2000-08-23 Regular Meeting+. s
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Providence Kodiak Island Medical Center
ADVISORY BOARD MEETING ~'~"~I,,~„
August 23, 2000 ~--_ _.._r~, a ____~.a~ F
MINUTES
Present:
Absent:
Staff
Present:
Mark Buckley, Gil Bane, Pat Branson, Fr
Welby Jensen, MD
SEP 2 5.2000
'~;C~~l~~ ISLAltil3 ~CF;OUGH
~`~+ ~E C,= ~~~ ~^s'O~GH CLERK
Fred Bugarin, Mary Monroe,
Michael Machulsky, Wayne Stevens, Gretchen Saupe
Phillip E. Cline, Steven Foster, Pepper Smith, and Victoria Stuteville
CALL TO ORDER:
With a quorum present, the meeting was called to order at 1910.
AGENDA:
A motion to approve the August 23, 2000, Agenda was made, seconded, and
carried.
MINUTES:
A motion to approve the July 19, 2000, Minutes was made, seconded, and
carried.
ACTION ITEMS:
Medical Staff Privileging Review:
The following medical staff requests for privileges are submitted to the Advisory
Board for review and forwarding to the Service Area Board:
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Ph sician 5 ecial ' Privile a Re nested
Leo B. Bustad, MD Cardiolo Courtes
David E. Chambers, MD Cardiolo Courtes
Mark W. Moronell, MD Cardiolo Courtes
Ker Sullivan, DO Radiolo Paracentesis/Thoracentesis additional
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 reminded the Board that the Service Area Board Meeting will be held in
Kodiak on Friday, September 22"d at the Buskin River Inn beginning with lunch at
11:30 with the meeting to follow. Administration will be contacting each Board
Member to confirm whether they will be able to attend.
An update was given to the Board on the status of current litigation. One case
has been settled for the sum of $60,000 with PKIMC unnamed. There is only
one case now pending.
The PKIMC Annual Employee Picnic was successful and Mr. Cline extended
special thanks to Mr. Machulsky and Dr. Jensen for their attendance as Board
Members.
Laraine Derr, CEO of ASHNHA was at the facility on August 16tn and was
impressed with both the staff and facility. Phil also reminded the Board that the
ASHNHA Annual Meeting will take place in Girdwood on September 12tn_14tn
and those who have not already made plans to attend can make their
arrangements through Ms. Stuteville.
Mr. Cline shared with the Board that PKIMC has had a very high level of interest
from physicians in other areas considering Kodiak as a practice site. One
physician and his family have already visited and another is scheduled for later
this month. Two more physicians will be visiting this fall. While there appear to
be no immediate needs, these visits are encouraged in anticipation of future
needs.
Lastly, Mr. Cline advised the Board that a gasteroenterologist visited to discuss
' the possibility of conducting a clinic. The staff physicians are receptive to the
idea and the physician himself. Mr. Cline will address a concern voiced by Dr.
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Jensen that once the physician in question is established in Anchorage he may
not be inclined to continue to provide regular clinics in Kodiak.
COMMITTEE REPORTS:
Chief of Staff - Dr. Jensen:
Dr. Jensen reported that he met with Mr. Cline and Mr. Buckley in quarterly Joint
Conference Committee Meeting. They discussed the current Medical Staff issue
regarding protocols being put in place to address who may be privileged to offer
Elective Breech Deliveries.
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:
$542,140
274
$121,647 favorable to budget
$16,781 favorable to budget
$1,646,369 favorable to budget
$132,079 favorable to budget
$1,286,656
$201,573
72.2
$1,536,188
$217,662 from prior year
Notes:
• Cost Settlement from Medicare of approximately $150,000 resulted in a
13.5% operating margin. Without the settlement it would have been 3.85%.
• Variance from budgeted salaries and benefits of approximately $35,000 is
due to addition of one FTE Physician not budgeted for and 2 Long Term
Employee Bonuses.
• Interaffiliate Loan Payment of $300,000 was made.
Human Resources -Pepper Smith
Ms. Smith advised the Board that the employee health benefit plan has changed
the third party administrator from HMA to EBMS after much review by the
Benefits Committee and M-Team. This change will take place on 9/1/00 with no
change in actual benefits and no lapse in coverage for those already in the plan
with HMA. The service with EBMS appears to be significantly better. Service
complaints were the primary reason for the change from the previous Third Party
Administrator.
The new plan will offer employees a 30°/D discount On services at PAMC that will
help offset the deficit that has resulted from the higher claims activity and claim
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cost than was budgeted for. Additionally, to offset this deficit a rate increase was
Ms. Smith also a reported that recruitment is going well and there are now only 2
full time openings left. One is for an Operating Room RN and the other for an
Ultra Sound/Radiology Technician.
necessary and the premium costs will increase by 36%. Finance and Human
Resources have worked together to implement a Plan 125 that will allow the
premium dollars to be deducted prior to taxes. It is believed that most
employees will see very little change in their net pay by using this method. The
two departments are still researching the implementation of a Full Flex Plan to be
effective 1/1/01. If this is done, a Benefits Fair may be set up in the fall to
introduce employees to the options.
Ms. Smith provided a report to the Board, which reviewed and charted Employee
Turnover, Employee Reasons for Leaving, Percent of Turnover by Department,
and Percent of Employee Evaluations Done On Time, and Length of Time to
Complete Evaluations. The first reports reflect that we still have a high ratio of
Coast Guard spouses as employees and they contribute greatly to turnover. Ms.
Smith is encouraging department managers to consider local employees even
when they are not the first choice. The last two reports reflect a dramatic,
favorable change in compliance with JCAHO requirements regarding timely staff
evaluations.
BOARD EDUCATION: KANA Volumes
Mr. Foster presented a brief report on KANA Volumes for outpatient, inpatient,
and ER visits over a three year span from 1998-2000. The report reflects a
significant increase in the percentage of KANA patients who are referred here for
treatment instead of ANMC. This increase is attributed to a good working
relationship with both the KANA Medical Staff and KANA Administration. Dr.
Jensen noted that it is KANA reserves that must be used for KANA patients to be
treated here versus federal funds that are available when treatment is provided
by ANMC.
BOARD COMMENTS:
Dr. Gil Bane: Pleased with the good group of students beginning the nursing
program at Kodiak College and feels that it will contribute to nurses being
available from the community in another 1-1/2-2 years.
Ms. Mary Monroe: Would like to take note of Thomas Goldston's special effort
on the Fire District Task Force. He has been very helpful. She also appreciates
the nice job Phil does on the reports here and to the Borough.
Ms. Pat Branson: Would like to second Ms. Monroe's compliment s on Mr.
Cline's reports. They are consistent and calming. Additionally she added that
she is very impressed by the anonymous donation that was received from a
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recent patient who cited the quality of the staff as the reason for the generous
contribution.
Mr. Buckley: Noted the "Letter to the Editor" from a new staff member regarding
the quality of PKIMC staff. It was great to see.
ADJOURNMENT: There being no further business, the Board adjourned at
2030.
Minutes respectfully submitted by Victoria Stuteville.
Approved by:
A. Stevens
ry Board Secretary
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