MINUTES
BOARD OF TRUSTEES
INDIAN RIVER COUNTY HOSPITAL DISTRICT
Regular Monthly Meeting Minutes
November 21, 2019 at 5:00 PM
TRUSTEES: Marybeth Cunningham Michael Weiss
Karen Deigl Tracey Zudans
Barb Bodnar Allen Jones
Ann Marie McCrystal
STAFF: Ann Marie Suriano Jennifer Peshke, Esq.
Kate Voss Jennifer Frederick
OTHER ATTENDEES: George Shopland Myra Weiss
Father Switz Vicki Soule
Michelle Genz
Convene Meeting – Marybeth Cunningham, Chair
Ms. Cunningham convened the regular monthly meeting of the IRCHD at 5:00 PM by welcoming those in attendance. Father Switz provided the invocation and Dr. Weiss led the group in the Pledge of Allegiance.
Consent Agenda- Marybeth Cunningham, Chair
Ms. Cunningham asked for a motion to approve the, Chairman’s meeting minutes dated October 17, regular monthly meeting dated October 18, and a monthly disbursement of $1,108,446.00. Mrs. McCrystal made the motion to approve, which was seconded by Ms. Deigl. The motion carried unanimously.
Ms. Cunningham informed the public that the District has published its first annual report and copies are available at the District offices. Additionally, Ms. Cunningham indicated that the presentation from Cleveland Clinic Florida on Population Health has been moved to Monday, December 9th at 3:00 PM and will take place at the District offices. Further, the board has had many discussion surrounding mental health in the county and Ms. Cunningham and Mrs. Suriano have met with members of the School District, to discuss collaborative efforts to support this matter. The Trustees have agreed to make this an area of focus.
District Counsel Report – Jennifer D. Peshke, Esq.
Ms. Peshke provided her District counsel report and stated all leases, funding agreements and sub-leases related to the entities operating and subleasing the GHC are in final form and are fully executed. She has reviewed all monthly meeting minutes from the monthly meetings this past month. Further, she responded to questions from Trustees as they have arisen pertaining to various matters the District is handling at the present time. Lastly, she has also assisted in preparing the resolution relative to the District investing its surplus funds.
Financial Statement Review – Allen Jones, Treasurer
Mr. Jones stated that the District is in sound financial condition with just under $3 million in the bank, after the approval of the November disbursements. He explained that the District has begun to receive its tax proceeds from Indian River county property tax revenues. Additionally, Mr. Jones stated that the District has updated the format of the financial statements to better assist Mr. Johnson in the preparation of the same. The Trustees agreed that the updated financial statemen format was an improvement and easier to review.
Partners Program Update- Allen Jones, Treasurer
Mr. Jones provided a historical review of the Partners in Women’s Health program which the Hospital District created and funded back in 1995, to provide prenatal care to uninsured women in the county. Prior to the establishment of the program, there were eight private practice obstetricians in the county, none of which accepted Medicaid eligible patients. It was further created to help combat a high infant mortality rate that the county was experiencing during that time. Mr. Jones reviewed the latest data outcomes from the program from 2018. He stated that 86.9% of IRMC deliveries were at performed through Partners, out of the 1294 total county births that occurred. He further reviewed the Partners metrics against the state average and the programs target goal. The first category of Healthy Infants includes metrics on neonatal mortality; Kotelchuck Neonatal Care index; first trimester prenatal care for mothers; breastfeeding initiated during hospitalization; postpartum visits by mothers’; and elective induction before 39 weeks. Mr. Jones further stated that recently Cleveland Clinic Indian River was awarded with the March of Dimes 39-week award and was the first hospital in the state to receive that recognition. He further reviewed and discussed the second group of Partner metrics which is the Healthy Mother initiative. This includes metrics on maternal mortality; primary C-section rate; infection rate associated with C-section; and patient satisfaction. A copy of this report with the data is available to obtain from the District offices. Lastly, Mr. Jones indicated that Cleveland Clinic Indian River will now set the metrics for the program moving forward and report on that data quarterly, to the District. The Trustees thanked Mr. Jones for his continued efforts and work with the Partners program and believe it is a true asset to the community.
Executive Director- Ann Marie Suriano
Mrs. Suriano stated that her written report is included with the meeting packet but she reiterated that the District’s annual report has been published and available for pick up at the District offices.
Funded Agencies Quarterly Report- New Horizons- George Shopland, CE
Mr. Shopland provided a review of the services provided at New Horizons from April-September, 2019. He explained there was a decrease in volumes due to the fact that the center was down one provider. They have since replaced that provider and have been slowly increasing patients volumes. He further provided a funding analysis for the center and stated that despite the lower volumes there was an $11,120 increase in services utilized. Mr. Shopland stated that a majority of clients who visit New Horizons are pre-qualified due to the District Care Card. Additionally, over 80% of IRCHD clients seen by New Horizons are referred by community partners. There was Trustee discussion surrounding adolescent mental health services and substance abuse treatment. They asked Mr. Shopland to keep them aware of any barriers or gaps in care that the center is experiencing. There was further discussion surrounding the possibility of the District providing additional funding to New Horizons, in order for them to serve more patients.
New Business- Approval of Resolution 2019-03- Allen Jones, Treasurer
Mr. Jones stated with the receipt of the FY 19-20 tax proceeds, the District Trustees agreed to invest the excess funds. The surplus funds shall be invested by the following guidelines:
1. In a financial institution on the published list of qualified public depositories as of September 30, 2019;
2. The surplus funds shall be invested only in U.S. Government Agency and/or FDIC insured funds; and
3. The surplus funds shall be invested with an organization that shall ensure all investments will mature not later than the last business day of the applicable fiscal year.
Therefore, Mr. Jones recommends the adoption of Resolution 2019-03, attached herein.
Ms. Peshke stated that she amended page two, section two to indicate that this matter of investing the surplus finds, will be reviewed on an annual basis. Dr. Weiss made a motion to approve, which was seconded by Mrs. McCrystal. Motion carried unanimously.
Public Comment-
Dr. Large thanked Mr. Jones for his work and dedication with the Partners program.
Adjourn- The meeting was adjourned at 6:00 PM
Respectfully Submitted,
Ann Marie McCrystal
Secretary
