Health Board Meeting
May 14, 2009 - Meeting Minutes
Meeting called to order at 2:56 pm by Arch Super,
Chairman
Present:
Arch Super, Chairman
Leeon Hillman, Treasurer
Bud Johnson, Member at Large
Roy Arwood, Member at Large
Absent:
Leaf Hillman, Vice-Chairman
Florrine Super, Secretary
Verna Reece, Member at Large
Quorum is established.
The Health Mission Statement was read aloud by,
Agenda:
Bud Johnson motioned and
Leeon Hillman seconded to approve the agenda, 5 haa, 0 puuhara, 0 pupitihara.
Minutes of April 9, 2009:
Florence Conrad motioned
and Leeon Hillman seconded to approve the minutes, 5 haa, 0 puuhara, 0
pupitihara.
Director Reports:
1.) Daniel Pratt, TANF Director:
Daniel is present to review
his report with the Health Board. He has one action item.
Daniel has one action item.
There are currently 39 cases and for the month of June there should be 48 cases
total. There has been training on career scope assessments. Staff and Daniel
traveled to
The program is expanding and
there are more projects coming in.
Next month there is a TAS
database system training on June 8-9, 2009 in
Leeon Hillman motioned and
Bud Johnson seconded to approve the out of state travel for Daniel Pratt and
Alfonso to Tulsa OK, June 8-9, 2009, 5 haa, 0 puuhara, 0 pupitihara.
The next staff meeting is in
Happy Camp June 5, 2009 at 11 AM. Arch asked for a meeting reminder to be sent
to him.
Leeon Hillman motioned and
Bud Johnson seconded to approve Daniel’s report, 5 haa, 0 puuhara, 0
pupitihara.
2.) Mike Edwards, Behavioral Health Director:
Joe Snapp is graduating on
June 13, 2009 from
He continues to meet with
Lessie and Karen Daniel’s to work cooperatively with accreditation to obtain
that accreditation with the health program.
Mike has one action item and
it is for Hazel Croy to pay her $100 for providing childcare for foster care
during the YR parent classes.
Roy Arwood motioned and
Florence Conrad seconded to approve contract 09-C-045, 5 haa, 0 puuhara, 0
pupitihara.
The Children’s code has been
approved and the Karuk Child Welfare Plan will need to be approved now moving
forward. He will submit that document for final approval once the policies and
procedures are complete.
The DUI classes are not being
offered in Yreka, and he is unsure of the hold up. Mike believes that there may
need to be an impact study done for the YR area to determine if the community
can hold enough clients for two programs to operate.
Florence Conrad motioned
and Roy Arwood seconded to approve Mike’s report, 5 haa, 0 puuhara, 0
pupitihara.
3.) Vickie Walden, Dental Office Manager:
Vickie is present tonight to provide a verbal report to the Health Board as she
was not in town to submit her written report and did not have enough time to
provide a written report upon her travel return.
Vickie did receive some
information on a Denti-cal bulletin and that information will be provided as
soon as it is available. There seems to be some minor changes in the Denti-cal
including preventative and general care. The Medi-Cal users will still have
some sort of insurance but not a lot and none which will leave them not having
eligibility for grant programs. Dr. Burns questioned Medi-Cal with a high share
of cast. Vickie explained that for Medi-Cal if there is a limitation it doesn’t
matter as it is some form of insurance.
Dr. Burns questioned this
coverage in comparison to the medical departments.
Vickie had some networking at
her recent dental conference. During her conversations she found that other
programs are laying off providers and turning more toward co-op on the clinics.
Also, through CRIHB and IHS they are hoping to keep things moving.
Roy Arwood motioned and
Leeon Hillman seconded to approve Vickie’s report, 5 haa, 0 puuhara, 0
pupitihara.
4.) Patti White, Database Administrator:
Patti focused her report on
EHR setup for the health program. There was a lot of setup that was done and
there were some issues with scheduling. Though there were some small mishaps in
the training it was beneficial. The ICD9’s and CPT’s were set up. Lisa Rugg is
almost 100% moved to EHR and Dr. Burns is working toward it while he can. There
are still some errors that have shown up but they continue to work through the
glitches. It is moving along really well. The Happy Camp Clinic is onboard for
the Sate loan repayment program. This means that if a scholar wants to have
loan repayment through the State then they may apply and enter into an agreement
with the State to work in Happy Camp and the Tribe could meet the half requirement
of wages for the scholar to receive the loan repayment program benefits. The new
application year is August through October of this year.
Leeon asked about the onsite
visit and if the findings were identified and if those were things that needed
fixed right away. Patti did have small errors but they are being worked on as
time allows. Dr. Burns announced that the team did very well. Patti, Lessie and
all the IT people did great. Amy spent about fifteen minutes with him after the
three day training and with that training and extra time he was able to enter
into the system. Patti was very thankful for Amy and her knowledge in EHR.
Roy Arwood motioned and
Bud Johnson seconded to approve Patti’s report, 5 haa, 0 puuhara, 0 pupitihara.
5.) Eric Cutright, IT Director:
Eric is present tonight to
provide his report to the Health Board. He has an action item which is a
purchase agreement for the new copier. The agreement number is 09-A-022 from
March 27, 2009 to March 27, 2010.
Leeon Hillman motioned and
Florence Conrad seconded to approve agreement 09-A-022, 5 haa, 0 puuhara, 0 pupitihara.
The TANF program is able to
operate their TAS software. On April 27-28, 2009 there was a lot of work done
on the KTHA server and also good back ups are being done on their documents.
Eric announced that HRSA will
release some stimulus money which is based on the EDS report. It was determined
that HRSA will release an estimated $300,000. Eric would like to request using
$250,000 of that stimulus funding to utilize the KTHA maintenance building for
use of a single location to house all the Tribe’s servers. Eric and Chris will
work on this further to allow for a complete proposal but to date he is working
on lease options with KTHA and a 25 year lease at no cost. Eric has worked with
Laura Mayton, Erin Hillman, Sami Jo and a few others to determine what is
needed as well as the best interest of the Tribe and its growth. The residual
cost would be the power pole rental and an agreement with the power company.
KTHA has agreed to continue to pay taxes and the insurance to the building as a
part of the lease.
This is mainly informational
purposes at this point but he wanted to give a first announcement to the Health
Board.
Bud Johnson motioned and
Roy Arwood seconded to approve Eric’s report, 5 haa, 0 puuhara, 0pupitihara.
6.) Toni Lynn Downey, PHN:
Toni is present to provide
highlights of her report. In the public health realm there have been patients
with a lot of needs and that has been fun for her as well as challenging. There
have been several eye exams with the retinal camera. She attended the EHR
training which was useful. She has been coordinating with the maintenance staff
on emergency lighting and they have been great to work with.
The AED’s had a recall and
she used a lot of time completing the tasks of updating the machines and
changing the batteries.
Toni’s first action item is a
request to approve a CHR position description. She provided the changes that
were made and she will only be taking one person on currently as that is the only
allowable funding in the HRSA grant. This position will be a Happy Camp
position but will work in Yreka as well.
Toni explained that with one
to two years experience you could advance to a CHR I or a CHR II.
Florence Conrad motioned
and Roy Arwood seconded to approve the revised position description, 5 haa, 0
puuhara, 0 pupitihara.
Her second action item is
related to the generator project for the administration complex. A bid process
has been completed and possible generator project funding will come from the
Blue Shield grant and the Sierra Health Foundation grant. The lowest bid was
selected and she has chosen Schlumpberger Consulting Engineers, in the amount
of $18,950.
Roy Arwood motioned and
Leeon Hillman seconded to approve procurement and allow the purchase of a
generator in the amount of $18,950, 5 haa, 0 puuhara, 0 pupitihara.
Toni had one last thing to
request. A tribal member student has requested information on the diabetic
grant. Toni is unfamiliar on sharing grant information and requested that the
Health Board instruct her on sharing data and financial information. The Health
Board referred the tribal member to the CFO for the needed information.
Florence Conrad motioned
and Roy Arwood seconded to approve Toni’s report, 5 haa, 0 puuhara 0
pupitihara.
7.) Karen Daniels, DQMCH:
Karen has submitted the AAAHC
application for accreditation of the Karuk Tribal Health Program. She has been
traveling to each site and preparing the staff for the accreditation process.
She has done a few short presentations to staff on professionalism and working
together. Lessie is focusing on getting the facilities unified and working
together and Karen has taken this onboard working toward her goal as well. She
attached the ACQI committee meeting minutes and the performance improvement
reports for the Health Board to review.
Karen then went on to her
policy approvals that need Health Board approval. She has eleven policies that
need approved and they are; Acceptable and Unacceptable Abbreviations,
Allergies, Suggestion Box, Performance Evaluations, Information Management Plan,
Native American Eligibility for Direct Care Services, Personnel Identification
Badge, Incident and Occurrence Reporting, Sentinel Event Reporting, Chart Order
Medical, and Pandemic Influenza.
Bud Johnson motioned and
Roy Arwood seconded to approve the policies with small grammar and spelling
changes, 5 haa, 0 puuhara, 0 pupitihara.
Florence Conrad motioned
and Roy Arwood seconded to approve Karen’s report, 5 haa, 0 puuhara, 0
pupitihara.
8.) Lessie Aubrey, EDHHS:
Lessie is present to provide her written report with the Health Board. She is
happy to report that the patient eligibility worker has brought in $4,036 in
savings with the indigent program and for Non Natives another approximate $5,000
in savings. The total for Yreka was an estimated $9,000 in savings. For HC it
was $3,029 for savings within that community. In the OR clinic there was $282
for natives and non natives it was $480 in savings. She saved close to $12,000
in medications alone. She previously brought in $28,000 and this improvements
is nice and definitely worth having the position.
There has been discussion on
Florence Conrad motioned
and Leeon Hillman seconded Roy to travel to Sonoma CA, 4 haa, 0 puuhara, 1
pupitihara (Roy Arwood).
CRIHB has an oral health
research project and they would like the Tribe to support the project. Lessie
had brought the template they are asking for and she believes that it is a good
idea.
Consensus: to send the
support letter regarding the oral health research project to Jim Crouch.
There have been some requests
for proposals from HRSA. She would like to take the overhang in the YR clinic
and make a medical records room and additional storage with remaining funding
from HRSA after the IT project is discussed and prioritized. Hester found that
on a website this summer there will be further funding for new clinic
possibilities which could amount to 5-6 million dollars. Hester found that HRSA
will not fund something in a flood plain or require flood insurance. Lessie
explained that there is a pad where there is a single wide trailer, she would
like to get something going and create some office space, possibly a modular
for the
Lessie had training at the
biannual health meeting. She began the meeting with forgiveness and then went
on to accreditation training which was very beneficial. She continues to strive
bringing the staff together and building teamwork abilities.
Leeon Hillman motioned and
Bud Johnson seconded to approve Lessie’s report, 5 haa, 0 puuhara, 0
pupitihara.
Closed Session:
Bud Johnson motioned and
Roy Arwood seconded to contribute $600 from third party for Tribal Member #1717
for an additional one day per week for three months of care at
Consensus: to deny the
bill and forward to KTHA and then possibly consider a loan program.
Leeon Hillman motioned and
Florence Conrad seconded to reinstate employee # 8072 pay and make it effective
to the date that it was reduced, 5 haa, 0 puuhara, 0 pupitihara.
Bud Johnson motioned and
Florence Conrad seconded to provide lunch for the NCTCC for the May 15, 2009
meeting, 5 haa, 0 puuhara, 0 pupitihara.
Roy Arwood motioned and
Leeon Hillman seconded to forgive the loan and write off the amount of
$3,194.94 for Tribal Member # X01895, 4 haa, 0 puuhara, 1 pupitihara (
Consensus: to table the
request from employee # 1017 to allow for further information
Roy Arwood motioned and
Florence seconded to pay for Tribal Member # 3036 fees for the 8th
grade trip from Hoopa Elementary School, 5 haa, 0 puuhara, 0 pupitihara.
Florence motioned and Bud
seconded to approve out of state travel for Robert A. Goodwin to Washington DC
June 1-5, 2009 and allow KTHA to pay for the travel, 5 haa, 0 puuhara, 0
pupitihara.
Leeon motioned and
Florence seconded to approve loaning employee # 7225 money for her Tribal childcare provider to
travel with her to OK, 5 haa, 0 puuhara, 0 pupitihara.
Leeon motioned and Bud
seconded to cover the $15 fee for one year internet service through a
blackberry, 4 haa, 0 puuhara, 0 pupitihara.
Consensus: for four
parking spaces to be posted for customer parking only for the People’s Center.
Roy Arwood motioned and
Leeon Hillman seconded to reimburse employee # 0506 $ 180 for travel changes
incurred, 5 haa, 0 puuhara, 0 pupitihara.
Consensus: to allow HSU
instructor to work cooperative with Pim Allen on material and photograph
identification.
Roy Arwood motioned to
approve revised insurance payments on behalf of employee 1017 and allow the
charges, died for a lack of a second.....
Next Meeting Date: June 11, 2009 at 3 pm in Happy Camp
Bud Johnson motioned and
Florence Conrad seconded to adjourn meeting at 7:40 PM, 5 haa, 0 puuhara, 0
pupitihara.
Respectfully Submitted,
________________________________
Arch Super, Chairman
Barbara Snider, Recording Secretary