BOARD OF DIRECTORS MEETING

103 W THUNDERBIRD DRIVE

NOVEMBER 11TH 7:30 P.M.

BOARD MEMBERS PRESENT:

BOARD MEMBERS ABSENT:

INTRODUCTION OF GUESTS:

PRESENTATION OF MINUTES:

PRESENTATION OF TREASURERS REPORT:

PRESENTATION OF BILLS TO BE PAID:

PRESENTATION OF REVENUE AND EXPENSES:

PRESENTATION OF P.A.T. VAN:

PRESENTATION OF COORDINATOR'S REPORT:

MEDICAID WRITE OFF'S:

EMPLOYEE RECEIVABLE INFORMATION:

EMPLOYEE CONCERNS/REQUESTS:

REPORT FROM HOSPITAL REPRESENTATIVE:

REPORT FROM BURLINGTON JUNCTION RESCUE SQUAD:

REPORT FROM HOPKINS RESCUE SQUAD:

REPORT FROM RAVENWOOD RESCUE SQUAD:

REPORT FROM MARYVILLE RESCUE SQUAD:

OLD BUSINESS: Snow Removal

Bathroom in the back

NEW BUSINESS: Draft of the Audit

Tentative 1999 budget

ADJOURNMENT:

BOARD OF DIRECTORS MEETING

NOVEMBER 11TH, 1998

7:30 P.M.

OCTOBER 14TH, 1998

BOARD MEMBERS PRESENT: Chairman Johnson, Treasurer Crane, Secretary Donovan and member Standiford were present.

BOARD MEMBERS ABSENT: Vice chairman Heitman and member Wolbert were not present.

MEETING CALLED TO ORDER: Chairman Johnson called the meeting to order at 7:30 p.m.

PRESENTATION OF THE MINUTES: The minutes were presented to the members. A vote was taken, and the motion carried unanimously.

INTRODUCTION OF GUESTS: Brian Sobotka was present from th Ravenwood squad and will address the board members during the discussion of squads.

TREASURERS REPORT: The report was given to the board members. Recording secretary LaRee Lager stated that overtime was high due to the high call volume for the past month. There were 140 calls for the month of September. There were no questions on the report and Secretary Donovan made the motion to accept the report as presented, Treasurer Crane seconded the motion. A vote was taken and the motion was carried unanimously.

PRESENTATION OF THE BILLS TO BE PAID: The bills to be paid were next on the agenda. Lager stated that the bills for St. Francis, Wal-mart and St. Joseph Light & Power were for two months.

The Bill for Bateman's Photography was for the pictures for the Rescue Squads and a picture of Dr. Watson, the medical director.

The bill for Maryville Implement was questioned. This was for a hose for the power washer.

The bill for Easter's was for the picnic and for some pain pills for Patrick Zeamer, who hurt himself while lifting a patient. The doctor prescribed them for a short period.

The bill for Blue Cross and Blue Shield was questioned. This is for the employees health insurance that the District provides.

There were no other questions about the bills to be paid. Treasurer Crane made the motion to pay the bills as presented, member Standiford seconded the motion. A vote was taken and the motion carried unanimously.

PRESENTATION OF REVENUE AND EXPENSES: The chart was presented to the board members. Lager stated that the accounts for Miscellaneous and office expense are currently over budgeted. It was the consensus of the board members to let the items ride until the December meeting. There was no motion on the chart.

PRESENTATION OF P.A.T. VAN: The P.A.T. Van was next on the agenda. There were no concerns or questions brought up and the consensus was to let it ride for another month.

COORDINATOR'S REPORT: The item on the Coordinator's report was for George Duff to explain the insurance audit that had been done by the insurance company. The outcome of the audit was to have a Standard Operating Procedure manual completed soon, a ride along policy needs to be written as well as a backing policy for the ambulance crews. Another suggestion was to have monthly training of all personnel and to write a policy for using blue lights. Item two was the class for the wage and hour update that Duff went to in September. The board members requested a copy of the hand out that Duff received at class, these will be done by the next board meeting.

Item three concerns the need for shower facilities at the base as well as laundry facilities. Duff handed out drawings of the current bathroom and the exercise room. Duff asked the board members to look over the drawings and to come back to the next meeting with some ideas on how to install the facilities.

Item four deals with the purchasing of blinds for the four upper windows of the office complex. The sun shines in at different times of the day and causes glares on the computer screens as well as fading the carpet. The Store of Colors in Maryville submitted a bid of $789.20 for the four blinds and installation of the blinds. Treasuere Crane made a motion to accept the bid , Secretary Donovan seconded the motion. A vote was taken and the motion carried unanimously.

MEDICAID WRITE OFF'S: The list of write off's was presented to the board members. Member Standiford made the motion to accept the write off's  as presented, Secretary Donovan seconded the motion. A vote was taken, motion carried unanimously.

EMPLOYEE RECEIVABLE INFORMATION: The chart was given to the board members. There were no questions about the chart.

EMPLOYEE CONCERNS AND REQUESTS: There was nothing brought before the board members.

REPORT FROM ST. FRANCIS HOSPITAL REPRESENTATIVE: Deb Puckett was present at the meeting and she discussed the changes in the emergency room. Starting November 1st, a new group will come in and run the emergency room. Puckett explained the changes and some of the new doctors that will be coming into the facility. The out of county transfer may be cut down due to the group wishing to keep the revenue at the hospital.

There will be a 4.6 million renovation to the emergency room starting soon. There are drawings at the hospital. The new emergency room will be built in the front of the hospital and admitting will be moved. The x-ray and laboratory will be moved as well. The projected date of completion will be in the year 2,000, at least.

The charges for the emergency room more than likely to increase. There may be a non-emergent care facility in the future as well.

REPORT FROM BURLINGTON JUNCTION RESCUE UNIT: There was nothing brought to the board.

REPORT FROM HOPKINS RESCUE UNIT: There was nothing brought to the board

REPORT FROM RAVENWOOD RESCUE SQUAD: The classes are about half over as of tonight meeting. There was a car extrication class that was held and the members attended it. The new squad members would like a firm commitment from the ambulance districts board members to get the old unit tuned up and in good running condition. Brian Sobotka has volunteered to do all the mechanical work and to donate his time and getting the parts at cost. There was a discussion held about how much money to set aside for the unit as a start up commitment. The outcome of the discussion was a consensus vote to allow $500.00 for start up cost.

Sobotka stated that the unit will be housed at the fire station in Ravenwood. Sobotka also asked about the equipment that will be needed on the unit. Duff is to do an inventory of the other units and come back to the next meeting with the list. At that time, it will be decided what needs to be on every unit and a new inventory list will be made up for all the units.

Sobotka also stated that there will be an election of officers at one of their next classes so the members could begin to raise money for the extrication equipment. He also stated that he would be able to get bids on some of the other tools that would be needed on the squad.

Duff asked about pagers for the new squad as well. There is going to be a need for 10 new pagers. The pagers would run about $325.00 for each pager. Duff will get some quotes for these.

There was nothing else brought up for the Ravenwood squad.

REPORT FROM MARYVILLE RESCUE UNIT: There was nothing brought up to the board.

OLD BUSINESS: Duff is currently working on a letter to the users of the P.A.T. Van and to notify them that there will be a standby charge of $15.00 an hour for the out of county trips that require a driver to stay with the patients during office visits or procedures. The first draft will be given to the board members.

The rappeal tower is still being worked on by several members of the rescue squads. There is still a great interest in building the tower and facilities out behind the current ambulance base. There will be a rappeal day for anyone who wants to reppeal on Sunday October 18th and there will be one for the Ravenwood squad on October 25th.

NEW BUSINESS: Duff asked if the ambulance board would be willing to pay for personnel to sign up for the Venture/expedition club with the Boy Scouts. The cost will be $7.00 a person. The employees will be volunteering their time to get the club up and running. Treasurer Crane made the motion to pay the $7.00 fee for all employees who wish to sign up, Secretary Donovan seconded the motion. A vote was taken and the motion carried unanimously.

There was a bill from a patient who sent a letter stating that she could not pay the bill. There was a discussion held. The outcome of the discussion was not to write off the bill but to allow the patient to pay on it monthly.

Lager introduced two letters from local businesses for snow removal. The bids were reviewed and after a discussion it was decided that more bids were needed. Lager was directed to get more bids for the snow removal.

ADJOURNMENT: There will not be an executive session. Secretary Donovan made the motion to adjourn the meeting at 9:20 p.m., member Standiford seconded the motion. Motion carried, the meeting adjourned at 9:20.

Recorded by LaRee Lager, Recording Secretary

Nodaway County Ambulance District

Signed:

Carlene Donovan, Secretary