2000-09-20 Regular Meeting
t ~
----~--- - - .providence Kodiak Island Medical Center
~,~,r,`I~9~_'~
`.
I+~V 2 2
~ ;.
a
i---.-~,~--~,~... ~_~~
P~c~~~"s:~~ ~C~! f Attu ~~~ IA
L
,., r _ . , i. ~ u
~ ,
ADVISORY BOARD MEETING
September 20, 2000
MINUTES
Present: Mark Buckley, Michael Machulsky, Wayne Stevens, Gil Bane, Pat Branson,
Welby Jensen, MD
Staff Phillip E. Cline, Steven Foster, Kate Fitzgerald, Richard Carstens, Stan
Present: Thompson, and Victoria Stuteville
Absent: Fr. Fred Bugarin, Mary Monroe, Gretchen Saupe
CALL TO ORDER:
With a quorum present, the meeting was called to order at 1905.
AGENDA:
A motion to amend the September 20, 2000 Agenda, deleting. the New Business
Report on the Joint Conference Committee. Meeting and approve as.amended was
made, seconded, and carried.
MINUTES:
A motion to approve the August 23, 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:
L
U:lvstutevi\WORD180ARDSV~DVISORY\MINUTES\0900.doc Page 1
L
P1t sician. ~< ~ ci~l Privite a Re uested
Grace T. Hwan , MD Family Practice Courtesy
Lo an Porter-Crane, MD Family Practice Conscious Sedation
Action: A motion to forward the above credentialling files to the Service Area Board
for review and approval was made, seconded, and carried.
RESOLUTION NO. 092000:
The Resolution urging the Kodiak Island Borough to accomplish deferred capital
projects was reviewed by the Advisory Board and amended for clarification.
Action: A motion to amend the wording of the Resolution for clarification was made,
seconded, and carried.
Action: A motion to approve and issue Resolution No. 092000 as amended was
made, seconded, and carried. A copy is included in these minutes
OLD BUSINESS: None
NEW BUSINESS:
• Introduction of Ancillary Services Coordinator, Richard Carstens
Mr. Carstens presented the Board with a comprehensive introductory report on
the Ancillary Departments that he oversees: the Laboratory, Respiratory.
Therapy, Radiology, and Rehab Services.
He noted in his report that Rehab Services has a new manager-and new
therapist. They are goal setting to bring business back in to them rather than
Arctic Physical Therapy. Occupational Therapist Trish Gartland. received training
last fall in hand therapy and has received many referrals from local physicians.
The Radiology Department has a new CAT Scan and it has become a revenue
center for the department. The physicians are appreciative of the quick turn
around time.
In the Respiratory Therapy Department, both inpatient and outpatient revenues
are up. The department manager, Jeff March has a good relationship with the
staff and physicians and that has helped with referrals.
The Laboratory is working on two proposals that may bring revenue into the
Laboratory and help keep patients on island for care. One proposal is for
equipment that will allow triage of cardiac/chest pain patients so that physicians
U:\vslulevi\WORD\BOARDSV\DVISORYNAINUTES\0900.doc Page 2
can determine if the patient needs to be transported to Anchorage or can remain
here. The second is fetal fibronectin testing as a pre-term labor predictor. The
physicians are very supportive of this test as it will allow them to keep more
patients considered at risk on island and at PKIMC.
The lab continues to review pricing structures and is considering tier pricing to
reduce charges on out patient labs to more competitive levels. They have to
compete with two other labs in town and the reference labs as well.
Lastly, Mr. Carstens reported that he is preparing for the upcoming JCAHO
inspection in August 2001. The lab is inspected every two years while the rest of
the facility is inspected every three years.
• Report on ASHNHA Annual Meeting -Mark Buckley
Mr. Buckley reported that the focus of this year's meeting was Education.
President Hamilton of the University of Alaska was a speaker. Of interest in his
speech he noted that 83°/D of those students who graduate from college in
Alaska remain in Alaska. President Hamilton also advised of a new program for
LPNs. Previously, the University has only provided courses for RNs but due to
demand will now be offering courses for those who wish to become LPNs.
Mr. Buckley reported that during the ASHNHA Meeting he had opportunity to
discuss his concept for an Endowment Fund for a Nursing Program with a
number of people. He would like to raise 2-3 million dollars and then run the
program from the earned interest. Mr. Buckley discussed this concept with
President Hamilton, Becky Parker, President of Providence Alaska Foundation
and JC Rathje, Administrator of Providence at Seward. In discussion with them,
he determined that he can apply to the Providence Alaska Foundation for some
funding and learned that there are also often funds available through- healthcare
related drug, equipment, and insurance companies. He hopes to raise half of
the funds through private foundations and donations and apply for federal
funding for the remainder. Mr. Buckley would like this program to provide
distance delivery of nursing education and allow nurses to move in cohorts
through various Alaska hospitals for specialized training.
Mr. Machulsky also noted that the ASHNHA Trustees Meeting was educational
and had one speaker of note, Joe Flower, who spoke of emerging technology
and how it applies to healthcare.
Mr. Cline noted that a presentation on how to conduct an economic impact study
was of interest and could be applied to Kodiak to underscore the economic value
of the Hospital to the community.
L
U:\vstutevi\WORD\BOARDS\ADVISORY\MINUTES10900.doc Page 3
ADMINISTRATOR S REPORT:
Mr. Cline reviewed his written report:
Mr. Cline noted that the ASHNHA Annual Meeting was one of the most successful
they have had. The Trustees Meeting was informative. The auction was highlighted
by the Kodiak Island Weekend Package, which as a result of the generosity of the
Buskin River Inn coupled with PKIMC's air travel tickets, brought the highest bid.
Dr. Wolf has been instrumental in arranging a meeting with Providence Anchorage
Anesthesia Medical Group and a meeting with James Brooks at PAAMG has been
scheduled for the 26tH
Two audits have been conducted at PKIMC. One of the Business Office, conducted
by Arthur Anderson, and the other on credentialing files managed by Medical Staff
Services and conducted by Dr. Wolf. Both audits confirmed conformance to
requirements.
Lastly, Mr. Cline shared with the Board that new Patient Survey Forms have been
distributed throughout the facility and the response has been both enormous and
positive overall. Many of those surveyed marked that they would
like to be contacted regarding their completed survey. Mr. Cline has been making
those calls in the evening. Those he has called have been very pleased and very
pleasant.
COMMITTEE REPORTS:
CHIEF OF STAFF - Dr. Jensen:
Dr. Jensen noted that the Service Area Board Meeting for the month of September
will be here at the Buskin River Inn and all who can attend are welcome.
The local chapter of AA has advised that they would like to be a presence in the
facility for those members or non-members who would like their support.
The Executive Committee is addressing some credentialing issues. Some
applications do not have all the necessary information because one application is
used for all types of privileging. The Committee is in the process of revising and
refining the applications so that there will be one for each division of the Medical
Staff.
L
U:\vstutevilWORD\BOARDSVaDVISORYIMINUTES\0900.doc Page 4
L
L
L
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:
$497,658
271
$20,481 favorable to budget
$30,363 favorable to budget
$1,514,104 ($187.43 unfavorable to budget)
$237,219 favorable to budget
$1,232,774 ($30,241 unfavorable to budget)
$67,369
69.7
$1,463,245
$ 217,662 from prior year
Notes:
• Net revenue for the month is partially attributable to department managers
controlling expenses while volumes were down.
• The goal for A/R days is 65.
• Interaffiliate Loan Payment of $300,000 was made.
• Audit of the Business Office showed compliance with proper controls in place.
PATIENT CARE -Kate Fitzgerald
Ms. Fitzgerald reported that staffing needs have settled down and only a couple of
nurses are still needed and there are prospects for those positions.
The Nursing Program at Kodiak College is off to a good start; the student nurses will
begin doing some work here at the Care Center in October.
The Lifeline Program now serves 14. They are in the process of ascertaining how
many more units are needed to meet the needs of the community.
A new program has been started in the Care Center called "Company for Lunch"
Volunteers have signed up with Barb Reynolds, Activities Director to be scheduled
to have lunch with a Resident once a month. It is hoped that this will give the
Residents an opportunity to interact with some different people.
Long time volunteer Sister Paula is leaving Kodiak and a Farewell Potluck has been
planned for October 5th at 12pm in the Care Center.
There are plans for a proposal to be made next month to the Kodiak Hospital
Auxiliary for their involvement in raising funds for a roof over the Care Center patio.
U:lvstulevi\WORD\BOARDSWDVISORY\MfNUTES10900.doc Page 5
It was part of the original building plans but was pulled when there were budgetary
concerns.
October is Breast Cancer Awareness Month and there will be a screening/clinic set
in November.
FACILITIES -Stan Thompson
Mr. Thompson noted that he has met several times with the new Borough Engineer,
Alan Verbitski. They have reviewed a long list of items that the Resolution approved
tonight will go towards helping. Mr. Thompson explained that prior to accreditation,
JCAHO was provided a list of "known issues" or items that were out of compliance
but were in the process of being corrected. They were issued a Part IV Statement
and they must complete certain projects within a specified time frame.
Paul Coleman, PHS Director of Regional Technical Support Services and Don
Mcllroy were here to review and update the EOC Manual and prepare updates for
changes that will be required in the future. At this time they also develop the QA
Goals for the coming year. Mr. Mcllroy will be returning this fall to provide additional
training.
Lastly, Mr. Thompson noted several miscellaneous items: Anew sign has been
ordered for Rehab Services. The Fall PM has been completed. The cost of fuel is
starting to reflect in our electric bills and will soon be reflected in the cost of
additional fuel oil for colder winter months.
BOARD EDUCATION: Birth Trends and Healthcare Statistics
Mr. Cline presented the Board with a report showing statistics for births in Kodiak,
specific to PKIMC, in Alaska both overall and native population only, and
nationwide. The statistics indicated an overall decrease in births in Alaska and in
Kodiak. We will continue to monitor these statistics.
The second report provided some informative healthcare statistics. Of particular
interest were the statistics that indicated that out of all 50 states, Alaska has the
lowest rate of inpatient admissions.
BOARD COMMENTS:
Mr. Wayne Stevens: The Rehab Services Department is an exceptional group and
they have good goals set for marketing themselves to the community. Alaska
Physical Therapy is building a new facility and will be more competition than ever.
Also noted that now is the time to look to Senator Stevens to get federal funding.
Mr. Mark Buckley: Very impressive report given by Mr. Carstens and he is very
appreciative of Providence in Anchorage making an effort to keep patients in
Kodiak.
U:lvslutevi\WORD\BOARDSVaDVISORY\MINUTES\0900.doc Page 6
Mr. Buckley also advised the Board that the JCAHO Type I recommendations for
Home Health have been cleared.
ADJOURNMENT: There being no further business, the Board adjourned at 2130.
Minutes respectfully submitted by Victoria Stuteville.
Approved by:
ay A. Stevens
Adv' ory Board Secretary
L
L
U:lvslutevi\WORD\BOARDSIADVISORY\MINUTES\0900.doc Page 7
.-
L
P~r~~F 1~.~~1[~+~ I~~ ~lia~~ Isla~~~i.
1~~di~~l ~r~~~r
Providence Kodiak Island Medical Center
Resolution No. 092000
L
A resolution of the Providence Kodiak Island Medical Center Advisory Board requesting the
completion of specific capital projects.
WHEREAS, a Lease Agreement exists between the Kodiak Island Borough and Providence
Health System of Alaska. Said Agreement became effective April 21, 1997 and leases the
Kodiak Island Borough owned Hospital premises to Providence for 10 years with an option for an
additional 10-year period; and
WHEREAS, the relationship between Kodiak Island Borough and Providence has been most
satisfactory and has exceeded the expectation of the PKIMC Advisory Board as access to quality
healthcare services to Kodiak Island Borough residents has been enhanced by the relationship;
and
WHEREAS, the Agreement stipulates that Providence will become accredited by the Joint
Commission on the Accreditation of Healthcare Organizations and will remain fully qualified as a
provider of services to Medicare and Medicaid beneficiaries; and
WHEREAS, said accreditation and qualification has been achieved and that accreditation and
and qualification are jeopardized unless certain capital projects are accomplished;
NOW, THEREFORE, BE IT RESOLVED BY THE PROVIDENCE KODIAK ISLAND MEDICAL
CENTER ADVISORY BOARD THAT the Kodiak Island Borough be urged to accomplish the
following most urgent capital projects as a minimum by December 31, 2001:
• Completing the Hospital Grounds Project including landscaping and paving the entire
Rezanof side of the facility from the new parking lot to the south.
• Accomplishing roof maintenance on the old hospital facility and placement of
additional snow jacks on the new hospital roof.
• Modifying the emergency generator switchgear for redundancy.
ADOPTED BY THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER
ADVISORY BOARD
ON THIS TWENTIETH DAY OF SEPTEMBER, 2000
Providence Kodiak Island Medical Center
Advisory Board
ATTEST:
Mark Buckley, Advisory Board Chair
Wayne Stevens, Secretary