Community Health for the Florida
Keys
April 06
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April 06
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Joint Meeting of the RHNMC Governing & Advisory Boards Monday, April 17, 2006, 9AM, 2855 Overseas Highway, Marathon, FL Agenda I. CALL TO ORDER, WELCOME & INTRODUCTIONS. Introduction of Special Guest, Mr. Curtis Holloman, HRSA technical assistance consultant. Mr. Luse II VERIFICATION OF A QUORUM. Dr. Szurek III. SPECIAL PRESENTATION – OUR KIDS, INC. (Discussion) Ms. Karen Knight IV. CONSENT AGENDA (Recommended action: Approval) Members A. Approval of the Agenda B. Approval of Minutes, 1/23/06, 3/20/06. C. Ratification of the Chairman’s action, with regard to tentative approval of the DOH WorkPlan for FY 06-07. D. Approval for the Exec. Director to negotiate contract renewals for grants-in-aid from FL: DOH and Monroe Co. Government in FY 06-07. VI. NEW BUSINESS A. Bylaws Revisions (Recommended action: Approval) 1. Board Meeting Times: Quarterly vs. Monthly (Article VII, #1) Dr. Szurek 2. Permanent Board Alternates (Article VI, #6) Dr. Szurek B. (FL) Legislative Activity (Senate Bill 2176; House Bill 7215) Dr. Szurek C. Service Sites in the Lower Keys post 4/30/06 (Recommended action: Approval) Dr. Szurek 1. Vacating 1623 Spalding Ct #4, KW by 6/30/06 (returned to SHAL) 2. Suspension of services in KW & BP post 4/30; plan for resumption of services in new FY in Lower Keys. D. Executive Committee Planning Retreat (6/06) Dr. Szurek VII. OLD BUSINESS A. Progress/Plan(s) for Ongoing Funding Dr. Szurek 1. Fishermen’s Hospital Association 2. Baptist Health So. FL 3. LFKHD Board 4. (Direct) State Funding Request (see also above, VI, B) 5. Rural Outreach/Network Development Grants 6. HSAB/County B. MOU with MCHD (Disaster Recovery) Ms. Clark/Ms. Bassett/Dr. Szurek C. Grant Award: HFSF ($25,000) Dr. Szurek VIII. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests IX. RHNMC ANNOUNCEMENTS A. The next meeting of the Governing Board is scheduled for Monday, May 15, 2006, at 9AM, at Mariners Hospital, 91500 Overseas Highway, Tavernier, FL OR, (based on the decision made in VI, A, 1, above, for both the Advisory & Governing Boards) on Monday, July 17, 2006 at 9AM at 2855 Overseas Highway, Marathon, FL. B. RHNMC will host the quarterly meeting of the state RHN’s in Key West, 6/28-30/06. C. RHNMC will be inspected by the FL:DOH:ORH on Tuesday, 4/18/06. X. ADJOURNMENT. Mr. Luse RHNMC Joint Meeting of the Advisory & Governing Boards Monday, April 17, 2006, 9AM, 2855 Overseas Highway, Marathon, FL
Meeting Minutes (DRAFT)
Board Officers in Attendance: Robert H. Luse, Chairman (CEO, Mariners Hospital); Dr. Nicki Will, Vice Chair (CEO, LFKHC); Ms. Ana Pena, Treasurer (Consumers – Upper Keys); Ms. Lori DeNues, Secretary (Consumers – Upper Keys).
Governing Board Members in Attendance: Rev. Marney Brown, Consumers – Lower Keys; Ms. Dorothy Clever, Consumers- Lower Keys; Mr. Dirk Smits (Esq.), Community-at-Large; Ms. Julia Terrel, Consumers, Upper Keys.
Advisory Board Members in Attendance: Ms. Suzanne McCutheon-Imperato, Monroe Co. Children’s Medical Services; Ms. Debbie Premaza, Regional Director, Lifelines Home Health Care (chair, program development committee); Mr. John Oliver, Mariners Hospital.
Guest: Mr. Curtis Holloman, HRSA TA Consultant.
Staff: Mark L. Szurek, CEO; Mr. Dan Smith, CFO
Governing Board Members Excused: Comm. George Neugent (Local Government); Ms. Kim Bassett (CEO, Fishermen’s Hospital); Ms. Juanita Knudsen (Consumers - Upper Keys).
Advisory Board Members Excused: Sheriff Richard Roth; Chief Clark Martin (Monroe Co. Fire & Rescue); Ms. Christina Clark (Monroe Co. Health Dept); Ms. Laura Todd (Aide, State Rep. Ken Sorensen); Mr. Lynn Mapes (Community at Large); Ms. Jerri Valverde (Consumers); Mr. David Cohn (Community at Large); Ms. Liz Kern (CEO, Hospice/VNA); Ms. Meylan Lowe-Watler (LFKHC).
I. CALL TO ORDER. Mr. Luse called the meeting to order, welcomed the members and guests, and introduced Mr. Curtis Holloman, HRSA TA Consultant. II. VERIFICATION OF A QUORUM. Dr. Szurek stated a simple majority of the Board members was present, constituting a quorum (8/11). III. SPECIAL PRESENTATION – OUR KIDS, INC. Dr. Szurek reported that Ms. Karen Knight had been invited to make a presentation to the Board regarding Our Kids, (OK) Inc., a privatized corporation that continues the work of the FL Dept. of Children & Families for child investigative and protective services. OK, Inc. has asked that RHNMC entertain a contract for wellness exam services for children potentially abused, and who needed such services as a part of a court-ordered evaluation. Dr. Szurek stated that unfortunately, Ms. Knight was unable to be on hand for the presentation, but asked that the group consider their request. He pointed out that OK, Inc. through Wesley House, the local case management entity, had a “bad track record” with regard to appearing with the child in question at an established appointment time, had accompanied the child with inappropriate personnel (drivers as opposed to case managers), and had routinely failed to provide health information history in order to perform a comprehensive exam. Mr. Smits suggested RHNMC proceed with a contract but that any contract be biased in favor of RHNMC, i.e., include funding and penalties for “no-show” appointments. In a motion made by Dr. Will and seconded by Ms. DeNues, the Board authorized Dr. Szurek to negotiate a contract with Our Kids, Inc. for wellness exams. Dr. Szurek stated that he would present the proposed contract to Mr. Smits for his review and to the full Board, before executing any final agreement or signature. IV. CONSENT AGENDA. In a motion made by Dr. Will and seconded by Ms. Premaza, the Board unanimously approved the consent agenda. (Please see Item IV, parts A-D, in the agenda.) V. REPORTS. A. Income & Expenses. Mr. Smith distributed the balance sheet and profit and loss to date, for Board review. He noted a profit in excess of $60K to date, but qualified this amount with information pertaining to a $25K grant from the HFSF (for Van I repairs), and over $50K in insurance claims paid as a result of Hurricane Wilma. B. Health Services. In reporting for Mr. Pascucci, Dr. Szurek referred the Board to Item VI, part C, 1- 2, and Item VII, part A, 1-6, as a report of service update. C. Development Committee. Ms. Premaza reported that the committee activities have been suspended until such time as a new development director is chosen. Dr. Szurek reported that preliminary interviews with 4 prospective applicants occurred on April 6, 2006 (with Mr. Smith, Mr. Pascucci, Ms. Premaza and himself presiding), with a final interview (and hopefully a selection) to be conducted/concluded on the afternoon of April. 17th. VI. NEW BUSINESS. A. Bylaws Revision. (As suggested by Staff) 1. Article VII, 1: Move of meeting times from monthly to quarterly, effective immediately. 2. Article VI, #6. To allow the chairman to appoint up to 2 advisory Board members to serve as Governing Board members to satisfy meeting quorum requirements, effective immediately. The advisory Board member appointees would serve as governors only for the duration of any respective meeting. Motion/Discussion/Vote: Motion: Dr. Will motioned to approve these changes and was seconded by Ms. DeNues. Discussion: Mr. Smits asked if these changes would negatively impact our Section 330e proposals. Dr. Szurek asked Mr. Holloman if such might be the case. Mr. Holloman stated that it would not negatively impact a Section 330e proposal, so long as the ByLaws were adjusted before an application was submitted to reflect federal compliance. Dr. Szurek stated that it could be as much a year before the Board would be asked to return to a monthly meeting schedule (pending notification of new start-up funds), and that these changes were suggested at this time to accommodate member time and organizational business. Vote: The members unanimously approved the recommended changes. B. (FL) Legislative Activity (Senate Bill 2176; House Bill 7215). Dr. Szurek reported that both the FL House and Senate were reviewing legislation that will impact rhn’s. However, these changes are positive in that they will (1) increase state funding to rhn’s, (2) demand more accountability, and (3) require common goals from all state networks to improve performance and activities to improve rural health care. Dr. Szurek stated that he will monitor and report progress in these changes. C. Change in Service Locations. 1. 1623 Spalding CT #4, Key West. Dr. Szurek reported that in a cost-saving move, all administrative services will be moved to Marathon, no later than 7/31/06. This move may save as much as $12-15K per year; however, these savings will be “eaten” by increases in commercial, flood and windstorm insurance cost increases estimated at >$10K. 2. Clinic services in Big Pine and Key West. Dr. Szurek reported that services in KW and BPK will terminate due to the end of a HRSA outreach grant (through the GCMK) on 4/30/06. All patients will be referred to the primary care clinic at dePoo Hospital. He stated that this is only a suspension of services in his estimation, as the organization is seeking new funding from various sources (see below, Item VII, part A). Motion/Discussion/Vote: Motion: A motion was made by Ms. Denues and seconded by Ms. Clever. Discussion: Rev. Brown asked again where BPK patients would go for affordable medical care. Dr. Szurek stated that there were 2 options: the dePoo Clinic which operates 5 days per week in KW, and RHNMC in Marathon, which operates on Thursday and Fridays. He also noted that county transportation services were available for the transportation disadvantaged. Mr. Smits asked if services resumed, when would that occur and what form would it take. Dr. Szurek stated that as funding streams materialize, that it was his plan to resume one day per week services in KW. RHNMC would offer services on a Saturday, so as not to duplicate but enhance primary care services offered at the (dePoo) primary care clinic. New funding may be available as soon as July 2006, but securing a primary care physician may take longer. He further stated that he was negotiating with a local MD to assume fulltime medical directorship of the organization. Vote: The Board unanimously approved the changes recommended by staff for site closures and accepted the reasons given. D. Executive Committee Retreat. Dr. Szurek asked that the executive committee resume its function of meeting in retreat in (each) June, to review the policies & procedures, the proposed budget, and potential changes to the ByLaws, as well as entertain any other business. All Advisory & Governing Board members would be invited to participate in the day-long retreat; however, the executive committee would be the essential members expected to devote the entire day to this necessary review. By acclamation, the Board unanimously agreed to this procedure resumption. Dr. Szurek stated that he would contact each executive committee member about availability in June. VII. OLD BUSINESS. A. Progress/Plans for Ongoing (& New) Funding. (See also Item VI, part B, above) 1. Fishermen’s Hospital Association. Dr. Szurek reported an interest by FHA to invest in RHNMC, particularly to assist in funding 5 day per medical services in Marathon. No formal proposal has been suggested by FHA at this time, although a meeting with that group is in the planning stages. 2. Baptist Health S. FL. Dr. Szurek reported no progress in actualizing funds or a contract with this group, despite the best efforts of our Chair, Mr. Luse. 3. LFKHD Board. Dr. Szurek reported that a request for sustained funding for services in the Lower Keys had been placed before the Lower FL Keys Hospital District Board on February 8, 2006. Dr. Will, Dr. Rice (County Commissioner) and Mr. Tom Willi (County Administrator) had also been in attendance at that meeting and had advocated on RHNMC’s behalf. The LFKHD Board rejected the RHNMC request. 4. (Direct) State Funding Request. Dr. Szurek reported that a request through Rep. Sorensen’s office for direct aid to RHNMC from the state, to augment county assistance for indigent health care, was “surviving” in the FL legislature. A DOH:ORH representative had stated that she was monitoring the bill’s status and would advise if passage occurred. The request is for $200K/yr in recurring funds for primary care for the uninsured, as apart of the over-all state plan to assist this target group. 5. Rural (federal) outreach and network development grant(s). Dr. Szurek reported that a notice of funding award (or denial) for an outreach grant will probably not occur until May 2006. The organization anticipates a renewal award announcement for its development grant any day, for Year 3 of 3 (to commence May 1, 2006). 6. HSAB/County. Dr. Szurek stated that he had submitted a request for $150K from the HSAB (up from $100K in previous FY), and for $400K for primary care (up from $300K in previous FY) as a line item in the county budget. He will continue to monitor progress in these specific requests. B. Memo of Understanding with Monroe Co. Health Dept. Dr. Szurek stated that a draft MOU has been requested from the MCHD to clarify responsibilities after a disaster and/or hurricane. Most recent email correspondence indicates that the draft MOU is “on Dr. Susana May’s desk”. C. Grant Award, HFSF. Dr. Szurek reported that the Health Foundation of South Florida has awarded RHNMC $25,000 to be devoted to the renovation of Van 1. VIII. COMMUNITY ANNOUNCEMENTS AND INPUT. There were none. IX. RHNMC ANNOUNCEMENTS. A. Board Meeting: Based on the activities of the Board with regard to meeting times (see Item VI, part A, above [Article VII, #1]), the next meeting of the Governing & Advisory Boards is scheduled for Monday, July 17, 2006 at 9AM at 2855 Overseas Highway, in Marathon. B. RHNMC will host the quarterly meeting of the state’s certified rural health networks in Key West on June 28-30, 2006, tentatively at the Doubletree Grand Key Hotel. The meeting will be devoted to a review and understanding of impending legislation impacting the performance of each network. This will be an open meeting and Board members are invited to attend. C. RHNMC will undergo an annual inspection for compliance with its DOH:ORH grant-in-aid contract on Tuesday, April 18, 2006. 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 & President
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