The annual meeting of the Board of Trustees (“Board”) of The Health and Hospital Corporation of Marion County, Indiana (“HHC”), was held February 17, 2004, 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; Henry C. Bock; Lula M. Journey; Marjorie H. O’Laughlin; Robert B. Pfeifer. Member Absent: Betsy L. Brougher.

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

Mr. Gutwein introduced Ann Wishard from the Art of Healing Project. She asked the Board to pass Resolution 1-2004, “Wishard Art Collection,” s that she could use it to as in sustaining the project and recruiting donors. Dr. Miner thanked Ms. Wishard fro coming to the meeting and for all her work on the project.

Dr. Miner asked if there were any additions, corrections or deletions to the minutes for the January 12, 2004 annual meeting. There were none. Mr. Pfeifer made the motion to approve the minutes. Dr. Bock seconded the motion. The minutes for the January 12, 2004 Board of Trustees meeting were unanimously approved.

The next agenda item was General Ordinances and Resolutions. Dr. Miner requested that

Resolution No. 2-2004, “Honoring Robert B. Jones, M.D., PhD., For His Service To Wishard Health Services”, be presented first. Dr. Miner read the Resolution. A plaque containing the entire printed Resolution was presented to Dr. Jones.

Dr. Miner requested that Mrs. Keith, general counsel, present General Ordinance No. 1-2004, “Prohibition of Deadly Weapons; Exceptions.” Mrs. Keith stated that she has a letter from Mrs. O’Laughlin requesting the General Ordinance 1-2004 be presented to the Board of Trustees for the first reading. Mrs. O’Laughlin read the letter. Mrs. Keith read General Ordinance No. 1-2004, “Prohibition of Deadly Weapons; Exceptions.” Dr. Miner asked for any comments from the Board. There were none. Dr. Miner stated that the Ordinance will be presented for second reading and for approval at the March 16, 2004 Board of Trustees meeting. Mr. Gutwein explained that the Ordinance tracks a current policy and elevates the policy into an Ordinance.

Dr. Miner requested that Resolution No. 1-2004, “Wishard Art Collection” be presented next. Mrs. Keith read the Resolution. Dr. Miner stated that the Hospital Committee recommended approval of the Resolution and he requested a motion to approve. Mrs. O’Laughlin made the motion. Ms. Blackwell seconded the motion. There was no discussion. Resolution No. 1-2004, “Wishard Art Collection” was unanimously approved.

In the absence of chief financial officer, Mr. Sellers, Mr. Gutwein referred the Board to the Treasurer’s Report enclosed in the Board packet. Dr. Bock made a motion to accept. Ms. Blackwell seconded the motion. The Treasurer’s Report was unanimously accepted.

Dr. Lisa Harris presented a list of Medical Staff Appointments and Reappointments for February 2004 for approval. She stated that these appointments have been approved by the executive council of the medical staff and she asked for Board approval. Mrs. Journey made the motion to approve. Dr. Bock seconded the motion. The Medical Staff Appointments and Reappointments for February 2004 were unanimously approved.

The next agenda item was Bids. Dr. Miner requested that the WHS Bid, “Grounds Maintenance/Snow Removal” be presented for approval. He stated that the Hospital Committee discussed the Bid and recommended Board approval. Mrs. Blackwell made the motion to approve. Dr. Bock seconded the motion. The Bid was unanimously approved.

The Midtown Board of Directors member nominations were discussed next. Margie Payne, Midtown interim executive director, explained that three Midtown board positions are vacant. There is a letter in the Board packet recommending three Midtown board candidates. Jack Ross, Midtown Board member, was also present to answer questions. Mr. Ross stated that three individuals have exhausted the nine-year allowed term of service on the Midtown board. Dr. Bock made the motion to approve and Mr. Pfeifer seconded the motion. The appointments of Barbara Collins, Brian Barton, and Clara Warner to the Midtown board were unanimously approved.

Dr. Miner presented the Hospital Committee Report. The Committee met on February 17, 2004 and discussed the following:

- WHS Financials

- Clinical Resource Management

- I-Team Management Analysis

- Cambio Report

- Medicare Reviews

- Quality Initiative

- Vulnerable Indianapolis Person (VIP) Study

- Grounds Maintenance/Snow Removal Bids

- Wishard Art Collection

Marge O’Laughlin gave the report on the Public Health Healthy Babies Committee. Nancy Keefe, administrator, MCHD, gave a presentation on Community Based Care. The Community Based Care system has been used as a nationwide model. Delois Dilworth-Berry, administrator, MCHD Social Services, presented information on the Learning Well (School Wellness Collaboration) Program. Learning Well is a school-based health service whose goal is to make health care more affordable and accessible. Mrs. O’Laughlin also stated that Mrs. Dilworth-Berry was given the National Social Worker of the Year Award.

Ibrahim AlGhani reported that Citizens Health Center has a hired new chief executive officer, Dr. Ruth Stevens. She comes to the city from Atlanta, Georgia.

Mr. Gutwein reported that the American Library of Medicine named Dr. Virginia Caine as a “Living Legend In Medicine.” He stated that he is pleased and optimistic regarding the future as a result of the hard work of all the Health and Hospital Corporation staff.

Dr. Caine stated that MCHD is collaborating with Project SHAPE. A result of the collaboration revealed that Type 2 Diabetes has tripled in children due to obesity. She reported on several health studies. A study conducted by the Indiana University School of Medicine revealed that 19% of 4th grade girls and 19.9% of 4th grade boys are overweight. The national statistics for obesity in this age is 15%. The study indicated that poverty and social barriers are related to obesity. A study conducted at WHS in 2001 revealed that the household rate for children with asthma was 19%. Asthma is the most common chronic condition that affects children. An oral health study conducted by the IU School of Dentistry revealed that 48 % of children 6-8 years old have cavities. She stated that three MCHD employees were recognized by the Indianapolis Business Journal (IBJ) as “Up and Coming Executives.” They are Karen Holly, executive project administrator; Joan Trendell, chief, Population Health; and Tara Parchman, director of finance.

Dr. Lisa Harris announced that Chris Pappas has been appointed Chief Nursing Officer. Kim Harper has been assuming the duties of Chief Nursing Officer along with her other duties. She also reported IUMG will be moving into the Pecar Health Center within the next month. She distributed a WHS Media Report and an Art of Healing Exhibit flier for Board Review.

Kim Harper stated that the Fox 59 Television Evening News, February 17, 2004, would feature a program on ambulances. WHS ambulances will be a focal point of this program. Also, the Fox 59 Morning Show will feature a segment on operating rooms. One of WHS trauma surgeons will be appearing on this show.

There was no further business therefore the meeting was adjourned.

The next meeting of the Board of Trustees will be held on Tuesday, March 16, 2004, 1:30 pm, in the Fourth Floor Administrative Conference Room “A”, Ott Building, Wishard Health Services, 1001 West Tenth Street, Indianapolis, Indiana.

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James D. Miner, M.D.

Chairman, Board of Trustees

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Matthew R. Gutwein

President and Chief Executive Officer