VTH Board Minutes 4/23/2020
Updates: Info Only
Personnel Updates
- Hiring limited to essential positions
- Justification required for all, including those in progress
- Student workers – we are working on making reg/OT wages consistent
- Could make it easier to share students between services
- Likely will hire students for WMC
- Imaging will be hiring ER students
Facilities
- All projects (except VMSC roof) on hold
- Campus closed all construction projects (despite Gov. orders that construction is essential)
- Soonest resumption 5/4 – depends on Gov. orders
Programs
- HIS update
- Dardi and Julie are on VADDS, Natalie leading VetStar
- Have an interested person internally and hopefully will have a lead soon
- Client and RDVM portals demos
- RDVM portals will show NOVA results, diagnostic lab results, imaging reports and rx info
- No update on password unification, which is a campus issue
- Shelter Med update
- Meeting with Denny, Shelter medicine, Marci and Dean
- Tony, Olivia and Loukia came up with a vision for service
- Tony will stay for junior surgery
- Loukia is staying until 2022 and will maintaining 25% international and 75% shelter medicine
- Mobile unit only out 3 days a week
Other
- Active Legal Issues (StringSoft, Patients, AFSCME)
- Fighting StringSoft claim that payment of contract balance is due
- Two patient litigation cases
- Long term care of shelter med case dt error
- FARMS patient, discretionary adjustment requested – denied dt lack of error – known complication
- Discretionary typically 50K and now at $64K, most ($20K) with surgery
- Discussion about revamping the consent form and adding these complications
- Telemedicine
- 8 services interested in recheck
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Jeff fox will help use the Zoom
- Google calendar through client services (Need a few days to get the calendar organized)
- Natalie helping to figure out how to get EMR for visit
- VTH Re-org
- Hospital level business and administrative
- Faculty search updates
- Radiology – Dr. Billhymer letter of offer soon. (Imaging will not have professional students; Hope that she would have time to devote to house officers)
- Sx instructor – Dr. Gleason letter of offer soon
- WEAMS/ Wildlife faculty – Dr. Allender going to clinical assistant professor 92.5% in Brookfield, 8.5% in VDL
- Exploring options to provide clinical assistance to WEAMS
- ER instructor position – Dr. Do letter of offer soon
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Shelter medicine
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Ophtho – Dr. Villar has applied (2nd year resident), will wait until things open up to interview her
3:00 Financial Updates
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P and L Summary
-PJ repayment of $112K helped with March expenses
-Profitable for March, revenue was down and also large expense due to capital improvement projects
-$940K positive for YTD; next month will be worseCapital Requests
-One time expenses $357K, ongoing $900K recurring (much is personnel)Service Projections
New Budget Model – Implications for VTH
-FY20 – 4% increase
-FY21 – 2% increase
-Each college is given $ from campus and then asked to pay back for centralized services
-Since VTH brings in more $, we get penalized, since it is self-generated and needed for us to be able to teach
-May use energy recovery $ for this year
Clinical Error / Informed Consent
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Discretionary Spending – see above
Informed Consent – Discussion of Complications – see above
COVID-19 Preparedness
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New Policy – LA? Animal Testing?
-Continuing to have evolving policies
-Dr. Marshall recommends a similar policy for pigs
-Whittington will ask state vet if we are able to test cats from positive homes and then notifying with resultsDean’s Requests – room max, contact journals, temperature screening
COVID-19+ Personnel Planning
-Room maximums mandated
-Contact journal of who been around <6ft for 10 minutes requested
-Temperature screening difficulty due to people coming and going
-Developing protocol for personnel that tested positive in VTH with Lisa Moore
Return to Service Plan
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Non-Urgent/Elective
-When we expand caseload, will not have students until August 3rd, so services will need to determine if can functionSupport services
-Radiology will not have students; services will need to hold for ultrasounds
-Whittington will be chatting with support services about how they can accommodate caseloadPharmacy shortages
Student workforce
-Multiple short supply
Service SOPs
- Clinical coordinators will be tasked with creating/maintaining
-VTH has umbrella guidelines for policies and will discuss with clinical coordinators to develop SOPs for each service