1989-04-05 Regular Meeting-oS-82
Kodiak Island Borough
Kodiak, Alaska
RECEIVED
Pr 2 ?989
KODIAK ISLAND HOSPITAL ADVISORY BOAR'S Yui
REGULAR MEETING, WEDNESDAY, APRIL 5, 1$IST101ll112111213141516
I. CALL TO ORDER & ROLL CALL: 7:11 pm - meeting called to order.
PRESENT: Wilton White, Chairman; Betty Springhill, Gretchen Saupe,
Ben Ardinger, Lonnie White, Bill Hogan, Dr. Joluieorr (7:40 pin); also
Margaret French, Kate Fitzgerald (7:30 pin), and administrator Don
Wee.
II. AGENDA: Added VI -C. Nuclear Medicince; VII -C Mica. Agenda
accepted with additions.
III. COMMUNICATIONS: None.
IV. MINUTES: MOTION #1: Lonnie White motioned to accept minutes
of 3/15/89, seconded by Gretchen Saupe. Betty updated the Board
on the Ronnie Anderson memorial fund (to Heart Assoc.). All in
favor. Motion passed.
Other discussion: QA Meeting tomorrow, a/6, 12 pin. Finance
Committee after March financial done and Pen's return 4/20.
Discussed video "Critical Condition," a documentary on issues and
problems relative to nursing shortage. Betty recommended renting
or purchasing the video.
MOTION #2: Bill Hogan moved to purchase video Critical
Condition," seconded by Lonnie White. All in favor. PASSED.
Joint Conference Committee Meering, Monday, 4/10, 12 pm. Luncheon
with radiologist candidate #2, Friday, 4/7, 12 pin.
V. NEW BUSINESS
A Humana Agreement for Nurse Escort: Mr. Wee explained
agreement provided for escort if we can not provide due to our
nurse shortage.
MOTION #3: Betty moved and Lonnie seconded that membership concurs
with Humana Agreement. All in favor. PASSED.
B. February Statistics: Mr. PJee ri=viewed hospital & care
center (C/C) stats; C/C is frill. We won appeal to state to keep
JJ Wear in care center (better reimbursement on center side through
Medicaid).
Eunice returned 3/20. This was tine goal of the Board after
the hearing with the conservator. Although terms were agreed to,
the hospital has not received a dame. Discussion on this. 16
thousand was offered to hospital, but hospital will. not sign; we
won't hear about another conservator for 30 clays. After discussion
on costs of care, Board encouraged administration to pursue legal
channels.
C. Nuclear Medicine Equipment: We have two bids for unused
C
Advisory Board, 4/5/89 2
equipment; one for 31,000, one for 33,000. Mr. Wee would like to
proceed with higher bid; Board concurred.
VII. OLD BUSINESS
A. Radiologist Update: Dr. Tschersich (candidate #1) can
not commit because of family reasons. Mr. Wee told him to inform
us if he decides to come. Mr. Wee then used the overhead to
demonstrate radiology department usage with statistical graphs.
1988 indicated a sharp increase over previous 5 years. Mr. Wee
showed Board a situational contract with a radiologist. The
information indicated the gross income, expenses, hospital subsidy
and payback plan. Discussion took place and Mr. Wee stated the
arrangements shown were suggestions and tools to negotiate with
radiologist.
B. Ambulance Billing: Margaret French and Mr. Wee met with
City & KIB about the ambulance billing. Using the overhead, Don
demonstrated the costs and revenues generated by the hospital doing
the billing. The City made it very clear they did not want to do
the billing and Mr. Wee made it clear at the meeting if the
hospital assumed the receivables, it would want all revenue; this
then was the agreement made.
Next Mr. Wee showed a pie graph of payor mix for hospital and
C/C.
KANA arrangement brought up. Their annual funds run out
before their fiscal year ends, therefore the hospital removed the
discount arrangement. A letter was sent suggesting ideas to
stretch their dollar because of their inability to support the
system.
C. MICA: Received a letter from MICA regarding our request
to handle our policy normally without the hospital's 25%
endorsement. Mr. Wee read the letter which again required the
hospital to pay the 25% (without stating reasons); he also read his
written response requesting an appeal hearing of this decision.
Mr. Wee will contact Paul Price on this issue.
Wilton read excerpt from the Mgt. co. Roard minutes indicating
an individual consultant (Jim Groves) was hired to research options
for insurance and report in 60 days and hopefully implement a
program by 6/1.
VIII. ADMINISTRATOR'S REPORT
Mr. Mingen will visit 4/24-25; luncheon will be arranged.
Union contract up for ratification tonight. A call is
expected. 8:28 pm JoAnn Strickert called the Board Meeting to
state the contract had been ratified. Discussion about the union
membership fee. It's a 3 year contract and the third year it's
open for wages, open/closed shop. Medical benefits are 75/25.
Agreement included: 1) Open shop; 2) Management right to manage
facility; 3) Wages within budget. Step increase system disbanded
and now have high and low range effective 2/16/89.
Trying to get Zharoff to introduce a bill for state bonding
for 3 hospital facilities (KIIi, Seward, K(-tclill gin) . This would go
Advisory Board, 4/5/89 3
to public vote next year as it has to wait for general election.
Oil slick -- affects of hazard briefly discussed. Chairman
White asked Lonnie to appraise us of anything that may affect us.
IX. BOARD COMMENTS
Gretchen: Asked about hallway rug (Beth will follow up).
Mr. Wee then asked the Board about replacing the carpet in
dietary. Board recommended replacement, since .it's in very poor
condition.
Lonnie: Asked about employee insurance & Aetna (KIB
insurance). Mr. Wee said our committee is investigating this and
is due to hear back from the KIB. Lonnie said the Assembly hopes
the hospital can follow through to investigate this. Expressed
frustration regarding the Neseth account; this was then discussed.
Ben: 2 people approached Ben on hospital financial matters.
This was referred to Margaret, who will report back to board.
Betty: Sr. Companion Program --Bill said they are waiting for
affidavits on physicals for participants. Asked about security --
Mr. Wee is monitoring security situation. Asked about nurse
shortage --Kate said recruitment is progressing and now training is
a concern because of time involvement.
Wilton: At the Mgt. Co. Board meeting it was mentioned LHHS
assume liability for Mgt. Co. for a certain period of time (how
this affects hospitals?). Credentialing an unresolved problem.
Wilton read the purpose of the Rural Health Act from the Mgt. Board
minutes.
Dr. Bob: Related about HMO and rural health care. Referred
to letter from an OB patient disheartened with cost of regular
birth who asked, shouldn't rural health care do something to reduce
costs (she is .self pay)? Dr. Bob will take letter to Medical
Staff. Cost issue relative to purpose and technology discussed.
Ben stated concerns over ARB meeting: 1) Cost of updating
plans; 2) Hire new firm.
X.
ADJOURNMENT: 9:25 pm.
Recorded by Beth Stahl -Reiland
Wilton White,
Chairman
Gretchen Saupe,
Secretary