Karuk Tribe – Health Board Meeting

Meeting Minutes - June 10, 2010

 

Meeting called to order at 3pm by Arch Super, Chairman

 

Present:

Arch Super, Chairman

Phil Albers, Vice-Chairman

Leeon Hillman, Treasurer

Sonny Davis, Member at Large (Yreka District)

Bud Johnson, Member at Large (Happy Camp District)

Verna Reece, Member at Large (Happy Camp District)

Florence Conrad, Member at Large (Orleans District)

 

Absent:
Florrine Super, Secretary

Dora Bernal, Member at Large (Orleans District)

 

Phil Albers read the Health Program Mission Statement aloud for the audience.

 

Agenda:

Verna Reece motioned and Bud Johnson seconded to approve the agenda, 5 haa, 0 puuhara, 0 pupitihara.

 

Minutes of May 13, 2010:

Sonny Davis motioned and Verna Reece seconded to approve the minutes of May 13, 2010, 5 haa, 0 puuhara, 0 pupitihara.

 

Director Reports:

1.) Mike Edwards, Director of Children and Family Services:

Mike is present to review his written report with the Board. The department has been very busy this month with the vacancies within his department being filled with new employees.

 

Florence Conrad arrived at 3:03 pm

 

Mike is still waiting to hear from the State on the Title IVE case that the Tribe has. This is an ongoing issue that he reports on monthly.  


The performance improvement project for patient cancellations is still being conducted at the facility.

 

He continues to meet with the TANF program to provide the maximum amount services possible to the clients without duplicating services between his program and TANF.

 

Mike reviewed his training with the Board. There was a three day tribal leader training where he obtained information on customary adoption but he is interested in providing that overview at the upcoming Planning Meeting. The Council felt that Mike could conduct the overview at this meeting if he was prepared to do so.

 

Mike went on to explain recent training he attended, noting that there is an option for children in the dependency program and it appears that when they are adopted there is the possibility of this new option to conduct a customary adoption allowing Indian Parents to not have to give up their legal rights fully. The legal parents will have control and say over the child but the biological parents may have the opportunity to take the children to cultural events or other events in an open adoption with the legal parent’s approval. In the event that something happens to the parents that have legal rights and the biological parents have been in close contract with the children then the biological parents may obtain custody of the children, as opposed to them going to another family member or outside agency. This is still a bit confusing for the State and it appears that there is confusion on how to begin this process. There is going to be a meeting next week for County Counsels and he will sit on a panel in Humboldt County where this will be discussed, he would like to come to a planning meeting to explain this further as it unfolds and determine the Council’s input regarding which direction the Tribe would like to take regarding this new development. Due to this being relatively new there isn’t much information to share but of course he’ll follow the discussion, review and planning phases.

 

The transporter continues to be very busy. There are two more ICW intervention cases bringing the department to 60 current cases which are across the nation, as there are kids in the program from Alaska, Tennessee and other states.


There is a live scan machine that is being purchased for he Tribe and this will be housed in Happy Camp.

 

There are two action items that he would like to present for approval.

 

Mike presented a maintenance agreement with Ohlund’s Office Supply for $42 per month for a year. This is the new copier maintenance agreement.

 

Florence Conrad motioned and Verna Reece seconded to approve agreement 10-A-042 between Ohlund’s Office Supply and the Karuk Tribe, 6 haa, 0 puuhara, 0 pupitihara.

 

Mike then presented his second action item. He has the opportunity to have an intern from the University of Oregon. The person is Gretchen Thiel and will be for one semester in the fall. The supervisor will be one of the LCSW’s of the program. This was done before in the past and responsibilities are outlined in the agreement.

 

Florence Conrad motioned and Bud Johnson seconded to approve agreement 10-A-040, 6 haa, 0 puuhara, 0 pupitihara.

 

Verna Reece motioned and Florence Conrad seconded to approve Mike’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

2.) Vickie Walden, Dental Office Manager

Vickie is present to review her written report with the Board. She provided training reports from Pat Doak and Susan Beatty from recent dental staff training. Vickie then went on to review her written report with the Board.  

 

Vickie commented that she will be reviewing budgets with Lessie and Laura coming up soon as there are adjustments that need to be made for the loss of State Indian Health Program funding and the staff is coding supplies to the HRSA budget. Upon review of the HRSA line items, it appears that the budget is over but those charges with be moved within the other line items, balancing the budget. Vickie will set time to meet with Laura and Lessie on budgeting.

 

Vickie has been working with Susan Beatty on dental data entry which will have three dental staff members completing dental data entry. This seems to be a better planning process for the Tribes dental program, as previously Vickie was the only staff member trained to complete dental data entry.

 

Training on dental billing and coding was very good but brought some confusion to the staff. Suzanna worked on the issues that the staff had and they continue to work on the kinks to ensure that the staff is completing documents accurately for the billing department. The new receptionist for Yreka dental clinic is working out well.

 

Verna Reece motioned and Phil Albers seconded to approve Vickie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

3.) Lessie Aubrey, EDHHS

Lessie is present to review her written report. She has out of state travel requests. She would like to have Leslie Alford and another staff member from the Happy Camp Community Clinic attend Supervisor/Manager training to ensure they receive adequate information on scheduling, productivity reports and other areas of management. In March, HRSA is putting on the Strategic Planning Seminar for HRSA in Chicago August 10-11, 2010. Lessie would like to take Mike Edwards as the grant is applies to his program and she would also like to take Jaclyn Goodwin, Grant writer as well.

 

Verna Reece motioned and Leeon Hillman seconded to approve out of state travel for Jaclyn Goodwin, Lessie Aubrey and Mike Edwards to Chicago IL in August 10-11, 2010, 6 haa, 0 puuhara, 0 pupitihara.

 

Lessie presented the Medical Records/Receptionist position description for the Orleans facility. In Orleans the staff member does not have adequate pay for the duties that are going to be added to her position. The discussion was moved to closed session.

 

Verna Reece motioned and Florence Conrad seconded to approve appointment of Lessie Aubrey as a designee for MediCal Advice regarding MediCal and Native Americans through the CA Department of Health Care Services, 6 haa, 0 puuhara, 0 pupitihara.

 

Bud Johnson motioned and Sonny Davis seconded to approve Lessie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

4.) Karen Daniels, DQMCH:

Karen is not present but her written report was provided to the Board.

 

Phil Albers motioned and Leeon Hillman seconded to approve Karen’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

5.) Chad Tiraterra, Database Administrator:

Chad is present to review his written report with the Board. Chad noted that the staff that was restricted from computer access for noncompliance in completing the required online HIPAA training. With the Council directive to complete the training, the staff that did not complete it was restricted from accessing the Tribe’s network until they contacted him with their training completion date.

 

Chad continues to work on dental program discussing how to get that program up and running on EHR. He is attempting to move that program to Dentrix.

 

Chad would like a credit card for miscellaneous items that he purchases. He would like to seek approval of a credit card.

 

Leeon Hillman motioned and Sonny Davis seconded to approve issuing Chad Tiraterra a VISA credit card with a $1,000 limit, 6 haa, 0 puuhara, 0 pupitihara.

 

Verna Reece motioned and Leeon Hillman seconded to approve Chad’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

6.) Daniel Pratt, TANF Director

Daniel is present to review his written report with the Board. He has action items to seek approval for as well. He submitted procurement for four (4) fire safes for file storage compliance. $7,559.96 was the lowest price and that is the company he selected to purchase the safes from. There are different sizes based on the chart amount that may need to be storing the files at each site.

 

Florence Conrad motioned and Phil Albers seconded to approve procurement and allow the purchase of the safes from Quill in the amount of $7,559.96, 6 haa, 0 puuhara, 0 pupitihara.

 

Elsa arrived and presented a contract for partnering with Scott Valley Tribal TANF to hold “Fatherhood is Sacred”, a one day seminar allowable in purpose 3 of 4 in the TANF plan.

 

Florence Conrad motioned and Bud Johnson seconded to approve contract 10-C-086, 6 haa, 0 puuhara, 0 pupitihara.

 

Daniel went on to note that the National Tribal TANF Institute is holding training and he believes that it would be a great opportunity to receive a complete understanding of TANF programs and this would be a beneficial training/conference for the TANF Representatives or any Council Members who would like an overview of the TANF program. It will be held July 26-28, 2010.

 

Verna Reece motioned and Phil Albers seconded to approve travel for Florence Conrad to Pala CA, July 26-28, 2010 for TANF training, 6 haa, 0 puuhara, 0 pupitihara.

 

Daniel then went on to note that the staff is worried about the State budget and the cut of CalWORKs. The state senate has rejected that budget cut proposition but there are going to be cuts.  Regarding Tribal TANF there is no reduction but there may be IOU’s issued by the State again which he will be prepared for.

 

Daniel will be changing the TANF software database to a new company but he was unprepared to seek approval at tonight’s meeting; this will be added to the Planning Meeting agenda.

 

When Verna inquired about “adult activities” that is reported for in each community there was a high number for Yreka and then only one for Orleans and a few for Happy Camp. Daniel believes that this is a typo but will check with his staff.

 

Verna Reece motioned and Phil Albers seconded to approve Daniel’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

7.) Eric Cutright, IT Director

Eric is present to distribute his report and provide an overview to the Board. He has no action items. Eric has been resolving issues in EHR and connectivity with Verizon and AT&T for the health facilities in the past month. The connection for the Orleans facility and the school is working well. Dr. Burns commented that he was able to conduct a teaching course via telemedicine with Fabian and that worked out really well.

 

A contract from UC Davis was sent to Eric and he is reviewing it at this time and will be putting that through the process once he determines the costs savings and ability of use.

 

Eric provided an update on the broadband proposals that the Tribe reviewed and approved support letters for. He noted that he received a thank you letter from the federal government. There was the possibility to get the funding from the Humboldt organization that will provide IT services and the agency that the Tribe provided funding to support.


The Tribal Website has been redesigned and the IT staff will now start to train Directors on how to upload program specific information.

 

The new backup solution that was approved has been tested. Eric believes that the staff is very close to ensuring that the Tribe’s information is safely backed up and stored.

 

Eric has been working with Fred and Sandi on the parking lot project and he is hoping that the construction workers don’t cut lines and he continues review communication that the IT staff has provided on line location and IT needs. At this time the staff is working with the crew to install conduits that will expand services and create better IT services between buildings at the Administration Complex.

 

Verna Reece motioned and Leeon Hillman seconded to approve Eric’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

Non Health Employees:

1.) Robert Goodwin, Self-Governance Coordinator:

Bob noted that Craig has submitted his proposal for funding to Bob and Laura and it will be submitted to the Tribal Council at their upcoming Tribal Planning Meeting.

 

Closed Session:

Florence Conrad motioned and Bud Johnson seconded to increase the Election Committee budget an additional $4,000 for the remainder of the fiscal year; discussions on Committee Members will be finalized at Thursday’s Planning Meeting, 6 haa, 0 puuhara, 0 pupitihara.

 

Leeon Hillman motioned and Phil Albers seconded to approve the out of state travel to Boise ID for Molli White and Tanya Johnson June 15-17, 2010, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to table personnel issue to Thursday’s planning meeting.

 

Leeon Hillman motioned and Phil Albers seconded to approve out of state travel for Virginia Moehring and Leslie Alford to Memphis TN for Manager training, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: for the EDHHS to seek clarification on requirements and necessity by HRSA, clearly outlining what the requirements are.

 

Consensus: to table requests regarding employee’s # 7104 and # 9089 to the Thursday planning meeting.

 

Phil Albers motioned and Leeon Hillman seconded to accept the counter offer of $253,000 and allow up to $265,000 purchasing the property, with the Tribe paying for ½ the closing costs, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to deny the GSA snow blower machine purchase.

 

Bud Johnson motioned and Florence Conrad seconded to approve out of state travel for Bob Goodwin and Arch Super to Tulsa AK August 3-5, 2010, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence Conrad motioned and Bud Johnson seconded to approve 10-C-085 between the Karuk Tribe and David Wrobleski, 5 haa, 1 puuhara (Leeon Hillman) and 0 pupitihara.

 

Leeon Hillman motioned and Florence Conrad seconded to approve the spring edition of the Karuk newsletter and send to printing, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to table request regarding Tribal Member #14 to Thursday’s planning meeting.

 

Consensus: for Member at Large to verify property is free of paperwork that was instructed to be cleaned up; also Council is made aware of staff assistance per Council request at the Ranch.

 

Florence Conrad motioned and Bud Johnson seconded to approve paying the $2,000 membership fee to ATNI from discretionary, 6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to allow Arch to attend Arcata meeting regarding California Trust Consortium at the end of June 2010.

 

Next Meeting Date: July 8, 2010 at 3pm in Happy Camp.

 

Florence Conrad motioned and Bud Johnson seconded to adjourn meetings at 6:35pm, 6 haa, 0 puuhara, 0 pupitihara.

 

Respectfully submitted,

 

_______________________________
Arch Super, Chairman


Recording Secretary, Barbara Snider