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1990-03-28 Regular Meeting,. � C CEIVED 6,gp ISLAND BOROUGH ERK'S OFFICE KODIAK ISLAND HOSPITAL ADVISORY BOARD REGULAR MEETING, WEDNESDAY, MARCH 28, 1990 I. CALL TO ORDER: 7:03 PM. ROLL CALL: PRESENT: Chairperson Betty Springhill, Gretchen Saupe, Jeannie Volker, Ben Ardinger, Lorne White, Dr. Jon Hlavinka; absent: Wayne Stevens; also present: administrator John Salness, staff accountant Keith Vorachek, director of nurses Kate Fitzgerald, LHS Mgt. President Tom Mingen, LHS Mgt. Finance V.P. Al Rieners. II. AGENDA: Lorne White moved, Gretchen Saupe seconded to accept. ALL IN FAVOR. MOTION PASSED. III. MINUTES 1.- 3/14/90 Regular Meeting: Gretchen Saupe moved, Ben Ardinger seconded to accept. ALL IN FAVOR. MOTION PASSED. IV. PRESENTATIONS A. Pharmacy, by John McEntee. John has been pharmacist for KIH since July, 1989, from Colorado. Referring to, a handout, he gave his work background, described his present Job --challenges and goals. B. Medical Records, by Corlene Hogg. A handout describing department functions was distributed. Corlene summarized the functions of the department. V. NEW BUSINESS A. Tom Mingen Report. Tom reported LHS Mgt has become involved with ambulatory care. Also reported LHS hired a DON consultant to assist with DON's in the field and with recruitment. The purpose of this visit was to conduct in depth meeting'with administrator & staff accountant on operations. Al Rieners reported 3 major areas of the business office which had recommendations by internal auditor: accounts receivable; data processing; organlzation of the business office. Final audit report expected in about 1 week from this date. Group discussion on medicaid rate setting. KIH is 1 of 7 Alaskan facilities suing the state on this issue. VI. OLD BUSINESS A. C.A.T. Scan. Still in planning process at Borough. C.A.T. scan will be stored in Seattle until building t'eady. B. Smoking Policy. Medical staff accepted the policy this morning with one change - no smoking permitted in pt room. Policy goes into effect April 30th. MOTION: Lorne White moved, seconded by Gretchen Saupe to have a totally non-smoking facility. No further discussion. ALL IN FAVOR. MOTION PASSED. r r Advisory Board, March 28, 1990 Page 2 E Mr. Salness stated a visiting physician/surgeon will be here this weekend. Dr. Alvarez is gone for one week and have locum tenens. Washer/Dryer: John asked for motion. Lorne White asked to be excused; gave update on hospital bill before leaving at 8:06 pm. Hospital bill held up in State Affairs Committee. VII. ADMINISTRATOR REPORT A. Financial & Stats. Patient days down in February because surgeon was gone. Financially a "solid" mont;i, running closed to budget. Have two empty care center beds. Discussed financial summary and board approved of it. VIII. BOARD COMMENTS Gretchen: None. Jeannie: None. Ben: Requested amount of money received from KIB; Keith will get figure. Asked for update on hospital plans. Mr. Salness replied John Rigdon was up here and made suggestions to cut costs to make it acceptable to state. Rigdon suggested to shell in care center until federal program parameters fully understood (Obra -87), and keep laundry & dietary here. John furtherexplained building changes made in attempt to cut cost/square foot. Dr. Hlavinka: Glad of medical staff support of smoke free facility. Stated re/ER physician, we are using a series of locum tenens over next few months, and hope by summer we will have a set group of ER physicians. Betty: Asked for pt evaluations - received. Asked re/travel agency requirement in policy - this was changed to local agencies. Kate Fitzgerald gave report on nursing: stated staff teamwork is good. Losing about 4 or more nurses this spring & summer. Biggest concern - lack of housing for recruited nurses. IX. AUDIENCE COMMENTS. None. X. ADJOURNMENT: 8:36 p.m. Recorded by Beth Stohl-Reiland. �v Betty pr' ghi Chairpersonor-be iWhite, Secretary