Community Health for the Florida
Keys
Minutes July
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Minutes July
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Monday, July 25, 2005, 9 AM, 5701 Overseas Highway, #17, Marathon, FL Agenda
I. CALL TO ORDER AND WELCOME. Mr. Luse II. MOMENT OF SILENCE – WILLIAM “BILL” KWALICK. Mr. Luse III. VERIFICATION OF A QUORUM. Dr. Szurek IV. MEMBERSHIP (Recommended action: Approval) Mr. Luse A. Nomination of Ms. Juanita Knudsen (rep. Consumers – Middle Keys) B. Nomination of Rev. Michael Hartney to the Governing Board (rep. Business Community) V. CONSENT AGENDA (Recommended action: Approval) Mr. Luse/Members A. Approval of the Agenda B. Approval of Minutes / Ratification of Activities, 5/16/05 (Governing Board), 6/13/05 (Finance Committee), 6/29/05 (Executive Committee). C. Authorization for the executive director to close account #1003826471 (Orion Bank; HUD Account), pending grant FL14B03-4004 finalization, but no later than 8/31/05. D. Authorization for the executive director to close account # 10127588 account (Marine Bank; Middle Keys Campaign 2005) and transfer funds to Orion account(s). E. Authorization (post factum) for the executive director to close account # 80000004121 (Orion Bank), health insurance task force account. (This account was closed in 2004 due to non-utilization, but the exec. director failed to secure formal approval at the time.) F. Interim Appointment of Debbie Premaza (elected officer – alternate) to serve as Treasurer for the balance of the calendar year, as appointed by the Chair. VI. REPORTS. A. Finance Mr. Smith/Mr. Douglass/Mr. Capurso B. Health Services Mr. Pascucci C. DOH Inspection, 6/14/05 Dr. Szurek VII. NEW BUSINESS. A. FY 05-06 Proposed Budget Mr. Smith B. FY 05-06, 06-07 Proposed Strategic Plan Dr. Szurek C. Proposed Policy and Procedure Revisions Ms. Premaza/Ms. DeNues/Dr. Szurek D. Move of Marathon Facilities Mr. Pascucci E. Expansion of Services (HMA, Baptist Health So FL) Dr. Will/Mr. Luse/Dr. Szurek VIII. OLD BUSINESS. A. Report: RHNMC, Inc. and KCHP, Inc. (State Attorney) Dr. Szurek/Rev. Hartney B. CHC Application Dr. Szurek C. CHAMP Program (Mariners Hospital) Dr. Szurek/Ms. Premaza D. Retention of #4, 1623 Spalding Ct, KW. Dr. Szurek IX. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests X. RHNMC ANNOUNCEMENTS. A. The next joint meeting of the Governing & Advisory Boards is scheduled for Monday, October 17, 2005, at 9AM at, 2855 Overseas Highway, Marathon, FL. B. The next regular monthly meeting of the Governing Board is scheduled for Monday, August 15, 2005 at 9AM at Mariners Hospital, and by conference call-in at 1623 Spalding Ct #4 in Key West, and 5701 Overseas Highway #17 in Marathon.
XI. ADJOURNMENT. Mr. Luse RHNMC Governing Board Meeting Monday, July 25, 2005, 9AM 5701 Overseas Highway #17, Marathon, FL Meeting Minutes
Governing Board Officers in Attendance: Robert H. Luse, Chairman (CEO, Mariners Hospital); Ms. Lori DeNues, Secretary (Consumers – Upper Keys), Rev. Michael Hartney, (Faith Community; alternate appointment for the Vice Chair, Fr. Tony Mullane)
Governing Board Members in Attendance: Mr. Michael Kissner (CEO, Fishermen’s Hospital); Ms. Dorothy Clever (Consumers – Lower Keys).
Advisory Board Members in Attendance: Ms. Chris Clark (Monroe Co. Health Department); Mr. David Cohn (Islamorada Chamber of Commerce); Mr. John Oliver, Mariners PHO (Vice President, Mariners Hospital)
Guests: Mr. John Capurso, Consultant
Staff Members Present: Dr. Mark Szurek, CEO; Mr. John Pascucci, COO; Mr. Dan Smith, MBA, CFO; Mr. Keith Douglass, PDD
Officers and Governing Board Members Excused: Dr. Nickie Will (CEO, Lower FL Keys Health Center); Ms. Ana Pena (Consumers – Upper Keys); Mr. Julia Terrell (Consumers – Upper Keys); Ms. Marney Brown (Consumers – Lower Keys); Mr. Dirk Smits, Esq (Community-at-Large); Ms. Juanita Knudsen (Consumers – Middle Keys, elect); Ms. Debbie Premaza, Interim Treasurer (elect).
I. CALL TO ORDER. Mr. Luse welcomed the group and called the meeting to order. II. MOMENT OF SILENCE. Mr. Luse led the group in a moment of silence in memory of Mr. William “Bill” Kwalick, who is recently deceased. Mr. Kwalick served the Board as a member and officer since 2000. III. VERIFICATION OF A QUORUM. Dr. Szurek stated that a simple majority of the Governing Board members were present (5 of 10; 2 new members to be elected by these proceedings. Rev. Hartney was appointed by the Chairman to serve as alternate for Fr. Mullane and the faith-community.) IV. MEMBERSHIP. In a motion made by Ms. DeNues and seconded by Mr. Kissner, the nominations of Ms. Juanita Knudsen, to represent the consumers of the Middle Keys, and Rev. Michael Hartney, to represent the business community, were unanimously approved for election to the Governing Board. V. CONSENT AGENDA. In a motion made by Rev. Hartney and seconded by Ms. DeNues, Item E of the Consent Agenda (authorization to close account # 80000004121) was pulled from of the consent agenda for discussion. In a motion made by Ms. DeNues and seconded by Mr. Kissner, the remaining items in the consent agenda (items A-D, F) were unanimously approved. Item E. Authorization for the executive director to close account 80000004121 in Orion Bank [health insurance task force account]. Rev. Hartney asked for the details of this account closure. Dr. Szurek stated, and Mr. Smith confirmed, that this account was closed in 2004 due to non-use of the account, and the fact that as soon as funds were deposited into this account, those funds were almost immediately withdrawn for costs. In addition, $1,500 of organizational revenues were required to be maintained in the account to keep it open, funds otherwise needed for operational costs. Dr. Szurek stated that he failed to secure Board approval at the time, as an oversight. The Board unanimously approved the actions of the executive director in this regard, despite the admitted oversight. VI. REPORTS. A. Finance. Mr. Smith distributed the Profit and Loss statement for the fiscal year ending 6/30/05, noting that the organization ended the year with a slight surplus and that the organization had stayed within budget projections. He then distributed the fiscal year-to-date statement, noting that the organization was currently faced with $16,000 in accounts payable, as well as the anticipation of payroll, moving costs and insurance policy renewals. Dr. Szurek stated that the organization would be requesting assistance from the Fishermen’s Hospital Assn, for assistance in its moving costs. Mr. Smith noted that there also exists some accounts receivables that will aid in addressing some immediate financial concerns. 1. Development/Fundraising. Mr. Douglass and Mr. Capurso outlined the Lower, Middle and Upper Keys campaigns (revised), set to conclude 9/30/05. The goal of the campaigns (collectively) is set at $250,000. Mr. Capuso and Mr. Douglass stated that they wished to pursue volunteer clerical help to assist them in their efforts. In a motion made by Ms. Clever and seconded by Ms. DeNues, the campaign plans and the recruitment of volunteer clerical help were unanimously approved. 2. Golf Tournament. Mr. Douglass and Mr. Capusro discussed the proposed golf tournament scheduled for Ocean Reef in early October 2005. Dr. Szurek asked that group revisit the proposed budget to accomplish this fundraising endeavor. Mr. Pascucci and Mr. Smith asked how the costs of the event were proposed to be met, while Mr. Kissner suggested that the costs itemized in the proposed budget could be secured through sponsorships. Ms. DeNues stated that the event should not be limited to the proposed plan as presented, and agreed that sponsorships could offset costs. Mr. Luse stated that there still appeared to be many things yet unresolved; he requested a list of participants both in the campaigns (and their affiliation) and who had been recruited to support the golf tournament. By unanimous acclamation, the Board stated that the development director should report back to the Board in its next meeting (8/15/05) to report on progress in securing sponsorships and to report the number of golfers to play in this fundraiser; at that time the Board would take action on whether or not to approve the proposed tournament. B. Health Care. Mr. Pascucci noted that for the fiscal year, RHNMC had met its patient, patient visits and patient services goals. Mr. Pascucci also presented the results of client survey conducted on oral health care patients for the (HFSF) grant interval (4/04-6/05), which revealed that 97% stated that their oral health care was improved by reason of care received from the RHNMC dental clinic, while 98% stated that the care received was either good or excellent. C. DOH Inspection, 6/14/05. Dr. Szurek stated that RHNMC was found to be compliant with all contractual requirements in an inspection conducted on 6/14/05 by the state Office of Rural Health. VII. NEW BUSINESS. A. FY 05-06. Mr. Smith presented the proposed budget. Mr. Smith re-emphasized the critical importance of the fundraising amount projected to meet expense obligations ($200,000). Mr. Kissner asked where possible cuts in the budget could occur, to which Dr. Szurek stated that it will be difficult to cut in any areas, as most costs are directly related to other expenses; e.g., without liability insurance, the organization is not eligible for some grants, etc. Emphasis thus remains on making the fundraising efforts work. In a motion made by Ms. DeNues and seconded by Mr. Kissner, the proposed budget was unanimously approved. B. FY 05-06 Strategic Plan. Dr. Szurek summarized the strategic plan for FY 05-06, with special emphasis on deleting the organization’s plan for creating and pursuing an endowment fund, with current energies directed at making the 3 regional campaigns successful; increasing the Board to its Bylaws limit of 17; and, creating several committees to aid in program accountability and oversight (Plan attached). In a motion made by Ms. DeNues and seconded by Rev. Hartney, the strategic plan was unanimously approved. C. Revised Policies & Procedures. Dr. Szurek stated that Mr. Luse had appointed a committee of 2 (Ms. Premaza and Ms. DeNues) to thoroughly review the proposed staff changes to the policies and procedures. Dr. Szurek stated that both committee members had expressed no concerns or changes to the revision suggestions; he also stated that a further revision was suggested applicable to policy Per 2.20 PAYROLL, wherein it was made clear that administration is not responsible for delivering paychecks to employees on paydays. In a motion made by Mr. Kissner and seconded by Rev. Hartney, the revised policies and procedures were unanimously approved, as recommended by the P & P committee and as amended by Dr. Szurek. D. Move of Facilities in Marathon. Mr. Pascucci stated that all planned movement from 5701 Overseas Highway #17 to 2855 Overseas Highway in Marathon was on schedule for the last week in August, first week in September 2005. E. Expansion of Services. 1. HMA. Dr. Szurek reported that Dr. Will of LFKHC is proposing a merger of services between the HMA primary care clinic in Key West and RHNMC. Dr. Szurek stated that he was seeking Board approval and support of this action, and upon approval, he would write a proposal to Dr. Will/HMA. In the interim, she has invited RHNMC personnel to tour the proposed site (dePoo Hospital). The goal of the merger will be to provide a 6-7 day per week clinic @ 10 hours per day, to ensure access for the working poor and uninsured after normal work hours and on weekends. Dr. Szurek acknowledged that the legal details regarding liability, schedules, chart responsibilities, supply usage and other factors would need to be negotiated before an agreement could be finalized. Dr. Szurek stated that both Dr. Will and he had hopes that an agreement could be negotiated by mid-Fall 2005. By acclamation, the Board supported the actions of the executive director in pursuing this merger. 2. Baptist Health of So. FL. Dr. Szurek stated that thanks to Mr. Luse, Baptist Health of So FL may be interested in supporting RHNMC primary care efforts in the Upper Keys. Dr. Szurek has submitted a proposal for $300,000 x 5 yrs to BHSF; the plan would enhance service expansion in the Upper Keys, expand hours and days of service delivery and hopefully offset non-acute care ER cost. Mr. Luse stated that there is the possibility of a decision to award the proposal before 10/1/05. By acclamation, the Board unanimously endorsed the proposal to BHSF. VIII. OLD BUSINESS. A. KCHP, Inc and RHNMC. Rev. Hartney reported that he is still endeavoring to establish the time, date and place for the next KCHP meeting, and that it remains his intent to offer the RHNMC Board decision to that group, as determined at the RHNMC meeting on 5/16/05. Dr. Szurek also reported that he had received a call from the State Attorney’s office, with a complaint originating from KCHP and an “unnamed elected county official”. The complaint involves a request for $23,000 allegedly “owed” to the KCHP as well as a concern about RHNMC accounting practices. Dr. Szurek stated that he has replied in a telephone interview to the inquiries of the State Attorney. The attorney asked that Dr. Szurek supply a written statement (and support documentation), to which Dr. Szurek has complied. (Copies of the written response were emailed to the Board Officers as well as to Mr. Smits, Esq. (Board Member), Mr. Smith (CFO) and Mr. Buzzi (CPA). B. CHC Application. Dr. Szurek stated that he preparing to submit the third application for Section 330e funding, due to HRSA on 12/1/05. He will also attend a training session in Miami on 9/05 to better anticipate grant requirements. He thanked Keith Douglass for helping him secure support letters from elected federal and state officials. He then asked if Fishermen’s, Mariners and LFKHC hospitals would consider a joint letter of support, as Board Members and as community hospital endorsement of the project. Mr. Kissner and Mr. Luse agreed. C. CHAMP Grant. Dr. Szurek reported that Mariners has been awarded a planning grant from HRSA, written by RHNMC, and conceptualized by Ms. Premaza. The CHAMP program is a successful program begun by Baptist Health So FL that utilizes faith-based volunteers to assist in ancillary care needs. Dr. Szurek stated that Ms. Premaza and he would remain available to assist with grant consultation where needed. D. Retention of Unit 4, 1623 Spalding Ct, Key West. Dr. Szurek stated that in the last Board meeting, he had asked for permission from the Board to end the lease for space at 1623 Spalding Ct, Units 2 and 4, in Key West. The Board granted that permission. In the interim, and with the proposal from HMA regarding an enhancement of primary care services in the Lower Keys, staff is recommending that the lease for space at Unit 4 be retained, to allow for medical supply storage, staff meeting space, and IT/MIS and financial management space. By acclamation, the Board unanimously approved the staff recommendation to retain the space according to lease specifications at 1623 Spalding Ct, Unit 4, Key West. IX. COMMUNITY INPUT AND ANNOUNCEMENTS. None were offered. X. RHNMC ANNOUNCEMENTS. A. The next joint meeting of the RHNMC Advisory and Governing Boards is scheduled for Monday, October 17, 2005 at 9AM at 2855 Overseas Highway in Marathon. B. The next regular monthly meeting of the Governing Board is scheduled for Monday, August 15, 2005 at 9AM at Mariners Hospital, with conference call-in provisions from 1623 Spalding Ct #4 in Key West, and 5701 Overseas Highway #17 in Marathon. XI. ADJOURNMENT. By acclamation, the Board unanimously agreed to adjourn.
Respectfully recorded,
Mark L. Szurek, Ph.D. President & CEO |
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