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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