Karuk Tribe
of
Health Board
Meeting
*Minutes*
A.) Meeting called to order @ 5:01 PM, by Leaf Hillman,
Vice-Chairman.
Roll Call:
Present/Term of Office:
Leaf Hillman, Vice-Chairman 2003-2006
Leeon Hillman, Treasurer 2003-2006
Robert Grant, Member at Large
2004-2008
Roy Arwood, Member at Large 2005-2009
Robert Goodwin, Member at
Large 2005-2009
Alvis Johnson, Member at
Large 2004-2008
Absent:
Quorum is established.
B.) Robert Goodwin read the health mission statement
aloud.
C.) Agenda:
Bob motioned and Leeon
seconded to approve May 11, 2006 agenda with changes, 6 haa, 0 puuhara, 0
pupitihara.
D.) Minutes of
Bob motioned and Florrine
seconded to approve minutes of
E.) Guests:
1.)
Mr. Miller thanked the
Council for allowing him to discuss his position as Siskiyou County
Superintendent candidate. In recent discussion with Arch he discussed his
observation of Karuk children and other Native American children that have not
been successful in furthering their education. This is a concern of his, and he
has successfully been working with outside resources foster success.
Mr. Miller explained that if
elected the Karuk Tribe and other Native American children will not be
forgotten in regards to their education. He wanted to share this concern with
the Council and his dedication to the Community.
Lessie explained that parents
that have issues with the local school seem to not have many avenues for
handling those issues. Mr. Miller stated that he would like to develop
partnerships, with the communities, to have something that has meaning and
purpose. He commented that he would provide continuous growth with education
for the children, and he would create these partnerships to enhance working
relationships. Mr. Miller would hold a political position that would seek
funding for different projects; they are basically an oversight body overseeing
funding spent and distributed to the County Schools.
One partnership that he would
like to create is in regards to pre-school for all. This program is going to
force the county schools office to offer pre-school to all young children in
the County. If these partnerships are implemented into communities and some
towns do not have a head start then in lieu of actual county pre-school funding
alternate programs should receive funding. For example Karuk Head Start should
be afforded funding via the partnership, as they offer the only head start
program in Happy Camp.
Mr. Miller thanked the
Council for allowing him to address the group and the Council members.
2.)
Bob motioned and Alvis
seconded to approve resolution 06-R-059 authorizing opening and closing of an
escrow account for the Maddox property, 6 haa, 0 puuhara, 0 pupitihara.
Bob motioned and Florrine
seconded to approve 06-R-060 authorizing submission of $25,000 funding request
to Blue Shield of
3.)
Flo discussed the form 1099 miscellaneous
and the different boxes on the form for income to be reported. Some committee members
receive stipend checks; she questioned the information being tabulated into a
different box. This would alleviate a tremendous tax impact on the committee
members if calculated into a different box on the form. Flo questioned why the
Tribe couldn’t allow for committee members to have Federal taxes taken, but
allow for Council members to do this. Laura Mayton clarified that there are
legal requirements for the completion of 1099 Misc. Certain incomes must be
inserted into different boxes, but all must done correctly. She believes that
the Tribe is performing their tax documents correctly and legally.
Laura offered to follow up
and review this for Flo and the Council. She will provide clarification regarding
the legal requirements for 1099s. Bob explained that some Council Members are
employees and that is why Federal taxes are withheld from their checks; however
he would still like for Laura to review this.
F.) Old Business: None at this time.
G.) Directors Reports:
1.) Patti White, Database Administrator:
Patti is present to review
her written report, but noted that she has some updates. She explained that she
has had some updates installed into the RPMS system which will greatly assist
with efficiency.
She explained that the
Medicare electronic billing has finally passed, and is now complete.
Patti had some errors on the
HRSA UDS report and has been working with Laura Mayton to correct the errors.
Happy Camp data entry is
current,
Florrine motioned and
Alvis seconded to approve Patti’s written report, 6 haa, 0 puuhara, 0
pupitihara.
2.) Vickie Walden, Dental Office Manager:
Vickie is present to take any
questions the board has in regards to her written report. She also requests that
she have time at their next Wednesday planning meeting to provide procurement
documents for the Happy Camp Dental clinic remodel project. Barbara will notify
Sara of Vickie’s request.
Florrine motioned and Bob
seconded to approve Vickie’s written report, 6 haa, 0 puuhara, 0 pupitihara.
3.) Lessie Aubrey, DQMCH:
Lessie provided a GPRA report
for the Council to review. Lessie explained that the indicators have slightly
changed year to year, in some areas over the last three years. At some points
there were no vaccines to meet indicators, due to the flu vaccine shortages, and
at other times staff worked diligently on obtaining a higher rating on
indicators.
Lessie provided CQI reports
that were available at yesterdays CQI meeting.
Lessie stated that on July 26
there is a conference on competency assessment, she may be attending and she
would like to provide the information for their review, in case the Council is
interested in attending as well.
Kerry Gregg was hired by
CRIHB. He would like to meet with the Council to discuss the facility
engineering position he recently obtained within CRIHB.
The Darrell Hostler fund has
been contributed to previously by the Karuk Tribe and the contribution was
roughly $7,000. This fund is diminishing and CRIHB is proposing a donation
increase to $10,000 annually.
Lessie will provide Florrine
with information on the budget of the Darrell Hostler fund.
Lessie explained that
Governor Schwarzenegger wrote a letter thanking Jim Crouch for CRIHB’s
participation in assisting in the recent medication coverage crisis.
Bob would like the Council
members and Kerry Gregg to get together to discuss the Darrell Hostler Fund and
several other topics recently arisen regarding CRIHB.
Lessie would like the
Council’s opinion on a request she received. She stated that The Quartz Valley
Tribe has requested a copy of the Health Program Policies and Procedures.
Lessie would like to have their input on allowing the internal policies to be
sent to them as the entire policies have never been sent directly to an
individual or outside agency. The Council would like to assist the Quartz
Valley Tribe in creating their policies, since so much research and work has
been completed on them.
Bob would like Lessie to
discuss the Urban Health Program budget cut issue with Hector and have him
provide information to the Council regarding his findings.
Florence motioned and
Florrine seconded to approve Lessie’s written report, 6 haa, 0 puuhara, 0
pupitihara.
4.) Joe Snapp, Substance & Alcohol Abuse Program:
Joe is not present to review
his report; however there is a resolution for approval.
Florence motioned and Bob
seconded to approve 06-R-048 with additional information regarding services
that the Karuk Tribe Social Services program offers, 6 haa, 0 puuhara, 0
pupitihara.
Joe will be asked to provide
information on the services that are available in all three Communities and the
schedules for them. For example; men’s groups, women’s groups and Alanon. All
community representatives shall provide reports on their specific community
services to Joe, in which can incorporate them into his report.
Florrine motioned and Bob
seconded to approve Joe’s written report, 6 haa, 0 puuhara, 0 pupitihara.
5.) David Eisenberg, PHN:
David is not present, but his
report is included for the Council to review. He has one action item, 06-R-54
authorizing submission to the Early Access to Primary Care (EAPC) funding, in
the amount of approximately $90,000.
Bob motioned and Alvis
seconded to approve 06-R-54 authorizing submission of EAPC funding for
approximately $90,000, 6 haa, 0 puuhara, 0 pupitihara.
Bob motioned and Florrine
seconded to approve David’s report, 6 haa, 0 puuhara, 0 pupitihara.
H.) Requests:
1.) David Tripp, Jump Dance Representative:
At this time David Tripp is
requesting insurance coverage for the Jump Dances. Attendees that may attend
the dances will have to cross private property; the property owners require insurance
coverage prior to David beginning the needed work on the trails to the dances.
Consensus: to allow
insurance coverage for the Jump Dances as requested by David Tripp.
I.) Informational: None at this time.
J.) Committee Reports: None at this time.
K.) Closed Session:
Consensus: to refer CHS
Case #162 to the Hoopa facility orthodontic program.
Consensus: for Tribal
Member #2655 to discuss orthodontic request with Anna Myers, for discussion
regarding other resources. Also dental access at the Yreka clinic was noted,
and the Tribal Members shall contact
Complaint regarding the
Yreka Medical Clinic shall be referred to Lessie Aubrey according to policy.
Florrine motioned and
Leeon seconded to approve a loan in the amount of $350 with repayments in the
amount of $50 monthly to Tribal Member #558, 5 haa, 0 puuhara, 0 pupitihara (
Florrine will complete a
phone vote with the LIHEAP Committee regarding $500 emergency assistance in
regards to Tribal Member # 558.
Laura Mayton will complete
a loan agreement and it shall be handled as quickly as possible.
Consensus: to refer loan
request in the amount of $1,152.50 with repayments of $120 monthly from Tribal
Member #2139 to Wednesday’s planning meeting.
Consensus: to deny loan
request from Tribal Member #1275 at this time.
Consensus: to employee #1017
explaining that the Council would like to continue with their approved
recommendations regarding the Health manager’s committee attendees.
Bob motioned and Leeon
seconded to approve $1,000 loan with repayments in the amount of $100 a month to
Tribal Member # 390, 5 haa, 0 puuhara, 0 pupitihara.
Consensus: all loan
requests shall be required to state reason, in order to determine need and
priority.
Employees are present to request
that the Council allow for a patient survey regarding the determination to
return operations of the Yreka medical Clinic to Monday - Friday 8 hours a day
as directed to be effective
Robert Grant left the meeting at
Approved CHS policies
signed by the Chairman of the Karuk Tribe were presented to the Council, along
with follow up regarding a directive that was issued. After review of the policies
the Health Board concurs that their directive was sufficient.
Consensus: for Lessie to obtain
a copy of the letter regarding Medicare Part D, this was sent to Tribal
Members. She is to determine who it has been sent to, and clarification on the
information in the letter. If the intent of the letter is correct, then the letter
shall be revised to more accurately explain the information as well as
demonstrate professionalism.
Employee #4315’s request will
be referred to the Wednesday planning meeting, in which by that time Florence
will have discussed request with the immediate supervisor to ask for input in
regards to the request.
Tribal Member #1428’s loan
request will be referred to the Wednesday planning meeting in which she will be
asked for further information, regarding what resources they have tried, and
specifically what the funding is needed for. If more information is presented by
Wednesday’s planning meeting then it will be re-discussed.
Bob motioned and Leeon
seconded to uphold the CHS denial 062-LHCC-208 and pay $62.78 from Third Party,
6 haa, 0 puuhara, 0 pupitihara.
Robert Grant has requested
to resign as a CRIHB representative alternate and as the CASA Chairperson at
this time. The Council representative replacement will be selected at the next
Wednesday planning meeting.
L.) Next meeting June 8, 2006, 5 PM Happy Camp, CA.
M.) Meeting Adjourned.
Bob motioned and Alvis
seconded to adjourn meeting at 9:56 PM 6 haa, 0 puuhara, 0 pupitihara.
Respectfully Submitted,
_____________________________
Leaf Hillman, Vice-Chairman
Recording Secretary, Barbara Snider