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1991-02-27 Regular Meeting� Z)- KODIAK ISLAND HOSPITAL ADVISORY BOARD MEE77NG FEBR UARY 27, 1991 PRESENT: Ben Ardinger, Gil Bane, Gordon Gould, Dr. Brewer, Gretchen Saupe, Betty Springhill, Wayne Stevens, Lorne White, Kate Fitzgerald, DON, Jan Blanton, Interim Administrator. The meeting was called to order at 7:00 P.M. Chairperson Springhill extended a special welcome to Dr. William "Mac" Brewer, the newly elected Chief of Medical Staff. ACCEPTANCE OF AGENDA: Moved and seconded to accept the agenda. Motion Carried. APPEARANCES AND COMMUNICATIONS Jan Blanton shared a letter from Mike Callahan of LHS Management Company which stated that the Certificate of Need had been moved by the technical staff to the office of Dr. Mala. MINUTFES Wayne Stevens moved and Lorne White seconded the motion that the meeting minutes of February 13, 1991 be adopted and approved. Motion Carried. OLD BUSINESS A. KIH 2000 It was the consensus of the Board that the follow-up workshop to KIH 2000 should be delayed until the Board had attended the LHS Trustees Retreat. Administration will coordinate with Nancy McMurtry to deter- mine the most suitable dates for the event. It was the consensus of the Board that if this event is to be for multiple stakeholders, that an employee session should also be held. B. Emergency Room Services Deferred to end of old Business. C. CT Scanner Mr. Blanton informed the Advisory Board that the electricians were scheduled to begin work to correct the wiring problems; that the power converter unit had been delivered; that the technicians would begin installation the week of March 4. He stated that there would be an open house scheduled when installation and testing of the equipment was complete. Advisory Board Meeting February 27, 1991 Page Two D. Surgeon Recruitment Mr. Blanton stated that Dr. Fortier and his wife seemed to have formed a positive impression of the hospital and the island and wished to move forward with negotiations. Dr. Mason, another surgeon applicant, will visit the Island on March 6 & 7. E. Security Contract Update A breakout of services to be supported by hospital personnel vs. con- tracting with Sage Security was distributed (attached). Use of trained hospital staff may result in a savings of more than $50,000 yearly. B. Emergency Room Services Mr. Blanton reviewed the situation regarding Medical Staff Bylaws chang- es. The Medical Staff adopted bylaws changes on November 15, 1989 and was told by prior Administration that the changes had been approved by LHS Board of Directors, and had been operating under those Bylaws since that date. The changes were, however, not approved by LHS Board of Directors nor by Hospital Advisory Board. Mr. Stevens asked Administra- tion for a recommendation as to direction the Advisory Board should take. Mr. Blanton recommended that because the Medical Staff was oper- ating in good faith, because of long term contracts now in place with Drs. Mickleson and Crane, and because in order to be a hospital certi- fied by the State and to participate in Medicare/Medicaid programs, the hospital is required to provide 24-hour emergency room coverage, that the Medical Staff Bylaws changes of November 15, 1989 be approved. After discussion, Lorne White moved that the Administrator negotiate with the Medical Staff to reduce the cost of Emergency Room physician charges. Gil Bane seconded the motion. Motion Carried. Gordon Gould recommended that the Advisory Board members become familiar with the Medical Staff Bylaws, the changes therein, and to approve all - unapproved changes in one motion. -rte.-Gnuid was 'rr teclas eh;alr-of wy .r� It was re- quested that staff research the Medical Staff Bylaws chang0e�s and ratio- nales since the date of contract in 1987. An impact statement will be presented to the Advisory Board at the conclusion of the research. MAI A. union Negotiations Mr. Blanton reported that negotiations were scheduled to resume on March 4 & 5 and that thus far, negotiations had been favorable. ADNENISTRATOR'S REPORT As attached. Advisory Board Meeting February 27, 1991 Page Three AUDIENCE COMMENTS None. C • • ' 1 • 1 191 Gretchen Saupe commented that the after hours mammography article in the paper was of positive impact. Mr. Gould stated that he would like to see the hospital increase its public relations efforts. Mr. Stevens stated that the PR Committee would meeting after the ComFish event to establish an overall plan, to include advertising, marketing, speakers bureau, and ongoing planned programs. Gil Bane noted that an area addressed by any agency on chamber. He stated that it service. He indicated that back to the board. a 1 • 1: ►lul ►Mi of possible income for the hospital not currently the island was the provision of a decompression might be possible to get a grant to provide this he would investigate the possibility and report Meeting adjourned at 9:25 p.m. Recorded by Debra Raper. Jea r ie Volker, Secretary/Treasurer ADMINISTRATOR'S REPORT FEBRUARY 27, 1991 Surgeon Interviews Dr. George Fortier and his wife, Patty, visited the island Thursday through Saturday. They toured the hospital, met with department heads, medical staff, and Advisory Board members. They seemed impressed with the facilities, but not with the opportunity. Joe Smith and I met them for dinner Friday night and discussed some of their concerns. We asked Dr. Fortier if he could provide us with contractual minimums. I met with them Saturday morning and received some basic items. They toured the island with a real estate agent, Robin Parker, and departed at approximately 3:00 p.m. Another surgeon is tentatively scheduled to visit, tour and meet with interested participants on March 6th and 7th. Administrator Interviews Two additional administrator candidates will be coming on -island to interview with the Advisory Board members, medical staff, department heads and, time permitting, Borough mayor. The Board will be meeting the candidates and their wives for dinner and interviews at the Harbor Room at the Westmark at 5:30 p.m., March 4th. See itinerary attached. Anchorage Trustee Retreat Reservations have been made for the air travel by the Hospital. If you have not made accommodation reservations at the Clarion Hotel, you will need to do so. I am personally glad that a majority of the board will be able to attend this meeting. We will depart on ERA flight number 895 at 4:00 p.m. on Friday, March 4th. We will be met by the hotel van and go into meetings from 6:30 to 9:30 on Friday evening, and most of Saturday. The return flight will be on ERA flight number 896 at 5:45 p.m. on Saturday. Administrator's Report February 27, 1991 Page Two Union Negotiations Joe Smith and hospital staff met with the Union and their Teamster negotiators on Thursday and Friday, February 21 & 22. Progress was made during the two day meetings but several issues remain unresolved. The next negotiations are scheduled for March 4 and 5. These negotiations, being led by Joe Smith, will keep the facility from incurring major attorney expenses for labor talks. Budget Year We are preparing to go back into a budgeting mode due to the realignment of the hospital's fiscal year to coincide with the Borough's fiscal year. This process will start in early March. Year End Audit Auditors of the accounting firm of Charles Bailly & Co. were at the hospital last week to complete the year end audit. They assured me in the exit briefing that we would receive an unqualified report. However, they made adjusting entries to increase the provisor for bad debt and Medicare contractual allowance. We will again receive comments concerning the present computer system, patient accounting and staffing. The final report will be mailed when completed.