Karuk Tribe – Health Board Meeting
January 14, 2010 – Meeting Minutes
Meeting called to order at 3:00 pm by
Present:
Florrine Super, Secretary
Leeon Hillman, Treasurer
Alvis “Bud” Johnson, Member
at Large
Roy Arwood, Member at Large
Wilverna “Verna” Reece,
Member at Large
Charron “Sonny” Davis, Member
at Large
Absent:
Vice-Chairman (vacant)
The
Quorum is established.
Agenda:
Florrine Super motioned
and Leeon Hillman seconded to approve the agenda 6 haa, 0 puuhara, 0
pupitihara.
Minutes of December 3, 2009:
Verna Reece motioned and
Bud Johnson seconded to approve the minutes of December 3, 2009, 6 haa, 0
puuhara, 0 pupitihara.
Guests:
1.) Viola Long, TCCC:
Viola Long is present to
discuss the potential of beginning a Tribal Civilian Conservation Corps (TCCC)
with the Karuk Tribe. She has spoken to Dion Wood on the concept of beginning a
TCCC with the Karuk Tribe and Dion previously discussed this possibility with
the Council. The National Grantees funds the TCCC and there is a planning
implementation grant that can be applied for and Vi believes that this is the
necessary first step to ensure funding is available for planning and overseeing
who will be providing planning services. In this phase you are allotted a year
to work on planning and then begin further years planning, including taking on
a team and staffing. TCCC can grow into natural response and FEMA will pay for
services as well and that funding assists in offsetting wages or expenses of
the team. TCCC requires a 24% match, but this can be in-kind services. TCCC is
able to work in any state in the Country and begin to work on fee for service with
FEMA for emergency services.
The deadline to apply for the
planning grant is January 26th and she believes that she can make
this deadline and begin working on developing a TCCC with the Tribe’s support
of course. Arch asked if the vision is to employ Tribal Members from this area
or employ all tribal members. Vi explained that the Hoopa Tribe mainly employs
Tribal Members but of members of all Tribes can be placed on a Tribal crew. Vi
noted the restrictions of TCCC including no religion or politics in determining
jobs or community work. The crew is generally provided living stipends for
volunteering for 9 months (approximately 1700 hours), then they are awarded
college funding of approximately $4,000. They are eligible to complete two
years of TCCC. The training that is provided is very beneficial. With a TANF
MOA the Tribe could include the clients into the training field and work
requirements. The age requirements of TCCC are 18-24 yrs of age. Housing is
needed and has a couple restrictions as well. There needs to be lounge area,
quarters for females and males, adequate sleeping space, and commercial or
large scale kitchen facilities. There are options of reducing a thirty man crew
to allow for enough space for a smaller crew if the Tribe’s space is limited.
The main planning that needs to be considered is a housing facility. This can
be done in the planning phase in that first granting year.
Vi provided her background
experience with Hoopa TCCC. She started at the TCCC in October 2003. She went
on to explain her experience in working with TCCC and her development over
time. She provides several aspects of training and her experience in developing
a TCCC program makes her qualified to start a TCCC for the Karuk Tribe. She
will work with Dion and discuss further options with him.
1.) Mike Edwards, Family and Children Services Director:
Mike is present to review his
report with the Board. He is involved in 46 dependency cases. The program is
still working with
Mike requested out of state travel
approval for
Mike has met with Jim Burcell
on space at the log building. They continue to work toward better facilities
for the Social Services staff and meet confidentiality requirements.
Florence Conrad motioned
and Leeon Hillman seconded to approve Mike’s report, 7 haa, 0 puuhara, 0
pupitihara.
2.) Daniel Pratt, TANF Director:
Daniel is present to review
his written report with the board. Daniel will be meeting with an individual
for office space in Yreka. Anthony did meet with the building manager however
Daniel will be travelling out to meet with them as well. The site may not be
easy to get in and out of, but Daniel noted that most of the clients don’t have
transportation anyway. He did look at another site; it isn’t really designed at
this time and is a little more expensive.
TANF did receive notice that
a random sampling of TANF files was taking place during the Joseph Eve audit. There
were no findings in those cases. This was a good learning experience for the
staff. And within the next six months he is anticipating ACF to come and
conduct auditing as well. Some files are very large and the staff is well
prepared to be audited. The
Yreka has 49 active TANF
cases,
Daniel attended a CalWORKs
meeting in
Florrine would like to know
the difference in the reports from the communities. Daniel is trying to get the
staff to provide more uniformly reporting but has found that some staff is
better with reporting and using software for their reports. He will ask that
they all report more similar.
Florrine announced that the
Head Start program is having a Father’s celebration and she would like Daniel
to work on assisting Head Start fathers as appropriate.
National Tribal TANF Summit
is going to be held in
Florence Conrad motioned
and Leeon Hillman seconded to approve out of state travel for
Florrine Super motioned
and Sonny Davis seconded to approve Daniel’s report, 6 haa, 0 puuhara, 0
pupitihara.
3.) Karen Daniels, DQMCH:
Karen is present to review
her report with the Board. She initiated Peer Review which was a process to
ensure completion but she is happy that it is underway.
Karen has one action item. It
is a policy approval request which provides for a policy and procedure on
identity theft for the health program. Identity theft is a problem in the world
and the policy meets standards of the American Medical Association. ACQI has
approved the policy and now she is seeking formal approval from the Board. The
policy will be tabled to the Planning Meeting.
Verna Reece motioned and
Bud Johnson seconded to approve Karen’s reports, 6 haa, 0 puuhara, 0
pupitihara.
4.)
Florence Conrad motioned
and Leeon Hillman seconded to approve Chad’s report, 6 haa, 0 puuhara, 0
pupitihara.
5.) Eric Cutright, IT Director:
Eric intended to have two
procurements for approval tonight but he did not receive adequate quotes. He is
looking to purchase laptop security licensing ready for the Planning Meeting.
He is also looking to purchase new anti-virus software. He is working to obtain
all the anti-virus to all entities.
He then went on to discuss
The website for the Tribe is
being revised currently. Craig has been the test subject for a similar web
design. Eric believes that Chris and Gerry are working on getting Craig’s site
up live and then the work can be completed on the Tribe’s website as well.
Work on the old
Florrine asked about the
printer/fax in the Headway building and if there could be one in each site. Eric
will look up options for the Council Chambers in
Florrine Super motioned
and Leeon Hillman seconded to approve Eric’s report, 6 haa, 0 puuhara, 0
pupitihara.
6.) Vickie Walden, Dental Office Manager:
Vickie is present to review
her report with the board. There have been some changes in the Happy Camp
dental office. Dr. Madkins decided to retire and she didn’t get the opportunity
to speak to her prior to her leaving. Vickie would like to respond to her and
thank you for her work. There were interviews for the dentist replacement.
There has been a selection and they have hired Dr. Ton Doe. He is very
personable. He will be onsite Tuesday and by Thursday of next week he should be
seeing patients. She thanked Lessie and the CQI Department on their quick
turnaround time on credentialing and privileging.
Alicia Derry is the bright
smiles coordinator for the
Lessie forwarded information
to both Vickie and Dr. Bardonner on a grant opportunity. Vickie had only enough
time to review the grant opportunity and contact Hester who will be taking the
lead on the grant writing. Hester will be working on the new Ford Family
Foundation grant opportunity.
The last visit report for the
dental program had obscured data. She has completed the errors in four of the
eight clinics and will continue to work on the error reports. She attached her
budget reports.
Florrine questioned the Yreka
dental supplies appropriations expenditures and if that number is accurate. It
appears that the budget is spent at approximately 416.3%. Vickie explained that
yes, with the lack of funding in supplies she continues to need items, and she
will track it by coding it accurately. She will then move funding around at the
end of the year or attempt to obtain some HRSA supply funding.
Florence Conrad motioned
and Bud Johnson seconded to approve Vickie’s report, 5 haa, 0 puuhara, 0
pupitihara (
7.) Lessie Aubrey, EDHHS:
Each year Indian Health
Services has partnership training of all tribal people across the
Florrine Super motioned
and Leeon Hillman seconded to approve out of state travel for the
March 9-11, 2010 is the annual
tribal leader’s consultation conference. Arch will need to attend in
Florence Conrad motioned
and Bud Johnson seconded to approve travel for
Lessie met with Baker Dental
Lab and attempt to restore business with that organization. She did understand
that there was a lack of communication on the satisfaction of services, so with
better communication Lessie is hoping that the dental staff will find Baker
Dental Lab available to work with as well.
Lessie went on to summarize
her report. She is concerned over CATAC and there is consultation beginning
which she would like to have some Council Members attend. Lessie, Suzanna and
some fiscal people are going to be reviewing funding because with the end of
Governor Schwarzenegger the funding may not be increased even after he leaves
office. Lessie has studied the shortfalls and funding needs and continues to
prepare as much as possible.
Lessie would like to request
a donation from the Tribe toward refreshments for the upcoming Tribal Leaders
Conference.
She announced that IHS has
extra H1N1 vaccines if anyone is interested in receiving them just contact her.
Lessie then asked for $100,000.
There has been discussion to move dental toward EHR and to begin making it a
requirements as was with the medical departments. Lessie would like to begin
implementing EHR for dental and there needs to be focus on this area. Laura
explained that there should be ARRA funding coming from HRSA and this may be a
funding possibility. Florrine asked about Jim Crouch and CRIHB funding
availability. Lessie is unsure of which direction the funding should be coming
from but is very clear that she would not like to wait for the mandatory move
to come out but begin planning soon. She will continue to monitor this and be
happy to focus on this goal with the staff or others.
Lessie thanked
There is a pen paper that is
issued by HRSA and she read that they are now paying for AAAHC accreditation. She
is happy to hear this as the expense last year was approximately $12,000 which
won’t be necessary for the next survey.
There was a CHS meeting
yesterday. The dental expenditures are way down, and she attributed that to the
Yreka providers. They are seeing majority of their patients and really making
an effort to be efficient.
Lessie asked about the
ambulance service requests from downriver ambulance service. She receives some
information but since the discussion was not run through her she is unable to
respond with the Council’s information. The Council explained to Lessie that
the discussion was brought to them and the assistance request was denied but
that staff was available to assist in planning if the Ambulance service needed
some minor assistance.
Lessie
explained that another health program in Yreka was afforded the opportunity to
work with the VA on health care. There was a mis-communication on working
together so Margo Kerrigan is traveling to meet with the VA to clearly explain
the misunderstanding. Margo wants a support letter from the Council and one
from her directly accepting or requesting services and collaborating with the
VA.
Consensus:
for Lessie to draft the support letter so that the Council may review it prior
to approving it.
Lessie
went on to review the provider visit count. The substance and abuse counselors
aren’t entering data so this isn’t adding up correctly but she is aware of this.
Roy
Arwood motioned and Bud Johnson seconded to approve Lessie’s report, 6 haa, 0
puuhara, 0 pupitihara.
Laura would like to request a VISA card for the People’s Center Director. Hélène
has supplies and needed items to purchase that would make things easier if she
had a credit card.
Bud
Johnson motioned and Leeon Hillman seconded to approve a VISA card Hélène
Rouvier with a $1,000 limit, 6 haa, 0 puuhara, 0 pupitihara.
Laura
recently determined that she was not providing enough financial information to
the Council. She completes her monthly reports but they cover monthly snap
shots of finance department activities, and she would like to begin to provide
more information regarding the finances of the Tribe as a whole. Moving forward
Laura will provide information on the overall finances of the Tribe and its
operations related to finance. Laura provided facts regarding finances of the
Tribe specific to the Health Program.
The
Karuk Tribe received 5.5 million in fiscal year 2009. Third party revenue was
2.1 million. Portions of funding received are from non-native Americans paying
for their services at the clinics. There are several large scale grants that
are operated by the Tribe for the health program and they always maintain
compliance.
Laura
provided a full breakdown in finances including wages, taxes, and salaries and
overhead that is paid per year by the Tribe. Not only does the Tribe provide
services, but they employ a very large number of staff.
Guests: Non-Health
1.) Susan Corum, Water Quality:
Susan
is present to seek the Council’s approval of a letter to seek Government to
Government consultation on the State Water Control Board.
Consensus:
to approve the request for Government to Government consultation.
Sonny
2.) Scott Quinn, Land Department:
Scott
presented two resolutions for approval. One was 10-R-007 authorizing
Verna
Reece motioned and Bud Johnson seconded to approve resolution 10-R-008, 7 haa,
0 puuhara, 0 pupitihara.
Bud
Johnson motioned and Sonny Davis seconded to approve resolution 10-R-007, 7
haa, 0 puuhara, 0 pupitihara.
3.)
Leeon
Hillman motioned and Florence Conrad seconded to approve resolution 10-R-006,
authorizing acceptance of $8,300 in funding, 7 haa, 0 puuhara, 0 pupitihara.
Leeon
Hillman motioned and Florrine Super seconded to approve resolution 10-R-003
authorizing Tribal Officials to access OST information, 7 haa, 0 puuhara, 0
pupitihara.
Closed Session:
Verna
Reece motioned and Bud Johnson seconded to approve $675 from Third Party toward
CHS Case #211, 7 haa, 0 puuhara, 0 pupitihara.
Consensus:
to refer employee # 7464 to the KTHA Board.
Meeting
set with
Florence
Conrad motioned and Florrine Super seconded to approve C & P for employee #
0896, 7 haa, 0 puuhara, 0 pupitihara.
Consensus:
to table request from Tribal Member #221 to the Planning Meeting.
Florence
Conrad motioned and Leeon Hillman seconded to approve agreement 10-A-023, 7
haa, 0 puuhara, 0 pupitihara.
Consensus:
to table request to purchase a digital camera for the
Consensus:
to table request for financial assistance until a replacement cap is located
and cost is reviewed.
Consensus:
to table request for the Tribe to cover lodging for upcoming Language Training
until an amount is determined.
Leeon
Hillman motioned and
Consensus:
for
Consensus:
to schedule a meeting to review the Vice-Chairman position for 1/25 at Headway
beginning at 1 pm.
Next Meeting Date: February 11, 2010 at
3 PM in Happy Camp, CA
Bud
Johnson motioned and Florence Conrad seconded to adjourn the meeting at 7:24 PM,
7 haa, 0 puuhara, 0 pupitihara.
Respectfully Submitted,
________________________________
Recording Secretary, Barbara Snider