Community Health for the Florida
Keys
July 06
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July 06
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Joint Meeting of the RHNMC Governing & Advisory Boards Monday, July 17, 2006, 9AM, 2855 Overseas Highway, Marathon, FL Agenda
I. CALL TO ORDER, WELCOME & INTRODUCTIONS. (Special introduction and welcome for Rev. Chris Todd, new program development director) Mr. Luse II VERIFICATION OF A QUORUM. Dr. Szurek III. INDUCTION OF NEW GOVERNING BOARD MEMBER. Mr. Nelson Lazo, CEO, Mariners (Recommended action: Approval.) Dr. Szurek IV. CONSENT AGENDA (Recommended action: Approval) Members A. Approval of the Agenda B. Approval of Minutes, 4/17/06. C. Ratification of Actions: Officers Retreat, 6/12/06 VI. NEW BUSINESS A. Bylaws Revisions (Please see summary; Recommended action: Approval) B. Policies & Procedures Revisions (Please see summary; Recommended action: Approval) C. Proposed Budget, FY 06-07; Change in Sliding Fee Scale and “Full-Pay” (Recommended action: Approval) Mr. Smith D. Strategic Plan (Recommended action: Approval) 1.. Service Site Plans, as of 9/1/06 Dr. Szurek 2. Logo Changes (Recommended action: Approval) Dr. Szurek E. Dr. Arthur Doenecke (& the IRS, State Unemployment and Potential Lawsuit) Mr. Smits & Dr. Szurek VII. OLD BUSINESS A. (FL) Legislative Activity (Senate Bill 2176; House Bill 7215) Dr. Szurek B. Service Site in KW resumes 9/1/06 (see above, V, D, 1) Dr. Szurek C. Progress/Plan(s) for Ongoing Funding Dr. Szurek 1. Fishermen’s Hospital Association; Questions c the Lease 2. Baptist Health So. FL 3. (Direct) State Funding Requests (Sorensen; ORH) 5. Rural Outreach/Network Development Grants 6. HSAB/County D. MOU with MCHD (Disaster Recovery) Ms. Clark/Ms. Bassett/Dr. Szurek E. Our Kids, Inc. Dr. Szurek F. Inspection by FL:DOH, 4/18/06 Dr. Szurek VIII. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests IX. RHNMC ANNOUNCEMENTS - The next meeting of the Governing & Advisory Boards is scheduled for Monday, October 16, 2006, at 9AM, 2855 Overseas Highway in Marathon. X. ADJOURNMENT. Mr. Luse
RHNMC Advisory & Governing Board Meeting Monday, July 17, 2006, 9AM, 2855 Overseas Highway, Marathon, FL (DRAFT) Meeting Minutes
Board Officers in Attendance: Mr. Robert Luse, Chairman (Community-at-Large); Dr. Nicki Will, Vice Chair (CEO; LFKHC).
Governing Board Members in Attendance: Rev. Marney Brown (Consumers – Lower Keys); Comm. George Neugent (County Government); Ms. Kim Bassett (CEO, Fishermen’s Hospital); Alternate Board Member (by appt. of the Chair): Ms. Debbie Premaza (Regional Director, Lifeline Home Health Care).
Governing Board Member Elect: Mr. Nelson Lazo, CEO, Mariners Hospital
Advisory Board Members in Attendance: Mr. David Cohn, Islamorada Chamber of Commerce; Ms. Suzanne Imperato, CMS; Ms. Chris Clark, MCHD – Upper Keys.
Staff Members in Attendance: Dr. Mark Szurek, CEO; Mr. John Pascucci, COO; Mr. Dan Smith, CFO; Rev. Chris Todd, PDD.
Governing Board Members Excused: Ms. Lori DeNues (Secretary, Consumers – Upper Keys); Ms. Dorothy Clever (Consumers – Lower Keys); Ms. Julia Terrell (Consumers – Upper Keys); Ms. Juanita Knudsen (Consumers – Upper Keys); Mr. Dirk Smits (Community-at-Large)’ Ms. Ana Pena (Treasurer, Consumers – Upper Keys).
Advisory Board Members Excused: Mr. John Oliver (Mariners Hospital); Ms. Jerri Valverde (Community-at-Large); Ms. Meylan Lowe-Watler (LFKHC); Ms. Liz Kern (Hospice/VNA)
I. CALL TO ORDER. The meeting was called to order by Mr. Luse. Mr. Luse introduced and welcomed Rev. Chris Todd who has assumed the position of program development director. II. VERIFICATION OF A QUORUM. Dr. Szurek verified the existence of a quorum, with 5 regular Governing Board members present and the appointment of Ms. Premaza as an interim member by the Chair. (Bylaws Article VI, #6; [6/11 members]). III. INDUCTION OF NEW GOVERING BOARD MEMBER: Mr. Nelson Lazo. In a motion made by Dr. Will and seconded by Ms. Bassett, the Board unanimously elected Mr. Lazo to a 3 year term as a Governing Board Member. IV. CONSENT AGENDA. (Please see agenda.) In a motion made by Dr. Will and seconded by Ms. Premaza, the consent agenda was unanimously approved. V. REPORTS. A. FY Year End Report. Mr. Smith distributed the profit & loss statement for the past fiscal year, noting a modest “profit” of $50K+. He noted that thanks to special assessments paid by LFKHC and Mariners, as well as insurance settlements as a result of the past hurricane season, the fiscal year has ended in the “black”. He also noted that the organization has matched the budget in its projection of expenses. B. Health Services. Dr. Szurek reported on the proposed expansion of primary care services to begin on 9/1/06. On 9/1/06, services will recommence on Saturdays in Key West, thanks to the cooperation and assistance from HMA, at the dePoo primary care clinic. In the Middle Keys, primary care services will be offered 5 days per week at the Marathon location (M-F), and services will be expanded to 5 days per week in the Upper Keys (Key Largo: Mondays/Tuesdays; Tavernier: Wednesdays/Thursdays; Islamorada: Fridays). Rev. Brown asked if services would resume in Big Pine Key. Dr. Szurek stated that there was no funding to resume services at that location, despite the organization’s best efforts with the Lower Keys Hospital District Board to request new funding. (Program services are only available in KW as a result of a HRSA Outreach Grant award [5/1/06].) Ms. Premaza pointed out that services in Marathon would now be available 5 days per week in Marathon, as apposed to the previous arrangement of only 1 day in Big Pine. Comm. Neugent stated that since public transportation services have dramatically improved and travel from BPK is only 17 miles, the expansion of services in Marathon seemed reasonable and cost-effective. Ms. Premaza added that home health care is also available to patients in need and suggested better utilization of those services to enhance health care access. C. Program Development. Rev. Todd summarized the 5 initiatives that were planned for the organization to reach a goal of $125K in fundraising in this FY. He also stressed the need for volunteers to assist in helping the organization reach its projected goals. In a motion made by Ms. Bassett and seconded by Mr. Lazo, the reports were unanimously accepted by the members. VI. NEW BUSINESS. A. Bylaws Revisions. In a motion made by Dr. Will and seconded by Ms. Premaza, the Board unanimously approved the revisions to the bylaws suggested by staff and approved by the Officers on 6/12/06. B. Policy & Procedure Revisions. In a motion made by Ms. Premaza and seconded by Comm. Neugent, the Board unanimously approved the revisions to the policies and procedures suggested by staff and approved by the Officers on 6/12/06. (Writer’s Note: Based on the hesitancy of hospital members to endorse the proposed increase in hospital dues for the new fiscal year, staff has withdrawn its suggestion that dues be increased from $5,000 per member hospital to $10,000.) C. Budget, FY 06-07. Dr. Szurek noted that the proposed budget was based on an awareness that the organization has become too grant dependent and must strategize to offer its products and services in a competitive market and hopefully maximize income from that source(s). Mr. Smith and Szurek presented a revised sliding fee scale, ranging up to 400% of the FPL, which would offer discounts for families with household incomes up to $76K. Presently, all patients are classified as “full pay” if household incomes exceed 201% of FPL. Smith also stated that fees have been revised to reflect fair market rates. In a motion made by Ms. Premaza and seconded by Mr. Lazo, the Board unanimously approved the revised sliding fee scale and proposed budget for FY 06-07. D. Strategic Plan. Dr. Szurek summarized the revisions to the strategic plan for FY 06-07, and displayed the revised logo, stressing “Rural Health” as a community identifier for public information. In a motion made by Ms. Premaza and seconded by Mr. Lazo, the Board unanimously approved the revised strategic plan and new/revised logo. E. Dr. Arthur Doenecke. Dr. Szurek advised the Board that Dr. Doenecke has entered a complaint with the IRS and the State of FL that he should have been considered an employee and not a contracted worker. Dr. Doenecke was contracted as the primary physician for services in BPK and KW; his contract for services expired at the end of the grant of the HRSA outreach grant on 4/30/06 and has not been renewed. The IRS and state have agreed with the doctor’s complaint and have asked for $12,000 in taxes and penalties, which have been paid in full. Dr. Szurek has asked both the state and federal government for a waiver to return these paid funds, since the funds used were from a grant program and the organization provides charity care. In the interim, Dr. Doenecke has threatened a lawsuit that he should be reimbursed for (1) ”gap” health care insurance, (2) vacation benefits, and (3) pay that was withheld due to not appearing for work at certain times. Dr. Szurek reported that Mr. Smits has been working on this case on behalf of the organization, and reports that the D&O insurance does not cover this claim. Dr. Szurek reported that he would contact Mr. Smits about further action with a goal of reaching a settlement or dismissal of action. VII. OLD BUSINERSS. A. FL Legislative Activity (House Bill 7215; Senate Bill 2176). Dr. Szurek reported that these initiatives did not reach the floor for a final vote. He stated that it was his intent to see that this overture was renewed in the next session. Passage may mean a substantial increase in renewable state revenues to rhn’s. B. Service Site Plans (Please see V. REPORTS, B, above) C. Progress for Ongoing Funding. (Was not discussed due to time constraints.) D. MOU for Disaster Planning with MCHD. Dr. Szurek reported that he has asked Dr. Will to arrange a meeting with Dr. May of the MCHD to discuss this possible partnership. E. Our Kids, Inc. Dr. Szurek reported that OK, Inc. has since successfully negotiated a contract for services with another entity, but failed to inform RHNMC. It has been noted by direct staff that some OK clients still appear for clinical services and are charged accordingly. No contract approval from the Board is sought or needed by staff. F. Inspection by DOH: ORH. Dr. Szurek reported that the organization was inspected for contract compliance on 4/18/06 by the state contract manager and found to be in “exemplary compliance” with all contract requirements. VIII. COMMUNITY INPUT AND ANNOUCEMENTS. Ms. Clark reported that the new attending physician at the MCHD was a Dr. Steagle, replacing Dr. Allison. IX. RHNMC ANNOUNCEMENTS. The next meeting of the Advisory and Governing Boards is scheduled for Monday, October 16, 2006 at 9AM at 2855 Overseas Highway in Marathon. X. ADJOURNMENT. There being no further business before the group, the meeting was adjourned by unanimous acclamation.
Respectfully recorded,
Mark L. Szurek, Ph.D., CEO |
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