Karuk Tribe – Health Board Meeting
March 5, 2009 – Meeting Minutes
Meeting called to order at 3 PM by Arch Super,
Chairman
Present:
Arch Super, Chairman
Leaf Hillman, Vice-Chairman
Florrine Super, Secretary
Leeon Hillman, Treasurer
Roy Arwood, Member at Large
Alvis “Bud” Johnson, Member
at Large
Verna Reece, Member at Large
Absent:
Vacant – Member at Large
Agenda:
Alvis Johnson motioned and
Roy Arwood seconded to approve the agenda with changes, 7 haa, 0 puuhara, 0 pupitihara.
Minutes of February 12, 2009:
Health Mission Statement was read aloud by
Old Business:
None at this time.
New Business:
None at this time.
Director Reports:
1.) Donita Hill, Yreka Dental Assistant/Hygienist:
Donita is present to
introduce herself to the Health Board in accordance with new process of
introducing new staff or recently hired staff to communicate on their positions
within the Tribe and what they are currently doing in the organization. Donita explained
that she was first working in the capacity of dental assistant since there were
minimal clients scheduled for dental hygiene visits. As the schedule became
filled she has transferred over to performing her dental hygienist duties. There
is enough clientele to be working fully scheduled as a hygienist at the Yreka
facility now. She has done a lot of outreach and education on hygiene and
continues to prioritize prevention.
2.) Lisa Rugg, Yreka PA:
Not present.
3.) Daniel Pratt, TANF Director
Daniel is present to review
his written report with the Health Board. The TANF program currently has 20
active cash aid cases and the case workers are continuously doing outreach to
the communities to provide information about services and the program.
The TAS system is working
well and an additional server was ordered to house the entire data base for
security reasons. The request noted I Daniel’s report for administrative
privileges was discussed and Eric provided an update. Eric understands that
although the TAS system has its own server it is still linked the Karuk network
and this leaves administrative privileges with the Tribe and those persons
already have administrative access that the IT department has deemed needed and
safely provided. Daniel would still like some members of his staff have
administrative privileges and will work on a draft agreement between TANF and
the IT Department to acknowledge exactly what access is needed and how that
access will be used to ensure that there are no network vulnerabilities.
Daniel explained that the MOU
with the State has been misplaced and he is working on finding it but is sure
that it was lost at the State level. He will send another MOU if the signed one
is not found to ensure that another signed copy be on file.
The MOU with
Daniel presented one action
item for the Health Board to approve. He presented procurement for The
Vocational Research Institute in the amount of $4,375. The company he selected
will provide career based assessments that are required in client case plans according
to TANF regulations.
Arch asked that Daniel
remember to provide copies of documents he is seeking Health Board approval on
so that the entire Board could review them.
Alvis Johnson motioned and
Roy Arwood seconded to approve procurement and the purchase with Vocational
Research Institute in the amount of $4,375, 7 haa, 0 puuhara, 0 pupitihara.
Leeon Hillman motioned and
Verna Reece seconded to approve Daniel’s report, 7 haa, 0 puuhara, 0
pupitihara.
4.) Mike Edwards, Behavioral Health Director:
Mike is present to review his
written report with the Health Board. He has been working on Title IVE and they
continue to finalize the review of the Karuk Child Welfare Plan. After some
revisions by the California State Department of Social Services it was passed
on to Region IX for approval.
Parenting classes that were
held in Yreka were very successful. They second round of the class will be
offered March 5, 2009 and following that session a date for the class will be
scheduled for the Orleans community.
A local Karuk home has been
designated as a foster home and the Social Services office will be placing two
children in custody of Native Americans and removed from Siskiyou County Child
Protective custody.
The Social Services
department has been meeting with Lessie to review policies and procedures to
ensure the program is prepared for accreditation.
Alvis Johnson motioned and
Florence Conrad seconded to approve Mike’s report, 7 haa, 0 puuhara, 0
pupitihara.
5.) Vickie Walden, Dental Office Manager:
Vickie is present to review
her written report with the Health Board. She does have one action item;
procurement for a dental x-ray processor.
Vickie provided a copy of her
procurement documentation to the Board including the bids received and an
explanation of the services that she was seeking.
Alvis Johnson motioned and
Florrine Super seconded to approve procurement and authorize payment to
Sullivan Schein in the amount of $7,323.02, 7 haa, 0 puuhara, 0 pupitihara.
The remaining portion of Vickie’s
report included dental visit count by each site comparing them to the previous
month. She also announced that the State Indian Health review is scheduled for
March 11-12, 2009.
Nikki Hokanson completed
school screenings at Junction, Hornbrook,
Vickie provided her budget
information for the Board to review.
Florence Conrad motioned
and Leeon Hillman seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0
pupitihara.
6.) Patti White, Database Administrator:
Patti is present to answer
any questions that the Health Board may have to her written report. She does
not currently have any action items in her report.
Patti’s report includes
several reports including, third party eligibility, contract health services,
direct inpatient, ambulatory care visits, patient registration, chart reviews,
injuries, ER, in-hospital visits and pharmacy. Some of the reports contain no
data based on the data entry clerks not entering in fields that are not used.
Patti tracked how many
reports she received for support and what types of support were sought. She
provided a breakout of those requests to the Health Board.
She attached her budget
information and her staffs training reports, consistent with procedure for
Directors or Managers reporting.
Florrine Super motioned
and Florence Conrad seconded to approve Patti’s report, 7 haa, 0 puuhara, 0 pupitihara.
7.) Eric Cutright, IT Director:
Eric is present to review his
written report with the Health Board. He only has one action item to present
this evening but will need to be added to the Planning Meeting agenda to
discuss another action item.
Eric presented agreement
09-A-018 between AT&T and the Karuk Tribe for services within Yreka. The
agreement includes $6,280.00 per year to switch the existing Yreka clinic
analog phone service to digital phone PRI circuit. The new circuit will cost about
the same as the existing phone lines, but provide superior service. Eric
completed procurement for the new service but was only able to receive one bid.
He did solicit other companies but they failed to cooperate and provide the
needed documentation. According to policy both Erin and Laura have signed off
on the procurement document.
Roy Arwood motioned Alvis
seconded to approve agreement 09-A-018 between AT&T and the Karuk Tribe, 7
haa, 0 puuhara, 0 pupitihara.
Eric highlighted his report
for the Health Board noting that he has been working on obtaining internet
access to the
Microsoft licensing is
currently being deployed in the Happy Camp administration office.
Verna Reece motioned and
Florrine Super seconded to approve Eric’s report, 7 haa, 0 puuhara, 0
pupitihara.
8.) Toni Lynn Downey, PHN:
Toni did not provide her written
report for the Board to review prior to the meeting. She is present tonight to
distribute it.
Toni explained that she has
been working on outreach activities, her PHN duties and her safety officer
requirements. She has been completing home visit diabetic teaching, still
completing car seat safety instruction and providing seats to parents who need
them; she has been preparing for the State Indian Health Review and will work
with Vickie Simmons on diabetic patients that need care. The two will work with
Lisa Rugg, FNP to determine if diabetic patients are receiving foot exams or
eye exams. She has been working with the identified diabetics to provide
diabetic education on proper or needed eye and foot exams.
She has reviewed the needed
exit signs for the HC and
Verna questioned the Elders
report showing their actions for the month and how their visit counts are
tabulated. Flo explained that this has been questioned several times but she is
willing to provide a report on how the count is done for the program to Verna.
The Health Board would like to have a report on the count and each community
and that report be provided to Verna. She is a new Health Board member and she
is interested in understanding how the reports are done.
Florence Conrad motioned
and Verna Reece seconded to approve Toni’s report, 7 haa, 0 puuhara, 0
pupitihara.
9.) Karen Daniels, DQMCH:
Not present. Written report
provided.
Leaf Hillman motioned and
Leeon Hillman seconded to approve Karen’s report, 7 haa, 0 puuhara, 0
pupitihara.
10.) Lessie Aubrey, EDHHS:
Lessie is present to review
her written report with the Health Board.
Lessie reviewed the income
revenue for the month of February. As the EDHHS she monitors this report and
attaches it to her Board report for the Health Board to review.
The State IHP will be
conducting their review, however due to
Lessie was contacted by the
A new committee was formed as
a workgroup to work on the purchasing of a genitor for the Happy Camp complex.
Patti White will chair this committee and it will be comprised several staff
members, including; Erin Hillman, Eric Cutright, Chris Kleeman, Rick Hill,
Hester Dillon, Toni Downey, Fred Burcell and herself.
The ICWA meetings are held
each month and Lessie now a member of that Committee. She has personal
experience with similar situations that the Committee oversees and she was
surprised to see the inner workings of the committee and how many children they
follow. She applauded the staff and the committee.
The National Association of
Health Centers distributed information regarding possible funding sources
within the healthcare field across the nation.
Lessie had a letter in
response to the announcements that were made by the Happy Camp High School
Principal regarding the Karuk Tribe’s services as offered to the communities.
The letter will be tabled to closed session for further discussion.
Florrine Super motioned
and Leaf Hillman seconded to approve Lessie’s report, 7 haa, 0 puuhara, 0
pupitihara.
Non-Health Employees:
1.) Robert Goodwin, Self Governance Coordinator:
Robert provided conference
information for the upcoming 2009 Annual Tribal Self-Governance Department of
the Interior and Department of Health and Human Services May 17-21, 2009. He
believes that the conference will be beneficial for himself, as the
Self-Governance Director, to attend along with available members of the
Council, Laura Mayton, Erin Hillman and possibly Lessie Aubrey as the Director
of Health and Human Services.
Leeon Hillman motioned and
Verna Reece seconded to approve out of state travel to Orlando, FL May 17-21,
2009 for Robert Goodwin, Alvis Johnson, Leaf Hillman, Laura Mayton, Erin
Hillman and Lessie Aubrey, 5 haa, 0 puuhara, 2 pupitihara (Leaf Hillman &
Alvis Johnson).
Closed Session:
Leeon Hillman motioned and
Leaf Hillman seconded to approve tribal equipment and resources to assist in
the Ferry Point project and to also authorize payment of $960 from Council
discretionary, 3 haa, 2 puuhara, (Florence Conrad & Verna Reece), 1
pupitihara (Roy Arwood). Florrine absent
for vote.
Leeon Hillman motioned and
Roy Arwood seconded to approve the loan to Tribal Member # 3928 in the amount
of $3,000 with a $25 processing fee, 7 haa, 0 puuhara, 0 pupitihara.
Consensus: to table
request from Tribal Member # 3512 to the
Leeon Hillman motioned and
Leaf Hillman seconded to approve payment of $100 for Tribal Member # 741 from
Third Party, 6 haa, 0 puuhara, 1 pupitihara (Alvis Johnson).
Consensus: to deny request
from Tribal Member # 492.
Consensus: to deny a
request from Tribal Member # 1766 and refer them to outside resources.
Leaf Hillman motioned and
Florence Conrad motioned
and Roy Arwood seconded to approve the newsletter with changes and forward for
printing, 7 haa, 0 puuhara, 0 pupitihara.
Consensus: to table
request from Tribal Member #1343 and refer to the KTHA board.
Consensus: to deny the
request from Tribal Member #1599.
Florence Conrad motioned
and Leaf Hillman seconded to reimburse employee # 0842 $1,500 for charges
incurred due to a request for an extension of leave, 7 haa, 0 puuhara, 0
pupitihara.
Consensus: to table the
room use agreement discussion to the
Alvis Johnson motioned and
Florrine Super seconded to approve Barbara Norman to assist Tribal Member #
1013 in obtaining a restraining order, 7 haa, 0 puuhara, 0 pupitihara.
Leaf Hillman motioned and
Leeon Hillman seconded to approve out of state travel to Denver CO April 25-28,
2009 for employee # 3770 and 7225 if the budget does not allow for two
travelers then the Council Member will attend, 7 haa, 0 puuhara, 0 pupitihara.
Leaf Hillman motioned and
Consensus: to table sports
and sponsorship requests to the
Consensus: to table
request from Tribal Member # 3068 to the
Next Meeting: April 9, 2009 in Happy Camp at 3 PM.
Leaf Hillman motioned and
Respectfully Submitted,
________________________________
Arch Super, Chairman
Recording Secretary, Barbara Snider