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1990-10-24 Regular Meeting/Dj',C)F0a,- KODIAK ISLAND HOSPITAL ADVISORY BOARD MEETING OCTOBER 24, 1990 PRESENT: Ben Ardinger, Jon Hlavinka, M.D., Gretchen Saupe, Wayne Stevens, Betty Springhill, Jeannie Volker, Lorne White; John Salness, Administrator; Keith Vorachek, Accounting Manager; Stan Thompson, maintenance/ Engineering Manager; and Kate Fitzgerald, Director of Nursing. Also present were Joe Smith and Stacy Heiden of LHS Management Company. The meeting was called to order at 7:10 P.M. Lorne White moved and Gretchen Saupe seconded the motion to accept the amended agenda. Motion Carried. APPEARANCES AND COMMUNICATIONS Ms. Springhill shared a telephone conversation she had with Loretta Harris, the woman who had objected to the hospital's non-smoking policy. She stated that she would not have come to the hospital had she not known that KIH was a non-smoking facility. She has an outstanding balance of $262.00 with the hospital and wants forgiveness of that amount because of the hospital's smoking policy. STAFF REPORTS A. Stan Thompson - Maintenance/Engineering Department There are currently two full-time and one -part employee in this department. The part-time employee, Chris Bishop, will go to full-time in November. Among accomplishments by this department in the last year are the renovation of the patient and resident rooms, the completion of the lab air conditioning project, ex- ternal upgrade of the hospital, and finding and correcting the leak which went from Room 10 to Room 15. Mr. Thompson said that projects still to be completed are the carpeting of the walls and installation of handrails, and the implementation of the plan of action to correct the fire marshal's citations. Ms. Saupe asked if in his opinion, Mr. Thompson felt that the oil spill situation was the fault of the maintenance department. Mr. Thompson stated that based on what he saw when the tank was removed this week, he did not feel that the hospital was at fault. He noted that oil had been observed coming through the soil from above the oil tank. A new, above -ground tank will be installed in late spring. The hospital is awaiting final tests. results being performed by the Borough consultant. Advisory Board Meeting October 24, 1990 Page Two B. Reith Vorachek, Accounting Manager Mr. Vorachek stated that KIH had seen nearly $100,000 more in total revenue in September than in the month previous, and that the hospital had realized a $7,500 profit over all for the month. He stated that he did not feel that October was going to be financially positive, with revenues only averaging $12,000 per day. EXECUTIVE SESSION 7:45 p.m: Regular meeting recessed to Executive Session to discuss person- nel matters. 8:40 p.m.: Executive session recessed; regular meeting reconvened. Lorne White moved and Wayne Stevens seconded that the minutes of the September 26, 1990 Advisory Board Meeting be approved. Motion Carried. The minutes of the September 19, 1990 meeting with Tom Mingen were moved to be accepted by Lorne White. Wayne Stevens seconded. Motion Carried. NEW BUSINESS A. October 4, 1990 Joint Work Session with Borough Topics discussed at the meeting were: oil spill; certificate of need; computer system; C/T scan; control of hospital funds. There is anoth- er meeting with the Borough scheduled for November 1. B. Handicapped van Mr. Salness stated that specifications for a handicapped van had been sent out and bids requested. Bids received will be presented to the donor for approval and selection. C. Lobbyist for New Facility Ron Garzini, lobbyist for the Borough, will also lobby for a new facility. D. ICF Resident Contract This contract was distributed to the members earlier. It delineates, the responsibilities of the facility and those of the resident. Advisory Board Meeting October 24, 1990 Page Three E. 1991 Proposed Budget Stacy Heiden of LHS, reviewed the two proposed budgets, the first containing figures reflecting no rate increase, and the second re- flecting income produced if there were a 6% rate increase. Responding to questions, Ms. Heiden reviewed expenses on a line by line basis. Mr. Salness recommended that the Board approve a 6% rate increase and accepted the proposed budget. By consensus, the Board decided to return the budget to the Finance Committee for further review and clarification. There was some feeling that the Board should approach the Borough to establish a hospital maintenance fund and that maintenance items in excess of $20,000 should be paid by the Borough. Mr. Ardinger dis- agreed, stating the he felt that all mechanical repairs should be paid by the Borough. After further discussion, Ben Ardinger moved to recommend to the Borough that a major maintenance and repair fund be established in the amount of $500,000. Wayne Stevens seconded the motion. Motion Car- ried. Action: Lorne White agreed to take the recommendation of the Board before the Borough Assembly at its next meeting. OLD BUSINESS A. Contract with Jackson & Coker Mr. Salness stated the contract the representative of Jackson and Coker will be here on November 2 to meet with the physicians and those members of the board who were available. B. Computer Consultant Mr. Salness stated that this would be a topic of discussion at his meeting with the Borough on November 1. He also stated that LHS is putting a proposal together. C. Oil Spill Cleanup Previously discussed. Advisory Board Meeting October 24, 1990 Page Four D. Fund Development Feasibility Study Mr. Salness stated that representatives from Jackson & Associates talked with community members last week and would be meeting with Anchorage business people during this week. A written report will be presented to the board when completed. E. Solarium & Patio Ms. Springhill stated that several members of the Rotary had indicated that they felt this would be an appropriate project for their organi- zation to sponsor. Mr. Salness stated that he would write a letter to the Rotary Club requesting consideration for this project for Ms. Springhill's signature. F. Smoking Shack Gretchen Saupe moved and Lorne White seconded the motion that the Smoking Shack be removed. Motion Carried. ADMENSTRATOR'S REPORT A. Human Resource Manager Mr. Salness will complete reference checks and interview if appropriate. B. Employee Survey Mr. Salness asked that if any member had questions about this survey, which was previously mailed, to get with him. C. Reorganization of Finance & Business Office Keith Vorachek is now in charge of all staff in the Finance and Busi- ness Office, with Alison Childs working as Patient Account Manager. Cross training will help in reaching the goal of functioning as one unit. D. Borough Budget Previously discussed. Advisory Board Meeting October 24, 1990 Page Five Ms. Saupe shared her conversation with Dr. Hess. She stated that Dr. Hess had been very impressed with the care given to our psychiatric observation patients and that he had indicated that he would like to see two designated beds at KIH, with primary treatment being given at our facility. Mr. Salness expressed concern that we might not be able to provide the best treatment possible under some circumstances. Ms. Saupe also expressed her desire that the hospital be more involved in community health issues, such as: Providing prostate exams; Smoking cessation classes; Teddy Bear Surgery for children. Dr. Hlavinka stated that he, too, would like to see more community involve- ment, including programs such as Cholesterol Screening and Childbirth Classes. He stated that Dr. Reynolds, locums surgeon, had performed several c -sections this month and 17 total surgeries. He noted that Dr. Daniels has been locums radiologist, and that several inservices had been given or were upcoming on new drugs and psychiatric issues. Mr. Ardinger asked if the hospital ever applied for grants for programs or equipment, noting that the hospital had received several under the adminis- tration of Mr. VanWeringen. Mr. Salness stated that he will research the possibility of applying for grants. Mr. Stevens stated that the Business Opportunities Tour of October 8 & 9 had gone extremely well, with 13 people from the business community partic- ipating. He said there appeared to be a natural affinity between the communities in southwest Alaska and Kodiak. The stumbling block is, and will continue to be, transportation. Ms. Volker stated that she felt that setting of goals by the board, admin- istration and LHS should be of top priority after the first of the year. Ms. Springhill asked about the status of Eunice Neseth, resident of the Care Center. There continues to be inquiries into avenues to assist Ms. Neseth. Mr. Salness said he had talked with Fred Zharoff and Cliff Davidson about a possible bill to assist individuals in Ms. Neseth's circumstance to "buy out" their retirement, and enable them to be eligible for Medicaid. Ms. Springhill shared a letter from Senator Kertulla concerning his support for the replacement of the hospital. Advisory Board Meeting October 24, 1990 Page Six There being no further business before the Board, the meeting adjourned at 10:40 p.m. Recorded by Debra Raper, Administrative Secretary. Betty Springhill, Chairperson Lorne White, Secretary