Board meeting minutes and supporting documents for Nathan Adelson Hospice, May 28, 1981

MEETING OF THE NATHAN ADELSON HOSPICE BOARD OF TRUSTEES MINUTES DATE: MAY 28, 1981 CALL TO ORDER 4:00 P.M. IN ATTENDANCE Renny Ashleman, Acting Chairman Thalia Dondero Marydean Martin Willis Russell, M.D. Ernest Libman Rev. Jerry Blankinship Susan Haase Jean Viviair Janet Bubnis Renny Ashleman convened the meeting. The minutes of the previous meeting, March 26th, 1981, which had been mailed to all members were approved. The home care program license and Medicare survey conducted on March 31-April 1 was discussed. Our license and Medicare certification have been continued on the basis of the inspec-tion. However, there are a number of policy and procedural changes and board actions required by both statute and regulation The attached worksheet was distributed which outlines the necessary actions by the Board of Trustees. Dr. Willis Russell, Medical Director of The Nathan Adelson Hospice, presented the home care report which included high-lighting some of the statistics on the attached document. Mr. Libman recommended two bylaws changes dealing with the frequency of meetings of the Board of Trustees and the Community Advisory Board. He pointed out that while he is proposing the requirement of quarterly meetings of both boards be amended to allow less frequent meetings, this was simply to provide more flexibility. In fact, the boards will probably end up meeting four times a year; however, since there is no legal reason for imposing this number of meetings, we should have the latitude to do what makes the most sense. Quarterly meetings of the Community Advisory Board are not required and may well be an unrealistic expectation. It was agreed that approval of the amendments would be handled by unanimous consent forms from each member of the Board of Trustees ACTING CHAIRMAN'S REMARKS HOME CARE PROGRAM LICENSURE & MEDICARE SURVEY HOME CARE PROGRAM REPORT CHANGES IN THE BYLAWS v 2 FACILITY DESIGN We have authorized Nevada Architronics to begin working drawings. A meeting has been scheduled with the University to finalize the lease. On the basis of the fund raising commitments to date, we will proceed with establishing a line of credit with Valley Bank necessary to pay development and construction costs. Jean Viviair discussed the proposed site plan and design changes that may be necessary to comply with hospital regulations. Ernest W . Libman Adminis trator I. R. Ashleman Secretary-Treasurer 6/1/81 Date: May , i _>1 AS A RESULT OF THE MEDICARE/LICKNSURE SURVEY: I. The following changes to the policy manual have been reviewed by the Community Advisory Board and are forwarded to the Board of Trustees with recommendation for approval. A. Updating the administrator's job description to include ensuring accuracy of public information materials and activities (see attached). B. Updating job descriptions for registered nurse and licensed practical nurse (see attached). C. Revisions regarding health examinations: 1. Physical examinations are required as a condition of employment. 2. Annual lab work shall include tubercular screening, CBC and urinalysis with micro. These tests will be reviewed by the Hospice Medical Director. Note: Removes the requirement for annual physical examinations. II. Additional Board action required A. Appointment of the Administrator B. Approval of policy regarding persons authorized to act during absence of the administrator PROPOSED BYLAWS AMENDMENTS I. Section 5.07 This section deals with frequency of Board of Trustees meetings. The approval of the amendment proposed would remove the requirement for quarterly meetings. The amendment as proposed: Section 5.07 Regular meetings of the Board of Trustees shall be held at least ANNUALLY. II. Section 11.02 This section deals with the appointment, function and frequency of meetings of the community advisory group. The approval of the amendment, proposed would remove the requirement for quarterly lueelings. The amendment as proposed: Section 11.02 The Board of Trustees shall appoint a Community Advisory Board of professionals to meet ANNUALLY to assist in establishing, approving and revising program policies. The Community Advisory Group shall include at least one licensed physician; one registered nurse; educators; other pro-fessional representatives in allied health fields such as a medical social worker, nutritionist, speech, physical and occupational therapists; extension agent; and lay persons knowledgeable in health affairs, needs and resources of Clark County. The Nathan Adelson Hospice STATISTICS 5/15/81 TOTAL NUMBER OF PATIENTS SERVICED NUMBER OF ACTIVE PATIENTS AT PRESENT BEREAVEMENT FAMILIES SHORTEST TIME WITH PROGRAM LONGEST TIME WITH PROGRAM AVERAGE TIME WITH PROGRAM AVERAGE AGE OF THE PATIENT NATHAN ADELSON 64 17 47 2 clays 267 days 61 days 64.7 yrs HEALTH DISTRICT 278 34 90 10 mln. 14 mos. 63 days 63.4 yrs NATHAN ADELSON HOSPICE STATISTICS The four most prevalent primary diagnoses are: 1. Carcinoma of lung 18 pa tients 2. Carcinoma of breas t 11 patients 3. Carcinoma of colon 7 patients 4. Carcinoma of brain 6 patients 34 of 47 patients who have died would have been candidates for a hospice facility. This is a percentage rate of 72%. 23 out of 47 patients died in a facility. This is 48% of our patients. 19 out of those 23 could have been cared for in a hospice facility instead of a hospital. This is 82% of those hospital deaths. Volunteer Involvement: Forty-four active volunteers who have given in excess of 1200 hours of volunteer time since the beginning of 1981. In providing these volunteer services, they have travelled in excess of 6,400 miles at their own expense. Nursing & Social Service Components: Since the beginning of 1981, there have been 500 nursing hours and 150 social service hours spent in direct patient/family contact. CLARK COUNTY VITAL STATISTICS FOR 1980 - CANCER DEATH INFORMATION 441 deaths in the hospital 57 deaths in other licensed facilities 105 deaths at home 11 deaths listed as "other" 614 cancer deaths in Clark County in 1980 3201 S. 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