Community Health for the Florida
Keys
Jan. 06
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Jan. 06
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Annual Meeting of the RHNMC Membership Monday, January 23, 2006, 10AM, 2855 Overseas Highway, Marathon, FL Agenda The Annual Meeting and Luncheon are sponsored by Fishermen’s Hospital with our Gratitude! I. CALL TO ORDER AND WELCOME. Mr. Luse II. IN MEMORY OF CHRISTINE PUTO A. Introduction Dr. Szurek B. Invocation by the Pastor of San Pablo Catholic Church Fr. Morris C. Unveiling D. A Word from Mike Puto, on behalf of the Puto Family. III VERIFICATION OF A QUORUM. Dr. Szurek IV. CONSENT AGENDA (Recommended action: Approval) Members A. Approval of the Agenda B. Approval of Minutes, 11/21/05 D. Special Recognition: Fr. Michael Hartney, on the occasion of his resignation from the Board, and departure from the Keys. Dr. Szurek VIII. OLD BUSINESS A. HRSA & CHC Application – Pursuit of the FQHC Look-Alike Dr. Szurek B. Federal & Other Funding Issues Implications 1. Merger/Space with HMA, (KW & Big Pine Key) Ms. Bassett/Dr. Will/Dr. Szurek 2. Staff Plan for Continuance Dr. Szurek/Mr. Douglass C. P & P Revision: (Employee) Emergency Leave Dr. Szurek D. P & P Revision: Disaster Planning/RHNMC Role (Update Report; Ratification of the Committee’s Activities by the Board) Ms. Bassett/Dr. Szurek IX. NEW BUSINESS Members A. Approval for the Board Officers, Dr. Szurek and Mr. Pascucci to exercise signature authority on the corporate bank accounts. B. Approval of Revisions, P & P, Per 2.14, OFFICE HOURS X. COMMUNITY INPUT AND ANNOUNCEMENTS. Members/Guests XI. RHNMC ANNOUNCEMENTS A. The next meeting of the Governing is scheduled for Monday, March 20, 2006, at 9AM, at Mariners Hospital, Tavernier, and through conference call-in at 2855 Overseas Highway, Marathon, FL and 1623 Spalding Ct # 4, Key West. B. Dr. Szurek is now officed at 2855 Overseas Highway in Marathon.
XII. ADJOURNMENT. Mr. Luse
BREAK (There will be a 15 minute break, before the luncheon and community recognitions.)
RHNMC FACILITY DEDICATION & COMMUNITY RECOGNITION LUNCHEON (The luncheon will be a buffet. Guests are encouraged to serve themselves and find a comfortable seat for the proceedings. )
I. WELCOME Dr. Szurek
II. DEDICATION OF THE MARATHON FACILITY A. Invocation B. Ribbon Cutting Mr. Luse, Board, FHA & Other Distinguished Guests
III. SPECIAL RECOGNITIONS Dr. Szurek A. Fr. Tony Mullane, Pastor, St. Peter’s Catholic Church Mr. Douglass B. Mr. Sam Nekhaila Mr. Douglass C. Rev. Dr. Steve Braddock, CEO, FL Outreach Coalition for the Homeless Dr. Szurek
IV. IN APPRECIATION: BOARD OFFICERS, 2005 Dr. Szurek
V. EMPLOYEE OF THE YEAR, 2005. Dr. Szurek
VI. LIGNUM VITAE AWARD: Fishermen’s Hospital Association Mr. Luse
VII. CLOSING STATEMENTS, ADJOURNMENT AND THANK YOU Mr. Luse
There will be an open house between 1 and 3 PM. Community agencies and the public are invited to tour the facility. Refreshments will be served.
RHNMC Annual Meeting of the Advisors and Governors Monday, January 23, 2006, 10AM 2855 Overseas Highway, Marathon, FL 33050
Meeting Minutes Board Officers present: 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 present: Ms. Juanita Knudsen, Consumers – Upper Keys; Ms. Dorothy Clever, Consumers – Lower Keys; Ms. Marney Brown, Consumers – Lower Keys; Ms. Julia Terrell, Consumers – Upper Keys; Ms. Kim Basset, CEO, Fishermen’s Hospital; Dr. Nicki Will, CEO, LFKHC. Advisory Board Members present: Ms. Chris Clark, RN, MCHD; Mr. John Oliver, Mariners Hospital Guests: Mrs. Sylvia Puto, Mr. Mike Puto, Fr. Gerald Morris, Ms. Katie Lea, Ms. Dianne Wetlz, Ms. Mary Jane Holder, Mr. Chris Bull, Mr. Jason Koler, Dr. Wm. Michener, Comm. David P. Rice. Staff Members present: Dr. Mark Szurek, CEO; Mr. John Pascucci, COO; Mr. Dan Smith, CFO; Mr. Keith Douglass, PDD; Mrs. Lin Klingbeil, Sr. ARNP, Ms. Sandy Fitzgerald, RN, Staff Nurse, Mr. John Nawrocki, Asst. Admin. Board Officers and Members excused: Fr. Tony Mullane, Vice Chair; Mr. Dirk Smits, Esq.; Ms. Ana Pena, Consumers – Upper Keys.
I. CALL TO ORDER. The meeting was called to order by Mr. Luse, presiding chair. Mr. Luse invited all Board Members and Guests present to introduce themselves. II. IN MEMORY OF CHRISTINE E. PUTO A. Dr. Szurek addressed the group about the kindness extended to RHNMC over the years by Ms. Puto, and her generous contributions to the community. B. Fr. Gerald Morris, pastor of San Pablo Catholic Church, recited an invocation. C. Dr. Szurek unveiled a portrait and dedication plaque in memory of Christine Puto. D. Mr. Mike Puto and his Mother expressed their gratitude to RHNMC and to those attending for this special remembrance of Christine. III. VERIFICATION OF A QUORUM. Dr. Szurek stated that a simple majority of the Governing Board members were present, constituting a quorum (8/11). IV. CONSENT AGENDA. The items contained on the “Consent Agenda”, please see page 1, IV., Parts A-E, were unanimously approved in a motion made by Ms. Knudsen and seconded by Ms. DeNues. V. DIRECTOR AND OFFICER NOMINATIONS A. Director Nominations. 1. Dr. Szurek reported that the Membership & Nominating Committee (M & N) had recommended Ms. Dorothy Clever for a 3 year term of office as a Governing Board Member representing consumers of the Lower Keys. He also reported that the M&N Committee had recommended Comm. George Neugent to represent county government for a 3 year term on the Governing Board. Both individuals have accepted their respective nominations 2. The Chairman called for other nominations from the floor. There were none. 3. In a motion made by Ms. DeNues and seconded by Ms. Knudsen, the Board unanimously approved the election of Ms. Clever and Commissioner Neugent. B. Officer Nominations 1. Dr. Szurek reported that the M & N Committee had nominated for chairman, Mr. Robert H. Luse; for Vice Chair, Dr. Nicki Will; for Secretary, Ms. Lori DeNues; for Treasurer, Ms. Ana Pena. All individuals have accepted their respective nominations. 2. The Chairman asked for other nominations from the floor. There were none. 3. In a motion made by Ms. Clever and seconded by Dr. Will, the nominated Officers were unanimously elected for a one year term. VI. INSTALLATION. Dr. Szurek asked that all advisory and governing Board Members and Officers rise and raise their right hand. He asked that each pledge to uphold the Bylaws, policies and procedures, and decisions of the Governing Board, and to advocate for equitable access to health care for all Monroe County residents. Each member agreed to the pledge by stating “I will”. VII. REPORTS A. Finance. 1. Review of Income & Expenses. The Balance Sheet and Profit and Loss statements to date were circulated to all members. Mr. Smith stated that there are some adjustments to the statements, in that some long term debt has been reconciled with insurance payments received by virtue of Hurricane Wilma claims and that those adjustments have not been posted. Actual profit to date is approximately $30K. 2. Independent Audit FY 04-05. Dr. Szurek distributed copies of the independent audit conducted by the firm of Smith, Ortiz, Gomes and Buzzi for FY 04-05. There were no material weaknesses noted and the audit found the organization compliant in all areas of review to include OMB criteria relevant to sections A-110, A-122, and A-133. In a motion made by Ms. DeNues and seconded by Ms. Clever, the audit for FY 04-05 was unanimously accepted by the Board. 3. Development Committee Report. Mr. Douglass reported activities of the development committee for the past month, and distributed a report of progress (attached). B. Ad hoc committee: Hurricane/Disaster Preparedness. Dr. Szurek and Ms. Bassett reported that a meeting was convened on 12/15/06, under the leadership of Ms. Bassett to study the role and potential responsibilities of RHNMC with regard to disaster response. Dr. Szurek thanked the health department (Ms. Clark and Mr. Howe) for their participation in this meeting. MCHD has agreed to draft a memo of understanding (MOU) that will (1) place the department in leadership coordinating role, and (2) that RHNMC will offer the use of resources (where able), and (3) will recruit volunteers from among its personnel to assist with disaster recovery, but who will become health dept. volunteers. After the MOU is drafted, the committee will reconvene and negotiate the memo’s content. A final draft will be presented for Board review and approval. Dr. Szurek thanked Ms. Bassett for her leadership in this regard. C. Health Services. Mr. Pascucci read a prepared statement reviewing the activities of health services personnel for the calendar year, noting over $200K in pharmaceutical assistance offered to clients. Hurricane downtime, the movement of clinic sites and absences by practitioners for various reason accounted for relatively lower census numbers than usual. Mr. Pascucci also reported that RHNMC had been inspected by the FL Board of Pharmacy, and was found to be compliant in all areas. D. Special Recognition: Fr. Michael Hartney. Dr. Szurek reported that he had had an “exit-lunch” with Fr. Hartney in December (05), to wish him well on his relocation out of state and to thank him for his support and leadership of RHNMC. VIII. OLD BUSINESS. A. HRSA & CHC Application. (FQHC Look-Alike). Dr. Szurek reported that it appears that there will be no federal funding allocated to allow for new CHC start-ups, for possibly up to and through the next 2 years. As formerly agreed, RHNMC will pursue FQHC Look-Alike status, which will assist in reduced pharmaceutical assistance costs, and may allow for some liability protection. He further stated that statistically, “Look-A-Likes” have a 90% better chance of achieving CHC status than do other non-Look-A-Like applicants. B. Federal Funding and Other Relevant Issues. 1. Dr. Szurek stated that there is a strong possibility that the RHNMC application for (HRSA) rural outreach funding may be denied due to those anticipated congressional cutbacks. Two initiatives to secure other funding have been begun by staff to anticipate the current end of the outreach grant, 4/30/06. A delay in merger discussions with HMA in Key West has been enacted, pending the need to find new funding resources. Ms. Bassett has also offered to find medical office space in Big Pine Key, given the destruction of MedVan 2. Services will continue as is and per current schedule until 4/30/06, the termination of the current outreach grant. 2. Staff Plan for Continuance. If new funding is found, and after May 1, 2006, the program intends to staff medical services with a mid-level practitioner (PA or ARNP), an RN and a clerk, with 2 days in Big Pine Key (Wednesday, Thursday) and 2 days in Key West (Friday, Saturday) on 10 hour per day shifts. No changes are anticipated in the Marathon or the Upper Keys regardless of funding cutbacks. C P & P Revision: Emergency Leave. The draft presented to the Board was unanimously accepted in a motion made by Ms. Bassett and seconded by Ms. DeNues with an amendment that all time made up (in lieu of vacation time deductions) must occur the within the first pay period for exempt employees (administrators, nurse, practitioners, doctors), and that no overtime may be accrued as a result of make-up time by non-exempt employees (dental assistants, administrative assistants, clinical assistants). D. Ad hoc Disaster Preparedness Meeting Minutes: Ratification. In a motion made by Ms. DeNues and seconded by Dr. Will, the minutes of the ad hoc disaster preparedness committee were unanimously approved and ratified by the Board. IX. NEW BUSINESS. A. Signature Approval on Corporate Accounts. In a motion made by Dr. Will and seconded by Ms. Bassett, the Board unanimously approved signature authority for all corporate banking accounts to include the checking account #1003825977 and money market account #1003825980, to Chairman Luse, Vice Chairperson Will, Secretary DeNues, the CEO, Dr. Szurek, and the COO, Mr. Pascucci. B. P & P Revisions, Per 2.14. In a motion made by Dr. Will and seconded by Ms. Bassett, the Board unanimously approved the revisions to “Office Hours” as suggested by Staff. X. COMMUNITY INPUT. There was no community input. XI. RHNMC ANNOUNCEMENTS. A. The next meeting of the Governing Board is scheduled for Monday, March 20, 206 at 9AM at Mariners Hospital. Phone call-in accommodations will be provided from 2855 Overseas Highway in Marathon, and from 1623 Spalding Ct #4 in Key West for those unable to attend the meeting in person. B. Dr. Szurek is now officed at 2855 Overseas Highway in Marathon and due to phone complications can be reached by cell at 305-766-3758. XII. ADJOURNMENT. The meeting was adjourned by unanimous acclamation.
RHNMC FACILTIY DEDICATION & COMMUNITY RECOGNITION LUNCHEON, 12 noon to 1PM
I. WELCOME. Dr. Szurek welcomed all guests and members to the luncheon and dedication. II. DEDICATION OF THE FACILITY. In a “gauze-cutting” ceremony, representing the health care community in the Lower Keys was Dr. Nicki Will; representing the health care community in the Middle Keys, was Ms. Kim Bassett; and representing the health care community in the Upper Keys as well as the RHNMC Board, was Mr. Robert H. Luse. Dr. Mark Szurek, CEO, represented the organization, and Mr. Tom Wright, Chairman of the Fishermen’s Hospital Association, represented the landlord. The gauze was cut to the applause of the attendees. The group then retired into the main waiting room. III. SPECIAL RECOGNITIONS. A. Mr. Douglass recognized Fr. Tony Mullane for his hospitality to RHNMC by providing space for MedVan 2 on his parish grounds since 1999, and for his service as a Board Member since 2000. B. Mr. Douglass also recognized Mr. Sam Nekhaila for his leadership in the Upper Keys fund-raising campaign over the past year. C. Dr. Szurek recognized Rev. Dr. Steve Braddock for his leadership of the social services community particularly in the wake of Hurricane Wilma. IV. APPRECIATION OF BOARD OFFICERS. Dr. Szurek distributed gift baskets to each of the Officers in appreciation of the leadership, time and dedication to the organization. Dr. Szurek also asked for a moment of silence in memory of Mr. Bill Kwalick who served as treasurer, but who died in June 2005. V. EMPLOYEES OF THE YEAR. Dr. Szurek recognized Mrs. Shui-Lin Klingbeil, Ms. Sandy Fitzgerald and Mr. John Nawrocki for their outstanding commitment to service as the Upper Keys Medical Team, as Employees of the Year 2005. VI. LIGNUM VITAE AWARD. Dr. Szurek, on behalf of RHNMC, awarded the Lignum Vitae Award to the Fishermen’s Hospital Association, for their generous contribution of space to RHNMC. Accepting on behalf of the Association was Mr. Tom Wright. VII. CLOSING STATEMENTS. Comm. Rice thanked Dr. Szurek for his work on the annual meeting to the applause of the group. Mr. Luse also thanked Dr. Szurek for his efforts and the efforts of staff over the past year. Mr. Luse then adjourned the proceedings.
(The luncheon was followed by an open house from 1 to 3 PM, to welcome county agencies and to orient them to available services through RHNMC.)
Respectfully recorded,
Mark L. Szurek, Ph.D. President & CEO
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