Indian River County Hospital District

Budget Workshop Meeting Minutes: May 7, 2018

SUMMARY MINUTES

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

WILLIAM COONEY

SEAT 7

William P Cooney MD is an orthopedic surgeon (retired) who has been a resident of Vero Beach since 2004. He practiced orthopedic surgery at Indian River Medical Center from 2006-2015 within the orthopedic practice of Prosports. He served on the IRMC Foundation for four years. Prior to this, he was a Professor of Orthopedics at Mayo Clinic in Rochester Minnesota, Chair of the Division of Hand Surgery and Vice president of the Department of Orthopedic Surgery. He served as the Vice Chairman of the Mayo Clinic Development Department. He has been President of the American Society for Surgery of the Hand, Orthopedic Research and Education Foundation, Consultant at Shrine Hospital systems. He was editor in chief of the Journal of Orthopedic Surgery and co-editor of the Journal of Hand Surgery. He held grants in hand and wrist surgery sponsored by National Institute of Health (NIH) and Stryker Orthopedics and has over 250 publications in the field of orthopedic surgery, hand, wrist and elbow surgery and microsurgery- free tissue transfers. Within Indian River County, he has served as Chairman of the Board and President of the Hope for Families Homeless Center, Board of the Indian River Hospital Foundation, We Care and Whole Family Health Center medical practices.

Term:  1/23-12/24

Origination: Elected (2 OC)

Occupation: Retired Surgeon

KERRY BARTLETT

SEAT 6

Kerry Bartlett,  of Vero Beach, has more than 30 years experience in philanthropy, including as vice president of the VNA & Hospice Foundation; VNA chief advancement officer from 2001-2007; and executive director of the Indian River Community Foundation from 2008-2014. Kerry is the founder of The Bartlett Company, which focuses on nonprofit and philanthropic consulting. She also is a managing director for Carter, a Vero Beach company that specializes in advancing philanthropy worldwide. Kerry has spent more than 25 years in the nonprofit sector as a fund development professional and has particular expertise in annual funds, major gifts, endowment campaigns and legacy giving. Kerry is also known for creating and implementing effective donor-centered stewardship programs that build, maintain and strengthen nonprofits’ relationships.

Term:  3/21-12/22   |   1/23-12/26

Origination: Appointed by Governor Ron DeSantis
Elected NOC

Occupation: Philanthropic Consultant/Managing Director

KAREN DEIGL

SEAT 5

Karen has been President and CEO of Senior Resource Association, where she successfully advocates for older adults and their families, since 2006. In that role, she helps provide activities, education and services benefiting older and disabled adults in Indian River County. In addition, Karen provides oversight of the community mass transit system for residents and visitors of the county. As CEO, Karen is responsible for a $7 million operational annual budget and managing more than 100 employees. She ensures that fiscally sound and responsible solutions are created to provide healthcare and a better quality of life for all Indian River County residents. Karen earned a BS in Health Administration from Florida Atlantic University and an MHA from the University of Florida. She was elected to the Indian River County Hospital District Board of Trustees in 2016, and joined the Board in January 2017.

Term:  1/17-12/20   |   1/21-12/24

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO

PAUL WESTCOTT

SEAT 4

Paul Westcott has been a Board Certified Workers' Compensation Attorney since 1999. In addition, Paul has earned his certification from the Florida Supreme Court as a Circuit Civil and Family Law Mediator. Receiving his Bachelor of Arts degree in both Economics and Political Science at Florida Southern College, he continued his education at Stetson University College of Law. He graduated from Stetson in 1988, having been a published member of the Stetson Law Review. Paul has been a member of the Florida Bar since 1988.  He began his practice in a combined civil litigation and transactional practice before serving as an Assistant State Attorney.  He began his career in Workers' Compensation with Rissman, Weisberg, Barrett, Hurt, Donahue & McClain P.A., where he handled Workers' Compensation cases at the trial and appellate levels.  In 1997, Paul opened the Ft. Pierce office of Hurley, Rogner, Miller, Cox, Waranch & Westcott P.A. handling workers' compensation cases at all levels throughout central and south Florida, while managing the operations of that office.  During his nearly 25 year career in Workers' Compensation, he lectured on a wide range of industry topics.


Term:  1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator

BARBARA S. BODNAR

SEAT 3

Barbara has practiced physical therapy, specializing in orthopedics and sports medicine, in her hometown of Vero Beach since 1981. She was an integral part of the sports medicine team at Vero Beach High School for 35 years. Barbara completed the reserve police academy training, and served with the Vero Beach Police Department from 1982-1989. Her volunteer involvement in the community includes serving on the City of Vero Beach Recreation Committee, Arthritis Association of Indian River County, and the Senior Good Life Games. She and her husband, Michael, enjoy spending their free time traveling in their RV and training their Labradors, Gunner and Chase, in K-9 performance events, including agility and dock jumping. Barbara is a lifelong resident of Indian River County, and received her degree in physical therapy from Chattanooga State College. Barbara was elected to the Indian River County Hospital District Board of Trustees in 2016, and joined the Board in January 2017.

Term:  1/17-12/20   |   1/21-12/24

Origination: Elected 1 OC | Elected 1 OC

Occupation: Physical Therapist

MICHAEL KINT

SEAT 2

Born and raised in Illinois, Michael was a Theatre and Speech Instructor at Lincoln College when he moved to Indian River County in 1984. He was the Director of Education for the Riverside Theatre for a decade, helping to build the Riverside Children’s Theatre and directing many productions. Michael is well known in the community for his 25 years of service at the United Way of Indian River County, 16 of those years as the CEO. He is very proud of his work with dozens of nonprofit agencies and his commitment to creating and strengthening community collaboratives. Michael was also an Adjunct Faculty member at Barry University for 20 years. He has served on many boards and committees over the years, including: Children’s Services Advisory Committee Needs Assessment, Chair of the Emergency Food and Shelter Program for many years, and he was a founding member of the Mental Health Collaborative, the Senior Collaborative of IRC and the IRC Executive Roundtable. As a Hospital District Trustee he is committed to serving all the citizens of our county. In particular, he hopes to see enhanced availability and affordability for behavioral/mental health for all in need.

 

Term: 1/23- 12/26

Origination: Elected 1 OC

Occupation: Retired CEO United Way

MARYBETH CUNNINGHAM

CHAIRWOMAN - SEAT 1

Marybeth’s professional career encompasses 34 years of working for GM/Delphi in a variety of positions. Starting out as a traffic claims clerk, she worked her way through the organization, with roles in Purchasing, Engineering, and Quality and Reliability. She retired in 2009 as the executive director of Global Operations for the Packard Electric Division of Delphi. In this position, she was responsible for 94 plants in 33 countries. Marybeth has served on the board of directors for numerous non-profits, including Northeast Ohio Adoption Agency; United Way of Warren Ohio, where she served as chairman of the annual campaign for two years; Up with People; Head, Heart and Hands of Indian River Club; Indian River Community Foundation, and the Indian River Mental Health Collaborative. She earned her B.A. in Political Science from Albion College. Marybeth was elected to the Indian River County Hospital District Board of Trustees in 2014, and joined the Board in January 2015. She currently serves as Chair.

 

Term:  1/15-12/18   |   1/19-12/22   |   1/23- 12/24

Origination: Elected 1 OC | Elected  NOC | Elected NOC

Occupation: Retired Executive GM