Community Health for the Florida
Keys
Minutes April
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Minutes April
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5701 Overseas Highway, Suite 17, Marathon, FL, Monday, April 18, 2005, 9 AM. Agenda
I. Call to order and welcome. Mr. Luse II. Verification of a Quorum. Dr. Szurek
III. Recognitions Mr. Luse A. (Staff Members) Ms. Crump and Ms. Moreno B. Mr. Michael Cunningham, FL Keys AHEC, Retiring Member
IV. Consent Agenda (Recommended action: Approval) Mr. Luse/Members A. Approval of the Agenda B. Approval of Minutes, 2/14/05.
V. Reports. A. Health Services (Patient Satisfaction Surveys) Mr. Pascucci B. Finance Mr. Kwalick/Mr. Smith C. Fundraising - Annual Campaign - Update Mr. Capurso/Mr. Douglass D. Website (www.rhnmc.org ) Mr. Smith 1. Invitation to Review Site 2. Future Correspondence with Gov. & Adv. Boards. Dr. Szurek
VI. New Business.
A. Dental Services in the Lower & Upper Keys Dr. Szurek/Mr. Smith B. Hurricane/Disaster Preparedness Dr. Szurek
VII. Old Business. A. Amendment to the lease with the Fishermen’s Hosp. Board of Trustees. Dr. Szurek B. CHC Application Dr. Szurek C. (Update) HB 0629 and Potential Impact on Nurse Practitioners & RHNMC. Mr. Douglass D. Grant Application: Johnson & Johnson (Denied) Dr. Szurek E. Letter from Keys’ Choice Health Plan, Inc., aka, health insurance task force, 3/21/05. Dr. Szurek
VIII. Community Input and Announcements. Members/Guests IX. RHNMC Announcements. A. The next joint meeting of the Governing & Advisory Boards is scheduled for Monday, July 18, 2005, at 9AM at, 5701 Overseas Highway, Suite 17, Marathon, FL. B. The next monthly meeting of the Governing Board is scheduled for Monday, May 16, 2005, at 9AM, at Mariners Hospital. (Conference call-in accommodations will be available throughout the Keys.) C. FKCHC Staff Training (clinic closures) May 16, 2005, 1-5PM.
X. Adjournment. Mr. Luse. RHNMC Governing & Advisory Board Meeting 5701 Overseas Highway, Suite 17, Marathon, FL Monday, April 18, 2005, 9AM Meeting Minutes
DRAFT
Officers in Attendance: Mr. Robert H. Luse, (CEO, Mariners Hospital) Chairman; Fr. Tony Mullane, (Faith Community; Pastor, St. Peter’s Cath. Church) Vice Chair; Ms. Lori DeNues, (Consumers, Upper Keys) Secretary; Mr. William Kwalick, (Key Largo Chamber of Commerce) Treasurer.
Governing Board Members in Attendance: Ms. Julia Terrell, Consumers - Upper Keys; Dr. Nickie Will,, CEO, LFKHC; Ms. Dorothy Clever, Consumers – Lower Keys; Ms. Marney Brown, Consumers – Lower Keys
Ex Officio Member in Attendance: Comm. George Neugent
Advisory Board Members in Attendance: Mr. Michael Cunningham, CEO, FL Keys AGHEC; Rev. Michael Hartney, Marathon Chamber of Commerce; Mr. John Oliver, Mariners PHO.
Staff Members in Attendance: Mark L. Szurek, Ph.D., CEO; John Pascucci, MOT, COO; Keith Douglass, Prog. Dev. Director; Dan E. Smith, MBA, CFO.
Officers Excused: Ms. Debbie Premaza, RN, Regional Director, Lifelines Home Health Care, Alternate
Governing Board Members Excused: Ms. Ana Pena, Consumers – Upper Keys; Mr. Michael Kissner, CEO, Fishermen’s Hospital; Mr. Dirk Smits, Community-at-Large.
Advisory Board Members Excused: Ms. Meylan Lowe-Watler, Exec. Dir, LFKHC-PHA; Sheriff Rick Roth, Monroe Co. Sheriff’s Office; Mr. Lynn Mapes, Community; Ms. Jerri Valverde, Consumers; Ms. Chris Clark, RN, Monroe Co. Health Dept.; Mr. David Cohn, Islamorada Chamber of Commerce; Ms. Liz Kern, Hospice/VNA; Ms. Jodie Koch, CMS; Chief Clark Martin, Monroe Co. Fire &Rescue; Ms. Laura Todd (aide to Rep. Ken Sorensen)
I. CALL TO ORDER. The meeting was called to order by Mr. Luse. II. VERIFICATION OF A QUORUM. Dr. Szurek stated that there were 8 (of 11) Governing Board members present, constituting more than a simple majority and a quorum. III. RECOGNITIONS. A. The Chair asked that Mr. Pascucci address recognitions of 2 employees. Mr. Pascucci recognized (in absentia) Paige Crump, RN and Rebekah Moreno, clinical assistant for their fund-raising efforts in Key West in early April 2005, which raised $500 for the organization. B. Mr. Luse presented a plaque to Mr. Michael Cunningham in recognition of his retirement from the Board and his service on behalf of FL Keys AHEC, 2002-2005. IV. CONSENT AGENDA. A. Approval of the Agenda was pulled from the consent agenda by Staff with permission of the Chair. Dr. Szurek asked that the following be added to the agenda: IV. C. Authorization for the executive director to renew the annual contract with the FL:DOH:ORH, and that the executive committee be authorized to act on behalf of the Governing Board to approve the WorkPlan for FY 05-06 under this contract. VI. A. Dental Services in the Upper and Lower Keys be stricken from the agenda, and that Strategic Plan and Annual Retreat be substituted. VI.C. That Our Kids be added to the agenda. In a motion made by Dr. Will and seconded by Mr. Kwalick, the group unanimously approved the amended agenda. B. Meeting Minutes, 3/21/05. In a motion made by Mr. Kwalick and seconded by Ms. Denues, the minutes of the meeting held on 3/21/05 were unanimously approved by the group. C. DOH Contract Renewal: Authorization of the executive director, FL:DOH:ORH contract and WorkPlan 05-06. In a motion made by Ms. Denues and seconded by Dr. Will, the group unanimously authorized the executive director to negotiate and sign the renewed contract for FY 05-06 with FL:DOH:ORH, and authorized the executive committee to approve the WorkPlan for FY 05-06 as part of this contract renewal. V. REPORTS. A. Health Services. (attached) Mr. Pascucci distributed a copy of the patient satisfaction surveys for primary care conducted randomly in March 2005. The survey report demonstrated that client satisfaction is at an optimal level. The Board congratulated Mr. Pascucci and his staff for an excellent job. B. Finance. Mr. Smith reported that although “tight” the organization remains solvent and on budget. C. Fundraising. Mr. Douglass reported on progress made in the Upper and Middle Keys Campaigns, and on progress made in the Lower Keys Campaign development. (attached) D. Website. 1. Mr. Smith invited the members to visit the updated website for the organization (www.rhnmc.org). 2. Dr. Szurek stated that all meetings of the Board will be communicated by email, with attachments for minutes and proposed agendae, to those members with email addresses. Those without email will continue to receive correspondence through regular US mail. Dr. Szurek also mentioned that the website may facilitate donations through the PayPal system, and thanked Mr. Smith for his improvements to the site. VI. NEW BUSINESS. A. Strategic Plan/Annual Planning Retreat. Dr. Szurek summarized the annual retreat process for the Board, but asked that, since the Board has been re-organized, should the executive committee continue to serve in a representative fashion for the Board(s), or should all Governing and Advisory Board members be more actively included in the process? Mr. Kwalick stated that due to the Sunshine Law, all members and the public are invited to participate, regardless. He suggested that all members be noticed but that special emphasis be placed on participation by the Governing Board. Mr. Luse suggested that the retreat be held at 5701 Overseas Highway, #17 in Marathon. The members unanimously agreed to order and pay for their own lunch, agreed to convene on Friday, June 10, 2005, from 9AM to 1PM, and agreed that this retreat would be held in lieu of the monthly meeting otherwise scheduled for June 20th. B. Hurricane/Disaster Preparedness. Dr. Szurek reported that he will be revising the hurricane/disaster procedures in preparation for the 05 hurricane season, and asked that through Mr. Pascucci, that the health department be contacted to help coordinate RHNMC’s role in disaster recovery, essentially first aid through the mobile medical vans. Fr. Mullane asked that the organization give some thought to an elevated platform to raise the medical van above flood waters at the Big Pine site. Dr. Szurek stated that he was applying for such funding through the county’s LMS process, but that no funding currently exists for this purpose. Comm. Neugent stated that the county has purchased a site in Big Pine to house government vehicles, and that room may be available for the Network’s van. Fr. Mullane added that the cemetery adjacent to St. Peter’s Church is high enough to possibly safeguard the van from flooding. Dr. Szurek asked Mr. Pascucci to follow-up with the Commissioner’s and Fr. Mullane’s suggestions. C. Our Kids. Dr. Szurek reported that FL Dept. of C& F has finalized a contract with Our Kids, Inc. Dr. Szurek stated that the Board has previously stated that any contract between RHNMC and Our Kids, Inc. be reviewed by the Board before signing. Dr. Will renewed her concern about liability coverage, and Mr. Cunningham asked if the tasks expected of RHNMC medical staff might be beyond their expertise. Mr. Pascucci stated that RHNMC staff will only be providing wellness examinations, and not diagnoses or assessments. Dr. Szurek stated that the contract will be a sub-contract with the GCMK, which will coordinate the clinical and psychological assessments of potential abuse; and, that our current liability insurance does cover wellness examinations. In a motion made by Mr. Kwalick and seconded by Ms. DeNues, the Board unanimously authorized the executive director to sign a contract with GCMK for Our Kids services (i.e., wellness exams), and that, in the event of any complications in contract wording or other concerns, the contract be referred to the executive committee for review, approval and/or denial. VII. OLD BUSINESS. A. Amendment to the Lease with Fishermen’s Hospital Association. Dr. Szurek reminded the members that RHNMC has signed a 10 year lease with this Association for rent free of charge, but that the Association has asked that an amendment to the lease be added. Dr. Szurek reported that he and Mr. Douglass have met with the Association Board and reviewed their amendments, which appear to have no impact on the Network or its occupancy of the space. In a motion made by Mr Kwalick and seconded by Ms. Terrell, the executive director was unanimously authorized to finalize this lease amendment with the Association Board. Dr. Szurek stated that if any wording in the final draft was inconsistent with what has already been nominally agreed to, that he would bring the document back to the RHNMC Board for consideration. B. CHC Application. Dr. Szurek reported that the organization has been denied funding in its second application through HRSA for Section 330e funding, but that he would continue the application process indefinitely and/or for as long as funding is available and until such time as CHC status is achieved. He stated that the strategy will be to more actively gain the support of our US Senator (Martinez) and Congresswomen (Ros-Lehtinen). Comm. Neugent stated that a meeting will be held with both officials on May 26, 2005 in the Keys, and that he would ensure access to these representatives. Dr. Szurek thanked the Commissioner for his helpfulness. C. HB(s) 0629 & 1009. Mr. Douglass reported that he has worked through Rep. Sorensen’s office and the actual sponsors of this bill, which if enacted, will seriously hamper the ability of Network ARNP’s to practice. He was informed that the Network as a legislated entity, would be exempt from this law, but as an added feature, asked that the bill’s sponsor add an exemption for non-profit health care entities. He pledged to remain close to the process to ensure RHNMC stability. D. Grant Application to Johnson & Johnson. Dr. Szurek reported that this grant funding was denied. 8 of 200 applications from FL, Ohio and Georgia were granted funding. The RHNMC application requested funds to supplement laboratory and pharmacy costs for clients earning 300% of FPL or less. If awarded, the grant would cover 2 years at $75,000/yr. E. Letter from Keys Choice Health Plans, Inc, aka health insurance task force (HITF). Dr. Szurek read a letter received from the HITF dated 3/21/05, which summarily stated that the HITF would ‘ …vigorously pursue $38,000 owed by the Network to the HITF’. Dr. Szurek distributed a summary of correspondence and positions of the 2 parties (RHNMC & HITF). Essentially, RHNMC has stated that it does not owe HITF any funds, based on previous reviews of the subject and relevant finances. Rev. Harney asked what the origin of the dispute seemed to be, since the HITF was a committee formed by the RHNMC, and that both “sides” wanted a health insurance plan to succeed in this county. Dr. Szurek stated that he thought the dispute may stem from a perception of some HITF members that he had personally misused (stolen?) funds and/or has mismanaged the organization. Statements offered by some RHNMC Board members: ‘the demands of the HITF appear to border on a level of blackmail’; ‘the organization [RHNMC] has reasonably met its obligations’; ‘ no funds are due the HITF’; ‘the matter is closed’. Rev. Hartney suggested that both parties needed to move beyond their disputes and work toward the respective missions. In a motion made by Dr. Will and seconded by Fr. Mullane, the Board unanimously authorized Rev. Hartney to act as an emissary to the HITF on behalf of the RHNMC Governing Board to communicate that (1) the Board remains firm in its assessment that no funds are due the HITF, and (2) to communicate the Board’s desire for both the HITF and RHNMC to move beyond this dispute and to reconcile differences. In another motion made by Dr. Will and seconded by Ms. DeNues, the Board unanimously reaffirmed its support of the executive director and his decisions with regard to expenditures for the HITF. Dr. Szurek thanked the membership for their support and understanding. VIII. COMMUNITY INPUT AND ANNOUNCEMENTS. A. Mr. Kwalick stated that the next quarterly meeting of the Health Council of So. FL will be held on Thursday, April 21, 2005 at 8095 NW 12th St. in Miami, and that the Annual Meeting of the Council will be held on May 18, 2005 at the Biltmore Hotel in Miami. IX. RHNMC ANNOUNCEMENTS. A. The next joint meeting of the Governing and Advisory Boards will be held on Monday, July 18, 2005 at 9AM at 5701 Overseas Highway #17 in Marathon. B. The next monthly meeting of the Governing Board will be held at Mariners Hospital, May 16, 2005 at 9AM, with conference call-in accommodations at 1623 Spalding Ct #4 in Key West, and 5701 Overseas Highway, #17 in Marathon. C. The Staff will convene for hurricane and other training from 1-5PM at 5701 Overseas Highway #17, on Monday, May 16, 2005. D. The Annual Board Retreat will be held on Friday, June 10, 2005, from 9AM to 1PM at 5701 Overseas Highway, #17 in Marathon, in lieu of the regular Board meeting originally scheduled for June 20th. X. ADJOURNMENT. In a motion made by Mr. Kwalick and seconded by Ms. Terrell, the Board unanimously agreed to adjourn.
Respectfully recorded,
Mark L. Szurek, Ph.D., President & CEO |
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