1989-04-19 Regular Meeting4/10/89 .Joint Conference Minutes. WJ1t:on (Chnirnian) reviewed minutes.
VI. NEW BUSINESS. None.
VII. OLD BUSINESS
A. Radiologist. Dr. Hans Tschersich, radiologist, hris signed a 2 1/2
year agreement with KIIi. Terms include: Guaranteed net annual income, KIY
does billing services, relocation expenses split 50/50, starts work 8/15
after completion of summer C/T course, G weeks ]rave year 1, 7 weeks leave
year 2 (not more than 3 weeks at one time Fi give 30 days notice if gone
more than 1 week).
A commitment was made in the contract by i0ininiF;trat:Ioiw and boars,
Chairman White to research a C/T scanner for pii chase in 9 months, The
equipment has become a standard & necess_+ry j of 'ita.l rliagnost:ir
equipment. Chairman White stated Dr. Tschte+!:ir-h woiilil t,+- aacrd to tie
actively involved in the feasibiJ•ity of nbtciiuiicy a C/'r and to make at
analysis for the medical staff and Board. Board dj=cussed advantages of C/1
scanner, initial requirements (modular unit to house it), cost, arlC
training.
Mr. Wee said our medical staff was delighte-d with rrr. Teschersirh'e
acceptance to work here.
The board members concurred on the action t=ri.nn r-umun i tmen t tc
investigate need of cat scan and to purcha•?e nnfs 9 nrontic, after radiologist
arrives. Discussion continued on negotjatione: with r-ldir+lorlis;t.
B. Hospital Plans: Chairman White retFrrrsd to a letter from KIr
Facility Coordinator Bob MacFarinnd regarding the new hu�pi.t.;0 pJans. 01
4/13 the Assembly, Chairman White and Don Wre, and thn ARS Ronrd met tc
discuss MacFarlands evaluation. After Ch;)jrman Wliit:� ,h,arPd some
impressions of this joint meeting, Advisnry r:onrd inie-mbr.r!; 1w,10 a 1Frigth)
discussion on the KIB architect's (ueg:it:jvf?) report on the j+lans. Some
members felt deep concern acrd serirw+,,Iy clnc;,s:tiourrl the .-+nnlysis of the
plans, many members having been involverl :ince= tho 11--ilinning of thf
project. Chairman White asked KIE; rrprfr+eut:ituJ niriuhVr r,nnu.le White tc
direct a request to the Assembly to seek a way to 1•e!so1c7e this withoul
starting over and to upgrade the present pl:cnn to rods. Hr, remmark.eri cn
rotation of- KIB personnel as oiir_ pos.^,ib]e rc,a-:nr (or tlii:: :-j tn,itjon. Thai
�- the plans have to be .completed and that KIP, arcd ulmi+ci• tt=tion rrsolvf
this as early as possible. Chairmali WII.il:e ;11'30 Pmphi::;-r"i Ah: -it the cor•f
Kodiak Island Borough
C% Kodiak, Alaska
RECEIVED
Advisory Board, 4/19/89
AM Ji IN 22 1989 PM 1
KODIAK ISLAND HOSPITAL ADVISORY
BOARD,
8 91 t 111112111213111516
I. CALL TO ORDER: 7:40 pm
PRESENT: Lonnie White, Gretchen Saupe, Bill
Hogan, Betty Springhill axed
Chairman Wilton White; also Don Wee.
Absent: Dr. Bob Johnson and Ben Ardinger.
II. AGENDA: Hospital Plans added to VII., Old
Business.
IV. MINUTES: Lonnie moved to accept minutes,
seconded by Gretchen. All
in favor. PASSED.
4/6/89 QA Minutes. Gretchen (Chairper_orc)
e1L1imna..r1^r-,r1 niirnites. Wilton
commented on LHS newsletter which stated
the j.mpor.tance of. the QA
Committee/Minutes. Discussed board role rFlate.d to QA function.
4/10/89 .Joint Conference Minutes. WJ1t:on (Chnirnian) reviewed minutes.
VI. NEW BUSINESS. None.
VII. OLD BUSINESS
A. Radiologist. Dr. Hans Tschersich, radiologist, hris signed a 2 1/2
year agreement with KIIi. Terms include: Guaranteed net annual income, KIY
does billing services, relocation expenses split 50/50, starts work 8/15
after completion of summer C/T course, G weeks ]rave year 1, 7 weeks leave
year 2 (not more than 3 weeks at one time Fi give 30 days notice if gone
more than 1 week).
A commitment was made in the contract by i0ininiF;trat:Ioiw and boars,
Chairman White to research a C/T scanner for pii chase in 9 months, The
equipment has become a standard & necess_+ry j of 'ita.l rliagnost:ir
equipment. Chairman White stated Dr. Tschte+!:ir-h woiilil t,+- aacrd to tie
actively involved in the feasibiJ•ity of nbtciiuiicy a C/'r and to make at
analysis for the medical staff and Board. Board dj=cussed advantages of C/1
scanner, initial requirements (modular unit to house it), cost, arlC
training.
Mr. Wee said our medical staff was delighte-d with rrr. Teschersirh'e
acceptance to work here.
The board members concurred on the action t=ri.nn r-umun i tmen t tc
investigate need of cat scan and to purcha•?e nnfs 9 nrontic, after radiologist
arrives. Discussion continued on negotjatione: with r-ldir+lorlis;t.
B. Hospital Plans: Chairman White retFrrrsd to a letter from KIr
Facility Coordinator Bob MacFarinnd regarding the new hu�pi.t.;0 pJans. 01
4/13 the Assembly, Chairman White and Don Wre, and thn ARS Ronrd met tc
discuss MacFarlands evaluation. After Ch;)jrman Wliit:� ,h,arPd some
impressions of this joint meeting, Advisnry r:onrd inie-mbr.r!; 1w,10 a 1Frigth)
discussion on the KIB architect's (ueg:it:jvf?) report on the j+lans. Some
members felt deep concern acrd serirw+,,Iy clnc;,s:tiourrl the .-+nnlysis of the
plans, many members having been involverl :ince= tho 11--ilinning of thf
project. Chairman White asked KIE; rrprfr+eut:ituJ niriuhVr r,nnu.le White tc
direct a request to the Assembly to seek a way to 1•e!so1c7e this withoul
starting over and to upgrade the present pl:cnn to rods. Hr, remmark.eri cn
rotation of- KIB personnel as oiir_ pos.^,ib]e rc,a-:nr (or tlii:: :-j tn,itjon. Thai
�- the plans have to be .completed and that KIP, arcd ulmi+ci• tt=tion rrsolvf
this as early as possible. Chairmali WII.il:e ;11'30 Pmphi::;-r"i Ah: -it the cor•f
C O f
Advisory Board, 4/19/89
area was designed large to accommodate growth in pini:i.ent care wings, which
are definitely expandable. That even Health Comm:issanner ML1rison remarked
on the excess square footage of the core, the purpose of this
aforementioned. Funding is always possible and this could cause a serious
detrimental affect to investments of years of plana-ing and tax payers
money. The overall feeling of most members was serious concern and dismay
at this unfortunate turn of events & questioned why wasn't this brought up
before (?)
VIII. ADMINISTRATOR REPORT
A. March Financial. Members had received a March f.innrtctal and Mr. Wee
reviewed the report with them. YTD, combined hospital. .and home net gairn
is $77,000. The contractuals for Medicare & Medicaid were large due to
resolving of up to a year of old claims. This could only be accompli.slted
by sending our patient accounts manager down to SE',Ittle will, all the claims,
in hand. Some claims were up to 212 days nnt:,tantling. Tho :;gats irulicated
we averaged 11.29 pts/day on acute and 17.41 rpoidnrltS in rare center.
Lonnie indicated he had to leave shortly. Betty a.skod Mr. Wee for a
health insurance update re: Aetna. Mr. Woe responded we are in contact
with the state's insurance office in Juneau, in the process of getting
approval, the rates would be lower than our present pront.ltun, eligibility
requirements being checked on. This could start Jurte 1.
Mr. Wee then used the overhead to show ple• graph, delrir.ting the hospital
and home 1st quarter expenses. This will. he done quarterly.
Lonnie left at 9:08 pm. Announced Monday Iiincheorc/dis--ussIon with
Mingen.
Mr. Wee mentioned carpeting for the dietary, arlite hallways, business
office and hallway.
MOTION #2: Bill Hogan motioned and Betty Springhill seconded to approved
carpet in dietary, business office/hallway, and acute ward halls. No
discussion. All infavor. PASSED.
Mr. Wee will bring back square footage with co:ot:; to review.
Spoke w/Stephanie Love (C. Davidsnr!'s asst) today. !;he called to ark
if we could locally bond if we get $2 million of rnu• funding through
capital projects budget. Mr. Wee couldn't respnncl shire .it'd a 1CrB matter.
Again, Board discussed hospital luaus incl rilrFs:;ivt>ly stated nvera.11.
concern over current situation. In the event wr do rar•e:ivo funding, wo
should upgrade plans. Members decided to invll,f� Mr. 14acFarl.and to the next
meeting May 3rd to understand his stance.
IX. BOARD COMMENTS
Gretchen: Asked for another cholesterul tvst.ing mn,tth spr'c.i.al and
mammography special; Mr. Wee agreed.
Betty: Fuller gift sent? Beth resportded yes. Aered ahnrtt 47lrclPnll absence-.
We have locums here who can not do elective r, -section NAseth case --
status quo, no money received. LItlgat.:inn: Mr. Wr�o gave an tnpda
Nuclear medicine equip --sold. Remarked ahout T137,14 ari:ioitY in state.
Bill: Expressed concern re: ICF rare a�- lnt n, mw,l frac, n c-;,ll.er who
a relative in there. This matter was t3 i.r9rnc;o=d with Mr. Qe,= stating he
Advisory Board, 4/19/89
I
would follow up. Chairman White also expressed pi>rson.a] rcm:arlc regarding
his concerns. Mr. Wee felt these matters needed atterit5.o11 11Lr1 would follow
up. Board members suggested patient evalu:ai:ions from f,mni ly members of
residents.
Wilton: Remarked re: Valley Hospital has "Options .for Birth" that nB
patients can choose from. Don said our mnIVractire limits ns in this
effort. Union agreement: signed. Asked for haclUrruuvl information on
selection of architects and history of Manning project.
X. AUDIENCE COMMENTS: None
XI. ADJOURNMENT: 10:15 pm. Recorded by Beth Stahl-Fte.ilir,rl
Wilf-cani�airman
retchen Saupe, Secre ry
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