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4.5.6.7.8.9.10.11.12.close automatically if someone exits the doors. Motion to accept was made by CynthiaHarris, Seconded by Doris Kochinsky, and unanimously approved.Exchange Bank – Payroll Account & Operating Account Affidavit of Forgery – We have hadseveral attempts to fraudulently draft money out of payroll and operating accounts that wehave with Exchange Bank. Affidavits of Forgery have been issued for all fraudulenttransactions and the money was put back into our accounts. We have also contacted LawEnforcement and followed OMC’s Anti-Fraud Policy. The NPSO High Tech Crimes Unit isworking on the case to see who is responsible for this. We have closed those accounts andopened new accounts in an effort to stop any more fraudulent transactions fromhappening. At the in-service we reviewed OMC’s anti-fraud policy and employees emailedthe Compliance Officer stating they had read the policy. At this time we are lackingconfirmation from 2 employees but the Compliance Officer will follow up and obtain theseconfirmations. Motion to accept the report was made by Cynthia Harris, Seconded byCordell Collins, and unanimously approved.OMC Clinic data logger certificates requested by LDH vaccine administrationLeesville Clinic Fire Department Inspection Report on 04/08/2022 – The Leesville FireDepartment inspected the clinic on 4/8/2022 and the clinic passed the inspection. Motionto accept was made by Cynthia Harris, Seconded by Doris Kochinsky, and unanimouslyapproved.Natchitoches Clinic Walk-Through for Joint Commission Readiness – Yesterday, RichardBruce, Dr. Guidry, Keymon, and Caeden did a walk-through of the clinic for JointCommission readiness. Dr. Guidry advised that there were lots of old, dirty ceiling tiles thatneeded to be replaced, the janitor’s closets and medical waste place was a mess but thishas already been cleaned today. There were things in hallways that should not have beenthere, do not enter and under construction signs were places in appropriate places, wallstations in halls and med rooms need to be removed, stains on the floor in the restrooms,trash can needed a lid, light covers needed replacing, boxes on the floor, and bugs in lightfixtures. Motion to accept the report was made by Cordell Collins, Seconded by CynthiaHarris, and unanimously approved.Infection Control Risk Assessment (Due Annually in January) – The QA Committee wentthrough the infection control checklist. Motion to add to the record was made by CynthiaHarris, Seconded by Cordell Collins, and unanimously approved.Risk Management Program Assessment (Due Annually) – We will begin developing thisassessment. Motion to defer was made by Dr. Guidry, Seconded by Kazue Seo, andunanimously approved.Update on Bio-hazard medical waste in Leesville – Motion to defer was made by Dr. Guidry,Seconded by Kazue Seo.Update on questionable nursing documentation in provider task box – Since the memo wasput out there has not been any more. We seem to be getting better with nursingdocumentation. Memo is now on the intranet. Motion to accept report was made byCynthia Harris, Seconded by Doris Kochinsky, and unanimously approved.Update on status of alert system installation and test in all clinics and vaccine loss – Weneed to establish payment for a block of texts, test the system, and if test is validimplement into our clinics. Timeline is by next Board meeting. Motion to accept was madeby Cordell Collins, Seconded by Cynthia Harris, and unanimously approved.

13.14.15.16.17.18.19.20.21.22.Update on Desoto voicemails not being checked 2/10/22 – 3/1/2022 – Desoto Voicemailsare being checked. Nurses are forwarding voicemails to the compliance officer as well asthe status of them being checked. Motion to accept was made by Cynthia Harris, Secondedby Kazue Seo, unanimously approved.Employee and visitor badges when in clinic – As visitors enter the clinic, HR will providethem with a badge for the duration of their stay. Employees are required to wear theirbadges daily while in the clinic. A memo has been sent out by Human Resources. Motion toaccept was made by Cynthia Harris, Seconded by Doris Kochinsky, and unanimouslyapproved.Update on OMC Provider Open Encounters – Every Monday we receive a report of ouropen encounters that we have currently with our providers. At that point their supervisorcontacts them for help or ETA on closing the encounters. As we move through the weekthese reports tell us where we stand and corrective action is taken if needed. Motion toaccept was made by Vicki Mosley, Seconded by Cynthia Harris, and unanimously approved.Incident Reportsa. Update on backlog of patient consents not scanned into the medical record for schoolbased clinic patients – This backlog has been completed. This was finished the week ofour last Board Meeting and there is no more updates to be provided. Motion to acceptinto the record was made by Doris Kochinsky, Seconded by Cordell Collins, andunanimously approved.b. 5/2/2022 Incident of patient having inappropriate behavior with a provider (touching) –Our CEO has reached out to the patient and a letter was sent stating how they hadviolated patient’s rights and responsibilities. Motion to accept was made by CynthiaHarris, Seconded by Vicki Mosley, and unanimously approved.Clinic manager monthly inspection reportsa. Natchitoches (Main Clinic & SBC)b. Leesvillec. Tallulahd. DesotoNo inspection reports were received. The compliance officer will reach out to each ClinicManager’s supervisor so we can get these in a timely manner going forward. A memo willalso be issued to clinic managers. Motion to accept was made by Cynthia Harris, Secondedby Vicki Mosley, and unanimously approved.Update the repairs to the ac units causing the water issue in Tallulah – Keymon is workingon getting a vendor. DeferredUpdate on repairs to the floors in Tallulah and request for a chair mat – DeferredReview Medical Fee Schedule part 3 (deferred)Update on Nursing Competencies with CMAs – Vicki Mosley reported to the CMO thatthese have been completed. Completed competencies for Casey Newport, Earth Weldon,and Elizabeth Pruitt were presented to the committee.Update on AL certified CMA in Tallulah not fully trained / deemed competent – Hercompetencies have been completed.Motion to accept #21 and #22 reports into the record was made by Dr. Guidry, Secondedby Doris Kochinsky, and unanimously approved.

23.24.25.Update on printing backup forms for when EHR goes down – This is still a work in progress.At this time the majority of the forms are ready to be placed on the intranet incase the HERgoes down. This needs to be deferred for 1 month until these can be reviewed and put onthe intranet. Motion to accept the deference was made by Cynthia Harris, Seconded byDoris Kochinsky, and unanimously approved.Update on AT&T T1 to Fiber Conversion – On May 8th, we did have a successful conversion.The whole Natchitoches Clinic us now on a fiber line and the T1 line has been done awaywith. Motion to accept into the record was made by Cordell Collins, Seconded by CynthiaHarris, and unanimously approved.Nursing Monthly Compliance Logsa. Urine Analyzer Quality Control Recordb. Glucometer Quality Control Recordc. Hemoglobin Quality Control Record – Control Cuvetted. Hemoglobin Quality Control Record – Control Solutione. Portable Oxygen Monthly Maintenance Checklistf. Emergency Eye Wash Station Weekly Flushg. Ambient Temperatures –Lab/Vaccine/Supply RoomsNatchitoches logs were reviewed and there was no action required. The supply inventoryfor Natchitoches was sent after the fact and showed some expired medications which havebeen removed from the inventory. SBHC logs were reviewed and there was no actionrequired on these. The AED log for Leesville did not indicate which month or month wewere in. The temperature logs for the refrigerator and freezer as well as the ambienttemperature log were for May not April so these were not applicable for this meeting.Tallulah had not submitted any logs for our review. A memo will be sent out to the Leesvilleand Tallulah Clinics requesting the logs be sent so they can be reviewed and placed in thefiles. Also, the memo will reinforce that we have to have these logs before the QACommittee Meetings every month so they can be reviewed and placed into our files.Motion to accept the compliance logs into our report was made by Vicki Mosley, Secondedby Cynthia Harris, and unanimously approved.26.Annual Review of Risk Management Training Planned for All Staff – We have to revisit andhave our annual review of our planned training for our staff. This is still under review andwe are still working on it. This will be brought to the QA meeting next month. Motion todefer was made by Dr. Guidry, Seconded by Doris Kochinsky, and unanimously approved.P&T – DON&IP/ Chair1.2.Review and approve minutes from the April 1st meeting - Motion to accept the minutes asprinted was made by Richard Bruce, Second by Cynthia Harris, and unanimously approved.Intergy monthly drug update for April – Kazue presented the list that was shared byGreenway. Motion to accept presentation into the record was made by Dr. Guidry,Seconded by Vicki Mosley, and unanimously approved.

3.4.5.6.7.8.9.10.School Based Clinic LEAD labs (Tamarac Labs used instead of LabCorp.) – They were doinglead tests on kids and using a second test instead of LabCorp. They will do the lead teststhrough LabCorp in the future instead of Tamarac. This will make it easier for the SBHC toget the lead test results. Motion to accept report into the record was made by CordellCollins, Seconded by Doris Kochinsky, and unanimously approved.Quarterly Drug Prescribing Report for Quarter 1 (January, February, March) – Kazue Seopresented the drug prescribing report by provider from Jan-Mar. The CMO reviewed andthe medications prescribed are all in our scope. Motion to accept the presentation into therecord was made by Vicki Mosley, Seconded by Doris Kochinsky, and unanimouslyapproved.Update on delay in ordering PPD after loss from power outage Pre-Employment compliance with TB, Flu, and COVID Vaccines – We track all of ouremployees’ flu vaccines, TB screenings, and COVID vaccines of all of our employees. We are100% compliant with the flu vaccines / declination form, TB screening compliance is at91.67%, and COVID compliance is at 86.11% for the month of April. Motion to acceptreport into the record was made by Doris Kochinsky, Seconded by Kazue Seo, andunanimously approved.Update on COVID Rapid Test and Vaccine Shortage – We have received several boxes ofCOVID rapid tests. We have sent out emails to our clinics asking if they need a box and weare working on getting those to the clinics. We recently obtained 2 vials of COVID vaccinesand we are scheduled to give some today. We have not received an update on the ones wehave ordered. Motion to accept into the record was made by Dr. Guidry, Seconded byCordell Collins, and unanimously approved.Update on status of VFC Program Supplies at Tallulah – We have reached out trying to getthe VFC Program back up and running in Tallulah. At this time we are tasked with findingbackup location with a generator in the event of power loss, or purchasing a vaccinecontainer that will store a large number our vaccines for X amount of time that meets theVFC requirements and we are in the process of purchasing a container that will meet thecriteria so we can get this program back up and running in Tallulah. Motion to accept thereport into the record was made by Dr. Guidry, Seconded by Doris Kochinsky, andunanimously approved.CLIA Certificate Expiration (Natchitoches, Leesville, & Tallulah Expire December 2023)Yearly Report on Employee TB and Flu Screening Compliance (Due annually in January) –Compliance #’s for 2021 – Flu Vaccinations were 95.24% compliance, TB screening were90.5% compliant, and COVID we were 38% compliant. Motion to accept the report into therecord was made by Dr. Guidry, Seconded by Cynthia Harris, and unanimously approved.

2. Intergy monthly drug update for May 3. VFC Program Vaccine Loss at Natchitoches Clinic 05/12/2022 4. Quarterly Drug Prescribing Report for Quarter 2 (April, May, June due in July) 5. Pre-Employment compliance with TB, Flu, and COVID Vaccines 6. Update on COVID Rapid Test and Vaccine Shortage 7.