Budget Presentation: May 28, 2019

Budget Presentation: May 28, 2019

Budget Presentations
Indian River County Hospital District
May 28, 2019

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Tracey Zudans
Barbara Bodnar Karen Deigl
Michael Weiss

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

OTHER ATTENDEES: George Eighmy Charles Mackett, M.D.
Ralph Turner, DBA Lynne House
Marie Andress Laura Graze, ARNP
Andrea Fedock Shawna Callaghan
Jennifer Johnson

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the budget presentation meeting of the IRCHD at 2:00 PM by welcoming those in attendance.

Funding Requests-

Partners in Women’s Health-

Mr. Eighmy introduced Dr. Mackett and Dr. Turner, who accompanied him during today’s presentation. He provided a review of the 2019-2020 fiscal year funding request for Partner’s in Women’s Health, which totaled $1,682,520. Currently the practice consists of 6 physicians and one midlevel provider. The center provides prenatal, obstetric and gynelogical services to any county resident regardless of the ability to pay, with the goal of improving community health outcomes. He further reviewed data concerning the reimbursement trends for the center which showed a net shortfall of $403,382 in 2018. Mr. Eighmy further reviewed the additional funding sources the center utilizes with managed care being the highest, making up 45% of total reimbursements Additionally, there was discussion surrounding the executive team members at Partners and discussion regarding who is in charge of running the clinic. Dr. Mackett indicated that the physicians and Ms. McFall report directly to him as he is the head of Physician Services with Cleveland Clinic. Dr. Mackett advised that he then directly reports to Dr. Rosencrantz who is the CEO of CCIR.

Sunshine Physical Therapy

Ms. House provided the Trustees with a brief history of the center and stated that their mission is to provide personalized care to both children and adults to improve function and health through physical, speech, and massage therapies. In 2013 Sunshine completed their Medicaid certification and launched the Sunshine Kids program. She reviewed the funding request for fiscal year 2019-2020, which totaled $25,000. The request is to help support their Support Fund Program for children with financial needs, which helps reduce delays in receiving needed therapy services. She explained that in 2018 the Support Fund Program provided 1009 visits to children who had financial needs, lack of provider under their Managed Fund Medicaid plan, limited visits by an insurance plan, or exhaustion of coverage or benefits. She further explained that the program has shown an operational loss since its inception due primarily to the discrepancy between reimbursement form Medicaid Managed Care plan and the costs required to provide a therapy visit.

Whole Family Health Center

Ms. Andress introduced Dr. Laura Graze, a doctor of nursing at the center, who accompanied her for todays presentation. Ms. Andress provided a review of Whole Family and stated that the center offers a full range of primary care and internal medicine service to adults and children. These services include wellness visits, child-well services, immunizations, behavioral health, family planning, and gynecological care. The clinic is currently a federally-designated provider of services and accepts most insurance, while also offering a sliding fee discount payment scale. The funding the center is requesting will be used to subsidize existing services being provided to uninsured patients within the county. Whole Family plan to increase its uninsured patient capacity by 16% during the current fiscal year and additional funding from the District would allow them to expand their outreach by an additional 28%. Whole Family is requesting $147,250 to serve the uninsured population below 200% of the Federal Poverty Level, and are projecting 950 visits at $155 per visit.

Treasure Coast Community Health

Ms. Fedock, CFO at TCCH, provided a review of the centers request for their new collaborative effort with United Against Poverty. TCCH is also requesting funding for their core services which they will continue to provide such as medical, behavioral health, and dental services, however she is only reviewing the United Against Poverty portion today as it is a new request for the upcoming fiscal year. Ms. Fedock explained that TCCH will be collaborating with United Against Poverty, to provide same day health services at the UP-Center. These services include medical and behavioral health counseling. Additionally, TCCH is requesting funding for the expanded Federal Poverty Guidelines from 150% to 200%. The total funding request for the Center is $1,523,310, which includes $68,288 for the UP-Center clinic.

Public Guardianship Program-

Ms. Callaghan and Ms. Johnson introduced themselves to the Trustees. Ms. Callaghan explained that they both are employees of Senior Resource Center, which has now absorbed the Public Guardianship program. She explained that is was a natural fit for Senior Resource Center to absorb the program, due to the similar mission of providing services to the elder population in Indian River County. As a historical review, Public Guardianship provides support and advocates for individuals who are deemed by the courts to be unable to care for themselves. A guardian is assigned to each ward and they are available 24/7 to that person, until the death of the ward. The total funding request for the program is $30,000 and it will assist the needs of 16 wards.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 4:00 PM