1989-09-20 Regular MeetingAj
Advisory Board, 9/20/89
I. CALL TO
ROLL CALL:
Springhill,
guests, Mike
child.
Kodiak Isla' nd Borough
Kodiak, Alaska
RECEIVED
AM - 2 -, 1939
F.\i
KODIAK ISLAND HOSPITAL ADVISORY
1111 21,12,3141516
REGULAR MEETING, SEPTEMBER 20, 1989, 7:00 PM
ORDER: 7:09 PM
Present: Ben Ardinger, Gretchen Saupe, Wilton White, Bett)
Dr. Hlavinka for Dr. Johnson; also Dan Wee, administrator;
Lockwood, Jerome Selby; audience, Kermit Reppond, 2 women, I
II. AGENDA: Accepted as presented. Chairman welcomed guests and witl
board consensus moved "Audience Comments," up to item IV.
III. MINUTES
A. Regular Meeting, 8/23/89: Gretchen moved, Betty seconded to accept
minutes. ALL IN FAVOR. MOTION PASSED.
B. Finance Committee, 9/13/89: Ben Ardinger reported on minutes.
Discussion on MICA. Mike Lockwood explained why 14TCA charges the hospital
higher premiums compared to physicians. Gretchen moved, Betty seconded tc
a c c e p t F i n a n c e Committee Minutes . A L L Ir
FAVOR. MOTION PASSED.
IV. AUDIENCE COMMENTS:
A. Kermit Reppond/Right to Life: Chairman White addressed Kermit Reppond,
Members were in receipt of his letter. Mr. Reppond asked the board tc
consider changing the present abortion policy (which follows statE
statutes) leaving the decision to the hospital; he wanted a policy written
disallowing the procedure. Chairman White statod the hoard was advisor)
and will respond upon the close of discussions regarding the topic. HE
thanked the group.
V. COMMUNICATIONS
A. Mayor SelbV. Mayor Selby spoke in response to the Bnard's request for
an update on the hospital plans. The Mayor stated the comlrleted plans WerE
received and staff are going through plans now to verify if problems werE
corrected. He stated, for bidding, we would hire a construction management
firm that would have an architect on staff.
Funding: Hoping to get state funding through a state wide healtl
funding bill. Other issues relative to a larger legislative area will bE
added to three communities needing facilities. This will be put together
in the next 3 months to have ready for the legie.lature in January. The
Borough still offers 2 million; 1 million already =pent. The Mayor :;t,atec
the Board could become involved without conflict to tb, Rnrrmg h in th1E
project. The Mayor recommended submitting the li=t of all changes .at ober
at the time of bid. Codes will be updated to prc.nil.inry enol— when fundinc
is confirmed, this will be implemented through conslrucl:ion matrayemen'
company.
Don Wee is compiling statistical data of Str,ll rile- I,(ivr to E,hnw growth
Betty asked the Mayor and Borough for 1-10113 with i,rrhl i ,
Chairman thanked Jerome for coming and asked him to krr-•p hoard apprai:F(
of situation and what assistance is needed. Ma} -r left.
Advisory Board, 9/20/89
B. Mike Lockwood. Mike responded to Ben's inquiry concerning exit costs
for Great West. Great West was a self insured trust with premiums based
on experience. Terminal premiums were charged for claim.^ marle through June
because we left plan in June and paid 25% of initial reserve. Ben asked
for written documentation to this effect and listing of claims paid to
determine whether it's in KIH best interest to pay actual claims for 3
months or "terminal premium" (Mike will follow up). A decision is required
before the October 18th meeting.
RE/malpractice insurance: Mike said we are fortcinate to have many other
facilities interested in an insurance plan. The consultant is on schedule
with this project, which is paid by LHS Management Company. Mike said MICA
is marketing plan of insuring hospital and physician jointly on some
aspects which could save the participants 15%. D?.e:cussion on MICA. Mike
commented Don and he spend a lot of time today discussing cost control
measures.
VII. NEW BUSINESS
A. Budget, FY 1990: Goal is to complete budget by 11/1. Plan to discuss
• budget, insurance options, and room rates in the Finance Committee.
B. Laboratory: New equipment --ACA Dimension Analy7.er--will be installed
in next month. It's a complex machine that does many tests. Plan to b
more competitive with PML for tests now sent off island. This will ct
costs and hope to get more clinic business and improve turn :around time.
Chairman White asked for 1990 equipment lists. This will be presented
to the Finance Committee.
C. Storage Space: State surveyors and fire marshral.l cited our facility
on clutter/stored items in halls. Discussed purch-i!;ing additional van for
storage in back. As a fire prevention matter, th,, hoard agreed with Mr.
Wee to purchase the van for storage.
State surveyors (license us for medicaid/medicare) were very pleased
with changes in nursing home policies. Acute nursing did well. We were
cited for lacking a dietitian. Mr. Wee continur to work on recruiting
one. Mike mentioned facilities de -certified. Dicussi.on on his chemical
treatment program and our lab procedures.
VII. OLD BUSINESS
A. Litigation. Kearney case (thru LHHS) settled nut of cnurt. Remaining
updates given.
B. ER Physician. Medical staff in process of detr,rminincg what they would
support. Bad debt analysis reveals a 25-30% dehl-.
C. Carpet. Going out to bid.
9:10 Ptd: BOARD RECESSES FOR 5 MINUTES. Dr. itJ.a rola 1 Pt.
9:15 PM: BOARD RECONVENES.
VIII. ADMINISTRATOR REPORT
A. Rodeo/Fair. Four of the residents won ribs-+nw, )t thr- f<,ir-. Resicleri
Julian Hayes passed away today.
B. HAA -Fairbanks. Attended meeting 8/30-9/1. Once of the spnelkrr stated
`dvisory Board, 9/20/89
by the year 2000 we will be short of long term beds even if we open 120
beds a day.
C. Other Updates. Received rebate from workmens comp, indicating low
claims. Helo-port officially dedicated. Anesthesia: Trying to get
information from MICA. Surgeon issued memo on an employee/CRNA. Law says
either surgeon or primary doctor can be responsible for CRNA, but tort law
may look at it differently. Discussion on this .issue including options,
liability of surgeon.
MOTION *3: BEN MOVED, AT SUGGESTION OF MIKE LOCKWOOD, TO DIRECT
ADMINISTRATION TO HAVE A PLAN WITHIN 7 WORKING DAYS FOR RESOLUTION TO NURSE
ANESTHETIST ISSUE; SECONDED BY GRETCHEN. ROLL CALL VOTE:
YES: Gretchen, Ben, Bill, Wilton.
NO: No opposed. ALL IN FAVOR. MOTION PASSED.
D. C.O.N. Extended until the end of February, contingent upon financial
information from KIS.
IX. BOARD COMMENTS
Gretchen: Interested in getting home health off ground. Kate Fitzgerald
said one good candidate declined for personal reasons. Nursing staff much
improved. Board agreed LHS needs active recruitment program.
** Mr. Lockwood stated service area boards and working municipalities do
not have the authority, but the state medical board makes the decision
ihether abortion is practiced in the state.
Ben: Requested April -June print out of insurance claims in order to make
decision on insurance payment. Recommended no payments be made until a
decision is made. RE/x-ray readings, suggeswted to raise cost to cover our
costs. Clinic x-ray readings discussed.
Betty: Cat Scan/ down to 2 models. Solarium/no update. Neseth/conservator
resigned 11/1.
X. ADJOURNMENT
Meeting adjourned at 10:45 pm. Recorded by Beth Stohl-Reiland.
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Wilton White, Chairman Gretchen Saupe, Sedfe r