Corporation meeting minutes for Nathan Adelson Hospice, March 19, 1985

The Nathan Adelson Hospice " A N O T F O R PROFIT C O M M U N I T Y ORGANIZATION" B O A R D O F TRUSTEES Merv Adelson Co-Chairman Pearl A,deison Co Chairman Irwin Molasky Co-Chairman Renny Ash'eman Donald H Baepler Al Benedict Eli Boyer David Brandsness Sharon Brandsncss Monterey Brookman Irwin Ekjchalter Anthony Carter, M.D. Don Dr-giho Thalia Dondero Lovee OuBoef Haroid Erickson Hank Greenspun Mel Hecht Charles KSduff. M.D. Jerry Kring Samuel Lionel Ron Lurie Jerome Mack Jerry Mandel Mary dean Martin Mary Ann Michel Susan Molasky Mike O'Caiiaghan Owen Peck. M.D. Lee Rich Allard Roen Willis Russell, M.D. Arthur Sandoval Art Smith William K Stephan, M . D Muriel Stevens E. Parry Thomas Richard Thomas David Zenoff TO: CORPORATION MEMBERSHIP DATE: MARCH 19, 1986 FROM: BUCK DEADRICH, EXECUTIVE ADMINISTRATOR RE: 1985 CORPORATION MEETING MINUTES The minutes of the Corporation meeting held on March 19, 1985, were inadvertently omitted from the mailing you received last week announcing the 1986 Corporation meeting. If you have corrections to make to the minutes, or wish further information concerning the Corporation meeting, please contact Allie Lakey at 733-0320. 4141 S. Swenson Street ? Las Vegas, Nevada 89109 ? (702) 733-0320 The Nathan Adelsort Hospice " A N O T FOR PROFIT C O M M U N I T Y O R G A N I Z A T I O N " B 0 A R D O F TRUSTEES Merv Adelson Co-Chairman Pearl Adelson Co-Chairman Irwin Molasky Co-Chairman Kenny Ashleman Donald H. Baepler Al Benedict Eli Boyer David Brandsness Sharon Brandsness J^onterey Brookiran [Irwin Buchalter Anthony Carter, M.D. Don Digilio Thalia Dondero Lovee DuBoef Harold Erickson Hank Greenspun Mel Hecht Charles Kilduff. M.D. Jerry Kring Samuel Lionel Ron Lurie Jerome Mack Jerry Mandel Marydean Martin Mary Ann Michei Susan Molasky Mike O'Callaghar. Owen Peck, M . D Lee Rich Allard Roen Willis Russell, M.D. Arthur Sandoval Art Smith . .William K. Stephan, M.D. ..Muriel Stevens ?. Parry Thomas Richard Thomas David Zenoff MINUTES OF ANNUAL MEETING OF NATHAN ADELSON HOSPICE CORPORATION PLACE OF MEETING: DATE: CALL TO ORDER: Nathan Adelson Hospice 4141 S, Swenson St. Las Vegas, NV 89119 March 19, 1985 4:20 P.M. ATTENDING: Willis Russell, M . D . , Acting Chairman I. R. Ashleman, Secretary Lovee DuBoef Mel Hecht Charles Kilduff, M.D. Jerry Kring Jerome Mack Marydean Martin Mary Ann Michel Susan Molasky Art Sandoval William Stephan, M.D. Muriel Stevens Richard Thomas Dee Powers , member of the Corporation & Staff Volunteer Dir. There are 20 members of the corporation represented by proxy. Signed proxy statements are included in the official minutes of the meeting. Staff : Buck Deadrich, Executive Administrator Rick Bennettt, Administrator Ed Cupit, Hospice C . P . A . Rita Rosanski, R . N . , Assoc. Admin., Home Health Agency Anita Cionni, R . N . , Assoc. Admin., Inpatient Nursing Marianne Davidson, Dir. Community Relations/Events Allie Lakey, Associate Administrator CALL TO ORDER: Willis Russell, Acting Chairman, called the meeting to order at 4:20 p.m. It was announced that Irwin Molasky had been unavoidably detained and would not be present. APPROVAL OF MINUTES: The minutes, which had been mailed to all corporation members, were reviewed. Motion was made, seconded and approved as presented. 4141 S. Swenson Street ? Las Vegas, Nevada 89109 ? (702) 733-0320 Corporation Meeting Page Two 3/19/85 FINANCE REPORT: Buck Deadrich introduced Ed Cupit who presented copies of the 1984 audited statement. The report was reviewed and Mr. Cupit answered questions. The report was accepted as presented. ELECTION OF TRUSTEES: Dr. Russell presented the slate of trustees proposed by the Nominating Committee. The appointment is for an additional three year term. The remaining trustees are serving their terms of office and do not require reelection this year. The proposed trustees to be elected for an additional three-year term are: Donald Baepler Eli Boyer David Brandsness Sharon Brandsness Irwin Buchalter Don Digilio Jerome Mack The motion was made, seconded and carried to reelect the above trusteesfor an additional three-year term. HOSPITAL REPORT Rick Bennett highlighted some of the statistics on the attached fact sheet. HOME HEALTH REPORT Mr. Bennett highlighted home health activities, as noted on the attached fact sheet. VOLUNTEER REPORT Dee Powers, Director of the NAH Volunteer Program, discussed the volunteer program, citing some of the statistics as printed on the attached fact sheet. FOUNDATION REPORT Mr. Deadrich reported that the NAH Foundation was well organized and extremely active, having been instrumental in raising approximately $900,000 during 1984. He pointed with pride to the number of community leaders who were active in Foundation events. CORPORATE BYLAWS CHANGES Mr. Deadrich announced that the proposed bylaws changes would enable the hospice administration to more actively par-ticipate in the governing body. The proposed changes have Corporation Minutes 3/19/85 Page Three been mailed with an explanationto all trustees and corporation members A ballot detailing the proposed changes was part of the mailing. 2.8 Change would reduce a quorum requirement from "majority" to "seven" members of the corporation. Motion made, seconded and approved to amend bylaws as proposed. 3.5 Change would reduce the required frequency of Board of Trustees meetings from three per year to one per year. Motion made, seconded and approved to amend bylaws as proposed. 3.9 Change would reduce quorum requirement from ten members of the Board of Trustees to seven. Motion made, seconded and approved to amend bylaws as proposed. 5.1 Change would remove the restriction that only Trustees can serve on the Executive Committee. It provides for the Executive Administrator and Medical Director to be eligible to serve on the Executive Committee. Motion made, seconded and approved to amend bylaws as proposed. 5.2 Change expands the membershp of the Executive Committee to include the officers and at least two additional trustees < and the Executive' Administrator andMedical Director. Motion made, seconded and approved to amend bylaws as proposed. OTHER BUSINESS Mr. Deadrich stated that he would continue to reexamine all phases of hospice activities, both administrative as well as patient care, in an effort to make hospice more effective in the community. He stated that he was playing an active role in the formation of a Nevada Chapter of National Hospice Organization. A more formalized nursing orientation program is an immediate goal. Physician education to the benefits hospice care can be to his/her patients is an on-going priority. He recently reorganized the home health and inpatient nursing administration to permit Ms. Rosanski and Ms. Cionni time to contact physicians, explaining NAH to them. ADJOURNMENT Meeting was adjourned at 5:30 p.m. March 20, 1985 3/19/85 ADMISSIONS HOSPITAL ADMISSIONS - Comparison to previous year 1983-1984 1984-1985 November 13 25 December 24 29 January 18 34 February 14 25 69 113 This reflects a 64% increase GOALS - HOSPITAL 47 admissions per month (43 paid, 4 indigent) will cover all operations and debt service 29 admissions a month (26 paid, 3 indigent) will cover all operations without servicing debt. Since the construction and start-up debts are a reality, our goal is to average 47 admissions. As you can see, we are presently averaging one admission a day. HOME HEALTH ADMISSIONS Comparison to previous year 1983-1984 1984-1985 November 8 17 December 12 15 January 11 22 February _14 18_ 45 72 This reflects a 60% increase ) YEAR ENDING STATISTICS 1984 HOME HEALTH AGENCY ADMISSIONS DISHCARGES DEATHS TOTAL PATIENT DAYS VOLUNTEER HOURS Medicare SAMI Insur. Other January 11 1 12 432 34 121 97 150 hrs. 35 min. February 14 0 1 466 65 189 108 117 hrs. 0 min. March 14 2 15 647 93 198 124 144 hrs. 45 min. April 15 2 13 623 91 230 129 130 hrs. 45 min. May 21 1 17 898 70 213 124 183 hrs. 15 min. June 13 1 8 822 90 160 187 200 hrs. 15 min. July 15 2 17 | 796 62 134 156 239 hrs. 20 min. August 15 1 16 | 929 | 62 | 182 62 119 hrs. 20 min. September 13 2 10 869 60 | 118 | 30 159 hrs. 10 min. October 10 0 5 848 62 [ 189 31 149 hrs. 30 min. November 17 2 11 957 | 60 | 254 30 127 hrs. 25 min. December 15 3 18 985 40 210 31 215 hrs. 5 min. TOTALS 173 16 143 9272 789 | 2198 1109 1935 hrs. 25 min. Out of 143 Home Health Patients, 93 spent time as in-patients TOTAL PT. DAYS OF EXP. PT'S 8232 DAYS AS IN-PATIENTS 1176 DAYS MINUS IN-PATIENT DAYS 7056 292 deaths total Home Health Care and In-patients ) YEAR ENDINv. -fATISTICS 1984 In-Patient 1 Medicare Medicaid Insurance Other JLU L d J. pt. days Admits Discharges Deaths HH pts. Vol. Pt. Hrs. January 86 1 83 4 174 18 3 18 3 28 hrs. February 72 2 49 28 151 14 4 10 3 16 hrs. 30 mil. March 193 128 31 352 34 4 25 15 16 hrs. April 228 6 79 31 344 25 8 18 9 18 hrs. 15 min. May 286 23 44 43 396 27 2 17 11 65 hrs. 45 min. June 246 13 40 60 356 18 2 24 5 13 hrs. July 184 39 29 252 21 2 23 12 9 hrs. 15 min. August 148 46 194 20 2 19 6 5 hrs. 30 min. September 110 55 165 21 1 18 7 0 hrs. 30 min. October 124 45 169 19 2 16 6 0 hrs. November 194 81 275 25 7 19 9 42 hrs. 45 min. December 127 11 42 1 181 29 1 26 14 0 hrs. TOTALS 1995 56 731 227 3009 271 38 233 100 186 hrs. 30 min. Average LOS 11.51 days Range of LOS 1 - 116 days Average Age exp. pts.62.26 yrs. Range of age 7 - 89 yrs. Cancer of the lung 75 Cancer of the colon 32 Cancer of the breast 23 Cancer of the brain 14 Cancer of the prostate... 12 CANCERS RELATED TO DEATHS Cancer of the Pancreas 11 Cancer of the liver 7 Cancer of the bone 7 Cancer of the bladder 7 Cancer of the stomach 6 No. Female admits 139 No. Male admits "...133 No. Female deaths 114 No. Male deaths 120 Cancer of the ovary 3 Leukemia 6 Unknown primary 7 Other cancers 24 / NATHAN ADELSCN HOSPICE VOLUNTEER PROGRAM ANNUAL REPORT 1984 Total Hours Given Travel Time Mileage 4883 - 10 min. 1210 - 40 min. 2 9 6 7 1 Research Community Service Patient/Family Care - Home Bereavement Administrative Support Patient/Family Care - In Facility Volunteer Meeting - Monthly 348 70 1936 254 1705 215 353 30 min 30 min. 25 min. 35 min. 15 min. 30 min. 25 min.