22 Jan Chairman’s meeting: December 19, 2018
Indian River County Hospital District
December 19, 2018
TRUSTEES: Marybeth Cunningham Tracey Zudans (via phone)
Ann Marie McCrystal Barbara Bodnar
Allen Jones Karen Deigl
ABSENT: Dr. Michael Weiss
STAFF: Ann Marie Suriano Jennifer Frederick
Kate Voss Jennifer Peshke, Esq.
OTHER ATTENDEES: Cecilia Escorbore Janay Brown
Julianne Price Janet Begley
Tony Brown Cheryl Martinez
Angela Guzenski Rick Van Lith
Michelle Genz Miranda Hawker
Lundy Fields Nick Coppola, M.D.
Convene Meeting – Marybeth Cunningham, Chairwoman
Mrs. Cunningham convened the Chairman’s meeting of the IRCHD at 10:00 AM by welcoming those in attendance. She informed the board that the Cleveland Clinic Indian River closing documents will be executed on December 31, 2018 and available to the public thereafter.
Community Health Needs Assessment Review- Jennifer Frederick, Program Liaison
Mrs. Frederick provided a historically review of the community health needs assessment for 2018 and reviewed the data identifying unmet health care needs in Indian River County. She stated that Indian River Medical Center, TCCH, VNA, and Whole Family Health all participated in the process. The main areas of focus remain on “Healthy Moms, Healthy Kids” and “Long, Healthy Lives”. There further was group discussion surrounding the data outlined in the report.
Gifford Health Center RFI Discussion- Allen Jones, Treasurer
Mr. Jones provided the Trustees with an updated concerning the RFI process for the Gifford Health Center. He stated that the District has received proposals from the Health Department and TCCH for primary care services. Additionally, Healthy Start and the Mental Health Association each submitted proposal which address behavioral health and prenatal services respectively. Mr. Jones stated that he and Mrs. Suriano will be preparing a summary of the proposals with additional information for the Trustees to review. They plan to hold a special meeting in January to discuss the same.
Strategic Planning Review- Michael Felix, MSHA
Mr. Felix explained that the purpose of his presentation would be to discuss population health and population management, along with leadership opportunities for the District. He recommended that the District adopt a population health funding mentality and discussed future funding opportunities for the District. The Trustees will hold a special meeting the week of January 7th to review and discuss the pending strategic plan in more detail, with an opportunity to provide comments and suggestions.
Mrs. Cunningham stated that outside legal counsel recommends obtaining title insurance in connection to the transaction with Cleveland Clinic. Mrs. Peshke explained that if the District purchased an owner’s title policy, the policy would remain in place as long as the District has an ownership interest in the property. An owner’s policy, when necessary, can help pay for the defense against a claim on the title and will pay all valid claims that are covered by the policy. The total cost of the policy is $34,000 and Mrs. Peshke asked for a motion to approve the expense if the board agreed to the recommendation. Mrs. McCrystal made the motion to obtain the title insurance which was seconded by Mrs. Bodnar. Motion carried unanimously.
Mrs. Cunningham notified the board that of the slate of individuals put forth by the District, Cleveland Clinic chose Mr. Matthew Reiser to serve as the community representative.
Mr. Jones stated that as the board may recall, the hospital ran over budget by approximately $1 million, in terms of indigent care. Over the past few months, he and Mrs. Suriano have worked with Mr. Fuller at IRMC to true up that amount and apply any reversals that may have occurred. Mr. Jones explained that reversals occur when the hospital obtains an alternative payor source such as Medicare or Medicaid, instead of utilizing District funds. Once this happens, the hospital credits the District for that expense. In preparation for the Cleveland Clinic closing January 1, Mr. Jones wanted to make sure that there was a clean slate in billings. Therefore, they looked at the average reversal rate over the last four years which was 17.5%. Therefore, in October, November, December and January, payments to the hospital for indigent care services will be reduced by 17.5% each month. This method will assure that the District is upholding their obligation within the Indigent Care Agreement and keeping the taxpayers whole. Mr. Jones will address this matter in his treasurer’s report at tomorrow night’s meeting.
Public Comment- There was no public comment.
Adjourn- The meeting was adjourned at 1:00 PM