Karuk Tribe of California – Health Board Meeting

April 10, 2008 – Meeting Minutes

 

Meeting called to order at 3:03 PM by Arch Super, Chairman

 

Present:

Arch Super, Chairman
Leeon Hillman, Treasurer (3:31 pm)

Florrine Super, Secretary

Florence Conrad, Council Member

Roy Arwood, Council Member (3:16 PM)

Alvis Johnson, Council Member

Sonny Davis, Council Member

Robert Goodwin, Council Member (3:21)

 

Absent:

Leaf Hillman, Vice-Chairman

 

Health Mission statement was read aloud for the attendees by Florence Conrad.

 

Agenda:

Florrine Super motioned and Sonny Davis seconded to approve the agenda with changes, 5 haa, 0 puuhara, 0 pupitihara.

 

March 13, 2008 Meeting Minutes:

Florence Conrad motioned and Florrine Super seconded to approve the health board meeting minutes of March 13, 2008, 4 haa, 0 puuhara, 1 pupitihara (Alivs Johnson).

 

Guests:

1. David Tripp, Jump Dance Council: (3:05 – 3:07 PM)

David thanked the Council for their support over the years of the Karuk Jump Dances. He is present to seek assistance for the 2008 dance season. He provided an outline of the costs which include outside restroom rentals, vehicle rentals and general supplies. The amount requested is $7,000. Laura explained that the funding for this request is generally paid from the State Indian Health Program funding $7,000 may be allocated at this time.

 

Florrine Super motioned and Sonny Davis seconded to fund the 2008 Jump Dances in the amount of $7,000 from State Indian Health funding, 5 haa, 0 puuhara, 0 pupitihara.

 

He stated that he ahs been appointed to two state organizations. He will specifically be working on state disability, and if there are any issues he will be willing to hear those issues and move them forward

 

2. Holly Hensher, Parent: (3:07 – 3:12 PM)

Holly presented information on two students that have won their division for the recent History Day projects. The two teams will be representing Humboldt County May 8-11, 2008 in Sacramento. Students and parent registration fees along with lodging food and travel costs are needed. Holly is asking for a total of $500 for the travel for five children.

 

Florence Conrad motioned and Sonny Davis seconded to approve the $500 request to support the five students and families travel to Sacramento CA., 5 haa, 0 puuhara, 0 pupitihara.

 

Old Business: None at this time.

 

Director Reports:

1. David Eisenberg (3:12 – 3:19 PM)

David provided his written report to the Council. Out of state travel for a wellness conference was already approved for Robert Attebury at the Council’s Wednesday planning meeting and David thanked the Council for that approval.

 

On the diabetic grant there is under-spending on the medication line item. He has spoken to Anna Myers regarding this and it is obligated to date, but CHS may have to oversee the spending on medications within CHS.

 

David provided graphs to the Council on the audit that he performed regarding the GPRA and Diabetic audit. The graphs show improvement for the health program which identifies better service to the patients. The numbers identify reaching goals, exceeding goals and in some instances needing improvement. David is happy with the staff’s successes thus far.

 

David is working with Arch on a power point for Arch’s trip back East for a Self-Governance conference. David’s idea is to include the Tribal photos regarding their projects and other services that have been offered in the communities thus far.

 

Roy Arwood arrived at 3:16 PM

 

Florence inquired about the bunny hop in Yreka. David explained that it has taken place and it was a success with about 30 people in attendance.


Alvis Johnson motioned and Florence Conrad seconded to approve David’s report, 5 haa, 0 puuhara, 1 pupitihara (Roy Arwood).

 

2. Lessie Aubrey, DQMCH (3:19 – 3:24 PM)

Lessie provided updated material to her already submitted written report. It is on HRSA primary health care. Lessie provided standards from the AAAHC in her report and listed some actions of the Tribal Council in reference to how they meet those standards. She would like them to review it and if there are instances that the Council feels they do not meet the standards she would like them to find time to discuss these with her.

 

There is training on June 25, 2008 in Maryland. The purpose is to work with other grantees and network together. Lessie has been elected to attend on behalf of the Tribe.

 

The Quality Management budget is right on target. The HRSA grant is at 22.2% and

should be at 32.3%. There may be funding shifted to offset other programs such as CHS.

Lessie attached performance improvement reports and if the Council has questions they should bring them to her.

 

Florence Conrad motioned and Sonny Davis seconded to approve out of state travel for Lessie Aubrey June 25, 2008 to Maryland, 6 haa, 0 puuhara, 0 pupitihara.

 

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

 

 

3. Martha Schrock, EDHHS (3:24 – 3:38 PM)

Martha has submitted her written report and will be handing out late reports that staff have submitted. There is a stale mate on the Title IV-E. She has placed several calls and is waiting to hear back. Florrine asked if the Council should intervene and what intervention Martha would recommend. Martha asked for another week to work on this, but after that she will get in touch with the Council for assistance.

 

Eric Cutright is going to update the Council on the Orleans phone system, but as of today the system is up and running on analog, which seems to have improved their service.

 

The finance staff provided training to the health staff on Purchase Orders, payroll and accounts payable. Martha thanked the finance staff for the training.

 

The new EHR technician, Chad Tiraterra, has been hired and is working with staff. Evette Lewis was taken on board for OES, Naa Vura Yee Shiip Program, and there is a new family nurse practitioner that began last Friday in Yreka. There are still several openings, but the staff is working toward clearing hires for official employment.

 

Florrine asked for further information for the Council on the CAIR program. Martha has consulted Anthony Ballard regarding the new regulations and has asked for a clarification of the changes. Martha will review the information once Anthony forwards it and then will forward that information to the Council.

 

Dr. Willett’s report is pretty simplistic and self explanatory. The Business Office report is standard and the report that is sent in every month. Dr. Hanst has some real good information that he has brought back from his recent training and he will bring that forward to share with the staff. The patient satisfaction survey was completed for Orleans and will be presented back to the Council at a later time. Norlyn is providing training once a quarter on HIPAA privacy. Lessie is providing training on AAAHC as well.

 

Martha does have action items that need approval. The first one is a conference approval request for Amy Coapman and Chris Kleeman to Albuquerque NM. June 8-13, 2008 for Clinical Application Coordinator & EHR implementation training. It will provide training to the staff that are responsible for EHR and provide further training to the other physicians. 

 

Roy Arwood motioned and Sonny Davis seconded to approve out of state travel for Chris Kleeman and Amy Coapman to Albuquerque NM. for EHR implementation training, 6 haa, 0 puuhara, 0 pupitihara.

 

A post-approval was presented by Martha for Dr. Hanst. A conference was fully funded by CRIHB, but is reimbursable with receipts once submitted. However KTOC internal processes require approval.

 

Roy Arwood motioned and Florence Conrad motioned to approve travel for Dr. Hanst to Dallas TX, 6 haa, 0 puuhara, 0 pupitihara.

 

Sonny Davis motioned and Florence Conrad seconded to approve Martha’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

Guests: Duane Myers, Tribal Member (3:40 – 3:42 PM)

Duane reported to the Council that there was a staff member poking fun at a KTHA resident Tribal Member. Robert asked if Duane would work with Mike Edwards on completing necessary paperwork to assist the Tribal Member. Duane will discuss this situation with Mike Edwards to provide him with the specifics.

 

Robert Goodwin arrived at 3:40.

 

Florence motioned and Florrine seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0 pupitihara

 

4. Mike Edwards, Behavioral Health Director (3:42 – 3:52 PM)

Mike provided the meeting minutes for the last Yav Pa Anav meeting for the Council to review. He explained that the social service staff has been inserted into the behavioral health program. They are in the process in developing their mission, vision, and goals statements. Last month Anthony Ballard updated the group on the AIR program which will replace the CAIR program. There are big changes and as Martha previously stated she will be updating the Council on those changes. Mike is having assistance provided to the lower down river areas and Pamela Riesling is hitting the ground running on the downriver communities. She is really doing a fine job in taking on the case load. Daniel Pratt trained Pam and assisted her during his transition to a different position. Pam is going to bring some cases to the behavioral health group to provide communication on her cases and perform similar activities as a case management group.

 

The Title IV-E process has really come to a stop and as Martha said she is dealing with contacting them.

 

The client load with Dr. Drake is relatively small, but he has taken on a campaign to boost his case load. There has been the addition of a couple clients through successful advertising in the papers and the community.

 

Some recent State adoption work proved unfruitful. There are no collaborative allowances for dual jurisdiction which will need to be fine tuned in the future.

 

A difficult case in Orleans has been dismissed and has gone into the adoption phase. There will be an adoption case heard in the Karuk tribal court regarding this.

 

The attached written reports provide an update on open cases for Yreka and Orleans.

 

Robert asked if the building deficiencies have been upgraded as noted in Chuck’s report. Mike explained that that hasn’t flourished yet, but went on to explain the options for the building and the discussions on improvements.

 

Florrine Super motioned and Alvis Johnson seconded to approve Mike’s report, 7 haa, 0 puuhara, 0 pupitihara

 

5. Patti White, Database Administrator: (3:52 – 3:55 PM)

Patti is not present, but her written report was provided for the Council to review.

 

Florrine Super motioned and Roy Arwood seconded to approve Patti’s written report, 7 haa, 0 puuhara, 0 pupitihara.

 

6. Eric Cutright, IT Director: (3:55 – 4:10 PM)

Eric provided a couple action items for approval. The first is a request for a contract with Cimmarron Medical Informatics. This is for implementation of RPMS laboratory system version 5.2 and conversion of the Unidirectional Reference Laboratory Interface with Quest Diagnostics. This will be tabled to Wednesday since there is no contract number assigned to the document.


Eric then presented travel approval for Patti White to Phoenix AZ for RPMS training.

 

Robert inquired about the RPMS budget and the line item for travel. The line item appeared to be fine in allowing travel / training.

 

Robert Goodwin motioned and Florrine Super seconded to approve the out of state travel for Patti White to Phoenix AZ., 7 haa, 0 puuhara, 0 pupitihara.

 

Eric moved on to provide his written report to the Council. Eric confirmed that he has begun setting goals for the IT Department. He is hoping to increase communication and work on fewer down times from the system.

 

The Orleans phone system has been operational for two weeks. The staff has been working with Dr. Willett to communicate the effectiveness of the phone systems during the phone outages. Dr. Willett seems to be fairly happy with the system repairs thus far.

 

Florrine asked if the website is updated and viewed to ensure it is the most accurate information. Eric is not sure but noted that Gerry has been working on it and generally heads up that task. Eric will follow up with Gerry on the website.

 

Eric has been very busy with the online store for the People’s Center and completing the task. He has begun putting pieces in place for the online capabilities. The costs of the sopping cart module are a little more expensive than previously thought. It has been raided from $350 to $540. The initial cost will now be $1,423.76. The increase is necessary to have the capability needed to have an online store.

 

Robert Goodwin motioned and Leeon Hillman seconded to approve the increased cost of the shopping cart module another $240 annually, 8 haa, 0 puuhara, 0 pupitihara.


Florrine Super motioned and Roy Arwood seconded to approve Eric’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

Guests: Employees – Non Health:
1. Dave Wrobleski, People’s Center Coordinator: (4:11 – 4:22 PM)

Dave explained that a new 49er’s was bragging about committing a crime regarding Karuk artifacts. During discussion on how to handle the reported incident, Dave received information on training that would be most beneficial to the Tribe. Dave provided information on NAGPRA and ARPA and how that affects the mining law in comparison to the inappropriate events recently. Dave provided advice about the laws on removing cultural items from Federal land and the value is over $500 then it would be held to higher standards.

If a Tribal Member would like to attend the training in Seattle WA., it is being offered May 7-8, 2008 with the fee for the class being waived. The costs associated with this would be the travel and lodging. The Council and Dave attempted to brain storm eligible Tribal Members to attend, but will seek invitations and further discuss this at the upcoming Wednesday meeting.

 

The next People’s Center meeting has not been scheduled to date. Robert asked if it was possible for two tribal members to attend the NAGPRA / ARPA training. He would like Dave to make the inquiry with the option of having two participants, then they could provide training to more Tribal Members when they return; improving skills of others without individually sending several people to an expensive training and excluding the option of having to pay an extreme amount to offer the training here.

 

Requests:

1. Dinah Salpedk, Happy Camp Community Member: (4:22- 4:24 PM)

She will be painting homes in the local community as part of a “improve the community” project. She has the paint and volunteers, but would like to use the Tribe’s boom truck for four days to complete the job. She would like to use it toward the end of May. The home that needs the assistance is Charlie and Jody Mayton’s home which is an A framed home. Arch inquired about liability issues in regards to insurance of the boom truck. Laura will check with Michael on the insurance restrictions and this will be discussed later.

 

2. Rosie Bley, Happy Camp Computer Center: (4:24 – 4:42 PM)

Rosie is presenting a re-application for year three of the ANA grant. The Tribe has updated the database for employee interviews with position descriptions to provide information to tribal members on obtaining higher education in relation to specific jobs for the Tribe. 38 of 40 staff have completed the interview and are posted on the website. The student service coordinators have provided counseling services for career education and other tasks for 58 people in Happy Camp and 70 people in Orleans. Those are tribal members, employees and tribal descendants. The Yreka computer center is now open with Byron McLane operating that site and doing an exceptional job. He has obtained 15 tribal people that are ready to go to college. He has been working hard and spending a lot of time increasing services. Due to the partnership with COS there is video conferencing to receive training at no cost to the Tribe. As long as all the partners hold up their end it is a real stable environment moving forward.

 

The Tribal CASA is having a hard time getting involvement and Florrine inquired if the computer center could provide an online course to tribal members. CASA requires 40 hours of training specific to the volunteers. Without the training volunteers are not taken onboard. In order to allow for growth of Tribal CASA, Florrine would like to have the training available at all sites online. Rosie believes that there needs to be further information as the online learning course. Joan Vandoozer from Humboldt would be the person who developed the modules previously and Rosie may contact her for inquiries to determine if the concept is feasible. Rosie explained that there is no funding available through ANA or the Computer center so maybe a mini grant could offset the cost of creating a module. The curriculum can be developed and for the cost of $7,000 the capability could provide uploading the module to the server and allowing the training in any site. Rosie will email Florrine the information for Joan Vandoozer

 

Florrine Super motioned and Florence Conrad seconded to approve resolution 08-R-044 allowing a pass through of the third year ANA grant to KCDC, 7 haa, 0 puuhara, 0 pupitihara.

 

Closed Session:

Consensus: to send a letter to all sites explaining the possible lack of funding in Contract Health Services. (4:42 – 4:43 PM)

 

Robert Goodwin motioned and Leeon Hillman seconded to uphold the CHS denial and pay $40 from third party for CHS case # 189, 7 haa, 0 puuhara, 0 pupitihara. (4:43 – 4:49 PM).

 

Robert Goodwin motioned and Florence Conrad seconded to approve up to $400 to FMC once employee # 1647 attempts to obtain a discount for ER bill associated with Tribal Member # 1497, 7 haa, 0 puuhara, 0 pupitihara. (4:49 – 4:53 PM)

 

Florence Conrad motioned and Sonny Davis seconded to allow the cost of $14,000 from the TERO budget $8,000 for inventory and $5,000 for security system updates, 6 haa, 0 puuhara, 1 pupitihara (Leeon Hillman). (4:55 – 5:16 PM)

 

Robert Goodwin motioned and Florence Conrad seconded to approve resolution 08-R-042 authorizing ICW intervention, 7 haa, 0 puuhara, 0 pupitihara. (5:17 – 5:23 PM).

 

Consensus: for employee # BN to review other Tribal Organizations and report back what restrictions their boards/Council members have in regards to sitting on other boards under the umbrella of tribes. (5:24 – 5:55 PM)

 

Florence Conrad motioned and Sonny Davis seconded to allow the extension residents at the Blue house for six additional months, 5 haa, 0 puuhara, 2 pupitihara (Robert Goodwin and Leeon Hillman). (7:15 – 7:20 PM)

 

Robert left the meeting

 

Consensus: to table request from Election Committee to Wednesday in which the Election Committee Chairperson will present request. (7:21 – 7:23 PM)

 

Robert returned to the meeting at 7:24 PM.

 

Leeon Hillman motioned and Robert Goodwin seconded to approve resolution 08-R-043 authorizing submission of EPA grant, 7 haa, 0 puuhara, 0 pupitihara. (7:24 – 7:26 PM).

 

Florence Conrad motioned and Alvis Johnson seconded to approve resolution 08-R-040 authorizing submission of a proposal to the Smith Family Foundation and clarification that resolution 08-R-010 was the IHS teleconferencing number, 7 haa, 0 puuhara, 0 pupitihara. (7:26 – 7:32 PM)

 

Consensus: to table request from Tribal Member #1599 to Wednesday. (7:32 – 7:34 PM)

 

Consensus: to table request from Tribal Member #3411 to Wednesday. (7:34 – 7:37 PM).

 

Consensus: to table request for purchase of a grader by the Roads Department to Wednesday. (7:37 – 7: 45 PM)

 

Roy Arwood motioned and Florence Conrad seconded to approve the Happy Camp 8th Grade class to complete vehicle detailing on five tribal vehicles to earn a total of $150 for their graduation, 7 haa, 0 puuhara, 0 pupitihara. (7:45 – 7:52 PM)

 

Leeon Hillman motioned and Robert Goodwin seconded to pay $82.50 to Visa Bankcard for non-cancelled room reservations from discretionary, 6 haa, 0 puuhara, 1 pupitihara (Sonny Davis). (7:52 – 7:55 PM)

 

Florence Conrad motioned and Sonny Davis seconded to donate a Karuk flag to Kansas Museum for display of self-governed tribal nations in the United States, 7 haa, 0 puuhara, 0 pupitihara. (7:55 – 7:59 PM)

 

Consensus: for employee # 3146 to review requests from Elders and make a determination of the opportunities for assistance of those requests. (7:59 – 8:02 PM)

 

Next meeting: May 8, 2008 at 3 PM in Happy Camp, CA.

 

Florence Conrad motioned and Alvis Johnson seconded to adjourn Meeting at 8:05 PM, 7 haa, 0 puuhara, 0 pupitihara.

 

 

 

Respectfully Submitted,

 

________________________________

Arch Super, Chairman

 

Barbara Snider, Recording Secretary