March 24, 2022 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, March 24, 2022
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of February 24, 2022 Board Meeting Minutes
  4. Visitors/Guests
  5. Approval of Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MBH/MCMC – New Nursing Home & OR Expansion Update
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
  10. New Business
  • MBH – Approve Policy and Procedures Manuals:  Information Technology, Business Office, Quality Assurance, Pharmacy, Rosen Place on Eighth Assisted Living, and MBH Nursing.
  • MCMC – Approve Policy and Procedures Manuals:  Information Technology, Business Office, Quality Assurance, Pharmacy, Medical Records, Radiology, Emergency Department, and Lab – #1 Blood, gas, coaq hem; #2 Bacti, urine, serology; #3 General Lab; #4 Spec. collection – lab nursing; Beckman Coulter; CLIA IQCP; Frend Analyzer; Preventative Maint.; QA.
  • MCMC – Approve the following new and revised policies: Clinic – Preparing and Confirming Vaccine/Medication Prior to Administration and Vaccine/Medication Administration; Ordering of Immunization Supplies; Checking Immunization Status on all Patients Prior to Administration. ER – Medical Staff Chart Reviews; CAH/ED – Covid-19 Testing – Inpatient Policy; Covid-19 Positive Inpatient Policy; PPE Use During Covid Pandemic; Patient Screening During Covid Pandemic; Negative Pressure Room During Covid-19 Pandemic; Inpatient Visitation During the Covid-19 Pandemic Policy; Covid-19 Monoclonal Antibody (mAb)
  • MCMC – Appoint Brittany Haugtvedt, FNP-C to a 2 year term as Allied Health category.
  • MCMC – Appoint Pedro Torres, MD and Faith Dieleman, MD to two year terms as Active Staff category.
  • MCMC – Appoint Michael D’Angelo, MD; David Lin, MD; and Lucy Lane, MD to Real Radiology for two year terms; and reappoint Daivd S. Henley, MD; Jarret Kuo, MD, Karen G. Phillips, MD; and Shawn T. Stone, MD to Real Radiology for two year terms.
  • MCMC – Appoint Steven Johnson, MD and Shannon Bownds, MD to Trinity Health Radiology for one year terms.
  • MCMC – Approve temporary privileges to Nana Appiwiah, MD effective December 13, 2021 to Trinity Health Radiology and to John Adan, MD effective December 22, 2021 to Trinity Health Cardiology.
  • MCMC – Remove from Real Radiology roster Farukh S. Mian, MD effective November 23, 2021 and Michael J. D’Angelo, MD effective 2-21-2022.
  • MCMC – Remove Mir Subla, MD from Trinity Health Cardiology roster effective October 1, 2021.

MBH/MCMC – Evaluation of CEO/Administrator

  1. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:  Thursday, April 28, 2022, 7:00 am

February 24, 2022 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, February 24, 2022
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of January 27, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Approval of Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
  10. New Business
    • MCMC/MBH – Approve Policy and Procedures Manuals:  None
    • MBH/MCMC – Approve Human Resources’ policies:  “Employee COVID-19 Vaccinations”, “Employee COVID-19 Vaccination Exemption”, and “COVID-19 Contingency Plan and Additional Precautions for Staff Who Are Not Fully Vaccinated”, and Human Resources’ forms:  “Request for Religious Exemption/Accommodation to the COVID-19 Vaccination” and “Request for Exemption/Accommodation for Medical Reasons to the COVID-19 Vaccination.”
    • MCMC – Approve revisions to MCMC CAH Policies “TNK (Tenecteplace) Dosing Protocol” and “Nitroglycerin IV Drip”.
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:  Thursday, March 24, 2022, 7:00 am

January 27, 2022 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, January 27, 2022
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of December 23, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Approval of Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
  10. New Business
    • MCMC/MBH – Approve Policy and Procedures Manuals:  None
    • MCMC – Approve Physical Therapy Dept. “No-Show” and “Same-Day Cancellation” Policy
    • MBH/MCMC — Sign Conflict of Interest and Confidentiality Forms
    • MBH/MCMC – Review Covid Policy, Covid Exemption Policy, Medical Exemption Form, and Religious Exemption Form
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:  Thursday, February 24, 2022, 7:00 am

December 23, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, December 23, 2021
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of November 18, 2021 Board Meeting Minutes and MBH November 18, 2021 Special Meeting Minutes
  4. Visitors/Guests
  5. Approval of Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
    • MBH/MCMC – COVID Vaccination Discussion
  10. New Business
    • MCMC/MBH – Approve Policy and Procedures Manuals:  None
    • MCMC – Designate Rhonda for another 3 year term as Trinity representative. Designate John for another 3 year term as MBH representative.
    • MCMC – Election of officers.
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:  Thursday, January 27, 2021, 7:00 am

November 18, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, November 18, 2021
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of October 28, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Approval of Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
    • MBH/MCMC – COVID Vaccination Discussion
  10. New Business
    • MCMC – Approve new/revised policies/procedures:  Discharge of the Patient from MCMC, Severe Sepsis and Sepsis Shock, Post-Exposure Employee Needle Stick Injury, various CSR policies, Corporate Compliance Monitoring for 340B Drug Discount Program Policy, Medicare Secondary Payer Policy, Medical Staff Meetings Policy, Functional Dry Needling and Functional Dry Needling Business Office Processing policies, new and revised policies for the Rural Health Clinic.
    • MBH – Approve new and revised policies for MBH nursing and revision to the Emergency Calls Policy at Rosen Place Assisted Living.
    • MCMC – Approve Policy and Procedures Manuals:  Physical Therapy, CSR, Antibiotic Stewardship, Emergency Preparedness, Corporate Compliance, Medical Records, Safety Manual, Plant Operations.
    • MBH – Approve Policy and Procedures Manuals:  Facility Assessment, MBH Nursing, Plant Operations, Emergency Preparedness, Corporate Compliance, Safety Manual.
    • MCMC – Approve appointment of William Bender, MD to Active Medical Staff for a two year term.
    • MCMC – Approve the appointment of Zi Xu, MD and the reappointment of Shannon St. Clair, MD, Waheed Jalalzai, MD, Gregory Arov, DO, Tyler Neitlich, MD, Veronica Ruvo, DO, and Mohammed Quraishi, MD to Real Radiology for two year terms.
    • MCMC – Approve the reappointment of Barry Amos, DO, Brian Johnson, DO, Farzodd Hanjani, MD, James Miller, MD, Margaret Haddon, MD, Robert Heninger, MD, Scott Lewis, MD, Sridhar Naidu, DO, Thompson Kamba, MD and Paul B. Jahn, MD to Trinity Health Radiology for two year terms.
    • MCMC – Approve the reappointment of Ahmad Daraghmeh, MD, Michael Sarkees, MD, Mir Subla, MD, Peter J. Macander, MD, Samir Turk, MD, Thomas Haldis, DO, and Valentine Chikwendu, MD to Trinity Health Cardiology for two year terms.
    • MCMC – Approve the appointment of Lucas Mailander, MD to Avel eCARE, LLC, Emergency Telemedicine Practitioner.
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


MBH Annual Meeting:  Tonight – Thursday, November 18, 2021, 6:30 pm

Next Board Meeting Date:  Thursday, December 23, 2021, 7:00 am

September 23, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, September 23, 2021
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of July 22, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Approval of June, July & August 2021 Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
  10. New Business
    • MBH – Approve Policy and Procedures Manuals: Dietary
    • MBH/MCMC – COVID Vaccination Discussion
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:   Thursday, October 28, 2021, 7:00 am

July 22, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, July 22, 2021
7:00 a.m.

Due to COVID-19, public access to our facility is restricted. To participate in the meeting by telephone, please call:  1-605-472-5291     Access Code:  889325#

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of June 24, 2021 Board Meeting Minutes and June 29, 2021 Email Vote
  4. Visitors/Guests
  5. Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – New Nursing Home Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
  10. New Business
    • MBH – Approve Policy and Procedures Manuals: none
    • MBH – Nursing home beds in layaway
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).


Next Board Meeting Date:   Thursday, September 23, 2021, 7:00 am

May 27, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, May 27, 2021
7:00 a.m.

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of April 22, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion Update
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
    • MBH/MCMC – Approve July, August, September 2019 Quarterly Quality Reports presented last month
  10. New Business
    • MBH/MCMC – Approve Policy and Procedures Manuals:  none
    • MBH – Approve net asset transfer from MBH to MCMC from the PPP
    • MCMC – Approve HHS funds transferred in for expenses paid at MCMC
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).

We’re closed to the Public.  To call into the meeting please follow:

Call 1-605-472-5291
Access Code:  889325#
Next Board Meeting Date:   Thursday, June 24, 2021, 7:00 am

April 22nd, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, April 22, 2021
7:00 a.m.

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
  3. Approval of March 25, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion
    • MBH – Update on motion regarding Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC – Update on motion regarding Stanley Community Hospital’s request to become a member of  MCMC
    • MCMC – New EHR system
  10. New Business
    • MBH/MCMC – Approve Policy and Procedures Manuals:  none
    • MBH/MCMC – BCBS Review
  11. Executive Session (CLOSED TO PUBLIC) RE: Patient Care / Quality Issues Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).

We’re closed to the Public.  To call into the meeting please follow:

Call 1-605-472-5291
Access Code:  889325#
Next Board Meeting Date:   Thursday, April 22, 2021, 7:00 am

March 25th, 2021 Board Agenda is now available

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, March 25, 2021
7:00 a.m.

  1. Call to Order – 7:00 a.m.
  2. Changes to Agenda
    • Under Old Business:  MCMC – Stanley Ambulance Service Discussion
    • Under New Business:  The following Policy and Procedures Manuals:  MBH – Social Work; MCMC – Business Office, HIPAA, Social Work for Swingbed, Lab, Radiology
    • Under New Business, the following policies:  MBH – Controlled Substances Policy at Rosen Place Assisted Living; MCMC – COVID-19 monoclonal antibody treatment
    • Under New Business:  Approve Michael L. Sarkees, MD to the Provisional Staff Category – Department of Medicine for a one year term as a locum cardiologist; Approve Jason DiVito, MD, Kevin Marcum, MD, and Edward Fogarty III, MD to Real Radiology for one year terms.
  3. Approval of February 25, 2021 Board Meeting Minutes
  4. Visitors/Guests
  5. Financials
  6. Administrator’s Report
  7. Medical Staff
    • Chief of Staff comments
  8. Foundation Report
  9. Old Business
    • MBH/MCMC – Strategic Planning
    • MCMC – OR Expansion
  10. New Business
    • MBH/MCMC – Approve Policy and Procedures Manuals:  none
    • MBH –Mountrail County Health Foundation’s request to become a member of MBH
    • MCMC –Stanley Community Hospital’s request to become a member of  MCMC
    • MCMC – Electronic Health Record (EHR) system
    • MCMC – Request that Mountrail County Health Foundation consider expansion of physician recruitment fund to include mid-level healthcare providers and Nurses
  11. Executive Session (closed to public) re: Patient Care / Quality Issues.
    • Discussion will include references to private and confidential patient health information under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).

We’re closed to the Public.  To call into the meeting please follow:

Call 1-605-472-5291
Access Code:  889325#
Next Board Meeting Date:   Thursday, April 22, 2021, 7:00 am

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