1989-11-15 Regular MeetingKODIAK ISLAND HOSPITAL ADVISORY BOARD
REGULAR MEETING, 11/15/89
I. CALL TO ORDER: 7:10 PM
ROLL CALL: Present: Wilton White, Betty Springhill, Gretchen Saupe, Be
Ardinger, Bill Hogan, Dr. Bob Johnson, Lonnie White; excused: Bill Hogan
II. AGENDA: VII. A. Drafted Policy moved to V. New Business; agent
accepted as modified.
III. MINUTES
A. Special Meeting, 11/8/89: Approved.
B. Regular Meeting, 11/1/89: Approved.
C. Finance Meeting, 11/1/89: Approved.
IV. APPEARANCES/COMMUNICATIONS: None.
V. NEW BUSINESS:
A. Drafted Policy: Policy draft on Advisory Board review/approval c
department head terminations presented. Administration did not support tl
philosophy of this policy. After discussion of board role and the fat
members receive reactions to such events, consensus was the administrat
will notify one of the board officers of an anticipated termination c
termination so the board will be informed of the situation.
VI. OLD BUSINESS
A. Budget, 1990: Dori presented h.is recommendations for the 1990 budget
meet a projected 1.3 million operating loss. Four areas were recommended f
KIB support. If these are met, plus interest income, KIII could breakeve,
Don showed a bar graph of room rates for many Alaskan facilities. The ro
rates he recommended, 15% overall (except ICU - 25°x). Semi--private/private
$359; OB - $359; ICU -$690; Nursery -$21.1. Our rates still fall within t
average and lower range in Alaska. Also recommended wr're annual ra
increases to at least match the rate of inflation (i.e-, 3--5%) to hopeful
avoid any large rate increases in the future.
MOTION #1: DR. BOB JOHNSON MOVED WE APPROVE THE PROPOSED ROOM RA
INCREASES. DISCUSSION - NO INCREASE IN RATES SINCE 1985 & THERE IS AN ANNU
INFLATION RATE OF 4-4 1/2%, PLUS THE RATES ARE IN LINE WITH MANY OTH
FACILITIES. ROLL CALL VOTE.
YES: Gretchen Saupe, Lonnie White, Ben Ardinger, Dr. Johnson, Wilton Whi
NO: Betty Springhill MOTION PASSED BY MAJORITY.
Room rate increases will be effective 1/1/90.
Capital equipment list for 1990: Don recommended to "hold" on purchas
for the 1st quarter -6 months of 1990, then evaluate financial conditie
Discussion ensued on equipment, focussing on CT. Don will bring fin
information on CT to board. Dr. Bob st:ltr-f9 it's the highest priority it
'to the medical staff and will be readily used by them and potentially n
uses with referrals from the Base. The CT may he housed in the hospit
library; the problem with this is where to relocate the .l-ibrary (the libra
could also house an ultrasound/potential for 2 ultraFnunds for KIF
Consensus was to proceed with CT acquis:ttinn and have a re.commen- dation
the earliest possible date; it is also the #1 prior,
ity item of the Board.
Advisory Board, 11/15/89
November 26th the Board is scheduled to meet with the Assembly. This wa
postponed until latter December since the new administrator will not be her
until then.
MOTION #2: DR. JOHNSON MOVED WE URGE THE ADMINISTRATOR TO PROCEED WITH AL
POSSIBLE HASTE TOWARD THE PURCHASE OR LEASE OF A C/T. NO FURTHER DISCUSSION
ROLL CALL VOTE:
YES: Gretchen Saupe, Lonnie White, Ben Ardinger, Dr. Johnson, Bett
Springhill, Wilton White.
NO: None opposed. MOTION PASSED UNANIMOUSLY.
The Board consensus: Endorse the administrator's recommendation to postpon
the purchase of the 1990 equipment, after budget approval, (except CT), unti
the financial situation stabilizes. An anticipated loss of $898,000 1
projected for 1990, even with added revenue from room rates, delaye
equipment purchases.
VII. ADMINISTRATOR's REPORT
MICA: MICA has informed us of a 5% reduction in rates for 1990. Regardin
the insurance study conducted through Mr. Groves, he will be here about 12/
to present information. Board requested 12/6 as it's the next regula
meeting date. Chairman White suggested Mike Lockwood attend this since i
affects 3 facilities.
ADMINISTRATOR HOUSE APPLIANCES: Don asked the Board if they desired t
purchase the washer/dryer and refrigerator he purchased for the house
Discussion occurred relative to future use of house as duplex & need for th
equipment.
MOTION #3: BETTY SPRINGHILL MOVED WE PURCHASED THE WASHER/DRYER AN
REFRIGERATOR FOR THE ADMINISTRATOR's HOUSE FOR $1375.00. ROLL CALL:
YES: Gretchen Saupe, Lonnie White, Ben Ardinger, Dr. Johnson, Bett
Springhill, Wilton White.
NO: None opposed.
Wilton recommended asking LHS to discuss off grounds housing with non
resident applicants.
CARPET BIDS: Chairman White opened two sealed bids. Bid #1 from SBS fc
$8,299.65; installation bid from Mel Englund for $2,389.50. Bid #2
Ardingers withdrew due to known quote information from prior meeting.
ROLL CALL VOTE ON BID #1 FROM SBS FOR $8,299.65 (CARPET ONLY):
YES: Gretchen Saupe, Lonnie White, Dr. Johnson, Betty Springhill, Wiltc
White.
NO: None; ABSTAIN: Ben Ardinger. MOTION PASSED BY MAJORITY.
Discussion ensued on carpet installer. Consensus was administrator purse
another alternative since it's within his authorized dollar limit.
Advisory Board, 11/15/89
VIII. BOARD COMMENTS
Gretchen: Gone 11/22-11/29 to Hawaii -son's wedding.
Board discussed the upcoming administrator interviews; recommended L1
schedule the interview 11/29 so Gretchen could attend. Gretchen asked Di
Bob if tetanus for ER patients included diphtheria. This policy or practit
is not set. Gretchen requested one be considered to include diphtheria
Dr. Bob will put it on the next med staff agenda.
Lonnie: Move smoking area/Don recommended rather than move area to mal
this a smoke free institution because the suggested area is used for storage
He also recommended pursuing this with new administrator. Lonnie reflect(
on concerns of maintaining experience criteria for new administrator. l
also said going to KIB with request for $900,000 was 'too much. Discussii
on budget. City/Assembly had a joint meeting and the hospital is the ;
priority on the capital list.
Ben: Wished Don well in his new position. Complimented him on quali
presentations.
Dr. Bob: Medical staff nominated officers for 1990 -elections ne:
month. Medical passed unanimously that another smoking area other the
cafeteria be found. Motion passed to strike the requirement that GP's ai
FP's take ER call as a requirement for medical staff privileges. Th
must be reviewed by the Board and passed by LHS Board. Beginning 1/1/90
call would be voluntary.
Betty: Asked Don to verify reduced state revenue sharing amount. Ask
if Margaret had written letters re/Hill Burton (Don will follow up
Confirmed that our CON is extended until end of February. Thanked Don f
his work here.
Wilton: On behalf of the Board, expressed sincere appreciation to Do
Acknowledged Don came into an extremely difficult situation with transiti
from LHHS to LHS and other issues here. Wilton expressed he felt LHS cou
have given more support. He then expressed feelings on Advisory Board ro
as advisory and not governing and cautioned members about acting as governi
(liability). He also expressed need for a system or policy to curta
abusive language in the hospital by any ;personnel as it's damaging
employee morale, has very negative impact on all who hear, and can
libelous. Dr. Bob explained process and importance of reporting su
incidents. Members encouraged this be done.
10:20 REGULAR MEETING RECESSED; EXECUTIVE SESSION
Executive session called to discuss pending litigation.
10:38 EXECUTIVE SESSION ENDED.
10:40 REGULAR MEETING CONVENED. NO ACTION TAKE. REGULAR MEETING ADJOURNS
Recorded by Beth Stohl-Reiland.
o 1), Gr ,y 1. F=u
Wilton White, Chairman Gretchen Saupe, Sdretary