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Posted on: July 8, 2021

Brookings Health System Board of Trustees Minutes: 04/26/2021

Brookings Health System

Board of Trustees

April 26, 2021

 

 

Board of Trustees

Present: Daryl Englund, Dick Peterson, Sheila Anderson, Lynn Darnall, Andrew Ellsworth, Mary Anne Krogh, David Meyer, James Morgan and Justin Sell; City Ex-Officio: Patty Bacon 

 

Absent: City Ex-Officio Leah Brink and County Ex-Officio Ryan Krogman

 

Management Present:  Jason Merkley, CEO; Tammy Hillestad, CNO; Melissa Wagner, CFO and Sheri Wiig, recorder 

 

At 5:00 p.m., members toured the new Wound Center and Hyperbaric Oxygen (HBO) treatment room. 

 

President Englund called the meeting to order at 5:35 p.m.

 

Telehealth Services Presentation

Merkley welcomed and introduced Lynne Thompson, Case Management Director at Brookings Health System. Thompson has been with Brookings Health for many years and in addition to being Case Management Director, she assumed the role to oversee Respiratory Therapy and Telehealth services. 

 

Thompson presented information on eConsult services provided by Brookings Health System. eConsults began about 10 years and have improved greatly over the years with technology. A telehealth visit at BHS is conducted through Avera eCare equipment and includes a clinical health person with the patient to assist and work with the provider on the other end of the virtual visit. At least 80% of eConsults are for patients with infectious disease. Other consult services have taken place with inpatients, outpatients, maternal fetal medicine, neurology, pulmonology and nephrology. An advantage to eConsults is patients do not need to drive to Sioux Falls and patients needing infectious disease treatment can be hospitalized at Brookings Health. Virtual visits are a great convenience, however, they do not provide the benefits of a face to face doctor visit. In 2019, 278 eConsults were conducted at Brookings Health. 

 

Thompson was thanked for her presentation and exited the meeting at 6pm. 

 

Dr. Andrew Ellsworth provided a demonstration of Avera’s AveraNow provider virtual visit which is very similar to a video chat that can be utilized for treatment of common illnesses. AveraNow is accessible through a free app that can be downloaded on a computer, tablet or smartphone and is private and secure. Huge growth was seen in 2020 due to the pandemic with 11,000 virtual visits being conducted through AveraNow. At times, managing schedules, time commitments and reimbursement can be challenging. There is no substitute for an in person face to face visit, but a virtual visit is better than no visit at all and proved to be very helpful during the pandemic. 

 

 

CONSENT AGENDA 

A motion was made by Morgan, seconded by Darnall to approve the agenda and the following consent agenda items: March 29, 2021 Board of Trustees Meeting Minutes, March 17, 2021 Medical Executive Committee Meeting Minutes, March 29, 2021 Finance Committee Meeting Minutes, March 2021 Financials, Adjustments and Payables as follows:  

 

March 2021 Payables:

(Vendor name and amount)

McKeever Inc, $662.90; Blend Interactive Inc, $7,012.50; Mimedx Group Inc, $2,327.50; Vapotherm Inc, $143.24; Charmant USA, $236.90; Pan O Gold Baking Co, $121.15; Owens & Minor, $30,346.40; Allegra Printing & Imaging, $1,680.78; CooperSurgical Inc, $1,218.56; Performance Health Supply Inc, $18.10; Allergan, $1,864.00; Nonin Medical Inc, $304.00; Baxter Healthcare Corp, $2,321.98; Stryker Sales Corp, $9,588.95; Medivators, $1,705.00; Encompass Group LLC, $1,428.96; Johnson Controls, $625.81; Chesterman Co, $244.83; SCA Pharmaceuticals LLC, $319.00; Mimedx Group Inc, $2,327.50; Charmant USA, $161.01; Owens & Minor, $20,903.30; Allegra Printing & Imaging, $167.80; Dutch Ophthalmic USA Inc, $753.42; Kone Inc, $1,337.57; Baxter Healthcare Corp, $701.20; Stryker Sales Corp, $3,142.29; Qualified Presort Service LLC, $2,317.21; Olympus America Inc, $1,839.17; Network Services Company, $2,459.42; Johnson Controls, $2,908.53; Interstate Office Products Inc, $1,019.33; Carstens Inc, $65.40; Blend Interactive Inc, $743.75; GE Precision Healthcare LLC, $10,988.63; Rove Staffing LLC, $6,314.75; Mimedx Group Inc, $1,183.00; Charmant USA, $174.95; Live Eyewear, $38.90; Interstate All Battery Center, $52.20; Owens & Minor, $21,082.54; A-OX Welding Supply Co Inc, $5,408.22; Performance Health Supply Inc, $219.79; Crest Healthcare Supply, $151.05; Beekley Corporation, $47.00; Qualified Presort Service LLC, $1,770.86; Olympus America Inc, $1,494.38; Network Services Company, $4,762.91; Boston Scientific Corporation, $7,979.00; Johnson Controls, $613.63; Interstate Office Products Inc, $246.35; Cook Medical Incorporated, $2,033.72; Interstate All Battery Center, $583.80; Owens & Minor, $22,129.97; Qualified Presort Service LLC, $1,714.60; Olympus America Inc, $2,302.30; Boston Scientific Corporation, $8,555.73; Johnson Controls, $393.54; Interstate Office Products Inc, $206.73; Brookings Health Systems, $1,413.62; Andrew Ellsworth, $10,800.00; Wells Fargo Vendor Financial Svcs, $662.00; Wapiti Medical Staffing, $672.22; WW Tire Service Inc, $27.00; Verizon Wireless, $1,134.85; US Compounding Inc, $149.46; Stryker Endoscopy, $5,841.56; Stephanie Hung, $6,727.83; State Hygenic Laboratory- Accts Rec, $3,822.00; South Dakota Supplement Plan, $7,167.41; South Dakota Retirement System, $187,340.79; South Dakota Department of Health, $185.00; Sheila Anderson, $300.00; Sanford Training Center, $144.00; SMT Health Systems Inc, $63.27; Rushmore Service Center LLC, $223.42; Richard H Peterson, $300.00; RFD Newspapers Inc, $98.00; Quantum Medical, $29.76; Qiagen Inc, $1,044.95; Precision Lens, $1,510.00; Physicians Laboratory LTD, $6,627.38; Philips Healthcare, $197.49; Orthopedic Institute, $93.26; Northwestern Energy, $7,076.42; Midwest Urologic Stone Unit Limited, $2,250.00; Midwest Medical Insurance Co, $26,517.00; Midcontinent Communications, $1,585.75; Messerli & Kramer PA, $101.07; Medical Information Technology Inc, $13,733.00; Mediacom LLC, $211.62; McKesson Medical Surgical, $2,055.68; M Misc, $115.00; Lynn M Darnall, $300.00; North Central Food Processing, $370.79; Kingsbury Journal, $288.00; Justin G Sell, $300.00; Jill Kruse, $10,800.00; James Morgan, $300.00; Jackrabbit Sports Properties LLC, $23,500.00; Infusystem Inc, $378.00; Infusystem Inc, $158.00; Hy-Vee Accounts Receivable, $733.44; HERC Publishing, $80.30; Gordon Dekkenga, $307.00; GIS Benefits, $10,389.30; Foerster Office & Janitorial Supply, $371.80; Flowers On Main, $542.50; Florida State Disbursement Unit, $108.60; First Bank & Trust, $665.00; Fedex, $360.13; Fastenal Company, $106.29; Einspahr Auto Plaza Inc, $1,764.22; East Side Jersey Dairy Inc, $300.34; EZ Way Inc, $376.55; Department of Social Services, $435.70; DeliverHealth Solutions LLC, $46.37; Dedicated Investment Group, $1,004.68; David M Meyer, $300.00; Daryl Englund, $400.00; Dakota Truck Underwriters, $5,789.00; Credit Collections Bureau, $50.95; Courtesy Plumbing Inc, $1,509.83; Collection Services Center, $201.69; City of Volga, $137.56; Centurylink, $94.03; Catherine Leadabrand, $191.40; Cardinal Health 414 LLC, $1,374.45; Cardinal Health, $726.97; CR Bard Inc, $700.00; CR Bard Inc, $1,202.37; CR Bard Inc, $910.23; CPSI, $2,468.71; C MISC, $66.00; Business Card, $16,378.33; Brookings Register, $167.79; Brookings Area United Way, $242.78; Becton Dickinson and Company, $2,844.50; Avera Medical Group Flandreau, $50.00; Avera McKennan Hospital, $13,413.65; Avera McKennan Hospital, $25.40; Avera Home Medical Equipment, $1,365.43; Avera Health, $1,245.00; Audio Connections, $6.35; Armstrong Medical Industries Inc, $2,411.00; Andrew J Chontos, $4,564.00; Andrew Ellsworth, $300.00; Amp Electric Construction Inc, $349.58; Alpha Media LLC, $2,335.00; Aflac Group Insurance, $153.96; Aflac Group Insurance, $6,699.62; Accounts Management Inc, $447.56; Acclarent Inc, $12,506.55; Abbott Laboratories, $277.15; 9 Clouds Marketing Group LLC, $3,493.99; Patient-Insurance Refund, $39.00; Patient-Insurance Refund, $315.00; Patient-Insurance Refund, $17.51; Patient-Insurance Refund, $273.00; Patient-Insurance Refund, $10.14; Patient-Insurance Refund, $71.97; Patient-Insurance Refund, $23.23; Patient-Insurance Refund, $854.89; Patient-Insurance Refund, $40.00; Patient-Insurance Refund, $100.00; Patient-Insurance Refund, $36.15; Patient-Insurance Refund, $10.00; Patient-Insurance Refund, $15.50; Patient-Insurance Refund, $91.80; Patient-Insurance Refund, $5.67; Patient-Insurance Refund, $197.00; Patient-Insurance Refund, $30.27; Patient-Insurance Refund, $72.00; Patient-Insurance Refund, $300.91; Patient-Insurance Refund, $24.83; Patient-Insurance Refund, $1,430.30; Patient-Insurance Refund, $551.54; Patient-Insurance Refund, $536.25; UPS, $180.52; Typenex Medical LLC, $98.55; T Misc, $690.00; Suntrac Services Inc, $140.00; Stryker Orthopaedics, $11,415.76; Steris Corporation, $361.42; Sleep Center Services LLC, $780.00; See Better Lab, $62.50; Sean Sundermann, $3,076.60; Scott Raabe, $817.20; Sarstedt Inc, $951.38; Runnings Supply Inc, $36.48; RR Donnelley, $414.00; Precision Lens, $1,491.00; Precise Bioscience LLC, $4,200.00; PlatinumCode, $310.56; Plan B Eyewear Inc, $944.32; Pan O Gold Baking Co, $146.71; Oxyrase Inc, $245.44; Ortho-Clinical Diagnostics Inc, $399.11; Optos Inc, $87.36; Northwestern Energy, $193.07; Natalie Christina Owens-Sloan, $604.52; Minn-Kota Pest Control, $124.00; Millennium Surgical Corp, $204.00; Midwest Special Instruments Corp, $44.00; Midwest Glass, $117.15; Medline Industries Inc, $3,590.26; Mediacom LLC, $8.47; McKesson Medical Surgical, $218.17; McGee Group, $54.51; Mary Meyer Corporation, $899.61; Kleerspex Group LLC, $546.47; Karla Hanson, $560.00; Jesse Walsh, $423.36; Intrado Interactive Services Corp, $94.32; Hubert Company, $496.06; Hologic Inc, $3,621.00; Health Care Logistics Inc, $23.25; Hauge Associates Inc, $42.00; Hamilton Medical Inc, $140.67; Grainger Inc, $122.26; Global Surgical Corp, $165.00; Galls LLC, $79.96; Foerster Office & Janitorial Supply, $47.20; Fisher Healthcare, $1,020.28; East Side Jersey Dairy Inc, $243.73; EMD Millipore Corp, $324.00; Draeger Inc, $4,154.65; Don Roesler, $1,567.20; Diagnostica Stago Inc, $3,391.04; Deer Oaks Mental Health Associates, $204.57; Credit Collections Bureau, $1,590.58; Creative Brands, $30.49; Core-Mark Midcontinent Inc, $556.11; Cooks Waste Paper & Recycling, $2,140.80; Sentrixx Security, $317.83; City of Brookings, $433.12; Chesterman Co, $196.00; Centurylink, $278.12; Cardinal Health 414 LLC, $1,502.24; Cardinal Health, $2,863.50; Brookings Futbol Club, $100,000.00; Bracco Diagnostics Inc, $1,177.56; Berkeley Medevice, $67.40; Bayer Healthcare LLC, $1,275.16; Bausch & Lomb - Vision Care, $2,865.25; Baby Cafe USA Inc, $150.00; BP of Brookings Inc, $971.26; Avera McKennan Hospital Emergency, $290.00; Avera McKennan Hospital, $1,728,780.78; Aspex Eyewear Inc, $49.99; Ashley Schmidt, $306.88; Allen Medical Systems Inc, $133.00; Alcon Vision LLC, $753.24; Agiliti Health Inc, $29,821.28; Accounts Management Inc, $80.00; AT Analytical Inc, $248.14; AAA Collections Inc, $18,067.32; 24-7 EMS, $1,571.70; Patient-Insurance Refund, $25.00; Patient-Insurance Refund, $10.47; Patient-Insurance Refund, $30.00; Patient-Insurance Refund, $23.00; Patient-Insurance Refund, $206.98; Patient-Insurance Refund, $220.07; Patient-Insurance Refund, $100.80; Patient-Insurance Refund, $43.58; Patient-Insurance Refund, $14.59; Patient-Insurance Refund, $14.76; Patient-Insurance Refund, $12.57; Patient-Insurance Refund, $59.40; Patient-Insurance Refund,;Patient-Insurance Refund, $48.31; Patient-Insurance Refund, $93.19; Patient-Insurance Refund, $30.00; Patient-Insurance Refund, $74.49; Patient-Insurance Refund, $200.00; Patient-Insurance Refund, $100.00; Young Door Service, $1,203.91; WW Tire Service Inc, $799.00; Verathon Inc, $190.19; Valued Relationships Inc, $1,801.25; United Living Community, $5,765.23; US Postal Service, $740.00; UPS Store, $96.84; Two Way Solutions Inc, $74.97; Tri-City Star, $49.98; Transmed Inc, $1,433.00; Town & Country Shopper Inc, $528.00; Total Maintenance Systems Inc, $193.60; Tennant Sales & Service Company, $65.75; Swiftel Communications, $6,193.77; Swiftel Center, $270.96; Stericycle Inc, $477.56; Step Saver Inc, $376.35; South Dakota Supplement Plan, $7,167.41; South Dakota Supplement Plan, $68,118.19; Smith & Nephew Inc, $755.00; Sioux Falls Aquatics LLC, $550.00; Shelly Deknikker, $406.32; Shari Kleinjan, $814.56; Sarstedt Inc, $344.26; Sanford Training Center, $206.00; Samantha Drealan, $366.80; SDN Communications, $1,305.92; S Misc, $1,343.00; S Misc, $133.13; Rushmore Service Center LLC, $223.42; Randi Bauman, $661.68; Precision Lens, $1,964.30; Pinestar Technology Inc, $865.00; PharMerica, $275.12; Pests B Dead LLC, $75.00; Peggy Morris Ferkul, $445.20; Pan O Gold Baking Co, $271.59; Otis Elevator Company, $199.72; OEC Medical Systems Inc, $115,793.50; Noridian Healthcare Solutions LLC, $336,545.69; Nebraska Child Support Payment Ctr, $43.85; Nalco Company, $1,153.93; Mother's Milk Bank of Iowa, $233.00; Modern Optical International, $34.41; Mix Dry Cleaners Inc, $225.00; Mitel Cloud Services, $1,596.15; Minn-Kota Pest Control, $143.50; Millennium Surgical Corp, $139.00; Midwest Urologic Stone Unit Limited, $2,250.00; Messerli & Kramer PA, $101.07; Medtronic Inc, $635.00; Medline Industries Inc, $2,306.61; Mediacom LLC, $3,771.96; McKesson Medical Surgical, $1,061.56; Howes Oil Company Inc, $471.80; Madison Regional Health System, $6,412.50; Lynette Richarz, $356.72; Lowes Business Account, $533.41; Lexisnexis Risk Data Management Inc, $405.00; Laura Crooks, $288.96; L'Amy Inc, $384.75; Kyla Huntimer, $552.48; Kristen Zobel, $325.68; Kool Beans Coffee, $395.40; Kenmark Eyewear, $344.52; Julie Henry, $145.60; Jill Merriam, $208.64; Interstate Telecommunications Coop, $188.64; Innovative Medical Products Inc, $141.35; Hamlin County Publishing Inc, $114.25; Hailey Milton, $258.72; Gregg Tebeest, $79.52; Gabrielle Deml, $230.16; GP Auto, $231.76; Foerster Office & Janitorial Supply, $413.60; Flowers On Main, $96.00; First Bank & Trust, $665.00; Fedex, $193.10; Experian Health Inc, $2,185.03; Europa Eyewear Corporation, $71.46; Emily Zenner, $54.64; Emily Vanderwal, $420.88; East Side Jersey Dairy Inc, $455.26; E Misc, $125.44; Donna Bumann, $271.92; Department of Social Services, $435.70; Deb Aalderks, $465.12; Darlene Deknikker, $50.40; Dakota Truck Underwriters, $839.67; Dakota Data Shred, $232.90; Cyracom LLC, $483.55; Culligan Water Conditioning, $170.00; Credit Collections Bureau, $50.95; CooperSurgical Inc, $1,372.08; Continental Optical Imports, $178.90; Computer Products & Supplies Intl, $454.26; Collection Services Center, $201.69; CliftonLarsonAllen LLP, $4,263.00; City of White, $419.71; City of Brookings, $26.84; Chesterman Co, $298.50; Centurylink, $22.14; Century Business Products, $3,250.13; Carefusion 2200 Inc, $667.54; Cardinal Health Pharmacy Svcs LLC, $2,853.80; Cardinal Health 414 LLC, $3,841.63; Cardinal Health, $343.29; CR Bard Inc, $1,619.32; C MISC, $123.00; Buhls Drycleaning, $477.45; Brylee Hennrich, $82.32; Brothers Pharmacy & Gifts, $6,622.54; Brookings Register, $37.82; Brookings Municipal Utilities, $34,623.64; Brookings Auto Mall, $77.40; Brookings Area United Way, $242.78; Brookings Area Transit Auth Inc, $1,000.00; Brianna Ringhand, $14.00; Bayer Healthcare LLC, $1,275.16; Bay Medical Products LLC, $231.80; Baxter Healthcare Corp, $1,633.43; Bardy Diagnostics Inc, $400.00; Avera McKennan Hospital, $5,845.48; Avera Health, $8,010.00; Avel eCare LLC, $3,713.15; Auto Body Specialties Inc, $19.23; Aspex Eyewear Inc, $1,994.77; Ashley Engelstad, $301.60; Ashley A Brown, $62.48; Arthrex Inc, $3,023.00; Arlington Sun, $49.98; Arlington Municipal Utilities, $284.14; Arlington Chamber of Commerce, $50.00; Angela Shoup, $129.68; Amp Electric Construction Inc, $61.22; American Solutions For Business, $88.69; Amanda Trowbridge, $25.00; Allen Medical Systems Inc, $133.00; Allegra Printing & Imaging, $1,656.21; Aegis Therapies Inc, $32,105.76; Accounts Management Inc, $295.20; ACOG Professional and Educational, $36.30; A Misc, $125.44; 9 Clouds Marketing Group LLC, $1,329.07; Patient-Insurance Refund, $113.48; Patient-Insurance Refund, $111.20; Patient-Insurance Refund, $21.60; Patient-Insurance Refund, $11.68; Patient-Insurance Refund, $64.38; Patient-Insurance Refund, $127.75; Patient-Insurance Refund, $83.40; Patient-Insurance Refund, $197.00; Patient-Insurance Refund, $45.31; Patient-Insurance Refund, $43.79; Patient-Insurance Refund, $98.88; Patient-Insurance Refund, $104.49; Patient-Insurance Refund, $48.10; Patient-Insurance Refund, $4,662.00; Patient-Insurance Refund, $132.72; Patient-Insurance Refund, $330.40; Patient-Insurance Refund, $111.56; Patient-Insurance Refund, $158.15; Patient-Insurance Refund, $330.40; Patient-Insurance Refund, $75.52; Patient-Insurance Refund, $377.60; Patient-Insurance Refund, $377.60; Patient-Insurance Refund, $100.42; Patient-Insurance Refund, $135.38; Patient-Insurance Refund, $500.00; Patient-Insurance Refund, $206.77; Patient-Insurance Refund, $45.00; Patient-Insurance Refund, $418.20; Patient-Insurance Refund, $67.15; Patient-Insurance Refund, $263.08; Patient-Insurance Refund, $277.50; Patient-Insurance Refund, $26.72; Patient-Insurance Refund, $40.00; Patient-Insurance Refund, $25.00; Patient-Insurance Refund, $63.95; Patient-Insurance Refund, $1,177.27; Patient-Insurance Refund, $100.00; Patient-Insurance Refund, $24.56; Patient-Insurance Refund, $196.33; Patient-Insurance Refund, $100.99; Walman Instruments, $8,246.13; WW Tire Service Inc, $80.20; Voyager Fleet Systems Inc, $1,946.99; Verizon Wireless, $2,683.96; Tyler Richard Harrell, $1,000.00; Telephone Systems & Service Inv, $625.00; Stryker Sales Corporation, $2,518.90; Stryker Orthopaedics, $7,247.30; State Hygenic Laboratory- Accts Rec, $1,872.00; South Dakota Department of Health, $222.00; Siemens Healthcare Diagnostics, $6,715.86; Sherwin-Williams Co, $29.10; Sean Sundermann, $1,067.20; Scott Raabe, $1,067.20; Sarstedt Inc, $356.97; Sanford Training Center, $60.00; Sanford Laboratories, $202.00; Do Not Use (Use V035210), $319.00; Rove Staffing LLC, $2,716.00; Richard Ewing Equipment Co Inc, $8,915.00; Quantum Medical, $79.21; Preferred Woodwork inc, $895.11; Precise Bioscience LLC, $13,100.00; Pinnacle Marketing Group, $276.00; Physicians Laboratory LTD, $10,422.00; Northwestern Energy, $437.42; Nonin Medical Inc, $388.00; Monarch Sales Co Inc, $1,605.83; Minn-Kota Pest Control, $66.00; Mimedx Group Inc, $2,398.50; Midcontinent Communications, $585.75; McKesson Medical Surgical, $222.44; MVMD Prof LLC, $26,100.00; Live Eyewear, $26.90; Lindsey Bothwell, $300.16; Kurz Medical Inc, $464.00; Katy Vanderwal, $112.76; Jamie Halvorson, $55.44; Intellipro Security LLC, $1,217.25; Injoy Productions Inc, $1,344.40; Infusystem Inc, $405.00; Infusystem Inc, $237.00; Grainger Inc, $25.20; Goth Electric, $367.35; Gordon Dekkenga, $140.88; Foerster Office & Janitorial Supply, $202.80; Fix It Shop Locksmith, $6.00; First Bank & Trust, $674,881.74; Fedex, $588.04; Encompass Group LLC, $3,076.24; Eide Bailly LLP, $20,000.00; Draeger Inc, $152.69; Crest Healthcare Supply, $107.59; Courtesy Plumbing Inc, $225.00; Cook Medical Incorporated, $665.97; Centurylink, $94.03; Cardinal Health 414 LLC, $1,415.80; Cardinal Health, $2,580.03; Builders FirstSource, $245.10; Brookings Area Chamber of Commerce, $200.00; Brian D Detmers, $300.00; Bound Tree Medical LLC, $588.71; Biomerieux Inc, $201.81; Bio-Rad Laboratories Inc, $2,795.58; Beekley Corporation, $62.00; Baxter Healthcare Corp, $1,522.69; Baby-Friendly USA Inc, $1,600.00; Avera Medical Group Flandreau, $50.00; Avera McKennan Hospital, $3,459.14; Avera Home Medical Equipment, $168.50; Avera Health, $34,828.25; Applied Medical Resources, $800.00; Allergan, $272.00; Allegra Printing & Imaging, $3,576.11; ABB Optical Group, $2,833.00; Patient-Insurance Refund, $25.74; Patient-Insurance Refund, $30.13; Patient-Insurance Refund, $68.80; Patient-Insurance Refund, $30.00; Patient-Insurance Refund, $50.00; Patient-Insurance Refund, $104.05; Patient-Insurance Refund, $113.40; Patient-Insurance Refund, $128.70; Patient-Insurance Refund, $836.57; Patient-Insurance Refund, $200.00; Patient-Insurance Refund, $63.59; Patient-Insurance Refund, $109.97; Patient-Insurance Refund, $698.61; Patient-Insurance Refund, $946.67; Patient-Insurance Refund, $34.83; Patient-Insurance Refund, $35.61; Patient-Insurance Refund, $75.35; Patient-Insurance Refund, $740.23; Patient-Insurance Refund, $150.16; Patient-Insurance Refund, $41.00; Patient-Insurance Refund, $45.00; Patient-Insurance Refund, $26.99; Patient-Insurance Refund, $80.48; Patient-Insurance Refund, $29.61

 

Total: $4,187,373.58

 

Action: All present voted yes; motion carried. 

 

INFORMATIONAL ITEMS

Articles of interest included “A United Front”, MED Magazine; “Five tips to better equip hospitals for the next pandemic”, Modern Healthcare; and, “Rethinking long-term care models”, Modern Healthcare.

 

Merkley commented on the article regarding long-term care models. The industry as a whole is being challenged and has been seriously impacted by the pandemic. Nursing home occupancy is at an all-time low and 143 facilities closed or merged across the country. We have been fortunate enough to keep COVID out of our long-term care facility, but concerns are still present when it comes to workforce, referrals and reimbursement. 

 

REPORTS

Executive Reports

CEO Report

Merkley noted today is the last day of the Flower Fundraiser to support Brookings Health System Foundation. Approximately 300 items have been ordered so far. Darnall, owner of Medary Acres, was thanked for teaming up with the Foundation for this first time fundraiser. Leadership training is underway for our leaders and supervisors; BHS partnered with SDAHO in an online package with a variety of course topics designed to develop skills and further education.  

 

CFO Report

Wagner commented, unfortunately, an agreement was not reached with Wellmark regarding their Wellmark Medicare Advantage plan (a plan that provides Medicare benefits through a private-sector). Wellmark was not able to increase reimbursement to account for the RCHD Medicare payment BHS receives. We will be reviewing all other Medicare Advantage plans to evaluate continued participation. Tax season wrapped up this week with all 990’s being filed. 

 

March Wage Changes

J, Virkar, $12.29; B, Nelson, $30.66; T, Schlechter, $12.33; D, Ciancio, $29.89; D, Norgaard, $17.57; L, Rice, $27.28; O, Bolaji-Oyenekan, $12.55; E, VanderWal, $26.67; R, Bauman, $29.69; N, Samuel, $28.52; C, Roth, $21.10; F, Kponyoh, $13.47; M, Foster, $35.37; P, Dunham, $12.79; A, Shoup, $28.03; R, Sittig, $20.91; J, Kinross-Wright, $180.00; J, Merkley, $183.89; E, Campbell, $27.03; C, Kirby, $98.75; C, Steineke, $13.60; L, Carner, $18.35; N, Delawar, $180.00; D, Gilbertson, $10.45; A, Baszler, $31.28; J, Nielsen, $29.76; A, Fossum, $13.12; S, Neilson, $35.71; D, Edquist-Carroll, $12.71; T, Williams, $13.83; C, DeKnikker, $14.87; K, Knutson, $13.88; E, Sanderson, $28.16; G, Woitte, $29.00; P, Young, $12.78; K, Teal, $14.36; J, Halvorson, $33.11; J, Mutziger, $35.97; L, Maher, $31.48; S, Buckman, $12.50; D, Melchor Solano, $12.81; G, Dekkenga, $39.42; J, Lara, $12.40; N, Price, $15.93; C, Leadabrand, $180.00; D, Larson, $29.70; P, Colbeck, $33.44; A, Knox, $14.59; J, Boldt, $26.62; S, Bjordal, $35.71; S, Deknikker, $24.11; J, Boldt, $29.37; M, Lebeda, $16.42; J, Kuechenmeister, $16.44; L, Jacobson, $14.44; G, Kleiman, $11.97; E, Johnson, $25.50; O, Hagen, $18.47; M, Lane, $12.70; L, Richarz, $17.82; L, Odde, $25.29; K, Callies, $36.75; M, Wagner, $63.02; L, Chavez, $19.09; W, Donelan, $13.50; M, Wilde, $44.21; T, Buchholz, $54.48; J, Rauen, $35.41; M, Gummer, $14.00; T, Bird, $20.90; T, Hillestad, $76.70; B, Cramer, $13.75; M, Sarmiento Bogota, $11.40; M, Deutsch, $34.45; M, Hanson, $24.69; L, Bogota, $14.57; B, Christie, $29.07; A, Goens, $23.11; S, Hirrschoff, $24.66; M, Sinner, $21.37; A, Vander Pol, $26.00; K, Rieffenberger, $24.49; M, Holm, $12.62; S, Orchard, $32.21; K, Sebert-Bortnem, $32.16; S, Gibson, $49.21; J, Christensen, $20.84; M, Begalka, $12.15; K, Dickens, $14.44; B, Cotton, $38.21; M, Anderson, $16.14; H, Sagehorn, $13.68; K, Vogel, $12.22; I, Martinez Rivera, $13.06; K, Kasak, $21.28; D, Sinner, $13.81; J, Paulsen Cooley, $13.28; J, Strom, $12.32; M, Deitschman, $21.30; M, Diede, $10.50; S, Timmerman, $74.04; K, Dunn, $12.56; L, Culpeper, $12.76; D, Jensen, $26.51; E, Haugrud, $10.50; E, Bell, $26.52; C, Virchow, $30.17; D, Rue, $13.59; A, Schmidt, $21.63; B, Hennrich, $13.91; T, Evans, $12.18; L, Coull, $35.71; G, Sterud, $25.85; T, Larson, $35.09; S, Christie, $15.81; K, Steffensen, $17.35; K, Bourcy, $12.50; K, Rogers, $14.89; G, Jones, $13.03; R, McCullough, $18.96; K, Erickson, $24.86; N, DeBoer, $29.17; C, Mead, $24.54; E, Hegdahl, $13.24; L, Olson, $21.19; A, Meyer, $12.57; C, Deslauriers, $13.74; J, Flanagan, $11.07; G, Deml, $12.84; M, Sand, $30.74; A, Dreessen, $200.00; V, Bingham, $15.25; S, Jennen, $13.79; C, Ketterman, $12.97; M, Tvedt, $25.80; M, Bedow, $12.32; E, Warns, $14.42; H, Faehnrich, $33.25; K, Kinner, $23.98; A, Heidenreich, $32.15; M, Hustead, $12.59; B, Kc, $24.96; C, Scheibel, $21.01; C, Granum, $22.74; A, Hare, $12.52; B, Nelson, $24.93; J, Van Voorst, $30.55; A, Gerdes, $13.75; A, Baker, $13.57; J, Domagalski, $88.03; T, Arzdorf, $23.18; A, Fischer, $20.17; N, Owens-Sloan, $180.00; S, Heumiller, $15.50; J, Walsh, $34.53; M, Ruhlman, $35.71; T, Sumner, $18.49; F, Petersen, $12.48; H, Henderschiedt, $19.73; T, Rodriguez, $28.47; M, Steffensen, $12.32; T, Mead, $18.64; R, Schultz, $12.68; L, Sapp, $43.20; C, Smith, $23.82; D, Vos, $13.70; J, Wingle, $18.34; S, Rechtenbaugh, $48.91; M, Hudy, $10.76; R, Straub, $35.00; H, Austreim, $12.55; B, Foerster, $31.65; B, Kurtz, $14.27; K, Madsen, $13.61; S, Schulz, $29.02; L, Lawton, $26.00; P, Morris-Ferkul, $13.91; A, Halseide, $17.42; M, Price, $35.26; J, Henry, $17.63; N, Steen, $10.50; J, Bortnem, $38.30; D, Wingle, $17.27; M, Ziebarth, $24.75; A, Norgaard, $28.18; L, Crooks, $24.01; C, Juhnke, $18.55; S, Wiig, $25.16; E, Tramp, $25.13; P, Bierman, $13.06; E, Westlund, $11.00; J, Harvey, $19.66; E, Telkamp, $18.21; H, Kretsch, $25.74; C, Pates, $28.88; S, Stevens, $12.55; K, Fritz, $24.16; Y, Bipula, $13.54; J, Zemlicka, $10.82; J, Merriam, $28.00; K, Jensen, $35.71; K, Bartels, $12.55; K, Pappas, $12.55; H, Coon, $32.77; J, Isham, $31.72; S, Langland, $24.84; L, Barton, $11.45; G, Tebeest, $27.97; S, Sheeley, $26.17; M, Cepeda, $13.92; M, Hernandez, $13.23; J, Brodkorb, $11.40; B, Schwartz, $26.23; V, Ripley, $12.28; P, Weckwerth, $41.78; T, Becker, $19.64; S, Schindler, $30.35; K, Rath, $10.20; T, Heinze, $90.00; V, Selleck, $17.71; E, Hartley, $12.67; M, Cramer, $16.98; D, Ball, $16.50; J, Pederson, $19.07; A, Overby, $28.38; T, Granum, $35.71; D, Hohn, $29.76; O, Balasooriya, $10.50; D, Blankenfeld, $30.29; M, Olauson, $21.28; I, Mbula-Roe, $15.97; S, Klug, $35.71; J, Chandler, $34.95; B, Tillma, $24.45; J, Holm, $35.71; K, Coull, $18.21; R, Johnson, $37.10; S, Doom, $20.97; L, Bunkowske, $15.00; R, Kowitz, $12.56; N, Hemish, $13.72; A, Olson, $14.20; M, Williams, $19.73; S, Hartung, $18.99; J, Jerstad, $179.32; B, Bangs, $18.29; E, Stevenson, $31.59; M, Jones, $14.71; A, Gerlach, $31.27; L, Rasmussen, $22.49; A, Brown, $28.16; B, Geraets, $13.07; D, Chapin, $19.80; M, Cole, $12.49; D, Miller, $22.45; J, Ness, $34.79; D, Petersen, $13.02; A, Steffensen, $11.65; L, Gilbertson, $37.68; J, VuKovich, $17.76; H, Bortnem, $10.45; A, Waddell, $13.20; J, Sauter, $29.84; J, Berhow, $13.74; S, Bosch, $14.26; B, Ymker, $13.53; E, Delbridge, $38.76; B, Hart, $34.68; M, Osterkamp, $31.61; S, Olson, $20.95; E, Zenner, $12.85; N, Winseman, $35.99; M, Pakieser, $15.09; S, Swedlund, $12.75; J, Bloker, $15.50; J, Fox, $11.79; B, Hieb, $34.13; E, Schlotman, $19.26; S, Pappas, $14.17; S, Roth, $15.97; L, Buck, $31.47; D, Tiger, $12.49; L, Bothwell, $36.11; I, Omar, $12.44; C, Wangsness, $165.00; K, Jones, $60.04; S, Kleinjan, $35.07; M, Bolstad, $28.10; A, Peters, $21.79; M, Carmody, $25.58; M, Heermann, $37.56; A, Koisti, $35.71; S, Forbes-Hurd, $60.52; J, Wages, $10.50; J, Babich, $18.25; K, Storhaug, $33.05; K, Huntimer, $29.09; L, Koropatnicki, $28.32; A, Pollock, $12.25; P, Hauffe, $17.66; N, Gross, $13.90; A, Trowbridge, $43.30; E, Braswell, $12.82; A, Beckman, $18.09; M, Korah, $10.50; S, Pappas, $43.22; V, Creswell, $31.65; A, Hay, $15.30; T, Johnson, $25.63; J, Klinkhammer, $96.44; H, Bortnem, $35.71; M, Freyberg, $31.07; B, Carsrud, $18.85; A, Chapman, $10.42; S, Schneider, $31.39; J, Mendel, $94.41; M, Stafford, $19.19; D, Stover, $35.71; M, Newman, $28.85; B, Knapp, $27.71; W, Long, $23.92; G, Weber, $48.12; L, Kaufmann, $44.12; M, Meyer, $30.53; S, Larsen, $17.91; T, Meshke, $28.96; K, Johansen, $13.16; K, Peterson, $11.65; A, Wilson, $23.22; L, Lowe, $12.57; B, Gjernes, $30.74; J, Lee, $17.05; E, Hesby, $28.54; A, Bunkers, $13.41; K, Hanson, $11.99; D, Bumann, $27.99; C, Wambeke, $16.25; E, Sobczak, $12.95; M, Anderson, $13.55; A, Miskinis, $14.29; S, Bunker, $14.25; N, Froiland, $29.27; S, Halseide, $41.73; S, McKee, $13.61; S, Cox, $14.87; T, Hartman, $14.19; P, Gilbertson, $12.20; M, Osmanski, $18.06; D, Lovejoy, $13.20; H, Cummins, $12.32; B, Anderson, $10.40; K, Bertrand Graeb, $27.67; V, Zamow-Laney, $31.66; L, Hillestad, $13.09; R, Achen, $23.16; A, Engel, $13.92; C, Adam, $13.32; M, Carry, $12.22; T, Poppen, $16.65; M, Handegard, $25.48; D, Conatser, $35.71; K, Gray, $27.83; D, Kucker, $18.43; C, Everman, $22.21; K, Weber, $56.96; W, Keller, $13.22; L, Moe, $17.15; R, Richter, $13.69; S, Nupen, $35.63; C, Bolzer, $20.36; C, Schneider, $24.83; B, Eggebrecht, $25.26; T, Bauer, $17.42; A, Janssen, $18.61; R, Axtell, $32.90; S, Drealan, $32.41; A, Quam, $32.69; R, Joyce, $28.98; M, Johnson, $15.76; A, Johnson, $13.74; K, Cooley, $18.66; K, Lovre, $15.38; S, Vondra, $32.03; E, Hanson, $26.75; M, Funnell, $13.40; K, Vanderwal, $27.11; C, Hemmestad, $57.80; D, Miller, $19.03; T, Stauffacher, $44.88; C, Sundberg, $32.15; B, Quam, $10.50; A, Betlach, $14.78; C, Kleinwort, $10.50; D, Becker, $18.28; T, Bortnem, $12.32; L, Gries, $22.67; K, Fleahman, $18.34; A, Hornick, $18.15; G, Millard, $33.33; S, Cavanaugh, $16.73; F, Clark, $12.75; J, Aalderks, $35.71; A, Wye, $11.65; M, Hamilton, $14.17; C, Weets, $16.37; K, Draper, $13.01; A, Plotz, $13.69; A, Uecker, $20.33; E, Casanova, $11.99; S, Doyle, $19.32; T, Watson, $45.94; A, Anderson, $16.70; J, Olson, $30.62; K, Zobel, $32.65; J, Fedorchik, $13.70; M, Archer, $12.54; M, Anderson, $29.06; S, Bessler, $53.24; J, Nylund, $33.84; J, Ries, $30.60; H, Nygaard, $12.49; W, Harkema, $23.82; J, Tolzin, $30.69; D, DeKnikker, $12.91; M, Kroger, $23.01; K, Singh, $12.67; A, Mileham, $18.09; L, Thompson, $44.38; L, Jacobson, $18.42; E, Oines, $15.62; H, Schultz, $30.95; M, Nelsen, $24.49; M, Nielsen, $33.55; J, Kriese, $13.21; N, Horsley, $19.05; M, Hegdahl, $31.94; A, Farnsworth-Gehl, $17.50; V, Spadaro II, $18.21; K, Walery, $13.09; M, Schwaegerl, $47.24; B, Mogler, $19.79; R, Hellmann, $10.50; B, Lindsey, $10.00; S, Brown, $31.00; A, Sanchez, $15.44; C, Woodcock, $25.34; S, Reed, $17.31; G, Bleyenberg, $25.50; S, Ludwig, $20.10; A, Dickens, $14.40; S, Helms, $32.49; M, Gross, $27.06; J, Buhr, $12.47; J, Hanssen, $52.78; B, Boone, $14.16; D, Thomas, $44.80; S, Clark, $18.05; S, Gortmaker, $15.92; C, Park, $22.26; D, Salesa, $10.50; T, Johnson, $13.99; C, Hirrschoff, $27.66; M, Hallan, $10.50; K, Faehnrich, $12.36; K, Almusaylim, $13.64; H, Haber, $13.27; J, Klinkhammer, $38.42; D, Clearwater, $33.87; B, Nemmers, $15.15; T, Papiernik, $21.19; L, Walterman, $16.90; S, Weaver, $13.49; S, Koob, $48.00; C, Baumhoefner, $12.19; M, Higgins, $34.80; T, Broksieck, $14.40; M, Lack, $12.26; J, Turner, $12.57; B, Slaba, $10.50; S, Vernarsky, $17.80; R, Gebhart, $31.65; C, Bolstad, $24.32; M, Laframboise, $32.12; A, Overby, $89.54; K, Urevig, $32.83; M, Martinson, $14.91; L, Jacobson, $35.43; J, Myhre, $35.08; H, Milton, $13.53; E, Hansen, $14.40; V, Kubal, $15.78; E, Deibert, $26.71; K, Hanson, $43.73; V, Swedlund, $35.71; A, Engelstad, $26.51; M, Buckman, $12.50; A, Norton, $16.58; D, Johnson, $32.61; H, Dotson, $15.18; E, Clement, $29.58; A, Johnson, $27.02; C, Friedrich, $16.07; T, Johnson, $15.11; B, Kvamme, $102.16; A, Luoma, $30.04; M, Meier, $24.97; K, Jones, $25.48; B, Jensen, $26.34; D, Heidemann, $14.55; R, Boyle, $25.38; J, Schultz, $19.00; D, Thompson, $41.13; P, Kelzer, $15.08; J, LaPorte, $12.97; L, Way, $12.55; M, Hanson, $22.07; A, Anderson, $30.00; J, Yoder, $38.31; J, List, $16.24; A, Reyes, $14.41; K, Paulson, $12.71; S, Knutson, $28.16; S, Price, $28.92; E, Harms, $10.50; H, Beers, $11.99; J, Feucht, $22.04

 

CNO Report

Hillestad stated that today we had our first hyperbaric oxygen (HBO) therapy patient and everything went well. Hillestad also noted Brookings Health was recently contacted by an individual that works for Quick Care clinics, currently located in Watertown and Huron. Quick Care will soon be opening a clinic in our community and we will plan to support them with our radiology and lab services. Quick Care or urgent care clinics are ramping up quickly all over the country, not just in South Dakota. 

 

 

Board Committee Reports

Administrative Committee:

Committee member Morgan provided a report; the Administrative Committee met on April 20, 2021. Topics of discussion included HBO/Telehealth, Medicare Advantage – Wellmark & Others, Facility Condition Assessment – Kraus Anderson, Non-Compete Language/Marijuana House Bills and COVID-19 Vaccination Update. 

 

Finance Committee:  

Committee Chair Peterson provided a report; the Finance Committee met on April 22, 2021. The committee reviewed and approved the payables, adjustments and financials for March. Other topics of discussion included Adjustment Analysis and Cash Flow History. 

 

Quality Committee:

Quality Committee Chair Ellsworth provided a report; the Quality Committee met on April 20, 2021. Topics of discussion included Final 2020 TeamShare Results, Organ/Tissue & Eye Donation Procurement Program, PEPPER Report, National Rural Health Association Top 20 Report, and COVID-19 Vaccination Update. 

 

OLD BUSINESS

COVID-19/Vaccination Process

Merkley stated vaccine demand has fallen off very quickly; there were only about 300 doses given, including walk-ins, at the last vaccination POD event on April 22nd at the Swiftel Center. Brookings Health will continue to assist with scheduled second dose POD events. Information was issued today that South Dakota will resume use of the Johnson & Johnson vaccine noting the benefits of the vaccine outweigh the risks. In an effort to help SDSU students get vaccinated, the J&J vaccine will be offered at this week’s POD event. Discussions will take place soon on transitioning back to holding vaccine opportunities at the local clinics. Internally, Brookings Health holds a monthly vaccine clinic for new employees, residents and those that may be on the fence whether or not to get the vaccine. Communication and campaign efforts continue to address vaccine hesitancy. 

 

City Ex Officio, Patty Bacon, took a moment to express her appreciation for Brookings Health’s participation with the City and others in all the efforts to keep our community safe throughout the pandemic. 

 

NEW BUSINESS

Medical Staff Credentialing

A motion was made by Ellsworth, seconded by Peterson to approve the credentialing and re-credentialing as recommended by the Medical Executive Committee. 

 

Action:  All present voted yes; motion carried.  

 

EXECUTIVE SESSION

A motion was made by Morgan, seconded by Darnall to enter into Executive Session at 6:55 p.m. pursuant to SDCL 1-25-2. (1), discussing personnel. Members present were Merkley, Anderson, Darnall, Ellsworth Englund, Krogh, Meyer, Morgan, and Peterson; motion carried.

 

While in executive session, Anderson reviewed the CEO Incentive program structure previously approved by the Board.  Anderson reviewed the 2020 incentive results based on audited figures and noted the GASB adjustments are not in the EBIDA formula and should not be included in future years. Merkley excused himself.

 

Additional discussion was held surrounding TeamShare results for finance and quality, the many hospital awards earned during the pandemic year, and the additional efforts made by all employees to provide quality service and support the community during the past difficult pandemic year. Merkley rejoined the meeting to discuss an additional bonus for staff based on these efforts.  

 

Upon motion by Darnall and second by Krogh the Executive Session concluded at 7:40 p.m. and continued in regular session; motion carried. 

 

A motion was made by Ellsworth and seconded by Peterson to approve a one-time special bonus to employees based on a staggered formula to be determined by Merkley, not to exceed $400,000 in total. 

Action: Motion approved unanimously.  

 

A motion was made by Anderson and seconded by Morgan to approve Merkley’s 2020 bonus calculation with GASB adjustments removed. 

 

Action: Motion approved unanimously.  

 

 

Upon motion by Krogh second by Anderson, the meeting adjourned at 7:44 p.m.    

 

Respectfully submitted, 

 

________________________________________

Sheila Anderson, Secretary   

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