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1994-05-11 Regular Meeting 1.. tl SE P 3 01994 7AD AK ISLAND HOSPITAL SORY BOARD MEETING "i'� OFF ICE May 11, 1994 i BOARD PRESENT Betty Springhill, Loren Halter, Gretchen Saupe, Alan Austerman, Kevin Creelman, John Shank EXCUSED: Ben Ardinger, Wayne Stevens, Gil Bane I STAFF PRESENT Ed Myers, Mary Munk, Kate Fitzgerald, Pam Foreman, Stan Thompson i OTHERS PRESENT Marian Johnson, Judy Trousil G s With a quorum present, the meeting was called to order at 7:05 p.m. s '` V*"- `L 'TANCE OF AGENDA Motion made and seconded to accept the agenda. r APPEARANCES AND COMMUNICATIONS John McEntee, Pharmacist, updated the Board on the Pharmacy. He explained the process for administering medications to patients, and described the future of Pharmacists in general as drug information specialists. He described his role in developing a basic drug safety program at the Hospital, along with policies and procedures for administering drugs. He informed the Board of his inventory policies, which keep drug costs down for the Hospital. Mr. McEntee mentioned that daily drug dispensing at the Care Center will cut down on Med. Errors, which will also reduce costs. i Mr. McEntee also explained the.factors taken into account when pricing drugs and compared the costs incurred by a Hospital to dispense drugs, as opposed to a private pharmacy. Mr. McEntee also thanked the Board for the new Pharmacy computer, and stated that he would be receiving a software update in the near future. This new software is expected to relieve Lucy Pryor, Pharmacy Technician, of the chore of preparing POs by hand. He also hopes a new billing interface will cut down on data entry and double checking between the Pharmacy and Business office. Mr. McEntee advised the Board that Lucy Pryor will be taking a two month vacation this summer, and that a Pharmacy intern will visit the Hospital in her absence. 3 0 Mr. McEntee emphasized the need to purchase a Vertical Flow Hood for the Pharmacy in order to reduce the risk of exposure when preparing chemotherapy solutions. He noted that the number of patients and is now a concern. The Board treatments has increased enough that safety asked Mr. McEntee to look into the cost and advise them. The Board and Hospital staff in the audience also thanked Mr. McEntee for the excellent job he is doing for the Hospital. Pat Thorn, Director of Nursing at the Care Center, updated the Board on Care Center happenings. She announced that a Family Council had 'been held earlier in the day, and while loyal volunteers participated, no family members came. She suggested that the Care Center might hold another Family Council in a few months. She informed the Board that the patient census is currently 14. One patient was recently discharged, vacating a male bed. Ms. Thorn briefed the Board on upcoming staff changes. One Resident Assistant is leaving, and a replacement is expected to be hired in mid- June. Current Care Center employees have been invited to apply for this full-time position, as well as non-employees. Ms. Thorn also informed the Board that the Care Center has added one 8- hour RN day per wpek. in -rder for Mary Manfredi to provide assessments assistance to-Ms. Thnrn� on the continuing education front, Ms. Thorn reported that the Care Center is holding Licensed Nurse Supervisory classes to help develop supervisory nursing skills. RNs supervise during the day shift, and LPNs supervise at night. Ms. Thorn also informed the Board of a Restorative Nursing Program, which teaches residents feeding, grooming, and exercise. The program has been in place for three months and is well-liked by all. Ms. Thorn reported on a minor conflict between a patient and Care Center employee, and described the action taken to resolve the situation. The Board thanked Ms. Thorn for her deft handling of difficult patient ano staffing situations. Ms. Thorn and the Board both expressed - enter as -ppreciation to Dr. Creelman for his active role in the Care well. MEETING MINUTES OF APRIL 27, 1994 MOTION made and seconded to accept the April 27, 1994, minutes. HOSPITAL ADVISORY BOARD MINUTES May 11, 1994 -2- COMMMEE REPORTS Finance Committee: Ms. Munk reported on the Finance Committee meeting. She stated that the Committee went over the April Income Statement. To summarize: 1. Gain of $52K in April; 2. YTD loss of $49K; however, this does not include -the other half of the revenue sharing funds; if those funds are included, the Hospital actually reaches the break- even point; 3. Accounts Receivable Days increased to 94; action plan is being implemented to reduce that figure to 80 days; backlog in billing is responsible for increase. PR Committee: Ms. Foreman informed the Board that a series of advertisements for Hospital laparoscopy procedures will run in this Thursday and Friday's Kodiak Daily Mirror. She reminded the Board of the free Blood Pressure Clinic at Safeway on Thursday, May 12, as well as the Hospital BBQ on Friday, May rureman reported the results of the 2nd Annual Spelling Bee, urged Board members to participate in the Baby Picture Contest being held in the Care Center next week. She announced that the new Physical Therapy lab's Open House is scheduled for Friday, May 20, and invited the Board to attend. The open House will be an all-day event for Doctors, Assembly and Advisory Board members, athletic coaches, chiropractors, and the general public. She also reported that the new Nautilus equipment recently arrived, and that the new facility has many patients. OLD BUSINESS A. Lamme Estate. Marian Johnson of the Historical Society appeared before the Board to request that certain art items of the Lamme estate be donated to the Museum. She summarized the status of the items in question, and briefed the Board on the meeting she had with Mr. Myers and Ms. Springhill. She also showed the Board Mr. Lamme's handwritten note, which stipulated that these items be given to the museum. She noted that the items together have been appraised at $25K, which she felt was an overestimate of their value. She asked what figure the Board had in mind for the Historical Society to donate to the Foundation in exchange for the items. HOSPITAL ADVISORY BOARD MINUTES May 11, 1994 -3- Mr. Myers reiterated the Board's desire for a "reasonable donation" to be made to the Foundation, and suggested something in the area of 7,500. He stated that either cash or NBA stock would be acceptable, but emphasized any transaction should be legally formalized. Discussion ensued, and Alan Austerman made a motion to recommend donation of the items outright, with no donation requirement. Dr. Halter seconded the motion, and the motion carried unanimously. Ms. Springhill felt that the Historical Society should still make a donation to the Foundation as a gesture of goodwill, and left it to Ms. Johnson's conscience. MOTION by Dr. Creelman recommending that the Board donate the Seconded by Dr. Halter art items to the Historical Society. AYES: Springhill, Halter, Saupe, Creelman, Austerman, Shank. NAYS: None. MOTION PASSED UNANIMOUSLY P Psychiatrist Recruitment/ Financial Profile. Mr. Myer-- -eported that he has numerous leads and Psychiatrist resumes and iq rr� them at this time. He also presented recruitment cost and revenue projections along with a cash flow analysis. Members discussed the possibility of contracting with the Coast Guard for a weekly Psychiatric Clinic. Discussion shifted to the need for an Orthopedic Surgeon, and Dr. Shank pointed out that currently, there was an excess of orthopedic surgeions. He stated that from a recruitment standpoint, the Hospital could use this to its advantage. Dr. Creelman suggested that an independent arrangement would give an orthopedic Surgeon an incentive to work harder, whereas a guarantee would not. Dr. Halter agreed that no contract guarantee should be offered. NEW BUSUNESS A. Senior/Low Income Housing. Mr. Myers reported on the Assisted Living meeting with Karen King of the Kodiak Island Housing Authority on May 11. He clarified the qualification requirements for the proposed low-income housing as he understood them. Mr. Myers outlined the cost benefits of assisted living, compared to nursing homes. He also stated that the units could possibly lie buiit on Hospital property. Ms. Springhill asked if some of the units in the proposed development could be designated for assisted living. Mr. Myers HOSPITAL ADVISORY BOARD MINUTES May 11, 1994 -4- i 0 i replied that some could, and said he could identify possibly 9 or 10 seniors who meet the income requirements. He noted, however, that HUD would prioritize qualified applicants. Ms. Springhill stated that the Hospital should initiate its own project and asked if the Hospital could write its own grant and submit it to HUD. Mr. Myers replied that it was possible. ADMINISTRATOR'S REPORT Certificate of Need: Mr. Myers stated that the Certificate of Need Hearing went very well and he expects an answer by the end of the month. Prochaska and Pummel Visit: Don Prochaska, Blayne Pummel, Mr. Myers, and Hospital staff members spent a great deal of time looking at the building plans. Mr. Myers reported that the Hospital is close to having a good conceptual plan. He is waiting for the most recent plan, and will circulate it to the Board and Hospital staff when it arrives. While there are a few departmental conflicts due to plan changes, Mr. Myers plans to iron those out when the new plans come. He expects to have a finalized plan by mid -June. KANA Contract: Mr. Myers stated that the Budget does not include the i $300K revenue loss caused by the expiration of the KANA contract. The Hospital is looking for any impact on clinical referrals. Mr. Myers feels that there is a potential loss in the absence of a contract. I The Board discussed ways to encourage KANA beneficiaries to patronize the Hospital. Dr. Creelman urged Board Members to speak individually to influential people in the community to make them aware of the situation. 1 He encouraged the Medical staff to get involved. The Board discussed the possibility of a "grass roots" approach to entice KANA beneficiaries to use the Hospital more. Mr. Myers stated that the Hospital wants more surgical support. b BOARD AND AUDIENCE COMMENTS None. ADJOLTIL MENT HOSPITAL ADVISORY BOARD MINUTES i May 11, 1994 -5- s '6 d The meeting was adjourned at 10:10 p.m. Recorded by Donna Milan. Appr;�, Advisory board secretary HOSPITAL ADVISORY BOARD MINUTES May 11, 1994 -6-