financial Officer Stephen Howells and Administrator Pandya talked about the possible effects of the Affordable Care Act, or “Obamacare,” will have on the hospital and the budget. Pandya also said due to the government shutdown, the reimbursement for Medicare and Medicaid has been delayed. The hospital has qualified for the “meaningful use federal incentive funding” re: the electronic health record technology, but have not received all the reimbursement monies as yet.

Pandya advised the board that the hospital would no longer be receiving the Payment in Lieu of Taxes (PILT) mineral lease monies. On the plus side, the Disproportionate Share Hospital (DSH) funds will be received in December. The hospital will still receive the 1% sales tax monies.

The Capital Improvement List update was discussed. Pandya explained funding from the Utah Permanent Community Impact Board has become harder to obtain since they are granting funds more for buildings and structures. The replacement of the Long Term Care Van, which is approximately 18 years old and used to transport patients for shopping etc., was moved to the one year plan.

After the board reviewed the hospital’s 2014 tentative “Break Even” budget, it was adopted and a date was set for a public hearing on December 3 at 7 p.m. in the hospital conference room. The final budget will be adopted at the board’s December meeting.

As an action item, Pandya reported the recent security analysis revealed several areas where the hospital needed to have written policies in place. Three policies have been written according to HIPAA, which are the Health Insurance Portability and Accountability Act pertaining to the electronic health records and computer security; the New Hire-Termination Policy, Sanction Policy, and Security Incident Policy. The board approved the new policies.

Pandya talked about attending the LEAN Training classes in Blanding. “The focus of LEAN is quality. It provides tools for identifying and eliminating waste by focusing on process improvement. There has to be a long term commitment, bottom-up implementation, linkage to the strategic plan and a focus on the patient for LEAN to be implemented and to work for the long haul.” LEAN healthcare relates to time management, sorting the valued activities from non-valued activities.

The Hospital Foundation has been reorganized and the bylaws have been changed. Debbie Fox is the new Chairman and Michael Evangelista is Vice-Chairman. Some of the current members have stayed on and they are still seeking more new members. The Foundation will not become fully active until January 2014.

Human Resource Director Laurali Noteman reported on behalf of the Kane County Hospital Auxiliary Thrift Shop; the net income for the month of October was $14,382, with 2,492 paying customers.

Chief Nursing Officer Charlene Kelly reported the department has received several complimentary letters from patients. In December, two of the nurses will be attending training classes at the University of Utah.