2000-06-21 Regular Meeting~ ,
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idence Kodiak Island Medical Center
A VISORY BOARD MEETIf~~1AKISl.ANDBOROUGN
June 21, 2000 QFFIC~ OF THE BOROUGH CLERX
MINUTES
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Present: Pat Branson, Mark Buckley, William J Foody, MD, Michael Machulsky, Mary
Monroe
Staff Phillip E. Cline, Kate Fitzgerald, Steven Foster, Stan Thompson, Doug
Present: Bruce and Victoria Stuteville
Absent: Gil Bane, Father Fred Bugarin, Gretchen Saupe, Wayne Stevens
CALL TO ORDER:
With a quorum present, the meeting was called to order at 1900.
AGENDA:
A motion to approve the June 21, 2000, Agenda was made, seconded, and
carried.
MINUTES: '
A motion to approve the April 19, 2000, Minutes was made, seconded, and
carried.
ACTION ITEMS: None
OLD BUSINESS:
A. Discussion of need for Board Public Relations Committee:
The need for a Board Presence on the Public Relations Committee
was discussed with Pat Branson requesting the discussion be revisited
at the next meeting when Wayne Stevens returns.
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B. Presentation Re: Magnetic Strip Card -Steve Foster
Mr. Foster presented the data he gathered on the installation and use
of a strip card system. The technology is currently not supported by
the PKIMC CPSI System and so it is not currently feasible as the initial
outlay, outlined in Mr. Fosters report would be approximately $40,000
and a cost of $15,000 for the ensuing years. Steve advised that he
expects that CPSI should support the technology in the next two years
and the issue can be revisited then.
C. Presentation on Installation of Toll Free #. -Steve Foster
Mr. Foster presented data gathered on the feasibility of installing a toll
free line. Data shows that another trunk line would need to be
installed at a cost of approximately $1200 per month. The charge for
toll free calls would be approximately $.18-.20 per minute.
Mr. Cline noted that our market is primarily local and may not have
need of a toll free number.
Mr. Machulsky noted that those leaving the town area for the summer
may have need of a toll free line. Mr. Machulsky also noted that the
charge of $1200 per month that PTI quoted does not seem accurate.
That charge may be only an initial outlay.
Mr. Foster will revisit the numbers with MIS and PTI and report at the
next meeting.
NEW BUSINESS:
A. Presentation of Physician Needs Assessment -Aron Wolf, MD
The presentation was given at the Special Medical Staff Meeting this
morning and was well received by the Doctors in attendance.
The report was reviewed and Dr. Wolf highlighted areas that may be of
future concern. He noted that our medical population is extremely
stable and our local population is young and healthy. He presented to
the Board that the current needs are being well met with a possible
need for a Pediatrician in the near future. He also noted that the
report reflects that the current medical population stability and young,
healthy population may change significantly in the next 5-10 years. A
large percentage of the current medical population will be approaching
retirement age at that time and the young population will be aging.
ACTION: A motion to approve the Physician Needs Assessment was
made, seconded and carried.
' ADMINISTRATOR'S REPORT:
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Mr. Cline reviewed his written report. He specially noted that Dr. Bautista
should be joining Dr. Halter's clinic on or about July 24th. Also reviewed
was the additional reimbursement of $145,000 annually from Medicaid
created by the addition of certain capital costs in the Medicaid
Reimbursement Formula. Mr. Cline noted that this is approximately half
of what was requested but feels that the Medicaid Rate Advisory
Commission has implied that they will not approve any further changes.
They intend now to let the matter rest and possibly revisit at a later date.
Lastly, Mr. Cline noted that the annual audit was completed and he will
make presentation of the Borough's half of the annual net income for
FY99 at the next Borough Assembly Meeting.
The Board reviewed the attached draft agenda for the ASHNHA Annual
Meeting in September. Mr. Buckley stated that he will be attending and
Mr. Machulsky offered to participate in development of a package for the
auction that takes place then also.
COMMITTEE REPORTS:
' Vice-Chief of Staff - Dr. Foody:
Dr. Foody reported in Dr. Jensen's absence that all Medical Staff
Members have been very busy. There were no problems to report.
Financial Services -Steven Foster:
Gross Inpatient Revenue: $428,837
Acute Inpatient Days: 207
Outpatient Revenues: $854,108
ECF Revenue: $3441 favorable to budget
Gross Patient Revenue: $1,509,010
Operating Expenses: $1,283,470
Net Revenue (expense): ($7,169)
A/R days: 69.4
Cash collected: $3,065,420*
Balance Sheet -Fund Balance Change: $217,661.95 from prior yr.
Inter-Affiliate Loan Interest Payment $66,888
*Note -Received Medicaid Pro-Share Payment on 5/19/00 of
$1,795,918. PKIMC deposited back to Medicaid $1,616,327 on 05/22/00.
PKIMC Net Pro-Share Payment was $179,591.
Patient Care -Kate Fitzgerald:
Ms. Fitzgerald reported: 1. The average daily census has increased and
with the nursing shortage all have been very busy. 2. The entire Patient
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Care Team has made some great saves on two critical patients. 3. The
Lifeline Program that Ms. Branson inquired about that allows some
patients to remain home with direct line to call for care if necessary is
moving forward and should be on line in July. It was previously handled
out of Providence Anchorage but now will be handled here. There are 3
persons currently waiting for this program. 4. A VA inspection of the Care
Center was done and passed with flying colors. 5. PKIMC began the
summer needing to replace 6 nurses. We now have two temporary OR
nurses and are recruiting two permanent OR nurses; alt other nursing
needs have been met. 6. Pat Thorn, previously a nurse at PKIMC has
come back to work for the summer. 7. The nursing program at the college
is moving forward with 7-8 students. Two PKIMC nurses, Ronda
Holcombe and Barb McClean will be Clinical Instructors.
Facilities -Stan Thompson:
Stan reported: 1. Alan Verbitski has been appointed as the new Borough
Engineer. He is on vacation and will not be here for some time. Plans for
the outside landscaping may have to be postponed until next year, as it
will be too late in the season to plan this when he arrives. 2. There have
been a number of personnel issues in Housekeeping of late. The
Housekeeping Department Manager is now back on '/Z time from medical
leave which has helped but they are still short staffed. 3. The new
flagpole, graciously donated by Tom and Suzanne Ellis of PKIMC, as a
memorial, is now installed and only awaiting spotlights which should be
here and installed in July. 5. Maintenance has been short staffed of late
but will be up to 100% next week when Chris Bishop returns from
vacation. 6. The ventilation problem for the third floor has been solved
with the locating of a butterfly valve that was not on the prints. This valve
has been shut off since the building was built, creating a vacuum.
Correctly setting this valve has created the proper airflow and ventilation
has improved dramatically with less volume.
BOARD EDUCATION: None
BOARD COMMENTS:
Mr. Machulsky: None
Ms Branson: None
Ms. Monroe: Enjoyed the meeting. Especially the exceptional report by
Dr. Wolf. Will there be a meeting in July? Summer is a difficult time to
meet.
Mr. Buckley: Will be gone in July. The remainder of the Board can
determine if there will be a July Meeting. Mr. Machulsky, Vice Chair, will
run the meeting.
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Dr. Wolf should be commended on a fine job on his report.
Mr. Buckley also shared the JCAHO Type I recommendation(s) previously
placed on the accreditation status for the Acute Care Facility of PKIMC
has been removed. We are still waiting for similar letters for the Home
Health and Long Term Care Facilities.
AD,lOURNMENT: There being no further business, the Board adjourned at
2055.
Minutes respectfully submitted by Victoria Bowen Stuteville.
Approved by:
Way A. Steve s
Adv ory Board Secretary
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