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1990-06-06 Regular Meeting/o3-z�P-oma I 1 KODIAK ISLAND HOSPITAL ADVISORY BOARD REGULAR MEETING, WEDNESDAY, JUNE 6, 1990 Only one meeting this month and next month due to summer scheduling. I. CALL TO ORDER: 7:14 P.M. ROLL CALL: Betty Springhill, chairperson; Gretchen Saupe, Wayne Stevens, Jeannie Volker, Lorne White, Dr. Hlavinka (7:55pm). Absent: Ben Ardinger. Also present: administrator John Salness, staff accountant Keith Vorachek, DON Kate Fitzgerald. II. AGENDA: Accepted with additions - VIIE, Copier; F. Advisory Board. III. MINUTES A. May 23, 1990 Regular Meeting: Gretchen Saupe moved, Lorne White seconded. All in favor; MOTION PASSED. B. Quality Review Meeting, May 30, 1990: Lorne White moved, Wayne Stevens seconded to approve. All in favor; MOTION PASSED. IV. NEW BUSINESS A. Patient Room Window Curtains. The state requirement of cleaning present fabric drapes twice month exceeds the cost of metal blinds (which can be chemically cleaned by staff) suggested by Mr. Salness. WAYNE STEVENS MOVED, JEANNIE VOLKER SECONDED TO APPROVE THE PURCHASE OF METAL MINI -BLINDS FOR ALL ACUTE PATIENT ROOMS. ALL IN FAVOR; MOTION PASSED. B. Fund Development. Re: C.O.N.-have until the end of August; Mr. Salness stated we need to apply for a new one. Must do a long range plan before we get the C.O.N. Considering a design/built concept. Plan to talk to two fund development companies during spring LHS meeting (6/10-6/13) in Denver. They will be asked to make presentation to KIB. Talked to USCG, KAVA, & V.A., and all indicated interest in some possible funding. Discussion on funding. V. OLD BUSINESS A. Small World Proposal: Members discussed concerns with allotting or leasing land to Small World: mayor thinks it's premature to bring it to the Assembly; wetlands issue - Lorne White stated 2.2 acres isn't useable & 11.4 is; allocating land to a private business; future plans adjacent to the new hospital - clinics, supervised living, etc. Board direction: let Mary Monroe know the Board cannot make a recommendation. MOTION: WAYNE STEVENS MOVED, LORNE WHITE SECONDED TO DIRECTOR KIM Advisory Board, 6/6/90 2 STAFF TO INFORM SMALL WORD THE KIH BOARD IS NOT PREPARED TO DISCUSS DISPOSAL OF ANY OF THE HOSPITAL TRACT. DISCUSSION: THERE ARE TOO MANY UNRESOLVED ISSUES (WETLANDS, USEABLE LAND, FUTURE PLANS, ETC.). ALL IN FAVOR. MOTION PASSED. B. Solarium: Proposed sketch distributed for solarium adjacent to care center dining area (no pricing). Borough director -engineering and facilities Lee Bauman drew sketch. once checked against codes and approved, estimates will be sought. Lorne White stated the necessity of venting the top portion with opening windows or fans, or the room will be unbearably hot. Board consensus in favor of the solarium project. VI. STAFF REPORTS A. Kate Fitzgerald: Nursing department is going really well. The office space/room 15 helped immensely. We now have a part time nursing secretary. B. Keith Vorachek: Finished May with $64,000 in revenue. Projecting from operations will break even and a possible net gain of $15,000. June has started out real strong. (Dr. Hlavinka arrived) Dr. Alvarez is gone 2 weeks. Dr. Hlavinka and Withrow doing emergency C-sections with locums surgeon (Dr. Day) as first assist. Surgery income is down. VII. ADMINISTRATOR'S REPORT A. Mammography Adjustment: Effective Monday, the price for mammographies will be lowed to $95 from $216. Will be publicized as soon as QA project underway. C.A.T. Scan: All plans approved by Picker and State; now they go to Anchorage architects Cumin & Associates to make recommendations. Looking at mid-August. B. Malpractice Information: Hand out from past president of state medical association. Malpractice a very costly part of being a physician. Dr. Hlavinka expressed it as a malpractice crisis. C. Department Manager Salaries: Increase of 5% across the board recommended by Mr. Salness. Also increases of cents/per hour based on amounts under budget each manager remained last year. Discussion on raises based on budgets. Referred raises based on budget to finance committee. MOTION: LORNE WHITE MOVED, WAYNE STEVENS SECONDED IN FAVOR OF 5% RAISE EQUAL TO $1.00 PER HOUR FOR DEPARTMENT MANAGERS. MORE DISCUSSION ON RAISES BASED ON BUDGET. LORNE WHITE THEN MOVED TO TABLE MOTION, WAYNE STEVENS SECONDED UNTIL THE FINANCE COMMITTEE LOOKS INTO ENTIRE ISSUE. ALL IN FAVOR. MOTION TO TABLE PASSED. D. Board & Administrator Newsletter - receipt noted. E. Copier: KIB has is surplusing a copier; would give it to us if Advisory Board, 6/6/90 we move it plus maintain maintenance agreement. F. Board information Form: Lack of information main issue for board members. Mr. Salness suggested a monthly information form to be mailed out to members 1 week before the meeting. Board approved of form. Betty will be consulted on the agenda 1 week before the meeting as well. IX. BOARD COMMENTS Gretchen Saupe: QR/RM Committee active since Corlene Hogg is back. All departments are going to have QR/RM. Gretchen reviewed minutes of 5/3/90. Infection control nurse for Alaska will be reviewing our infection rate. Next meeting is September 20th. Dr. Hlavinka: Glad to have Corlene back. Reality of new hospital down the road, we need to look at improving what we have. Wayne: No comments. Jeannie Volker: Suggested wallpapering the cafeteria and installing drapes on care center window so they can be opened for employees enjoyment of outside view. Lorne White: Planters - need help? Dee McGraw is in charge. Asked re/painting of hospital: will be started very soon. Mr. Salness stated Lorne will be working on landscaping ideas to be presented in the near future. Board noted the grounds looking much better - and appreciated the efforts. KIH has a summer helper to work on grounds; Threshold Services (Mental Health rehab program) will be doing heavy grounds work along frontage area. MOTION BY WAYNE STEVENSt SECONDED BY GRETCHEN SAUPE TO DIRECT ADMINISTRATION TO PLEASE HANDLE THE LANDSCAPING. ALL IN FAVOR. MOTION PASSED. Betty Springhill: Re/Neseth - no update. Re/interior painting - waiting on bids. Re/surgeon recruitment - ongoing. Meeting dates discussed. When Betty knows her vacation dates in July a date will be determined - at this time, a special meeting may be called when all members are back toward the end of July. X. EXECUTIVE SESSION. None. XI. AUDIENCE COMMENTS. None. XII. ADJOURNMENT: 9:00 p.m. Recorded by Beth Stohl-Reiland. Betty Springhill Chairperson Lorne White, Secretary