Karuk Tribe of California
Health Board Meeting Minutes
August 12, 2004
Happy Camp, California
Ayukii,
The meeting was called to order at 3:15 PM by Arch Super, Chairman.
Roll Call
Present
Arch Super, Chairman
Leaf Hillman, Vice Chairman
Florrine Super, Secretary
Leeon Hillman, Treasurer
Roy Arwood, Member
Florence Conrad, Member
Robert Goodwin, Member
Quorum is established.
The preamble to the Constitution was read aloud by Arch Super, Chairman.
Approval of the Agenda for August 12, 2004
Florrine Super moved and Florence Conrad seconded to approve the Agenda for August 12, 2004. 6 haa, 0 puuhara, 0 pupitihara.
1. Approval of the Minutes for July 15, 2004
Leaf Hillman moved and Leeon Hillman seconded to approve the Minutes for July 15, 2004. 6 haa, 0 puuhara, 0 pupitihara.
2. Dr. Willett
He will come to the Council Meeting as he did not know it started at 3:00 PM today.
3. Fred Nahwooksy
Not present.
4. Old Business
None at this time.
5. Marsha Jackson
Marsha was present to review her written report. She does not have any action items. She states everything is running smoothly. There was a 24 hour period the system was down because someone shot the T1 line in Weitchpec and it took the system down all the way to Redding. This will be her last meeting until she returns from Maternity Leave.
Florrine Super moved and Florence Conrad seconded to approve Marsha’s report. 6 haa, 0 puuhara, 0 pupitihara.
6. David Eisenberg
Working at HCHS, no action items.
Florence Conrad moved and Florrine Super seconded to approve David’s report. 6 haa, 0 puuhara, 0 pupitihara.
7. Vickie Walden
Working in Yreka, no action items.
Florence Conrad moved and Florrine Super seconded to approve Vickie’s report. 6 haa, 0 puuhara, 0 pupitihara.
8. Lessie Aubrey
Lessie was present to request approval of the Annual External Compliance Audit. CRIHB has returned the lowest price at $3,100 and the procurement has all been completed and approved. She states they do internal quarterly audits but they have not had this type of audit in quite some time. When they finish the report she would like to request a conference call to go through the items they find rather than only having a written report.
Contract 04-C-072 has been assigned for CRIHB to provide this service. It will be paid for from Third Party. There is no law requiring it but it shows a good faith effort that their billing, charting, and coding services are all in order to prevent fraud and abuse. It helps them to correct any problems and they find them before an outside agency does.
Robert Goodwin moved and Leeon Hillman seconded to approve Contract 04-C-072 with CRIHB in the amount of $3,100 for an External Audit. 6 haa, 0 puuhara, 0 pupitihara.
She also has a question regarding the Tribal Reunion. She doesn’t know what her role is and what is expected of her department. Florrine states that employees and departments that don’t have a lot of information to give out can just do a fun activity to give them an opportunity to meet the Membership. She was thinking of having a rummage sale. They feel it is pretty wide open and she can do just about anything that she wants.
Florence Conrad moved and Florrine Super seconded to approve Lessie’s report. 6 haa, 0 puuhara, 0 pupitihara.
9. Wes Valentine
Third Party is at 1.6 million as of today and the year is still not over. They should meet their goal by September 30, 2004.
He states he doesn’t have very much information about the SAMHSA grant that has been approved for the drug and alcohol treatment. It has been funded at 5.7 million over three years for California which is huge. It will cover classes and treatment for the substance abuse program. They asked if it can be used for Oak Knoll renovations. Wes states it is for care only and they will need to look for grant funding for that purpose now that they know what is going to be in the facility. He does not know exactly when the services will start being disbursed but he thinks it is about 6 months. They asked if they have heard about Robert Super’s position now that the budget is approved. Wes has been told that 2/3 of the previous grant amount has been approved but they have not received the announcement of when the dollars will be released and what their specific amount will be. Joe is going to come down and meet with them in Closed Session tonight as well.
Leaf asked why the Third Party revenues were so much lower this month. Wes states that there was a couple of days lag time on the large payment for that month so it will get posted to the August revenues instead of July. Without the back payment it would have been $108,000 which is slightly lower due to trainings and vacations but it does not represent a problem that will continue.
Roy asked about the proposal to IHS for a statewide epidemiology project. Wes states they will not hear until October what the status of that grant is.
Roy Arwood moved and Florrine Super seconded to approve Wes’ report. 6 haa, 0 puuhara, 0 pupitihara.
10. Joe Snapp
Written report only, no action items.
Florrine Super moved and Leaf Hillman seconded to approve Joe’s report. 6 haa, 0 puuhara, 0 pupitihara.
11. Fred Nahwooksy
Fred was present to request approval of a grant application to the National Endowment for the Arts (NEA) in the amount of $13,755 for the period of June 15, 2005 through June 14, 2006. It is a continuation of their current year basket weavers gathering. There are also some other activities included in the grant such as a video documentary.
Leaf asked about the video he was going to work on with the Forest Service. Fred states that some of the footage from this grant will go into that documentary; the hold up is the amount has to be awarded as a contract directly to the videographer. Leaf wanted to know who is going to make the decision on who the contractor is going to be. There will be an informal advertisement so if they know anyone interested they should contact Fred for more information. Leaf talked to someone who states he had some more dollars for this project also and will give Fred his name.
Robert Goodwin moved and Leeon Hillman seconded to approve Resolution 04-R-85 for submission of the grant application to NEA. 6 haa, 0 puuhara, 0 pupitihara.
Closed Session from 3:55 PM to 7:40 PM
Florence Conrad moved and Leaf Hillman seconded to allow Employee #1234 to bring their infant to work until six months of age and to work from home in the afternoons until that age. Also approval to loan employee $200 at 5% to be repaid at $50 per pay period once they return to work. 6 haa, 0 puuhara, 0 pupitihara.
Leaf Hillman moved and Roy Arwood seconded to uphold the CHS denial and pay up to $200 for Case #126 from Third Party. 6 haa, 0 puuhara, 0 pupitihara.
Directive: To enter all patients that do not possess Tribal verification into the RPMS system as “pending verification” not “direct care”. The Health Management Team also needs to work on developing a list of approved forms to verify their Tribal affiliation to be put into the policies so that all staff are clear when they enter the patients what is acceptable proof, it can be approved at the next Health Board meeting.
Consensus: To structure the budget to provide treatment rather than to cover salaries.
Consensus: To pursue the civil reimbursement first for damages.
Consensus: To deduct the amount from the payroll check and suspend their services for Childcare for six months.
Consensus: To warn employees the first time they go over their minutes for personal phone calls on a Tribal cellular phone and then take the phone if it happens again.
Consensus: To no longer allow collect phone calls on Tribal phones. Telephone calls that are made will need to be limited to 10 minutes and not be made at the front desk.
Consensus: To allow no stipends for exempt employees for meetings. Hourly employees will get a stipend if take leave.
Leaf Hillman moved and Robert Goodwin seconded to approve out of state travel to Manistee, Michigan for training with Ribail, Stauffer, & Associates for Jamie Orge, Tamara Barnett, and Michael Thom, September 23-24, 2004 and to also approve out of state travel for Cecilia Arwood to Las Vegas, Nevada, September 27-28, 2004. 6 haa, 0 puuhara, 0 pupitihara.
Consensus: To work with the employee to repay the debt they owe at a rate that works for them.
Robert Goodwin moved and Leaf Hillman seconded to approve $20,000 to repair the water system at Somes Bar, excluding installation from Third Party and then submit to IHS for end of the year dollars to cover the expense. 6 haa, 0 puuhara, 0 pupitihara.
Florrine Super excused herself at 6:48 PM.
Robert Goodwin moved and Leaf Hillman seconded to approve Option One for $8,516 through monthly payments of approximately $59.78 per month and 80% of the monthly billings to install power at the Ranch, to be paid from Indirect. 5 haa, 0 puuhara, 0 pupitihara.
Roy Arwood moved and Leaf Hillman seconded to approve a loan of $5,000 to Tribal Member #MT to be repaid at $100 per pay period, plus 5% interest. 4 haa, 0 puuhara, 1 pupitihara.
Florence Conrad moved and Roy Arwood seconded to pay $2,000 from discretionary for labor to install a new roof on Elder’s home. 5 haa, 0 puuhara, 0 pupitihara.
Consensus: To offer a paid day off to all employees who are successful in their grant applications.
Next Meeting Date: September 9, 2004 at 5 PM in Happy Camp.
Roy Arwood moved and Florence Conrad seconded to adjourn at 7:45. 5 haa, 0 puuhara, 0 pupitihara.
Yootva,
_________________________________
Arch Super, Chairman
Recording Secretary,
Sara Spence