MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, January 26, 2023

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.

 

  1. Changes to Agenda

 

  1. MBH/MCMC – Approval of December 22, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH/MCMC – Presentation and Approval of Financials for December 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update

 

  1. New Business
  • MBH – Approve policy and procedure manuals: Emergency Preparedness, Corporate Compliance, Plant Operations/Housekeeping/Laundry, Safety Manual, Facility Assessment
  • MCMC – Approve policy and procedure manuals: Emergency Preparedness, Corporate Compliance, Plant Operations/Housekeeping/Laundry, Safety Manual, CSR
  • MBH – Approve new policies: “Influenza Outbreak Management Policy at Mountrail Bethel Home” and “MedTech Air Mattress Policy”.
  • MBH – Approve updates to policies: “Wound Treatment Management Policy at Mountrail Bethel Home”, “RN Coverage Policy at Mountrail Bethel Home” and “Resident Alarms Policy at Mountrail Bethel Home”.
  • MBH – Approve Centennial Court handbook
  • MBH/MCMC – Sign Conflict of Interest, Confidentiality Forms and 990 forms
  • MBH – Approval to open new interest bearing savings account/signers – Bravera Bank
  • MCMC – Discuss moving Gate City checking account to Bravera CDs

 

  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, February 23, 2023, 7:00 am

     

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, December 22, 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.

 

  1. Changes to Agenda

 

  1. MBH/MCMC – Approval of November 17, 2022 Special Board Meeting Minutes and November 18, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH/MCMC – Presentation and Approval of Financials for November 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update
  • MBH/MCMC – Health Insurance discussion

 

  1. New Business
  • MCMC – Designate board members – Ryan to complete Heath’s term which expires Dec. 2023; Tom as Trinity representative, term ending Dec. 2022; and Ray as Community representative, term ending Dec. 2022.
  • MCMC – Election of officers
  • MBH – Approve updates to COVID-19 Policies: Resident and Staff COVID Testing Policy, Employee Screening Policy, COVID Positive Staff Policy, Standard Precautions During COVID-19 Pandemic, Resident COVID Screening Policy, COVID Vaccination Policy, Interim COVID-19 Visitation Policy, Residents Who Leave the Facility During COVID-19 Pandemic Policy, COVID-19 Positive Resident Policy, New Admit Quarantine Policy
  • MCMC – Approve updates to COVID-19 Policies: Resident and Staff COVID Testing Policy, Employee Screening Policy, COVID Positive Staff Policy, Standard Precautions During COVID-19 Pandemic, COVID-19 Positive Inpatient Policy
  • MBH – Approve new COVID-19 Policies: Coronavirus Surveillance Policy, COVID-19 and COVID-19 Vaccine Reporting, Return to Work Criteria for Healthcare Personnel with COVID-19 Infection or Exposure to COVID-19, COVID-19 PPE Policy, County Transmission Rate Policy.
  • MCMC – Approve new COVID-19 Policies: Coronavirus Surveillance Policy, COVID-19 and COVID-19 Vaccine Reporting, Return to Work Criteria for Healthcare Personnel with COVID-19 Infection or Exposure to COVID-19, COVID-19 PPE Policy, County Transmission Rate Policy.
  • MBH – Approve updates to the COVID-19 Plan.
  • MCMC – Approve updates to the COVID-19 Plan.
  • MBH – Approve new policies: Enhanced Barrier Precautions Policy, Injection Safety Policy; update to PICC Line Policy
  • MCMC – Approve new policies: Injection Safety Policy, Vital Signs Policy; update to PICC Line Policy
  • MBH – Approve updated Employee Handbook
  • MCMC – Approve updated Employee Handbook
  • MCMC – Approve reappointment of the following to Real Radiology for two-year terms: Jason Grennan, MD; Jonathan Jaksha, MD; Matthew Mendlick, MD; Kevin W. Marcum, MD; Timothy A. Conner, MD; Eugene P. Chung, MD; Stanley R. Smith, MD; Jonathan G. Reed, MD; Ammar Taha, MD
  • MBH/MCMC – Conversation regarding Employee Holiday Bonuses
  • MCMC – Use of Pharmacy Supplied Emergency Kits for Stanley Ambulance Service
  • MBH/MCMC – Approve Foundation moving forward with fundraising for the New Bethel Home/Additional Rosen Place/Infusion Suite/MRI Suite/Specialists Clinic

 

  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, January 26, 2023, 7:00 am

    

 

 

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Friday, November 18, 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.

 

  1. Changes to Agenda

 

  1. MBH/MCMC – Approval of October 27, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH/MCMC – Presentation and Approval of Financials for October 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update
  • MBH/MCMC – Health Insurance discussion

 

  1. New Business
  • MCMC – Discussion regarding paying off the Triplex loan

 

  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, December 22, 2022, 7:00 am

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, October 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.

 

  1. Changes to Agenda

 

  1. MBH/MCMC – Approval of September 22, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH/MCMC – Presentation and Approval of Financials for September 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update

 

  1. New Business
  • MBH – Heath’s third and final term is up and he will need to be replaced.

Ryan’s first term is up and he has agreed to run for a second term.

  • MBH/MCMC – Eide Bailly Audit Report: Brad DeJong
  • MBH/MCMC – Health Insurance discussion

 

  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, November 17, 2022, 7:00 am

MBH Annual Meeting:       Thursday, November 17, 2022, 6:30 pm

                                               Our Savior’s Lutheran Church, Stanley

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, September 22, 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.

 

  1. Changes to Agenda

 

  1. MBH/MCMC – Approval of August 25, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH/MCMC – Presentation and Approval of Financials for August 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update

 

  1. New Business
  • MBH – Approve Policy and Procedures Manual: Dietary
  • MCMC – Approve Policy and Procedures Manual: Dietary, Physical Therapy
  • MCMC – Approve Clinic Policy and Procedures Manuals with the following additions and changes: new Universal Precautions Policy, new Checking Immunization Status on all Patients Prior to Administration Policy, new Ordering of Immunization Supplies Policy, updated Program Evaluation Policy, updated Vaccine Storage Policy, and updated Administration of Medications Policy.
  • MCMC – Approve Hospital Nursing and Hospital Swingbed Policy and Procedures Manuals with the following additions: new Policy Review Policy and new Original Documents Policy.
  • MCMC – Approve change to “Dopamine Policy for MCMC Hospital/ED” to update section 7 to state: “MCMC will not admit any patient requiring Dopamine beyond 10 mcg/kg/min. Patients requiring Dopamine beyond 10 mcg/kg/min shall be transferred to a higher level of care.”
  • MBH – Approve new “Employer Notification to Employees of COVID-19 Exposure Policy”, updated “Medication Errors Policy”, updated “Suspected Urinary Tract Infection Protocol Policy”, and updated “Pneumococcal Vaccinations Policy”.
  • MBH – Approve updated “Emergency Calls Policy” for Rosen Place.
  • MCMC – Approve the following for two year terms to Real Radiology: Feras Jalab, MD, Jason R. DiVito, DO, Jake Vrdoljak, MD, Frank J. Welte, MD, Monjari C. Gillian, MD and Kathryn A. Cambron, MD.
  • MCMC – Approve Thomas M. Bey, MD for temporary privileges to Trinity Health Radiology for 120 days effective July 28, 2022.
  • MBH/MCMC – Discussion regarding fundraising for the new nursing home

 

  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, October 27, 2022, 7:00 am

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, August 25, 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.

 

  1. Changes to Agenda

 

  1. MBH – Approval of May 26, 2022 and June 23, 2022 Board Meeting Minutes

MCMC – Approval of June 23, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. MBH – Presentation and Approval of Financials for May, June and July 2022

MCMC – Presentation and Approval of Financials for June and July 2022

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     Old Business
  • MBH/MCMC – Strategic Planning
  • MBH/MCMC – New Nursing Home & OR Expansion Update

 

  1. New Business
  • MBH – Approve Policy and Procedures Manual: Activities, HIPAA, Human Resources, Infection Control, Social Services-MBH and new MBH Basic Care Unit
  • MCMC – Approve updated “Dopamine Policy for MCMC Hospital/ED” and new “COVID-19 Plan”.
  • MBH – Approve new policy “Resident Records Policy and Procedure” and revisions to policies: “Resident COVID Screening Policy”, “New Admit Quarantine Policy”, “COVID Positive Resident Policy”, “COVID Positive Staff Policy”, “Interim COVID-19 Visitation Policy”, “Admission Policy”, and “CMA II Policy”; updated “Self-Administered Medications Policy for Rosen Place Assisted Living”, new “Paid Feeding Assistants Policy”, updated “Death and Post Mortem Care Policy for MBH”, and new “COVID-19 Plan”.
  • MBH – Ratify Email Vote to Pull Five Beds out of Layaway on October 1, 2022

 

  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, September 22, 2022, 7:00 am

    

 

 

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, June 23, 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.

 

  1. Changes to Agenda

 

  1. Approval of May 26, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. Approval of Financials

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     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

 

  1. New Business
  • MBH – Approve Policy and Procedures Manuals: Activities, HIPAA, Human Resources, Infection Control, and Social Services-MBH
  • MCMC – Approve Policy and Procedures Manuals: Medical Staff, HIPAA, Human Resources, Infection Control, and Social Services-Swingbed.
  • MBH – Approve the new policy “Resident Records Policy and Procedure” and revisions to policies: “Resident COVID Screening Policy”, “New Admit Quarantine Policy”, “COVID Positive Resident Policy,” “COVID Positive Staff Policy”, “Interim COVID-19 Visitation Policy”, “Admission Policy”, and “CMA II Policy”.
  • MCMC – Approve the new policies “Fit Testing Policy”, and “IV/Phlebotomy Training Program Policy” and revisions to “CMA II Policy”.
  • MCMC – Reappoint Gregory Culver, MD to a two-year term on Active Staff; reappoint Ann Welch, FNP, Tara Nardacci, DNP and Jessica Charon, DNP to two-year terms on Allied Health Staff.
  • MCMC – Approve appointment of Nana K. Appiawiah, MD to Trinity Health Radiology for a one year term, and John Adan, MD to Trinity Health Cardiology for a one year term.

 

  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, July 28, 2022, 7:00 am

    

 

 

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, May 26, 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.

 

  1. Changes to Agenda

 

  1. Approval of April 28, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. Approval of Financials

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     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

 

  1. New Business
  • MBH/MCMC – Approve Policy and Procedures Manuals: none
  • MCMC – Appoint Jurgen Weber, PA-C to a 2 year term as Allied Health category
  • MBH – Convert 5 nursing home beds from skilled to basic care

 

  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, June 23, 2022, 7:00 am

MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER

AGENDA

Executive Conference Room

Thursday, April 28, 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.

 

  1. Changes to Agenda

 

  1. Approval of March 24, 2022 Board Meeting Minutes

 

  1. Visitors/Guests

 

  1. Approval of Financials

 

  1. Administrator’s Report

 

  1. Medical Staff
  • Chief of Staff comments

 

  1. Foundation Report

 

  1.     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

 

  1. New Business
  • MBH/MCMC – Approve Policy and Procedures Manuals: none
  • MBH/MCMC – Approve new bank signer

 

  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).

RE: MCMC Board consultation with attorneys regarding Muckle v. MCMC, et al, Mountrail County Case# 31-2022-cv-00070. Authority: N.D.C.C. § 44-04-19.1.

 

           

Next Board Meeting Date:  Thursday, May 26, 2022, 7:00 am