Indian River County Hospital District

Chairman’s Meeting Minutes: January 19, 2022

SUMMARY MINUTES
CHAIRMAN’S MEETING
Indian River County Hospital District Conference Room/ Zoom
January 19, 2022
3:00 PM

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Barb Bodnar
Kerry Bartlett

ABSENT: Karen Deigl

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

ATTENDEES: Robi Robinson

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Chairman’s meeting of the IRCHD Board of Trustees at 3:00 PM by welcoming those participating via Zoom and in person.

Agency Semi-Annual Reporting- Kerry Bartlett, Trustee

Ms. Bartlett addressed the group stating that she met with Ms. Suriano and Ms. Frederick to discuss the current process for the agency semi-annual reports and what is expected and required from the agencies. She believes the reporting the District currently receives is duplicative and isn’t a good use of Trustee or funded agency time. Most often, the information is not new and seems to be a regurgitation of what is provided in the monthly meeting packet. She believes the Trustees have the responsibility to review those documents prior to the meeting and it seems repetitive for the agency to review the same. in detail, at the monthly meeting. Therefore, she has prepared a new recommendation of this process for the Trustees to consider. She explained that she would like the funded agencies to submit their semi-annual report to the District staff for review. The District staff would then create a one-page synopsis of the report and provide the same to the Trustees. The Trustees would then review the synopsis and have the opportunity to ask any additional questions for the District staff to follow up on. or request further information. Then. semiannually, the funded agency would make a 10-minute update presentation to the District Trustee at the monthly meeting and provide responses to their questions which address any current issues the organization is facing and future goals pertaining to the next 5 years. The District staff and Trustees will then jointly evaluate the reporting process with respect to the agency’s goals and strategic directions, and make modifications as necessary for the next year. There was Trustee discussion and they agreed that the current process has become duplicative and repetitive. They agreed for Ms. Bartlett to work with Ms. Frederick on creating this new reporting process. Ms. Bartlett stated that she would look for Ms. Frederick to create a scheduling process and timeline for this to be rolled out and she will help facilitate a meeting with the funded agencies to discuss and review the new process with them.

Strategic Visioning Overview- Mark Lynch & Jim Starr- Carter Associates

Mr. Starr stated that the objective for today is to briefly review some highlights from the strategic visioning report, answer any questions, and discuss next steps that Carter is recommending. He explained that the December 7th Trustee retreat resulted in three key outcomes. The first being was the development of a mission statement, that defines the core purpose of the District. Carter recommended two draft statements in the report for consideration. The second outcome was the development of a vision statement, which would describe the change the District seeks to accomplish because of it’s mission. They recommended three draft vision statements to the Trustees for consideration. The third outcome was the identification of strategic priorities for the District. These are the key areas of emphasis in which the District will direct its focus and resources. They also articulate the District’s imperatives over the next five years and there were three recommendations made to the Trustees outlining this. Mr. Starr then discussed the recommended next steps which include forming a strategic planning committee; finalizing the mission and vision statements; finalizing the strategic priorities; identifying key performance indicators for the strategic priorities that demonstrate how the District will know it has accomplished each priority; identify specific activities the District will undertake in 2022 and 2023 to move towards the vision, and create the 2022 operational plan and budget based on the above. Mr. Starr stated he believes this work can be accomplished in 90 days with the engagement of the Trustees and the efforts of the staff. There was Trustee discussion and they agreed to move forward with Carter on creating a Strategic Plan. There was also discussion surrounding the mission and vision statements. Many of the Trustees indicated that they wanted to participate in the strategic planning committee and Ms. Peshke reminded the Trustees that if two or more Trustees participated, the meetings would need to be noticed. A vote on the matter will take place at tomorrow’s regular monthly meeting.

GlobeChek Introduction- William Mallon, M.D. & Caleigh Hansen, Director of Clinical Applications

Dr. Mallon introduced himself and Ms. Hansen to the board. He stated that he has been an ophthalmologist in Vero Beach for 22 years and is excited to share this technology he has created with the Trustees. GlobeChek was created by Dr. Mallon and his partner Dr. Katz, to eliminate preventable blindness they see in many of their patients. He explained that 80% of blindness can be prevented with early detection and routine eye care. What started as a simple conversation, has now turned into a patented technology receiving national attention. He shared a PowerPoint presentation and began discussing the current state of teleophthalmology, which has been around for 20 years and is fairly inexpensive. However, the technology can miss key diagnoses in patients. The GlobeChek provides 11 tests of the eye in around a 10-minute visit, with no dilatation. Additionally, it can screen residents for the four leading causes of blindness, which are cataracts, glaucoma, macular degeneration, and diabetic retinopathy. It can also detect certain types of cancer; hypertension; diabetes; Graves disease; multiple sclerosis; carotid artery disease; cardiovascular risk status; and stroke risk. He then explained how the visit works. Patients pre-register on any mobile device, tablet, computer, or at the kiosk. All tests are sent through a protected network to the reading center where they are interpreted by a GlobeChek certified doctor and a report is generated and sent to the patient. The patient then accesses the report through a HIPPA compliant patient portal and is referred to the appropriate provider if needed. He then discussed GlobeChek and their collaborative work within the community including their work with VNA. There was Trustee discussion concerning the District working collaboratively with GlobeChek to provide this service throughout the community. It was discussed that it would be beneficial to have the globe at each elementary school for a month, to have students and staff checked. It may also be beneficial at the CCIRH emergency department as well. Ms. Suriano stated that she convened a meeting with representatives from We Care, TCCH and Whole Family Health Center to discuss how to best work collaboratively to provide this service to their patients. Mr. Jones volunteered to work with Ms. Suriano and Dr. Mallon on creating a recommendation to begin working with GlobeChek, for the Trustees to consider. Ms. Hansen indicated that they brought the Globe to the District office and anyone who would like to have an exam, may do so after the meeting. The Trustees thanked Dr. Mallon for the informative presentation and stated that they look forward to working collaboratively together in the future.

Public Comment & Adjourn

Mrs. Cunningham asked for public comment and there was none. The meeting was adjourned at 4:40 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   |   1/24-12/29

Origination: Elected (2 OC)

Occupation: Retired Surgeon

Email: w.cooney@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

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

Email: k.bartlett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

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   |   1/24-12/29

Origination: Elected 1 OC | Elected NOC

Occupation: President/CEO

Email: k.deigl@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

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

Email: p.westcott@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

CHUCK MACKETT, M.D.

SEAT 3

Charles “Chuck” Mackett MD is a practicing primary care physician who has a long and storied career in military, academic and executive medicine. Dr. Mackett recently retired from Cleveland Clinic Indian River Hospital where he served for fourteen years as Chief Medical Officer, Chief of Staff and President of Indian River Medical Associates. Dr. Mackett serves on the Board of Directors of the We Care Foundation of Indian River County and the Mental Health Collaborative of Indian River County. He currently cares for patients at Treasure Coast Community Health. These experiences give Dr. Mackett a unique perspective regarding mental health, substance abuse, maternal-child care, care for veterans, preventive medicine and access to high quality medical care.

Dr. Mackett is a graduate with honors from the University of Notre Dame and is a graduate from the SUNY Upstate Medical Center in Syracuse, NY. He is a member of the Alpha Omega Alpha National Medical Honor Society and earned his Master of Medical Management degree from Carnegie Mellon University. Dr. Mackett is trained in Aerospace Medicine and is board certified in Family Medicine and Geriatrics. He is a combat veteran, former Air Force Hospital Commander and flight surgeon who served in Germany, Haiti, Japan, Korea, Romania and Iraq. His many military decorations include two Legions of Merit, a Bronze Star Medal, a Defense Meritorious Service Medal and three Air Force Meritorious Service Medals. Dr. Mackett is an Outstanding Graduate of the Air War College.

A native of Upstate New York, Dr. Mackett and his family first moved to Florida in 1996 when he served as Fight Commander and Residency Program Director at Eglin Air Force Base before later serving as Medical Group Commander at Patrick and MacDill Air Force Bases. Dr. Mackett served as Associate Professor, Executive Vice Chairman of Family Medicine and Consultant in the International and Commercial Services Division at the University of Pittsburgh Medical Center before returning permanently to Florida and Vero Beach in 2009.

As a Hospital District Trustee, Dr. Mackett plans to advocate for improved access to mental health services and access to affordable high quality primary and specialty care for all residents of Indian River County particularly mothers, children, the elderly, the underserved and veterans.

Term: 1/24-12/29

Origination: Elected NOC

Occupation:  Primary Care Physician

Email: c.mackett@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

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

Email: kintm.irchd@gmail.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960

ALLEN JONES

SEAT 1

In 1973, Mr. Jones began a 27 year career with Merrill Lynch, eventually becoming a senior executive of the company, Senior executive positions included Chairman and CEO of Merrill Lynch Life Insurance Company, serving on the Private Client Executive Committee and various other leadership roles including leading the effort to transition Merrill Lynch to a fee based rather than commission based business. Prior to joining Merrill Lynch, Mr. Jones’ professional career began in the United States Air Force from 1964-1968, achieving the rank of Captain. He then worked with Investment Company Dabbs, Sullivan, Trulock located in Little Rock, Arkansas rising to partner before the firm was sold and joining Merrill Lynch. Mr. Jones received his B.S.B.A in 1964 from University of Arkansas. He further completed advanced management courses at the Kellogg School of Business at Northwestern University, the Wharton School of Business at the University of Pennsylvania and Stanford University. His past community service efforts include serving on the Board of Directors for the John’s Island Club from 2008-2010; Board of Directors for the Indian River Medical Center from 2007-2010; Chairman of the Indian River Medical Center Foundation from 2006-2010; Board of Directors of the Bedens Brook Golf Club; Board of Directors of the Princeton Community Hospital from 1994-1999 and the Chairman of the American Health Association, in Houston, Texas.

Term: 1/24-12/29

Origination: Elected 2 OC

Occupation: Retired CEO

Email: a.jones@irchd.com

Address: 1705 19th Pl Suite G3, Vero Beach, FL 32960