The Cedar County Memorial Hospital Board of Trustees held a special meeting on Tuesday, January 7, 2014, at 1:00 p.m., in the hospital classroom. The following were in attendance: Judy Renn, President; John Walker, Secretary/Treasurer; Cheri Allison, Board Member; Jana Witt, CEO; Dixie Flynn, Chief Nursing Officer; Carla Gilbert, Director of Finance; April Burchett, Administration Department Secretary; Diana Pyle, CEO Secretary/Human Resources; Lynn Fredricksen, Utilization Review/Safety/Quality Improvement Manager; Linda Mann, Cedar County Community Health Services Manager; Terri Heitz, Recording Secretary. Jan Neale, Vice-President, and David Studer, Board Member, were absent. Judy Renn presided.
This special meeting was held as a planning meeting for the 2014-2016 Cedar County Memorial Hospital (CCMH) Strategic Plan. Witt began the meeting by explaining what strategic planning is and why it is important. She also explained that this year’s strategic planning process will differ from prior years because the Patient Protection and Affordable Care Act passed in March 2010 requires that all not-for-profit hospitals complete a Community Health Needs Assessment (CHNA) at least once every three years for tax years beginning after March 2012 and adopt an implementation strategy to meet the community health needs identified through the CHNA. Witt referred to Internal Revenue Service Notice 2011-52. The implementation strategy will be a large part of the 2014-2016 CCMH Strategic Plan. Witt explained that the CHNA report was completed and reviewed with the Board, the Medical Staff and the Department Managers in December 2013. It is now available to the public.
Items important to the operational side of the strategic planning process were reviewed. These included the CCMH mission, vision and value statements; the document, Current Environment—January 2014; a list of CCMH services by department; comparative financial data for fiscal years 2012-1014; and comparative statistical data for fiscal years 2012-2014. Witt then explained the short and long-term goals process that was conducted with the department managers.
The health issues/concerns identified in the Community Health Needs Assessment (CHNA) were then discussed in detail. Jana mentioned a large portion of our Strategic Plan for Cedar County Memorial Hospital will be addressing the needs that were identified in the (CHNA). There were nine areas of concern that were rated as high priority by at least two of the three sources that were included in this assessment. Those sources included Secondary Data, Expert Questionnaire and the Community Survey. Dixie Flynn, Chief Nursing Officer, explained the matrix used to prioritize the health issues. Those nine areas included: access to primary care physicians, obesity, access to affordable dental services, heart disease/stroke, substance abuse—illegal drugs, the uninsured, alcohol abuse, cost of health care services, child abuse/family violence. Flynn summarized the information gathered in regard to these top nine priority issues, including the hospital’s role in addressing these issues, the services currently available to respond to this need, the implementation plan programmatic initiatives, anticipated results from the CCMH implementation plan and the leading indicators used to measure progress. These reports were reviewed and discussed in detail with input from the group. Witt mentioned some of the other concerns that did not make the top nine in priority concerns during the (CHNA), will still be addressed.
Flynn will update these reports, incorporating the changes and additions recommended, and Jana will work on goals and strategies for the operational portion of the plan. These will be presented for Board approval 1-20-14.