Minutes of the Kaipara Care Incorporated PHO Board Meeting
21st April 2004
Video Conference Room, Dargaville Hospital

Karakia
Meeting opened at 1.05
OSH & Fire Evacuation 1.06

Present
John Marsden, Brian Gaukrodger, Hannah Yakas, Jen Udy, Trish Crompton, Chris Tipa, Rhonda Zielinski, Lyndsey Bargh, Pam Baldwin 1:15Andrea Ringrose for 30 mins

Apologies
Derek Gibbons, Marion Edwards, Donna Mawson, Scott Davidson M/S Hannah Yaka / Jen Udy that apologies be accepted. Carried

Minutes from the previous meeting
M/S Brian Gaukrdoger /Lyndsey Bargh that the minutes of the March 2004 meeting be passed as true and correct subject to the below amendment. Carried Amendments: Of the three motions under Careplus & Chronic Care Management, Rhonda Zielinski voted against the first two and abstained on the third.

Matters arising from the minutes
· Surgical bus was due in May but not coming. There are no Kaipara children on the waiting lists for grommets or oral surgery. If any providers have children with teeth or ear problems please refer them to Outpatients Dargaville. The bus will be coming back in August.
· First Health – see CEO’s report
· Whangaroa- definitely starting up, have helped them with register cleansing process.

Correspondence
M/S Jen Udy/Trish Crompton that the incoming correspondence be received and outgoing approved. Carried
MATTERS ARISING:
Kaipara Pharmacy have appealed. They are allowed to sell medicines at Ruawai for one further month. Taking it up through political channels.
Read out letter from Trappit & Associates re board fees.Letter from Te Ha re request for financial support – Chris suggested Health Promotions Committee process the request. Meeting soon. Chris to write to let them know it will be retrospective and that the Health Promotion team will make a decision on the matter.

Treasurer's Report
· The report covers March 2004 transactions. M/S Trish Crompton / Hannah Yakas that the Treasurer's Report be accepted and the transactions passed for payment. Carried

that KCI changes it’s motor vehicle reimbursement rates from 50c to 62c per kilometre. Carried

Pam Baldwin queried feedback from people who KCI funded to attend Careplus presentations. Chris Tipa to do PowerPoint presentation for next meeting on Careplus, Chronic Care Management and what the difference between the two is. It was also agreed to invite Steve Main, “the Clinical Champion” along to help present.

KCHT Verbal Report
· Meeting next week so no report this month.
· Chris had a visit from Bev Sharpe who is well.

Operational Report
CEO’s Report : Presented by Chris Tipa as per the circulated report, the following items are additional.
Meetings with Other PHOS
· Three projects came out of it. Rhonda suggested Recenia attend these meetings as she is responsible for this via SIA.
· Possibility of shared services manager if affordable. Diabetes lends itself to shared services group.
· Query on Manaia / First Health merger – they are not merged. TTT money tied up with First Health – there is a Letter of Agreement between them. Manaia are putting up funds.
· Feedback from board that shared services for Northland seems a good idea.
· Chris wondered whether it would be reasonable for him to spend a day now and then to assist Manaia (Shared Services PHO Co-operative). KCI would charge our costs to them.
· The group is discussing two models – either a trust or not for profit company. Getting legal advice before next meeting.
· An extension to this could be Referred Services Management. Another area could be contracting with the DHB – providing a level of expertise.
Mental health
· Sue Wyath proposing change in mix of team which would close Huia Cottage Chris is to comment on the report on which she is basing her intended changes.
Omapere GP Conference
M/S Trish Crompton / Pam Baldwin that KCI contribute $500 towards the Omapere GP conference.

NIL
Great conference well arranged, good spirit. Well done Julie.

General Business
· SIA Subcommittee membership KCHT rep needed – Lyndsey Bargh to be added to the team to replace Bev. Others remain. It would make sense to time the SIA meetings a month before the quarterly reports due.
· SIA Quarterly Report – DMC have extended nurse clinics in Te Kopuru – there are a large proportion of older people. This ties in well with Chronic Care Management. Would make sense for Trish and Rhonda to use the same template to report on. Trish and Rhonda to meet with Raewyn before she sends away the report.
· Other Business
Pam Baldwin advised submissions close 22nd April for the long range plan for the Kaipara District Council. Health Options put in a submission for GE free, linked in with Kaipara future project plans - healthy water, health food. Does Board want to make a contribution?

2 articles from Doctor Magazine – on referred services and Tim Malloy’s work. Handed out at the meeting.

Next Meeting
Scheduled for 19th May 2004, @ 1.00pm, Video Conference Room, Dargaville Hospital

Meeting closed at 2:30p.m. with a karakia

Other
PRIVACY OFFICER’S REPORT Andrea Ringrose circulated her written report.
· Copies of KCI’s Privacy Code of Practice requested by Pam and Rhonda.
· Training is available from Christine McKerrow (NH) free of charge – we just have to arrange dates.
· Administrative staff to review telecommunications privacy code.
· Review of KCI’s pamphlet and code to be undertaken by small committee – we will contact Andrea and make a time.