1991-05-08 Regular Meeting(03 - o? -o -2� KODIAK ISLAND HOSPITAL ADVISORY BOARD MEETING MAY 8, 1991 PRESENT: Ben Ardinger, Gil Bane, William Brewer, Gretchen Saupe, Betty Springhill, Wayne Stevens, Jeannie Volker, Lorne White, Ed Myers, Administrator, Keith Vorachek, Finance Manager, Kate Fitzgerald, Patient Care Administrator. ABSENT: Gordon Gould The meeting was called to order at 7:05 P.M. ACCEPTANCE OF AGENDA: The agenda was amended to add ^C. Credentials" under New Business. Moved and seconded to accept the amended agenda. Motion carried. APPEARANCES AND COMMUNICATIONS Ms. Springhill stated that she had talked with Representative Davidson re- garding the funding of the new facility. He was not optimistic that the facility will receive more than $5 million in funding. Ms. Springhill read a letter from Dr. Halter recommending that the facility secure a Board Certified Psychiatrist. This will be placed on the agenda for discussion at a later meeting. MEETING MINUTES Moved and seconded to amend the meeting minutes of April 24, 1991 to reflect that the name of the instrument in the first paragraph of "Board Comments" is Tymponometer. Motion carried. Moved and seconded to approve the meeting minutes of April 24, 1991 as amended. Motion Carried. COMMITTEE REPORTS Ben Ardinger reported that the Finance Committee had met. He suggested investigating the possibility of self insuring for health insurance, noting the high expenditures in this area. Noting that the facility had spent more than $5,000 in car rentals over the last three months, he suggested reviewing the decision not to purchase another hospital vehicle. Ed Myers stated that the facility will be utilizing the van more in the future, which should decrease the car rental expenditures. Mr. Ardinger requested that a break- down be provided regarding the LHS management fees. He stated that expendi- tures for the E.R. Department continue to be excessive and that he feels this situation needs rapid resolution. Advisory Board Meeting May 8, 1991 Page Three and others, will examine programs and situations not within the departments' control, i.e., adding physicians or programs. The subcommittees will involve staff from all levels. The Finance Department and Human Resources Department will serve as resources for the committees. Mr. Myers asked for participa- tion by the board members in participating actively on the committees, in- cluding the Management Team Lead Committee. September 30th is the targeted date for full implementation of the plan, although in areas currently identi- fied as having "fast track" solutions, work will begin immediately. The plan will identify operational goals for the facility for the next two to five years and will facilitate building team relationships within the Hospital. C. Credentials Mr. Myers presented the credentials of Dr. Mason and Dr. Gleason, who are seeking staff privileges. The applications and credentials of both physicians have been presented to the Medical Staff who have reviewed them and recommended approval. Motion made and seconded to approve the credentials of Dr. Mason and Dr. Gleason and grant Medical Staff privi- leges. Motion carried. Mr. Myers stated that the Medical Staff Bylaws changes will be presented to the Board at the next meeting for recommendation of acceptance. ADNIEWSTRATOR'S REPORT Written report as attached. Mr. Myers reported that legal counsel had reviewed the midwife situation and that little can be done, noting that the Medical Staff had written to the state and others outlining the problems they had experienced, with no re- sponse. Alaska currently has no licensure requirement for midwives. Kate Fitzgerald stated that she will be inviting the midwife to the facility to discuss possible guidelines and ask for cooperation with the facility's expectations. Wayne Stevens stated that this may an appropriate time to promote licensure and regulation of midwifery by the legislature. Mr. Myers reported that in his meeting with the U.S.C.G. base commander to discuss the use of the helipad, that they would be going to look at the helicopter pad and make recommendations as to what changes would be necessary to make it more useable. Mr. Myers recommended that no action be taken until that report was received and then possibly raise it to the Borough level. Regarding the Emergency Room situation, Mr. Myers stated that this is an extremely sensitive issue which he would be discussing with the Medical Staff on a one-to-one basis in the next several weeks. It is important to have open dialogue to build trust to the level that positive progress can be made towards a compromise position. Dr. Brewer stated that he felt that a time frame should be established. Mr. Myers stated that he felt a decision would be reached by the June Medical Staff meeting. Advisory Board Meeting May 8, 1991 Page Four Mr. Myers stated that a proposal had been received and forwarded to the Medical Staff for their review regarding the medical malpractice insurance issue. Mr. Myers asked the Board if the regularly scheduled Board meeting of June 12 could be moved forward to June 5 so that Joe Smith could present the faci- lity's three year financial projections. There was no objections to resched- uling the meeting. AUDIENCE COMMENTS Kate Fitzgerald reported that an LHS nursing advisor had spent three days at the facility preparing a detailed survey and that a report would be included in the next Board packet for review. BOARD COMMENTS Ben Ardinger recommended utilizing a less expensive car rental agency and that he would like to see a cooperative agreement reached between the sur- geons so that both are not off island at the same time. Gretchen Saupe extended her appreciation to Kate Fitzgerald and the nursing staff for their assistance in her program where students interested in a nursing career toured the facility. Wayne Stevens asked whether LHS had contacted the Dutch Harbor health facili- ty officials. Mr. Myers stated that Joe Smith would be contacting them and that Mr. Smith would like Mr. Stevens to accompany him to Dutch Harbor. EXECUTIVE SESSION Board adjourned to Executive Session at 9:40 p.m. to discuss personnel is- sues. ADJOURNMENT The regular meeting reconvened at 10:00 p.m. Motion made and seconded to adjourn. Motion carried. Recorded by Debra Raper. Jea nie Volker, Secretary/Treasurer