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1994-01-19 Regular Meeting i I KODIAK ISLAND HOSPITAL 12 01994 ADVISORY BOARD MEETING. January 19 1994: ft BOARD PRESENT: Gretchen Saupe, Ben Ardinger, Wayne Stevens, Loren Halter, Kevin Creelman, John Shank, (Betty Springhill via speaker phone) I EXCUSED: Gil Bane, Alan Austerman I STAFF PRESENT: Kate Fitzgerald, Mary Munk, Pam Foreman, Stan Thompson, Joe Smith, (LHS), Al Reiners (LHS), With a quorum present, the meeting was called to order at 7:10 p.m. Mr. Stevens, acting Chairperson, welcomed Dr. Shank and Dr. Creelman to the Board, Mr. Smith and Mr. Reiners from LHS, and Ms. Springhill on the speaker phone. ACCEPTANCE OF AGENDA Additions to Agenda: Dr. Rinehart's thank -you letter; Credentialling Motion by Ms. Saupe The agenda was accepted as amended. seconded by Dr. Creelman APPEARANCES AND COMMUNICATIONS None. MEETING MINUTES OF DECEMBER 8, 1993 Dr. Creelman moved to accept December 8, 1993 minutes. seconded by Ms. Saupe Vote on motion to accept minutes: Ayes: Springhill, Halter, Saupe, Stevens, Shank, Creelman, Ardinger Nays: None Excused: Bane, Austerman - MOTION CARRIED Unanimous I j 1 COMMITTEE REPORTS Mr. Reiners presented the financial forecast and explained each graph. i With the current reimbursement levels, the ICF breaks even with 11 residents. The Finance committee met and Mr. Reiners presented the financial forecast. Recent and proposed reductions to surgical fees were discussed. In response to Dr. Halter's statement that the reductions were made only because the insurance wouldn't cover the costs, Ms. Munk stated the reductions were made as the result of research comparing fees around the region, they were not insurance - driven. Ms. Munk reported the Borough has transferred $1.8M from the construction fund general ledger to the central treasury. The interest is going to the hospital. Ms. Foreman stated a Lifeline article will run this month. There will be some articles on the surgeons, the orthopedist, when he gets here, and ComFish. This year ComFish will focus on the services the hospital provides. OLD BUSINESS None NEW BUSINESS A. Amendment to MedStaff Bylaws The MedStaff approved an amendment to the Bylaws concerning the medical information obtained on physicians for Credentialling purposes. Dr. Creelman didn't think it needed an amendment to the bylaws as the hospital was already receiving the information. There was a question as to the 1992 date on the amendment. It was decided to table the amendment until further research is completed. B. Office Space Needs A floor plan was presented showing proposed renovation to two rooms in the Care Center for conversion to surgeon and visiting specialist clinics. This would entail minimal construction effort. It is proposed that the physical therapy area across from the two surgeon rooms be modified for the orthopedic surgeon, and that Physical Therapy be moved away from the hospital campus. The management team, Mr. Reiners and Mr. Smith examined several possible sites. Discussion ensued of possible Physical Therapy sites and terms of the lease. Mr. Smith indicated the lease would be four years maximum. However, Physical Therapy may stay off - campus after the new building is built if the community response is good. Dr. Halter objected to permanently converting the ICF rooms to surgeon space. He recommended resident needs take priority in the event the ICF census increases. I Hospital Advisory Board Minutes January 19, 1994 -2- 0 Mr. Thompson stated the renovation construction would be minimal and the rooms could easily be converted back to resident rooms. Ms. Saupe moved to recommend that the Borough approve moving seconded by Dr. Creelman Physical Therapy off campus and modifying two ICF rooms, j contingent upon ICF needs, to make surgeon offices Vote on motion to recommend renovating two ICF rooms to surgeon space, contingent upon ICF needs, and to relocating Physical Therapy off campus: Ayes: Springhill, Halter, Saupe, Stevens, Shank, Creelman, Ardinger Nays: None Excused: Bane, Austerman MOTION CARRIED Unanimous (Dr. Creelman left the meeting) C. Thank -You Note From Dr. Rinehart Read to the Board. D. Credentialling The Medical Staff has approved privileges for Dr. Christo Koulisis and for the following Counselors from Allied Health: Paul Alexander, Janice Simeonoff, Roger Malutin, Rebecca Curry, Katharine Gravino. Dr. Halter moved to acknowledge the recommendations of the Medical seconded by Ms. Saupe Staff and forward Dr. Koulisis' request for privileges to LHS Vote on motion to acknowledge the recommendations of the Medical Staff and forward Dr. Koulisis' request for privileges to LHS: Ayes: Springhill, Halter, Saupe, Stevens, Shank, Ardinger Nays: None Excused: Bane, Austerman, Creelman MOTION CARRIED Unanimous Hospital Advisory Board Minutes January 19, 1994 -3- s Dr. Halter moved to acknowledge the recommendations of the Medical seconded by Ms. Saupe Staff and forward Allied Health's requests for privileges to LHS Vote on motion to acknowledge the recommendations of the Medical Staff and forward Dr. Allied Health's requests for privileges to LHS: Ayes: Springhill, Halter, Saupe, Stevens, Shank, Ardinger Nays: None Excused: Bane, Austerman, Creelman MOTION CARRIED Unanimous ADMINISTRATOR'S REPORT i As distributed. Ms. Fitzgerald indicated Mr. Myers will be out probably through the first week of February. The M -Team has been briefed on all pending issues and has been in phone contact with Mr. Smith to assure "business as usual." Mental Health is awaiting recommendation from their advisory board to proceed with the recruitment of the psychiatrist. We will know more in February. LHS is on schedule and working diligently on the CON required by the State. The hospital is working on the 1994 operational plan. w Marine Services is being phased out. Employees have been reduced but calls will continue to be answered through the marine operator. The pharmacy continues to restock med kits to the boats still under contract. Dr. Halter requested a copy of the complete payout on the marine services program be presented at the next meeting. Mr. Smith indicated a grant request has been submitted to ARCO to fund the program. Maritime Health has also expressed interest but nothing definite yet. The program won't be abandoned until all options have been exhausted. Ms. Fitzgerald indicated negotiations are still on -going with Dr. Koulisis. Dr. Shank was briefed on the recruitment of Dr. Koulisis and negotiation details. Dr. Halter reiterated his opinion that a one -year contract was in the hospital's best interests, and stated he would not have voted to recruit an orthopedic surgeon if he had known he was to be an employee of the hospital as opposed to in private practice. Mr. Smith indicated an orthopedic surgeon in private practice would have received a one -year guaranteed salary from the hospital for the same expense for the first year as an orthopedist working as a hospital employee. He also reminded Dr. Halter of the 90 -day clause in the contract, which gives either side an easy out. Dr. Halter stated he has no objection to Dr. Koulisis coming on a fee - for - service /private Hospital Advisory Board Minutes January 19, 1994 -4- { i practice basis with the hospital providing office space and billing. He wants the Board to be aware of what is involved in hiring the orthopedist as an employee. Mr. Smith indicated the Board should focus on providing the Borough and hospital management with guidance as to whether or not orthopedic services are wanted on the Island, then leave it up to the Borough and hospital management to decide the best way to get quality care. Discussion continued ` surrounding the importance of recruiting an orthopedic surgeon, the length of time it has taken to get one interested, and the costs involved versus the expected revenues. BOARD AND AUDIENCE COMMENTS Ms. Fitzgerald reported all departments have been looking at other services to offset the j decline in inpatient revenues. The hospital has done five EEG's at very little cost, and are j also looking at sleep apnea at no cost. f Ms. Munk reported the New World computer conversion is going well. Mr. Thompson reported PROCHASKA is due in town the week of January 22nd. Mr. Smith indicated the Board retreat in Anchorage is tentatively set for April 8th and 9th. All Alaska facilities managed by LHS are invited as well as Providence and Alaska Regional. Board members are encouraged to attend. Ms. Springhill extended a welcome to Dr. Shank. Ms. Fitzgerald will arrange a hospital orientation for Dr. Shank. lb Dr. Shank requested orientation on the history of the ER problem. Mr. Ardinger suggested that with the decrease of inpatients, the hospital should look at drug and alcohol abuse programs. Mr. Stevens welcomed Dr. Shank to the Board, and congratulated the management team, extending the Board's appreciation for the extra effort put forth in the administrator's absence. ADJOURNMENT The meeting was adjourned at 9 :05 p.m. Recorded by Linda S. Brown. li4 �, �i-. e — Appro d, Advisory Board Secretary i I Hospital Advisory Board Minutes January 19, 1994 -5- a►� d 41(t - J oau a4 t KODIAK ISLAND HOSPITAL & CARE CENTER ADVISORY BOARD RESOLUTION # 93 -04 PURPOSE: To support a Kodiak Island Borough request for planning funds from the State of Alaska, Department of Health and Social Services, to develop inpatient mental health services at Kodiak Island Hospital and Care Center. WHEREAS, the Alaska Mental Health Board and the State of Alaska, Department of Health and Social Services, are planning a new, smaller and more specialized Alaska Psychiatric Institute; and WHEREAS, a continuum of care which offers psychiatric care in the least restrictive setting as close to home as possible is essential to reduce bed needs at the Alaska Psychiatric Institute; and WHEREAS, the Kodiak Island Borough is desirous of receiving planning funds; and i { WHEREAS, planning, needs assessment, preliminary architectural and engineering work, cost estimates, financial analysis and other related activities are necessary to complete a certificate of need (CON) under AS 18.07 for the Kodiak Island Borough and the Kodiak Island Hospital and Care Center; and WHEREAS, the conversion of a limited number of existing beds for inpatient psychiatric services is in the best interests of the community, Kodiak Island Borough and Kodiak Island Hospital and Care Center; NOW, THEREFORE, BE IT RESOLVED by the Advisory Board of the Kodiak Island Hospital and Care Center that: 1. Kodiak Island Hospital and Care Center and the Kodiak Island Borough Mental Health Center will apply jointly to the State of Alaska, Department of Health j and Social Services, for planning funds to develop local primary and secondary inpatient mental health services. 0 2. The Borough mayor and Kodiak Island Borough staff are hereby requested to make application, accept and secure the State's interest in the planning of this project and to develop a certificate of need. ,,ADOPTED by the Kodiak Island Hospital & Care Center Advisory Board this day of 1993. KODIAK ISLAND HOSPITAL & CARE CENTER ADVISORY BOARD By: 1 Betty S ingh' , Chair /h' ATTEST: ecre ary KIH /CC ADVISORY BOARD Resolution #93 -04 Page 2 of 2