Karuk Tribe – Health Board Meeting
July 9, 2009 – Meeting Minutes
Meeting called to order at 3 pm, by Arch Super,
Chairman
Present:
Arch Super, Chairman
Leeon Hillman, Treasurer
(late-3:30pm)
Florrine Super, Secretary
Roy Arwood, Member at Large
Bud Johnson, Member at Large
Sonny Davis, Member at Large
Verna Reece, Member at Large
Absent:
Leaf Hillman, Vice-Chairman
The Health Program Mission statement was read aloud
by,
Agenda:
Florrine Super motioned and
Sonny Davis seconded to approve the agenda with changes, 6 haa, 0 puuhara, 0
pupitihara.
Health Board Meeting minutes from June 11, 2009:
Florrine Super motioned
and
Guests:
1.) Tiraterra Painting:
Mike is present to seek input
on the
Director Reports:
1.) Daniel Pratt, TANF Director:
Daniel is present to review
his written report with the Board.
He thanked the Council for
the approval of the policies and procedures for the TANF program.
When the TANF program began
in December they were operating off Council Discretionary funding, and with the
receipt of the State funding things have moved forward and the program is operating
with TANF funding. Daniel discovered that he was supposed to be submitting
Federal reports quarterly. He did not spend federal funding right away so he
unaware of the reporting requirements. He has begun to calculate the data
needed and is preparing to submit those reports Now that he understands the
reporting requirement the staff will be preparing and submitting them on time.
Next week he will be
attending the State Tribal Caucus. Currently the TANF program is operating on
the full Federal funding which assists the program. The State funding wasn’t
received right away and there were issues receiving reimbursements by the
State. He is hoping that the State will be able to reimburse a little more
quickly but with operating on Federal funding that keeps the program and its
operations operating smoothly. Historically when there was a stale mate, the
State would pull reimbursements but hold off on advancements. He will hopefully
determine what State funding will be received next week while in travel status.
Florence Conrad motioned
and Roy Arwood seconded to approve Daniel’s report, 5 haa, 0 puuhara, 0
pupitihara (Sonny absent for vote).
2.) Mike Edwards, Behavioral Health Director:
Mike is present to review his
written report with the Board. They are currently working toward receiving the
Title IVE plan and Mike is seeking approval of a resolution approving the Title
IVE plan. Mike sought approval of the actual plan last month and it was
approved but without the resolution and now he understands that the approval
requires approval of a resolution and it needs to be attached to the plan when
it is sent in.
Florence Conrad motioned and
Sonny Davis seconded to approve resolution 09-R-094, 6 haa, 0 puuhara, 0
pupitihara.
The Department has had to
absorb two positions into the program and the have not reduced any services due
to the recent layoffs.
The program is beginning
another parenting class for
Mike did announce that
Mike was seeking approval of
another grant which will be for 2009-2010. Mike stated that
Roy Arwood motioned and
The adoption that was held through
Verna Reece motioned and
Bud Johnson seconded to approve Mike’s report, 6 haa, 0 puuhara, 0 pupitihara.
3.)
Patti introduced Chad Tiraterra
as the new RPMS Site Manager for the Health Program.
Dr. Willett is doing
approximately 90% of his documentation in EHR and that may attribute to his low
patient count. Taking the time to enter data will slow the visit counts for a
couple weeks until the provider is familiar with the system and then their
numbers should increase back to normal.
Dr. Burns complimented Patti,
Amy and the entire EHR staff. The EHR implementation has gone really well; he
saw sixteen patients and used EHR and entering each visit. He noted that the
providers were reluctant in the beginning but it has worked well.
Verna Reece motioned and
Bud Johnson seconded to approve Chad’s report, 6 haa, 0 puuhara, 0 pupitihara.
4.) Vickie Walden, Dental Office Manager:
Vickie arrived late, and
distributed her report for the Board to review. She has a short report and is
attempting to catch up on her data entry. She has been reviewing her budgets
that have been identified as short, but there is funding being moved around,
and they should level out. They are reviewing Native American lab from State
Indian Health and trying to determine if that is going to be feasible. The
staff changes that have been approved for Happy Camp dental have been implemented.
As Vickie catches up on Data entry and patient visit reports, she should
provide a visits count and graphing for March, April, May and June 2009. The dental
chair that was stored in
Bud Johnson motioned and
Leeon Hillman seconded to approve Vickie’s report, 7 haa, 0 puuhara, 0
pupitihara.
5.) Lessie Aubrey, EDHHS:
Lessie is present to review her written report with the Board. Lessie explained
that she is having difficulty in receiving a final determination in the ability
to bill for services rendered by the LCSW’s. Even the Business Office Manager
is unable to receive a complete answer. The staff will continue to bill
however, until it is determined to be unallowable, as the first response to the
question was that the clerks were correct. They will continue to bill under
this understanding until a clearer answer can be provided.
Lessie also has run into a
problem with the mileage log for the white wheel chair van quarterly reports.
The van’s use was supposed to be tracked and a report submitted to Caltrans on
its use. Lessie thanked Patti and Flo
for working on this, however there is still data missing so the last report is
unable to be sent. The audience assisted
Lessie in announcing who may have used the van and will send that information
to her or Patti as well.
Leeon Hillman arrived.
The painting has begun in the
Yreka clinic and on Friday the painting will begin at the other sites. The
painting companies were selected, specifically keeping in mind the time frames
in which the work needed to be completed. They are all in the planning phases
and working within the timelines.
Sonny
6.) Karen Daniels, DQMCH:
Karen is present to review
her written report with the Board. Karen announced that there have been fire
drills and emergency training done with the staff. She has been working on
credentialing and privileging a great deal of time has been spent on attempting
to get a provider who can cover the
There have been a lot of
staff changes within the last month and the staff has done a great job in
accepting additional duties.
The budgets are good but she
did identify that the diabetic grant is over spent. She is unsure at this time
what is causing it, but she will review this. She attached the meeting minutes
from the ACQI and Medical Records meetings. She asked that the Council
familiarize themselves with the CQI projects.
Verna Reece motioned and
Bud Johnson seconded to approve Karen’s report, 6 haa, 0 puuhara, 0 pupitihara.
7.)
Eric arrived late to the
meeting but he did arrive to present an agreement for approval. The agreement
was tabled until Thursday’s meeting. It needs to be in Tribe’s format for
agreements and reviewed internally according to policy.
Eric went on to present
procurement for the Tribe and IT to perform some tests on technology capability
to determine what kinds of services the new equipment is capable to provide.
The bid is with Tech Depot in the amount of $5,555.86.
Eric then informed the
Council about the meeting he and Chris attended in Yreka. He is and has been
attending meetings in regards to ARRA funding availability for broadband access
to the downriver communities. This particular ARRA funding is available for
groups that are applying rather than individual persons or entities.
Roy Arwood motioned and
Bud Johnson seconded to approve Eric’s report, 7 haa, 0 puuhara, 0 pupitihara.
Guests: Non-Health Employees:
1.) Sandi Tripp, Land Department
Sandi presented a line
agreement resolution for a service line between the Karuk Tribe and PP&L
regarding the Amkuuf Smoke Shop in Yreka. The Land Department completed all the
necessary paperwork previously but the resolution wasn’t done and it is a
requirement.
Florence Conrad motioned
and Sonny Davis seconded to approve resolution 09-R-099, 6 haa, 0 puuhara, 1
pupitihara (Verna Reece).
Sandi then presented
resolution 09-R-098 which is a tribal transportation improvement program (TTIP)
for fiscal years 2010-2013. She provided information on the roads and
construction that will be done with the funding; including the ARRA funding
that was approved for the Anavkaam road project.
Verna Reece motioned and
Bud Johnson seconded to approve resolution 09-R-098 authorizing submission of
the TTIP for fiscal years 2010-2013, 7 haa, 0 puuhara, 0 pupitihara.
2.) Harold Tripp, Fire Program:
Harold provided a map of the backbone
fire that is burning in Willow Creek and the downriver area. There is one in
the Salmon Summit area and the USFS is planning to back burn. They initially
stated that they were not going to try and burn it all; however it appears that
it may get out of control if not back burned. The USFS is spent days arguing over
who has jurisdiction between both national forests near the fire. Klamath wants
to burn from Norhammer north, however Trinity is opposing that decision. After
determining who has seniority over the fire and decisions made regarding it,
the back burn will take place beginning Saturday. Harold and Bill are the
agency representatives for the Tribe and have been working with both forest
service entities. Harold announced that there are several cultural concerns
over some areas that the fire may get near too; however they continue to
monitor those areas. The fire is close to the Hoopa reservation and they are
attempting to keep it clear. Merv George, Tribal Liaison, came up from Tribal
Relations and that has helped a great deal with communication of the Tribal
perspective. The most recent information on money spent on this fire to date is
approximately $3 million. Bob stated that in the first news release they had
spent $500,000 in the first day. Harold will attend the Thursday planning
meeting to provide another update to the Council.
3.) Robert Goodwin, Self-Governance Coordinator:
Bob is requesting to change
the resolution template to insert a second resolution number spot on the template.
Currently the resolutions may be drafted on two pages, leaving one page with
just a signature and approval certification section. He would like to see all
resolutions repeat the resolution number in brackets to ensure that the correct
resolution is with the correct approval page.
Florrine Super motioned
and Sonny Davis seconded to approve amending the resolution template to have
the resolution number in the certification section of all resolutions, 7 haa, 0
puuhara, 0 pupitihara.
Bob explained that during a
recent meeting with the BIA it was determined that there is website access
availability with the BIA. The requirement for access to the website
information is that the Council approves a resolution noting the staff names
that are approved to access the self governance portion. Bob is requesting that
Laura, Erin, Scott and himself be approved for access.
Leeon Hillman motioned and
Sonny Davis seconded to approve resolution 09-R-097 authorizing Scott Quinn,
As informational Bob noted
that the suction dredge bill (SB670) passed overwhelmingly on the assembly floor;
the next step is the Governor’s desk.
Bob thanked the Council for
assigning him to the Intertribal Fish Commission. He announced that they were
out of compliance and had to name the officers and he was named as the Secretary.
He is hoping this will be an interim appointment and it will be changed once
the bylaws have changed. The Inter Tribal Fish Commission would like to have
everyone sit down and discuss options for the restoration project. Bob would like
to determine dates and availability of the
Bob did find the land use
agreement that was drafted with the USFS and the Tribe regarding Katamin. He
will be having copies of the agreement put into the Council mail boxes to
ensure they have adequate time to review the document.
Closed Session:
Bud Johnson motioned and
Sonny
Consensus: to table
requests from Tribal Member # 506 to Thursday’s planning meeting.
Consensus: to deny loan
request from Tribal Member # 390 and have the Chairman update the Council on
loan report once monthly to Tribal Members so they will understand the
limitations on loans and the outstanding balances.
Consensus: to table
request from employee # 9333 to Thursday’s planning meeting.
Consensus: to uphold
previous denial for Tribal Descendant # D00913 loan request.
Florence Conrad motioned
and Florrine Super seconded to approve Credentialing and privileging for contractor
# 6324 and add the additional scope of work, 7 haa, 0 puuhara, 0 pupitihara.
Florrine Super motioned
and Verna Reece seconded to approve contracts 09-C-064 & and 09-C-065, 6
haa, 0 puuhara, 1 pupitihara (
Florrine Super motioned
and Sonny Davis seconded to approve contract 09-C-063 between the Karuk Tribe
and Downriver Impressions, 5 haa, 0 puuhara, 1 pupitihara (Florence Conrad).
Roy Arwood motioned and
Sonny Davis seconded to approve out of state travel for Florrine Super and
Florence Conrad to Scottsdale AZ July 30-August 3, 2009, 3 haa, 2 puuhara (Bud Johnson
& Verna Reece), 2 pupitihara (Florrine Super & Florence Conrad).
Consensus: for the
Chairman to speak with employee’s # 5421 and # 1653 to determine funding
availability for language meetings.
Informational: the men’s
and boy’s culture class that is held in Happy Camp are going to attend a
gathering with other tribes in
Consensus: for employee
#2267 to follow up on the Council’s questions regarding the Cage Fight
agreement and to have it presented back to the Council via phone vote.
Consensus: to refer
request from Tribal Member # 2645 to TANF.
Leeon Hillman, Verna Reece and Bud Johnson returned to
the meeting.
Next meeting date: August 13, 2009
Meeting adjourned.
Respectfully Submitted,
________________________________
Recording Secretary, Barbara Snider