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1994-06-08 Regular Meeting R LE C E V� p ° 3 3FP ' t 1994 KODIAK ISLAND HOSPITAL '�UUTAK i_`LAN' 30HOUCH, ADVISORY BOARD MEETING ! FRK'`> C1 ;F June 8, 1994 BOARD PRESENT: Betty Springhill, Gretchen saupe, Alan Austerman, Loren Halter, Wayne Stevens EXCUSED Kevin Creelman, Gil Bane, John Shank STAFF PRESENT Ed Myers, Pam Foreman, Skip Woodward OT!!', zS Pte, SENT: With a quorum present, the meeting was called to order at 7:05 p.m. ACCEPTANCE OF AGENDA Motion made and seconded to accept the agenda. APPEARANCES AND COMMUNICATIONS Skip Woodward, Physical Therapist, updated the Board on the new Physical Therapy facility. He thanked the Board for its si pport in approving the new facility. Referrals are on the rise, and the clinic is very busy - so busy, in fact, that Skip will be hiring a part -time clerical person to help out. The job is getting too big for volun, MEETING MINUTES OF MAY 11 1994 MOTION made and seconded to accept the May 11, 1994, minutes. COMMITTEE REPORTS Finance Committee No Finance Committee Meeting was held this month, but Ms. Munk reported on the Hospital's May finances. Last year at this time, gross revenue was $141K; this year at the same time, it is $216K, a $75K increase, so 1994 is looking like a much better year. Ms. Munk also stated that the Hospital is receiving many referrals from local clinics and the Coast Guard base. Additionally, while expenses are up, the Hospital's bottom line is still profitable. Frugality has _bteen successful, illustrated by the Hospital's $16K purchase of used Nautilus equipment for the new Physical Therapy facility. The equipment would have cost $60K if bought new. Mr. Myers also commented that while the Hospital itself is doing well, the long wait for two Care Center residents' Medicare Trusts to go through is preventing KIH from meeting budget at this time. While this is a problem, Mr. Myers stressed that the Hospital is doing much better now than in February. He is confident that once the Care Center problem is straightened out, the Hospital will be close to budget. f PR Committee Pam Foreman briefed the Board on recent newspaper publicity for the new Physical Therapy facility, citing a Daily Mirror article announcing '.ts op, =ring, as well as photos published in "Lifeline ". Ms. Fore .n t1.w..kcd participants in the Open House. OLD BUSINESS A. Visit by Providence. Mr. Myers briefed the Board on the visit from Providence administrators. Providence has obtained the Teamsters' Health Care contract, under the condition that they form a network of participating health care facilities. Providence has approached KIH to join this network. Ms. Saupe asked about trends on Teamster referrals to KIH. The Board wants to consider whether joining such a network would result in sufficient referrals to KIH to justify participation. Mr. Myers also explained the KIH /Providence charge comparison in their meeting packets. The comparison shows that KIH is basically competitive, but some of Providence's numbers are higher than KIH's. The Board analyzed and discussed the statistics. Mr. Myers stated that we need more analysis involving other hospitals. B. Fuller Trust. The Board discussed Alan Schmitt's letter regarding the reasons for the beneficiaries' challenge of the restructuring of the Fuller trust. The new trustee took this action to determine what exactly Ms. Fuller had done. Mr. Myers thinks it will take two years to completely straighten the matter out. NEW BUSINESS HOSPITAL ADVISORY BOARD MINUTES -2- A. Resignation of Ben Ardinger frOM Advisory Board. Ms. Springhill informed the Board of Ben Ardinger's resignation from the Board. The Board discussed possible candidates to f ill the vacancy. The Board agreed that whoever is chosen should have a strong Budgets and Finance background. Ms. Springhill urged members to encourage qualified people to apply. B. Letter to Editor from Dr. Brockman. Alan Austerman distributed copies of a letter to the Editor of the Daily Mirror from Dr. Brockman. The letter complained that the new Physical Therapy facility was competing with his health club, Doc's Nautilus, because it had instcil:l'ed Nautilus equipment. Board discussed the letter and the effect-its- publishing might have on the Hospital. The Board f elt that use of Nautilus equipment for patient rehabilitation under a doctor's care (a temporary situation) was completely different than long term use of a commercial gym's Nautilus equipment for medically unsupervised exercise. The Board agreed not to respond to the letter. Mr. Myers mentioned that Hospital employees had hoped to use Physical Therapy's Nautilus equipment as a benefit of employment, but felt that in light of Dr. Brockman's letter, that plan should be tabled at present. The Board agreed. ADMINISTRATOR'S REPORT Neurologist Clinics. A neurologist by the name of Dr. Perkins contacted the Hospital about Possibly holding monthly Neurology clinics in Kodiak. This will go on the agenda for the next Med. Staff meeting. Hospital Budget. The Borough did not approve a tax levy to cover the budget shortfall. However, a 7% rate increase was approved. Providence Visit. Mr. Myers gave details of his meeting with Sister Suzanne and others from Providence Hospital. He believes that the proposed network is a reflection of things to come. The Teamsters issued an RFP and selected Providence because of their willingness to form a network. Providence wants the network to have a larger involvement in case manaqement and utilization review aspects. Mr. Myers gave an overview of a long-range plan for the network, and explained how a network operates. HOSPITAL ADVISORY BOARD MINUTES May 11, 1 94 -3- BOARD AND AUDIENCE COMMENTS Dr. Halter wanted his objection to the Borough's a increase noted in the minutes. g approval of a 7o rate ADJOURNMENT The meeting was adjourned at 9:15 p.m. Recorded by Donna Milan. g Approv d, Advisory Board Secretary f I HOSPITAL ADVISORY BOARD MINUTES ' -4-