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1995-10-11 Regular Meeting h F K ISLAND HOSPITAL ORY BOARD MEETING - • :'95� October 11, 1995 BOARD PRESENT: Gretchen Saupe, Wayne Stevens, Russ Grimm, Loren Halter, D.O., John Shank, O.D., Stephen Burnside, M.D., Gil Bane, Alice Knowles EXCUSED: Jack McFarland STAFF PRESENT Ed Myers, Mary Munk, Pam Foreman, Stan Thompson, Judy Trousil i OTHERS PRESENT: With a quorum present, the meeting was called to order at 7:10 p.m. i k s ACCEPTANCE OF AGENDA k j The agenda was amended to add Change of November Meeting Date to New Business. Motion made and seconded to accept the amended agenda. I APPEARANCES AND COMMUNICATIONS i None. i MEETING MINUTES OF July 12 1995 MOTION made and seconded to accept the July 12, 1995 minutes. i k COMMITTEE REPORTS k k A. Financial Report - Mary Munk. Ms. Munk reported on the July and August financials E for the facility. In July, the Hospital experienced a $33,291 loss. However, in August, we had s k a $240,227 gain. As of August, the hospital had $1,000,000 in operating cash, with $420,000 in funded depreciation. Accounts Receivable days are 71. OLD BUSINESS A. Amendment to the Rules and Regulations of KlH/CC. The Board discussed the proposal rules and regulations, and expressed frustration with the complicated legal language therein. Dr. Burnside stated that he is drafting a more understandable version to replace it. Mr. Myers opined that the final version should specify who can do an initial screening, and recommended that before approving any version, the Board should send the draft to LHS to make sure it meets federal requirements. The Board agreed to again table this issue until a new draft is prepared for their review. NEW BUSINESS A. Annual Financial Audit. Mary Munk reported on this issue during her Finance ommittee report. B. Appointment of New Board Secretary. Alice Knowles was appointed to serve as Secretary of the Advisory Board. C. Appointment to TOM Committee. Gil Bane was appointed to serve on the TQM. Committee. HOSPITAL ADVISORY BOARD MINUTES October 11, 1995 -2- D. Request for Privileges - Regine Blaschka, R.N., ANP. i MOTION: Dr. Stephen Burnside moved to forward the Board's recommendation for privileges to LHS for approval. SECONDED: Gretchen Saupe seconded the motion. Motion passed unanimously. E. Change of November Meeting Date. Wayne Stevens noted that at least three Board members would be absent from the scheduled November 8 meeting, and requested that it be rescheduled for November 15 to ensure a quorum. Board members agreed and the schedule was so changed. i ADMINISTRATOR'S REPORT i Mr. Myers gave a brief overview of Medicare changes being debated in Washington, and their possible financial impact on Alaska and KIH /CC. He also explained block grants, and how they could change the way hospitals operate, opining that State Medicaid would eventually be contracted out to PPOs. Mr. Myers then updated the Board on CHAMPUS Ambulatory Payment Groups, stating that the average reimbursement was about 20% of billed charges. This issue is being taken up by ASHNHA, which argues that sole provider rural hospitals exempt from DRGs should also be exempt for APGs. Mr. Myers will keep the Board informed on this issue. BOARD AND AUDIENCE COMMENTS Dr. Burnside asked whether the State would pay part of the expenses associated with the new facility construction. Mr. Myers replied that we are attempting to obtain some State funding, but no budget decisions have been made at this time. ADJOURNMENT The meeting was adjourned at 8:30 p.m. Recorded by _ i Appr ed, Advi ory Board Secretary i i k E t HOSPITAL ADVISORY BOARD MINUTES I October 11, 1995 -3- p r s