Karuk Tribe of California

Health Board Meeting - Happy Camp, California

August 16, 2007 – Meeting Minutes

 

Meeting called to order at 5:11 pm, by Arch Super, Chairman

 

Present:

Arch Super, Chairman

Florrine Super, Secretary

Leeon Hillman, Treasurer

Alvis Johnson, Member at Large

Sonny Davis, Member at Large

Florence Super, Member at Large

Robert Goodwin, Member at Large

 

Absent:

Leaf Hillman, Vice-Chairman

Roy Arwood, Member at Large

 

Florence Conrad read the Health Mission Statement aloud for the Council and Attendees.

 

Agenda:

Alvis Johnson motioned and Florrine Super seconded to approve the agenda with changes, 6 haa, 0 puuhara, 0 pupitihara.

 

Minutes of July 12, 2007:

Florence Conrad motioned and Leeon Hillman seconded to approve the minutes of July 12, 2007, 6 haa, 0 puuhara, 0 pupitihara.

 

Guests:

1.) Sandi Tripp, Director of DNR:

Sandi Tripp is present to request approval of several action items. She has deadlines to meet so she must be present this evening at the Health Board meeting, and she thanked the Council for allowing her time on the agenda for the approvals.  

 

Her first action item is a request to approve a contract between Todd Slosberg and DNR.

 

Florence Conrad motioned and Robert Goodwin seconded to approve contract 07-C-070, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi presented a contract modification with consultant Kier Associates. Kier Associates produces reports on the Blue Green Algae. The modifications are necessary as data may be incorporated to create a technical report. The current contract will be extended to next year. The funding comes from EPA water quality and BIA Blue Green Algae. This would be amendment one to the contract

 

Robert Goodwin motioned and Sonny Davis seconded to approve modification one to contract 07-C-042, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi then presented another modification with USGS in the amount of $1,995 that will pay for the installation of a high-data radio at the Klamath River streamages. It is also modification one to this agreement.

 

Florence Conrad motioned and Alvis Johnson seconded to approve modification one to agreement 07-A-005, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi presented a request for fish tags and a request to approve procurement to purchase those fish tags. It is with Grant systems and they are sole source. The amount is $9,758.15 and the equipment is already purchased to allow for the tags to be utilized.

 

Florence Conrad motioned and Leeon Hillman seconded to approve procurement and allow the purchase in the amount of $9,758.15, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi presented a proposal to utilize pass thru to KCDC. Hazel Jackpot Fuels Project is the name and it has been signed accordingly through the internal process. This will be a task order between the USFS, BIA and KTOC. KCDC will have a slight amount of in-direct shortfall of $2,239. The resolution is 07-R-114 in the amount of $41,520 before the 12/31 date of 2008.

 

Florence Conrad motioned and Robert Goodwin seconded to approve resolution 07-R-144 between KTOC allowing for KCDC pass thru, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi presented more information. It is another task order. Erin put comment for KCDC pass thru. Sandi clarified that there are only a couple employees working on the project and are in fact employees of the Tribe. They already have in-direct paid to the Tribe. Sandi believes that in order to go to KCDC it would need further clarification. Sandi believes that once the proposal is approved, then it may be moved to KCDC. This would require that their payroll would be changed over to KCDC payroll for two weeks including insurance changes and comp in the amount of time it would take to move all of the paperwork for two weeks it would need to be moved right back to KTOC. Sandi has never run any of Earl’s projects through KCDC, but she is willing to work with it so that the project can be completed.

 

Sandi would hate to put others in the area who are insensitive to the trail importance. Sandi would like the approval of the funding task order and then deal with the logistics of the funding being passed thru.

 

Florence Conrad motioned and Leeon Hillman seconded to approve resolution 07-R-115 approval task order for $52,800 with USFS, 6 haa, 0 puuhara, 0 pupitihara.

 

Sandi explained that the Somes Bar School is almost being complete and ready to open. There is equipment located at the old head start and the new school is interested in obtaining that equipment. Sandi will bring this up again at the next Tribal Council Meeting.

 

Old Business: none at this time.

 

Directors Reports:

 

1. David Eisenberg, PHN:

Sheila Robinson has resigned her position and will not be returning to work. He will begin the rehiring process as soon as possible, but that is his only update or action item.

 

The fire inspection did not take place as noted in David’s report, but Kirk Eadie will be present to complete the inspection soon.

 

Leeon questioned the letter about income verification on EAPC and HRSA grants. David explained that other programs require proof of income and the group decided to begin requiring the income verification moving forward, once the management team approves the letter it will be sent to all patients that have utilized one of the grants as a means to keep them up to date on this changing process.

 

Dr. Burns stated that when the patients verify their income status then they could be referred to the patient assistance clerks to get further assistance.

 

Leeon Hillman motioned and Robert Goodwin seconded to approve David’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

2. Patricia White, Database Administrator:

Patti is present and provided her written report to the Health Board for their review.  

 

Robert Goodwin motioned and Leeon Hillman seconded to approve Patti’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

3. Vickie Walden, Dental Office Manager:

Vickie’s report short due to the time schedule of patient visits to the time frame to complete the reports. Her report next month will have all the needed information on patient visits included. There has been a budget modification to supplement the CHS line items due to the high volume of expenditures of dental services through CHS.

 

Tammy Rompon successfully passed her Registered Dental Assistant testing to become licensed. There will be a celebration held for Tammy once her certificate arrives. The Health Board was happy to hear of her success.  

 

Vickie has instructed the facility to send patients elsewhere if they are not in dire situations or in need of emergency care as there isn’t enough providers to see all the patients.

 

Leeon Hillman motioned and Alvis Johnson seconded to approve Vickie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

4. Lessie Aubrey, DQMCH:

Lessie distributed her budget and action item list for the Health Board. Lessie explained that Happy Camp Health Services is not the name of the facility that the Tribe runs. Lessie would like to name the clinic Karuk Community Health Clinic.

 

Florence Conrad motioned and Robert Goodwin seconded to approve renaming the Happy Camp Health Clinic and across all paperwork the name will be “Karuk Community Health Clinic”, 6 haa, 0 puuhara, 0 pupitihara.

 

Lessie explained that due to the facility being on trust land it is up to the Tribe if they would like to remain State Licensed. Lessie has drafted a letter for Arch to sign asking for clarification on the pros and cons of the state licensing process but decision is up to the Health Board on how they would like to proceed. Of three facilities there is only one other one that is located on trust land and is not licensed, now would be the time to make the determination while necessary paperwork is being transferred.  

 

Leeon Hillman motioned and Sonny Davis seconded to approve resolution 07-R-121 authorizing an application to Certification and Licensing authorizing the submission for state licensing of Karuk Community Health Clinic, 6 haa, 0 puuhara, 0 pupitihara.

 

Leeon Hillman motioned and Robert Goodwin seconded to approve Lessie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

5. Joe Snapp, Substance and Alcohol Abuse Program:

Joe is not present, but his written report was provided for review.

 

Arch inquired about the DUI application. Robert asked about Oak Knoll and the progress of it. Joe explains that there is no funding for the property or buildings in his written report, but notes there may be funding for renovations. Robert would like an update on this. Martha explained that Joe was going to contact the gal who is an engineer for an update. Martha will speak to Joe on the questions raised and report back to the Health Board on those items or have Joe provide the update.

 

Robert Goodwin motioned and Leeon Hillman seconded to approve Joe’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

6. Martha Schrock, EDHHS:

Martha is present to review her written report with the Health Board. She reported that the Ya Pa Anav session went well at their last meeting, and the two forms attached to her report have been completed. They have been sent internally and the group will meet again on September 11, 2007.

 

Arch mentioned Martha joined Arch mid-week for TANF training. It was a good opportunity to see how they combined the tribal culture and tribal practices into the TANF programs. Martha believes that the trainings she has been to haven’t been as well organized as this previous one she attended. Martha believed that being present with the case workers and having that interaction was nice.

 

Martha had a discussion with Margo Kerrigan regarding separate funding for YRTC’s in California. That is still in the discussion phase with little movement. There was a small meeting set with Carl Artman, but since his cancellation a presentation prepared by health staff was unable to be viewed. It has been saved for a later time and will be held if the meeting happens to be scheduled again.

 

There is some Title IVE progress. There was a request for an extension but eligibility training will be done in October for eligibility requirements. Two consultants are coming August 31st to meet with the Social Service staff.

 

Laura and Martha have met to begin their preliminary health budgets for 2008. She will be working on them one more time prior to final approval.

 

The FNP or PA position is still being flown. If there is a part time position accepted then there will be some work on the Clinical Applicator Coordinator (CAC) workload.

 

Martha explained that there was a dentist interested in the Yreka position, but the interviews were unsuccessful. Dr. Woods is looking into working with the dental schools on how to complete recruitment a little better. The writing off of the advertisements has not phased the recruitment process too well. Martha is still exploring methods of recruitment and advertising for positions within the health program.

 

Martha thanked Lisa Aubrey for the work on the forms for Ya Paa Anav as she did a really professional job.

 

Alvis Johnson motioned Florrine Super seconded to approve the two forms attached to Martha’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

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

 

7. Chris Kleeman, IT Manager:

Chris Kleeman would like information on the KTHA buildings including Headway and the Yreka Housing building. Costs for computer wiring must be done and the staff is going back and forth on who is to complete procurement along with which organization is going to purchase the hardware needs to begin wiring buildings and providing services. Chris’ wages are broken out to invoice KTHA for his current time but both buildings are now going to be increasing his time and tasks. After discussion that Health Board believes the costs shall be passed to KTHA for the old headway location as KTOC does not own the building, only the land. Also, the building in Yreka will be broken out and invoiced 50/50 to KTOC and KTHA for the half administration office use by KTOC.

 

Chris updated that Health Board on implementation time lines and the replacement servers. Due to shipping destructions this has pushed the server repairs back about 30-60 days.

 

Robert Goodwin motioned and Leeon Hillman seconded to approve Chris’ report, 6 haa, 0 puuhara, 0 pupitihara.

 

Closed Session:  

Robert Goodwin motioned and Sonny Davis seconded to approve a loan to Tribal Member # 2265 in the amount of $3,000 with co-signer and payments at $200, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to reduce loan to Tribal Member # 1497 effective September 1, 2007 to $25 monthly  

 

Consensus: to refer Tribal Elder to the next KTHA meeting on August 27, 2007.

 

Robert Goodwin excused himself from the meeting.

 

Consensus: to communicate with Tribal Member # 1779 on complaint.

 

Florence Conrad motioned and Florrine Super seconded to approve adjustments to position descriptions of employee’s # 8819 and # KG, 5 haa, 0 puuhara, 0 pupitihara.

 

Leeon Hillman motioned and Alvis Johnson seconded to extend lease agreement with employee # 3146 for six months, 5 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to approve credentialing and privileging for providers as presented by employee # 3413.

 

Robert Goodwin returned to meeting at 8:59 PM.

 

Robert Goodwin motioned and Sonny Davis seconded to issue directive to KTHA regarding tenant, 4 haa, 1 puuhara (Leeon Hillman), 1 pupitihara (Florrine Super).

 

Directive to KTHA: After careful review the Tribal Council is issuing a directive to stop the eviction on KTHA tenant # RT. This shall be referred internally for a working collaboration between Karuk Social Services staff and KTHA. A discussion on this internal working relationship on behalf of KTHA tenants and the Tribe was discussed during planning sessions held at Canyonville and clearly outlined the process. This case has been identified to be the pilot project.

 

Directive to KTHA: The Tribal Council has made the determination in the past and will reiterate that the Karuk enrolled tribal members and descendants will be allowed Administrative Leave to attend Karuk ceremonies with appropriate coordination between the employee and employee’s supervisor for leave. This is the Tribal Council’s interpretation of the current policy and it shall be made effective.

 

Florence Conrad motioned and Leeon Hillman seconded to suspend Tribal Member # 531 loan for 90 days, 5 haa, 0 puuhara, 1 pupitihara (Sonny Davis).

 

Robert Goodwin motioned and Florence Conrad seconded to approve Barbara Norman’s assistance for Tribal Member # 2716.

 

Florence Conrad motioned and Florrine Super seconded to purchase insurance for vehicles and work comp insurance in the amount of $224,000 from Tribal First, 6 haa, 0 puuhara, 0 pupitihara.

 

Sonny Davis motioned and Florrine Super seconded to approve $125 for Tribal Descendant # D00272 for Charger sponsorship, 3 haa, 0 puuhara, 0 pupitihara. (Booster Club Vote).

 

Sonny Davis motioned and Leeon Hillman seconded to approve appointment of Tribal Member # 1182 being temporarily seated on the Election Committee, 6 haa, 0 puuhara, 0 pupitihara.  

 

Robert Goodwin motioned and Sonny Davis seconded to rescind prior directive for employee # 2267 to attend the Election Committee meetings, with the stipulation that the meeting minutes shall be sent directly to #2267 after the meetings to ensure tracking and compliance, 6 haa, 0 puuhara, 0 pupitihara.

 

Next meeting September 13, 2007 in Happy Camp, CA.

 

Florrine Super motioned and Florence Conrad seconded to adjourn meeting at 10:17 PM, 6 haa, 0 puuhara, 0 pupitihara.

 

Respectfully Submitted,

 

_______________________________

Arch Super, Chairman

Recording Secretary, Barbara Snider