1989-08-23 Regular MeetingKODIAK ISLAND ADVISORY BOARD
REGULAR MEETING, AUGUST 23, 1989
Kodiak Island Borough
Kodiak, Alaska
RECEIVED
AMSEP 29 1989 1
Ph1
819110111112111213141516
I. CALL TO ORDER: 7:08 pm
ROLL CALL: Present: Wilton White, Betty Springhill, Ben Ardinger,
Gretchen Saupe, Dr. Johnson (7:45); also, Don Wee, Kate Fitzgerald,
Margaret French. Excused: Bill Hogan, Lonnie White.
II. AGENDA: Accepted as presented.
III. MINUTES:
A. 7/19/89: Stand approved by unanimous consent.
B. 8/9/89: Stand approved by unanimous consent.
IV. COMMUNICATIONS
V. NEW BUSINESS
A. July Financial & Stats: Revenue: Did well, but deductions from
revenue and expenses were higher than usual. Also, all people are listed
on disaster call list were called in; looking at modified list (plane crash
incident). Showing a lass of $245,000 for the month. We are monitoring
all expenses closely.
Stats: ER use has almost doubled. Mr. Wee is doing an analysis to
zvestigate bad debt in ER, now running 25-30%.
Nursing home: JJ went home about 3 weeks ago.
B. Payor Mix: 2nd qtr payor mix was shown using a pie graph.
Questions were addressed. 1st and 2nd quarter payer mix shown with a bar
graph.
C. Facility Expense: A pie graph demonstration of facility expenses
for 1st and 2nd quarter was shown. Discussion on expenses. Board
commented favorably on Mr. Wee's informative presentation.
D. Room Rates: Mr. Wee referred to the letter to the editor which said
our rates were 86% higher than the rest of Alaska. Mr. Wee researched this
and presented a pie graph indicating our rates are on the low end of many
Alaskan facilities. Discussed letter to the editor and Chamber of Commerce
Survev. Mr. Wee will respond to letter. Mr. Wee said he thought our room
rates were too low. Chairman White stated based on the average occupancy,
what would be the increase in gross revenue? Would it make a credible
dent? Chairman asked for this information so the Board could look at it.
B. OLD BUSINESS
A. Litigation Update: Another complaint/summons filed, an outpatient;
falls under LIHS. Kearney case goes to trial this September. Capacillo
case will have depositions this Friday w/plaintiff's attorney. We have a
total of 9 cases.
B. Home Health: We are still looking at Home Health. The individual
we were considering took a position with KANA. We are recruiting again.
Tt requires a 2-3 month interim to get licensed and the program organized
:fore implementing. Mr. Wee may prefer to budget this for 1990 if present
_inancial situation stays the same.
C. ER ROOM: Doing some analysis on bad debt. Ta.lknd to ER group
Advisory Board, 8/23/89 2
(Spectrum) and will bring information back to board.
VII. ADMINISTRATOR'S REPORT
Met with Mayor Selby and Gordon Gould RE/incinerator, because
harbormaster has requirements to use this equipment and hospital has need
(meet EPA). Mr. Wee would like to get our incinerator off the grounds and
have one at the dump. Also met with Gordon RE/jail closing. City wants
to be covered with re -insurance over 1 million. Closing would affect our
jail meal contract and ratio of indigent cane (because of way state
regulations read). '
Care Center is featuring The "Resident of the Month," with a picture and
write up. Paper will cover Care Center 2 times/month. Lions Club donated
earphones for private TV listening and large print Readers Digest
subscription.
Meeting with Paul Price in Soldotna 9/11-12.
Next weekend (9/1-3) HAA Annual Meeting: Major issues, bond issue, tort
reform.
Jerome believes we need the support of larger hospitals, i.e.,
Fairbanks, Juneau, etc., for bonding.
Chairman White expressed desire for board members to generate interest
in state funding. Wilton will draft a letter to KIB on status of plans.
ITIII. BOARD COMMENTS
7etchen: Asked about status of helo pad/will get update.
men: RE/SmokeEater/we purchased one, not two, and will evaluate it's
ability. Discussed transfer of reserves to KIB. Carpet update given.
Discussed status of Neseth account. Comment --more people are having mid-
wife births at home, and feels their is a need to look at less tech'
births; also need to improve room appearance.
Betty: KANA contract/no contract presently. Solarium discussed. Need for
P.R. program mentioned re/to new hospital. Union/35 people here on list.
Chaplain Program/met yesterday and discussed unauthorized chaplains. The
residents, nurses, and chaplains said Art Zimmer is ok, but all will
monitor.
Wilton: Encourage LHS to start recruitment co. Home care/does a person
have to be a hospital patient within a period of time (such as last 125
days) to participate. Don will check on this.
IX. ADJOURNMENT: 9;16 pm. Recorded by Beth Stohl-Reiland
/Wilton White, Chairman Gretchen Saupe, Secretary