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2000-07-19 Regular Meeting~~ ~ L L .~ Present: Staff Present Absent: Providence Kodiak Island Medical Center ADVISORY BOARD MEETING ~,°r~~h=- July 19, 2000 ~ _ __.~_~ _.,~.. F ~~ SEP 2 5 2000 MINUTES r i ,p __ I~ 1 i Pat Branson, William J. Foody, MD, Michael Machulsky, Gretchen Saupe, Wayne Stevens Phillip E. Cline, Kate Fitzgerald, Steven Foster, Thomas Goldston, and Victoria Stuteville Doug Bruce, Mary Monroe, Gil Bane, Mark Buckley, Fr. Fred Bugarin, Welby Jensen, MD CALL TO ORDER: With a quorum present, the meeting was called to order at 1905. AGENDA: A motion to approve the July 19, 2000, Agenda was made, seconded, and carried. MINUTES: A motion to approve the June 21, 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: U:\vstulevlWORD180ARDSWDV ISORWu11NUTES\0700.doc Page 1 - ,a L Ph sician S ecialt Privile a Re uested Geor a Rh Weer, MD Cardiolo Courtes Paul A. Peterson, MD Cardiolo Courtes William P. Ma er, MD Cardiolo Courtes Thomas K. Kramer, MD Cardiolo Courtes John C. Finle , MD Cardiolo Courtes Richard Anschuetz, MD Cardiolo Courtes Thomas H. Solenber er, MD OB/GYN/Famil Practice Conscious Sedation Ste hen S. Burnside, MD Internal Medicine Conscious Sedation Seven W. Smith, MD Famil Practice Conscious Sedation Robert L. Pulliam, MD Cardiolo Courtes David Sonneborn, MD Internal Medicine/ Cardiolo Courtes Colleen Cou hlin, MD Internal Medicine/ Cardiolo Courtes Jan Whitefield, MD OB/GYN Courtes 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: A. Representation on PKIMC Public Relations Committee -Follow-up Dicussion. ' Mr. Stevens noted that there is no longer an ongoing involvement by the Board in the area of Public Relations and suggests that a Board presence on the Public Relations Committee might be appropriate. Ms. Branson volunteered to sit on the Committee which meets quarterly. ACTION: Mr. Machulsky, Advisory Board Vice Chair, appointed Ms. Branson to the Committee. B. Response to Questions: Installation of Toll Free Number -Steve Foster Mr. Foster presented revised figures for the cost of installing a toll free number. The figure originally quoted of $1200 per month for an additional trunk line is changed to a one time set up fee of $1200. The cost for calls received would be $ .18-.23 per minute. Mr. Foster noted that the Physician Needs Assessment data shows that 99% of our patients are from the local Kodiak area. Patients seeing specialists in the Specialty Clinic are contacting those physicians on their toll-free numbers. PKIMC is meeting the needs of patients without the installation of a toll free line. NEW BUSINESS: None U:lvstutevi\WORD\BOARDSV~DV I S O RYUA INUTE S\07('10. doc Page 2 . `~ ADMINISTRATOR'S REPORT: Mr. Cline reviewed his written report: Six "Listening Post" meetings were held in June, offered three times per day to provide a forum for all staff members to ask questions, offer suggestions and criticisms and learn about PKIMC operations and strategies. Further meetings have been deferred until December due to low attendance. Phil's 4:00 am visit with staff members was successful and those will continue to occur every quarter. Mr. Cline advised the Board that ethicist, Jan Heller, Ph.D., recently appointed Director of the System Office for Organizational Ethics gave a presentation to our Ethics Committee that was informational and well received. An update on the status of Pain Clinic services was given. Dr. Roderer, a candidate for providing future Pain Clinics was unable to come to Kodiak on July 13th to view the facility and meet with physicians but has rescheduled for August. Lastly, Mr. Cline advised that a meeting with two local dentists interested in performing oral surgery in our operating suites went well. One of the dentists is already credentialed and the other has begun the process. They hope to begin handling some surgeries here within the next 60 days. COMMITTEE REPORTS: Vice-Chief of Staff - Dr. Foody: No issues or problems to report. Dr physicians has cleared up some con Clinic Physicians who perform surge proper follow-up care here in Kodiak reimbursement. Financial Services -Steven Foster: . Foody noted that having two employee tinuation of care issues with the Specialty ries here. Their patients can now receive with no concern to the physician regarding Gross Inpatient Revenue: $558,703 Acute Inpatient Days: 296 Outpatient Revenues: $862,065 ECF Revenue: $12,912 favorable to budget YTD Gross Patient Revenue: $105,327 favorable to budget Operating Expenses: $1,355,759 Net Operating Income: $135,170 A/R days: 73.6* Cash collected: $1,109,167 Balance Sheet -Fund Balance Change: $217,661 from prior year *Note: A/R Days were higher due to delayed Medicaid payment caused by close ' " ` of their fiscal year. U:lvstutevilWORD1li0ARDStP.DVISORYWIINUTES10700.doc Page 3 -t Patient Care -Kate Fitzgerald: Ms. Fitzgerald reported: 1. Two new programs for Home Health are up and running. The first is the Pulmonary Rehab Program to be run in the Respiratory and Cardiac Rehab Departments. All physicians have been notified of its availability. Second is the Lifeline Program to be run by Denise Bradbury. The 5 units are here and ready to go for 3 patients on the current waiting list. It has been learned since that there are an additional 5 persons currently on the program through Providence in Anchorage who will be needing services as well. Additional units will need to be ordered to meet the demand. The programs should generate some revenue for the Home Health Department and help to keep staff working more constant hours. Ms. Fitzgerald also reported that both State and Federal Surveyors surveyed both Home Health and the Long Term Care Facility. Home Health had only one deficiency that will be corrected by an annual meeting of the Board as required in the by-laws. The Long Term Care Facility had two deficiencies noted and after much research on the requirements, a POC has been adopted to correct these. Ms. Fitzgerald noted that all surveys are now done for the year. Lastly, Ms. Fitzgerald noted that the Nursing Program at the college begins next month with approximately 8 students and they will be doing a good deal of their training here, starting in the Care Center and then moving later to the acute floor. Community Affairs -Thomas Goldston: Mr. Goldston presented: 1. Updates on current marketing efforts. 2. A review of the planning and development of the KIHCF Gala Fundraiser. The Anchorage Opera will be performing here on August 5th and 6th. Advertising is in place and tickets are being sold. 3. Additionally, Mr. Goldston met with the Chamber Economic Development Advisory Board, conducted Diversity Training, attended the Kodiak Hospital Auxiliary Meeting, the KIHCF Board Meeting, and met with a representative from Denali Kid Care. 4. Lastly reported was that he is still awaiting notification from the Health Resources and Services Administration on the status of the Foundation's Health Care Access proposal. Also a request from the State of Alaska for a proposal to provide outreach and education services to increase utilization of the local Breast and Cervical Cancer Prevention and Early Detection Program is under review. BOARD EDUCATION: None BOARD COMMENTS: Ms. Gretchen Saupe: 1. Advised that previous Board Member, Tom Miller, was in Kodiak and she brought him by the new facility for a tour. Mr. Miller was involved in fundraising for a new facility when he was on the Board. 2. She also advised that former Board Member Jeannie Volker passed away. 3. Lastly she ' requested that the Patient Care Newsletter be added to the Advisory Board Packets. U:lvstulevilWORD1l30ARDSWDVISORY\MINUTES\0700.doc Page 4 ' ~ ~~ L Mr. Wayne Stevens: 1. Thank you to Dr. Foody for attending the meeting in Dr. Jensen's place. 2. Dr. Hammer, of Kodiak College, is very grateful for PKIMC involvement in bringing the nursing program to Kodiak and installation of the nursing lab on campus. 3. Mr. Stevens would like to see a letter of appreciation from the Advisory Board go to the Kodiak Hospital Auxiliary for the new Specialty Clinic furniture and Mr. Cline will draft one. 4. Dr. Lundblad was in Kodiak for a brief visit. 5. The sign outside Physical Therapy needs fixed and Mr. Cline will have that addressed. 6. Will the Board send a remembrance for Jeannie Volker? It was decided that individuals may make donations and Ms. Stuteville will purchase a card to be sent by the Board. Ms. Pat Branson: The KATS Bus will be back. It will be run funded by a grant written by the Senior Center and will be used to meet transport needs of local non-profit agencies. The grant will also require some public transportation be offered so there will be a morning and evening run. There will be a meeting of the non-profits on Tuesday, July 25th to discuss needs and use. Mr. Michael Machulsky: Attended the Service Area Board Meeting yesterday. There are several new members. That Board has begun their Strategic Planning Process but still has a lon~way to go. Kodiak will host the Service Area Board Meeting on September 12 at the Fish Tech Center. ADJOURNMENT: There being no further business, the Board adjourned at 2030. Minutes respectfully submitted by Victoria Stuteville. Approved by: ~/ Way A. Stevens Adv; ory Board Secretary L U:\vstutevilWORD\BOARDSWDVISORY\AAINUTES\0700.doc Page 5