Health Board Meeting
April 9, 2009 – Meeting Minutes
Meeting called to order at 3 PM by Arch Super,
Chairman
Present:
Arch Super, Chairman
Leaf Hillman, Vice-Chairman
Florrine Super, Secretary
Leeon Hillman, Treasurer
Alvis “Bud” Johnson, Member
Verna Reece, Member
Absent:
Leaf Hillman, Vice-Chairman
Roy Arwood, Member –
travel-excused
Agenda:
Florrine Super motioned
and Leeon Hillman seconded to approve the agenda with changes, 5 haa, 0
puuhara, 0 pupitihara.
Minutes of March 5, 2009:
Florrine Super motioned
and Leeon Hillman seconded to approve the minutes of March 5, 2009, 5 haa, 0
puuhara, 0 pupitihara.
The Health
Guests:
1.) Babbie Peterson, Senior Nutrition Program:
Not present.
2.) David Tripp, Jump Dance:
David is present to request
assistance with the 2009 Jump Dances. He presented the prior year budget and
outlined what the expenditures were for both 2007 and 2008. The same funding is
requested this year.
Leeon Hillman motioned and
Verna Reece seconded to approve authorizing up to $7,000 for the 2009 Jump
Dance Ceremonies, 5 haa, 0 puuhara, 0 pupitihara.
Directors Reports:
1.) Daniel Pratt, TANF Director:
Daniel’s report was submitted
to the Health Board for review. Elsa Goodwin, TANF Administrative Assistant, is
available to answer any questions that the Board may have as Daniel is on
travel status.
The position description
attached to Daniel’s report will be tabled to closed session.
Verna Reece motioned and
Bud Johnson seconded to approve Daniel’s report, 5 haa, 0 puuhara, 0
pupitihara.
2.) Patti White, Database Administrator:
Patti is present to review
her report with the Health Board. She presented information on the annual HIPAA
security awareness training that IHS requires all health staff to complete. She
would like to request that the training be distributed to all staff and that it
be mandatory for both administration and health staff to complete the course.
It is an online course that can be taken at the staff’s pace and with early
notification of the requirement staff should have plenty of time to complete
the course. Patti will restrict RPMS access for Health Employee’s if the
training is not completed.
Eric added that the facility
in
Consensus: to make the
HIPAA security training mandatory for all employees.
Data entry is working on
being caught up. Happy Camp clinic is thirteen days behind schedule,
The UDS report has been
completed and submitted to HRSA. HRSA will review the report and will reply
with their suggestions for changes if they should have any. April 20-24, 2009
IHS is sending some staff up for onsite training for EHR. Some staff is working
with EHR already, but this training will provide assistance and bring the
providers in to using the EHR system as well.
Verna Reece motioned and
Leeon Hillman seconded to approve Patti’s report, 5 haa, 0puuhara, 0
pupitihara.
3.) Eric Cutright, IT Director:
Eric has no action items, but
reviewed his report with the Health Board. He has been working on the phone
system and office needs at the Yreka TANF office.
In
Verna and Florrine may need
new laptops. Eric would like to look into new purchases on laptops and desktops
in larger quantities due to the discount that may be received when ordering
several machines at one time. He will work on this at the next Directors
meeting to determine who all may need new equipment and take into consideration
the Council Members as well.
Verna Reece motioned and
Florrine Super seconded to approve Eric’s report, 5 haa, 0 puuhara, 0
pupitihara.
4.) Toni Lynn Downey, PHN
Toni is present to review her
report with the Health Board. Toni distributed information from Flo Lopez based
on how the visit counts are calculated for the Elders program. Toni still needs
to work with Patti on this documentation to determine if credit can be received
for this data since it is collected.
Toni received a call from
Phil Church on an equipment purchase that was made available from IHS stimulus
funding. Phil’s call was to inform Toni that she was unable to purchase several
items and was to only apply for one purchase of equipment. Toni had a very
small window of time to respond to Phil’s instruction, so she went ahead and
ordered a portable x-ray machine with the funding. Dr. Burns was automatically
concerned as he does not have a radiology license any longer and there are several
stipulations on using this type of equipment. Dr. Burns believes that there is
another item that can be useful or beneficial for the clients with this
funding. Toni will get more information on this equipment and the use of it
with guidelines however she had a small amount of time to respond to Phil, so
she already obligated the funding toward the x-ray purchase and went ahead and
ordered it. Dr. Burns would like to discuss this further as he believes that
she is incorrect in assuming that the equipment may be used by staff without a
radiology license. The Health Board asked that this discussion take place
between staff and that they work together toward equipment purchases and the
purchase of necessary items.
Toni again reviewed the
Elders Worker position descriptions and reviewed the insertion of duties that
are health related and cross trainable with tasks similar to the CHR’s. The
descriptions include some medical assessment skills that the Elders workers
already possess. Toni would like to increase salaries with the justification
being that the CHR and Elders worker positions are now joined in duties. The
revised position description is for the Elders Worker/CHR for the Happy Camp
area with a pay increase to $9.25 which should be allowable with HRSA stimulus funding
for this year and next year it will be reviewed again. Toni will re-submit the position descriptions
with tracking inserted so the Health Board may see what changes were made. This
will be re-discussed at the Planning meeting on Thursday.
Florrine Super motioned
and Verna Reece seconded to approve Toni’s report, 5 haa, 0 puuhara, 0
pupitihara.
5.) Karen Daniels, DQMCH:
Karen
announced that the State IHP review went well and a final report will be
forwarded to the Health Board once it’s received.
She
has been traveling to each facility to discuss AAAHC and what to expect from
the move to AAAHC from JCAHO accreditation. She is training staff and they are
getting geared up and prepared for their portions of compliance. During recent
training Karen received a presentation by AAAHC surveyors and they emphasized that
the most important thing to do is to follow policy. The health program has
several policies and she will be presenting them for re-approval to the board. AAAHC
also requires communication with each facility and employee’s so she will be
working with staff on the policies and similar communication procedures at each
facility. Karen had several policies that required Health Board approval but
due to the high volume of material to review, the Health Board tabled them to
the Thursday planning meeting for final approval.
Florrine
Super motioned and Leeon Hillman seconded to approve Karen’s report, 5 haa, 0
puuhara, 0 pupitihara.
Dr. Burns, Medical Director:
Dr.
Burns reviewed his report with the Health Board. Dr. Burns announced that the
providers will be moving to EHR and they look forward to the benefits for the
patients with the new electronic use. The providers have to do everything in a
new way and that may be difficult to follow right away but he is willing to do
it and the other providers as well. He explained that an emergency preparedness
drill will be run and he is looking forward to the preparation and the planning
to comply with emergency preparedness.
He
continues to follow the VA and their previous request to work closely with KTHP
facilities. He is staying on the sidelines and the VA is keeping him informed
of the situation.
The
providers successfully covered Dr. Willett’s leave. There has been no MD’s applying
for vacancies so he is screening applications for a midlevel for the
Dr. Burns would like to pay for him to attend a visit next week to Happy Camp
and he would like to recruit him to replace Dr. Hanst.
Dr.
Burns is discussing changes to the organizational chart with Lessie and those
changes will be brought back to the Council for final approval.
Leeon
Hillman motioned and Bud Johnson seconded to approve $50 to assist in lodging
for provider recruitment, 5 haa, 0 puuhara, 0 pupitihara.
6.) Lessie Aubrey, EDHHS:
Lessie
was not present but her report was provided for the Health Board to review. The
action items requesting a donation of $500 will be tabled to Thursday’s
planning meeting.
Florrine
Super motioned and Leeon Hillman seconded to approve Lessie’s report, 5 haa, 0
puuhara, 0 pupitihara.
Guests: Non Health
Employees.
None
at this time.
Committee Reports:
Florrine
is raffling off tickets for an afghan blanket with proceeds of the raffle going
to the Karuk Booster Club. Florrine will distribute some tickets to the staff
to sell.
Closed Session:
Consensus:
to table CHS Case #197 to the next Planning Meeting.
Consensus:
to assign employee # 7375 a cell phone.
Verna
Reece motioned and
Consensus:
to deny CHS Case # 199.
Leeon
Hillman motioned and
Consensus:
to table loan request from Tribal Member # 390 to the Planning Meeting.
Florence
Conrad motioned and Leeon Hillman seconded to approve contract 09-C-040 between
the Karuk Tribe and Blanche Keller, 5 haa, 0 puuhara, 0 pupitihara.
Leeon Hillman excused himself from the meeting.
Consensus:
to refer Tribal Member #1421 to the KTHA Board Meeting scheduled for Monday,
April 13, 2009 for discussion of his request to intervene in foreclosure
proceedings.
Leeon Hillman reentered the meeting.
Informational:
Tribal Member concerns and expressions of their opinions will be forwarded to
the entire Council for review.
Consensus:
to assign
Leeon
Hillman motioned and Florence Conrad seconded to approve a revised loan
agreement with Tribal Member # 295 making him eligible for programs; the
agreement will outline product with percentages taken for payment to loan and
back payment for delinquency to become current and only the People’s Center
Manager authorized to purchase items. All purchases will have the Tribe’s
markup and full sale will be profit to the Tribe after the purchase is made, 5
haa, 0 puuhara, 0 pupitihara.
Verna
Reece motioned and Florrine Super seconded to purchase 160 license plates (60
“Property of the Karuk Tribe” and 20 each of the other options for resale) from
discretionary, 5 haa, 0 puuhara, 0 pupitihara.
Consensus:
to have Arch Super to discuss scheduling with employee # 7375.
Consensus:
to table the revised TANF position description to the next Planning Meeting.
Consensus:
to have the EDHHS speak to employees on communication at meetings.
Informational:
discussion on the Chairman assuming the responsibilities of the Vice-Chairman
was discussed and finalized that it is appropriate and going to take place
until further notice.
Consensus:
for the HR Manger to review suspension of employee # 7094 to determine leave
status.
Informational:
discussion of NCIDC crew will take place
at the upcoming
Next meeting date: May 14, 2009 at 3 PM in Happy Camp.
Florrine
Super motioned and Florence Conrad seconded to adjourn meeting at 7:26 PM, 5
haa, 0 puuhara, 0 pupitihara.
Respectfully Submitted,
_______________________________
Arch Super, Chairman
Recording Secretary, Barbara Snider