Karuk Tribe – Health Board Meeting
April 8, 2010 – Meeting Minutes
Meeting called to order by Arch Super, Chairman at
2:57 pm
Present:
Arch Super, Chairman
Leeon Hillman, Treasurer
Charron “Sonny” Davis, Member
at Large
Roy Arwood, Member at Large
Alvis “Bud” Johnson, Member
at Large
Absent:
Vice-Chairman (Vacant)
Florrine Super, Secretary
(travel – excused)
Florence Conrad, Member at
Large (vacation – excused)
Quorum is established.
The Health Mission Statement
was read aloud by Daniel Pratt, TANF Director.
Agenda:
Bud Johnson motioned and
Leeon Hillman seconded to approve agenda with changes, 4 haa, 0 puuhara, 0
pupitihara.
Minutes of March 4, 2010:
Bud Johnson motioned and
Leeon Hillman seconded to approve the regular board minutes of March 4, 2010, 4
haa, 0 puuhara, 0 pupitihara.
Old Business:
none at this time
Guests: none
at this time.
Director Reports:
1.) Daniel Pratt, TANF Director
Daniel is present to review
his written report with the Health Board. Daniel announced that the staff is
continuing to monitor the caseload for the TANF program. The program is
operating well both fiscally and programmatically. He received an email from
ACF confirming that the first quarter has been received and the second with a
response noting that there were no errors in the federal report. The third
quarter report will be submitted within thirty days.
Daniel has been working with
the Northern California Coalition which is comprised of several Tribe’s
including TANF programs, Social Services, and Domestic Abuse programs.
Daniel was nominated as the spokesperson
for the media of this coalition and he did very well.
On the 31st the
Quartz Valley Tribe has inquired about how to work with the Karuk Tribe to
obtain services for their potential TANF clients. Daniel noted that at the end
of next month he will be providing them with a presentation on how to develop a
TANF Program. Daniel will bring that information back to the Tribal Council for
formal approval and the request to approve a resolution supporting them
joining. If
Daniel would like to have
TANF and Childcare put under self-Governance. There is no consultation with
ACF. There is a workshop for the Self-Governance training is hoping to have ACF
and Childcare to attend to ensure that there is consultation on this.
Roy Arwood motioned and
Leeon Hillman seconded to approve out of state travel for Daniel Pratt to the
Self-Governance Conference May 2-6, 2010 in AZ 4 haa, 0 puuhara, 0 pupitihara.
Bud Johnson motioned and
Sonny Davis seconded to approve Daniel’s report, 4 haa, 0 puuhara, 0
pupitihara.
2.) Eric Cutright, IT Director
Eric is present to review his written report with the Health Board. He has
three action items. He would like to request approval to purchase new printers
for finance,
Roy Arwood motioned and
Sonny Davis seconded to approve procurement and approve the purchase, 4 haa, 0
puuhara, 0 pupitihara.
Eric then presented
procurement for computers for Happy Camp Medical; Medical Records in Yreka and
Clarence Barger, Notebook is for the TANF Program.
Leeon Hillman motioned and
Bud Johnson seconded to approve procurement and the purchases from TigerDirect,
4 haa, 0 puuhara, 0 pupitihara.
When Eric was questioned
about the high cost of procurement and the purchase of two desktop computers
for the TANF Director and Alphonso Colegrove; he referred the question to the
TANF staff. Each desktop is estimated at $1,200 a piece.
Alphonso noted that he would
like to have updated computers to use video and Photoshop. Arch inquired about
the graphics software and the ability to use less expensive options. Alphonso
believes that the need is for documenting projects and creating a video and
photo archive of the Tribe’s TANF projects. Other TANF programs have similar
presentations. Daniel noted that he is trying to get ahead of the game, they
have excess funding to spend at the moment with no guarantee of the extra
funding in the future, so purchasing the staff’s needs at this time will ensure
they have the necessary tools while funding is available.
Roy Arwood motioned and Bud Johnson seconded to approve procurement and allow
the purchase of 2 TANF desktop computers, 4 haa, 0 puuhara, 0 pupitihara.
The Karuk Tribe received
copies of 19 Broadband applications which note that they will all serve the
Karuk Tribe however they do not and there is a lot of competition on the
funding. Of the 19, 6 are for infrastructure, 3 are for public computer
centers, 10 are for sustainable broadband education. Eric will continue to
review the applications and get feedback to the Council at their next meeting
on which applications to support and which ones are just naming the Karuk Tribe
without actually providing service to the Tribe.
Another phone outage occurred
in
The Karuk Tribe was
approached with the possibility of an interview with a reporter that was onsite
in
IHS had sent out a survey on network
and services that are provided at the health facilities and by Tribes. IHS was
amazed to see how well the system is up and running. They actually attempted to
recruit
Leeon Hillman motioned and
Sonny Davis seconded to approve Eric’s report, 4 haa, 0 puuhara, 0 pupitihara.
3.) Vickie Walden, Dental Office Manager:
Vickie is present to review
her written report with the Board. She noted that the Council should review the
dental conference in
Vickie noted that there have
been procedure changes to dental policy but those procedure changes do not require
Council approve. She will attach the policy next month for Council information.
Vickie is hoping to have time to conclude three years comparison displaying
changes over time to the provider schedules and patients seen. Arch would like
an explanation on the clinic closures in closed session to ensure the Council
is informed of the need for travel and understand that there will be no
services to the Membership and patients during staff training.
Bud Johnson motioned and Sonny
Davis seconded to approve Vickie’s report, 4 haa, 0 puuhara, 0 pupitihara.
4.) Lessie Aubrey, EDHHS:
Lessie provided an update on
the Karuk Tribe receiving an award for most improved GPRA scores from a Tribal
health organization across the nation. This means that the performance measures
that are set by the Government were met or exceeded and showed a large increase
in compliance. Vickie Simmons and Judy Blind completed a lot work to improve the
GPRA scores, and continually monitor the Tribes services, with tracking to meet
the GPRA.
Lessie then presented a
resolution 10-R-041 for a service agreement with Plumas County Public Health
for $14,250.00.
Roy Arwood motioned and
Sonny
The patient assistance
program has brought in $16k in reduced cost medications for eligible patients
in the past month.
Lessie explained that awhile
back there was no staff day and then there was planning at the last minute to
have another staff day, this lead her to discuss the option of having a
committee formed to conduct a staff day that would include input from employees
rather than having someone decide what to do or have last minute planning.
Lessie asked that she be able to form a committee to develop a staff day and
Sara told Lessie to ask the Council to develop this committee. The Council will
table this request to their next planning meeting.
Roy Arwood motioned and
Bud Johnson seconded to approve travel for Arch to San Diego CA for IHS
Consultation, 4 haa, 0 puuhara, 0 pupitihara.
Sonny
5.) Karen Daniels, DQMCH:
Karen is not present to
review her written report but Patti is present to review her written report
with the Board or to answer questions if the Board has any. Patti has a policy
that she first presented to the Council at their planning meeting and it was
tabled to the Health Board Meeting. The policy will be prescribing low-cost
alternative medications. The policy will outline how the staff and providers
will use CHS Formulary procedures to ensure that the most cost efficient
medication is prescribed to the patients and also use crucial cost saving
methods to provide the best services. Flo asked questions regarding cost of
medications and the side affects on the patient. She noted that the cheaper
cost isn’t always best, and the group noted that there is a process for appeal.
In the 2008 EDS report the
cost per patient that year was $985.81 for medical services per patient in that
year. The UDS report displayed that the cost was high by national standard but the
Karuk Tribal facilities are unique and have a lot of differences than non
Native clinics. Patti is hoping to see if this helps in lowering costs to
patients. Laura noted that this will also display any changes moving forward
with tracking costs data in RPMS. Arch asked if there was going to be a letter
put out to the patients as some Tribal Members do not like changes implemented
that are not explained to them. Patti noted that she can draft a letter
explaining the new process but that she would need time to work on that.
Leeon Hillman motioned and
Roy Arwood seconded to approve the health program policy “prescribing low cost
alternative medications”, 4 haa, 0 puuhara, 0 pupitihara.
Sonny
6.)
Bud Johnson motioned and
Leeon Hillman seconded to make the IHS security training mandatory for all
staff, 4 haa, 0 puuhara, 0 pupitihara (which should be completed within 30 days).
Bud Johnson motioned and
Sonny Davis seconded to approve Chad’s report, 4 haa, 0 puuhara, 0 pupitihara.
7.) Mike Edwards, Family & Children Services
Director:
Mike is present to review his
written report with the Health Board. The department saw 555 clients within
this last month.
He is continuing to work on
how to move an eligible case from the State under the Tribe’s Title IVE program.
The departments’ patient
survey on patient cancellations is still being worked on. The Social Services
staff and TANF staff are working together on services offered in the
The Circles of Care committee
had a meeting and the Yav Pa Anav meeting received some training on FAS. This was a lot of information and insight for
the group.
The former DUI Instructor has
moved to another position and the program is having trouble recruiting a replacement.
He will discuss options of coverage or hiring in closed session.
Bud Johnson motioned and
Sonny Davis seconded to approve Mike’s report, 4 haa, 0 puuhara, 0 pupitihara.
Guests Employee Non-Health:
1.)
Rick is present tonight to seek approval of procurement for EA for the Yreka
Clinic project. There were several suggestions with $119,000 in funding but he
is recommending repairs to the HVAC system, which would be with LACO Associates
as they are the best qualified with the lowest price.
Roy Arwood motioned and
Bud Johnson seconded to approve procurement and allow engineering to be done by
LACO and Associates, 4 haa, 0 puuhara, 0 pupitihara.
2.) Hélène Rouvier, People’s Center Coordinator:
Hélène is present tonight to
seek approval of a contract for cooking at the upcoming Basketweavers gathering
event April 23-25, 2010. The lowest bid was selected which is Kathleen Davis.
Roy Arwood motioned and
Leeon Hillman seconded to approve the Basketweavers contract with Kathleen
Davis, 3 haa, 0 puuhara, 1 pupitihara (Sonny
The other contract is an
addendum to contract 10-C-064 which is with
Leeon Hillman motioned and
Sonny
3.)
Jaclyn is present tonight to
seek approval for $750 in assistance for a tribal youth trip, taking several
youth to Cal Day at UC Berkeley. The dates are April 16-18, 2010.
Leeon Hillman motioned and
Sonny
Closed Session:
Roy Arwood motioned and
Leeon Hillman seconded to approve resolution 10-R-042 authorizing approval to
enter into a training program between the Karuk Tribe dental staff and UCLA in
the amount of $52,000, including 12 month online course for Nikki Hokanson and
Donita Hill, and inclusion for out of state approval as noted in the agreement,
4 haa, 0 puuhara, 0 pupitihara.
Bud Johnson motioned and
Sonny
Consensus: to table
request for assistance as presented by the CHS Supervisor for Tribal Member out
of the service area, to the next planning meeting.
Bud Johnson motioned and
Sonny Davis seconded to approve resolution 09-R-006, authorizing ICW re-intervention,
4 haa, 0 puuhara, 0 pupitihara.
Consensus: for former
employee to make a request at the Planning Meeting to be removed from the Do
Not Hire List.
Consensus: for employee #4811
to draft a revised AOD Position Description and present that back to the
Council for approval at their upcoming Wednesday meeting.
Sonny
Leeon Hillman motioned and
Sonny
Consensus: for billing
staff to present agreement with debt collection firm to the CFO and Compliance
to ensure internal process is followed.
Consensus: to table
request from employee # 0730 to the Wednesday planning meeting.
Consensus: to allow
employee # 4250 to include fiber optic estimate in RFP that is being posted to
determine total cost for linkage to employee home. After estimate is received #4250
will bring that information back to the Tribal Council to consider payment and
retention agreement for connectivity work.
Leeon Hillman motioned and
Roy Arwood seconded to approve out of state travel for Bob Goodwin to
Washington DC, May 17-20, 2010 and Arch super to Portland OR May 17-20, 2010, 4
haa, 0 puuhara, 0 pupitihara.
Leeon Hillman motioned and
Bud Johnson seconded to approve out of state travel for
Consensus: for Arch to
review stipends from the Language program and report back at the Wednesday
meeting.
Consensus: due to
scheduling, move the Thursday planning meeting to Wednesday.
Leeon Hillman motioned and
Sonny
Bud Johnson motioned and
Leeon Hillman seconded to approval a loan to #D00246 in the amount of $700 with full repayment within 30 days, 4 haa, 0 puuhara,
0 pupitihara.
Consensus: to table
request from Tribal Member# 2645 to Thursday.
Leeon Hillman motioned and
Sonny Davis seconded to approve out of state travel to Portland OR for DOJ and
DOI consultation for
Next Meeting Date: May 13, 2010 at 3pm in Happy Camp.
Bud Johnson motioned and
Leeon Hillman seconded to adjourn meeting at 8:17 pm, 4 haa, 0 puuhara, 0
pupitihara.
Respectfully Submitted,
_____________________________
Recording Secretary, Barbara Snider