Karuk Tribe of California – Health Board Meeting

February 8, 2007 - Meeting Minutes 

 

Ayukii,

 

Meeting called to order at 5:14 pm by Leaf Hillman, Vice-Chairman

 

Roll Call:

Leaf Hillman, Vice-Chairman

Leeon Hillman, Treasurer

Florence Conrad, Member at Large

Alvis Johnson, Member at Large

Robert Goodwin, Member at Large

 

Absent:

Arch Super, Chairman (travel/excused)

Florrine Super, Secretary (travel/excused)

Sonny Davis, Member at Large (travel/excused)

Roy Arwood, Member at Large (absent/excused)

 

Quorum is established.

 

Agenda:

Robert Goodwin motioned and Alvis Johnson seconded to approve the agenda, 5 haa, 0 puuhara, 0 pupitihara.

 

Minutes of January 11, 2007:

Florence Conrad motioned and Robert Goodwin seconded to approve the minutes of January 11, 2007, 5 haa, 0 puuhara, 0 pupitihara. 

 

Guests:

Laura Mayton, CFO

Laura would like to make a request on behalf of the Education Committee. They would like to provide six scholarships at $500 each to 2006 graduating students.

 

Robert Goodwin motioned and Florence Conrad seconded to approve up to $3,000 from discretionary for six $500 scholarships as recommended by the Education Committee, 5 haa, 0 puuhara, 0 pupitihara.

 

Laura’s second request is an approval with revision to contract 07-C-029 with Winzler /Kelly.

 

Robert Goodwin motioned and Florence Conrad seconded to approve the revision to contract 07-C-029, 5 haa, 0 puuhara, 0 pupitihara.

 

Director Reports:

1.) Patti White, Database Administrator:

Patti provided her written report, and has some action items for review. She provided the 2007 medical fee schedule for the Council to review and noted that it hadn’t been updated since 2003. She and Suzanna worked on the revisions and distributed it to the providers so they may provide their feedback. The fee schedule should be approved annually incorporating all the charges and fees for services rendered at KTHP clinics. She would like to turn this task over to Suzanna Hardenburger as she is the business operations manager and would have the updated information needed to make the necessary adjustments in the future.

The fee schedule will go into effect as of March 1st, 2007 if approved.

 

Robert Goodwin motioned and Alvis Johnson seconded to approve the 2007 fee schedule for KTHP, 5 haa, 0 puuhara, 0 pupitihara.

 

She would also like to present a contract with Cimarron Medical Informatics. This company provides the support services for lab interface services with Quest. For four years they have been providing this service at no cost and it was originally a one year contract. She would like to submit contract 07-C-035 effective February 15, 2007-February 14, 2008 in the amount of $3,000 based on $60 per week. Patti is hoping to have this contract concluded with someone trained from within KTHP to provide the service internally and no longer have to contract with Cimarron Medical Informatics.

 

Robert Goodwin motioned and Alvis Johnson seconded to approve contract 07-C-035 with Cimarron Medical Informatics not to exceed $3,000, 5 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Leeon Hillman seconded to approve Patti’s report, 5 haa, 0 puuhara, 0 pupitihara.

 

2.) Vickie Walden, Dental Office Manager:

Vickie is not present, but has submitted her written report for review. She has two action items.

 

Robert Goodwin motioned and Florence Conrad seconded to approve the new dental codes, 5 haa, 0 puuhara, 0 pupitihara.

 

Martha presented Janis Madkins’ contract to seek an extension to June 30, 2008. All other aspects of the contract shall remain unchanged and the new approval will conclude a time extension to the contract.  

 

Robert Goodwin motioned and Leeon Hillman seconded to approve addendum three (3) to contract 05-C-012 between KTOC and Janis Madkins DDS, 5 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Leeon Hillman seconded to approve Vickie’s written report, 5 haa, 0 puuhara, 0 pupitihara.

 

3.) Lessie Aubrey, DQMCH:

Lessie is present to review her written report. She has no action items, but provided her budget report to the Council.

 

She explained that her budget is 29.68% expended and the fiscal year is at 33.3% of the year.

 

Robert asked about the clinic license and transferring it to the Happy Camp Complex. Lessie explained that once the licensure is revised to this location the facility should not need licensed as it will be operated on trust land.

 

Lessie explained that there may be preparations that need done regarding the Medicare and Medi-Cal numbers for the location. Dr. Burns stated that he and Judy will need new prescription pads with the correct address on them.

 

Florence Conrad motioned and Robert Goodwin seconded to approve Lessie’s report, 5 haa, 0 puuhara, 0 pupitihara.

 

4.) Joe Snapp, Substance and Alcohol Abuse Program:

Joe does not have any action items, but is present to review his report with the Health Board.

 

Robert asked about the size of the acreage that would be cleared on the ranch for gardening. Joe explained that he is hoping to have approximately five acres.

 

Joe is at 15% spent for this fiscal year. Overall, his program is looking very well and staying on budget.

 

Florence Conrad motioned and Robert Goodwin seconded to approve Joe’s report, 5 haa, 0 puuhara, 0 pupitihara.

 

5.) Martha Schrock, EDHHS

Martha provided her written report for the Council to review and also announced that there is RPMS behavioral health training scheduled. All appropriate staff will be present. The third party report that was requested is attached and outlined in her report.

 

Cheyenne Davis was hired as the Yreka Social Services replacement for Mike Edwards. Mike still comes on-site as needed to assist with cases until Cheyenne is up to speed.

 

The HCHS clinic was down three staff members when Gwen Rosenberg and Austin Hauki were hired as emergency hire personnel. The clinic is still seeking another staff person, but has not hired anyone to date.

 

In March, the dental staff will complete justifications and productivity for the dental program and at that time Martha will provide further information on their findings.

 

Laura explained that Martha’s report on third party is nice. However, Laura provided feedback on the amounts received from IHS, in-direct and direct. She would like this broke out by in-direct. It is possible for direct care services for one clinic to be her “spent amount” and then the actual report isn’t posted for six month intervals so the amount would differ. There is also lag time in the bill payment accountings. Laura explained that Martha did a very nice report, but the Council should keep that information in mind while reviewing it.

Martha explained that the managers review their budgets very well. She will provide comments if there are programs that are experiencing slight difficulties or may need clarification.

 

The MOU with KTOC and Yav Pa’ Anav still needs approval. It is a plan and it will be submitted to the wellness forum demonstrating that all the departments of KTOC work well together and through their designated representatives.

 

Robert Goodwin motioned and Leeon Hillman seconded to approve 07-M-001, 5 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Robert Goodwin seconded to approve Martha’s report, 5 haa, 0 puuhara, 0 pupitihara.

 

Martha has a draft report prepared to be submitted to OES and feels pretty confident about the improvements of the Naa Vura Yee Shiip program.

 

6.) Chris Kleeman, IT Manager:

Chris is present to provide a verbal report as he did not provide a written report. He explained that he has spent most of the month working on the cell phone issues for the employees of the Tribe. He has been seeking account changes to bring the expenditures back under control.

A service agreement for two years was reviewed and it was determined that there should have been a 19% discount provided to all employees of the Tribe. This review shall be reflected moving forward.

Chris explained that there has been a request for Google earth from Sandi Tripp, Director of DNR and several other natural resource employees. Chris explained that this is a map program designed to display different locations from wide or very close providing views and/or mapping specific locations. Chris stated that this is a problem due to the internet avialability. Scott Quinn and Melissa Kleeman have this installed on their computers currently and the system can barely handle the load. The request from Sandi was responded with a question asking a reason for use of the program by her and her staff. Chris asked for data available as a layer so that he could post that information without installing the entire Google earth program.

Leaf would like this reviewed to see if there is an option to plug data into another system or have it connected to a system that the information could be pulled from.

Florence invited Chris to attend the Managers meeting at DNR on Monday mornings at 10 AM. Chris will attend so that he can provide the explanation to the staff in person. Chris will attend the upcoming DNR Management meeting.

Document management has not been completed to date. He has sought two proposals and is seeking a third.

In the new building he will have some planning that needs to be done regarding technology updates to sustain the building as well.

 

Florence Conrad motioned and Leeon Hillman seconded to approve Chris’ report, 5 haa, 0 puuhara, 0 pupitihara.

 

7.) David Eisenberg, PHN:

David is not present to review his report, but it was provided for the Council to review.

 

David shall provide a legend to further clarify what the count for face to face visits is and also provide an explanation of the 601 count for the Yreka area in the month of November under transports.

 

Alvis Johnson motioned and Leeon Hillman seconded to approve David’s report, 5 haa, 0 puuhara, 0 pupitihara.

 

Informational: None at this time.

 

Old Business: None at this time.

 

Requests: None at this time.

 

Committee Reports:  Michael Thom, Election Chairperson:

Michael provided the Election timeline for the November election.

 

Michael has one action item. He would like to seek the Council’s approval to seat Kristen King to the Election Committee. The position was flown however there were not interested persons.

 

Florence Conrad motioned and Alvis Johnson seconded to appoint Kristen King to the Election Committee for a term of four years (2007-2011), 5 haa, 0 puuhara, 0 pupitihara.

 

Michael also presented another action item. The Election Committee worked on the Election Ordinance and revisions were made to make voting more friendly and also cover absentee voting to make it more voter friendly. The revisions are to section 16, to allow requests for absentee ballots up to one day prior to the Election. The revision to absentee voter status was revised to conclude that if a voter stipulates they would like to be an absentee voter then they may be allowed to be so each election as long as the voter voted in the election prior.

Leslie Alford declined the appointment to the Election Committee after her letter of intent was approved; however the position is being re-flown to seat another representative from the Yreka area.

The next election meeting will be March 7, 2007 at 5:30 PM. If the Council would like to table the Election Ordinance they may do so, but he would like to seek their approval in the near future to have it in place prior to the upcoming election.

 

Florence Conrad motioned and Robert Goodwin seconded to approve the recommendations from the Election Committee and approve the revisions to section 16 of the Election Ordinance, 5 haa, 0 puuhara, 0 pupitihara.

 

Closed Session:

Robert Goodwin motioned and Florence Conrad seconded to assist Tribal Member # 3171 not to exceed $100 and Barbara Norman is to seek reimbursement once billing is received, 5 haa, 0 puuhara, 0 pupitihara. Barbara is not approved to enter into a lawsuit regarding incident.

 

Consensus: to table request from Tribal Member # 1618 to Wednesday to seek further clarification.

 

Consensus: to table request from Tribal Member # 2903 to Wednesday to seek CHS Managed Care review.

 

Florence Conrad motioned and Robert Goodwin seconded to approve the expense of $102.93 from discretionary providing a luncheon barbeque for the TCCC crew, 5 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Leeon Hillman seconded to approve resolution 07-R-017, 5 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to send notice to #755 for him to provide follow up regarding Headstart an OES report and specifically ask if there is enough assistance to be adequately prepared for the upcoming audit.

 

Next meeting date: March 8, 2007 in Happy Camp, CA.

 

Yootva,

 

________________________________

Leaf Hillman, Vice-Chairman  

 

Barbara Snider, Recording Secretary