Budget Workshop Meeting Minutes: May 7, 2018

Budget Workshop Meeting Minutes: May 7, 2018


Budget Workshop: New Horizons; Mental Health Collaborative; TCCH

Indian River County Hospital District

May 7, 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 ATTENDESS:          Anette Gosselin; Brett Hal;l Vicki Soule; Andrea Fedock;  John Romano


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-

New Horizons- John Romano, CEO

 Mr. Romano provided a review of New Horizons funding request for fiscal year 2018-2019. The total amount requested is $55,000 which is a $5,000 increase from the previous fiscal year. He explained that they have seen an increase in patient volumes and patients seeking mental health services. New Horizons currently provides psychiatric services, outpatient therapy and case management for District qualified patients. Ms. Gosselin indicated that the District Care Card program has been an effective part of the increase in patient volumes. This is because patients who are being qualified at other health agencies in the county realize that they can also seek mental health services through the program and are presenting at New Horizons for those services. There was further Trustee discussion concerning the request and the positive impact New Horizons has on the community. Ms. Gosselin also indicated that they continue to work closely and refer patients to the McCabe Connections Center for services outside of mental health.


Mental Health Collaborative- Brett Hall, Executive Director

Mr. Hall provided a review of the fiscal year 2018-2019 funding request for the Mental Health Collaborative and the McCabe Connections Center. The total request is $200,000 which includes $80,000 in funding for the Mental Health Collaborative and $120,000 for the McCabe Connections Center. Mr. Hall provided a historical review of the McCabe Connections Center, which just celebrated its one year anniversary. The Center has been instrumental in providing assistance to community members who are searching for assistance with mental and health services, along with housing and job opportunities. Further, the center works directly with many health agencies in the community to provide assistance in seeking those services. There was further Trustee discussion and they requested that Mr. Hall provide additional data measuring the long term effectiveness of the referral process and how many individuals remain in stable environments from the referral process.


 Treasure Coast Community Health, Inc. – Vicki Soule, CEO

Ms. Soule provided the Trustees with a review of TCCH’s funding request for fiscal year 2018-2019. The request includes three areas of service which are primary care, dental and mental health services. The request in total is $1,086,224 which is an increase of $114,111 from the previous fiscal year. She provided an update concerning the six clinics TCCH currently operates and a review of their other funding sources. There was further Trustee discussion concerning the request and the impact of raising the District’s federal poverty guideline to 200%. Ms. Soule indicated that raising the rate would only capture a small number of patients. There was also Trustee discussion concerning the utilization of the IRMC Emergency Department for non-emergent services and if the ED diversion program was sending patients to TCCH for primary care services and follow up care. Ms. Soule indicated that TCCH has received many referrals from the ED diversion program but still many patients do not show up for their follow up appointments scheduled by the ED Navigators. She stated that TCCH still maintains available appointments for the ED navigators to schedule those patients in an attempt to set them up with a primary care doctor, which may avoid future trips to the ED for non-emergent services.


Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 2:30 PM