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1990-02-14 Regular Meetingl C ( lo3—OR- -- 1 KODIAK ISLAND HOSPITAL ADVISORY BOARD WEDNESDAY, FEBRUARY 14, 1990 I. CALL TO ORDER & ROLL CALL: Meeting called to order by chairperson Betty Springhill at 7:06 pm. ROLL CALL: Betty Springhill, Gretchen Saupe, Lorne White, Ben Ardinger, Jeannie Volker, Wayne Stevens, Dr. Jon Hlavinka; absent, none. Also Present: John Salness, administrator; Keith Vorachek, staff accountant; Kate Fitzgerald, director of acute nursing. II. AGENDA: Wayne Stevens moved, Gretchen Saupe seconded to accei)ted revised agenda. All in favor. MOTION PASSED. III. MINUTES A. .1/17/90 Regular Meeting: Lorne White moved, Dr. Hlavinka seconded to accept minutes of 1/17/90 as presented. All in favor. MOTION PASSED. B. 1/17/90 Finance Meeting: Gretchen Saupe moved, Wayne Stevens seconded to accept Finance Meeting Minutes. All in favor. MOTION PASSED. IV. APPEARANCES & COMMUNICATIONS Tom Mingen's flight to Kodiak was cancelled due to weather. V. NEW BUSINESS A. Audit Dates: Charles Bailey Company will perform a facility audit 2/19-2/23. Finance Meeting will be scheduled during their visit. B. Internal Audit: LHS sent an internal operations auditor here 2/5 - 2/7; report not available yet. C. 1990 Goals: Mr. Salness reviewed his 1990 goals w/members (hand-out; confidential information contained within). VI. OLD BUSINESS A. C.A.T. Scan: Proposal received well by the KIB Assembly on February 6th. Location of C.A.T. scan still being reviewed. B. Smoking PolicV: Task force will be formed to implement policies to be effective 5/1/90. Can not mandate sudden change by 3/1, require time for P.R. and education regarding change (article in paper, brochures for admitted pts). C. Hospital Plans Review: Members were in receipt of a report by Mr. Salness on suggestions for hospital plans. Report discussed. Report goes to Borough contracted architect to consider for final report. Construction approaches discussed. D. Reserve Fund: Lorne White presented Ordinance for transfer of KIH reserve funds to KIB hospital construction fund. Mr. Salness stated the KIB regulation regarding capital funds in excess of 500,000 should be controlled/invested by the KIB. Legislature & ,— state wants to see how much local community has "to show" (money dedicated) toward project. 1st reading of ordinance this Thursday, 2/15. Mr. Salness feels comfortable with transfer. E. Automobile: Mr. Salness requested, through decision memorandum Advisory Board, Feb. 14, 1990 2 #2 (attc'd), to increase Board approved amount for car for KIH to $4,000. MOTION: Gretchen Saupe moved, Wayne Stevens seconded, to authorized Mr. Salness to purchase a 1984 Oldsmobile for $4,000. Discussion on car. ROLL CALL VOTE: YES: Lorne White, Gretchen Saupe, Dr. Hlavinka, Ben Ardinger, Jeannie Volker, Wayne Stevens, Betty Springhill. NO: None opposed. MOTION PASSED. VII. ADMINISTRATOR REPORT A. CON: CON extended by the health commissioner until 8/25/90. B. Security: KIH has contracted with Sage Security for night guard service from lOp--6:30am. C. Lobbyist: Ronald Garzini has been hired by the KIB & is down in Juneau now for KIH. Legislature addressing funding on 3 fronts: general obligation bonds, state grants, local fund raising. Board members commended the KIB for hiring a lobbyist for KIH. D. Roy Aguirre: KIH employee Roy Aguirre's father passed away. E. ER Coverage: Present physician is here until 3/19; another physician from Comp Health (locum tenens company) lined up after that if approved by medical staff. KIH surgeon Dr. Alvarez is off the island from 2/10-3/5; locum tenens Dr. Castleberry here. He does not do C-sections, but will assist. F. February Activities Report: Care Center Report for February distributed. G. Auxiliary Donations: All items requested from the Auxiliary were funded. (Letter to auxiliary attc'd). H. Employee Communication Meeting: Reviewed minutes of the first boss -non mgt employee meeting held --it was very productive. I. Directory of Services: Receipt noted of Mr. Salness' drafted directory of services. J. Donation from CPO: Chief Petty Officers from USCG have donated the funds to purchase a "Thumper" for automatic CPR. Rotary is donating toward the purchase of a second one for ambulance. Mr. Salness stated a "master board" for donations will be placed in lobby. VIII. BOARD COMMENTS Lorne White: Suggested motion in support of Ordinance 90-06 to transfer funds to KIB. Ben Ardinger made continents on need for KIB support of KIH re/charity care of about 3-400,000. A mil levy was briefly discussed and further discussion on reserve fund. MOTION: Lorne White moved, Gretchen Saupe seconded to transfer KIH reserve fund to the KIB Hospital Construction Fund. ROLL CALL VOTE: YES: Lorne White, Gretchen Saupe, Dr. Hlavinka, Jeannie Volker, Wayne Stevens, Betty Springhill NO: Ben Ardinger MOTION PASSED BY MAJORITY. Discussion on KIB re/charity care, reserve fund, and responsibility of financial burden of inebriates. Any further action by Board tabled. Advisory Board, Feb. 14, 1990 3 VIII. BOARD COMMENTS Gretchen Saupe: QR/RM Meeting 2/22. Asked re/home health and Kate Fitzgerald stated Joan Minks business is moving along. Dr. Hlavinka: Medical staff meets next Wednesday; will bring Board comments to staff. Jeannie Volker: Finance Committee will have some recommendations for making up this money (charity care). Wayne Stevens: Call legislators next couple weeks to urge support of healthcare hill. Betty Springhill: Re/Neseth-state conservator still hasn't got to her. Solarium: looking at alternatives. IX. AUDIENCE COMMENTS. None X. EXECUTIVE SESSION 9:45 pin: Regular Meeting recessed to Executive Session to discuss personnel matters. 10:25 pm: Executive Session recessed; Regular meeting reconvened. MOTION: Gretchen Saupe moved, Wayne Stevens seconded the Advisory Board authorizes John Salness to sign Termination Agreement between former Finance Director and KIH as outlined. ALL IN FAVOR MOTION PASSED. MOTION: Wayne Stevens moved, Lorne White seconded the Advisory Board directs the administrator to notify LHS of their obligation to reimburse KIH for expenses incurred as a result of LHS Management decisions. ALL IN FAVOR. MOTION PASSED. XI. ADJOURNMENT: Meeting adjourned at 11:00 pm; Recorded by Beth Stohl-Reiland. (d.�74 Betty .XPi hill hairperson Lurne White, Secretary