VTH Board Minutes 3/26/2020

Updates: Info Only

Personnel Updates

• Drs. Pavlovsky and Fehr are on-boarded and working to develop the SA Primary Care practice at Vet Med South Clinic
• Dardi Miller has moved to support VADDS; Natalie Lamphier is working to support VetStar processes and to institute plan for hiring/reorg office.
• Sue Hartman retired, position to be posted soon for her replacement
• Offer will be extended to pharmacist candidate soon, Brian Korus has resigned his appointment with VTH.  Damien (pharmacy tech) has left and search is underway for replacement.
• Dr. Ledesma has resigned his Shelter Med internship to join faculty as Instructor in ER effective April 1.
• Faculty searches – Dr. French to update

Facilities

• All facilities projects in VTH have been suspended. Requesting permission to install sump pit since part of Expansion Project outside.
• Rescheduled dentistry light installation on April 6 (Skytron), waiting on mill shop to do casework.
• Lameness building will be shipped on April 6.  Potentially, construction could start after that. 
• SAC Admission furniture could be delivered and installed first week of April since area is currently closed off to clients.

Programs

• HIS Updates – Mark Anderson and Natalie are strategizing with ATC (VetStar/SANDI) for how to convert users fully over to SANDI
• Vet Med Research Day – April 22, Cancelled

Other

• All PD to be delivered remotely
• ASA/EPC working on plan for VM616 students (VM3 clinical year)
• VTH Intranet – Up and running
• COE – cancelled, new date TBD

3:00 VTH Budgets/ Finances

YTD – VTH Position.  Revenue is good, but expenses are high.  FY20 thru Feb. $1.2 M revenue over expenses.  See pdf titled VTH_Feb-YTD_Financials.

Service Data – to be shared.  See financial summary sheet.

Projection – The VTH went to reduced service on March 16^th.  Projected earnings for March will be about $300K lower than expected and earnings for April are projected to be about $1M lower than expected.  The consequence of reduced service long-term remains to be seen.  The VTH has cash reserves of $1.5 M.  Efforts should be made to reduce costs and ensure charge capture for patients seen.

Budget work – For those services that did not have budget meetings prior to Shelter-In-Place, the VTH Business Office will be contacting them and asking for projections.

COVID-19 Updates

Operations – The VTH is still functioning at reduced service, servicing urgent and emergent patients.  Services are expected to self-regulate cases that need to be seen, taking into account personnel availability and support service (anesthesia, imaging, hospitalization services, pharmacy) capacity.

Shared supplies – Stephanie Keating is coordinating VTH efforts to inventory equipment and supplies that may be made available to human healthcare providers as needed.  No State of IL property may be given away without authorization so an accounting of all disposables or equipment redeployed must be maintained.  For now, VTH storeroom and Services that are in operation will keep their supply.  Services that are closed (Shelter Med, Wildlife Medical Clinic) have evaluated inventory and provided surplus for distribution.  Alyssa Duncan and CJ Berger have put out a call for services to evaluate current supply and equipment if it is needed. They will coordinate with Dr. Keating.

Staffing – Services have done a good job of planning operations to allow for personnel to work from home.  Dr. Fick has developed a on-call list of personnel who have agreed to fill in gaps as needed.  Services experiencing a personnel demand need to make sure to make the need known.

HR – A summative document was made available to Service Heads and Clinical Coordinators that was created by HR to attempt to provide answers to the myriad of personnel situations faced by VTH employees.

MWE/MDVC/VMSC – MWE is emergency only at their Farmer City location and are working as an ambulatory service.  MDVC is open for emergency and urgent cases.  Rabies vaccination for regulated animals that have not been previously vaccinated or that have received only one vaccine, or that are due for a rabies vaccine are considered urgent.  VMSC is seeing cases in a similar manner.

Derm Update

If we have a reduction in the number of Dermatology faculty this summer, Dr. Souza has developed a service plan for keeping the service open and receiving 2.5 days each week.  She will engage her house officers and technicians to teach students during the non-receiving time.

Shelter Med

Shelter Medicine is in a time of transition.  There needs to be significant discussion about processes to mitigate liability and service direction should be based on strategic decisions for a service vision.  ACTION: JW will engage VCM curriculum and Dept. Head in strategic conversation.