1990-05-23 Regular MeetingIDS-ap -D:k-
KODIAK ISLAND HOSPITAL ADVISORY BOARD
REGULAR MEETING, WEDNESDAY, MAY 23, 1990
I. CALL TO ORDER: 7:06 P.M.
PRESENT: Gretchen Saupe, Dr. Hlavinka, Lorne White, Betty
Springhill; excused - Ben Ardinger, Jeannie Volker, Wayne Stevens.
Also present - administrator John Salness, staff accountant Keith
Vorachek, guests present for Small World presentation - Mary Monroe
(director), Bill Barnes (board pres.), Val Watson (board member).
Quorum established.
II. AGENDA: Approved as amended to include IV. C. Small World,
delete VII. A., by Gretchen Saupe and Lorne White. MOTION PASSED.
III. MINUTES
A. May 9, 1990. Lorne White, Dr. Hlavinka moved/seconded to
approve minutes. ALL IN FAVOR. MOTION PASSED.
B. May 17, 1990 Finance Meeting. Change Betty's statement about
donating a room to a possible; minutes approved by unanimous
consent.
IV. NEW BUSINESS
A. Air Conditioning: Decision Memorandum #3: Air Conditioning:
Gretchen Saupe moved, Lorne White seconded to recommend the air
conditioning be installed for a total of $11,235.
ROLL CALL VOTE:
Yes: Gretchen Saupe, Dr. Hlavinka, Lorne White, Betty Springhill.
No: None. MOTION PASSED.
Decision Memorandum #4: Painting Outside Facility: Lorne White
moved, Gretchen Saupe seconded to recommend we contract for the
painting of the outside of the building for total cost of $1540.
ROLL CALL VOTE:
Yes: Gretchen Saupe, Dr. Hlavinka, Lorne White, Betty Springhill.
No: None. MOTION PASSED.
We are in process of getting bids on inside painting; going to
Borough regarding meeting codes.
Betty Springhill asked if we could go forward with landscaping and
Mr. Salness write an RFP. Some members asked about fencing in and
putting in some plants in grassy area in front of the care center.
Betty also asked about solarium.
C. Small World: President Bill Barnes presented a request to the
Board to consider allowing Small World building a new daycare on
3.5 acres of the back corner of the new hospital site. This
section has no plans & is divided from the hospital by a creek.
Discussion on idea. Board members did not object, but need further
review of the proposal before take any action. This will be on the
next agenda.
Advisory Board, May 23, 1990
V. OLD BUSINESS
A. Hospital Investment Fund. The Board requests the Borough, on
an annual basis, interest monies earned or equipment in equal value
to monies earned on the investment fund.
VI. ADMINISTRATOR REPORT
A. April Financial & Stats. Patient days are down. $35,000
monthly loss, but YTD gain of $140,265. April expenses were
extremely high due to progress billing from legal. May looks
better. Betty Springhill brought up concerns re/pt bill; Mr.
Salness will follow up.
Mr. Salness gave a presentation on financial trends using overhead
projections of line graphs on operating revenue, pt days,
outstanding days, cash flow, accounts receivable. The Board
appreciated the information. This will be presented quarterly.
B. June Meeting Date. After discussion, the date is June 6th.
C. Jail Meal Contract. Mr. Salness reported KIH will be rebidding
for this contract.
D. SmokEater. One proposal fell through. Had proposal to
exchange for memberships at Dry Dock Club. Members wanted to hold
off & try to sell.
VII. STAFF REPORTS
A. Keith Vorachek. May is going ok - hope it will look better.
VIII. BOARD COMMENTS
Gretchen - No comments.
Dr. Hlavinka - Discussed in medical staff today re/discounted
mammography films, felt w/understaffed radiology a gradual program
of a lower rate for the rest of year would be better than a one
month program. Price is being discussed. Staff discussed new
chemistry profiles available from lab as real competitive.
Infection control figures are being turned over to the state for
review.
QUALITY REVIEW MEETING NEXT WEDNESDAY, 5/30, 12 NOON.
Re/ER physicians: We have two on for longer periods now. One has
asked to stay through next fall (Adina Parsley).
Lorne - How is C.A.T. scan progress? Architect (Cumin) has
drawings - almost done. Has to go out to bid. To allay storage
problem in hospital temporarily, space at Alaska Transfer is being
rented for housekeeping supplies; xray moved films into the
housekeeping closet. Lonnie stated he liked the ideas regarding
foundation landscaping. Borough uses summer youth program -- they
may be able to help. Members agreed the grounds look barren.
Lonnie will be gone July 24th.
Betty - Talked to Cliff; he thinks they have come a long way
Advisory Board, May 23, 1990
(re/new hospital). It appears the health association is going to
have to make a proposal w/long range planning in it. Cliff is not
discouraged. No new litigation. Care Center - is full. Eunice -
We got some money, a long way from being settled. Surgery - is
down compared to last year; still recruiting. Home health care
re/Joan having privileges - no further action. KAVA - still
working on this.
Mr. Salness briefed members on raises for department managers being
overdue. Last raise was in February, 1989. The board discussed
role as looking to the administrator for recommendation. Mr.
Salness explained his philosophy of determining raises. After a
base percent raise is determined, merit is determined on how they
performed with their budget; how they handle employees; loyalty to
KIH. Mr. Salness is trying to build a team.
Board noted Wilton White receive a honorary legislative citation.
General discussion.
Adjournment: 8:55 p.m. Recorded by Beth Stohl-Reiland.
Betty Springhill Chairperson Lorne White, Secretary
KODIAK ISLAND HOSPITAL AND CARE CENTER
DECISION MEMORANDUM
COMMITTEE RECOMMENDATION ADVISORY BOARD DECISION
DECISION MEMORANDUM NUMBER: 3 DATE: May 23, 1990
ISSUE: The need for air conditioning of the Laboratory.
BACKGROUND: Currently, the Laboratory is not air conditioned. It is an
interior room with no outside windows and two air intake ducts, one from
the air handling system and one directly from the roof. The air temperature
in the Laboratory is a critical issue for the 3 Chemistry Analyzers, the
Hematology Analyzer and the computer. When the air temperature exceeds
80 degrees, reliability drops, damage can occur to the equipment and the
manufacturer warranties are questionable. Already this year, the temp.
has reached 85 degrees and one of the Chemistry Analyzers failed. The
value of the equipment is about $210,000.00. With the roof air being
heated to over 100 degrees on sunny days, that is the temperature of the
air being brought into the Laboratory.
RECOMMENDATION: Install air conditioning. Kodiak Service bid for total
mechanical is $9,835 and the Spencer Electric bid is $1,400. for a total
C 11,235.00. Funding could be from the Funded Depreciation Account,
ibly repaid by state funding (Advisory Board decision).
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ACTION BY COMMITTEE:
APPROVE DISAPPROVE APPROVED WITH FOLLOWING MODIFICATIONS:
MOTION_
MEMBERS:
PRESENT:
ABSENT:
SECOND
VOT
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ACTION BY ADVISORY BOARD:
_APPROVE DISAPPROVE APPROVED WITH FOLLOWING MODIFICATIONS:
lin-IONGRETCHEN SAUPE SECONDT.nRNF WHITF VOTE ROT.T. CALL
HERS:
.3ENT: VOTING YES: GRETCHEN SAUPE, DR. HLAVINKA, LORNE WHITE, BETTY SPRINGHILL;
NO OTHER MEMBERS PRESENT.
JSENT: RFN ART)TNrFR TFANNTF VO KFa WAYNE STEVENS•
KODIAK ISLAND HOSPITAL AND CARE CENTER
DECISION MEMORANDUM
COMMITTEE RECOMMENDATION ADVISORY BOARD DECISION
DECISION MEMORANDUM NUMBER: 4 DATE: May 23, 1990
ISSUE: The need to paint the outside of the facility.
BACKGROUND: The outside of the facility is in dire need of a coat of paint.
The paint is peeling, has flaked off in spots and is faded. The last time
the outside was painted was in the summer of 1987.
Outside appearances can be very important, and ours could use a little
sprucing up to make the best possible impression.
RECOMMENDATION: Estimated time to paint is 96 hours. Using contract
labor, the cost of labor would be $960. and cost of paint and supplies
would be $580., purchasing locally. Total cost of $1,540.00. Funding
from operations. Not included would be use of hospital personnel to
wire brush flaked/peeled/chipped spots and £111 voids and cracks.
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ACTION BY COMMITTEE:
APPROVE DISAPPROVE APPROVED WITH FOLLOWING MODIFICATIONS:
MOTION SECOND
MEMBERS:
PRESENT:
VOTE
ABSENT:
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ACTION BY ADVISORY BOARD:
_APPROVE DISAPPROVE APPROVED WITH FOLLOWING MODIFICATIONS:
MOTION LORNE WHITE SECOND GRETCHEN SAUPE VOTE ROLL CALL
MEMBERS:
,ENT: -ALL PRESENT VOTED YES: GRETCHEN SAUPE, DR. HLAVINKA, LORNE WHITE, BETTY SPRINGHILL.
.dSENT: BEN ARnINCER TEANNIE VOLKER WAYNE STEVENS.