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1991-08-28 Regular Meeting/U.-) —O r-u'.I. KODIAK ISLAND HOSPITAL ADVISORY BOARD MEETING AUGUST 28, 1991 PRESENT: Ben Ardinger, William Brewer, Gordon Gould, Gretchen Saupe, Betty Springhill, Jeannie Volker, Lorne White, Ed Myers, Administrator, Keith Vorachek, Finance Manager, Corlene Hogg, Director of Ancillary & Patient Information Services, Pam Foreman, Director of Human Resources ABSENT: Gil Bane, Wayne Stevens With a quorum present, the meeting was called to order at 7:05 P.M. ACCEPTANCE OF AGENDA: Moved, seconded and carried to accept the agenda. APPEARANCES AND COMMUNICATIONS Mr. Myers introduced Gary Billingsley, a risk management specialist, who performed a department by department survey of the hospital. Mr. Bill- ingsley said that he was impressed with the staff of the hospital, stating that they were a highly motivated group of people. He reported that he would have a verbal report for the management team before he left, and a written report of his suggestions to reduce liability expo- sure in the future available to the Board at the next regularly sched- uled meeting. The risk survey focused on the clinical side of the facility rather than the physical plant. The minutes of the July 25, 1991 meeting were corrected to change the date of the previous meeting to read "June 26, 1991" under the heading "Meeting Minutes". Moved, seconded and carried to approve the meeting minutes of July 25, 1991 as corrected. CONMIITI'EE REPORTS None. Advisory Board Meeting August 28, 1991 Page Three NEW BUSINESS A. Facility Projects The listing of facility major maintenance projects prepared by Borough and facility staff and prioritized according to life and building safety issues was presented to the Board members. Moved and seconded that the Advisory Board support the list as presented and that it be forwarded to the Borough for inclusion in its budget. Motion carried. B. Equipment - State Funds Mr. Myers stated that he had requested input from departments as how to best distribute $50,000 received for equipment needs of the facility and presented the list to the Board for consideration. Mr. Ardinger stated that while agreed that the facility needed another facility to offset the exorbitant costs of vehicle rentals for locum tenens, that he did not feel that these monies were the appropriate source of funding. After further discussion, it was the consensus of the board to also delete the infant ventilator, the Dynamad blood pressure machine w/pulse oximeter, the computer, and the portable wheelchair ramp from the re- quest list. It was noted that four beds were requested by the ICF, and that perhaps the number of beds purchased could be reduced if necessary in order to purchase all items on the list. Moved and seconded the approve the equipment listing as revised be submitted to the Borough and that funds be applied to purchase items in order of priority until exhausted. C. Briefing on City Meeting of September 4 Mr. Myers reported that the meeting between the hospital and City had been rescheduled to September 4 at 2:00 p.m. in the hospital's confer- ence room. He encouraged participation by Board members at the meeting which is an attempt to lay to rest some issues of controversy between the various organizations. He stated that he has given position papers to the principals outlining the facility's position and possible resolu- tions to issues including: the role of EMTs, use of ambulance for pick up of Medivac crews, intoxicated detainees presented at the ER, and guard services. r Advisory Board Meeting August 28, 1991 Page Five AUDIENCE COMMENTS Keith Vorachek reviewed the financial situation of the facility. He reported that July had been a good month financially, with the hospital at 48% capacity and the Care Center at 84%. An overall gain of $77,000 was realized in July, but August was not anticipated to show the same positive cash flow. He stated that he is working with the Borough's financial director and Mayor Selby to resolve the issue of payment for the short year audit and cost report required by the Borough. There was a question as to how financial reports will be generated. Mr. Vorachek stated financial reports would show both fiscal and calendar year fig- ures until the completion of the year-end audit. Mr. Vorachek reported that Scott Allen is conducting extensive training with billing/ admitting personnel and will be conducting inservice train- ing with unit secretaries to implement better admitting procedures. Mr. Vorachek reported that he had met with the new manager at the Na- tional Bank of Alaska to discuss establishing a recourse notes program. He stated that NBA seemed open to the possibility. 16 • • 1 • 1 1 Ms. Volker said that she thought it was a generous gesture on the part of Kodiak Westmark to offer the use of their laundry facilities to the hospital at no cost. She reported that she will be taking a sabbatical from the island from September 9th through December 11th, and requested that Evan Jones from Fairbanks be allowed to attend the Board meetings on her behalf. It was the consensus of the Board that Ms. Volker would be excused and that Mr. Jones would be allowed to attend on her behalf. Mr. Ardinger reiterated that the facility needed to purchase a vehicle to offset the exorbitant costs in rental vehicles incurred by the facil- ity. It was the concensus of the Board that staff should work with the Borough to have funds moved into the supplemental budget to purchase a vehicle. Ms. Springhill stated that she had talked with the Borough's financial director regarding the possibility of the hospital becoming a revenue fund, rather than an enterprise fund of the Borough. However, Mr. Myers stated in correspondence that this would not be feasible. There was a lengthy discussion regarding different Borough funds, in- cluding revenue, enterprise, and service district funds. There was discussion regarding the possibility of dedicated millage to augment hospital nonpays.