Chapter 3.32
MEDICAL CENTER AND LONG-TERM CARE FACILITY BOARD AND ADMINISTRATION1

Sections:

3.32.005    Established – Composition.

3.32.007    Membership – Appointment – Terms.

3.32.010    Oath of office.

3.32.020    Physical property management – Purchasing.

3.32.030    Hospital board – General powers and duties.

3.32.040    Hospital administrator.

3.32.050    Accounting procedures.

3.32.060    Bylaws and organization.

3.32.070    Noncompensation.

3.32.080    Advisors to the board.

3.32.090    Hospital board liaison.

3.32.100    Annual reports to assembly – Annual audit and annual budget.

3.32.005 Established – Composition.

There is established a board, subject to the ordinances set out and adopted in this chapter, to be known as the “Wrangell Medical Center and Long-Term Care Facility board,” designated in this chapter as “board” or “hospital board.” Board members shall be qualified electors of the borough. [Ord. 916 § 2, 2016; Ord. 865 § 1, 2012; Ord. 826 § 1, 2008; Ord. 797 § 1, 2007; Ord. 442 § 4, 1983; prior code § 3.63.010.]

3.32.007 Membership – Appointment – Terms.

The Wrangell Medical Center and Long-Term Care Facility board shall consist of seven members. No member of the board shall be an employee of the Wrangell Medical Center and Long-Term Care Facility, a tenant of that facility, a contractor that provides medical or health care services to that facility, or an employee of any such tenant or contractor. Members shall be elected by the voters to serve four-year terms. The term of each board member shall continue until his or her successor is elected and has qualified by taking the oath of office. The board shall be reduced from nine to seven members effective upon certification of the October 2016 regular election, this change to be implemented in accordance with the Transition Provision adopted in Section 4 of Ordinance No. 916. [Ord. 916 § 3, 2016; Ord. 865 § 1, 2012; Ord. 826 § 1, 2008; Ord. 797 § 2, 2007; amended by passage of Proposition No. 2 at regular election on October 5, 2004, as authorized by initiative petition certified on July 26, 2004; Ord. 442 § 5, 1983; prior code § 3.63.020.]

3.32.010 Oath of office.

Before entering upon his or her duties, each member of the Wrangell Medical Center and Long-Term Care Facility board shall subscribe an oath in writing in substantially the following form:

UNITED STATES OF AMERICA

)

 

: ss

STATE OF ALASKA

)

The undersigned having been elected as a member of the Wrangell Medical Center and Long-Term Care Facility Board being first duly sworn, deposes and says:

I will honestly and faithfully perform the duties devolving upon me as a member of the Wrangell Medical Center and Long-Term Care Facility Board and will comply with the Ordinances of the City and Borough of Wrangell and the laws of the State of Alaska and the rules and bylaws of the Hospital Board with respect thereto, So Help Me, God.

_______________________________

Notary Public for Alaska

My commission expires:____________

[Ord. 865 § 1, 2012; Ord. 334 § 5, 1975; prior code § 3.63.030.]

3.32.020 Physical property management – Purchasing.

A. The physical management of the municipal hospital building, the land upon which the building is located, and the equipment and furnishings in the building is entrusted to the board by the assembly, and subject to the control and review by the borough assembly as deemed necessary by the assembly in the best interest of the borough. The board shall have the authority to make repairs and improvements to the hospital building as necessary to maintain the building in good condition, provided the board has no authority to approve or make additions or replacements or enter any contracts or agreements to do so in excess of $25,000, including contracts for professional services or consulting contracts, without approval of the borough assembly. The board shall review and make recommendations to the assembly for proper maintenance of the Wrangell Medical Center and Long-Term Care Facility or any future facility, and the real property, for all projects in excess of $25,000;

B. The board shall have the power to purchase, sell, exchange, operate, maintain and repair all personal property necessary for the daily operation and maintenance of the hospital; provided, however, that no property or equipment other than supplies shall be purchased until and unless the board has funds derived from the operation of the hospital and appropriated for that purpose by the borough assembly. All personal property of any kind and any nature existing at the Wrangell Medical Center and Long-Term Care Facility or any future facility (both the existing facility and future facility may be referred to as “hospital”) or purchased in the future shall be the property of the borough and shall not disposed of or sold in any manner inconsistent with the Wrangell Municipal Code provisions governing the disposal or sale of personal property. [Ord. 865 § 1, 2012; Ord. 250 § 5, 1969; prior code § 3.63.040.]

3.32.030 Hospital board – General powers and duties.

A. The hospital board shall review and make recommendations through the borough manager to the assembly on all hospital construction, consulting, engineering, and architectural services contracts before submitting such contracts to the assembly for approval. No such contracts shall be executed without review by the borough manager and the borough attorney, and such contracts in excess of $25,000 shall be executed only after approval by the assembly. All contracts shall be executed in the name of the city and borough;

B. The board shall review and make recommendations through the borough manager to the assembly for review and approval by the assembly of proposals or plans for development of any new hospital construction and improvements;

C. The board shall have the authority to solicit grants and funds from any sources for the furtherance of the provision of medical care at the hospital. Any solicitations from federal or state agencies shall be subject to prior approval of the borough manager. The board shall keep the borough manager advised of grants and funds being sought by a written report from the board or hospital administrator;

D. The board shall adopt personnel policies for hospital employees, subject to annual review by the assembly during May of each year. The personnel policies shall be subject to annual review by the assembly during May of each year. In addition, in the event the board adopts changes to the personnel policies at other times during the year, the board shall submit the personnel policy changes to the assembly for review. The personnel policies and any changes to the personnel policies shall be subject to modification by the assembly;

E. The board shall employ a hospital administrator by contract, which contract shall be subject to review and approval by the borough manager. No administrator may be employed without a contract approved by the borough manager and the borough attorney. The administrator’s contract may not be modified, amended or changed without approval of the borough manager and the borough attorney. The board shall only terminate or remove the administrator after consultation with the borough manager and the borough attorney and approval by the borough manager;

F. The board shall determine salaries and wages to be paid to each classification of labor employed at the hospital, except that the salary and any other wages or moneys or benefits to be paid or provided to the hospital administrator shall be only as provided in the administrator’s contract;

G. The board shall determine, charge and collect fees and charges for the services rendered and furnished by the hospital. The rates as determined by the board shall be in full compliance with federal and state laws. The rates as determined by the board shall be subject to modification by the borough assembly, which may change the rates at any time;

H. The board shall have authority to take all lawful action to collect all accounts owing to the hospital and the borough for services rendered or furnished by the hospital. No legal action shall be instituted unless reviewed and approved by the borough manager and borough attorney;

I. The board shall require that all persons admitted to the hospital be under the supervision and care of a licensed physician;

J. Subject to review and approval by the assembly, the board shall have the authority to make rules and regulations for the efficient and safe operation of the hospital; provided, that any rules and regulations shall be consistent with federal and state law and the Wrangell Municipal Code and be in the best interests of the borough and in accordance with sound business practices. The board must submit the rules and regulations through the manager to the assembly for review and approval. The assembly may modify or amend any rules and regulations;

K. The board shall undertake the annual budget, annual audit, and annual reports for the hospital as required by WMC 3.32.100. The board shall make no expenditure of funds or obligation of funds unless the expenditure or obligation is in conformance with the annual budget, or a budget amendment, that has been approved and adopted by the assembly. [Ord. 866 § 1, 2012; Ord. 865 § 1, 2012; Ord. 263 § 6, 1971; prior code § 3.63.050.]

3.32.040 Hospital administrator.

A. General. The hospital administrator shall be responsible for the overall supervision of the hospital in a manner consistent with all federal and state laws, the City and Borough of Wrangell Charter, and Wrangell Municipal Code, and in a fiscally responsible manner in the best interests of the borough and in accordance with sound business practices. The borough manager shall have governing power over the administrator, except as related to the selection of the administrator pursuant to WMC 3.32.030(E), in the same manner as the borough manager has governing power over all other administrative department heads pursuant to WMC 3.06.020(A).

B. The authority and duties of the hospital administrator are as follows:

1. To be responsible for carrying out all applicable federal and state laws, the Wrangell Charter and Code, borough resolutions, and the hospital rules and regulations;

2. To be responsible for carrying out policies established by the hospital board and the assembly;

3. To prepare and submit to the hospital board for approval, a plan of organization and a job classification plan for the personnel at the hospital;

4. To prepare an annual report and an annual budget as required by WMC 3.32.100;

5. The administrator shall have the authority to hire and discharge subordinate employees at the hospital in a manner consistent with federal and state laws and in accordance with the personnel policies of the hospital, the borough code, and the borough personnel rules and regulations;

6. To work with the professional staff and with those concerned with the rendering of professional services at the hospital to the end that the best possible care may be rendered to all patients;

7. To prepare such reports as may be required on any phase of hospital activity by the board, the assembly, or the borough manager;

8. To attend all meetings of the hospital board and of standing committees of the board except where otherwise specified by the board;

9. To perform any other duty that may be in the best interests of the borough as assigned by the board, the assembly, or the borough manager. [Ord. 865 § 1, 2012.]

3.32.050 Accounting procedures.

The board shall establish a system of accounts and procedures for collecting revenues from the operation of the hospital, which revenues shall be deposited periodically as determined by the board in a bank in Wrangell, Alaska, and a system for paying of all expenses of operation and costs of services and equipment purchased. The City and Borough of Wrangell shall be named on all accounts. The borough manager shall be a signatory on all accounts. [Ord. 865 § 1, 2012; Ord. 250 § 5, 1969; prior code § 3.63.060. Formerly 3.32.040.]

3.32.060 Bylaws and organization.

A. The board shall adopt bylaws governing its own proceedings, which bylaws shall be submitted to the assembly for review and approval, and which may be amended by the assembly. A copy of the bylaws shall be filed with the borough clerk together with all rules and regulations made by the board.

B. The board shall elect annually from its membership a president, a secretary, and such other officers as it deems necessary. [Ord. 865 § 1, 2012; Ord. 263 § 6, 1971; prior code § 3.63.070. Formerly 3.32.050.]

3.32.070 Noncompensation.

No member of the board shall be paid for any services rendered or duties performed in connection with the administration and operation of the hospital. [Ord. 865 § 1, 2012; Ord. 250 § 5, 1969; prior code § 3.63.080. Formerly 3.32.060.]

3.32.080 Advisors to the board.

Subject to the limitations and provisions of WMC 3.06.020, the hospital board may appoint persons in an advisory capacity, other than consultants referenced in WMC 3.32.030(A), as it deems advisable, except that any consultant agreement or contract in excess of $5,000, or which may potentially exceed $5,000, must be reviewed by the borough manager and the borough attorney and approved by the borough assembly before the consultant may be retained. The board will consult with all physicians and surgeons practicing in the borough from time to time so as to determine, understand, and take such action upon the views and recommendations of such physicians and surgeons as the board considers advisable. [Ord. 865 § 1, 2012; Ord. 250 § 5, 1969; prior code § 3.63.090. Formerly 3.32.070.]

3.32.090 Hospital board liaison.

The borough assembly shall appoint from its membership a liaison to the Wrangell Medical Center and Long-Term Care Facility. The borough assembly liaison shall represent the assembly and attend and participate in all hospital board meetings and all executive sessions of the board with the exception of those involving physician credentialing and privileging. The board has no authority to exclude the assembly liaison from any executive session. The assembly liaison will not participate as a voting member of the board and the presence of the assembly liaison shall not be used to establish a quorum to convene a meeting of the board. [Ord. 866 § 1, 2012; Ord. 865 § 1, 2012; Ord. 855 § 1, 2011. Formerly 3.32.080.]

3.32.100 Annual reports to assembly – Annual audit and annual budget.

A. The board shall annually submit a detailed report to the borough manager and the assembly setting forth the principal facts regarding its policies, rules, regulations, procedures and statistics in connection with the operation of the hospital and submit the annual audit to the borough manager and the assembly.

B. The board shall annually, on or before the fifteenth day of May of each year, submit a detailed budget setting forth the anticipated income and expense of the hospital operations for the ensuing year starting July 1st. The hospital administrator shall prepare the budget in accordance with approved city and borough procedure and shall submit it to the hospital board for approval. The hospital board shall submit the budget to the borough manager with its recommendations in the same manner as the budgets are submitted by the other government departments of the borough, and the borough manager will submit the budget to the assembly. The purpose of the budget is to allow the assembly to appropriate necessary funds for operations; to insure that the proposed expenditures and financial obligations in the budget are in the best interests of the borough and the people of Wrangell; to insure that the budget reflects sound business practices; to insure that none of the proposed expenditures or obligations place the general fund of the borough at risk; and to use excess revenue of the hospital in the general fund of the borough. The board shall not obligate or expend by contract or otherwise any funds generated by hospital income or funds from the general fund of the borough unless such obligation or expenditure has been identified with specificity in the budget and the budget has been reviewed by the borough manager and approved and adopted by the assembly. The Wrangell Medical Center and Long-Term Care Facility budget as submitted to the borough manager and assembly is not final and may not be implemented until approved by the assembly.

C. The borough assembly at any time may request from the hospital additional reports or information the assembly deems necessary and the board shall direct the administrator to prepare the requested reports and provide the reports to the borough manager within the time frame established by the assembly. [Ord. 865 § 1, 2012; Ord. 263 § 6, 1971; prior code § 3.63.100. Formerly 3.32.090.]


1

For statutory provisions on the regulation of hospitals and nursing facilities, see AS 18.20.07518.20.130 and 18.20.30018.20.390; for the Charter provisions on the Wrangell Medical Center and Long-Term Care Facility, see Charter § 3-9.