1994-02-16 Regular Meeting j .
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E I V E D
KODIAK'ISLAND HOSPITAL !PR 2 01994
ADVISORY BOARD MEETING
February 16. 1994 'v ' a�ilJUGH
BOARD PRESENT: Ben Ardinger, Alan Austerman, Gil Bane, Kevin Creelman,
Gretchen Saupe, John Shank, Betty Springhill (via speaker phone),
Wayne Stevens
EXCUSED: Loren Halter
STAFF PRESENT Joe Smith, Ed Myers, Kate Fitzgerald, Mary Munk, Stan Thompson
With a quorum present, the meeting was called to order at 7:00 p.m., Dr. Bane presiding.
ACCEPTANCE OF AGENDA
Additions to Agenda: Reappointments, Check Signing Authorizations
Motion made and seconded to accept the agenda as amended.
APPEARANCES AND COMMUNICATIONS
Judy Trousil, President of the non - profit Kodiak Island Health Care Foundation, gave a brief
presentation on the Foundation and it's future goals. The Board discussed the necessity of
a feasibility study for the Foundation. The next meeting will be at noon on March 16, 1994
in the hospital conference room, anyone interested in attending is welcome.
MEETING MINUTES OF JANUARY 19, 1994
Mr. Ardinger was present and voted at the January 19 meeting, his name will be added to
the voting tallies in the minutes.
Mr. Stevens moved to accept the amended January 19, 1994 minutes.
seconded by Ms. Saupe MOTION CARRIED UNANIMOUS
COMMITTEE REPORTS
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QR Committee meeting February 2, 1994 Ms. Saupe reported on the Fourth Quarter patient
surveys and Ms. Fitzgerald discussed the difference between QA and TQM.
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Finance Committee February 16, 1994 Mr. Ardinger reported the finance committee
discussed the need for a joint meeting with a facilitator between the physicians, advisory
board and hospital management to encourage everyone involved in health care in Kodiak to
work better together to keep health care in the community at its best. Mr. Ardinger stated
his opinion that the hospital should investigate the feasibility of drug and alcohol abuse
programs, and instead of increasing hospital rates at the 6% inflation rate, he would like to
promote the facility and the excellent medical staff here in the community to raise revenues.
Ms. Munk reported on the January monthly financial report and the budget assumption
packet for July 1994 through June 1995 (as distributed).
Chief of Staff Report At the request of the medical staff, Dr. Creelman informed the Board
that he was the only physician present at the Board meetings who was authorized to speak
on behalf of the medical staff.
The medical staff requests the hospital to recruit a psychiatrist specializing in mental health
and prescribing expertise who would be under the hospital's control and not involved with
the Mental Health Center. Mr. Myers indicated he will be discussing the psychiatrist
recruitment with Mayor Selby.
OLD BUSINESS
A. ICF Room Renovations _
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The State Fire Marshall has verbally given the go- ahead. Minor construction will be required.
The rooms will be able to be converted back to resident rooms if necessary. w
B. Physical Therapy Relocation
The lease has been signed, h 1. Pr f rma on PT distributed confirming even
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at the lowest figures this is a good move. Equipage was discussed. The management team
will present a promotional program at the next Board meeting.
C. Certificate of Need Status
The CON was filed with the State on February 4 (copy passed around to Board members)
and receipt was confirmed in writing on February 7.
D. Orthopedic Recruitment
Mr. Smith indicated negotiations are still on -going with Dr. Koulisis. The hospital's "best
offer" to Dr. Koulisis carries a potential risk factor to the hospital of approximately $75,000
for the first year. The Board was asked if they are willing to take that risk. After discussion,
Dr. Bane inquired if any Board member wanted to speak against going ahead with
negotiations with Dr. Koulisis. Dr. Bane indicated there was a consensus of the Board to
HOSPITAL ADVISORY BOARD MINUTES
FEBRUARY 16, 1994 -2-
continue negotiations with Dr. Koulisis, with the understanding that the potential risk factor
for the first year was approximately $75,000.
NEW BUSINESS
A. Reappointments
Reappointment requests for courtesy privileges for Dr. Gleason and Dr. Murdock have been
recommended for approval by the Medical Staff.
MOTION to accept the recommendation of the Medical Staff and forward to LHS
Dr. Gleason's Request for Reappointment of courtesy privileges
AYES: Ardinger, Austerman, Bane, Creelman, Saupe, Shank, Springhill, Stevens
NAYS: None
MOTION PASSED UNANIMOUSLY
MOTION to accept the recommendation of the Medical Staff and forward to LHS
Dr. Murdock's Request for Reappointment of courtesy privileges to LHS
AYES: Ardinger, Austerman, Bane, Creelman, Saupe, Shank, Springhill, Stevens
NAYS: None
MOTION PASSED UNANIMOUSLY
B. Check Signing Authorizations
MOTION to authorize to the following employees to sign checks on the accounts
specif ied:
Van Fund Account: Edmon W. Myers, Pamela D. Foreman, Mary C.
Munk, Kate Fitzgerald
General Operating Account: Linda S. Brown, Pamela D. Foreman, Mary
Munk, Kate Fitzgerald, Stan Thompson, Edmon W. Myers
AYES: Ardinger, Austerman, Bane, Creelman, Saupe, Shank, Springhill, Stevens
NAYS: None
MOTION PASSED UNANIMOUSLY
C. Letter of Support for Certificate of Need
Each Board member signed the letter to be forwarded to the State in support of the
Certificate of Need.
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D. Lamme Estate
i KIH /CC has been named in the will of William Lamme. The hospital attorneys are tracking
the progress of the probate and will keep the Board apprised.
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E. Public Relations Issues
Mr. Smith encouraged the Board to keep the renovation and construction in a positive light
and to focus on the real issue of getting the project moving. The funding of the project is
a Borough issue, whereas the planning of the health care facility is the hospital, Advisory
Board, and management team issue.
Ms. Saupe indicated she had received a complaint from a local businessman concerning how
the hospital would be buying furniture for the new facility. The hospital administrator will
write him a letter explaining the bid process.
Mr. Austerman went on record that he not only sits on the Advisory Board as the Borough
representative but also is a Borough Assembly member, and the questions he raised at an
Assembly meeting recently regarding the contract and funding were proper as an Assembly
member given the conditions of the State budget. He stressed that he never spoke against
the hospital renovation and construction, he was asking that it be put on hold until the
question of funding was answered.
ADMINISTRATOR'S REPORT
Dr. Bane welcomed Mr. Myers back on behalf of the Board. Mr. Myers thanked everyone
for the tremendous support he received.
Fern Fuller Trust The trust is currently in litigation brought by beneficiaries of another Fuller
trust. No money has been received yet. The Borough attorneys are up -to -date on the
situation.
Care Center Bus Sale/Trade -In Still no takers. Several alternatives continue to be explored.
Ms. Fitzgerald reported the following:
Thank you to Dr. Shank, who spent approximately a half -day at the hospital for orientation.
The hospital has received a co- planning grant of $40,000 with the Mental Health Center.
Several management team members would like to attend an LHS three -day workshop next
month.
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FEBRUARY 16, 1994 -4-
One Board member has requested copies of all physician contracts with the hospital.
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MOTION by Dr. Creelman to request that copies of all physician contracts
seconded by Dr. Shank be presented to the Board
The Board discussed whether individual physician contracts should be made available to the
Board. After lengthy discussion, the vote was called:
AYES: None
NAYS: Ardinger, Austerman, Bane, Creelman, Saupe, Shank,
Springhill, Stevens
MOTION DEFEATED UNANIMOUSLY
Mr. Myers will provide financial information as requested by the Board in the form of one
department focus study per quarter. A focus study on the ER will be presented at the next
meeting.
BOARD AND AUDIENCE COMMENTS
Mr. Thompson reported Prochaska visited with the department heads on a preliminary basis
on design. The Borough has let a small subcontract for topographical surveys to be
completed within the next 2 -3 weeks.
The problem of the smell and discarded cigarette butts in the front entryway was raised by
Ms. Saupe. Alternatives and possible solutions were discussed.
Mr. Austerman indicated he will be out of town March 3 through 21.
Ms. Springhill welcomed Mr. Myers back and indicated the M -Team was on the ball and
handled things well while he was away.
Dr. Bane reported he had been in Washington at a national conference on the HIV /aids virus
from the point of view of the worker and his rights, and would like to make a presentation
at the next Board meeting.
ADJOURNMENT
The meeting was adjourned at 9:35 p.m. Recorded by Linda S. Brown.
Appr ed, Advisory Board Secretary
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