Health Board Meeting

September 14, 2006

*Minutes*

 

Meeting called to order at 5:05 PM, by Arch Super, Chairman

 

Roll Call:

Arch Super, Chairman

Leaf Hillman, Vice-Chairman

Leeon Hillman, Treasurer

Florrine Super, Secretary

Alvis Johnson, Member at Large

Florence Conrad, Member at Large

Robert Goodwin, Member at Large (5:10 PM)

 

Absent:

Roy Arwood, Member at Large (travel/excused)

 

Quorum is established.

 

The Health Mission Statement was read aloud by Florence Conrad.

 

Agenda:

Florence motioned and Leaf seconded to approve the agenda with changes, 6 haa, 0 puuhara, 0 pupitihara.

 

Minutes of August 10, 2006:

Leaf motioned and Bob seconded to approve the minutes, 5 haa, 0 puuhara, 1 pupitihara (Alvis Johnson).

 

Guests:

Erin Hillman, Director of Administrative Programs and Compliance:

Erin presented the State IHP change in signatory form. It is authorization to bind corporation and payment request approval form. The signers will be Leaf Hillman, Martha Schrock and Arch Super

 

Bob motioned and Leeon seconded to approve Arch Super, Martha Schrock and Leaf Hillman to be signers for the State IHP program documents, 6 haa, 0 puuhara, 0 pupitihara.

 

Erin presented the agreement 06-C-052 between Stephanie Dolan and the Children’s Division of the Karuk Tribal Court. It is finalization of the IVE Agreement for Foster Care Placement and will not exceed $7,000.

 

Florence motioned and Bob seconded to approve Agreement 06-C-052, 6 haa, 0 puuhara, 0 pupitihara

 

Jennifer Goodwin, Education Director:

Jennifer is present to request a Council member’s attendance at Native American Day at the Jackson Street School in Yreka. This will be an assembly with speakers and also have presenters. They will have tables with basket weaving demonstrations and eel trap demonstrations. Florrine will also bring her Youth Leadership staff. Florrine, Roy and possibly Vina will attend. Jennifer thanked the Council as she wanted to have the cultural sharing and the Council’s participation.

 

1. David Eisenberg, PHN/Outreach:

David is present to review his written report with the Council and to seek approval for an agreement with UC Davis to provide tele-consultation services.

 

Leaf motioned and Bud seconded to approve agreement 0A-06- ?? between the Karuk Tribal Health Program and UC Davis, 6 haa, 0 puuhara, 0 pupitihara.

 

Leaf asked if the satisfaction survey is ongoing. David stated that this is done annually. There are several types of surveys and the staff review what it is that the patients are trying to let the program know, if follow up questions are indicated then those are broke out and presented back to patients for further information gathering.

 

Leaf asked if the Council has questions if they could be relayed to the patients. And also if this survey is comparable to a period of time. David stated that as people were unhappy, there were follow up questions that can and have been done. If the Council has specific information that they would like to seek a response from the patients regarding then they may submit those suggestions and the staff can include them in the surveys to obtain feedback from patients. Patient satisfaction surveys are a snapshot of what the patient population is regarding their services. They may be compared against previous surveys.  

 

Bob motioned and Leaf seconded to approve David’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

2. Patti White, Database Administrator:

Patti stated that Sharon has gotten Orleans data entry current again.

Leslie Alford the Yreka Data Entry clerk submitted her training report. Patti stated that this is the first time since Patti has been the supervisor of the data entry positions and the data entry has stayed current. She is very happy about this and noted that it is due to the hard working staff and their diligence.

The training in Warm Springs for EHR next week will have five persons attend, as Arch is unable to attend and previously thought.

 

Bob motioned and Leeon seconded to approve Patti’s written report, 6 haa, 0 puuhara, 0 pupitihara.

 

3. Vickie Walden, Dental Office Manager:

Vickie is not present to review her report; however her report is included in the packets for the Council to review.

 

Florrine motioned and Bud seconded to approve Vickie’s written report, 6 haa, 0 puuhara, 0 pupitihara.

 

4. Lessie Aubrey, DQMCH:

Lessie has a couple action items. There has been a donation process for health center disaster relief fund. National Association of Community Health Centers, Inc. (NACHC) would like a donation of $1,000 toward other community health clinics. This will provide immediate relief to health centers when disaster of any kind strikes.

Lessie will try to obtain more information and provide it to the Council so they may make a more informed decision.

 

Lessie provided an email to the Council regarding the previously interviewed physician, Dr. Hugh’s, and submitted comments regarding that meeting. Dr. Hugh’s would like to come back for a second meeting with the Council representatives as well as the staff that were present.

 

There is a request from CRIHB for a donation to their Annual Advertising Campaign and Fund raising Program, which will accommodate all community members, health practitioners, and health specialists in roundtable discussion at their Statewide Annual Board of Directors Meeting.

 

Bob motioned and Florrine seconded to approve donating $500 for CRIHB’s request, 6 haa, 0 puuhara, 0 pupitihara.

 

Lessie would like to have the Council’s permission to begin training all staff on HIPAA. Lessie stated that this is a State, Federal and National requirement and there was staff training provided to all staff previously, but most recently training has only been being provided to the Health Program staff. Lessie would like to begin training all staff at the point as there are several HIPAA violations that take place within the Administration building, and the need to train them on the regulations is very important. Lessie would like to have a trainer come on site to provide this training.

The Council would like Lessie to review the option of having a trainer come on site, and present the information back to the Council for them to make a determination.

 

State IHP will be reviewing the organization October 11 & 12, 2006. Lessie provided the Council with information regarding their requirements. Bob requested that this information be formatted onto a cd for himself as well as available for other Council members. Lessie will complete this and get it to him.

 

Lessie reviewed the patient brochure and provided the updates to the Council. The brochure is full of useful information regarding the health program including the staff that provide their care, clinic locations, and health information. The Council was provided the health program complaint procedure and policy, the organizational chart and several other policies.

 

Dr. Burns would like the website included on the brochure so that patients are notified of updates or where to obtain current information as the brochure become inaccurate approximately six months after printing and at some times before it is printed.  

 

Lessie provided several health program policies and procedures that needed review and approval. The Traditional health policy has recently been revised. Lessie reviewed the intent with the Council. Arch would like to have some input from Bud and Leaf regarding the traditions and have further information obtained from Cultural practitioners.  

 

Florence motioned and Florrine seconded to approve Environmental Controls and Safety Policies, Life Safety Management Plan, Emergency Procedures, Staff Responsibilities During Emergencies, The Smoking Policy,  Medical Transportation Policy, Compliance Plan, Karuk Medical/Dental Clinics Emergency Plan, The updated Patient Handbook, The Sliding Fee Schedule, Code of Ethical Behavior, Enrollment Procedures, and the Medical/Dental Fee Scale, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence motioned and Leaf seconded to approve Lessie’s report, 6 haa, 0 puuhara, 0 pupitihara.

 

Barbara will ensure that the areas that need Council approval be included in the cd or floppy format for the Council that Lessie will be completing.

 

5. Joe Snapp, Substance & Alcohol Program:

Joe stated that he received a copy of the DUI agreement completed by the State.

 

Recently there was an audit by CAIR on the services provided by Social Services. He is sure there will be some negative responses from CAIR, but he is waiting for a final report. Florence asked if the former problem with billing was rectified. Joe stated that the process was revised slightly, and he hopes that in the near future it be on track. Arch asked for a time frame of the billing to be rectified. Joe expects that this be rectified in one month.

Joe stated that with the CAIR auditor had a hard time conducting an audit, as Joe was not present, and then Anthony Ballard was out on travel status. Joe hopes that with Erin Hillman, Martha Schrock and Laura Olivas’ assistance that the program did well.

 

Joe has obtained State certification and he has found that he needs to be certified by Medi-Cal, and that he will begin to work toward this as well as obtaining certification for Anthony Ballard. The program has to be state certified and the counselors have to be state certified in order to receive reimbursement from Medi-Cal.

 

The architect working on the Oak Knoll project is working on some revised plans. He is glad to see that there will be some working plans, and the grant for a feasibility study has been submitted.

 

Florence asked how the kitchen is going to be furnished. Florence inquired if CAIR would assist in purchasing equipment. Joe stated that CAIR is funding with stipulation, but there is other funding received and can be used for other things similar to third party funding.

 

Joe stated that he would like to have the Oak Knoll center open with the minimal construction that is required, and then the clients that are residing at the facility could do the painting, and similar duties to complete the tasks. Joe reviewed the regulations on naming the facility a residential treatment center vs. a center. Joe stated that the goals and accomplishments can be achieved by transporting the client’s to receive services at our clinics, without opening a full treatment center.

 

Jim Penndel sent Erin Hillman, Arch Super and Joe an email regarding receiving a grant notification from EQWEST. Joe will speak with Jim and determine when he is available to meet with the Council at one of their Wednesday Planning meetings.

 

Bob motioned and Leeon seconded to approve Joe’s written report, 6 haa, 0 puuhara, 0 pupitihara.

 

6. Martha Schrock, EDHHS:

Martha provided the Council with a brief verbal report. She explained that she is getting settled in, and meeting with the staff. She has been traveling to the clinic sites. She has been obtaining a review of the last year, the goals and the achievements of each program and has been attending meetings. She noted that she doesn’t worry about audits for example, the CAIR program. She always likes to see the final report returned before there is too much concern regarding the program.

 

She has been speaking with patients regarding their care. She has been working with the staff on recruiting, and has been working very hard to get up to speed.

 

Bob motioned and Leeon seconded to approve Martha’s verbal report, 6 haa, 0 puuhara, 0 pupitihara.

 

Requests: None at this time.

 

Informational: None at this time.  

 

Closed Session:

Consensus: To table Employee # 4114 request to Monday’s Budget meeting.

 

Bob motioned and Leaf seconded to uphold CHS denial and deny cases 168 and 169, 6 haa, 0 puuhara, 0 pupitihara.

 

Florence motioned and Florrine seconded to approve a $4,000 loan to Tribal Member #2521 with repayments of $200 monthly, and co-signed by employee # Jennifer Goodwin, 5 haa, 0 puuhara, 1 pupitihara (Bob Goodwin).

 

Consensus: to table employee # 4696 recommendation. Barbara will ask Sara to provide lawyer opinions that she obtained regarding this information as well as clarification on penalties at the upcoming Wednesday planning meeting.

 

Consensus: Set some time with Olin Jones separately following the meeting with Carol Russo, to have discussion regarding arrests and pressing charges of selected persons. 

 

Consensus: Arch, Roy, Florrine, Bud, Bob, Leaf, Florence and possibly Leeon, shall attend meeting October 17, 2006 at 1:30 PM in Yreka.  Carol Russo shall be notified that the Council would like to discuss two items with the attendees.

 

Leaf motioned and Bob seconded to approve the recommendation by the Education committee regarding Tribal Member #2035, 6 haa, 0 puuhara, 0 pupitihara.  

 

Florrine motioned and Martha seconded to approve $775 from LIAP Discretionary for Tribal Member #1803, 4 haa, 0 puuhara, 0 pupitihara.

 

Consensus: to allow Barbara Norman to assist employee #8736.

 

Consensus: to select “Sandstone” for carpeting in administration offices.

 

Consensus: to approve $50 appreciation to Tribal Member #2217 for cleaning of field to ensure Tribe was reimbursed for their deposit.

 

Notice: to the Election Committee; it is with great respect and with heavy hearts that the Karuk Tribal Council declares the seat formerly held by Karuk Tribal Member Robert Grant Sr., vacant. The Council wishes to express their admiration and respect for Robert Grant Sr.’s, devotion and service to the Karuk Tribal People. However, at this time, the Tribal Council hereby notifies the Election Committee to initiate approved process for a special election to fill the unexpired term.

 

Consensus: to allow Tribal Member #1337 on the Housing Meeting Agenda being held September 25, 2006 at 10 AM in Happy Camp.

 

Florence motioned and Bob seconded to approve travel for Arch Super and Barbara Norman to the Tribal and State Summit Justice conference in San Francisco CA, November 2006, 4 haa, 0 puuhara, 2 pupitihara (Florrine Super, and Alvis Johnson).

 

Next meeting date is October 12, 2006 at 5PM, in Happy Camp, CA

 

Florence motioned and Florrine seconded to adjourn meeting at 9:46 PM 6 haa, 0 puuhara, 0 pupitihara.

 

 

 

 

 

 

Respectfully Submitted,

 

 

 

 

________________________________

Arch Super, Chairman

 

Recording Secretary, Barbara Snider