1990-01-17 Regular MeetingADVISORY BOARD REGULAR MEETING
JANUARY 17, 1990
,RECEIVED
RB 2 6 90
KODIAK ISLAND BOROUGH
CLERK'S OFFICE
I. CALL TO ORDER: 7:09 PM
ROLL CALL: Present: Gretchen Saupe, Lonnie White, Wayne Stevens,
Jeannie Volker, Dr. Hlavinka, and chairperson Betty Springhill; also
administrator John Salness, KIH accountant Keith Vorachek, Acute DON
Kate Fitzgerald; during guest presentations -Dick Carstens, and Leon
David. Excused: Ben Ardinger.
II. WELCOME NEW BOARD MEMBER - Jeannie Volker welcomed. Discussion on
election of board secretary.
MOTION: Gretchen Saupe moved, Wayne Stevens seconded to appoint Lonnie
White as board secretary. ALL IN FAVOR; MOTION PASSED.
III. AGENDA: Added under New Business - Meeting Dates and date to meet
w/Assembly.
MOTION: Gretchen Saupe moved, Lonnie White seconded to accept revised
agenda. ALL IN FAVOR. MOTION PASSED.
IV. MINUTES
A. 1/10/90 Regular Meeting. MOTION: Lonnie White moved, Gretchen
Saupe seconded to accept minutes. ALL IN FAVOR. MOTION PASSED.
V. DEPARTMENT PRESENTATIONS
A. Dick Carstens, Lab Manager: Dick Carstens was introduced to board
and gave a report of the functions and role of the KIH lab. Reported
the lab's is expanding its market with new testing capabilities of its
new equipment. (Dr. Hlavinka returned; was excused from 7:00-7:30p)
Discussion was held on marketing the testing. Chair Betty Springhill
asked Dr. Hlavinka to schedule Dick to appear at the medical staff
meeting to present the testing information.
B. Leon David, Dietary Manager: Leon David was introduced to the Board
and gave a report of the function and role of Dietary. He reported we
have a new dietitian Pat Till working with him to revise the menu. Also
working on bidding process for food vendors.
VI. APPEARANCES/COMMUNICATIONS
A. Letter from an attorney regarding an KIH employee was presented to
members by Chair Betty Springhill. This was not discussed as it's
relative to a grievance.
VII. NEW BUSINESS
A. Meeting Dates: Members discussed regular meeting dates and agreed
to change to the 2nd and 4th Wednesdays of each month. The first
meeting is non-financial; the second meeting is for review of financial
matters.
Lonnie White requested the Board to meet with the Assembly. Members
agreed to Thursday, January 25th, 7:30pm to discuss: hospital lobbyist,
transfer of funds, problems & challenges of hospital board, board can
discuss detox center.
Advisory Board, 1/17/90 2
VIII. OLD BUSINESS
A. C.A.T. Scan. Mr. Salness presented schematic showing where C.A.T.
Scan modular building could be located. Estimate for installation of
building is $25,000.
Picker C.A.T. Scan is the chosen scanner. Picker offers training,
service out of Anchorage, includes an Ultrasound probe, film processor
for mammography, and less cost than GE. Total price is $673,139.36;
$151,528 savings over the budgeted amount of $824,667.
MOTION: Gretchen Saupe moved, Dr. Hlavinka seconded to accept the
choice of Picker for the C.A.T. Scan for KIH. Discussion on choice of
Picker, cost, services, and lease. ROLL CALL VOTE:
YES: Gretchen Saupe, Dr. Jon Hlavinka, Jeannie Volker, Wayne Stevens,
Lonnie White, Betty Springhill.
NO: No opposed. ALL IN FAVOR. MOTION PASSED.
Consensus of board members to propose this [schematic] to the Borough
and request the specs' be approved and planning done asap.
B. HOSPITAL CAR: Discussed need for car and cost effectiveness of
buying vs. renting. Noted - John's written recommendation of such
purchase (see attachment).
MOTION: Lonnie White moved, Gretchen Saupe seconded to recommend the
KIH staff go out to bid for purchasing a used vehicle from local vendors
not to exceed $3,500. Discuss on cost saving.
ROLL CALL VOTE:
YES: Gretchen Saupe, Dr. Jon Hlavinka, Jeannie Volker, Wayne Stevens,
Lonnie White, Betty Springhill.
NO: No opposed. ALL IN FAVOR. MOTION PASSED.
C. ER DOCTOR: Mr. Salness announced Dr. James Hites arrived Saturday
morning, 1/13/90, to work as locum tenens ER physician. The ER was very
busy w/19 pts on Saturday. The majority of ER patients used the ER
doctor vs calling family physician. The medical staff has asked him to
increase his hours to begin Friday, bpm (rather than Saturday am) to
Monday, 8:00 am. Dr. Hites term at KIH ends March 18th. Mr. Salness
is working on coverage after Dr. Hites leaves.
IX. ADMINISTRATOR REPORT
A. December Financial: Mr. Salness reported the hospital suffered a
financial loss in December, but there was a $40,000 improvement over
November. Accountant Keith Vorachek reported reasons for the
improvement and the major expenses that affected our bottom line. The
YTD estimated loss is $400,000 (depends on audit adjustments). Mr.
Salness is re -doing the budget and hopes to achieve positive bottom line
by 6/30/90. New collection policies outlined: no deposit requested when
admitted and have insurance; when admitted, money not discussed until
next day; self pay will sign promissory note if do not have money.
Advisory Board, 1/17/90
3
B. Advisory Board Role: Chair Betty Springhill reviewed the Board's
role relative to personnel policies. She referred to the LHS Contract,
KIH personnel policies, and Board Articles to report the Advisory Board
does not hire or terminate KIH employees; and the Borough has contracted
with LHS to manage this hospital.
X. BOARD COMMENTS
Gretchen: Discussed Quality Review Committee; will meet 3rd Thursday
every other month.
Jeannie: Re/orientation date - Mr. Salness will set up first part
of next week.
Wayne: Gave comments on PR Committee Meeting of 1/16/90.
Betty asked re/Home Health - Mr. Salness met with Joan Minks twice; she
is waiting for provider number.
Lonnie: Assembly had meeting on Saturday and discussed hospital.
Eventhough it's #1 on capital list, lacking support; going to
take something to inspire support. Discussed need for more
public relations.
Betty: Asked for publicity on home health, C.A.T. Scan, and ER doctor.
Re/greenhouse - Rotary will be approached.
Update given on Neseth case.
Gretchen asked if heli -port is being used; Lonnie stated yes.
XI. AUDIENCE COMMENTS. None.
XII. ADJOURNMENT: 9:40pm; Recorded by Beth Stohl-Reiland.
Betty pr ghill hairperson du n White, Secretary
KODIAK ISLAND HOSPITAL AND CARE CEhiER
1915 Eaat Rezanof Driva
Kodiak, AK 99613
(907) 486-3281
FAX3 (907) 486-6503
C.T. SCANNING CAPITAL EQUIPMENT LISTING
CURRENT AS OF: January 19, 1990
EQUIPMENT
MODEL
C.T. Scanner
Picker IQ, CT 4000
Teleradiography/CT Adapter
VS 7-286/Adaptavideo
Port No. 301
Power Conditioner for C.T.
Liebert CAC 30 C
Film Processor/Replenishing Tanks
Kodak M35A/1666502
Value: $9,000.00
Ultrasound Machine
ATL Ultramark 9
3 each Probes, for above
Probe
5.0 mhz Phased Array
Probe
76 mm Curved Array
Line Printer
Sony model 850
Ultrasound Examination Table
Picker model 259688
C.T. Viewing Lights
Picker model 251016-6
Vascular Dop ler Course
ATL -3
Modular Building
Morgan Building Systems
Shipping of ultrasound
TOTAL:
QUOTED
PRICE
8 416,000.00
28, 962.50
18, 830.00
-0.00-
83,500.00
0.00-
83,500.00
31, 500.00
8,000.00
9,000.00
1,275.00
3,900.00
1,800.00
1,686.86
67, 995.00
690.00
8 673, 139.36
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