Indian River County Hospital District

Regular Monthly Meeting Minutes: May 17, 2018

MINUTES

BOARD OF TRUSTEES

INDIAN RIVER COUNTY HOSPITAL DISTRICT

Regular Monthly Meeting Minutes

May 17, 2018

5:00 PM

 

TRUSTEES:                           Marybeth Cunningham; Allen Jones; Ann Marie McCrystal; Tracey Zudans; Karen Deigl

 

EXCUSED:                            Barbara Bodnar; Dr. Michael Weiss;Jennifer Peshke, Esq.

 

STAFF :                                  Ann Marie Suriano; Jennifer Frederick;  Kate Voss

 

 

OTHER ATTENDEES:     Aracely Romero; Eliecer Romero; Deb Hawkins;  Lundy Fields; Val Zudans; Vicki Soule; Linda Walton; Matt Reiser;

Angela Dickens

 

Convene Meeting- Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance.

 

Invocation-Pastor Aracely Romero provided the invocation for the meeting.

 

Consent Agenda- Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham asked for a motion to approve the Chairman Meeting minutes dated April 18; Regular Monthly Meeting minutes dated April 19, and a May disbursement of $1,067,897.50 made the motion, which was seconded by Mrs. Bodnar. The motion carried unanimously.

 

Chairman’s Report- Marybeth Cunningham, Chairwoman IRCHD

Mrs. Cunningham stated that at yesterday’s Chairman’s meeting the board discussed the current guidelines that the District uses to qualify indigent. Currently they accept individuals who are financially under 150% of the Federal Poverty Guideline. There was discussion on raising the level to 200% but the board decided to conduct further research on this matter before approving any changes to its current policy. Additionally, she provided an update concerning the partnership process with Cleveland Clinic. She stated that they hope to have a draft agreement for the Trustees to review and comment on in June. Received

 

Financial Statement Review- Allen Jones, Treasurer

Mr. Jones provided the Treasurers report and stated that the District remains in sound financial condition. However, the District’s program expenditures are running slightly over budget by approximately $200,000. As a result, this year’s operating budget will be tight and there may be a need to utilize some reserve funds. Mr. Jones explained that currently, there are sufficient reserves to manage if expenditures run over budget but as he discussed previously, Trustees should be mindful of allocating further funds that are not currently in the budget.

Mr. Jones stated that at the end of April, the District bank accounts held about $9.7 million of which approximately $2.5 million is set aside as reserves for specific purposes. This leaves $7.2 million available for operational expenses, plus another $700,000 in projected tax revenue not yet received. This brings the total to $7.9 million less than expenditures approved for payment this month.

 

District Counsel Report- Ann Marie Suriano

Mrs. Suriano stated that she continues her involvement with the Indian River County Leadership program and today the group toured agencies that support the economy and tourism, along with culture and heritage of Vero Beach.

 

IRMC, Inc. Monthly Report- Nursing Update- Linda Walton, RN, SVP/CNO

  Ms. Walton provided an update concerning IRMC nursing. She explained that the hospital has improved staffing levels on the medical surgical and intermediate level of care units. Additionally, they have doubled the number of graduate nurses entering into the IRMC Nurse Residency Program and are seeing at 93% retention rate with the graduates. Further, the hospital has started a critical care nursing internship program and have expanded the internal float pool. Ms. Walton informed the Trustees that IRMC has been able to decrease the use of agency or temporary RN staffing, which has cut cost significantly. She further reviewed the latest achievements at the hospital. Recently they received the American Heart Association “Get with the Guidelines” Gold Plus Achievement. Additionally, IRMC received the Beacon Award for critical care for the 16th consecutive year.

 

Funded Agency Quarterly Report-

 New Horizons- Anette Gosselin, CFO

 Ms. Gosselin provided a 6-month update concerning New Horizons financial and client data. She explained that there was a slight decline in number of patients served but that service volumes have increased, which indicates that patients are maintaining their treatment plans. She further reviewed client data concerning unduplicated visits and case management services. Ms. Gosselin stated that New Horizons receives approximately 20 to 25 referrals weekly. Out of those referrals, 10-15 of them come from local health agencies such as the McCabe Connections Center, TCCH, and the IRMC Behavioral Health Center. Additionally, Ms. Gosselin explained that a continued challenge for New Horizons is the cost of service, specifically the cost of psychiatric services where the clinic at times will pay more for an hour of service than what is reimbursed by funders. Throughout the month of April, New Horizons has billed $33,373 for services provided to indigent patients. They will most likely surpass their FY 2017-2018 budget and Ms. Gosselin indicated that they would be requesting additional funding next month.

 

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

Ms. Soule provided a brief historical update concerning TCCH. She stated that their goal is to delivery accessible, cost-effective, high quality primary care for all, regardless of their socioeconomic status. She gave a reviewed of District reimbursement data for services in the third quarter. TCCH has also seen an increase in volume concerning patient visits in dental, medical and behavioral health services. She further reviewed the clinic patient satisfaction scores regarding patient care and ease of appointment scheduling. The average satisfaction score was around 95% positive.  Lastly, Ms. Soule discussed TCCH quality measures which include the patient experience, care coordination and safety, along with preventative health.

 

Public Comment-

 Val Zudans, community member congratulated his wife Tracey Zudans on her Vero Dancing with the Stars win. Mrs. Zudans raised approximately $75,000 for Healthy Start by competing in the competition. Additionally, Dr. Zudans provided feedback concerning the IRC Health Department and its transition to fee for service. Since the transition to fee for service, they Health Department have had to cut staff and are not offering as many adult primary care appointments. He encouraged the Trustees to have a system in place where the patients who used to seek care at the Health Department, are aware of the transition and inform them of other health agencies in the county that will provide primary care services to them, such as TCCH. He believes that if these patients are not aware of other agencies, they will continue to utilize the emergency department for non-emergent issues.

 

Adjourn- The meeting was adjourned at 6:00 PM

 

 

WILLIAM COONEY, M.D.

SEAT 7

William P Cooney M.D. 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