1990-01-10 Regular MeetingRECEIVED
EB 2 6 90
Io3-0�-02
KODIAK ISLAND BOROUGH
4, CLERK'S OFFICE
KODIAK ISLAND HOSPITAL ADVISORY BOARD
REGULAR MEETING, WEDNESDAY, JANUARY 10, 1990
I. CALL TO ORDER: 7:01 PM
ROLL CALL: Betty Springhill, Gretchen Saupe, Ben Ardinger, Wayne Stevens,
Lonnie White, Dr. Jon Hlavinka; absent: Jeanne Volker; also present:
administrator John Salness, Kate Fitzgerald, Keith Vorachek, and Margaret
French.
II. WELCOME NEW BOARD MEMBERS: Betty Springhill welcomed Wayne Stevens
and Dr. Hlavinka to the Board.
III. AGENDA: Added to Old Business - ER Physician; New Hospital Building.
Lonnie White moved, Wayne Stevens seconded to accept agenda as amended.
ALL IN FAVOR. MOTION PASSED.
IV. ELECTION OF OFFICERS FOR 1990.
A. CHAIRPERSON. Gretchen Saupe moved, Ben Ardinger seconded to nominate
Betty Springhill as Chairperson. ALL IN FAVOR. MOTION PASSED.
B. VICE PRESIDENT. Gretchen Saupe moved, Lonnie White seconded to
nominate Ben Ardinger for Vice President. Ben declined. Ben moved and
Lonnie seconded to nominate Gretchen. ALL IN FAVOR. MOTION PASSED.
C. SECRETARY. Chairperson Betty Springhill appointed Jeanne Volker with
the consensus of all members.
D. NOMINATIONS CLOSED. Gretchen Saupe moved and Wayne Stevens seconded
to close nominations. ALL IN FAVOR; MOTION PASSED.
V. MINUTES OF PREVIOUS MINUTES
A. 12/20/89 Regular Meeting: Gretchen Saupe moved, Lonnie White seconded
to accept minutes. ALL IN FAVOR; MOTION PASSED.
B. 12/20/89 Finance Meeting: Ben summarized minutes. Gretchen Saupe
moved, Wayne Stevens seconded to approve minutes. ALL IN FAVOR; MOTION
PASSED.
VI. APPEARANCES & COMMUNICATIONS.
A. Margaret French from audience requested to appear; recognized by
Chairperson. Mrs. French stated Mr. Salness decided to vacate her position
to downscale the department; a letter of termination dated 1/12/90 from
John Salness was distributed and noted. Mrs. French stated her attorney
would be calling between 7:15-7:30 pm to address the board and requested
the Board listen to her attorney. Discussion. Chairperson asked Mr.
Salness what is the appropriate action of the board, Mr. Salness stated
Mrs. French should follow grievance procedure of LHS. Discussion continued
on the appropriateness of hearing attorney or not. Mr. Stevens suggested
it was not appropriate for the Board to put itself in the position of
arbitrator or grievance board until it works through the employee grievance
procedure. That in fairness to the Board and Mrs. French, the Board should
not hear the situation to keep objective. Consensus of the Board was
hearing Mrs. French's attorney was premature and it is more appropriate for
the attorney to work with her through the procedure with LHS, and it should
all be done in writing.
�iAdvisory Board, 1/10/90
2
MOTION: Wayne Stevens moved, Dr. Hlavinka seconded the Advisory Board not
pursue the matter presented by Mrs. French until such time the matter has
gone through the grievance procedure of LHS. No further discussion. ALL
IN FAVOR; MOTION PASSED.
VII. NEW BUSINESS
A. Administration Boiler: The boiler in the admin/med records building
storage room went out last Friday and had to be replaced; cost was
$2,410.00.
VIII. OLD BUSINESS
A. Self Insured Trust: Mr. Salness reported LHS Management company will
manage the trust at no additional fee; KIB will own the trust; A bank will
be trustee of the fund as recommended by legal. The trust is in place.
Noted was the approval by the KIS Assembly to develop a self insured trust
at their 12/28/89 meeting.
B. C.A.T. Scanner: Mr. Salness will have all the information on the
machine by Friday. Re/housing/either a used trailer or modular building;
both cost sixty thousand; have steel walls as required; 42' x 181. Borough
architect Bob MacFarland had no problem w/location. Takes 2-3 months to
set up C.A.T. Scan. Information will be presented next Board meeting for
approval.
C. ER Doctor: Dr. James Hites, M.D., is arriving Friday night, 1/12.
He is board certified family practice. He is locum tenens from CompHealth
contracted for 3 months. His hours - Sam Saturday to Sam Monday. Hospital
does billing and will charge a fee based on average fee of all clinics.
The service will be evaluated with an ER patient evaluation. The policy
re/ER or regular physician: Patients present themselves, be informed Dr.
Hites is in house, they can see him, or if they want own doctor he/she will
be called and have option to decline. Dr. Hlavinka agreed the consensus
opinion of the medical staff is supportive of having the ER doctor to cover
weekends. Med staff prefers to cover weekdays.
D. Hospital Building Plans: KIB has employed John Cumin, architect, to
review hospital plans for code & spec updating. Also to assist KIB and
hospital in obtaining an extension of CON. Mr. Cumin has subcontracted
with an excellent hospital planning firm to review plan and address all
aspects. The report will have a list of options to bring to Borough. All
hospital departments and med staff will have input re/plan changes.
Hospital plans were discussed. Lonnie White said state representatives met
with Assembly and discussed hospital plans status.
Board members discussed state wide healthcare bond and need for lobbyist
in Juneau for the new hospital.
MOTION: Ben Ardinger moved, Gretchen Saupe seconded, the Borough fund a
lobbyist to go to Juneau for the purpose of funding the hospital.
Discussion - cost; to give a full concerted effort for the entire session,
need full time lobbyist. With consent of the second the motion was amended
to include "for a fee of 25 thousand or more." ALL IN FAVOR; MOTION PASSED.
Advisory Board, 1/10/90
IX. ADMINISTRATOR REPORT
A. Internal audit: Members were in receipt of audit; Mr. Salness
distributed additional response to one in packet. Re/time recording system
- goal is to review information by 2/1/90.
B. Purchasing Policy for KIH/CC• Presented was a policy identical to
Boroughs with language changes appropriate to KIH and the exception of
dollar limits being lower.
MOTION: Lonnie White moved, Gretchen Saupe seconded to approve purchasing
policy for KIH/CC. ALL IN FAVOR; MOTION PASSED.
C. Department Presentations: Members were in receipt of schedule for
department presentations. Next week is Dick Carstens, lab manager; Leon
David, kitchen manager.
D. Employee of the Year: Corlene Hogg, Quality Review Coordinator and
Medical Records Manager.
E. Employee of the Month: Juanita Jones, RN, DON -Care Center.
F. LHS Annual Meeting: Administrator and 1 or 2 board members requested
to go. Will be discussed at later meeting. Also need KIH Board member for
,.GHS Management Company Board.
X. BOARD COMMENTS
Gretchen: Re/home health: John will meet with Joan Minks on this topic
tomorrow. Inquired re/loan program; Mr. Salness explained limitation
regarding the Wright/Pattman Act; however, hospital can rent equipment.
Betty asked for Joan Minks to make presentation to Board.
Wayne Stevens: Glad to be a member & would like to be active. Feel
strongly about new hospital.
Dr. Hlavinka: Asked about board role.
Betty: Thanked members for selecting her as chairperson. Basic philosophy
is - keep costs as reasonable as possible.
Kate Fitzgerald reported the turnover rate is lower; receiving calls
from USCG nurses; recruitment program ongoing.
Re/green house/Mr. Salness will approach rotary president.
XI. AUDIENCE COMMENTS
Secretary Beth Stohl-Reiland asked about committee composition; members
will consider committee membership for next meeting. Also informed members
of Hospital/Board PR Committee; Wayne Stevens asked to serve on it.
X. ADJOURNMENT: 8:45 pm; Recorded by Beth Stohl-Reiland.
Betty S ri shill, Chairperson --4e86ne-Vo-1ker, Secretary