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

  • 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

  • Shelter medicine

  • Ophtho – Dr. Villar has applied  (2^nd year resident), will wait until things open up to interview her

3:00 Financial Updates

• 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 worse

  Capital Requests
     -One time expenses $357K, ongoing $900K recurring (much is personnel)

  Service Projections
      -FY20 – 4% increase
      -FY21 – 2% increase

  New Budget Model – Implications for VTH
      -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

• Discretionary Spending – see above

  Informed Consent – Discussion of Complications – see above

COVID-19 Preparedness

• 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 results

  Dean’s Requests – room max, contact journals, temperature screening
      -Room maximums mandated
      -Contact journal of who been around <6ft for 10 minutes requested
      -Temperature screening difficulty due to people coming and going

  COVID-19+ Personnel Planning 
     -Developing protocol for personnel that tested positive in VTH with Lisa Moore

Return to Service Plan

• Non-Urgent/Elective
    -When we expand caseload, will not have students until August 3^rd, so services will need to determine if can function

  Support 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 caseload

  Pharmacy shortages
     -Multiple short supply

  Student workforce

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