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1990-02-28 Regular MeetingI KODIAK ISLAND HOSPITAL ADVISORY BOARD REGULAR MEETING, 2/28/90, 7:00 P.M. I. CALL TO ORDER: 7:04 pm PRESENT: Betty Springhill, Gretchen Saupe, Ben Ardinger, Jeannie Volker, Wayne Stevens; also, Kate Fitzgerald (Director of Acute Nurses), Keith Vorachek (staff accountant) absent: Lorne White, Dr. Hlavinka. II. AGENDA: Added to New Business (V) - Transfer of write offs of accounts receivable. Remove III. A. Finance Minutes. III. MINUTES A. 2/14/90 Regular Meeting: Gretchen Saupe moved, Wayne Stevens seconded to approve minutes. ALL IN FAVOR. MOTION PASSED. B. 2/22/90 Quality Review Meeting: Receipt noted. Gretchen gave review of minutes & commented on QR article in LHS Update. IV. PRESENTATIONS A. Business Office, by Sharon Ludvigson-Manager. Sharon gave overview of business office functions: billing, filing, statistics, roles of employees, etc. Discussion with board on need for usable, flexible computer system. B. Anesthesia, by Keith Falatko, CRNA. Provides anesthesia for surgical and obstetrical cases. Gave report on department goals & plans; stated surgeon now doing PE tubes. Board commended Keith's safety record. V. NEW BUSINESS A. Transfer of Accounts Receivable: Accounts totalling $184,640 requested to be transferred from active accounts to bad debt collections. MOTION: Jeannie Volker moved, Wayne Stevens seconded to authorize John Salness to transfer active accounts receivable to collection. Discussion on return, approximately 1/2 at best internally. ALL IN FAVOR. MOTION PASSED. VI. OLD BUSINESS A. C.A.T. Scan: Architects were here from Borough. Examining different plans for most economic building. May build on modular unit behind laundry, depends on fire code; 6/15 target date. B. Smoking Policy: Task force organized; will have policies in place by April 6. VII. ADMINISTRATOR REPORT A. January Financial/Stats: Improvement in January revenue compared to December. Financial reviewed; cash flow improved over December. Stats discussed; membership liked format/desired to continue to receive them. Members recommended using graphs for financial information. Ben met with auditors last week; Keith Voracheck doing a great job, only had 2 audit adjustments. Discussed financial presentation -Finance Committee could review and Board could receive summary. Advisory Board, 2/28/90 2 B. Hospital Funding: Health construction bill approved by House subcommittee; heard Thursday by House Dept of Health & Social Services. Next week House Finance Committee -very critical. Writing letters encouraged. C. Tony Knowles Visit: Half hour visit 2/22. D. Audit Adjustments: Two adjustments - (1) Clarification of workmens compensation expense; (2) Write down of uncollectables. In past, more bad debt written off than had allowance for. Allowance had to be adjusted by increasing bad debt expense by about $521,000 (accounts should have been written off in -87 & -88). E. Committee Meetings: Mr. Salness will confer w/Chairmen & set up meetings for Joint Conference and Education/Planning. (Betty not available Tuesday). VIII. BOARD COMMENTS Gretchen: Re/home health; Kate Fitzgerald responded Joan Minks coming to hospital about every day and working with discharge planner. Re/has LHS acknowledged responsibility regarding a board motion re/termination agreement. Mr. Salness stated LHS feels it's a shared responsibility and Tom will be coming up to speak to Board. Ben: Locum tenens surgeon doing surgery? Some surgery. Jeannie: Re/Admin' house use? Transient quarters for temporary help and ER doctor. Use for Comf-ish? No. Wayne: PR Committee Minutes of 2/15 reviewed. Predicted growth of population west of Kodiak & our hospital could plan for this. Betty: Concerned re/obsolescence of computer system. Heard glowing remarks about Dr. Bites. Surprised surgeries are down. IX. AUDIENCE COMMENTS Kate Fitzgerald: Will report back to Board on ER room levels and charges. Recruitment discussed. We are competing with travelling nurses. X. EXECUTIVE SESSION 9:30 pm Regular Meeting commenced and Executive Session convened to discuss personnel matters. 10:15 pm Executive Meeting adjourned; Regular Meeting resumed. No action taken. XI. ADJOURNMENT 10:17 pm: Regular Meeting Adjourned Bett S PrAnghfll Chairperson Recorded by Beth Stohl-Reiland. e White, Secretary