Karuk Tribe of California – Health Board Meeting

March 13, 2008 – Meeting Minutes

 

Meeting called to order at 3:06 PM, by Arch Super, Chairman

 

Present:

Arch Super, Chairman

Florrine Super, Secretary

Leeon Hillman, Treasurer (3:33 PM)

Sonny Davis, Member

Robert Goodwin, Member

Roy Arwood, Member

Florence Conrad, Member (3:09 PM)

 

Absent:

Leaf Hillman, Vice-Chairman – travel excused

Alvis Johnson, Member – travel excused

 

Florrine Super read the Health Mission Statement aloud for the attendees.

 

Agenda:

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

 

Minutes:

Florence motioned and Roy Arwood seconded to approve the minutes, 6 haa, 0 puuhara, 1 pupitihara (Florrine Super).

 

Guests:

1. Malaya Rider, Community Member:

Malaya addressed the Tribal Council regarding a previous request to utilize the building for stress relief classes in Happy Camp. She has been working out of the People’s Center. Arch would like to have an agreement entered into for the Tribe to review the plan and ensure that the Tribe releases liability of injury from voluntary participants. The agreement should include all aspects of use before presentation to the Council. Malaya does not have an agreement drafted but she will draft that. Arch concluded that the plan should be included. Malaya Rider will contact Erin Hillman to work with Malaya on developing an agreement for official approval.

 

Director Reports:

 

1. Chris Kleeman, IT Manager:

Not present, no report provided. Due to being late, Chris will be moved down on the agenda.

 

2. David Eisenberg, PHN:

David provided a correction in his report. The Elders worker did provide information for the month of December, but it was too late to include in his report. David announced that he is seeking approval of an agreement for immunization networking in northern California. The computerized data base agreement allows access to the immunization registries from private, public and tribal resources. The Tribe would have to seek a release of information consent from tribal patients to share the immunization information county wide to comply with HIPAA regulations, but that may be done. The agreement will be with the County of Siskiyou – Immunization Network Northern California.

The agreement number is 08-A-008 with Judy Blind as the Happy Camp coordinator. There is no funding involved; however County of Siskiyou may provide a computer for use if the Tribe needs it. David also believes that when a student worker is employed they may be sought to enter immunization data to assist in keeping caught up and provide training as well.

 

David was asked about immunizing patients and then determining that there are adverse affects to the immunization. It is understood that with most vaccines in the past there was little information of the adverse affects, but in today’s medicine there is more information sharing and better medicines.

 

Robert Goodwin motioned and Roy Arwood seconded to approve agreement 08-A-008, 6 haa, 0 puuhara, 0 pupitihara.

 

Florrine Super motioned and Florence Conrad seconded to approve David’s written report, 6 haa, 0 puuhara, 0 pupitihara.

 

3. Lessie Aubrey, DQMCH:

Lessie is present to provide her written report for the Health Board to review.

 

Lessie has two action items to present for approval. The first is out of state travel for Babbie Peterson for a Title VI conference. All expenses are paid as she is invited to do a presentation and provide a display due to her recent distinction of “exemplary program for 2008”. There is a contract that must be signed and it is fairly small. The costs will be offset by the program as she is a recipient of such a distinction.  

 

Florence Conrad motioned and Roy Arwood seconded to approve out of state travel for Babbie Peterson to Mystic Lake Casino & Hotel, 6 haa, 0 puuhara, 0 pupitihara.

 

Arch explained that Lessie did not need out of state travel approval to Portland for her and Norlyn Peters for accreditation training due to the training being in Oregon in relation to the mile radius.

 

Lessie reviewed several standards for review and issued examples to the Health Board on each standard related to what KTOC does to provide quality service to the patients it serves referencing the governmental oversight of those quality services. Lessie read from her report each standard and asked questions of the board to determine their understanding of meeting standards.

 

The HRSA report on the baseline scope was completed by the deadline.

 

The performance improvement committee has been re-established and it is working well for the staff.

 

She has revised the performance improvement plan. She has ordered six AAAHC manuals, and some managers were interested in having one for reference. Robert Goodwin requested that Lessie order another AAAHC manual and have it forwarded to Barbara Snider. Lessie explained the high cost, but it was instructed that the manual be ordered.

 

The C & P Committee has been very active for the last month. The providers have been very professional in determining outcomes un-partially, and she is very proud of them.

 

During Martha’s absence work has been fairly active.

 

Lessie has attended a COS Advisory Committee Meeting. COS is beginning to grow their nursing program including RN, LVN and CNA training. COS is building a simulation building to more appropriately train the nurses and that is really beneficial to the students in their program.

 

Lessie reviewed the Performance Improvement reports for review. The board should be aware of the performance improvement reports and Lessie reviewed each one with the Board.

 

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

 

4. Martha Schrock, EDHHS (absent) Mike Edwards will report for her:

Mike distributed all reports for staff that report to him and others that report under Martha.

 

Mike presented resolution 08-R-030 authorizing ICW intervention on behalf of Tribal member Descendant/This was moved to closed session!

 

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

 

5. Vickie Walden, Dental Manager:

Vickie is present to review her written report for the Health Board. Vickie has a request to approve policy 10-000-445.

 

Florrine Super motioned and Leeon Hillman seconded to approve policy # 10-000-445, 6 haa, 0 puuhara, 0 pupitihara.

 

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

 

6. Joe Snapp, Substance and Alcohol Abuse:

Joe received word that there was a license received for the DUI program. Joe’s report is provided in the health board packets for review.

 

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

 

7. Patti White, Database Administrator:

Patti has one action item for review it is a policy approval. Patti provided her budget information. Patti asked for permission to require all staff to take the HIS security training.

 

Florence Conrad motioned and Roy Arwood seconded to mandate all staff to complete HIPAA IHS Security training, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Florrine Super seconded to approve policy # 04-015-028 unit record, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Florrine Super seconded to approve Patti’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

1. Chris Kleeman, IT Manager: (arrived)

Chris provided an overview of the new blackberry that he has ordered for some Council members and key staff. For upgrading it is $40 and another $40 per month for increased service but this is due to necessary functionality. Chris has announced that RPMS is unstable. He is working with IHS to remain functionally however things are not working well. The new IT manager will be onboard on Monday. EHR technician interviews are on the 20th in which he will be at. He has been dealing with a lot of phone issues both cell phone and land line.

 

Chris would like to be on the Wednesday agenda for some computer orders.

 

Florrine asked if Chris could remove the restriction of myspace.com. Chris explained why he was so reluctant. Licensing, 20 servers, 50 users with remote access and licensing would be approximately $130,000 per year.

 

The cost would be absorbed by user to specific budgeting set aside that that person is paid from.

 

Chris needs to do procurement and present it to the Wednesday meeting for a formal vote. The hand held radio docking station should be discussed with Fred.

 

Leeon Hillman motioned and Florence Conrad seconded to approve Chris’ verbal report, 5 haa, 0 puuhara, 0 pupitihara (Florrine absent).

 

Consensus: upgrades by staff to the new Verizon blackberry phones must be approved by Council prior to purchase. Staff must review their individual budgets to determine the line item sustaining the additional cost prior to presentation to the Council.

 

Guests – Non Health Items:

1. Paula McCarthy, Tribal Member

Florence Conrad motioned and Leeon Hillman seconded to allow the purchase of t-shirts for the Follow the Smoke gathering June 13, 2008 in an amount not to exceed $3,000, 6 haa, 0 puuhara, 0 pupitihara.

 

2. April Attebury, Tribal Court:

April has two action items. She would like to be on the Wednesday meeting agenda and Barbara will put her on that agenda. April would now like to request out of state travel request for Chuck Lent and herself to Anchorage Alaska for a mandatory strategic planning session. It is in the grant budget for mandatory meetings. The meeting is April 2-3, 2008. She may have to adjust the budget, but she will deal with this while onsite at the training.

 

Robert Goodwin motioned and Florrine Super seconded to approve out of state travel for April Attebury and Chuck Lent April 2-3, 2008, 6 haa, 0 puuhara, 0 pupitihara.

 

April was invited from NICWA to a conference in Washington DC. It is an invitation for Children’s Tribal Court with the travel to Washington DC putting a team together for a project and funded by the Casey Foundation. The ICW committee felt it was important to have Mike Edwards, Martha Schrock and her to attend. She would like to invite a Manager or Director from other Counties to include on the team as well. They will discuss youth permanence and provide a presentation to the attendees based on the collaboration between the group members she has selected. She already has a travel agent provided by the foundation but will need formal Council approval to attend.

 

May 1-2, 2008 is the travel dates. Pamela Riesling, Martha Schrock, Mike Edwards and April Attebury are the staff that need out of state travel approval according to internal policies.

 

Florence Conrad motioned and Robert Goodwin seconded to approve that out of state travel for Martha Schrock, Pamela Riesling, April Attebury, and Mike Edwards May 1-2, 2008 to Washington DC, 6 haa, 0 puuhara, 0 pupitihara.

 

3. Susan Corum, Walter Quality:
Susan has action items for presentation to the Council. Susan first presented a proposal to the BIA. There have been some water samples that the state board has paid for but additional work is needed. Susan contacted the BIA for further funding to review the muscle samples that had higher levels of blooming algae in the mushrooms. The BIA indicated that the findings previously indicate that if further investigating is necessary then the tribe should put together a different proposal for the muscle discovery and submit it to seek further funding. Susan has done that and would like approval of the resolution to submit that proposal.

 

Bob would like to have a paragraph from the State Water Resources Control Board identifying the blue green algae issue be provided by the Tribe. Susan agreed that the finding a memo and distributing it would be beneficial for persons who are not familiar with the issues.

 

Robert Goodwin motioned and Sonny Davis seconded to approve resolution 08-R-028 with compliance recommendation to accept shortfall, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Robert Goodwin seconded to approve resolution 08-R-031 authorizing submission of a proposal, 6 haa, 0 puuhara, 0 pupitihara.

 

Robert Goodwin motioned and Leeon Hillman seconded to deny a request for Enrollment contact information to be released, but would instruct Ramona Driver to work with the Enrollment Department according to established process, 6 haa, 0 puuhara, 0 pupitihara.  

 

Robert Goodwin motioned and Leeon Hillman seconded to approve a contract between KTOC and Ross Pear Associates effective today, 6 haa, 0 puuhara, 0 pupitihara.

 

Bob also inquired about two or three sites that may need additional work. Those sites will be determined at a later time.  

 

4. Laura Mayton, CFO:

Laura presented fire district invoices that were mailed to KTOC following a brush fire call at the Ranch in Happy Camp. The local volunteer fire department was called onsite due to a report of the fire being uncontained. Laura Mayton is seeking approval to pay the invoice in the amount of approximately $1,800. This will be tabled to Wednesday.

 

There were also charges to Leaf Hillman’s tribal visa card that will need approval from discretionary toward payment as the amount charged is not broken out by item. This will be tabled to closed session.

 

There was another receipt for a dinner meeting charged on Sonny Davis’ tribal visa card that will need approval from discretionary as the amount is not allowable under the program that held the meeting. This will be tabled to closed session.

 

Requests:

Request for CRIHB approval for Florence Conrad, Florrine Super and Roy Arwood for the quarterly directors meeting. CRIHB will reimburse for the room and stipend for Florrine and Roy but Florence as an alternate will not be reimbursed. The travel is April 17-19, 2008

 

Robert Goodwin motioned and Leeon Hillman seconded to approve travel to Sacramento CA., April 17-19, 2008 to CRIHB Quarterly Meeting for Florrine Super, Florence Conrad and Roy Arwood, 3 haa, 0 puuhara, 3 pupitihara (Roy, Florence, and Florrine).

 

Closed Session:

Consensus: to have employee #2267 work family members of Tribal Member # 4077 on determining what costs will be incurred along with funding sources. Findings will be reported to the Council at their Wednesday planning meeting.

 

Robert Goodwin motioned and Sonny Davis seconded to approve resolution 08-R-030 authorizing intervention on behalf of tribal descendant, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Robert Goodwin seconded to provide $150 toward History Day Project travel with the stipulation of the child providing an overview at the upcoming Council meeting in Yreka, 6 haa, 0 puuhara, 0 pupitihara.

 

Directive: for KTHA to work with Barbara Snider on scheduling of the KTOC portions of the Yreka building.

 

Robert Goodwin motioned and Leeon Hillman seconded to authorize Florence Conrad to make an offer of no more that $950 for dark basket cap and inquire about the light colored cap for further consideration, 6 haa, 0 puuhara, 0 pupitihara.

 

Robert Goodwin motioned and Florence Conrad seconded to approve paying visa receipts totaling $365.50 for luncheon meetings, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to table revised substance and alcohol abuse counselor position description to Wednesday.

 

Robert Goodwin motioned and Florence Conrad seconded to approve re-appointment of employee # 1017, 6 haa, 0 puuhara, 0 pupitihara.

 

Update: employee # 9000 provided an update on personnel issues that he has internal resolved regarding employee # 1976.

 

Consensus: to table request for reconsideration of a loan to Tribal Member # 390 to the Wednesday planning meeting.

 

Florrine Super motioned and Florence Conrad seconded to approve MOU 08-M-008 between listed outside agencies and KTOC, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to deny financial assistance to out of the service area Tribal Member.

 

Consensus: to table procurement and purchase request submitted by Maintenance Supervisor for further clarification to the Wednesday planning meeting.

 

Consensus: to deny financial request from out of the service area Tribal Descendant.

 

Consensus: to deny financial request from out of the service area Tribal Descendant family.

 

Robert Goodwin excused himself from the meeting.

 

Florrine Super motioned and Florence Conrad seconded to approve ½ the request for financial assistance presented by Tribal Member # 1374 from third party, 6 haa, 0 puuhara, 0 pupitihara.

 

Robert Goodwin returned to the meeting.

 

Next meeting date: April 14, 2008 at 3 PM in Happy Camp, CA.

 

Florrine Super motioned and Florence Conrad seconded to adjourn the meeting at 8:56 PM, 6 haa, 0 puuhara, 0 pupitihara.

 

 

Respectfully Submitted,

 

_______________________________

Arch Super, Chairman

 

Recording Secretary, Barbara Snider