The meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held November 18, 2003, at 1:30 pm., in the Fourth Floor Administrative Conference Room “A” of the Ott Building, Wishard Health Services, 1001 West Tenth Street, Indianapolis, Indiana. Members present: James D. Miner, M.D.; Jean S. Blackwell; Lula M. Journey; Marjorie H. O’Laughlin; Robert B. Pfeifer, Henry C. Bock, M.D., Betsy Brougher. No members were absent.

The Chairman of the Board, Dr. James Miner, called the meeting to order and proceeded with roll call.

Dr. Miner requested approval of the minutes from the October 21, 2003 meeting. Ms. Blackwell made the motion to approve. Dr. Bock seconded the motion. The minutes for the October 21, 2003 Board of Trustees meeting were unanimously approved.

The next agenda item was General Ordinances and Resolutions. Dr. Miner requested that General Ordinance No. 4-2003, “An Ordinance Amending the Annual Budget of the Health and Hospital Corporation of Marion County, Indiana, for the Fiscal Year Beginning January 1, 2003 and Ending December 31, 2003” be read by title for the second time. Ms. Keith read the Ordinance. There were no comments or questions. She asked for approval of the Ordinance. Ms. Journey made the motion to approve and Mrs. O’Laughlin seconded the motion. General Ordinance No. 4-2003 was approved by the Board of Trustees with 7 ayes and 0 nays. The next Ordinance presented was General Ordinance No. 5-2003. Ms. Keith stated that she had a letter from Mr. Pfeifer requesting that General Ordinance 5-2003 be presented for the first time. Ms. Keith read the letter and presented General Ordinance No. 5-2003, “An Ordinance Amending the Annual Budget of The Health and Hospital Corporation of Marion County, Indiana for the Fiscal Year Beginning January 1, 2003 and Ending December 31, 2003 by Amending General Ordinance 4-2003” by title for the first time. There were no comments or questions. Dr. Miner stated that the Ordinance will be presented for the second time and considered for passage at the December 16, 2003 Board of Trustees meeting.

Next, Dr. Miner requested the October 2003 Treasurer’s Report. Fred Shockley, assistant treasurer presented the report. The 2003 October Cash Disbursements were $46.2 million. October Cash Disbursements reflect three payrolls in October. Mr. Shockley requested acceptance of the October Cash Disbursements. Mrs. Journey made the motion to accept and Dr. Bock seconded the motion. The 2003 October Cash Disbursements were unanimously accepted.

Mr. Shockley presented the Revenue and Expenditure Report for October 31, 2003. Public Health Revenue is over budget by 6.7%. Headquarters Revenues are under budget by 31.8%. Interest income is low due to low interest rates and a decreasing fund balance available for investing. Mr. Shockley asked if there were any questions. There were no questions therefore Dr. Miner asked for acceptance of the Revenue and Expenditure Report for October 31, 2003. Mrs. O’Laughlin made the motion to accept. Mr. Pfeifer seconded the motion. The report was unanimously accepted.

Dr. Jones presented a list of Medical Staff Appointments and Reappointments for November 2003 that had been approved by the executive council of the medical staff. Ms. Brougher made the motion to approve. Ms. Blackwell seconded the motion. The Medical Staff Appointments and Reappointments for November 2003 were unanimously approved.

Dr. Miner reported that the Hospital Committee meeting of November 19, 2003 included information on the following:

- WHS September Financials

- Project Management Office Plans

- Patient Responsibility Policy

- Regulatory Issues

- Patient Safety

Dr. Bock reported on the Quality Committee meeting. The committee discussed the new Quality Performance Implementation Plan. Dr. Karen Amstutz, chair, Oversight Committee, also reported on several target areas that were reviewed. The targeted areas include trends in anesthesiology, handling of patient with symptoms of heart attack, adverse drug reactions, and patient complaints.

Ibrahim AlGhani reported that the Citizen’s Health Center received the results of the PCER Review. There were some areas that need improvement. Mrs. O’Laughlin stated that there were also areas that showed improvement and that a complete detailed report will be submitted to Citizens.

Dr. Jones’ report included Kim Harper distributing handouts of all media information that was reported in the last month. She also acknowledged the presence of a guest, Ruth Holiday, reporter, Indianapolis Newspapers.

In the absence of Dr. Caine, Tara Parchman, manager, Financial Services, Marion County Health Department (MCHD), gave the MCHD Director’s Report. She announced that the MCHD Indy Parks program is conducting a Youth Fitness Walk and Rally on November 19, 2003. Mayor Peterson and Mr. Gutwein have agreed to participate. Also at the next Pacer Game on November 19, 2003 from 5:30 to 7:30 p.m. MCHD will conduct prostate screening. Reverend Charles Williams, president, Indiana Black Expo will be at the game and will sign copies of his book.

Mr. Gutwein reported that negotiations are in process for government funding for Wishard Health Services.

There was no further business therefore the meeting was adjourned.

The next meeting is Tuesday, December 16, 2003, 1:30 pm, in the Fourth Floor Administrative Conference Room “A”, Ott Building, Wishard Health Services, 1001 West Tenth Street, `Indianapolis, Indiana.

_______________________________________

James D. Miner, M.D.

Chairman, Board of Trustees

___________________________________

Matthew R. Gutwein

President and Chief Executive Officer