Karuk Tribe of California - Health Board Meeting

October 11, 2007 – Meeting Minutes

 

Arch called the meeting to order at 5:01 pm

 

Sonny read the Health Mission statement aloud for the audience.

 

Present:

Arch Super, Chairman

Leaf Hillman, Vice-Chairman (6:51 PM)

Florrine Super, Secretary

Leeon Hillman, Treasurer

Robert Goodwin, Member

Florence Conrad, Member

Roy Arwood, Member

Alvis Johnson, Member

Sonny Davis, Member

 

Absent:

None.

 

Agenda:

Florrine motioned and Alvis seconded to approve the agenda with changes, 6 haa, 0 puuhara, 0 pupitihara.

 

Minutes:

Alvis motioned and Sonny seconded to approve the minutes, 5 haa, 0 puuhara, 1 pupitihara (Roy Arwood).

 

Guests: Hester Dillon, Grant Writer:

Hester is present to provide further information on radio station possibilities and to seek direction in moving forward. She provided a revised education statement along with a resolution for approval. In order to become eligible for an ATNI grant the education plan along with the approved resolution would need to be applied for. This allows the Tribe to seek 50% of the construction costs affiliated with constructing a radio studio. There must be a match of the remaining 50% which is approximately $214,000. The cost is higher, because there are two communities that are being provided the service. One main studio would be needed although in the documents you must include budgeting for two studios.

 

Arch understands that there have been several discussions several times on the radio station option, and there is enough information to file, but there isn’t enough answered questions on who would be running the radio station, or an accurate estimate of the associated costs. Filing the application is understood; however it is uncertain on how to sustain a person to operate the radio station for three months without funding or a determination of where the funding would come from.

 

The filing deadline opens tomorrow and the complete packet needs to be sent to the attorney. It must be signed on Tuesday if that is when the planning meeting will be scheduled and at the attorney’s office for official filing. The longer it is put off the likelihood of the attorney having time to spend on the Tribe’s application is less. Hester explained that if the application isn’t submitted then there aren’t any costs incurred other than what has already been obligated. The decision will just need to be made in order to apply in a timely manner or to not apply and not submit the application. If there are challenges to the application then the Tribe may have to pay additional attorney fees for defending themselves.

Dr. Burns questioned if this could be held for a period of time and then resold as an investment. Hester explained that it may be re-sold after the three years of proposed operation.   

 

The initial cost for the license is $8,000-$10,000 for legal fees and associated engineering costs. Any additional costs will be brought forth in the event of another person or entity appealing the Tribe’s application. If the license is granted and the Tribe cannot front the costs the only other option would be to apply for the ATNI grant which the Tribe openly admitted that they would seek, also this would require $214,000 matching funds from KTOC if applied for.

Robert questioned when the Tribe would be notified of the license approval once the application is submitted. Hester is unsure of when it will be announced, but believes it will be a lengthy process. This is the only opportunity to file for this license for many years.

Dr. Burns asked if there were any other grants available to include funding for emergency preparedness. Hester believes that it may assist in costs for the radio station, but it is unclear as to how much at this time will offset expenses.  

 

Robert believes that there may be ways to assist in the funding, but if the date passes then the Tribe won’t be able to even consider applying.

 

Arch believes that it will cost the Tribe a lot of funding so there needs to be further discussion on this issue. Discussion was tabled to closed session.  

 

Old Business: none at this time.

 

Directors Reports:

1. Vickie Walden, RDA:

Vickie is present to provide her written report to the Health Board. She reviewed her attached reports on dental visits per provider. Due to computer problems in the month of September the reports may be slightly estimated and not completely accurate. She will include further information next month along with clarification on budgets and hygienist visit numbers.

 

Robert motioned and Leeon seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

2. Lessie Aubrey, DQMCH:

Lessie is present to review her written report with the Health Board. She distributed Performance Improvement minutes and her budget report for the month of October. Lessie is frustrated with the computer issues she has been experiencing and finally Gerry is working on her computer.

 

Her budget update shows that she is projected to be $8,000 over budget and that is not the case. She explained her budget was not adjusted to include salary increases that the Health Board had approved. One line item is under-spent she believes that her budget is fine and will stabilize with adjustments in line items.

 

Laura Mayton explained that the CQI department is relatively her responsibility and the error is really not the scheme of how things work. When supervisors or employees have wage increases it the supervisor’s responsibility to identify the ability within their budget. Laura believes that the supervisors of departments are responsible to ensure their budgets remain stable throughout approvals or expenditures.

 

There will be a strategic planning session for the health program December 10, 2007 at the Yreka clinic from 9-3:30 pm if any Council members would like to attend.

 

The state license has been ready to submit for months, and as soon as the fire inspection is complete it will be submitted. David will contact Kirk Eadie to determine available scheduling to finalize the Karuk Community Health Clinic fire inspection to ensure licensing is completed.  

 

Florrine motioned and Florence seconded to approve Lessie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

3. Joe Snapp, Substance and Alcohol Abuse Program:

Joe is present to provide his report to the Health Board. His budget did not include the CalWORKs grant, but it was received.

 

Joe will be added to the agenda for the planning meeting to provide an education planning update on his departmental staff. There are staff members receiving educational courses and the costs along with proposals should be approved by the Council.

 

Florrine inquired about the DUI application that was formally submitted. Joe explained that it was a nightmare to find in the process, but it is on a desk at the Dept of Drug and Alcohol at this time. There needed to be different forms received and used for the application but he hasn’t received them to date. Martha would like to have Barbara Norman work on this and she will assist to see it through.

 

Florrine motioned and Robert seconded to approve Joe’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

4. David Eisenberg, PHN:

David announced that the grant award for EAPC was received which is $80,000 approximately 6% less than last year. Other programs continue to apply and that affects the distributed amount to the Tribes through the same pot of funding. David is hoping to have this up and running within the next month.

 

The new Yreka Clinic transporter is Francis Snapp and she is working out great.

 

Florence motioned and Florrine seconded to approve David’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

5. Martha Schrock, EDHHS

Martha provided an updated report that included late reports from other staff.

 

Martha provided the third party revenue at just under the $2 million mark. She thanked the Council for the attendance of the National Indian Health Conference and explained that one common theme from the conference was for the Tribe’s not to be subject to Federal match. Martha explained that the theme of this was interesting and she truly enjoyed the conference. Martha felt a movement toward alleviating the Tribe from paying that Federal match. Robert asked if there is work in the political arena to have that reviewed and if there are Tribe’s actually formalizing that endeavor. Martha wasn’t sure but she just felt a movement toward this and there was some championing the cause at the conference. Another initiative was the Nike Native American shoe.  The staff that attended the Nike training in Portland was Delia and June and it was determined that the Tribe may have ability to purchase these athletic shoes and offer them to diabetic patients here in the area.

 

Dr. Hanst is working on the patient satisfaction survey which will be available soon.

 

EHR is moving along, but very cautiously.

 

Martha thanked the Council for their support in the move from the old clinic to the newly remodeled site at the Administration complex.

 

Robert motioned and Florrine seconded to approve Martha’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

6. Chris Kleeman, IT Manager:

Not present, no written report provided.

 

Martha explained that Chris is out of town, but may show up later.

 

7. Patti White, Database Administrator:

Patti is present to review her report and provide an update. The Karuk-f server crashed this week. The IT department is working hard on this to correct it, but there are several more issues to get the system up and migrating staff to a new server.

 

Patti has one action item. It is an agreement with CRIHB as a contractor for epidemiology to share data every month.

 

Robert motioned and Florrine seconded to approve agreement 08-A-001, 7 haa, 0 puuhara, 0 pupitihara.

 

Florrine motioned and Robert seconded to approve Patti’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

Closed Session:

Consensus: to uphold the CHS denial and deny at the Health Board level as well.

 

Robert motioned and Sonny seconded to reinstate employee # 1017 and pay lost wages while on leave. Also, the EDHHS, the Chairman and possibly the Council Secretary shall meet with employee to evaluate further training possibilities and to mentor supervising. For a period of time it is suggested that the EDHHS and available Council members attend staff meetings.

 

Robert motioned and Leaf seconded to approve resolution 07-R-138, 8 haa, 0 puuhara, 1 pupitihara (Florence Conrad).

 

Consensus: to move Wednesday planning meeting to Tuesday to ensure a quorum.

 

Consensus: to table loan request from Tribal Member # 3539 to the Tuesday planning meeting.

 

Robert motioned and Leaf seconded to approve an amount not to exceed $13,000 from Council Discretionary to offset wages of employee #3770. Employee hours shall be reduced and funding allowable up to December 31st, 2007, 8 haa, 0 puuhara, 0 pupitihara.

 

Roy motioned and Florence seconded to approve resolution 07-R-147 enrolling ten new members, 8 haa, 0 puuhara, 0 pupitihara.

 

Robert motioned and Alvis seconded to approve resolution 07-R-146 dis-enrolling one Tribal Member, 8 haa, 0 puuhara, 0 pupitihara.

 

Robert motioned and Leaf seconded to approve out of state travel to Wisconsin for Sonny Davis, 7 haa, 0 puuhara, 1 pupitihara (Sonny Davis).

 

Consensus: to table loan request from Tribal Member # 1884 to the Tuesday planning meeting.

 

Robert motioned and Florrine seconded to approve credentialing and privileging for Nikki Hokanson and Dr. Willett, 8 haa, 0 puuhara, 0 pupitihara.

 

Directive: shall be issued to employee # 1051. He shall provide an update regarding fee to trust consortium. Also, at the upcoming meeting he shall provide a position on behalf of the Tribe regarding issues with fee to trust consortium.  The Council would like him to go and to deliver the position and obtain support for it and get other folks to sign up and join in to move forward. Leaf wants him to have something in hand to have the issues identified. Employees shall provide an update to the Council on Tuesday to report what they have done to prepare for this. The position paper must be drafted and employee #8628 and #1051 will work on this with employee taking the lead. Someone will be accountable for the paper.

 

Consensus: to have attorney attend the Tuesday meeting for a ½ hour update on current cases and the status of them. At this time she shall provide feedback of KTHA attorney language.

 

Consensus: for the Chairman to review CILS court matter.

 

Consensus: to deny loan to Tribal Member # 1987, based on sufficient services rendered.

 

Robert would like an acoustical engineer for building to review suggestions on improving sound during closed session.

 

Next meeting date: November 8, 2007 to begin at 3 PM.

 

Florence motioned and Florrine seconded to adjourn meeting at 9:10 pm, 8 haa, 0 puuhara, 0 pupitihara.

 

 

 

Respectfully Submitted,

 

 

________________________________

Arch Super, Chairman

 

Recording Secretary, Barbara Snider