Health Board Meeting - November 3, 2010

Meeting Minutes

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

Present:

Arch Super, Chairman

Phil Albers Jr., Vice-Chairman

Leeon Hillman, Treasurer

Dora Bernal, Member at Large

Alvis “Bud” Johnson, Member at Large

Wilverna “Verna” Reece, Member at Large

Charron “Sonny” Davis, Member at Large

Absent:

Florrine Super, Secretary (leave – excused)

 

Quorum is established.

 

The Health Mission Statement was read aloud by Florence Conrad, Member at Large.

 

Agenda:

Bud Johnson motioned and Leeon Hillman seconded to approve the agenda with changes, 7 haa, 0 puuhara, 0 pupitihara.

 

Minutes of October 14, 2010:

Dora Bernal motioned and Leeon Hillman seconded to approve the regular minutes of October 14, 2010, 7 haa, 0 puuhara, 0 pupitihara.

 

Guests:

1.) Patti White, Environmental Coordinator:

Patti is present to seek approval of a food service contract, 11-C-012, between Nell Sakota and the Karuk Tribe. The contract will be for providing food services for the upcoming Bi-Annual health meeting for the entire Health Program of the Tribe.

 

Verna Reece motioned and Bud Johnson seconded to contract 11-C-012 for food cooking services, 7 haa, 0 puuhara, 0 pupitihara.

 

2.) Dr. Burns, Medical Provider/Director:

Dr. Burns is present tonight to thank the Tribal Council for supporting him during his emergency leave. He thanked the Council and the members of the Health Program staff for the warm wishes and prayers during his unexpected leave. He is glad to be back at work and ready to see his patients again.

 

3.) Babbie Peterson, Senior Nutrition Program

Babbie is present tonight to provide an overview of the funding opportunity from the Sierra Health Foundation in the amount of $15,000. She has to have revised budget information submitted by 4pm tomorrow in order to seek approval toward a new vehicle purchase. Since the amount is significantly lower than what is actually needed, she has been contacting dealerships to obtain donations or reduced pricing. During her phone conversations with several dealerships, she has come up with options including used vans, new vans and some that are within the $15,000 budget but also some that are not. She will continue to work on the purchase but is unsure of the process. She is in need of additional funding and possibly the remaining balance of $3,000 possibly from discretionary funding.

 

Dr. Burns suggested possibly getting a vehicle through a leasing option and that may lead to identifying more funding at a later time but get the van that is needed now. Lessie then asked about using Blue Shield Foundation funding. Eric asked if Blue Shield Foundation funding is available in December as he believes that it cannot be spent until then. Lessie believes that she may be able to locate $2,000 toward the purchase of the van, from within the health program budget. The audience continued to discuss funding options and vans that may be used.

 

The Tribal Council tonight will need to approve the revised budget of $15,000 for a vehicle purchase and then the full procurement can be brought back for the purchase approval, at which time they will have a firm estimate on the funding needed from council discretionary. Babbie will continue to review purchasing options including new and used vans but find the best option that will serve the senior nutrition delivery program and present that final information back to the Council.

 

Florence Conrad motioned and Dora Bernal seconded to approve the revised budget of $15,000 toward the purchase of a van for the senior nutrition program, 7 haa, 0 puuhara, 0 pupitihara.

 

Directors Reports:

1.) Daniel Pratt, TANF Director:

Daniel is not present, his written report is included in the Council packets; he had a family emergency. Dora would like to move Daniel’s report down the list to allow for his Executive Assistant to present his report.

 

Elsa arrived to review Daniel’s report. They are having training at Blue Lake next week. The Karuk Tribe will be partnering with the Hoopa Tribe and the Yurok Tribe with each Tribe contributing $800 toward the trainer to ensure all employees and programs receive the training while maximizing TANF funding. The contract for the trainer is 11-C-014 between Paul Clayton and the Karuk Tribe.

 

Florence Conrad motioned and Bud Johnson seconded to approve contract 11-C-014 between Paul Clayton and the Karuk Tribe, 7 haa, 0 puuhara, 0 pupitihara.

 

Elsa then asked about the TANF policies and procedures that were recently revised and sent to staff and Council for review. The staff had not completed the review and the Council hadn’t all received them. Barbara will need to provide Council members with the policies that Elsa forwarded and they will be forwarded to another meeting agenda for final approval.  Elsa did send those out for review.

 

Bud Johnson motioned and Verna Reece seconded to approve Daniel’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

2.) Mike Edwards, Director of Children & Family Services:

Mike is present tonight to seek approval of three action items. He is seeking approval to purchase a new vehicle for the Social Services program. He did a comparison from a used vehicle to a new vehicle and with Leeon’s recommendation to determine the exact cost versus use and funding he has come up with a different request from last month. He is able to purchase a new vehicle which will have better warranties and service. He talked to people within the Tribe to determine whether to find a Japanese or American built vehicle and feels that he has the best vehicle with all the recommendations taken into consideration. He has found a Ford Focus which is a little less expensive with better services and stays buying American. He would like to purchase a Ford rather than a Honda civic, which is what Sara usually purchases for the fleets of vehicles for the Tribe. Mike then went on to explain that he will take the new vehicle in Yreka mainly because the newer vehicle will get more miles and used more often, and he will send his current vehicle to Happy Camp where it can be used for town use and closer client transports. Also, in Happy Camp they have no department vehicle at this time so that will assist in the Administrations fleet being dedicated for just his program.  

 

Leeon Hillman motioned and Sonny Davis seconded to allow the purchase of a new vehicle from Ishpuk Leasing in the amount of $16,841 for the Social Services Department, 7 haa, 0 puuhara, 0 pupitihara.

 

Mike’s second action item is a request to enter into a collaborative agreement, 10-A-004 with Community Services Council for parenting classes. He would like to enter into this agreement to allow more services to Karuk families in the Karuk service area. The participants can attend parenting classes provided by Community Services Council and Mike’s program will agree to pay the fee, which assists that entity and the Tribal families that participate.

 

Florence Conrad motioned and Verna Reece seconded to approve agreement 11-A-004 between the Karuk Tribe and Community Services Council for parenting classes, 7 haa, 0 puuhara, 0 pupitihara.

 

Mike’s last action item is to add Katina Mareece to the Tribe’s vehicle insurance policy. Previously, Mike had requested this and the Council wanted to know if she had a background check and Mike brought the interns vehicle driving history tonight to prove her record to provide the Council with more information on her insurability. Leeon asked if the intern had gone through the background checks including finger printing as she transports children to their appointments alone and under the Tribe as an intern.

 

Mike concluded that yes, he did her fingerprints himself and that is fine, but he needs to have her added to the insurance policy of the Tribe to protect the Tribe and its staff in traveling/transporting.

 

Mike will just need to provide the interns CDL number to Sara Spence or Michael Thom and then they begin the necessary steps in determining eligibility of coverage.

 

Verna Reece motioned and Bud Johnson seconded to add Katina to the Tribe’s vehicle insurance, 7 haa, 0 puuhara, 0 pupitihara.

 

Mike updated the Council on the DUI program and its use. Every month the DUI program is able to bill CAIR and AIR and receive other payments, which is very successful including providing a service to Tribal Members. He is having staff cross train in the program to ensure coverage of each other and due to the program needs if anything should arise, maintaining the needed service to clients.

 

Verna Reece motioned and Sonny Davis seconded to approve Mike’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

3.) Chad Tiraterra, RPMS Site Manager:

Chad is present to review his written report with the Board. He provided an overview of the user needs within RPMS in the last month. The operation summary along with break out data in graphs of the clinical operations was provided in his report. He continues to work with Vickie on equipment for the dental exam rooms, moving the dental program to electronic health records. He is obtaining quotes and starting to get equipment for various odds and ends hoping to prepare as much as possibly and within budgeting. Beta testing for billing will be finalizing soon and then released nationally to the RPMS facilities.

 

Florence Conrad motioned and Leeon Hillman seconded to approve Chad’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

4.) Vickie Simmons, Clinical Operations Operator:

Vickie is not present but her written report is provided for the Health Board to review.

 

Phil inquired about the 4th quarter of the immunization reports to IHS and asked for a clarification on that information being sent. Lessie explained that IHS and HRSA require that information and it is extracted from the RPMS system then submitted.

 

Phil inquired about anyone else reviewing the reports and Dr. Burns noted that yes, Vickie Simmons provides those reports to the clinical staff to ensure they are aware of what data is collected and how the individual sites are comparing across the . 

 

Dora Bernal motioned and Florence Conrad seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

5.) Eric Cutright, IT Director:

Eric is present to review his written report with the Board. Florence asked about Orleans’ phone system this morning. Eric did not know the problem and identified that the Orleans phone server was having a problem and it was rebooted. Eric will be replacing the phone system. Eric has resolved the Happy Camp and Orleans phone problems he believes at this point. Eric then went on to overview his ordering and purchasing of staff equipment. The Orleans server problems that took place in September are slowly getting resolved with equipment arriving soon. KTHA and KCDC are squared away with backups going and operationally sound at this time. The staff is getting ready to wire the Yreka TANF office. Based on the equipment arriving the IT staff will have the office up and operational. The Happy Camp generator project is looking very good, the construction is complete mainly but the electric works continues to need to be done.

 

Eric noted that it will continue to need done. Leeon asked about the siding of the generator building. Fred will stain the plywood if there is a problem with funding. Laura inquired about the blue shield foundation funding for siding for the building. Eric has run out of funding to complete the generator project but he didn’t want to use it for that and use that funding for a generator for the Orleans facility. Eric will obtain an actual quote for siding and bring that information back to the Council.

 

Phil questioned the updates on the broadband funding from the federal government. Eric did note that the State funding would be cheaper and implemented sooner within two years if the State gets the funding.

 

Florence did note that she’d like the Tribal Council to help find a solution for assisting in getting power for people downriver that are off the grid. This could be a long term goal.

 

Verna Reece motioned and Florence Conrad seconded to approve Eric’s report, 7 haa, 0 puuhara, 0 pupitihara

 

6.) Vickie Walden, Dental Office Manager:

Vickie is present tonight to seek approval of procurement. It is with Kleen, and the amount of the bill was $2,250 for services, which would have been sole source.

 

Florence Conrad motioned and Phil Albers seconded to approve paying the invoice to Kleen, 7 haa, 0 puuhara, 0 pupitihara.

 

Vickie then went on to seek approval of procurement for charts that were ordered and came in over $2k. The total invoice was for $2,500.00. Dora asked if the staff now know the process and the policy regarding quotes and procurement. Vickie explained that they knew the process prior to these incidents but she no longer holds the reigns on the staff and their current supervisor approved the purchases.

 

Florence Conrad motioned and Leeon Hillman seconded the purchase and pay the invoice for charts, 6 haa, 0 puuhara, 1 pupitihara (Verna Reece). 

 

Florence Conrad motioned and Verna Reece seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

7.) Lessie Aubrey, EDHHS:

Lessie announced that there was a court ruling that was released from BPHC and they did win for billing for services but the revenue had to go into a trust fund incase the State wanted to appeal. After this has been done there is more information on if Tribe’s are involved in this process or not. Lessie did attend a conference and she found some information on training individuals to be dental technician’s and she will bring that information back if it flourishes. Lessie then thought about having a little soup kitchen on the side of the Museum. Vickie announced that there is a co-worker that noted that the High School students don’t have opportunities to receive adequate lunches for their lunch time schedule.

 

Lessie attached an update on YRTC. There are problems with Oroville with recommendations. Lessie and Arch met regarding this and selected proceeding with the plan and do more community information and keep an eye on a back up plan. Then the second plan being drop the Oroville option and get out of that area for fear of vandalism and lack of support. Florence explained that CRIHB decided to support the Honey Rock project very strongly. Margo Kerrigan is going to take six County personnel to other sites to provide tours of other sites.

 

Lessie then provided an overview of the position descriptions and their revisions. Lessie then reviewed each change in the position descriptions and asked for approval of the revised Dental Office Manager/Senior RDA, Elders Director and the Quality and HRSA Coordinator position descriptions. All positions are already in the Health Program but these are revised titles with pay for the existing staff

 

Phil inquired about the orientation of the new health and human services staff and if that is in conjunction with the HR Director. She stated that it is and the health program staff orientation is done and more at length than the administration orientation. The health program does it, but she then forwards that information back to the HR Department.

 

Dora Bernal motioned and Verna Reece seconded to approve the revised (3) position descriptions, 7 haa, 0 puuhara, 0 pupitihara.

 

Verna Reece motioned and Phil Albers seconded to approve Lessie’s report, 7 haa, 0 puuhara, 0 pupitihara.

 

Guests, Non-Health Employees:

1.) Ruth Rouvier, Language:

Ruth is present to seek approval of a food contract for an upcoming training to be held 11/14/2010 in Eureka CA. Dora noted that in July 2010 there will be a law implementing mandatory status of a food handler’s permit by caterers; these contracts may be considered catering contracts. As a matter of meeting requirements the programs may need to notify Sara to include this requirement in the RFP’s that are flown.

Sonny Davis motioned and Phil Albers seconded to approve contract 11-C-013 for $300 with Shurina Tate, 7 haa, 0 puuhara, 0 pupitihara.

 

2.) Helene Rouvier, People’s Center Director:

Helene is requesting out of state travel to Window Rock AZ which she received a scholarship for minus $300 out of her program.

Verna Reece motioned and Dora Bernal seconded to approve out of state travel to Window Rock AZ November 6-12, 2010, 7 haa, 0 puuhara, 0 pupitihara.

 

Closed Session:

Consensus: to ask Barbara Norman to review options for Tribal Member #1982 and provide that information back to the Tribal Council for their final review.

 

Informational: The EDHHS updated the Council on the attorney’s progress with Caltrans.

 

Consensus: for the EDHHS and other Director to handle disruptive behavior with appropriate reprimands and in accordance with policy.

 

Consensus: for the IT Director to discuss internet restrictions options with the Management Team to review options of use vs. employee’s not completing their work and report back to the Council.

 

Florence Conrad motioned and Dora Bernal seconded to allow Council Member Leeon Hillman to receive an electronic copy of his documents and email’s during his time as Treasurer of the Tribal Council, 6 haa, 0 puuhara, 1 pupitihara (Leeon Hillman).

 

Consensus: to have Arch speak to employee # 0506 regarding department employee and offer assistance or guidance and to allow employee #2267 to check on the Council’s tasks as they request.

 

Florence Conrad motioned and Bud Johnson seconded to approve a donation of support to Madrone Hospice in the amount of $500, 7 haa, 0 puuhara, 0 pupitihara.

 

Next Meeting: December 2, 2010 at 3PM in Happy Camp, CA

 

Florence Conrad motioned and Sonny Davis seconded to adjourn meeting at 9:12 pm, 7 haa, 0 puuhara, 0 pupitihara.

 

Respectfully Submitted,

__________________________________

Arch Super, Chairman

Recording Secretary, Barbara Snider