1990-07-31 Regular Meeting/ a 3.Z?? -0
KODIAK ISLAND HOSPITAL ADVISORY BOARD
REGULAR MEETING MINUTES
July 31, 1990
PRESENT: Ben Ardinger; Jon Hlavinka, M.D.; Jeannie Volker, Lorne White, Betty
Springhill; John Salness, Administrator; Tom Mingen, LHS President; and Kate
Fitzgerald, RN, DON, Acute
ABSENT: Gretchen Saupe, Wayne Stevens
The meeting was called to order at 7:04 p.m. The agenda was revised and accepted by
consensus.
MINUTES:
The minutes from the Regular Meeting on June 6, 1990, were moved to be accepted by Lorne
White and seconded by Jeannie Volker. All in favor. Motion passed.
The minutes from the Finance Meeting on June 20, 1990, were moved and accepted as presented
by group consensus.
GUEST—Tom Mingen, LHS Management Company President:
a. Employee Surveys. Tom Mingen reported he met with the department managers today
and also held group employee meetings. Employees were surveyed on working at KIH.
Results will be tabulated and returned to the KIH employees, administrator, and Board.
b. Physician Billing/Reimbursement. Mr. Mingen reported on LHS strategic issues such as
physician billing/reimbursement. The new OBRA regulations will emplace a relative
value scale for, physician reimbursement (like a DRG system). Many rural clinics and
physicians do not want to handle the employees. LHS is developing an ambulatory
service department to prepare for this new payment system. Tom said it is of concern
and likely insurance companies will follow this new system.
C. Physician Data Bank. The physician data bank required by OBRA will go into effect in
December or January. This is a national bank of information on physicians, accessible
by hospitals and physicians.
d. New Programs. The new programs include: clinic packages for clinic billing, which has
been up and running for at least 9 clinics; Locum Tenens programs for physicians --hope
to contract with 20 by the end of the year for general practice and surgery; long-term
recruitment --have an employed physician working on the University of Washington
campus beginning in September to recruit residents. In the future, LHS will look at
recruitment programs for nursing and other areas. Betty Springhill stated the theme of
the AHA Annual Conference in Seattle, WA was "quality of care and quality will affect
payment."
e. Board Retreat. The Board Retreat was discussed. Topics include: current trends in
healthcare, how the Board needs to address those trends, Board self assessment tool, and
Board role and relationships. The retreat will be held October 5, 1990. The place will
be decided in the near future.
f. New Hospital. Tom Mingen reported on the new hospital. He explained how a flow
chart of possible funding sources could be helpful. Mr. Salness will work on this and
bring it to the Board and KIB.
Ben Ardinger made a motion that the KIB give a monthly update on the progress
and status of funding for the new hospital. Jon Hlavinka, M.D. seconded this
motion. All were in favor. Motion passed.
IWA'A%AIjy QM13
a. Memorandum N6 -Redecorate. The memorandum stated the recommendation to approve
painting, papering, installation of hand rails, and mini -blinds for both the hospital and
the care center. This also includes signage (materials and equipment to design)
throughout; signage equipment/material can be used in the new hospital. Jeannie Volker
recommended calendars for patient rooms with large print and a daily tear -of sheet. The
Auxiliary could be approached for this.
Jon Hlavinka, M.D. moved and Ben Ardinger seconded to accept Memorandum #6
to redecorate the hospital for the cost of $24,164. All in favor. Motion passed.
b. Oil Spill. We have a proposal from the KIB Facility Engineering to drill 4 test wheels
to determine where oil is coming from.
C. Fund Development. Mr. Salness has been working with Jackson & Associates and
received their bid to do a fund development feasibility study for $10,000. He had
received quotes from 3 firms (referred by LHS) and 2 Anchorage firms and narrowed
it down to a final one. They would spend 2 weeks meeting with corporations in region
and related to region to see if a fund development is feasible. They bring the
information back; the Board and the KIB Assembly decide whether to have the firm
organize the fund raiser or the Board. Lome White suggested to take this to the KIB
Assembly. Since time was of the essence, members agreed to take action now. The
development study should be completed in 6 weeks. Then a flow chart can be
completed.
Jon Hlavinka, M.D. moved and Jeannie Volker seconded to accept the feasibility
study proposal of Jackson & Associates. The $10,000 fee includes expenses. It was
agreed the Board is doing this feasibility study for a Borough -wide project. Roll call
vote: (yes) Ben Ardinger, Jon Hlavinka, M.D., Jeannie Volker, Lorne White; (no)
Betty Springhill. Motion passed by majority in favor.
OLD BUSINESS:
a. Mammography. The Quality Assurance Program is underway and going well. The
discounted mammographies are being done.
b. C.A. T. Scanner. Bids are being requested with a closing date of August 22, 1990 to the
KIB. The bids will be awarded by the KIB Assembly on September 6, 1990. The
approximate start-up date is early December. The machine is being stored in Seattle,
WA.
C. Lab Air Conditioning. This is being installed.
d. Planning Gram -CON. The goal is to have CON done by January 1, 1991. Must have
funding in place first. Mr. Salness reported on a demographic population study done by
LHS which projects a population of 29,792 by the year 2000. The study was reviewed
by the state planning office in Juneau and viewed as a conservative estimate. In regards
to the $50,000 planning grants, we are k2 on the list to apply out of 8; Mr. Salness sent
a letter to the Governor to apply.
STAFF REPORTS
a. Kate Fitzgerald, RN, DON, Acute. Reported things are going well. Staff health needs
are being addressed with a nursing support group and mental health de -briefing sessions
after a traumatic incident.
ADMINISTRATOR REPORT
a. June Financial and Stats. Reports reviewed: YTD combined income -$165,581. July
started out slow, but has become a busier, better month.
b. New Hires. Noted were new managers for Radiology and Surgery; new supervisor for
medical records; recruiting for Dietary Manager.
C. Department Presentations. Will begin again in September.
d. Infectious Waste. A pertinent, current concern. The hospital incinerator had to be shut
down. Hospital infectious waste (needles, etc.) has to be mailed parcel post to
Anchorage for disposal. The KIB is working on a Borough -wide hazardous waste
program.
e. Education. Board Retreat set up for Friday, October 5, 1990.
f. Revenue from State of Alaska. $67,230 was received from the State of Alaska for
revenue sharing; funds are passed through the KIB.
g. Letter. Letter from Lee Malcolm, LPH, KIH employee, addressed her complaint of no
pay raise the past year (as all non -management employees, she received a scheduled
increased on February 1, 1990). The letter was sent to Betty Springhill, Mr. Salness,
and Loren Halter, D.O. Mr. Salness said this employee is terminating her position to
move, her husband was transferred.
h. Hospital Car. Broke down this week and blew a head gasket. It is being repaired.
BOARD COMMENTS:
Ben Ardinger--No comments.
Jon Hlavinka--pleased with upgrading of facility. Has heard negative comments from potential
doctors, etc. about our outdated facility. The physician staff is working with the nursing staff
on charting.
Jeannie Volker --Re: window treatment in cafeteria? Drapes have been ordered. Asked about
plastic tablecloths for tables --can be bought in bolts. Mr. Salness will follow-up on this.
Lorne White --Re: solarium. Mr. Salness stated the drawings are being worked on by Ray
Camardella and Lee Bauman of the KIB and they are getting quotes to present to Board. Mr.
Salness will call the KIB tomorrow about status of the drawings. Lome commented on high ER
bill he received for a family member.
Betty Springhill --asked that Dr. Bob do an article on the facts regarding maternity rates and C -
Section costs to dispel rumors. Regarding department manager raise: Mr. Salness said it has
been tabled. Regarding landscaping, it's underway --plants go in this week. Regarding Small
World reaction to denial of land, Mr. Salness said Small World was understanding of this
decision.
AUDIENCE COMMENTS:
Mr. Mingen asked Lorne White if the KIB has collected from Exxon. That the community
would look more favorably upon Exxon if they would contribute to the new hospital. Mr.
Mingen will send Mr. Salness a package of information how to do this.
EXECUTIVE SESSION (litigation)
9:20 regular meeting convenes; executive session begins. No action taken.
10:15 executive session concludes; regular meeting reconvenes.
ADJO'JI'uNAIENT:
The regular meeting was adjourned at 10:20 p.m. Recorded by Beth Stohl-Reiland.
•� r
Betty Spri ill, 6airpe yn
e White, Secretary