2000-10-18 Regular Meeting
,_ ~I:CENED
r
ooc 2 e ~
KO!?I~~ ISLAA~D EOROUGH
Cj ri~,'~ Ur T;iE ~~ROG'GH CLERK
idence Kodiak Island Medical Center
DVISORY BOARD MEETING
October 18, 2000
MINUTES
Present: Mark Buckley, Wayne Stevens, Gil Bane, Mary Monroe, Gretchen Saupe ,
Welby Jensen, MD
Staff Phillip E. Cline, Thomas Goldston, and Victoria Stuteville
Present:
Absent: Michael Machulsky, Fr. Fred Bugarin, Pat Branson
L
CALL TO ORDER:
The general meeting was called to order at 1907 with all action items postponed on
the agenda until the presence of a quorum was established.
MINUTES:
A motion to approve the September 20, 2000, Minutes was made, seconded, and
carried.
ACTION ITEMS:
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:
(~
Ph sician S ecial Privile a Re uested
Heather Preece, 1tD Nutrition/Dietetics Additional Privileges:
Clinical Nutrition Services
Prenatal Lactation Education
Inpatient/Outpatient Lacatation Support
Services
Marciano David Bautista, DO Famil Practice Active Staff ( rovisional)
Alisa M.L. Hide , MD Famil Practice Active Staff rovisional)
U:lvstutevilWORD1B0ARDSWDVISORY\MINUTES\1000.doc Page 1
l
L
L
L
.l
Action: A motion to forward the above credentialling files to the Service Area Board
for review and approval was made, seconded, and carried.
OLD BUSINESS: None
NEW BUSINESS: None
ADMINISTRATOR'S REPORT:
Mr. Cline reviewed his written report:
Mr. Cline advised the Board that he had been contacted by the ASHNHA Political
Action Committee for his input on which candidates would best support our issues.
It was determined that ASHNHA would provide contributions to local candidates
Alan Austerman and Gary Stevens. The contributions will be forwarded to our
facility to deliver.
Mr. Cline noted that flu shots are available to all Board Members at no charge by
contacting Ilva Fox in Infection Control.
Mr. Cline shared with the Board that Jeani Mountain, Director of Health Information
and Medical Staff Services is moving away. Her last day at PKIMC will be
November 22"d
Mr. Cline updated the Board on the Resolution that was approved at the last
meeting. It was signed and forwarded to the Kodiak Island Borough Mayor. Mr.
Cline has spoken to the K.I. Borough Manager regarding the Resolution and with a
successful election recently completed the Kodiak Island Borough Assembly is now
working on strategies to address the issues brought forth in the Resolution. Mr.
Jerome Selby was down last week to look at the old drawings for the East Side
parking lot and landscaping project and discuss ways to downscale and reduce the
cost of the Project. The revised drawings were discussed with Manager Jensen with
the expectation that the reduced costs will accelerate the process.
COMMITTEE REPORTS:
CHIEF OF STAFF - Dr. Jensen:
The Service Area Board is addressing credentialing costs. Dr. Jensen noted there
is a charge to the physician or other allied health professional at PAMC but that we
currently do not charge for credentialing here. There is a cost to our facility
associated with all credentialing. The rate for each type of credentialing could be
based on the number of credentialing documents required. They will be soliciting
recommendations for charges and determining how much, if any of the cost the
facility will absorb or pass on.
U:\vstutevi\WORDIBOARDSIADVISORrwuNUTES\1000.doc Page 2
L
L
L
FINANCIAL SERVICES -Phil Cline (for 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:
$571,985
297
$25,030 favorable to budget
$11,514 favorable to budget
$1,574,330 ($60,037 favorable to budget)
$297,257 favorable to budget
$1,323,352 ($120,792 unfavorable to budget)
$154,095
73.7
$1,817,161
$ 217,661 from prior year
Notes:
• Net revenue for the month is partially attributable to a Medicaid Pro-Share
Payment on 9/26/00 of $718,367. PKIMC deposited back to Medicaid $646,531
on 9/26/00. PKIMC Net Pro-Share Payment was $71,836.
• The goal for A/R days is 65. The increase in A/R Days is partially attributable to
carry-over from bringing the self-pay accounts back in house.
• Account Receivables over 90 days holds at 30% or less of the total amount.
• Interaffiliate Loan Payment of $200,000 was made in October.
COMMUNITY AFFAIRS: Thomas Goldston
Mr. Goldston reviewed his written report.
The Fall Edition of the Healthy Times has been well received. There was one article
addressing the financial growth and stability of the Hospital as anon-profit. It is
hoped the article will help educate the community on the Hospital as anon-profit
entity.
A draft brochure on the Specialty Clinic has been completed and forwarded for
printing.
The City/Borough Fire Consolidation Task Force did not achieve their goal of
consolidation but have forwarded their findings to the appropriate governing bodies.
A new Work Force Investment Council has been formed and Mr. Goldston is a
member. They will be working on addressing the vocational needs of displaced
workers.
The Public Relations Committee will meet when Pat Branson returns.
U:\vslulevi\WORD\BOARDSWDVISORY\MINUTES\1000. doc
Page 3
a
BOARD EDUCATION: Health Sector Impact Analysis
BOARD COMMENTS:
Mr. Cline presented a preliminary report on the impact the Health Sector, including
PKIMC and local physicians, dentists, etc. has on the community. The preliminary
results are based on estimated figures and the process is being refined. The report
shows that the Health Sector has a substantial economic impact on both
employment and incomes locally.
Gretchen Saupe: The Cancervivor Group will be hosting a "Naturalpath" speaker
from 2-4 p.m. on Saturday and Sunday. The speaker's emphasis is on natural
treatments available in addition to traditional healthcare approaches.
Wayne Stevens: Questioned how the physicians are dealing with the CPSI charting
that they found "too tough" when brought on line a year or so ago. Mr. Cline noted
that the issues the physicians were having were addressed and Dr. Jensen noted
that there have been no recent complaints.
The Assembly Elections are over and they are now dividing into work groups.
Mary Monroe: We should be thankful for how well things are going. The QI Meeting
showed patient satisfaction is high.
The Economic Impact Study is much appreciated.
Mark Buckley: Suggest that all members receive a subscription to Trustee
Magazine. All agreed and Ms. Stuteville will order the magazine for all members.
A notice from JCAHO removing all Type 1 recommendations from the Care Center
has been received. All Type 1's facility wide have been removed.
It is time to think about expiring terms for Advisory Board Members. There are two
members with terms expiring. One is Gretchen Saupe and the other Gil Bane.
Nominating Committees will need to be formed to address this and the election of
new Board Officers.
ADJOURNMENT: There being no further business, the Board adjourned at 2045.
Minutes respectfully submitted by Victoria Stuteville.
Approved by:
~~z.ti
' Way A. Stevens
Advi ` ry Board Secretary
U:\vstutevlWORD\BOARDSV~OVISORYIMINUTES\11x10.doc Page 4