Karuk Tribe – Health Board Meeting
October 14, 2010 – Meeting Minutes
Meeting called to order at 4:14pm by Leeon Hillman,
Treasurer
Present:
Leeon Hillman, Treasurer
Dora Bernal, Member at Large
Alvis “Bud” Johnson, Member
at Large
Wilverna “Verna” Reece,
Member at Large
Absent:
Phil Albers Jr.,
Vice-Chairman (excused)
Florrine Super, Secretary
(leave – excused)
Charron “Sonny”
Quorum is established.
Agenda:
Verna Reece motioned and
Dora Bernal seconded to approve the agenda with changes, 5 haa, 0 puuhara, 0
pupitihara.
Minutes of September 9, 2010:
Dora Bernal motioned and
Bud Johnson seconded to approve the minutes of September 9, 2010, 5 haa, 0
puuhara, 0 pupitihara.
Guests:
1.) Jason Verduzco, Caltrans
Jason is present tonight to
seek approval of a temporary easement near Katimiin. Caltrans is redoing the
culverts along Highway 96 and one in particular will require repair near that
location. He is seeking approval to use the driveway to gain access. If the
easement isn’t approved then Caltrans will build their own road to access the
culvert site. He did meet with Norman Goodwin,
This will be moved to the
agenda on 10/28. Scott will contact Jason and have this worked on completely to
ensure they are on the same page and recommendations can be presented back to
the Council. Jason thanked the Council for their time.
2.) Anna Myers, CHS Supervisor:
Anna presented revised CHS
policies and procedures. CHS policies are revised annually to include services
for the coming fiscal year. Last year they were revised to include a reduction
in services due to funding shortages, and that was for one year, with review of
the budget to put the services back into level one of care. The funding has
stabilized so they will now move back toward the services previously provided
and the policies will reflect that.
Florence Conrad motioned
and Dora Bernal seconded to approve the CHS policies and procedures, 5 haa, 0
puuhara, 0 pupitihara.
3.) Laura Mayton, CFO:
Laura is present to seek approval of a finance policy for collections of cash
payments for services at the clinics in Yreka and
Director Reports:
1.)
Daniel is present to review
his written report. He read the highlights from his report including how many
current clients he has and the general operations of the TANF program. He
covered his travel that he recently attended. He announced that Janelle will be
holding parenting classes in Yreka once the office move is done and operations
out there are up and running smooth. He is having IT work on the phone system
and get the site up and running. Daniel then asked when the site would be up
and running and Eric believes that it will take about a month to be fully set
up. Daniel then distributed the NCAI Conference agenda for the TANF delegates
(Dora Bernal and Florence Conrad) so they are aware of what breakout sessions
that he will need TANF representatives to cover.
Dora Bernal motioned and
Florence Conrad seconded to approve Daniel’s report, 5 haa, 0 puuhara, 0
pupitihara.
2.) Mike Edwards, Children and Family Services:
Mike is present to review his
written report. He would like to add an intern that is under agreement with the
Tribe to the vehicle insurance so that she can travel to group sessions and
transport clients to and from the clinic. Leeon asked if she had successfully
completed a background check. Mike noted that the will get that information and
he will bring that back to the Council Meeting on 10/28. He then presented a
resolution for ICW Intervention, 10-R-114.
Florence Conrad motioned
and Bud Johnson seconded to approve resolution 10-R-114 authorizing ICW
intervention on behalf of the Tribal Member, 5 haa, 0 puuhara, 0 pupitihara.
Mike presented procurement to
purchase a tribal vehicle for the Social Service program to alleviate the
amount of use from just his program. A dedicated vehicle for his staff will
make services available for more clients. Leeon asked about the difference in
price for a new vehicle as opposed to a used one, with the amount of miles.
Mike did not research this option, so he will go back and prepare procurement
for a new vehicle purchase and bring that back to the Council Meeting on 10/28.
Mike announced that he is
having staff cross train in the DUI Program to ensure there are services to
clients and they won’t be interrupted moving forward. The previous issue
resolved itself.
Verna Reece motioned and
Bud Johnson seconded to approve Mike’s report, 5 haa, 0 puuhara, 0 pupitihara.
3.) Lessie Aubrey, EDHHS:
Lessie is present to review
her written report and seek approval of her action items. She first presented
an action item joining with CRIHB epidemiology center. There is no cost but
there are some benefits and resources for joining.
Leeon Hillman motioned and
Dora Bernal to approve agreement 10-A-061 between the Tribe and CRIHB
Epidemiology Center and the Karuk Tribe, 5 haa, 0 puuhara, 0 pupitihara.
Lessie announced that she has
suggestions to receive Clinic Operations Consultants to come in and provide
assistance in how to sufficiently operate a clinic. Lessie would like to bring
the consultant in to provide onsite review of the Yreka clinic verifying flow
and access to the facility. Lately, it has been making improvements but the
consultant will assist in identifying any deficiencies that may be being missed.
Lessie brought Patti on as
half time for HRSA and that will assist in getting the HRSA goals met. She then
went on to explain other position descriptions that she is currently revising. All
position descriptions will be tabled to the Council Meeting on 10/28 to allow
the Council time to review them.
Verna Reece motioned and Florence
Conrad seconded to approve Lessie’s report, 5 haa, 0puuhara, 0 pupitihara.
4.)
Florence Conrad motioned
and Verna Reece seconded to approve agreement 11-A-001, 5 haa, 0 puuhara, 0
pupitihara.
Dora Bernal motioned and
Bud Johnson seconded to approve Chad’s report, 5 haa, 0 puuhara, 0 pupitihara.
5.) Vickie Simmons, COO:
Vickie is present to provide
her written report. She attended a lot of meetings for the month of September.
The health program did receive their new eye camera and that will be used at
each site. All three clinics will have the ability to check for diabetic
retinopathy. This saves on costs for services by less referrals to outside
facilities and provides better services to the patients.
On November 2nd
and 4th there will be diabetic exams done in Happy Camp and for
The complaints for the month
of September displayed a couple complaints for providers, service complaints
and staff complaints. Verna asked about the requirements of ordering
medications as noted in the meeting minutes of Vickie’s report. It seems that
the ordering of medications is based on cost and Verna would like to know who
determines that. Vickie explained that the health program reviews how to reduce
costs on patient visits to save the patient money and several ideas are
implemented to assist the patients. Patti explained that the providers
prescribe lower cost medications to save funding, but if a patient cannot use a
generic form of the medication then the Pharmacy and Therapeutics Committee
will allow the medication to be allowable as prescribed if there is a justification
of the name brand versus an alternative generic lower cost medication. This
project was suggested by HRSA and they are trying it out, but if they find that
it doesn’t work well then they will try another method. For October breast
cancer awareness month triggered a competition to decorate the facilities to
bring that awareness to the communities. Vickie was proud of the staff and will
be having that or similar events in the future because the patients seem to
like that the health clinics and staff get involved in the community awareness
campaigns.
The diabetic grant that
purchased exercise equipment has been delivered in the
Verna Reece motioned and
Dora Bernal seconded to approve Vickie’s report, 5 haa, 0puuhara, 0 pupitihara.
6.) Eric Cutright, IT Director:
Eric is present to review his
written report. He first wanted to seek approval of a new server for
Verna Reece motioned and
Dora Bernal seconded to approve procurement and allow the purchase of server
equipment in the amount of $6,538.97, 5 haa, 0 puuhara, 0 pupitihara.
Eric was on vacation for part
of September. He has seen server problems at KCDC, KTHA and in
It was noted that the servers
will all be moved to the datacenter and when that happens the generator project
that is being done at the Administration Complex will keep all the sites up
when the power is out in Happy Camp. In previous years, when power was out in
Happy Camp, the servers went down, and that left all three communities shutting
down and sending staff home. This was a high cost with no revenue generation
plus a reduction in services to patients or clients; so the generator project
will be used to keep all sites operational.
The datacenter, it is past
the deadline to be finished and the power is going up today. Then the servers
will be housed at that location with back up generator capability as well.
Eric did attend the
Verna Reece motioned and
Florence Conrad seconded to approve Eric’s report, 5 haa, 0 puuhara, 0
pupitihara.
7.) Vickie Walden, Dental Office Manager:
Her action items will be
tabled to another meeting, because Vickie was unable to present them.
Dora Bernal motioned and
Bud Johnson seconded to approve Vickie Walden’s report, 5 haa, 0 puuhara, 0
pupitihara.
Non Health Employees/Departments:
1.) Sandi Tripp, Land Department:
Sandi is present to seek
approval of a landscaping contract. She presented contract 11-C-001 with Miller
Farms Nursery, Inc in the amount of $30,371.
Florence Conrad motioned
and Verna Reece seconded to approve contract 11-C-001 with Miller Farms
Nursery, Inc., 5 haa, 0 puuhara, 0 pupitihara.
Sandi then presented
modification #10 to 10-C-070 with Hat Creek Construction in the amount of
$10,933.54. They owe more money for striping and asphalting. The grand total at
this point for the contract became $835,419.73 for the Anavkaam parking lot
project.
Verna Reece motioned and
2.) Rick Hill, KCDC:
Rick is present to seek
approval of agreement 10-A-060 for $2,500 which will cover 60 months of service
with Pacific Power.
Florence Conrad motioned
and Dora Bernal seconded to approve agreement 10-A-060, 5 haa, 0 puuhara, 0
pupitihara.
His second action is
procurement for the new KCDC office for telephone and computer switch that is
$3,118.00.
He took the opportunity to
provide information to the Council on the wiring of the new KCDC modular building
and he will bring any action items back to the Tribal Council. Leeon asked if
there was a final walk-thru scheduled or planned. Rick did confirm that there
is going to be one. There is already identified items that will be repaired from
when the modular was moved from it’s location to Happy Camp.
3.)
Jaclyn is present to seek
approval of action items. She stated that the ICDBG grant states that the code
of conduct has to be reapproved within some many days of the release date of
the NOFA. So the Code of Conduct must be reapproved currently. She will also
need the Community facilities and maintenance operation plan reapproved, which
had the name change of the Tribe updated.
Dora Bernal motioned and
Florence Conrad seconded to approve the revised Code of Conduct in the fiscal
policies, 5 haa, 0 puuhara, 0 pupitihara.
Dora Bernal motioned and Bud
Johnson seconded to approve the Community facilities and Maintenance and
operation plan, 5 haa, 0 puuhara, 0 pupitihara.
Jaclyn then provided
information from a Tribal Member Willie Harrie regarding grant writing that he
may do for the Tribe. She would like to support his project and work with the
Tribal Member and distribute a boiler plate of information on the Tribe and its
needs to better support him in obtaining a grant for the Tribe, while supporting
his educational goal of grant writing.
Verna Reece motioned and
Florence Conrad seconded to approve distributing the information to the Tribal
Member, 5 haa, 0 puuhara, 0 pupitihara.
Closed Session:
Consensus: to refer loan
request from employee #1647 to KCLF.
Consensus: to have
Consensus: to allow Stephanie
Dolan to review the Caltrans contract and provide information to Caltrans and
the Tribe.
Update: employee #3413
provided an update on recent activity at the health facility and actions taken
to remedy suspicious activity.
Update: employee #3413
will provide a written letter outlining suspension of Tribal Member #0744 from
health facilities for final approval at the Council’s next meeting.
Bud Johnson motioned and
Consensus: to allow
Stephanie Dolan to file restraining order on resident that is harassing
employees and the threat to continue such behavior.
Bud Johnson motioned and
Consensus: to allow Fred
Burcell to move Tribal Descendant’s trailer park in Happy Camp.
Dora Bernal motioned and
Florence Conrad seconded to update the Verizon Wireless phone plan that covers
picture messages, 5 haa, 0 puuhara, 0 pupitihara.
Bud Johnson motioned and
Florence Conrad seconded to approve out of state travel for Dora Bernal, Bob
Goodwin and Laura Mayton to Las Vegas, NV and allow the change fee from the
Albuquerque NM from Dora cancelling her travel to the NCAI Conference to the
Gaming Conference, 4 haa, 0 puuhara, 1 pupitihara (Dora Bernal).
Next meeting date: November 3, 2010 at 3pm in Happy
Camp,
Bud Johnson motioned and
Respectfully Submitted,
________________________________
Leeon Hillman, Treasurer
Recording Secretary, Barbara Snider