Indian River County Hospital District

Chairman’s Meeting Minutes – November 17, 2021

Indian River County Hospital District Conference Room/ Zoom
November 17, 2021
10:00 AM

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Karen Deigl
Michael Weiss Kerry Bartlett

ABSENT: Barbara Bodnar

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

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the Chairman’s meeting of the IRCHD Board of Trustees at 10:00 AM by welcoming those participating via Zoom and in person.

Strategic Visioning Status Report- Mark Lynch & Jim Starr

Mr. Lynch provided a brief update on the progress made with the strategic visioning process over the past several weeks. They have reviewed the informational documents that the district provided to them and have implemented surveys for feedback. One survey was provided to the Trustees for response and the other was sent out to community stakeholders and grantees. The district staff completed a survey as well. The team is now pulling together materials for the upcoming discussion around visioning and will summarize the findings from the surveys that were sent out and provide those to the Trustees and Ms. Suriano. Additionally, they are finalizing the agenda for the Trustee retreat on December 7th and they look forward to meeting everyone in the next few weeks. Mr. Starr added that the team has designed a very interactive session for the retreat to make sure they have participation and engagement in the process.

CCIRH Mental Health Insurance Outpatient Program Update- Anne Posey & Karissa Bolden

Ms. Bolden introduced herself and stated that she is the program manager for the Adolescent Intensive Outpatient Program (“IOP”). She is a licensed mental health counselor in the state of Florida and her background is working in corrections, where she was the clinical director at a maximum-security correction facility for teenage girls ages 13-21. She was also the executive director for a non-profit agency that fought against human sex trafficking. She stated that she is thrilled to be working with this program and explained that this is an intermediate level of care that Indian River County has not had previously. She began her presentation and explained that all the clinicians are Dialectical Behavior Therapy (“DBT”) certified and have gone through an extensive training course to make sure they truly understand the components of the therapy. She explained that DBT is a modified type of cognitive behavioral therapy. Its main goals are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others. DBT was originally intended to treat borderline personality disorder, but it has been adapted to treat other mental health conditions. She further explained that the IOP is now at full capacity, and they currently are treating 12 adolescents. She discussed the referral process and stated that clients are referred to the program though collaborative efforts with the Indian River County School District, Mental Health Association, and CCIRH Behavioral Health Center. The IOP staff is made up of 6 clinical caregivers who use evidence-based treatment modalities. The primary treatment modality is group therapy which takes place three times a week 3 hours a day. Those group sessions take place after school, so that is not disruptive to the student’s school day. Some group sessions work on life skills, substance abuse recovery, and DBT skills. Additionally, they hold a weekly parent’s workshop, which has provided the parents with personal involvement in the program, along with support. There is also a weekly newsletter that is sent out to the parents as well. Ms. Bolden then reviewed the preliminary outcome measurers for the program which have shown the patients experience better outcomes in mood and feelings, when engaged in the program. Lastly, she discussed the community collaboration component to the program and stated that they have presented to and/or met with more than a dozen organizations within the community to educate them on this program. She stated that without the support of the District and other community collaborators, this program would not be in existence. There was Trustee discussion surrounding the presentation and the Trustees are thrilled at the positive outcomes this far and they looking forward to future updates concerning the program.

TCCH Semi Annual Update- Vicki Soule, CEO

Ms. Soule provided the Trustees with an update concerning TCCH and reviewed highlights from 2020-2021. She provided data relating to COVID and stated that TCCH provided almost 12,000 COVID tests and administered 25,500 COVID vaccines to the community. Additionally, HRSA recognized TCCH as on of the top 6% of all Community Health Centers for vaccine distribution. She then discussed additional areas of services for patients including the Maternal Opioid Recovery Effort (“MORE”) to improve maternal and fetal outcomes. Additionally, TCCH has provided a health and wellness coordinator to Dodgertown Elementary which is part of their 25-year community partnership commitment. They are also providing medical services to inmates at the Indian River County jail. Lastly, they are working to open an ophthalmology space within one of their clinics, to provide affordable optical services to their patients. She then reviewed patient satisfaction data from the fourth quarter which showed consistent scoring of over 90%. Next, she reviewed volumes and patient data for medical, dental and behavioral health. Lastly, she discussed the fact that TCCH did exceed their FY 20–21year budget and she believes that during this next year, they will see additional increase in volumes. There was Trustee discussion and it was asked whether TCCH would collaborate with GlobeChek to provide ophthalmology services. Ms. Soule stated that currently GlobeChek does not have the financial support from its Foundation to support providing that service to TCCH, but she is open to future collaborative efforts should they present themselves. There were also discussions surrounding the impending mandate from CMS, to require all healthcare agencies who are recipients of Medicare or Medicaid, to require employees be fully vaccinated against COVID-19. She indicated that this has presented some challenges as they do not want to lose staff and are working to be compliant with the mandate, while supporting their staff’s personal choice. She thanked the Trustees for their continued support.

Other Business

Mr. Jones stated that he would be meeting today with Robi Robinson from We Care, to discussed the new We Care model. He asked if any Trustees had any feedback or questions, they would like him to pass along. Additionally, there was discussion that a meeting is also scheduled with Robi, Mrs. Suriano, Mrs. McCrystal and Dr. Mackett to discuss the specialty referral process, along with the questions surrounding Vero Radiology and its policy and process through CCIRH.

Public Comment & Adjourn

Mrs. Cunningham asked for public comment and there was none. The meeting was adjourned at 11:40 AM



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,  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 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 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.

1/23-12/26   |   1/21-12/24

Origination: Elected 1 OC 

Occupation: Attorney & Mediator



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



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’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