The MCMC Board Meeting was held on March 21st at 2025 at 1:00 p.m. at the Acute Care facility and livestreamed on Facebook.
Procedural Items
Call to Order
Chairwoman Shawn Jeffrey called the meeting of the Miners’ Colfax Medical Center Board of Trustees to order on March 21, 2025, at 1:00 p.m. The meeting was held at the Miners’ Colfax Medical Center Acute Conference Room at 203 Hospital Dr., Raton, NM.
| Members: | Shawn Jeffrey, Chairwoman- present Loretta Conder, MD, Vice-Chairwoman- present Roy Fernandez, Secretary Treasurer- present (virtual attendance) David Ortiz, Trustee- present Zita Lopez, Trustee- present (virtual attendance) |
| Staff: | Brian Roland, CEO Barbara Duran, HR Director Lonny Medina, CFO Sarah Zmich, Recorder |
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.
Roll Call
Chairwoman Shawn Jeffrey- Yes, Vice-Chairwoman Dr. Loretta Conder- Yes, Secretary Roy Fernandez- Yes, Member David Ortiz- Yes, Member Zita Lopez- Yes.
Correction / Approval of Agenda
The Board Members reviewed the Agenda for March 21, 2025.
Vice-Chairwoman informed the Board of Trustee that a CARES Champion would not be presented at the March 21, 2025 Meeting and proposed that Item 3 be removed from the Agenda.
Vice-Chairwoman Dr. Conder, made a motion to approve the agenda as corrected. Secretary Roy Fernandez, 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.
Correction/Approval of Minutes
The Board Members reviewed the Minutes for: Februay 21, 2025
Member Roy Fernandez made a correction to the February 21 , 2025 minutes under Item 7 Medical Staff Report to clarify that Dr. Samuel Harden continues to see patients in the Surgical Clinic.
Vice-Chairwoman Dr. Conder, made a motion to approve the March 21, 2025 minutes as corrected. Member David Ortiz, 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.
Acknowledgement of Visitors
Rhonda Moniot, CNO; Barbara Duran, HR Director; Stephen Kelley, LTC Administrator and Rae Hager, Quality Director.
Recognition of CARES Champion
No CARES Champion was presented at the March 21, 2025 Meeting
Executive Session
ADJOURN TO EXECUTIVE SESSION FOR THE PURPOSE OF DISCUSSING LIMITED PERSONNEL MATTERS AS PER NEW MEXICO OPEN MEETINGS ACT 10-15-1 (H) (2) OF THE OPEN MEETINGS ACT CONCERNING: Medical Sta.ff Credentialing.
Motion: At 1 :04 p.m. Member David Ortiz, made the motion to go into Executive Session for the purpose of limited personnel matters pursuant to Section 10-15-1 (H) (2) of the Open Meetings Act. Secretary Roy Fernandez, 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.
The Board of Trustees returned to open session at 1 :08 p.m.
Medical Staff Privileges and Appointments
Dr. Jessica Roberts, informed the Board that three (3) providers were recommended by the Credentials Committee for re-appointment in March: Michael Gurule, Cardiology; Michael Lloyd, Tele-radiology and Lee Morris, Tele-radiology.
Dr. Jessica Roberts, informed the Board that one (1) provider was recommended by the Credentials Committee for new appointment in March: Jessica Goldstein, FP/OB. Motion: Vice-Chairwoman Dr. Conder moved to accept the Credential Committee’s recommendations as presented. Member David Ortiz 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.
Medical Staff Report
Dr. Jessica Roberts provided an update on Medical Staff activities:
The new CT scanner is estimated to arrive and in operation by March 31, 2025. The new scanner will have the Bone Density Screening capability.
Contact has been made with one mammography mobile unit and the estimated number of patient volumes is being researched to see how many days would need to be allotted for onsite services at MCMC. Brian Roland, CEO added that he was working the State Mammography project and will participate in a phone call in late March to work out more details and what funding will be available to MCMC.
Work continues on the HY AC system in the Operating Room.
Dr. Morgan Shier has been working in the OB clinic. She is interested in helping with OB services and Family Practice once she meets her full credentialing requirements.
Dr. Amanda Swanson, OB from La Junta, Colorado is near completion of her credentialing process.
The Rural Health Clinic has hired a Triage Nurse who will be responsible for scheduling patients same day appointments with a provider in the clinic due to cancellations or no shows.
Work continues on the Medical Staff Bylaws by the Medical Executive Committee.
The PPEC continues to review patient charts to help improve the quality of care that patients are receiving.
Discussion / Action Items
Policies & Procedures Review
The following policies have been reviewed and approved by the Miners’ Colfax Medical Center’s Board of Trustees:
- Advance Directive Policy
- Blood Product Administration Policy
- Discharge from PACU
- Inventory Outdated Supplies/Medication Procedure
- Licensure, Certification and Registration Verification
- Patient Rounds
- Patient Weight Protocol
- Automated Dispensing System
- Echocardiograms
- Stress Echocardiogram
- Treadmill Exercise Stress Test
- Care of the Patient with Traumatic Amputation Protocol
- Emergency Department Medical Director’s Responsibilities
- Emergency Department Triage
- Admission of the Perinatal Woman
- Amnioinfusion
- Antenatal Corticosteroid Therapy for Fetal Lung Maturation
- Bakri Postpartum Balloon Catheter
- Cervidil Administration
- Heparin IV Drip ACS Protocol
- Heparin IV Drip DVT/PE Protocol
- Surgery Preoperative Assessment
- ElectroIyte Replacement Protocol
- Emergency Department Services/Consultation Policy
Motion: Member David Ortiz moved to accept the approval of the Policies and Procedures 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.
Financial Report
The Board of Trustees was presented with an update from Lonny Medina, CFO:
$8,643,217 in cash
77.6 days of cash on hand
Net patient revenue YTD: $15,485,702
Actual cash received from patient services YTD $18,222,883
Surgical Cases YTD 42
L TC admissions YTD 8
Observations admissions YTD 220
Clinic admissions YTD 7, 792
ER admissions YTD 3, 197
Births YTD 31
MCMC Land Grant Permanent Fund Balance $191,817,954
Work continues with Cerner on the Bad Debts interface that will allow it to function properly.
Patient billing is being done in a timely matter at 8.2 days after services have been completed: benchmark is 10.9 days.
Average daily costs has increased to $111,000. This total includes capital currently being purchased and payment on the HDAA Assessment.
Payment on the HVAC units and the CT Scanner will be made in May 2025.
MCMC is showing an operating loss from the same time last year due to the time the Operating Room and OB departments were closed.
Key Dates:
- 3/10/25 HDAA Assessment Payable – Rate Increase CY24
- 3/31/25 HDAA Revenue Rec – Rate Increase CY24
Administrator’s Report
CEO Brian Roland, gave a brief update to the Board of Trustees on the month of March:
The Legislative session is set to close on March 22. An update will be provided during the April or May Board of Trustees Meeting to discuss what bills were passed.
The Compliance Program is being updated.
Policies and Procedures continue to be updated in all departments.
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.
Motion: At 2:00 p.m. Vice-Chairwoman Dr. Conder, made the motion to go into Executive Session for the purpose of the discussion of matters pursuant to Sections l 0-15-1 (H) (2), 10-15-1 (H)(7) and 10-15-1 (H)(9) 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.
The Board of Trustees returned to open session at 3:16 p.m.
Adjournment
With no further business and no action taken, a motion was made by Member David Ortiz, with a second from Secretary Roy Fernandez, to adjo urn the Board of Trustees Regular Meeting.
The motion carried, and the Board of Trustees Regular Meeting adjourned at 3: 16 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.
Attestation
These minutes were signed by Shawn Jeffrey, Chairwoman, and Dr. Loretta Conder, Vice-Chairwoman on April 17th, 2025.