Karuk Tribe - Health Board Meeting

September 13, 2012

Meeting Minutes

Meeting called to order at 3:02pm by Buster Attebery, Chairman

Present:

Russell “Buster” Attebery, Chairman
Michael Thom, Vice-Chairman
Joseph Waddell, Secretary / Treasurer
Dora Bernal, Member at Large Verna Reece, Member at Large Alvis Johnson, Member at Large Amos Tripp, Member at Large Sonny Davis, Member at Large

Absent:

Crispen McAllister, Member at Large (unexcused).

Sonny Davis completed a prayer and Michael Thom read the Health Mission Statement for the Council and audience.

Agenda:

Michael Thom moved and Amos Tripp seconded to approve the agenda with changes, 7 haa, 0 puuhara, 0 pupitihara.

Minutes of August 9, 2012:

Michael Thom noted that Barbara has him as Member at Large and he is the Vice-Chairman.

Verna Reece moved and sonny Davis seconded to approve the minutes of August 9, 2012, with changes, 7 haa, 0 puuhara, 0 pupitihara.

Director Reports:

1.) Carolyn Ash, Dental Director:

Carolyn is to provide her report. Interviews were done for a dentist in Yreka. The position has been offered
to a person recently graduated from Arizona dental school. She is working under temporary privileges. She graduated this last June 2012. She met with Dr. Shook, Lessie Aubrey, and Laura Mayton. The dental program has also discussed the pay increases for the staff, and the dress code for the staff.
Dentrix is moving forward and they are working on an RPMS interface, which needs to be discussed. They hired for the internal portion of auxiliary staff and she is being trained to take on more responsibility.
The supply line item is a little over and that is due to the higher amount of dentists. The program continues to operate.
Dora inquired if Dr. Ash has emergency time slots for patients. She noted that they are open Monday and Tuesday at 8am for emergencies. Dora noted that patients have been turned away due to shortages of time and have reported that to the Council Members. Dr. Ash commented that they do not turn patients away if they note that they are in pain and they are triaged by a RDA. Dr. Ash mentioned that the Yreka Clinic is open 7am-5:30pm five days a week.

Verna Reece moved and Joseph Waddell seconded to approve Dr. Ash’s report, 7 haa, 0 puuhara, 0 pupitihara.

2.) Annie Smith, Director of Community Services:

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Annie is present to review her report with the Health Board. Her first action item is an MOU that is needed for the second year of the five year program. Each year, it requires an updated MOU, with no changes. It cannot be approved with no number assigned and cover sheet showing approval internally.
She then noted that her VISA is over the limit. Jamie got Annie a Wal-Mart card for car seats and other programs, so now she should only be using her VISA for travel and her departmental supplies. The over limit fee is $43 and she would like to ask that the Council cover that fee.
Laura commented that this is not the first time for the over limit fee. And she suggested increasing her credit limit if the Council is going to continue to cover those fees, because the fees are unnecessary spending. Annie noted that she believes with the credit limit and the Wal-Mart card she may not need or go over the limit again.
Dora noted that a memo needs to be sent out to the staff regarding the over limit fees and start to have the employees be responsible for the fees as a part of the staff’s responsibility.

Joseph Waddell moved and Verna Reece seconded to cover the $43 over limit fee and to increase the VISA

to $3,000 limit, 7 haa, 0 puuhara, 0 pupitihara.

She then sought approval of a credit card for Michelle Cook, CHR. She needs it for travel or when she is on the road. With a cred limit of $1,500. This will be moved to closed session.
Annie then noted that the remainder of her report is informational items of the department.

Verna Reece moved and Alvis Johnson seconded to approve Annie’s report, 7 haa, 0 puuhara, 0 pupitihara.

3.) Lester Alford, TANF Director:

Lester is present to review his report. He completed several hirers to back fill positions that have been
vacant in the TANF program. He provided the caseload report. There continues to be written complaints and they are working through those.
Upcoming projects are participation in the KCDC culture growing life is a song event. It will be held soon. Planting the Seeds of Wellness is fast coming. ACF Region IX meeting is September 25-26, 2012. The Eagle Sun software training is also coming up. There is a lot happening in the coming months so his staff has been busy and taking time off to attend the blue Lake training may not happen this year to accommodate all the onsite needs of the staff.

Verna Reece moved and Joseph Waddell seconded to approve Lester’s report, 7 haa, 0 puuhara, 0 pupitihara.

4.) Vickie Simmons, Clinical Operations Administrator:

Vickie is present to seek approval of three policies that she forwarded to the Council. The policies are the
C&P policy and the Senior Nutrition Program policies. The lack of understanding of the senior nutrition program policies noting an actual board needs further discussed because there is not board and it shouldn’t be noted in the policy unless it’s going to be followed.

Michael Thom moved and Dora Bernal seconded to approve the credentialing and privileging policy 02-

001-005, 7 haa, 0 puuhara, 0 pupitihara.

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

5.) Eric Cutright, IT Director:

Eric is not present, he is on vacation. No written report provided.

6.) Lessie Aubrey, EDHHS:

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Lessie is present to review her report. She noted that the Annual CRIHB meeting is coming and they are requesting if the Tribe would like to include an advertisement for their book. Michael believes that this is an advantage, because CRIHB has an advertisement opportunity with recruitment.
Lessie then went on to seek approval of a $1,000 donation to the attorney’s working on CSC issues. Laura noted that she had information received some from Haubbs and Stross to make a claim to Indian Health Services and the BIA and that information helped her greatly. Lessie will check with consolidated Indian health on how to pay that. Feather River Tribe has their attorney’s draft a letter regarding not having tribal consultation, optional benefit cuts, and with no consultation with Tribes. Lessie noted that the Tribes lost a lot of money and with no discussion with the Tribes, they lost several funding opportunities.

Michael Thom moved and Joseph Waddell seconded to approve the letter from Feather River and provide the $1,000 for the Haubbs and Stross, 7 haa, 0 puuhara, 0 pupitihara.

Lessie provided the Health Advisory Meeting agenda to Barbara however no Council showed for the meeting. She attached the minutes for the Council’s review.

Joseph Waddell moved and Verna Reece seconded to approve Lessie’s report, 7 haa, 0 puuhara, 0 pupitihara.

Guests, Non-Health:

1.) Bob Rhode, DNR:

Bob is present to seek approval of the Department of Energy Grant extension. Bob noted that he has
procurement and the extra costs were delivery and installation.

Michael Thom moved and Sonny Davis seconded to approve the purchase of a new stove for DNR with west Coast Appliance in the amount of $10,148, 7 haa, 0 puuhara, 0 pupitihara.

2.) Jaclyn Goodwin, Self-Governance Coordinator:

Jaclyn is present to seek approval of the Naa Vura YeeShiip grant. The KCDC Board reviewed it and
approved it along with Tiffany and Michael as a second signatory to the cover sheet. Jaclyn noted that there aren’t many changes but it is funded.

Dora Bernal moved and Alvis seconded to approve resolution 12-R-099 to OES for the NVYS Program, 7 haa, 0 puuhara, 0 pupitihara.

Closed Session:

Council assumed judiciary oversight: Staff will receive training on the policies and procedures; change of venue was approved regarding TC#CJK.

Consensus: for the supervisors to deal with their employee issues.

Consensus: for the EDHHS to work with the CFO and HR to provide the Council with revised position descriptions and organizational chart.

Dora Bernal moved and Michael Thom seconded to terminate employee #1017 effective 10/4 and begin recruitment for both Yreka and Happy Camp to meet the needs of the membership and communities, 7 haa, 0 puuhara, 0 pupitihara.

Consensus: Tribal Member #399 $2,358.37 request died for a lack of a motion.

Dora Bernal moved and Joseph Waddell seconded to approve a (1) three day eviction notice and (1) thirty day eviction notice to be done by Stephanie Dolan if applicable, otherwise seek another attorney who may provide the service, 7 haa, 0 puuhara, 0 pupitihara.

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Michael Thom moved and Sonny Davis seconded to rescind resolution 12-R-081 and approve resolution 12-R-101,

5 haa, 0 puuhara, 2 pupitihara (Verna Reece & Dora Bernal).

Consensus: the Gaming Commissioner position descriptions will be sent to the Council and the Commission so that will get them started and have the roles and responsibilities outlined.

Amos Tripp moved and Joseph Waddell seconded to approve contract 12-C-10 Addendum (1) in the amount of

$2,535.00 with Julian Lang, 6 haa, 1 puuhara (Dora Bernal), 0 pupitihara.

Consensus: refer the KCDC Board to Laura Mayton for discussion on financial needs for positions.

Michael Thom moved and Bud Johnson seconded to approve travel to San Diego, CA. October 17-18, 2012 for

Dora Bernal and Jaclyn Goodwin, 7 haa, 0 puuhara, 0 pupitihara.

Informational: update on the City of Yreka Meeting and possibly using their building code, and finalizing the

Compact for submission.

Sonny Davis moved and Joseph Waddell seconded to approve Michael to travel to Portland OR, October 15, 2012 and Patty Brown if funding is available for Office of Head Start Consultation, 6 haa, 0 puuhara, 1 pupitihara (Michael Thom).

Verna Reece moved and Joseph Waddell seconded to approve out of state travel for Bari Talley to Raleigh, North

Carolina, September 26-30, 2012, 7 haa, 0 puuhara, 0 pupitihara.

Amos Tripp moved and Michael Thom seconded to approve a credit card to Jaclyn Goodwin with a $5,000 limit, 7 haa, 0 puuhara, 0 pupitihara.

Michael Thom moved and Verna Reece seconded to pay up to $2,500 from discretionary for an ice machine to be purchased (Sonny will pick out) and it will be housed at the Gym in Happy Camp, 7 haa, 0 puuhara, 0 pupitihara.

Dora Bernal moved and Amos Tripp seconded to allow the purchase of up to $500 in the CRIHB ad, if not allowable from Third Party then it will be dropped to a $250 ad, 7 haa, 0 puuhara, 0 pupitihara.

Amos Tripp moved and Joseph Waddell seconded to approve issuing the Human Resources Department a

Smartphone, 7 haa, 0 puuhara, 0 pupitihara.

Sonny Davis moved and Amos Tripp seconded to approve paying $75 for an ad in the Yreka Lady Miners 2012

YHS Volleyball Program, 7 haa, 0 puuhara, 0 pupitihara.

Amos Tripp and Dora Bernal moved to approve out of state travel for April Attebury and Jaclyn Goodwin to Tulsa

OK, October 2-3, 2012 for Government to Government consultation, 7 haa, 0 puuhara, 0 pupitihara.

Next Meeting Date: October 11, 2012 at 3PM in Happy Camp, CA.

Verna Reece moved and Michael Thom seconded to adjourn the meeting at 8:38pm, 7 haa, 0 puuhara, 0 pupitihara.

Respectfully Submitted,

Russell “Buster” Attebery, Chairman

Recording Secretary, Barbara Snider

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