Karuk Tribe of California
Health Board Meeting Minutes
June 17, 2004
Happy Camp, California
The meeting was called to order at 5:14 PM by Leaf Hillman, Vice-Chairman.
Roll Call
Present
Arch Super, Chairman – Late – 5:20 PM – excused
Leaf Hillman, Vice-Chairman
Florrine Super, Secretary
Leeon Hillman, Treasurer
Florence Conrad, Member
Robert Goodwin, Member
Absent
Roy Arwood, Member – excused.
Quorum is established.
The Preamble to the Constitution was read aloud by Florrine Super.
Approval of the Agenda for June 17, 2004.
Robert Goodwin moved and Leeon Hillman seconded to approve the Agenda for June 17, 2004. 4 haa, 0 puuhara, 0 pupitihara.
1. Approval of the Minutes for May 13, 2004
Leeon Hillman moved and Robert Goodwin seconded to approve the Minutes for May 13, 2004. 3 haa, 0 puuhara, 1 pupitihara.
Leeon Hillman moved and Robert Goodwin seconded to approve the Minutes for May 18, 2004. 4 haa, 0 puuhara, 0 pupitihara.
2. Corrina Alexander
Corrina was present to request approval for submission of a grant application to the State of California Department of Emergency Services for the continued funding of Naa Vura Yee Shiip in the amount of $175,000 for the funding period of October 1, 2004 through September 30, 2005. Resolution 04-R-66 was assigned to the grant.
Arch Super arrived at 5:20 PM.
Leeon Hillman moved and Leaf Hillman seconded to approve Resolution 04-R-66 for submission of a grant proposal to the State of California Department of Emergency Services. 5 haa, 0 puuhara, 0 pupitihara.
3. Toni McLane
Toni was present to request approval of two funding proposals.
Resolution 04-R-65 is a funding proposal to the Department of Health and Human Services Administration for Children and Families in the amount of $6,909 for Cost of Living Adjustments of 1.6% for the funding period of January 1, 2004 through December 31, 2004.
Robert Goodwin moved and Leeon Hillman seconded to approve Resolution 04-R-65. 5 haa, 0 puuhara, 0 pupitihara.
Resolution 04-R-64 is a funding proposal to the Department of Health and Human Services, Administration for Children and Families in the amount of $33,086 for one-time funding for the funding period of January 1, 2004 through December 31, 2004.
It will be used to replace the doors with panic/handicapped doors, paint the exterior of the building, hazardous tree removal, a new copy machine, and new office furniture and computer upgrades at their new office in Happy Camp.
Leaf Hillman moved and Florrine Super seconded to approve Resolution 04-R-64. 5 haa, 0 puuhara, 0 pupitihara.
4. Fred Nahwooksy
Fred was present to request travel for Karita Coffey to travel to Happy Camp from Santa Fe, NM to teach the Ceramics Class that will be held July 6-11, 2004. The travel cost is $585.50 to come from 1000-00-7702.00.
Robert Goodwin moved and Leeon Hillman seconded to approve the travel expense in the amount of $585.50. 5 haa, 0 puuhara, 0 pupitihara.
5. Old Business
None at this time.
6. Wes Valentine
Wes updated them on Third Party Revenue; they are still looking at projected income of 1.7 million for the year.
He states it is time to purchase the billing and coding manuals as well as the drug reference guides. The expense will be $2,551.91 if they place the order now which includes a 10% discount for ordering early. The guides will be mailed in October and billed at that time which will be next fiscal year.
Robert Goodwin moved and Leeon Hillman seconded to approve the purchase of the new billing and coding manuals and the drug reference guides. 5 haa, 0 puuhara, 0 pupitihara.
He updated them on the CHS changes and reported that Anna Myers is now supervising the CHS Office and Marsha is able to spend her time working on the electronic medical record system as well as work with Chris the IT Manager.
He states it is time to submit the child counts for the Childcare Program. The highest number they can report is 567 children under the age of 13 eligible for funding. Based on this number the estimate for next year’s funding is $115,000 versus $67,000 received this year. It appears they will be able to continue at current service levels without contributing discretionary dollars which means they can still not add new parents to the system, but continue with out a discretionary contribution.
Consensus: To submit the number of 567 children for Fiscal Year 2005.
His last item in open session is out of state travel to Las Vegas, Nevada for the Tribal Consultation for Nevada, California, and Arizona Tribes with Secretary Tommy Thompson July 21-22, 2004. He would like permission for himself and Hector to attend as well as the Chairman if he is available.
Robert Goodwin moved and Florrine Super seconded to approve out of state travel for Wes Valentine, Hector Garcia, and Arch Super to Las Vegas, Nevada, July 21-22, 2004. 5 haa, 0 puuhara, 0 pupitihara.
Florrine Super moved and Florence Conrad seconded to approve Wes’ report. 5 haa, 0 puuhara, 0 pupitihara.
Wes states that he authorized Lessie to purchase a gift for Carrie McLaughlin as a going away gift, but program dollars cannot be used for this purchase, he would like discretionary funding approval for this if possible.
Leaf Hillman moved and Leeon Hillman seconded to approve discretionary dollars in the amount of $80 for the gift to Carrie McLaughlin. 5 haa, 0 puuhara, 0 pupitihara.
7. Marsha Jackson
No action items, written report unless they have questions.
Florence Conrad moved and Florrine Super seconded to approve Marsha’s report. 5 haa, 0 puuhara, 0 pupitihara.
8. Joe Snapp
Not present, written report only.
Florrine Super moved and Florence Conrad seconded to approve Joe’s report. 5 haa, 0 puuhara, 0 pupitihara.
9. Vickie Walden
She states that State Proposition 65 states you must post a warning regarding the material in dental fillings and the possibility that it may cause cancer. She has not gotten a clear answer regarding whether they are legally required to post it and if it would expose them to any liability. It is most likely in the best interest to post it and comply.
Consensus: To post the notice in the building.
She states the data entry was not up to date at the time of her report, it is now and she will include it in her next report.
Attached to her report is a letter from Dr. Terry Rust stating that he will no longer accept Medi-Cal after the end of the month. This means patients will now have to go to Sacramento to receive treatment. She is trying to locate another provider that will take Medi-Cal for oral surgery. Lessie states they really need to look at the financial possibility of obtaining a contract surgeon to come in to provide these services to allow access to this service in the clinics. They would pay the contract amount and then bill for Medi-Cal for the services for reimbursement. They already have nitrous oxide in the Yreka Clinic. This will not address all situations but would help.
She included the results of the Head Start screenings in her report for their review. It is better than last year but still not as good as it could be.
She states Dr. Madkins is in the office and working. However; the sterilizer broke and the Dentist is already scheduled to go to Merced so that is why she is not here tonight. Her hours starting next month will be Monday through Thursday 7:00 AM to 6:00 PM.
She states the autoclave (sterilizer) caught on fire and blew up so they must replace it. It is 10 years old and they will need to obligate $3,000-$5,000 to replace it. They are looking at one around $2,900 plus shipping and handling. There are dollars available in the SIH budget but she does not have the final procurement completed. They will do a phone vote tomorrow if it cannot be repaired. Wes suggests purchasing the unit and having the other as a backup. They could obligate up to $4,000 for this purchase and then she can do the procurement with Erin and Laura.
Robert Goodwin moved and Leaf Hillman seconded to approve up to $4,000 for the purchase of a new autoclave. 5 haa, 0 puuhara, 0 pupitihara.
Robert Goodwin moved and Leeon Hillman seconded to approve Vickie’s report. 5 haa, 0 puuhara, 0 pupitihara.
Vickie also informed them that currently the children that need to go to Sacramento for dental work are being transported by volunteers or CHRs. They are looking in to the ICW department to see if they can help out. Vickie states they have had some other requests from people that have vehicles but are not familiar with driving themselves in the city. It is an increasing problem they need to work on.
10. Lessie Aubrey
Lessie was present to review her written report. She states that they are at their 18 month point between JCAHO surveys. She states she is glad to be going to the training in Phoenix next month to gather information for completing the Periodic Performance Review. They will survey themselves and develop action plans for deficient areas. Within the next 18 months there will be an unannounced visit by JCAHO. This is a very crucial time in the process.
She announced that she received an A in her Biology Class and wanted to brag a little bit.
She states they had the Open House for Carrie McLaughlin who is moving to Redding. She states it went very well and it was very wonderful to show their appreciation for her. Many people were very moved by the event.
In the future she has a strategic planning session scheduled and it will be free of cost from a facilitator on July 28, 2004 from College of the Siskiyous. It will be for the Health Program and all directors will participate. She would like to encourage the Council Members to attend to get their input.
She updated them on her other activities she is working on such as the Nitrous Oxide FMEA Project, development of Medication Management policies, and Mid-Level Credentialing if she can meet with the C&P Committee next month.
She also distributed an updated report since the meeting was set back a week. Her next step in becoming an RN is to take Anatomy. The class is at the COS Weed Campus on Tuesdays and Thursdays from 9:00 AM to 12:30 PM. The last time she tried to take the class it didn’t work with her schedule and she now needs to decide if she should do it again. She does not feel it will impact her ability to do her regular work. She states she has to fulfill all of her science classes in five years and if she doesn’t do it now it may not happen. Wes states it would be a good time to get it out of the way now before it is closer to accreditation time. They state they have no trouble with her taking the class but the decision must be made by her.
She included her and Barbara’s training reports from the Post Colonial Stress and Post Traumatic Stress Disorders/Implications for Tribal Behavioral Health. She read the report aloud for those who were present. She states she also attended the High Risk Kids Workshop and it built upon the information in this seminar she attended. Lessie states that Chuck has stated if they can get involvement they may be able to bring back Joseph Stone, Phd. for another presentation.
She requested approval of Policy 07-002-130: Work Related Injury or Illness Presenting to Karuk Tribal Health Facilities for Evaluation and/or Treatment. Dr. Burns would like all clinics to treat work related injuries the same as that is his specialty from previous experience.
Robert Goodwin moved and Leaf Hillman seconded to approve Policy 07-002-130. 5 haa, 0 puuhara, 0 pupitihara.
Florrine Super moved and Florence Conrad seconded to approve Lessie’s report. 5 haa, 0 puuhara, 0 pupitihara.
11. David Eisenberg
Not present, written report only.
Robert Goodwin moved and Florrine Super seconded to approve David’s report. 5 haa, 0 puuhara, 0 pupitihara.
12. Trista Parry
Trista was present to request approval of a funding proposal to the Health Resources Services Administration for Section 330 New Access Point Funding in the amount of $1,942,984 for the funding period of October 1, 2004 through September 30, 2007.
Wes pointed out that the grant is very well written and even if it is not funded, she put many, many hours of work into the proposal and they are very optimistic. Laura, Erin, Wes, and Sara have read and reviewed the grant application. The grant funds will expand the services of the medical, dental, and behavioral health programs.
At HRSA’s site visit they brought their policies and procedures with them and had the opportunity to review the policies of the Karuk Tribal Health Program and their activities and stated that their policies already included everything they would look for.
Year One – expand Yreka Dental, Year Two – Behavioral Health in Orleans, Year Three – Expand to include Urgent Care in Happy Camp. If funded, they are able to apply for all of HRSA’s other programs to expand services. The worst possible scenario is that the grant is reviewed with feedback and they can resubmit in December. They are competing against existing programs so it is hard. They should know in September what the outcome is.
Leaf Hillman moved and Florence Conrad seconded to approve Resolution 04-R-67 for submission of the funding proposal to HRSA in the amount of $1,942,984.
13. Request for Travel for Election Committee
Florrine requested approval of travel for the Election Committee to Reno, Nevada. It will be for seven individuals to attend which is the entire committee. The funding is discretionary for this committee as there is only $10,000 obligated for the election for the entire year, including all mailing expenses, stipends, food, etc. They wanted to find out about having the conference on site. Laura asked if two or three can go and bring back the information. Sara states the last on site training was around $7,000. It will be August 12-13, 2004. They suggest they talk about it and bring it back to the Council Meeting next week. They suggest sending four members. Bob states they should send everyone because it is such an important area and they are new members to the committee.
14. Brush Dance Request
There was a request for assistance with the upcoming Brush Dance from Alvis Johnson. He is requesting $3,193 for costs from the State Indian Health Program. $600 for start up items such as lanterns, pots, and propane stove. It can be stored at the gym to be used for other events. $820 for porta potties. $173 for garbage service. They expect a lot of people to attend and $1600 has been estimated for food.
Leaf Hillman moved and Leeon Hillman seconded to approve up to $3,193 of State Indian Health dollars toward the Happy Camp Brush Dance. 5 haa, 0 puuhara, 0 pupitihara.
15. Committee Reports
None at this time.
Closed Session from 8:08 PM to 9:40 PM
Florence Conrad moved and Leaf Hillman seconded to uphold the denial and offer to pay 50% of the $4,106 for Case #120, if they can pay the other portion. 5 haa, 0 puuhara, 0 pupitihara.
Leaf Hillman moved and Robert Goodwin seconded to deny case #121. 5 haa, 0 puuhara, 0 pupitihara.
Robert Goodwin moved and Florence Conrad seconded to uphold the denial and pay $450 for Case #122. 4 haa, 1 puuhara (Florrine Super), 0 pupitihara. They would like the machine back after the treatment is done.
Robert Goodwin moved and Leaf Hillman seconded to uphold the denial and pay $61.97 for Case #123. 5 haa, 0 puuhara, 0 pupitihara.
Robert Goodwin moved and Florrine Super seconded to uphold the denial and pay $1,000 for Case #124. 4 haa, 0 puuhara, 0 pupitihara. Leeon Hillman was not present for the voting.
Consensus: To distribute an email/memo to all employees reminding them of the Electronic Media Policy.
Consensus: To terminate employee effective tomorrow.
Consensus: To extend tuition assistance for Language Classes to two Tribal descendents.
Florrine Super excused herself at 9:15 PM.
Consensus: To allow the Substance Abuse Counselor to continue through June 30, 2004 in anticipation of the State Budget approval for that funding.
Consensus: To offer the position to Dr. Willett.
Directive: For Fred Burcell to review roof job to determine cost and put glass in windows at Pharmacy.
Next Meeting Date: July 8, 2004 at 5:00 PM in Happy Camp.
Leaf Hillman moved and Florence Conrad seconded to adjourn at 9:43 PM.
Yootva,
_______________________________
Arch Super, Chairman