Community Health for the Florida
Keys
Oct 06
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Oct 06
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Joint Meeting of the RHNMC Governing & Advisory Boards Monday, October 16, 2006, 9AM, 2855 Overseas Highway, Marathon, FL Agenda
I. CALL TO ORDER, WELCOME & INTRODUCTIONS. Mr. Luse II. VERIFICATION OF A QUORUM. Dr. Szurek III. CONSENT AGENDA (Recommended action: Approval) Members A. Approval of the Agenda B. Approval of Minutes, 7/17/06.
V. OLD BUSINESS A. Dr. Doenecke Mr. Smits B. Withdrawal of Request to Increase Hospital Dues Dr. Szurek C. Funding Accomplishments & Plans Dr. Szurek 1. Fishermen’s Hospital Association; Questions c the Lease 2. Baptist Health So. FL 3. State Funding Request a. New Rep. District 120 - LIP Funds b. HB 7215, SB 2176 4. HSAB/County D. MOU with MCHD (Disaster Recovery) Dr. Szurek
VI. NEW BUSINESS A. State RHN Meeting, 9/19/06. (Medicaid Reform & RHN’s) Dr. Szurek B. HRSA Performance Review, 10/31-11/2/06. Dr. Szurek C. Formation of the Membership & Nominating Committee Mr. Luse/Dr. Szurek D. Other New Business. Members
VII. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests VIII. RHNMC ANNOUNCEMENTS - The next meeting of the Governing & Advisory Boards is tentatively scheduled for Monday, January 8, 2007, at 10AM, 2855 Overseas Highway in Marathon. (The third Monday of the month (1/15/07) is the observance of Martin Luther King, Jr. Day. Staff requests that the Annual Meeting be held on Monday, January 8, 2007.)
IX. ADJOURNMENT. Mr. Luse RHNMC Quarterly Meeting of the Advisory and Governing Boards Monday, October 16, 2006, 9AM 2855 Overseas Highway, Marathon, FL
Meeting Minutes
Board Officers in Attendance: Mr. Robert H. Luse, Chairman (Community-at-Large); Dr. Nicki Will, Vice Chair (CEO, LFKHC).
Board Members in Attendance: Ms. Kim Bassett (CEO; Fishermen’s Hospital); Ms. Dorothy Clever (Consumers – Lower Keys); Ms. Juanita Knudsen (Consumers – Upper Keys); Mr. Nelson Lazo (CEO; Mariners Hospital); Dirk Smits, Esq. (Community-at-Large); Ms. Julia Terrell (Consumers – Upper Keys).
Advisory Board Members in Attendance: Ms. Debbie Premaza, Regional Director – Lifelines Home Health Care; Ms. Suzanne Imperato, CMS; Capt. Steven Zavalney (for Chief Clark Martin)
Staff Members in Attendance: Mark L. Szurek, Ph.D., CEO; John V. Pascucci, Jr, COO; Dan Smith, MBA, CFO
Guests: None
Board Officers, Governing & Advisory Board Members Excused: Ms. Lori DeNues, Secretary (Consumers – Upper Keys); Ms, Ana Pena, Treasurer (Consumers – Upper Keys); Rev. Marney Brown (Consumers – Lower Keys); Comm. George Neugent (County Government); Ms. Chris Clark (MCHD); Sheriff Richard Roth (County Law Enforcement); Mr. David Cohn (Community); Ms. Liz Kern (Hospice VNA); Ms. Meylan Lowe-Watler (LFKHC); Mr. John Oliver (Mariners Hospital); Ms. Jerri Valverde (Community)
I. CALL TO ORDER. The meeting was called to order by Mr. Luse. At the onset of the meeting, Mr. Luse appointed Ms. Premaza and Ms. Imperato as interim Governing Board Directors in order to achieve an immediate quorum. (Bylaws Articles VI, 6, Numbers) Both Advisory Members accepted the appointment. Capt. Steven Zavalney introduced himself and stated that due to the poor health of Chief Clark Martin, and his (Capt. Zavalney’s) direct involvement in rural EMS, he would be assuming Advisory Board representation to RHNMC. Capt. Zavalney was welcomed by the group.
II. VERIFICATION OF A QUORUM. Dr. Szurek stated that 8 of the 12 Governing Board Members were in attendance in addition to the 2 appointees delegated by the Chair, constituting a quorum.
III. CONSENT AGENDA. In a motion made by Dr. Will and seconded by Ms. Bassett, the consent agenda was unanimously approved.
IV. REPORTS. A. Financial Report 1. First Quarter FY 06-07. Mr. Smith distributed the profit and loss statement for the quarter indicating a loss for the period of $11,000. Mr. Smith reported that fundraising was significantly lower than expected (< $1,000 vs FY 05-06, $11,000), while patient fees were twice as high when compared to this time last year (> $71,000 vs FY 05-06, $35,000). 2. Revised Budget. Mr. Smith distributed the revised budget for the FY, indicating changes in income due to final determinations of the BOCC, HSAB, and member dues. Changes in expenses deal almost exclusively with payroll adjustments in salary and fringe. In a motion made by Dr. Will and seconded by Ms. Knudsen, the revised budget for FY 06-07 was unanimously approved. B. Health Services. 1. Primary Care: Lower, Middle and Upper Keys. Mr. Pascucci stated that services are planned to resume in the Lower Keys this Saturday (10/21/06) at dePoo Hospital, thanks to the cooperation of Dr. Will and HMA. Dr. Covington and Ms. Sharon Murphy will cover this service. Primary Care in the Middle and Lower Keys has commenced to 5 days per week (4 days per week in Upper Keys are anticipated to become 5 days/wk in November). Patient flow has increased to almost twice the number of patients being seen due to the increase in service days. 2. Dental Care. Dr. Szurek reported that Dr. Carl Juliao will unfortunately be ending his contract in December 2006, but has assisted RHNMC with the recruitment of a new dentist set to initiate practice for the organization in January 2007. Ms. Terrell asked if dental services could be expanded to include an Upper Keys clinic. Dr. Szurek stated that the costs of such an expansion were prohibitive at this time, but that as funds become available, management would definitely look into such a possibility. Mr. Pascucci added that a dental hygienist has now been added to the dental team, enabling the organization to provide this service as well. Finally, Mr. Pascucci stated that he and the dental team would be developing outreach to the local schools to increase awareness of dental care among elementary and middle school students before the end of the year. C. Development. 1. Dr. Szurek reported that, despite best efforts particularly on the part of Ms. DeNues and Ms. Premaza, the fundraiser that was held on Sunday, October 15, 2006 was less than successful. Dr. Szurek thanked the 2 Advisory Board Members and offered them both a gift for their hard work and dedication. 2. Dr. Szurek stated that management was keenly aware of difficulties in getting a consistent message about clinical services to the public due to “constant” moving from location to location over the years, as well as frequent phone number changes. Given the lease with FHA (@ 10 yrs), management will now be placing ads with the “Yellow Book” in several spots throughout the book, giving locations, times, list of services and the phone number. Publication and distribution is scheduled in January 2007. Ad samples were distributed to the membership. In a motion made by Ms. Bassett and seconded by Mr. Lazo, the reports were unanimously accepted.
V. OLD BUSINESS. A. Dr. Doenecke. Mr. Smits reported that he had undertaken negotiations with Dr. Doenecke and his attorney in consultation with Dr. Szurek, and on behalf of the Board. Dr. Doenecke’s request for compensation is set at approximately $35,000, but Mr. Smits has been able to present enough (RHNMC) counter-documentation to his attorney to reach a settlement of $10,000. Some of the Board Members questioned whether or not this issue could be fought in court, as no wrong-doing was apparent on the part of RHNMC. Mr. Smits stated that although RHNMC would probably win the case, it would be only a “Pyrrhic victory”, i.e. too costly for the organization. In a motion made by Ms. Terrell and seconded by Mr. Lazo, the Board unanimously moved to have the case settled by Mr. Smits for $10,000. Mr. Smits was thanked by the Board and Staff for his attention to this matter. B. Withdrawal of Request: Increase in Member Dues. Dr. Szurek reported that staff is formally withdrawing its request for an increase in hospitals dues in FY 06-07. He also stated that in the future when such a request may be made to the Board that he will first consult with the hospital representatives. He further apologized for not consulting with the hospital reps. previously as the budget was being prepared for this new fiscal year. C. Funding Accomplishments & Plans. 1. Fishermen’s Hospital Association: Lease. Dr. Szurek reported that it appears that the issues brought before him by FHA have been resolved, i.e. use of (2855 O/H) space for clinical purposes only, and 5 day per week primary care services. He stated that no direction has been offered about external signage despite numerous requests for permission but that in the interest of community awareness, RHNMC would proceed with a permanent external sign. 2. Baptist Health of S. FL. Dr. Szurek asked that Mr. Lazo assist him with a meeting with the CEO of Baptist Health S. FL in securing financial assistance for primary care services in the Upper Keys. Specifically, it was his (Dr. Szurek’s) hope that funding could be identified for a new mobile medical van. Mr. Lazo stated that he would be happy to assist, but that it was imperative to move quickly with this request. 3. State Funding Requests. a. Low Income Pool Funds (LIP). Dr. Szurek stated that he has become aware of a reserve pool for low income health care support through the state (DOH). He stated that he has spoken with (former) Comm. Rice who, if elected (to State Rep. District 120), will support any legislative action to secure this funding for Monroe County through RHNMC. Dr. Szurek stated that he hoped to secure enough funding to support not only primary care, but mental health (through GCMK) and local health dept. prevention initiatives as well. b. HB 7215 and SB 2176. Dr. Szurek stated that legislation not passed by the FL Congress in the last session will be re-visited in this next session. If passed, it will increase funding to rhn’s throughout the state on a competitive basis. 4. HSAB/BOCC. Dr. Szurek stated that of the $400K requested from the BOCC for primary care, RHNMC was granted $360K for FY 06-07. Of the $150K requested for dental care, only $80K had been approved. The net increase in funding is an increase of $40K over the previous FY, but $110K short of the new funding request. The problem appears to be with the HSAB Board, as no clear reasons were given as to why the RHNMC request was significantly reduced. The Board unanimously supported keeping the traditional request method in place, i.e. through both the HSAB and BOCC. Certain Board Members added their support to intercede on behalf of the organization as necessary. D. MOU with MCHD. Dr. Szurek reported that he remains unsuccessful in securing a meeting with Dr. May of the health department to finalize an understanding and agreement for disaster recovery vis-a- vis RHNMC’s role. He has received a draft MOA from Dr. May which essentially requires that RHNNC turn over its medical mobile van to be used for disaster recovery. He stated that it was his plan to secure a new van, and then turn over the old van to AHEC to be used jointly by AHEC for training purposes and by MCHD for disaster recovery. Again, he has been unable to explain this plan directly to Dr. May, but will renew his efforts.
VI. NEW BUSINESS. A. State RHN Meeting. Dr. Szurek stated that he attended the quarterly meeting of the state rhn’s in Orlando in September 2006. The meeting addressed the pilot study of Medicaid Reform as it applies to rural counties. The outlook appears dim at this time as the rural network assigned the pilot has indicated that it is virtually impossible to organize rural practitioners into an HMO model for this reform effort. Dr. Szurek stated that he will continue to monitor progress and report to this Board. B. HRSA Performance Review. Dr. Szurek reported that a performance review of the HRSA Network Development grant will occur on 10/31 through 11/2/06. Through a series of conference calls with the site-visit officers, he reported that RHNMC is well prepared for this inspection. C. Formation of the Membership & Nominating Committee. Dr. Szurek asked the Chair to approve the appointment of Ms. Premaza, Ms. Clark and Ms. Imperato to serve as members of the Membership & Nominating Committee, with Ms. Premaza to serve as committee chair. Ms. Premaza declined the nomination. Ms. Terrell was then asked and agreed to serve as a committee member and to act as chair of the committee. The committee was formally recognized and authorized by the Chairman of the Board (Bylaws Article VIII, 1 Designation). By acclamation, the Board unanimously approved and authorized the committee to submit nominations for officers and directors as well as approve the selection of persons deserving recognition at the annual meeting of the membership in January, as recommended by staff. D. Other New Business. None E. VII. COMMUNITY INPUT AND ANNOUNCEMENTS. A. Capt Zavalney re-introduced himself and described his experiences with Monroe County EMS, his anticipated level of participation with this Board, and his history with rural/state EMS projects. B. Ms. Premaza announced that she has been promoted in her place of business (Lifelines Home Health Care) and now is the state director for her organization. She was congratulated by the membership, and thanked again for her continued service to the community and RHNMC. C. VIII. RHNMC ANNOUNCEMENTS. Dr. Szurek asked that the annual meeting of the membership be moved to the second Monday of the month in January so as not to conflict with the observance of Dr. Martin Luther King, Jr. Day (January 15, 2007). In a motion made by Ms. Knudsen and seconded by Dr. Will, the Board unanimously approved this request. The next (and annual) meeting of the Governing & Advisory Board will be held on Monday, January 8, 2007 at 10AM at 2855 Overseas Highway in Marathon. IX. IX. ADJOURNMENT. There being no further business before the group, Mr. Luse called for adjournment. By unanimous acclamation, the meeting was adjourned.
Respectfully recorded.
Mark L. Szurek, Ph.D President & CEO
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