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1990-12-12 Regular MeetingKODIAK ISLAND HOSPITAL ADVISORYBOARD MEETING DECEMBER 12, 1990 RECEIVED 91 KODIAK ISLANI BOROUGH CLERK'S JFFICE PRESENT: Ben Ardinger, Gordon Gould, Jon Hlavinka, M.D., Gretchen Saupe, Betty Springhill, Jeannie Volker, Kate Fitzgerald, Director of Nursing, Keith Vorachek, Accounting Manager, Joe Smith, LHS Management Company. Also present were Karl Short, Finance Director, Kodiak Island Borough; Jocelyn Zwiefelhofer, School District; Joan Minks, Margo LaChapelle, and Larry Smith of the Alaska Home Health Agen- cy. ABSENT., borne inti t�- The meeting was called to order at 7:00 P.M. Jeannie Volker moved and Gretchen Saupe seconded the motion to accept the amended agenda. Motion Carried. APPEARANCES AND CONBTMCATIONS Joan Minks of the Alaska Home Health Agency, a for-profit enterprise, introduced Margo LaChapelle and Larry Smith, owner of the Alaska Home Health Agency. After a presentation by the organization and questions by the Board, Ms. Minks was asked to prepare a proposal which would outline a possible interface between Alaska Home Health Agency and Kodiak Island Hospital & Care Center and what services and needs would be addressed. Karl Short, Finance Director of Kodiak Island Borough, and Jocelyn Zwiefelhofer, Business Manager, Kodiak Island Borough School District, presented a proposal wherein Kodiak Island Hospital & Care Center would begin participating in the Borough's Central Treasury. Mr. Short distrib- uted materials regarding the Borough's investment policies, the current portfolio' of investments, and funds request procedures and availability. Ms. Zwiefelhofer reviewed how the arrangement has worked for the schools since they began participating in 1986. The entities participating in the Central Treasury maintain separate bank accounts and conduct their own reconciliations. There was discussion of the proposal and questions from the Board. Wayne Stevens moved and Jeannie Volker seconded the motion that the Adviso- ry Board recommend to the Borough Assembly that Kodiak Island Hospital & Care Center's finances become part of the Borough's Central Treasury. The Recording Secretary called the roll: In Favor: Ardinger, Gould, Hlavinka, Springhill, Saupe, Stevens, Volker. Motion carried. Advisory Board Meeting December 12, 1990 Page Two Wayne Stevens moved and Dr. Hlavinka seconded the motion that the meeting minutes of November 28, 1990 be adopted and approved in their entirety. Motion Carried. Ms. Saupe reviewed the minutes of the last Quality Review Committee meet- ing, noting that the Committee was concerned with the increasing number of home births V It was noted that the Birthing Room at the Hospital has been redecorated. wn ch are presented c,4 i 41Cs�,tni 0.s emero�neies. The report of the site visit by Dr. Hess was discussed. A copy of the letter sent by Dr. Hess will be provided to Dr. Hlavinka for his review and input. OLD BUSINESS A. 1991 Budget Mr. Vorachek reviewed the changes in the revised proposed budget. Mr. Smith reviewed the Responsibility and Authority Chart so that the Board would understand their role and responsibility with regards to the budget. Ben Ardinger moved that the wording of the last paragraph on page four of the Utilization document be changed to read as follows: "Both graphs support the validity of the proposed rate increase for KIH 6 CC. Again, this increase makes possible a break-even from operations in light of a 6.8% inflation rate increase and also allows for a facility budget in which non-operating revenues consisting of revenue- sharing from the state and interest income from monies transferred over to the Borough from the Hospital Reserve Account in 1990 in the amount of $1.62 million may be put into reserves for equipment re- olacement rather than to fund operations if possible." Wayne Stevens seconded the motion. The Recording Secretary called the roll: In Favor: Ardinger, Gould, Hlavinka, Springhill, Saupe, Stevens, Volker. Motion carried. Mr. Gould asked if the motion should be broadened to include funding of maintenance. Mr. Stevens stated that a major maintenance fund had been established through the land sale funds, and the hospital was included in those funds. Wayne Stevens moved and Ben Ardinger seconded the motion to recommend the proposed 1991 budget to the Borough Assembly for adoption. Motion carried. Advisory Board Meeting December 12, 1990 Page Three B. Recruitment and Retention Policy Mr. Smith explained the purpose and scope of the policy. He stated that he was seeking input from the Board as to changes to be made to the policy, which in his opinion, needed major revision in the area of relocation costs. He stated that he was seeking an endorsement from the Board stating that continuing education was important to the facility. Mr. Stevens stated that he agreed with Mr. Smith's comments, but that it was his understanding that continuing education had not been the concern of the board, but the continuing expenditures in relocation and the high rate of turnover. Mr. Gould stated that in order for the hospital to recruit quality personnel we need to ensure that our relocation allowances are suffi- cient to meet the needs of the hospital. He suggested that the hospi- tal review the Borough's and the City's policies and use those as a guide. It was the consensus of the Board that Mr. Smith be directed to review and compare the Hospital's travel and relocation polices to those of the Borough, City and LHS and make recommendations back to the Board as to changes which are needed. C. Board Retreat The Board Retreat is scheduled for January 19th. It was the consensus of the Board that it wished to utilize Nancy McMurtry as facilitator and that the event be held at either the Buskin River Inn or the Westmark Hotel. The Board was asked to contact the recording secre- tary no later than Friday to inform her as to whether they had con- flicts on that date. D. Christmas Party Mr. Smith stated that at the Christmas Party scheduled for December 13th, Ann Kalcic would be presenting the hospital with a check in excess of $70,000 with which to purchase a handicapped equipped bus. A fund will be established for donations with which to maintain the bus. Advisory Board Meeting December 12, 1990 Page Four NEW BUSINESS A. Central Treasury Moved to Appearances and Communications; previously recorded. B. Signature Authorization Cards John Salness has been removed as a signatory on any hospital checks. Signatories for the hospital include Kate Fitzgerald, Corlene Hogg, and Keith Vorachek. Juanita Jones is also included as a signatory on the Care Center Resident's Trust Account. C. Interim Administration Strategy Mr. Smith went over the Interim Administration Strategy which he stated was a document which would serve as a workplan for the new administrator and a means by which the Board could measure progress of projects. He asked the Board to review the document and to inform him of any items which they felt should be added. D. Election of Officers Noting that terms are expiring, the following board members volun- teered to serve on the nomination committee: Gretchen Saupe, Ben Ardinger, and Gordon Gould. E. Joint Meeting A joint meeting of the Borough Assembly and the Hospital Advisory Board will be held on Tuesday, December 18, 1990 at 8:45 p.m. in the Assembly Conference Room. AI)MMSTRATOR'S REPORT Mr. Smith reviewed the items included in his written report to the Board. Regarding Item 3, Mr. Ardinger asked that when Mr. Smith met with Mayor Selby to streamline the maintenance process, that Mr. Smith review the current program of the Borough reimbursement for maintenance expense. Regarding Item 5, it was the recommendation of the Board that the policy stating that the hospital would pay the full expense for mental health services to employees be retracted and that the hospital return to the policy previously in place wherein the hospital's insurance pays 50% of the costs incurred for mental health services. The balance would be the responsibility of the employee. Advisory Board Meeting December 12, 1990 Page Five Regarding Item 6, Mr. Smith stated that he would be meeting with Dr. Porter Crane to explore the possibility of a negotiated settlement. The Board questioned whether LHS may have a fiscal responsibility back to the hospi- tal because of the action of the Administrator in this matter. Mr. Smith indicated that the contract was in the purview of the Administrator. Regarding Item 19, it was the consensus of the Board that the Executive Committee of the Medical Staff should receive free meals as a non-cash consideration for their efforts on behalf of the hospital. Mr. Smith reviewed the proposed terms for an Emergency Room Physician Contract with Dr. Mickleson, a CompHealth physician who has expressed interest in working full-time for the hospital. Dr. Mickleson would serve as the Medical Director of the Emergency Room and would be responsible for staffing, scheduling, quality assurance, and training nurses and staff in E.R. functions and procedures. Dr. Hlavinka stated that the medical staff felt comfortable with the proposal. It was the consensus of the Board that the terms as outlined were acceptable. AUDIENCE COMMENTS None. — , 1 mumew Ms. Springhill expressed the appreciation of the Board to Mr. Smith for the work he has done in the past week and the documentation provided to the Board by Mr. Smith regarding various issues and concerns. EXECUTIVE SESSION 10:35 p.m. The meeting recessed to Executive Session to discuss personnel matters. 11:10 p.m. Executive Session recessed; Regular meeting reconvened. ADJOURNMENT Meeting adjourned at 11:10 p.m. Recorded by Debra Raper.