2000-11-15 Regular Meeting_,
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KOOIAR ISLAND BOROUGH
OFflCE OF THE BOROUGH CLERK
dence Kodiak Island Medical Center
VISORY BOARD MEETING
November 15, 2000
MINUTES
Present: Mark Buckley, Michael Machulsky, Gil Bane, Pat Branson, Fr. Fred Bugarin,
Mary Monroe, Gretchen Saupe
Staff Phillip E. Cline, Steven Foster, Kate Fitzgerald, Pepper Smith, and Victoria
Present: Stuteville
Visitors: Marolyn Pedersen, President Kodiak Hospital Auxiliary
Absent: Wayne Stevens, Welby Jensen, MD
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CALL TO ORDER:
With a quorum present, the meeting was called to order at 1905.
AGENDA:
A motion to approve the November 15, 2000 Agenda was made, seconded, and carried.
MINUTES:
A motion to approve the, October 18, 2000 Minutes was made, seconded, and carried.
NEW BUSINESS:
Medical Staff Privileging Review:
The following medical staff requests for privileges were submitted to the Advisory Board for
review and forwarding to the Service Area Board:
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Ph scian S ecal Privle. a Re uested
Melanie Patterson Nelson, MSW On-Call Crisis Evaluation, Mental
Health Consultation Allied Health
Joel Wiersum, DDS Dentist Courtes
Steven J. Com ton, MD Cardiolo Courtes Staff
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Action: A motion to forward the above credentialling files to the Service Area Board for
review and approval was made, seconded, and carried.
Selection of Nominating Committee:
Discussion resulted in the determination that the two Board Members with terms ending are
interested in continuing to serve on the Board for another term. No Nominating Committee
is needed at this time.
Presentation of 2001 Budget -Steven Foster
Mr. Foster reviewed the PKIMC 2001 Budget. His presentation included Market
Challenges, Major Goals for 2001, A Statement of Operations, Capital Budget, and the
Summary.
Market Challenges continue to be the same as the previous year, including personnel
shortages, a downturn in the fishing industry resulting in a significant increase in the number
of uninsured and underinsured, and Balance Budget Act implications.
The Major Goals for 2001 will be to increase Ancillary and Ambulatory revenues through
marketing, pricing strategies and additional services.
Operating Statement -Projected 2001
Gross Patient Revenue: $19,330,604.04
Total Allowances & Deductions: $ -2,929,442.24
Total Operating Expenses $15,603,417.36
Net Revenue (expense) from Operations: $ 947,741.44
Net Revenue (expense) $ 1,017,821.44
The Capital Budget was projected out for the next four years with the 2001 capital needs
identified at $475,238 and $336,660 being allocated. The Borough funds $150,000 of
capital needs annually.
Action: A motion to forward the PKIMC 2001 Budget to the Service Area Board for review
and approval was made, seconded, and carried.
OLD BUSINESS: None
ADMINISTRATOR'S REPORT:
Mr. Cline reviewed his written report:
The Commanding Officer at Elmendorf Hospital, Colonel Gilbreath was on site to tour the
Medical Center and discuss the potential for additional active duty physicians to provide
Clinics as Dr. Ehrnstrom the dermatologist does now. He also advised of an impending
increase in Tri-Care reimbursement.
Dr. Arneson has scheduled his first oral surgery for November 16th. The credentialing for
Dr. Wiersum should be completed shortly and it is anticipated that once the service is
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marketed the volume will gradually increase. The dental staff at KANA has also indicated
an interest.
Dr. Sousa of the USCG Medical Clinic has completed her applications for Alaska licensure
and PKIMC Active Medical Staff Membership. They are being processed now.
As Chairman of the ASHNHA Finance Committee, Mr. Cline attended the Fall Meeting in
Valdez November 1-3. There were presentations on the UAA Nursing Education Programs,
Medicaid Reimbursement, and HIPPA implications. Many attendees were disappointed in
the UAA presentation which reflected a return to the emphasis on training Baccalaureate
and Masters degrees in nursing rather than Associate Degree Nursing. It is believed that
UAA President Hamilton's commitment to a broader nursing education program has not
changed.
Planning for the Pain Clinic is ongoing and it is believed that all credentialing will be
accomplished and the first Clinic will be set by early January.
COMMITTEE REPORTS:
FINANCIAL SERVICES -Steven Foster:
Gross Inpatient Revenue:
Acute Inpatient Days:
Outpatient Revenues:
ECF Revenue:
Gross Patient Revenue:
YTD Gross Patient Revenue:
Operating Expenses:
Net Operating Revenue (expense):
A/R days:
Cash collected:
Balance Sheet -Fund Balance Change:
$ 729,471
364
$ 9,973 favorable to budget
$ 26,892 favorable to budget
$1,732,138 ($217,843 favorable to budget)
$ 515,100 favorable to budget
$1,326,231 ($123,669 unfavorable to budget)
$ 2,259
70.4
$1,492,531
$ 217,661 from prior year
Notes:
• A/R days are down
Higher than budgeted Operating Expenses due in part to high volume and unbudgeted
reserves for authorized employee bonus.
PATIENT CARE ADMINISTRATION -Kate Fitzgerald
A presentation will be made by Kate and Stan Thompson on Saturday, November 18~' to the
Kodiak Hospital Auxiliary to request their support in gathering funds to transform the outside
deck of the Care Center to a solarium. It will create more space for the Residents and will
allow for some more freedom of movement for the wandering patients.
The Lifeline Program is doing well. There are 12 units out and in use. They have a total of
15 and more can be ordered if the need increases. A couple will be kept in reserve in case
of damage to a unit in use.
A Breast and Cervical Clinic was conducted and was well received. Approximately 28
women were served.
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' A technician came over for several days to the Lab and audited charts, reviewed
compliance issues and provided some training. The Lab audit went well and compliance is
good.
Lastly, a very young patient was brought in needing a cast from the waist down. The
Medical Center did not have the proper table to allow Dr. Panzarella to do the cast but in a
very short time from a drawing made by Dr. Panzarella, Stan Thompson had one built for
their use. All involved were extremely appreciative.
HUMAN RESOURCES -Pepper Smith
Ms. Smith reported that turnover through October is at 20.9%. The goal continues to be set
at 20%, Ms. Smith stated this is an ambitious goal and will not be achieved this year but
she feels that it is within reach for the coming year.
Evaluations continue to be turned in within the 30=day window. Compliance is at 96.7% and
the JCAHO requirement is 95%. Ms. Smith is currently working on gathering year-end
competencies and Age Specific Requirements.
There have been several personnel issues during the 3`d quarter. Two nurses were
terminated and two department managers have resigned. A third department manager is
relocating with her spouse.
Ms. Smith has dealt with several legal issues as well. One wrongful discharge suit has
been dismissed. Another case involving the Department of Labor requesting FEMLA leave
' be offered has also been dropped. An Unemployment Insurance hearing resulted in no
unemployment being allowed.
Chris Bishop is no longer acting as the AMEA Shop Steward and the immediate past
president, Mary Aguirre has assumed his duties.
Ms. Smith attended training in October on recruitment and retention. Several creative ideas
for recruitment were presented as well as training in their use. Training on personnel law
was also attended and it provided updates from Wage & Hour, new changes in personnel
law including a change in when payment must be made to an employee who resigns with or
without notice or is terminated.
BOARD EDUCATION: Comparative Statistics -Phil Cline
Mr. Cline presented the Board with a report showing comparing statistics for the same 10
months in 1999 and 2000. Most areas showed an increase in 2000.
BOARD COMMENTS:
Ms. Pat Branson: Ms. Branson questioned when the P/R Committee will be meeting and
where. Mr. Cline advised that Thomas Goldston will be making the arrangements and
contacting her. Secondly, there is now a new Borough Assembly and a "Lame Duck"
mayor. It is unknown if committee appointments will be made or if they will wait for a
Mayoral Election. Lastly, there is a clear need demonstrated in Kodiak for an assisted living
program. The Kodiak Senior Center is collaborating with several groups to get this service
provided. They have contacted the KIHA regarding the Heritage Heights apartments and
are currently at an impasse with HUD as to whether it could be used for assisted living as
the building project was funded by HUD. The Kodiak Senior Center has also been
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collaborating with Providence on this project as well. Mr. Cline noted that Providence is
' committed to having some role in an assisted living program in Kodiak.
Mr. Mark Buckley: Pat Branson should. be commended for her comments and work on
assisted living. The plans for an endowment fund and nursing scholarship are going
forward. Happy Thanksgiving.
Ms. Marolyn Pedersen: Very impressed with staff and the Boards work.
Gretchen Saupe: Phil did a nice job at the Cancervivor Meeting. Advised that she got a
CAT Scan/Bone Density check and would recommend it for all seniors.
Mr. Michael Machulsky: Questioned whether we would be able to keep both Pat Branson
as the Board Assembly Representative and still have Wayne on the Board as he is now also
on the Assembly. Ms. Branson advised that it will not be an issue and both can remain.
ADJOURNMENT: There being no further business, the Board adjourned at 2130.
Minutes respectfully submitted by Victoria Stuteville.
Approved by:
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' .Stevens
Wayn A
Advi ry Board Secretary
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