Monthly Meeting of the Board of Directors – Special Session
Virtual Meeting over Zoom Platform
January 18, 2023, at 5:30 p.m.
Meeting ID: 893 5953 9799
Passcode: 023649
Notice is hereby given to the members of the Board of Directors and to the public that the Board of Directors, Native Americans for Community Action, Inc. will hold a Board Meeting. The Native Americans for Community Action, Inc. Board of Directors may vote to go into Executive Session, which will not be open to the public, to discuss certain matters.
Call to Order: ______ p.m., January 18, 2023
REGULAR MEETING
Roll Call: Board Members
Liv Knoki, President
Carmenlita Chief, Vice-President
Juliette Roddy, Treasurer
Larry Etcitty
Charles Doughty
NACA Mission Statement:
The mission of Native Americans for Community Action, Inc., is to provide preventive wellness strategies, empower, and advocate for Native people and others in need to create a healthy community based on Harmony, Respect, and Indigenous Values.
1. Prayer – Offered by Board/Staff member
2. Agenda – Adoption of the agenda, as submitted, is recommended. (ACTION)
January 18, 2023, Board Agenda
3. Minutes – Approval of Minutes (ACTION) – Estimate 3 minutes:
December 8, 2022, Board Minutes
4. Public Participation (limited to 3 minutes)
5. Announcements (NON-ACTION) – No staff to introduce
6. Consent Items (ACTION)
Items for consideration, discussion, direction, and possible approval. Items on consent agenda are considered routine and unless otherwise indicated, expenditures approved by the Board are budgeted items.
- Policy Updates: Presented by Laurie Bosse, and Verity Quiroz, – (Action), Action of Approval
- Policy MM200, Medication Oversight
- New Policy
- Establish clear procedures for accountability of all NACA meds, including daily inventory, storage, disposal, and recalls. Includes appendices 1,2,3. I H S recommendation.
- New Policy
- Policy MM210, Medication Administration
- New Policy
- Establish medication administration guidelines, including medication administration and medication errors. I H S recommendation.
- New Policy
- Policy MM220, Multiple-Dose Vials and disposition of expired medications and supplies
- Proposed Change III A, F.G
- Move items III A, F, G related to medication disposition and supplies to new policy MM200, Medication Oversight. I H S recommendation.
- Proposed Change III A, F.G
- Policy QRM 310, Incident Reporting
- Proposed change, IIIB
- Adding definition of “incident” to align with AAAHC definition of an “incident”.
- Proposed change, IIIB
- Policy QRM 100, 200, 210, 300, 310, 320, 400, 500
- No change, update of dates only for review.
- Policy MR400, Medical Records – General Rules
- Proposed change I, II, III
- Revise policy definition, add purpose, add QI & C to who may have access to medical records, revised number of years from five (5) to four (4) to store offsite.
- Proposed change I, II, III
- Policy MR420, Release of Medical Records
- Proposed change I, II, III
- Policy was lacking a policy and a purpose definition. Added “original” on records not to release. Revised 4 weeks to 30 days on timeline for releasing to patients or other providers. Added language to releasing medical records from other providers. I H S recommendation. Added non-disclosures in patient record. I H S verbal recommendations to MR.
- Proposed change I, II, III
- Policy MR430, Request for Medical Records
- Proposed change II
- Policy was lacking a purpose definition.
- Proposed change II
- Policy MR440 Documentation in Medical Records
- Proposed change I, II, III, IV
- Policy was lacking a Policy and a Purpose definition. Added positions authorized to make entries in the medical record. Added Vitals, SOAP per I H S recommendation.
- Proposed change I, II, III, IV
- Policy MR450 Patient Chart Filing Order
- Proposed Change I, II, III
- Policy was lacking a Policy and a Purpose definition. Added organization of Behavioral (BH) files.
- Proposed Change I, II, III
- Policy MR470 Annual Purge of Charts
- Proposed change III
- Revised 10 years to seven (7) years for destruction of records. Revised boxing records to medical cabinet in offsite location and organization of record.
- Proposed change III
- Policy MR480 Records Retention
- New Policy
- Lacking Records Retention Policy. Added patient notification and disposition of records, per I H S recommendations. Appendix 1.
- New Policy
- Policy EOC200, Facility and Patient Safety
- New Policy
- Defines patient disruptive behavior and staff response to disruptive patient behavior.
- New Policy
- Policy AG110, Scope of Services
- Proposed Change
- Add HIM to Scope of Services. I H S Recommendation.
- Proposed Change
- IC330, Infection Control for Leaning and Intermediate – Level Disinfection
- New Policy
- Establish disinfection guidelines for cleaning and intermediate level disinfection. I H S recommendation.
- New Policy
- IC340, Infection Control for Construction and Maintenance
- New Policy
- Establish and Monitor infection control and risk during construction and maintenance. This will align with AAAHC standards.
- New Policy
- Policy MM200, Medication Oversight
- Purchase over 10,000: Presented by Verity Quiroz and Barb Frakes – (Action), Action of Approval
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- Purchase of Massage Chairs for Patient Centered Care and Wellness Program
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8. Old Business – none to note
9. New Business – Executive Session scheduled for 1/19/2023 @ 5:30 pm
Next Board Meeting Date: February 15, 2023 @ 5:30 pm
Adjournment of Meeting – Time: _______ p.m.