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1995-07-12 Regular Meeting F K ISLAND HOSPITAL ORY BOARD MEETING July 12, 1995 BOARD PRESENT: Jack McFarland, Wayne Stevens, Russ Grimm, Loren Halter, D.O., Judy Trousil, Stephen Burnside, M.D. EXCUSED: Gil Bane, Gretchen Saupe, John Shank STAFF PRESENT: Ed Myers, Kate Fitzgerald, Mary Munk, Pam Foreman, Stan Thompson OTHERS PRESENT: Brent Barrows With a quorum present, the meeting was called to order at 7:00 p.m. ACCEPTANCE OF AGENDA Motion made and seconded to accept the agenda, with the addition of Native Health Care /Compacting under New Business. APPEARANCES AND COMMUNICATIONS Brent Barrows, , Commitment to Caring" Campaign Coordinator, reported to the Board on the campaign progress. The campaign will have a summer hiatus until September, due to travel obligations of many campaign volunteers. Judy Trousil, the new Director of Community Affairs, will ensure that the campaign does not lose momentum. Brent is training her to manage the campaign after he leaves Kodiak. MEETING MINUTES OF JUNE 14 1995 Motion made and seconded to accept the June 14, 1995 meeting minutes. COMMITTEE REPORTS Mary Munk - Finance Committee. The Finance Committee meeting was held at noon today. Mary Munk gave an overview of the Hospital's financial performance for FY 1995. The Hospital currently has a year -end gain of $52,000, pending any audit adjustments. The projected budget figure is $70,000. Last year's gain was greatly reduced as the result of an audit adjustment. This year's audit is being conducted now, and so far, there have been no such adjustments. However, all of these figures are subject to change, depending on the auditors' determination. The audit results should be available within the next two months. Ms. Munk reported that the Hospital's cash on hand is approximately $1 million, and the Hospital now has $98,900 in funded reserves. This reflects a dramatic improvement in the hospital's cash flow over the last year. Accounts receivable for the year is $2.4 Million, compared to $2.6 Million for last year. The Medicaid rate for the facility has been determined, and will go into effect on July 1. The inpatient acute rate is 77.90 %, down from 81.10% last year. The ICF reimbursement rate is $312.48, up from $291.18 last year. The expected impact of these adjustments is a gain of $128,000. CHAMPUS has converted its payment for certain outpatient procedures to APGs (Ambulatory ArK Payment Groups). APGs are fixed payments, which amount to fractions of the previously paid rates for these procedures. Additionally, these APGs are not geographically adjusted, so high cost areas such as Kodiak are harder hit than others with this payment type. The Hospital's 6% rate increase recently approved by the Borough Assembly in the FY 1996 Budget is being implemented with Evalurate software. This package optimizes charges to get the best reimbursement, and helps make up for the revenue shortfall when the percent figure is plugged in. OLD BUSINESS None. NEW BUSINESS A. Procedural Rules and Order of Business. The Board discussed the need to clarify the Board's powers and duties, and reviewed a Mental Health Center Advisory Board document HOSPITAL ADVISORY BOARD MINUTES July 12, 1995 -2- outlining meeting procedures and Board ethics. The Hospital will prepare new Board j notebooks, containing all pertinent information for Board members. B. Compacting /Native Health. The Board discussed the possibility of developing a managed care proposal to market the Hospital's services to natives. The time is ripe for such a proposal. Changes under "compacting" will allow them to choose their health care providers, and shop around for the best price. A mailing for Kodiak Island natives is being prepared, which will inform them of the hospital's available services. Mr. Myers related that LHS's Managed Care Division will be tasked to assist the hospital in developing such a proposal, without charge. Dr. Burnside expressed concern about the potential conflict such a move might cause with KANA. Mr. Grimm opined that the Board would be remiss not to advise the Hospital to at least examine any opportunity to improve the Hospital's financial position. The Board further discussed the issue, and agreed by a raise of hands to support the development of a proposal. ADMINISTRATOR'S REPORT Mr. Myers reported that Judy Trousil has been selected to succeed Brent Barrows at the Foundation, in a newly created position - Director of Community Affairs. This position will combine the duties of both Brent and Donna Bell, as well as some public relations responsibilities for the Hospital. To avoid a conflict of interest, Judy will resign from the Advisory Board. BOARD AND AUDIENCE COMMENTS Pam Foreman invited the Advisory Board members to attend the Hospital's annual employee picnic on July 15 at the Buskin Beach House. ADJOURNMENT The meeting was adjourned at 8:00 p.m. Recorded by Donna Milan." TM 3 .T. 13 1995 Appro ed, Advisory Board Secretary HOSPITAL ADVISORY BOARD MINUTES July 12, 1995 -3- 9, I CJ MEMORANDUM TO Jerome Selby, Mayor Mary Monroe, Presiding Officer Pam Freeman, Kodiak Island Hospital FROM Donna Smith, Borough Clerk DATE April 4, 1995 SUBJECT Betty Springhill ---------------------------------------- Betty Springhill was a strong advocate of health care for the Kodiak Island Borough. She served on the following: Hospital & Health Facility Advisory Board Chairman 1992 -1995 Member 1986 -1991 Ad Hoc Hospital Committee 1993 Bond Propositions Marketing & Steering Committee 1993 Kodiak Island Borough Comprehensive Health Advisory Board Chairman 1972 -1973 Member 1971 Kodiak Island Borough Comprehensive Health Advisory Board Governing Board of Kodiak Island Borough Mental Health Center Secretary 1970 -71 City Council Representative on the Kodiak Island Borough Assembly Oct 1967 - Nov 1970 Presiding Officer of the Borough Assembly Oct 1969 - Nov 1970 Betty may have served on other boards. Our research has been limited to health care boards. Please check with the City of Kodiak, 486 -8636, for city council and other committee activities.