1990-05-09 Regular MeetingI cZ) 3 - o8 -oma
KODIAK ISLAND HOSPITAL ADVISORY BOARD
REGULAR MEETING, MAY 91 19901 7:00 P.M.
I. CALL TO ORDER: 7:05 P.M.
ROLL CALL: Betty Springhill, Gretchen Saupe (7:12), Ben Ardinger, Jeannie
Volker, Dr. Hlavinka, Wayne Stevens, Lorne White. Absent -none. Also
present - Administrator John Salness, staff accountant Keith Vorachek, DON
Kate Fitzgerald.
II. AGENDA: Agenda amended and approved to include: VII -C. Trip to
Juneau; D. E.
III. OLD BUSINESS, ITEM B Moved up.
ARB Meeting: Stan Thompson, maintenance manager, present to report.
Betty Springhill reported the basic key issue was a crawl space. Stan
reported this allows easier entry for repairs compared to utilities in the
ceiling. It also allows utilities to be installed separate from
coordinating with the construction schedule. This could save 6 months
construction time. ARB members did not have a quorum and were divided on
this issue. Other topics of concern included to boiler system, high
electrical costs of electric generators, heated front entrance pad (on
timer switch), washers/dryers.
Incinerator: Harbormaster mandated to supply medical waste
incinerator to be registered as a nat'l port. This service should be at
the landfill, a Borough service.
Roof line problems discussed re/water retention. Re/sewer line - if
more sewer line needed, must be tied into another place. Hospital will
have a computerized digital control system. (7:50 p.m. Stan left).
IV. MINUTES OF PREVIOUS MEETING
A. April 250 1990 minutes approved by Wayne Stevens, Lorne White; all in
favor. MOTION PASSED.
V. NEW BUSINESS
A. ER Physician Recruitment: Mr. Salness stated the medical staff
recommended to the Advisory Board the hospital hire 2 ER physicians instead
of locum tenens. More cost effective and consistency of care. Locums -
$65/hour; $324,480/year. 2 permanent ER physicians could be $200,000/year.
Mr. Stevens asked for cost analysis: what we've billed, collected, bad
debt. Topic tabled pending report.
(III) OLD BUSINESS, cont. from above
B. C.A.T. Scan Building: Betty Springhill reported she attended the
recent Borough meeting, they agreed to proposal for the C.A.T. scan
building totalling $80,000; $16,000 of this for architectural fees.
C. Hospital Funding Update: Mr. Salness reported results will not be
known until tomorrow. Legislature not going to fund it this year; some
direct appropriations possible. They want to see local input. Looking
ahead, they are establishing a committee on health facilities assessment;
Zharoff is chair. They are going to us study done in 182 and propose it
,to go into new governor budget.
VI. ADMINISTRATOR REPORT
A. Response to Auditors Mgt. Letter: Discussion on response.
B. Bad Debt Report tabled until later in meeting.
1
Advisory Board, May 9, 1990
VII. STAFF REPORTS
A. Kate Fitzgerald, RN, DON -Acute: Nothing to report.
B. Keith Vorachek, staff accountant: May started out quite strong.
(VI. ADMINISTRATOR REPORT, cont. from above)
B. Bad Debt Report: Members received bad debt report and were asked to
make comments as a means to expedite any potential collection within KIH.
Discussion on policy of KANA attending their patients in ER. They will not
come in unless it's a life of death matter; will only come in after
admitted by ER doctor.
C. Hospital Auxiliary Meeting held May 8th. They plan a historical
program about the hospital with plans to finish by year end. On 8/25,
having a rummage sale at senior center.
Finance Meeting next Wednesday, May 16th.
D. Threshold Services: Division of mental health -developmentally disabled
people do yard work. Propose to clean up and maintain KIH front property
for $65/hour - takes 1/2 hours to do this.
MOTION: GRETCHEN SAUPE MOVED, WAYNE STEVENS SECONDED TO APPROVED THRESHOLD
SERVICES PERFORMING YARD WORK FOR KIH. ALL IN FAVOR.
MOTION PASSED.
VIII. BOARD COMMENTS
Gretchen: Asked - re/problems with new smoking policy? None. KIB smoking
policy in effect July 1st.
Jeannie: Can KIH use paper cups instead of styrofoam for both recyclir
and environmental reasons. Appreciated the education on the new hospita
at the Borough ARB meeting.
Lorne: Still waiting for response on green house plants. Meeting with Mr.
Salness set up for Monday, May 14th, 7:30 p.m.
Dr. Hlavinka had no comments.
Ben: Heard praise for Dr. Withrow's patient home visits.
Wayne - no comments.
Gretchen asked about Joan Minks having privileges at KIH to follow up on
her home health patients admitted. Mr. Salness stated there is no category
for ancillary medical staff in Medical Staff Bylaws. Gretchen asked if
small, grassy area by front entrance be fenced and have a walk -way for the
residents? No, because of Borough codes. The residents do have many
outings.
Betty: Letter from citizen going to be addressed by OB Committee.
IX. AUDIENCE COMMENTS. None.
X. EXECUTIVE SESSION
8:56 p.m. Regular Meeting commenced/Executive convened.
9:09 p.m. Executive meeting ended/Regular Meeting reconvened.
,XI. ADJOURNMENT: 9:10 p.m. Recorded by Beth Stohl-Reiland.
Betty Springhill Chairperson Lorne White, Secretary
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