1989-01-10 Regular MeetingKodiak Island Borough
Kodiak, Alaska
RECEIVED
KODIAK ISLAND HOSPITAL ADVISORY BOARD AM JAN 2 ?1989
P.
TUESDAY, JANUARY 10, 1989
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I. CALL TO ORDER: 7:10 pm
PRESENT: Wilton White, Gretchen Saupe, Lonnie White, Ben
Ardinger, Betty Springhill, Bill Hogan, Dr. Bob Johnson (7:30-
8:00 pm); also Margaret French, and Don Wee.
II. AGENDA
Agenda accepted. Chairman White stated Tom Mingen will hold
teleconference with Board at 7:30 pin on malpractice insurance.
III. MINUTES, 12/21/88: Accepted as presented.
Brief general discussion on questions for Mr. Mingen. Lonnie
White state the Borough/City had a joint meeting to discuss
monies remaining from Near Island Bridge; 4 to 6 million remains,
held by the state. The city/Borough decided to divide it equally
between the two entities and the Borough plans to designate the
money for the new hospital.
7:22 pm Mr. Mingen called.
Mr. Mingen referred to discussion with Ben and the fact the
entire board may wish to discuss the insurance issue. Tom gave a
synopsis of insurance activities leading to the current situation
of only one quote. Tom was informed 2-3 other companies would be
quoting, but at last minute backed off because of "decision made
at the supreme court level," meaning the Jackson -Powers derision
in Alaska last year (vicarious liability of hospital for
contracted physicians).
Outlining two approaches to take, Tom suggested
1) Self insurance trust with LHS facilities in AK and re-
insurance would be bought; recommended this due to high premiums
collectively paid by Kodiak, Valdez, & Soldotna.
2) Paul Price to work on negotiating with MICA on retainer.
Members asked questions on MICA coverage, referring to recent
letter on MICA premium from broker Kurt Olsen. Don Wee stated he
sent a -letter asking the MICA board to consider our policy as
"normal" because we have met their criteria.
MOTION #1: DR. JOHNSON MOVED THAT THE BOARD AUTHORIZES TOM
MINGEN TO CONDUCT AN INVESTIGATION OF SELF INSURANCE. DISCUSSION
ABOUT COST. TOM STATED THIS OPTION WOULD NOT BE RECOMMEND UNLESS
MORE ECONOMICAL & HE WILL KEEP DON WEE INFORMED.
ROLL CALL:
YES: Dr. Johnson, Gretchen Saupe, Lonnie White, Ben Ardinger,
Betty Springhill, Bill Hogan, Wilton White
NO: No opposed. MOTION PASSED UNANIMOUSLY.
Mr. Mingen plans to visit 1/25 and will have information on time
frames to organize self insurance for Board at that time.
IV. REPORTS & COMMUNICATIONS
V. NEW BUSINESS
Board elections will be held Wednesday, 1/18/89.
VI. OLD BUSINESS
VII. ADMINISTRATOR's REPORT
A. November Financials & Stats: Mr. Wee went over the hospital
and care center financials, which reflected current month and
year to date figures. Margaret French and Don explained the new
allocation of the costs between hospital/care center as 40/60,
the reverse of past allocation and a more accurate picture stated
Mr. Wee. Members asked questions about line items. Margaret
stated Hill -Burton requirement is almost done.
Mr. Wee received bids for security services and will present them
next meeting. After discussion, the first Board meeting of the
month with be non-financial activities; the 2nd meeting will be
financials to coordinate with production dates of monthly
reports.
VIII. BOARD COMMENTS
Gretchen: Asked Mr. Wee to consider purchasing a tympanometer
for speech therapy dept for measuring hearing loss. Don will
present information to Board at the next meeting.
Lonnie: Asked about security services/local contracts. Don
summarized our historic need for security and the service was put
out to bid with 10% consideration to local bids. Asked about
care center revenue carrying hospital. Mr. Wee explained not
this year due to cost allocation now used.
Betty: Asked updates on litigation, E. Neseth account, and JJ
WEar account, Don and Margaret gave updates.
Wilton: Asked if surgeon back, Don stated yes. Asked for
radiologist update. Don placed another add with a magazine; got
information from a very expensive recruitment firm which he will
bring to board; Dr. Ladyman suggested he could staff our
facility 5 days/week when he gets another staff member next
summer, and using teleradiography for. nights & weekends. Don
stated he will further discuss the arrangement with Dr. Ladyman.
Asked for state update and Don gave summary of recent HAA meeting
focus (Juneau, 1/5-6/89), the main issue being funding.
Nursing shortage: It remains serious. Recently met with 13
employees who had nursing licenses in past (many are RN's in
Philippines) and are interested in refresher courses to get
current state license.
X. ADJOURNMENT: 9:10 pm; recorded by Beth Stohl-Reiland
Wilton White, Chairman
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