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1994-04-13 Regular Meeting r4113" E I ViEl] KODIIAK ISLAAD HOSPITAL V I. SEP 3 0 1994 FADVISORYBOARD MEE77NG April 13, 1994 KODIAK iSLAND 1:30HOUGH, "LERK'S OFFICE BOARD PRESENT: Ben Ardinger, Gil Bane, Kevin Creelman, Gretchen Saupe, John Shank, Betty Springhill, Wayne Stevens EXCUSED: Alan Austerman, Loren Halter STAFF PRESENT: Ed Myers, Mary Munk, Claudia Gonzales, Kelley Phillimeano, Stan Thompson OTHERS PRESENT: Dr. John Lundblad With a quorum present, the meeting was called to order at 7:00 p.m. ACCEPTANCE OF AGENDA mot it'll luctut: alld seconded to accept the agenda. APPEARANCES AND COMMUNICATIONS Kelley Phillimeano, Purchasing supervisor, gave a brief overview of her department. Discussed the equipment purchases recently made. May work out a sharing arrangement with the Dutch Harbor LHS facility. Full time equivalents are 2.5 in Purchasing currently, down from 4 or five in the past. Mr. Ardinger commended Ms. Phillimeano on the great job she is doing for the hospital. Claudia Gonzalez, Housekeeping/Laundry Supervisor, explained her departments' duties and responsibilities. There used to be 14 full time equivalents in Housekeeping. Now the same dut',es and more are accomplished by 8 full time equivalents. Everyone agreed the appearance of the facility is a major factor to the patient. The Board stressed the importance of keeping up the appearance, even at increased cost. Dr. Bane reported Ms. Gonzales is also enrolled full time at the college in scientific/technical courses. MEETING MDUJTES OF MARCH 9, 1994 NOTION made and seconded to accept the March 9, 1994, minutes. CONINffrrEE REPORTS Finance Committee Ms. Munk reported in March the hospital had a gain of approximately $113,000 while the Care Center had a small loss. YTD loss is $102,000. The ICF is full with 15 residents. Mr. Myers indicated there are four additional beds that can be used on the acute side. The accounts receivable ar at 88 days, pushed up by the large jump in revenues. Public Relations Committee Mr. Stevens reported National Hospital and. Nursing Home Week is May 5 -18. The first hospital barbecue of the year is scheduled for Friday, May 13. The management team will cook lunch for all employees. Every Board member is encouraged to stop by to have lunch and meet the staff. i i i Ms. Saupe commented on the success of ComFish. Everyone appreciated seeing the model of the renovated hospital and they received positive comments from most people. w OLD BUSINESS I A. Lamme Estate Update Mr. Myers listed all assets and probable disposition. The hospital will probably receive at least $200,000 cash, plus whatever the auction and i property sales generate. However, the hospital is obligated to pay all I costs, i.e., attorney fees, trustee fees, IRS obligations. Due to a hand - written note found in Mr. Lamme's personal effects, there may be arguments by the Historical Society for testamentary disposition of some of the art work, but the hospital will try to work a compromise with them. Ms. Springhill, Dr. Bane and Mr. Myers will meet with the Historical Society to discuss resolution. The Hospital may pass assets I on to the Health Care Foundation, but cannot have the Health Care Foundation receive the estate in the Hospital's place. Some of the lower value paintings may be held aside for the new facility. B. RIH 2000 Follow -Up The KIH 2000 seminar is scheduled for Wednesday, May 18, 1994, 6 -10 p.m. at the We.:tmark. A light meal will be provided. Invitations will go out to the Medical Staff, Hospital Advisory Board, KIB Assembly, Hospital Management Team, and maybe the City Mayor. Topics will include where health care is going to go in the future and it will also be a good opportunity for strategic planning. HOSPITAL ADVISORY BOARD MINUTES April 13, 1994 -2- s B 0 NEW BUSINESS A. Status of Surgeons Dr. Lundblad pointed out neither surgeon's practice was meeting j expectations. As a result, the hospital is subsidizing a loss. Mr. Ardinger explained that it would cost the hospital just as much, if not more, if one of the surgeons leaves and the hospital brings in a locum tenens. Mr. Myers stated neither surgeon wants to leave Kodiak, and they are willing to sacrifice some of the subsidy they've been receeiuing in return for an extended contract and, in the worst case, relocation assistance if needed. Dr. Lundblad stated their main concern is having the commitment of the institution to have two surgeons in Kodiak. They are willing to take the risk and reduction of support in the short term, but want to know they have the hospital's support. Ms. Springhill stated her opinion that both surgeons are needed in Kodiak. She would like to see some PR work done to help promote their practices. MOTION by Dr. Creelman recommending that administration extend seconded by Mr. Stevens the guaranteed paid contracts with both surgeons for an additional 12 months. AYES: Ardinger, Bane, Creelman, Saupe, Shank, Springhill, She °. - t4S NAYS: None. C MOTION PASSED UNANIMOUS i j H. CREDENTIALLING i The medical staff approved Dr. Robert LaBarre's application for active privileges and forwarded the application to the Advisory Board. The Board reviewed the application. MOTION by Dr. Bane recommending Dr. Robert LaBarre's seconded by Dr. Creelman application for active privileges be forwarded to LHS for approval AYES: Ardinger, Bane, Creelman, Saupe, Shank, s Springhill, Stevens NAYS: None. MOTION PASSED UNANIMOUS C. CON Hearing The Certificate of Need hearing has been scheduled for May 3, 1994, from 6 -8 p.m. at the Borough Assembly Chambers. The Certificate is on file at the library and the Borough Clerk's office. Dave Pierce from the s I w HOSPITAL ADVISORY BOARD MINUTES April 13, 1994 -3- P i v State will take testimony. Ms. Springhill strongly encourages every Board member to attend the hearing. D. LHS Alaska Board Retreat Mr. Stevens reported on the LHS Alaska Board Retreat held in Anchorage I on April 8 & 9. Discussion ensued regarding tort reform, health care reform, and managed care in Alaska. I f _- ADMFgSTRATOR'S REPORT i f f As distributed. f BOARD AND AUDIENCE COMMENTS Mr. Myers reported that the Hospital and KANA have held their first contract negotiation meeting. The status of the negotiations and possible options were discussed. In response to a question by Ms. Springhill, Ms. Munk reported the Business Office was continuing to work on implementing new policies= Mr. Myers commended the Borough Data Processing people for the fine transitional work in converting the Hospital to the Borough computer system. i The next QR meeting is scheduled for Thursday, April 21, from noon to 1:00 p.m. Ms. Saupe requests that at the next Advisory Board meeting an update on the renovation plans be presented. Dr. Shank complained that the Board packets were being delivered too late to adequately review prior to the meeting. It was decided that the agenda and previous minutes would be delivered much further in advance, that waiting for every document up to the last minute was delaying the process. Dr. Creelman indicated he hadn't seen any promotional campaign on the new Physical Therapy building come to the clinics yet. Time is getting short and it would be a good idea to keep the clinics reminded of the new service. Ms. Springhill thanked the Hospital for the sympathy card on her brother's demise i HOSPITAL ADVISORY BOARD MINUTES April 13, 1994 -4- I Aft Ms. Saupe inquired as to the status of the psychiatrist recruitment. Mr. Myers indicated he has started the recruitment process through LHS but pending legislation may make it a moot point. A handout on Aids created by Dr. Bane was distributed to all Board members. ADJOURNNMNT The meeting was adjourned at 10:32 p.m. Recorded by Linda S. Approv Advisory Board Secretary HOSPITAL ADVISORY BOARD MINUTES April 13, 1994 -5-