VIII. Community Input and Announcements. Members/Guests
IX. RHNMC Announcements.
The next joint meeting of the Governing & Advisory Boards is
scheduled for Monday, April 18, 2005, at 9AM at the new
Marathon facility, 5701 Overseas Highway, Suite 17, Marathon, FL.
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.)
X. Adjournment Mr. Luse.
RHNMC Governing Board Meeting Minutes
Mariners Hospital, March 21, 2005, 9AM
Board Officers in Attendance: Mr. Robert H. Luse, Chairman (CEO, Mariners
Hospital); Mr. Bill Kwalick, Treasurer (Key Largo Chamber of Commerce); Ms.
Debbie Premaza, RN (Alternate Officer)
Board Members in Attendance: Ms. Julia Terrell, Consumers – Upper Keys; Ms.
Lori Denues, Consumers – Upper Keys; Mr. Dirk Smits, Community at Large.
Board Members/Conference call-in, Marathon: Ms. Marney Brown – Consumers
– Lower Keys.
Board Member/Conference call-in, Key West: Ms. Nickie Will, CEO, LFKHS
Advisory Board Member/Conference call-in, Marathon: Rev. Michael Hartney
Ex Officio Board Member/Conference call-in, Marathon: The Honorable George
Neugent
Guest: Mr. John Capurso, Consultant
Staff Members in Attendance: Mark L. Szurek, Ph.D., CEO; Mr. Keith Douglass,
PDD (Marathon); Mr. Dan Smith, IT/Property/Fiscal Manager (Key West)
Board Officers & Members Excused: Fr. Tony Mullane (Faith Community); Mr.
Michael Kissner, CEO, Fishermen’s Hospital; Ms. Dorothy Clever, Consumers –
Lower Keys
I. CALL TO ORDER. The meeting was called to order by Mr. Luse.
II. VERIFICATION OF A QUORUM. Dr. Szurek stated that a quorum existed as 8 of
11 members were present.
III. MEMBERSHIP. In a motion made by Mr. Kwalick and seconded by Mr. Smits,
the nomination of the Honorable George Neugent to serve as an ex officio member
of the Board and liaison to the Board of County Commission was unanimously
approved.
IV. CONSENT AGENDA. In a motion made by Mr. Kwalick and seconded by Mr. Smits,
the Board unanimously approved all items contained in the listed consent agenda.
Please see Agenda, IV, items A-F
V. REPORTS.
HEALTH SERVICES. Dr. Szurek reported that steady patient flow at all
clinical sites remains optimal. He also stated that there have been some
complaints received from Key West clients about the move of the dental
program to Marathon, but that most clients have understood the position of
the organization and its reasons for relocation.
FINANCE. Mr. Smith distributed a profit & loss and balance sheet to
the members, and indicated that although minimal, cash flow was positive
while the organization anticipated the success of the annual campaigns being
conducted throughout the Keys for community funding.
FUNDRAISING.
1. Mr. Douglass and Mr. Capurso reported progress made to date in
organizing and implementing the annual campaigns throughout the county to
raise $250K. (Please see attached reports.)
2. Planned Giving & Marketing Plan. Dr. Szurek asked that the Members
consider formal adoption of the Planned Giving & Marketing Plans
submitted by Mr. Capurso at the last meeting. A motion was made by Mr.
Kwalick and was seconded by Ms. DeNues. Discussion: Dr. Szurek stated that
the dba suggested by Mr. Capurso be amended to reflect the Board approved
name: the Florida Keys Community Health Center, in its 11/04 meeting. Dr.
Szurek also asked that the current logo used by the organization’s health
services be adapted to complement the dba. The wording on the logo would be
changed to the dba. Mr. Smits suggested that the "red cross" on
that logo be changed to another color to avoid potential confusion with the
Red Cross; the group agreed the color could be changed to green, matching
the color of the rest of the artwork. As amended, the group unanimously
approved the Marketing Plan and Planned Giving Plan.
3. Fundraiser – Key West. Dr. Szurek stated that 2 employees (Ms.
Moreno and Ms. Crump) have undertaken to hold a fundraiser in Key West in
early April in conjunction with the Key West Pageant, with
administrative approval. Both employees have secured donated prizes
for a raffle, and anticipate a significant contribution to the Lower Keys
fundraising efforts. The employees have been instructed to comply with State
of FL solicitation requirements.
VI. NEW BUSINESS.
APPROVAL FOR A NEW BANK ACCOUNT FOR THE MIDDLE KEYS FUNDRAISING CAMPAIGN. A
motion was made by Mr. Kwalick and seconded by Mr. Smits to open a new bank
account at Marine Bank for funds collected by the 2005 Annual Campaign for the
Middle Keys. Discussion: Mr. Luse asked if there were any fees attached to the
new account. (After meeting time, it was determined that no fees would be
charged to the Network.) Dr. Szurek stated that the treasuer of the Middle
Keys effort was the president of Marine Bank (Mr. Bill Daniels), and had made
this special request of the Board. Mr. Smits asked Mr. Smith for his opinion
on opening another account, to which Mr. Smith stated that he thought it would
be a good idea for accountability reasons. Mr. Luse stated that the account
should be closed after the campaign has ended, and that no other accounts
should be opened unless necessary for the other 2 (Upper, Lower Keys)
campaigns. With these stipulations, the group unanimously approved the opening
of a new account, with Mr. Luse, Mr. Daniels and Dr. Szurek the only
designated (single) signers on this account. The account would be called the RHNMC
– Middle Keys Annual Campaign 2005.
PLANS FOR NEW MOBILE MEDICAL VANS. Dr. Szurek stated that the 2 medical
mobile vans in use have been heavily used and that plans for replacing them
both seemed indicated. He suggested that a grant application be made to the
HFSF at year’s end, in the amount of $300K to purchase a state-of-the art
medical van, to replace the van in use in the Upper Keys, and that an
application be submitted to FEMA as part of the county LMS application, to
purchase a second van to assist with disaster recovery, thereby replacing the
second older van in Big Pine Key as well. Mr. Smits asked if the used vans
could be sold. Dr. Szurek stated that he thought that could occur and those
assets cashed in for the benefit of the Network. In a motion made by Mr.
Kwalick and seconded by Ms. DeNues, the group unanimously voted their
confidence for Dr. Szurek’s efforts to replace the Network’s current vans
with new(er) models in the manner described.
FL HOUSE BILL 629 and SENATE BILL 1452. Dr. Szurek and Ms. Premaza
distributed HB 629 and accompanying position statements from the FL Nurses
Assn. If implemented, this bill could increase the level of supervision by the
medical director over the ARNP to 33%, a problematic requirement for the
Network. The bill also requires no more than 2 ARNP’s be supervised per MD,
also compromising the Network’s fiscal flexibility in hiring, and possibly
resulting in a reduction of services. Actions of the Board: Mr. Douglass was
asked to contact Rep. Sorensen and Senator Bullard regarding the network’s
opposition to this/these bills. 2. Dr. Szurek asked Mr. Kwalick and Ms.
Premaza to secure the services of the lobbyist through and for the HCSF to
block passage. 3. Finally, Dr. Szurek asked that Board declare its formal
opposition to the bills, and so document that position in a letter to that
effect. A motion was made by Mr. Kwalick and seconded by Ms. DeNues.
Discussion: Mr. Smits suggested that if passage seemed assured despite
protests to the contrary, that Rep. Sorensen insert wording that would exempt
RHNMC and/or non-profits health care entities. With this amendment, the group
unanimously supported opposition of the bills.
VII. OLD BUSINESS.
MOVE TO MARATHON. Dr. Szurek reported that all permits have been secured
and cleared, and that primary health care and dental services are now being
provided in the new Marathon location. Dr. Szurek thanked Mr. Pascucci for his
supervision of this effort.
UNDER-UTILIZATION OF STAFF IN LOWER KEYS. Dr. Szurek reported that PSA’s
have been issued in the Lower Keys bi-weekly to increase public awareness of
the Big Pine and Key West services, and that he will continue to do so. ACCESS
TO SERVICES IN BIG PINE. Dr. Szurek reported that Mr. Pascucci has repeatedly
tested the phone lines in Big Pine and has found no problems in contacting
staff assigned at that location.
HRSA-RNDP GRANT APPLICATION. Dr. Szurek reported that the effort to submit
an application for a rural network development planning grant (with Mariners,
RHNMC and Lifelines Home Health Care) has been denied by HRSA. He stated that
it was the opinion of Ms. Premaza and himself that the application materials
be turned over to other Mariners personnel to resubmit the application, as
approved by the Mariners CEO.
DBA. Dr. Szurek reported that the organization has secured the name The
Florida Keys Community Health Center from the State of Florida.
REVIEW OF FL SUNSHINE. Mr. Smits distributed documents pertaining to an
overview of the FL Sunshine Law and its application to Board Members. He
repeated his invitation to act as a resource to any members needing assistance
or clarification.
RETENTION OF THE CONSENT AGENDA FORMAT. In a motion made by Mr. Smits and
seconded by Mr. Kwalick, the Consent Agenda was unanimously approved as
a procedural addition to the meeting format.
VIII. COMMUNITY INPUT AND ANNOUNCEMENTS. (None)
IX. RHNMC ANNOUNCEMENTS.
The next joint meeting of the Governing and Advisory Boards is schedules
for Monday, April 18, 2005 at 9AM at 5701 Overseas Highway, Suite 17, in
Marathon. No conference call-in arrangements are made for quarterly joint
meetings of the 2 Boards.
The next meeting of the Governing Board is scheduled for Monday, May 16,
2005, at 9AM at Mariners Hospital, with provisions for conference call-in from
Key West and Marathon.
X. ADJOURNMENT. In a motion made by Mr. Kwalick and seconded by Mr. Smits,
the group voted unanimously to adjourn.
Respectfully recorded,
Mark L. Szurek, Ph,.D.
President & CEO
