February 21, 2025 at 1:00 p.m.
1. PROCEDURAL ITEMS:
A. Call to Order
Chairwoman Shawn Jeffrey called the meeting of the Miners’ Colfax Medical Center Board of Trustees to order on February 21, 2025, at I :00 p.m. The meeting was held at the Miners.
Members: Shawn Jeffrey, Chairwoman, Loretta Conder, MD. Vice-Chairwoman, Roy Fernandez, Secretary/Treasurer, David Ortiz, Trustee, and Zita Lopez, Trustee
Staff: Brian Roland, CEO, Barbara Duran, HR Director, Lonny Medina, CFO, and Sarah Zmich, Recorder
B. Pledge of Allegiance & Salute to the New Mexico Flag
Chairwoman Shawn Jeffrey, led Trustees, visitors and staff present in reciting the Pledge of allegiance and Secretary/Treasurer Roy Fernandez led the Salute to the New Mexico flag.
C. Roll Call
Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz- Yes, Member Zita Lopez- Yes.
D. Correction/ Approval of Agenda
The Board Members reviewed the Agenda for February 21, 2025. Secretary Roy Fernandez made a correction to the February 21, 2025 agenda to add Dr. Elizabeth Newman to Section 4-1-2 of the agenda as a New Appointment to Family Medicine.
Secretary Roy Fernandez, made a motion to approve the agenda as corrected. ViceChairwoman Dr. Conder, seconded. Roll Call: Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz- Yes, Member Zita Lopez- Yes. Approved 5-0.
E. Correction/ Approval of Minutes
The Board Members reviewed the Minutes for: January 17, 2025
Member David Ortiz, made a motion to approve the January 17, 2025 minutes as presented. Member Zita Lopez, seconded. Roll Call: Chairwoman Shawn Jeffrey- Ye~, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz – Yes, Member Zita Lopez- Yes. Approved 5-0.
2. ACKNOWLEDGEMENT OF VISITORS
Dominique Romero, Administrative Services Coordinator; Barbara Duran, HR Director; Rhonda Moniot, CNO, Rae Hager, Quality Director; Stephen Kelley, Long Term Care Administrator; Yolanda Saenz, Social Services Manager; and Elizabeth Newman, ER Physician.
3. RECOGNITION OF CARES CHAMPION
Dominique Romero began her career at MCMC during COVID as a temporary Entry Control Point (ECP) employee in which her duties were to monitor symptoms and temperatures of anyone who entered the facility. As COVID began to taper off and there was no longer a need for the pm,ition, Dominique applied for the Clinical Admini.strative Assistant position and hm, filled that role since February 2024. In her current role she provides clerical duties for all the clinical departments. She is known for her positive attitude and willingness to help out where ever she can. In her spare time, Dominique enjoys cooking. listening to music and spending time with her family and children.
4. EXECUTIVE SESSION
ADJOURN TO EXECUTIVE SESSION FOR THE PURPOSE OF DISCUSSING LIMITED PERSONNEL MATTERS AS PER NEW MEXICO OPEN MEETINGS ACT I 0-15- 1 (H) (2) OF THE OPEN MEETINGS ACT CONCERNING: Medical Staff Credentialing.
Motion: At I :06p.m. Vice-Chairwoman Dr. Conder, made the motion to go into Executive Session for the purpose of limited personnel matters pursuant to Section I 0-15-l (H) (2) of the Open Meetings Act. Member David Ortiz, seconded.
Roll call: Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz, Member Zita Lopez – Yes. Approved 5-0.
This is a closed session for matters pertaining to Medical Staff Credentialing.
5. OPEN SESSION
The Board of Trustees returned to open session at 1:18 pm.
6. MEDICAL STAFF PRIVILEGES AND APPOINTMENTS
Dr. Jessica Roberts, informed the Board that two (2) providers were recommended by the Credentials Committee for re-appointment in February: Christopher Bossart, Emergency Medicine and Elizabeth Newman, Emergency Medicine.
Dr. Jessica Roberts informed the Board that two (2) providers were recommended by the Credential Committee for new appointment in February: Thomas Krudewig. CRNA and Elizabeth Newman, Family Medicine.
Motion: Vice-Chairwoman Dr. Conder moved to accept the Credential Committee’s recommendations as presented. Secretary Roy Fernandez seconded, a roll call vote was taken, and the motion carried. Roll Call: Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz- Yes, Member Zita Lopez – Yes. Approved 5-0.
7. MEDICAL STAFF REPORT
Dr. Jessica Roberts provided an update on Medical Staff activities:
The search for OB coverage continues. Dr. Swanson from La Junta has expressed some interest in MCMC. She is also credentialed in Family Practice and is trained in performing C-Sections.
Dr. Morgan Shier continues to train in the OB department and has agreed to cover shift in the OB clinic.
The ROAMS program continues to provide services to patients and will receive funding until January 2026. At that time new funding for the program will have to be found.
The numbers for patient visits in the Primary Care Clinic continue to improve.
Samuel Harden, General Surgeon continues to see patients in the surgery clinic and provide surgical services in the OB and OR departments.
The search for mammography contracted services continues.
Issues with the HVAC system has made it impossible to use some equipment in the Laboratory. Tests that need immediate results are being transported to the Trinidad hospital.
Dr. Donald Primer has turned in his resignation for the end of May.
8. DISCUSSION/ACTION ITEMS:
A. Long Term Care Admissions Process
Stephen Kelly, LTC Administrator and Yolanda Saenz, Social Services reported to the Board how the admissions process works:
- The Long Term Care Application is received from the applicant.
- The Release of Information that is attached to the application is sent to the applicant’s Primary Care Physician to obtain all of their medical records.
- Once received, the medical records are reviewed by the Long Term Care Administrator, Medical Staff Director, Director of Nursing, Assistant Director of Nursing and Social Services Manager to determine if the applicant’s level of care can be met at the facility. If needed, a physical assessment of the applicant will be conducted.
- If it is determined that applicant is a good fit for the facility the family will be contacted to set up an initial meeting and admission date.
Miners and their spouses are given priority for admission to the facility.
Any applicant must meet the requirement of needing 24-hour care.
The miner applicant must be a resident of New Mexico for six month-, and must have worked in a mine for 365 accumulative days.
The Long Term Care facility docs provide end-of-life care but does not provide hospice services.
9. FINANCIAL REPORT
The Board of Trustees was presented with an update from Lonny Medina, CFO:
- $59,342,398 in cash
- 84.8 days of cash on hand
- Net patient revenue YTD $13,540,888
- Actual cash received from patient services YTD $16,555,760
- Surgical Cases YTD 20
- LTC admissions YTD 6
- Observations admissions YTD 200
- Clinic admissions YTD 6,839
- ER admissions YTD 2,875
- Births YTD 30
- MCMC Land Grant Permanent Fund Balance $189,293,097
- $1.5 million has be set aside for FY25 for Capital Assets .
- The Healthcare Delivery Access Act (HDAA), previously the Value Based Purchasing (VBP), will allow approximately $6 million more per year from Medicaid Directed Payments
10. ADMINISTRATOR’S REPORT
CEO Brian Roland, gave a brief update to the Board of Trustees on the month of January:
A. 2023 SB 92 Pharmacist Scope of Practice
This would give a Pharmacist the option to do some medical practice in a clinic setting with physician oversight, such as flu and COVID testing. This was approved by legislators in 2023. The Pharmacist would have to attend a 6-month course at the University of New Mexico. This would allow for them to treat the patient as a Nurse Practitioner would. Mr. Roland requested that the Board review the bill and decide if it would benefit MCMC in the future.
B. Board Plan to Review Policies and Procedures
The Board agreed that policies and procedures should be emailed to its members prior to the monthly Board meeting for review.
C. 2025 Legislative Update
The New Mexico Hospital Association
Mr. Roland informed the Board that he has been participating in Zoom calls regarding the 2025 legislature bills that were currently under review by the New Mexico Hospital Association that could affect healthcare, including staffing ratios, price transparency, minimum wage and health benefits. The session will end on March 22, 2025.
11. EXECUTIVE SESSION
ADJOURN TO EXECUTIVE SESSION FOR THE PURPOSE OF DISCUSSING:
LIMITED PERSONNEL MATTERS PURSUANT TO SECTION 10-15-1 (H) (2) OF THE OPEN MEETINGS ACT.
MEETINGS SUBJECT TO THE ATTORNEY-CLIENT PRIVILEGE SECTION 10- 15-1 (H)(7) OF THE OPEN MEETINGS ACT.
METTINGS OF COMMITTES OR BOARDS OF PUBLIC HOSPITALS WHERE STRATEGIC AND LONG-RANGE BUSINESS PLANS OR TRADE SECRETS ARE DISCUSSED SECTION 10- 15-1 (H)(9) OF THE OPEN MEETINGS ACT.
Motion: At 2:45 p.m. Secretary Roy Fernandez, made the motion to go into Executive Session for the purpose of the discussion of matters pursuant to Sections 10-15-1 (H) (2), 10-5-1 (H)(7) and 10-15-1 (H)(9) of the Open Meetings Act. Member Zita Lopez, seconded.
Roll call: Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz, Member Zita Lopez – Yes. Approved 5-0.
This is a closed session.
12. OPEN SESSION
The Board of Trustees returned to open session at 4:00 p.m.
13. ADJOURNMENT
With no further business and no action taken, a motion was made by Member David Ortiz, with a second from Member Zita Lopez, to adjourn the Board of Trustees Regular Meeting.
The motion carried, and the Board of Trustees Regular Meeting adjourned at 4:05 p.m.
Roll Call: Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman, Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz- Yes, Member Zita Lopez – Yes. Approved 5-0.
Attest:
Signed by Shawn Jeffrey, Chairwoman and Dr. Loretta Conder on March 21, 2025.