Community Health for the Florida
Keys
Minutes October
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Minutes October
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RHNMC Joint Meeting of the Advisory & Governing Boards Monday, October 17, 2005, 9AM, 2855 Overseas Highway, Marathon, FL Agenda I. CALL TO ORDER AND WELCOME. Mr. Luse II. VERIFICATION OF A QUORUM. Dr. Szurek III. BOARD MEMBERSHIP Dr. Szurek A. Special Announcement: Resignation from the Board of Mr. Kissner B. Nomination: Ms. Kim Basset, (new) CEO, Fishermen’s Hospital IV. CONSENT AGENDA (Recommended action: Approval) Mr. Luse/Members A. Approval of the Agenda B. Approval of Minutes, 9/14/05 C. Approval for the executive director to submit an application for funding for a new medical van to the Health Foundation of South FL. D. Authorization for the executive director to solicit Governing and Advisory Board Members to act as the Membership & Nominating Committee for officer and director nominations for 2006. (The Chairman of the Board will select the chair of this committee. The committee membership will be ratified by the Governing Board in 11/05.) E. Authorization for the executive committee to approve the Section 330e grant application (before 12/1/05) VI. OLD BUSINESS A. Revised Budget, FY 05-06 Mr. Smith B. Status of the Proposed (Primary Care Clinic) Merger with HMA, Lower Keys Dr. Will C. CHC (Section 330e) Application Dr. Szurek 1. FQHC “Look-Alikes” 2. Board Composition in Relationship to CHC Preparation D. State Attorney’s Investigation (KCHP vs RHNMC) Fr. Hartney VII. NEW BUSINESS A. Review (and approval?) of Revisions to the BYLAWS Dr. Szurek 1. Rationale and “why now?” 2. Approval for Future Annual Reviews in October (?) Members B. October 17th Meeting of the Governing Board Dr. Szurek 1. “Naming” our Sites: the Marathon clinic; the MedVan(s) 2. Dedication of Marathon Site – to Coincide with the Annual Meeting (16th [MLK] vs 23rd ) VIII. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests IX. RHNMC ANNOUNCEMENTS A. The next joint meeting of the Governing & Advisory Boards is scheduled for Monday, January 23(?), 2006, at 10AM at, 2855 Overseas Highway, Marathon, FL. This will be the annual meeting of the membership. (Dedication?) B. The next meeting of the Governing Board is scheduled for Monday, November 21, 2005, at 9AM, at Mariners Hospital, with conference call-in arrangements from Key West and Marathon.
X. ADJOURNMENT. Mr. Luse RHNMC Advisory & Governing Board Meeting Monday, October 17, 2005, 9AM, 2855 Overseas Highway, Marathon, FL
Meeting Minutes
Board Officers in Attendance: Mr. Robert H. Luse, Chairman (CEO, Mariners Hospital); Ms. Lori DeNues, Secretary, Consumers, Upper Keys; Ms. Debbie Premaza, RN, Interim Treasurer (Regional Director, Lifelines Home Health Care)
Governing Board Members in Attendance: Ms. Juanita Knudsen, Consumers, Upper Keys; Ms. Marney Brown, Consumers, Lower Keys; Ms. Kim Bassett, CEO, Fishermen’s Hospital [Elect]; Fr. Michael Hartney, Marathon Chamber of Commerce; Mr. Dirk Smits, Esq., Community-at-Large.
Advisory Board Members in Attendance: None
Staff Members in Attendance: Dr. Mark L. Szurek, CEO; Mr. Dan Smith, CFO; Mr. Keith Douglass, PDD.
Guests: None
Board Officers Excused: Fr. Tony Mullane, Vice Chair, Faith Community
Governing Board Members Excused: Ms. Julia Terrell, Consumers, Upper Keys; Ms. Dorothy Clever, Consumers, Lower Keys; Dr. Nicki Will, CEO, LKHC
I. CALL TO ORDER AND WELCOME. The meeting was called to order by Mr. Luse. Mr. Luse welcomed all in attendance and asked that members and staff introduce themselves. II. VERIFICATION OF A QUORUM. Dr. Szurek reported that there was a simple majority of the members present, constituting a quorum (8/13). III. BOARD MEMBERSHIP. 1. Dr. Szurek reported that Mr. Kissner has announced his resignation from the Board, as he is no longer the CEO of Fishermen’s Hospital. 2. Dr. Szurek stated that a Board seat has been reserved for a representative from Fishermen’s Hospital, and Ms. Basseett, the new CEO for Fishermen’s, has accepted an invitation to be nominated to the RHNMC Board. Fr. Hartney nominated Ms. Bassett to fill this vacant seat and was seconded by Ms. Premaza. There being no discussion, the Board unanimously approved the three-year term of election for Ms. Bassett, as the representative from Fishermen’s Hospital. Mr. Luse welcomed Ms. Bassett to the Governing Board. IV. CONSENT AGENDA. In a motion made by Mr. Smits and seconded by Ms. DeNues, the Board unanimously approved the “consent agenda” placed before them for consideration . (Please see agenda, Item IV, Parts A-E.) V. REPORTS. A. Finance 1. Income and Expenses. Mr. Smith reported that there is a marginal profit documented for the organization for the fiscal year to date, with some indication that fundraising is making an impact. 2. Development Committee Report. Mr. Douglass submitted a report on fundraising accomplished for the FY, as well as sums pending, by sources. Ms. Premaza, as chair of the dev. committee, reported on committee progress and planning, and then distributed cards to Board Members for potential donations. B. Health Services. Dr. Szurek reported that Mr. Smith and Mr. Pascucci are to be congratulated on their efforts to complete the “final” move of the Marathon facilities. He reported that phone service has been interrupted and then reconnected due to a system error, but that all lines are now operational. Services have resumed at all locations. VI. OLD BUSINESS. A. Revised Budget, FY 05-06. Mr. Smith distributed the revised budget, based on the exercise of the last 2 Board meetings. The revised budget reflects the elimination of staff salary increases, as well as the reduction of certain expenses (e.g., insurance costs) due to adjustments and savings. In a motion made by Ms. DeNues and seconded by Fr. Hartney, the Board unanimously approved the revised budget for FY 05-06. B. Status of Primary Care Clinic Proposed Merger. In the absence of Dr. Will, Dr. Szurek asked that the discussion and report be tabled until the November meeting. By acclamation, the Board agreed. C. CHC (section 330e) Application. 1. “FQHC Look-Alikes”. Dr. Szurek stated that there were certain advantages and disadvantages in pursuing the “Look-Alike” status. The application for this “look-alike” and a section 330e program is identical; however, the obligations associated with becoming a “look-alike” can be burdensome. To clarify, if the status is achieved, the program is thereby obligated to comply with all of the section 330e requirements, BUT, no federal funding is issued. The advantage to a program achieving this status is that the program may participate in 340b pharmaceutical assistance program, which will greatly assist our clients. Dr. Szurek asked if the Board would like for RHNMC to apply for this status, although there are no funds attached to an increase in responsibility and obligations. Ms. Premaza asked if the Health Council of So. FL might assist with inkind resources, to make this participation possible. The Board agreed that this might be a solution to the dilemma, while Dr. Szurek stated that such a partnership would probably strengthen the application. The Board instructed Dr. Szurek to pursue a FQHC Look-Alike application with HRSA. Dr. Szurek stated that he should be ready to submit such an application by mid-January 2006. 2. Board Composition. Dr. Szurek stated that certain adjustments needed to be made to comply with federal requirements for Section 330e funding. He distributed a formula that would accomplish those changes before the end of the calendar year. The Board voiced it support for these changes to comply with federal criteria. D. State Attorney’s (SA) Office - RHNMC vs KCHP. Fr. Hartney, as the Board representative to KCHP, updated the Board with regard to the complaint issued by KCHP against RHNMC. In attempting to contact Jeff Reagan (of KCHP) for the purpose of offering a plan for reconciliation between the 2 organizations, Mr. Reagan answered Fr. Hartney with information that the complaint had been closed by the SA office (8/16/05) due to insufficient evidence of wrongdoing by RHNMC. Fr. Hartney asked that Dr. Szurek confirm this information in writing with the SA. Dr. Szurek read an email response, confirming that the case had been closed for the reasons stated. Fr. Hartney asked what the pleasure of the Board was, given his instructions by the Board to offer financial assistance to KCHP. All agreed that the financial offer should be withdrawn, but that a statement to KCHP should be issued stating RHNMC’s intent to work together should KCHP be so inclined. Fr. Hartney agreed to write such a letter on behalf of the Board. VII. NEW BUSINESS. A. Revisions to the ByLaws. Dr. Szurek summarized the revisions offered by Staff, to comply with recommendations offered by federal (Section 330e) criteria. In a motion made by Fr. Hartney and seconded by Ms. DeNues, the Board unanimously approved the revisions suggested by Staff. B. Review of ByLaws each October. In a motion made by Fr. Hartney and seconded by Ms. DeNues, the Board unanimously agreed to conduct an annual review of the ByLaws each October. C. “Naming” our Clinics and Places. Dr. Szurek asked that the Board consider the (re) dedication of MedVan I as the “Bill Kwalick MedVan”, and that the Marathon clinic location be dedicated to the memory of Ms. Christine E. Puto, an attorney who passed away 2 years ago, but who had performed pro bono services for the Network and who was widely respected by Marathon community. This action is recommended to preserve the memory of those who have helped the Network in years passed, as well as communicating the Network’s affiliation with others in the immediate community who have offered their assistance. Mr. Smits suggested that this may also be a method to assist with fundraising, as community members may offer financial assistance to the organization in exchange for memorial recognition. Fr. Hartney also stated that some “memorials’ may need to be transitory in nature as, for example, the MedVan may age and need to be replaced and the applicable name “retired”. In a motion made by Ms. Bassett and seconded by Ms. DeNues, the Board unanimously approved the dedication of these locations in memory of Ms. Puto and Mr. Kwalick. D. Dedication of 2855 Overseas Highway. Dr. Szurek asked that the Board consider changing the Annual Meeting date from January 16, 2006 to January 23, 2006. The 16th is Martin Luther King, Jr. Day, a holiday. He also asked that the annual meeting begin at 10AM, to be followed by a lunch, and a formal dedication of the facility. The afternoon would be dedicated to an open house and tours of the facility. By acclamation, the Board unanimously approved this request. VIII. COMMUNITY INPUT & ANNOUNCEMENTS. There was no announcements or community input. IX. RHNMC ANNOUNCEMENTS. A. (Based on the action taken above, Item VII, D, above). The next joint meeting of the Advisory & Governing Boards is scheduled for Monday, January 23, 2006, at 10AM, at 2855 Overseas Highway in Marathon. This will be the annual meeting of the Board, to be followed by a luncheon and open house. B. The next monthly meeting of the Governing Board is scheduled for Monday, November 21, 2006 at 9AM at Mariners Hospital. Conference call-in arrangements will be offered from 1623 Spalding Ct #4 in Key West and at 2855 Overseas Highway in Marathon, for those members unable to attend the meeting in Tavernier. C. The Development Committee meeting will be held immediately prior to the Governing Board meeting on November 21st, at Mariners Hospital at 8AM, and will also accommodate call-in from remote areas in the county. X. ADJOURNMENT. There being no further business, by acclamation, the Board unanimously voted to adjourn. Respectfully recorded,
Mark L. Szurek, Ph.D., President & CEO |
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