Budget Workshop Meeting Minutes: May 14, 2018

Budget Workshop Meeting Minutes: May 14, 2018


Budget Workshop: Tykes & Teens;  Healthy Start

Indian River County Hospital District

May 14, 2018


TRUSTEES:                           Marybeth Cunningham; Allen Jones; Ann Marie McCrystal; Tracey Zudans; Barbara Bodnar

EXCUSED:                            Dr. Michael Weiss; Karen Deigl

STAFF :                                  Ann Marie Suriano; Jennifer Frederick; Kate Voss; Jennifer Peshke, Esq.

OTHER ATTENDEES:        Andrea Berry; Cecilia Escorbore; Kristen Crocker; Jeffery Shearer; Agniseka Marshall


Convene Meeting- Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the monthly chairman’s meeting of the IRCHD at 1:00 PM by welcoming those in attendance.

 Funding Requests-

Healthy Start- Andrea Berry, Executive Director

Ms. Berry began her presentation by providing a review of the services and assistance offered through the Healthy Start Coalition. She introduced her team of employees joining her today, which included Cecilia Escorbore, program director and Kristen Crocker, RN program manager. Ms. Berry explained that Healthy Start’s funding request for FY 2018-2019 totals $100,000 and is for the Nurse Home Visitation and Nurse Family Partnership programs. These programs are part of the ‘Babies and Beyond’ initiative which provides support to mothers, prenatal education and a newborn nurse home visit to all mothers in Indian River County. This visit is conducted by a Registered Nurse and is offered bedside at Indian River Medical Center after birth, along with a home follow up visit. The $50,000 in funding received from the District would be applied to the salary and benefit cost of the nurse. The Trustees had discussion concerning the home visit portion of the program and asked Ms. Berry if it were possible to bill Medicaid or private insurance for the home visit. Ms. Berry indicated that she would research that matter further.


Additionally, Healthy Start is requesting $50,000 for the Nurse Family Partnership program. The Nurse Family Partnership will have one full time registered nurse for home visits to mothers experiencing a chronic health condition during pregnancy. This individual would reside in the Gifford community or zip code 32967. This area was identified as a priority by the Community Health Improvement Planning Infant Mortality Workgroup (“IRCHHSC”) and would help support the Gifford Community where the infant mortality rate is the highest. Further, the program is going to be implemented throughout the Treasure Coast and Treasure Coast was awarded $735,000 from the National Nurse Family Partnership offices, to be split between Martin, St. Lucie, Indian River, and Brevard County. Indian River County Healthy Start will receive $150,000 over the next three years however; they will need to secure matching funds in the amount of $100,000 each year to keep the program operational. There was further Trustees discussion concerning the request and the impact that it would have on the community if they were to fund both programs.


Tykes & Teens- Jeffrey Shearer, CEO

Mr. Shearer provided a historical review of the Tykes & Teens program  and stated that the organization has been providing mental health prevention and treatment services to children and families in Martin County for 22 years. Due to a high demand for their services in Indian River County, they began to offer services in Indian River in 2016. Currently they provide infant mental health and manage the Healthy Families program. Mr. Shearer explained that this funding request would help bring additional mental health programing to Indian River by replicating the community outreach portion of the Prevention Services programming that has been ongoing in Martin County since 2010. This prevention programming (HOPE) would target low income areas of Indian River County. Mr. Shearer stated that according to ALICE data of 2016, 40% of households in Indian River County live below the threshold or poverty level.


He further discussed Tykes & Teens efforts to seek additional funding throughout the county and explained that they received a grant from Impact 100, but that those funds will go to support another program. Dr. Marshall reviewed the program in detail and explained that a HOPE program prevention specialist will be hired and supervised by her. The specialist will develop collaborative relationships with at least one community leader or organization in each of the three target areas to determine the specific needs of the middle and high school population in those locations. Some programming includes violence prevention, social media and internet safety presentations, art therapy workshops to help students prepare for the peer pressure and anxiety of school. The Trustees had further discussion concerning the request and if this program fits under the District’s mission and if this service was already being provided in Indian River. Additionally, they encouraged Mr. Shearer to seek funding from other philanthropic agencies in the county, to support the program.


Public Comment- There was no public comment.


 Adjourn- The meeting was adjourned at 3:00 PM