Minutes The University of Toledo Board of Trustees Clinical Affairs Committee Meeting April 18, 2016 Committee Chair Mr. Gary P. Thieman was present with Committee members Dr. S. Amjad Hussain, Mr. Joseph H. Zerbey, IV as well as Student Trustees Mr. Daniel D. Arendt and Ms. Anna L. Crisp. Other Trustees who attended included Mr. Steven M. Cavanaugh, Mr. Jeffrey C. Cole, Mr. Will Lucas, Ms. Mary Ellen Pisanelli, and Ms. Sharon Speyer. Faculty Representative Dr. Joan Duggan was also present. Others in attendance were Ms. Paula Ashley, Mr. Douglas Austin, Mr. Daniel Barbee, Dr. Christopher Cooper, Ms. Meghan Cunningham, Dr. Sharon Gaber, Mr. Ronald Goedde, Mr. Steve Hanenkrath, Ms. Mary Humphrys, Mr. Chuck Lehnert, Ms. Heather Lorenz, Mr. Todd Marti, Ms. Vanessa McCray, Dr. William Messer, Jr., Mr. David Morlock, Mr. Michael Nowicki, Mr. Peter Papadimos, Dr. Thomas Schwann, Mr. Allen Seifert, Dr. Carl Sirio, Ms. Joan Stasa, Mr. Jason Toth, Mr. Nickolas Vitale, Ms. Kennyetta White, and Mr. Fred Williams. ATTENDANCE The meeting was called to order at 10:30 a.m. by Trustee Thieman at the Driscoll Alumni Center in the Schmakel room. CALL TO ORDER Trustee Thieman requested a motion to waive the reading of the minutes from the March 21, 2016 Committee meeting and approve them as written. A motion for approval was received from Trustee Zerbey, seconded by Trustee Hussain, and approved by the Committee. APPROVAL OF MINUTES Ms. Heather Lorenz, Director of Environmental Health and Radiation Safety, was invited to present the Committee with information about the UT HSC 2015 Annual Evaluation of Environment of Care Management Plans. Each Committee member was provided with a copy of each plan. Ms. Lorenz reported that the Joint Commission requires that an annual evaluation of the “objectives, scope, performance and effectiveness” of the Environment of Care Management Plans be completed and shared with leadership. In addition, the report highlights upgrades and improvements to the various areas of the Environment of Care. Ms. Lorenz proceeded to provide information about the objectives, scope, performance and effectiveness of the six areas: Safety, Fire Safety, Security, Hazardous Materials and Waste, Utilities, and Medical Equipment. Results of the performance improvement projects for 2015 were also discussed with the Committee for Safety and Environmental Rounds. Committee Chair Thieman thanked Ms. Lorenz for her presentation and for the great work she and her team are doing in these areas. ANNUAL EVALUATION OF ENVIRONMENT OF CARE MANAGEMENT PLANS Mr. David Morlock, UTMC CEO, presented information to the Committee about Top Trends in U.S. Healthcare, which included topics discussed at a recent J.P. Morgan Healthcare Conference he attended. Mr. Morlock discussed the following areas with the Committee: Changing Payment Structures and how providers are being paid for value, rather than fee for service. How Health Systems are now becoming Health Plans. TOP TRENDS IN U.S. HEALTHCARE How healthcare continues the years-long shift to the outpatient setting. Tailored medicine, which is care tailored for individuals to create specific treatment protocols for specific patients based on genetic and molecular analysis. Engaging in partnerships, mergers and acquisitions to create scale. How healthcare is becoming a consumer product requiring a strong brand. Managing unit cost. Mr. Morlock discussed implications of these areas for UT and suggestions for focus. Trustee Thieman requested a motion to enter Executive Session to discuss privileged information related to the evaluation of medical staff personnel appointments and quality reporting. The motion was received by Trustee Zerbey, seconded by Trustee Hussain, and a roll call of the Committee was taken by Ms. Stasa: Dr. Hussain, yes; Mr. Thieman, yes; and, Mr. Zerbey, yes. After discussions were finished, the Committee exited Executive Session. EXECUTIVE SESSION At 11:25 a.m. Mr. Thieman requested a motion to approve the Chief of Staff Report as presented in Executive Session. A motion for approval was received from Trustee Hussain, seconded by Trustee Zerbey and approved by the Committee. The Chief of Staff Report is attached to these minutes. CHIEF OF STAFF REPORT With no further business before the Committee, Trustee Thieman adjourned the meeting at 12:15 p.m. ADJOURNMENT CHIEF OF STAFF REPORT APRIL 18, 2016 New Medical Staff and/or Allied Health Professional (AHP) Applications None Medical Staff and Allied Health Professional Reappointments Theresa Cluse-Tolar, LISW Pediatrics – AHP Pamela Dymond, NP Emergency Medicine – AHP Courtney Erwin, PA Emergency Medicine – AHP Aimee Gentz, NP Family Medicine – AHP Yusef Hammuda, PA Family Medicine – AHP Lisa Navarro, NP Family Medicine – AHP Joseph Rusin, MD Orthopedic Surgery – Courtesy Mary Scott, NP Neurology – AHP Ashley Sheskey, PA Internal Medicine/Dermatology – AHP Kelly Zielinski-Inthanamith, NP Surgery - AHP Request for Additional Privileges None Change of Status None Medical Staff and Allied Health Professional Resignations – Informational Richard J. Baron, LISW-S Psychiatry/AHP Chelsea Condon, FNP Emergency Medicine/AHP Matthew S. Currie, MD Surgery/ Courtesy Robert D. Denyer, CAA Anesthesiology/AHP Radha-Ramana M. Gokula, MD Family Medicine/Active Faraz Khan Luni, MD Emergency Medicine/ Active Jeff Mathew, MD Surgery/Active Jocelyn Perdeau, FNP Emergency Medicine / AHP Michael J. Walkovich, DPM Surgery/Courtesy Other Business New/Revised Delineation of Privileges (DoP) Forms Revised Urology DoP Revised Interventional Cardiology DoP New Registered Dietician DoP New Deep Brain Stimulation form (Neurosurgery) Effective: 02/11/16, Resigned during reappointment process Effective: 03/02/16, Resigned during reappointment process Effective: 2/17/16, Resigned during dues process Effective: 02/10/16, Resigned due to employment change Effective: 03/31/16, Resigned due to employment change Effective: 03/11/16, Resigned during reappointment process Effective: 03/30/16, Resigned due to employment change Effective: 01/01/2016, Resigned during reappointment process Effective: 03/03/16, Resigned during reappointment process