Indian River County Hospital District

Regular Monthly Meeting: February 20, 2020

AGENDA
BOARD OF TRUSTEES
INDIAN RIVER COUNTY HOSPITAL DISTRICT
Regular Monthly Meeting
Indian River County Commission Chambers
February 20, 2020 @ 5:00 p.m.

TRUSTEES: Marybeth Cunningham Allen Jones
Ann Marie McCrystal Barbara Bodnar
Dr. Michael Weiss

ABSENT: Karen Deigl Tracey Zudans

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

ATTENDEES: Carrie Lester Michelle Genz
Marie Andress Andrea Greelee
Diana Grossi James Large
Myra Weiss Vicki Soule
Aracely Romero

Convene Meeting – Marybeth Cunningham, Chairwoman

Mrs. Cunningham convened the regular monthly meeting of the Indian River County Hospital District (“IRCHD”) at 5:00 p.m.

Invocation- Pastor Aracely Romero provided the invocation for the meeting and Dr. Weiss led the group in the Pledge of Allegiance.

Consent Agenda- Marybeth Cunningham, Chairwoman

Mrs. Cunningham asked for a motion to approve the Regular Monthly Meeting Minutes dated January 16; and a February disbursement of $1,186,012.41. Dr. Weiss made the motion, which was seconded by Ms. Bodnar. The motion carried unanimously.

Mrs. Cunningham stated that the new United Against Poverty center is now open to the community, Monday through Friday. She attended the grand opening with many other community leaders. Additionally, Cleveland Clinic was awarded, for the 10th year in a row, the ethics award out of 13,000 companies which were considered. She informed the board that Cleveland Clinic has now increased their starting wage to $13 dollars an hour for its employees. Further, the community health needs assessment being conducted by the Community Foundation, United Way and Health Department, will be completed by the end of the month. So far, they have found the biggest need in the community is for mental health services. Lastly, Indian River County has been designated as an age friendly community, which is just the beginning of understanding what the designation means to the community as a whole.

District Counsel Report – Jennifer D. Peshke, Esq.

Mrs. Peshke provided her report and stated that following the Board’s request she has worked with the District’s Executive Director to review the District’s Bylaws for any suggested updates. The document has been circulated for Trustee comment and approval. She has responded to the District’s annual Auditor’s letter that is sent out each year in January. She has further reviewed the annual deadlines and deliverables due to the District under the Lease with CCIRH and sent correspondence summarizing this to the District office.

Financial Statement Review – Allen Jones, Treasurer

Mr. Jones provided the financial report and stated that the District remains in sound financial state with approximately $13 million in its accounts. After this month’s disbursement of $1.2 million, he anticipates the District will spend close to $10 million in expenses for the remainder of the fiscal year. He further expects the District to receive an additional $1.5 million in tax revenues over the last eight months of this fiscal year.

Executive Director Report- Ann Marie Suriano, Executive Director

Mrs. Suriano stated that along with her written report, she would also like to inform the board that she has received the premilitary FY 18-19 Audit report and is working on the Management Discussion and Analysis with Mr. Jones. Additionally, there are a few pieces of legislation being considered during this session, that are of importance to Special Districts in Florida. These items relate to ADA compliance and Board Ethics. She will continue to keep track of these and update the board accordingly. Lastly, she stated that the TCCH clinic located in the UP center is now operating and volumes are increasing. They will also begin to have behavioral health services available on Wednesdays.

Funded Agencies Quarterly Report- Hope for Families- Diana Grossi, Executive Director

Ms. Grossi provided a historical review of the Hope for Families mission and vision. She explained that their main purpose is to provide education to their clients on becoming self-sufficient. The District currently funds the client patient navigator position and they have served 122 unduplicated clients, with the goal of getting clients established with a primary care physician as opposed to utilizing the emergency department. She explained that her team meets every week to discuss all the clients living at the center and the patient navigator reports on those clients who may need additional services. Currently there is a list of 30 families waiting to receive services. Lastly, she reviewed informational data concerning the clients served at the center.

Tykes & Teens- Andrea Greenlee, Director of School Based Services and Psychotherapist

Ms. Greenlee provided an explanation of the CLASS program that the District currently funds through Tykes & Teens, in partnership with the Indian River County School District. The project is committed to addressing the social, emotional and behavioral needs of students identified as having an emotional or behavioral disturbance, and the at-risk exceptional student education population. Currently they have served 10 patients and have conducted 40 visits in the classroom at Glendale and Citrus Elementary school. Additionally, a therapist was assigned to Pelican Island Elementary school and Osceola Magnet school starting in January, 2020, and has been providing trauma informed care training and support in two classrooms, while preparing to build a caseload of individual clients. Ms. Greenlee stated that Tykes & Teens continues to contribute to the mental health needs of the community by collaborating with the Indian River County School District, as well as the Gifford Youth Achievement Center.

Substance Awareness Center- Carrie Maynard-Lester, Executive Director

Ms. Lester explained that the District funding supports the Recovery Assistance Program which operates using the Recovery Oriented System of Care. She reviewed data concerning the Jail and Recovery Assistance Program. SAC also provides referral sources to alternative forms of treatment for its clients. She further reviewed outcome measures in abstinence, gains in recovery, employment and housing for the clients who participated in the program. Lastly, she reviewed patient testimonials of individuals who completed the program.

Public Comment- There was no public comment.

Adjourn- The meeting was adjourned at 6:15 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