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BBGH May Board Report

Policy and procedure reviews and updates continue as BBGH focuses on maintaining the mission to lead and innovate in healthcare delivery and community wellness. The Box Butte General Hospital May Board meeting was called to order at 6:33 p.m. on Tuesday, May 28th in the Alliance Room at BBGH.

Mary Mockerman, RN, CSW, Chief Quality Officer reported the flu occurrence in the state of Nebraska is now listed as sporadic. The state is below baseline for new cases and surveillance has ended. Surveillance will begin again in October, unless there is an uptick in flu cases reported, as was the situation in 2009 when flu cases spiked in August.  Statewide there were 75 flu related adult deaths, 4 child deaths, and just under 1,000 hospitalizations. Measles are also a concern as the number of states with reported outbreaks continues to rise. As of May 24, 2019, 940 cases in 26 states have been reported. This is the highest number of cases since 1994 and since the disease was declared eliminated in 2000. Nebraska has a vaccination exemption so the potential for measles exists, however Nebraska is among the nation's highest vaccination rates for youth. All states have some form of vaccination exemptions for medical, religious, or philosophical reasons. Increased staff education on measles will be needed as a majority of staff have not personally seen measles.

Doctor Narjes mentioned medical staff is currently working on updating and reviewing hospital policies to ensure all current procedures and policies are up to date and best practice. He also discussed the continued evolution of the hospitalist program. BBGH currently employs two hospitalists and utilizes an e-hospitalist program through Bryan Telemedicine.

After unanimously approving the Consent Agenda and April Financial Report provided by CFO, Luke Senden, Jim Bargen, Chief Operation Officer, detailed the final bids for the kitchen/cafeteria renovation and the increase in cost for the project. Increases were due to the need for the sanitary sewer to be redone, a new HVAC, and increases in equipment costs.  The project is scheduled to begin in June. Updates will continue to be given to the community and staff as the project progresses. The kitchen is over 40 years old and has had minor improvements in equipment over the years. Repairs are needed again for equipment and structure, so a full renovation is the best option. The renovation timeline for the kitchen/cafeteria completion is six months.

BBGH is reviewing policies, procedures, and communication systems with the Alliance Police Department and Box Butte County Sheriff’s offices. BBGH recognizes the need to continually monitor the best practices for handling law enforcement requests while maintaining the scope of practice with current staff and the capacity for requests within our facility. A follow up with local law enforcement is scheduled for July.

Recent accomplishments include Tonya Sanders, Dialysis RN receiving May Employee of the Month, Katie Rodriguez, EVS Lead and Kindrea Abbott EVS Lead obtaining T-CHEST Certification, Mackenzie Stabnow, RN and Payton Palomo, RN earning Certified Emergency Nurses certifications. New employees for May include: Jennifer Pruitt, Medical Technologist.

The Board entered Executive Session at 8:15 p.m. and adjourned at 9:00 p.m. with no action taken. A special budget workshop will be held Monday, June 17th at noon in the Alliance Room, and the next regular Board meeting is Monday, June 24that 6:30 p.m. in the Alliance Room. The public is welcome to attend.

Box Butte General Hospital is an equal opportunity provider and employer.