Roy Exum: Now Come The Trustees

Wednesday, February 20, 2013 - by Roy Exum
Roy Exum
Roy Exum

A new governance structure for Erlanger Hospital is expected to sail through the Senate of the Tennessee Legislature tomorrow and, with Kevin Speigel just being chosen as the medical center’s Chief Executive Officer, Chattanooga’s Level 1 trauma center will hopefully enjoy a renewed atmosphere of reason and stability in the coming weeks.

But as both Hamilton County Mayor Jim Coppinger and Rep. Gerald McCormick agree, perhaps the biggest factor in the hospital’s return to prosperity will be decided when a new Board of Trustees is chosen in the coming weeks to give much-needed stability after Erlanger’s present leadership has suffered $13 million in losses over the last 18 months of the fiscal calendar.

“We need a high-profile board of people the community trusts,” McCormick said hours before Spiegel was chosen, “and until now it has been premature to discuss any names. Once the bill is approved by the Senate, which it should easily do on Thursday, we will go before the County Commission and then begin the process of identifying the new board.”

According to the way the bill is written, County Mayor Coppinger and the local delegation will meet together to select seven of the nine persons who will soon direct the hospital and provide the leadership and oversight that Speigel will need to restore credibility to Chattanooga's largest health provider.

The other two new board members will be the hospital’s chief of staff, chosen by the hospital’s attending physicians and rotating on a yearly basis, and a member from “academia,” such as a professor from the UT College of Medicine that is located near the Erlanger campus and would place another physician on the board.

The “academic” representative will be chosen by the new board once it is installed, explained Rep. McCormick, and both he and County Mayor Coppinger expect some members of Erlanger’s outgoing board will be asked to serve on the new group that will be selected by the politicians. After the new board is seated, it will be solely responsible for all future appointments to the hospital’s board.

Spiegel’s task is daunting, especially in the early days as he must assemble an executive staff, acquaint himself with 4,000 employees as well as a new community, and tackle a “to do” list that begs attention from every conceivable direction. The biggest order is to stop the financial hemorrhaging; the hospital has lost $2.5 million in the first half of this fiscal calendar and the dysfunctional leadership has created serious problems in other areas where there are few short-term solutions.

That’s why the new board is crucial; in Speigel’s initial months he will need both direction and wisdom from the board and it is believed a change to a 501c3 non-profit financial structure is almost imperative from the beginning. An unsettled medical staff, a lack of capital improvements, poor middle management, a bewildering technology network and a lack of employee morale are just some of the other hurdles awaiting a forceful and decisive CEO and his team.

“We are well aware that the new board will have its hands full,” said County Mayor Coppinger, explaining that the selection process will actually be a team effort between his office and the local delegation of legislators. “Everybody realizes that this can’t be a collection of personal friends or relatives. The new board will be vitally important from the very start.”

McCormick said he had already thought of some candidates “and I am sure that others who will be involved know how important Erlanger Hospital is to our region. I think we’ll look at a lot of candidates but, honestly, this won’t be a public process. We wouldn’t want any citizen who we might discuss to be put in a position of explaining why they were or weren’t chosen.”

The new bill will have to be ratified by a two-thirds vote of the County Commission, but that isn’t expected to be a problem. The county commissioners know what has befallen Erlanger and are undoubtedly pleased the legislature has stepped forward to make changes that will better the hospital.

Hamilton County currently gives Erlanger Hospital $1.5 million every year but with indigent care rising and still-puzzling federal stance, Erlanger officials have requested a greater involvement from the commission. One commissioner has requested a “short list”  of trustee candidates but Coppinger has said there is no short list.

For all practical purposes, the day-to-day operations at Erlanger are being handled by a team of consultants from PriceWaterhouseCooper. Once the new board is seated and Spiegel’s team is in place, it is expected the consultants will be phased out.

royexum@aol.com



Chuck Is Doing His Job - And Response

Four years ago we conservatives sent Chuck Fleischmann to Washington to basically say no to Obama and every program he tried to sneak through.  He did such a good job at this we sent him back two years ago. Now this young whippersnapper comes along and wants to go to Washington under the Republican title to cross the isles and negotiate with Obama and the Democrats. Is ... (click for more)

Please Vote For Vince Dean - And Response

I need to take this opportunity to speak out on behalf of Vince Dean, who is running for Criminal Court clerk.  Vince served as a councilmember and as the mayor of East Ridge, where I was employed for many years.  During Vince's time on the Council, Vince stood out with his keen ability to manage the budget.  He reorganized the structure of the departments by reducing ... (click for more)

EPB Files With FCC To Expand TV, Phone, Internet Offerings Outside Electric Service Area

 EPB announced Thursday that it has filed a petition to the FCC "in an effort to respond to neighboring communities’ requests for access to the company’s gigabit enabled high-speed Internet service." Officials said, "EPB offers high-speed Internet access, video programming and voice services using a fiber optic communications network that allows the company to deliver these ... (click for more)

Black Creek Developers Say They "Followed The Rules" On $9 Million TIF: To Continue Project

The developers of the Black Creek project at Aetna Mountain said Thursday they "complied precisely by the rules when we applied for and received approval of the TIF district." Doug Stein said the group plans to continue on with the project, which he said earlier would include the creation of a small town on a huge undeveloped tract on the mountain above Black Creek (formerly ... (click for more)

Stone Leaves South Pitt For Coaching Positions At Boyd-Buchanan

The possibility of a career move was definitely in Wes Stone’s future. The one he took wasn’t necessarily on his radar screen just a few weeks ago. Stone, assistant football and head baseball coach at South Pittsburg, has left the Pirates for teaching/coaching positions at Boyd-Buchanan. The 38-year-old Stone, who already is working with the Bucs’ football team as a defensive ... (click for more)

Montgomery Stops Lookouts Thursday, 6-4

The Chattanooga Lookouts jumped out to an early lead, but committed four errors on their way to a 6-4 loss at the hands of the Montgomery Biscuits. Recap Lookouts' center fielder Darnell Sweeney started the game on a positive note for Chattanooga, leading off the bottom of the first with a single. Noel Cuevas followed up Sweeney's single with a line drive base hit of ... (click for more)