Download joint ghi-bocc meeting february 22, 2011 5:30 pm capital regional

JOINT GHI-BOCC MEETING
FEBRUARY 22, 2011
5:30 PM
CAPITAL REGIONAL MEDICAL CENTER
GADSDEN MEMORIAL CAMPUS
1.
CALL TO ORDER: BOCC Chair Taylor & GHI Chair McMillan
Bocc –
Commissioner Sherrie Taylor, Chair P
Commissioner Gene Morgan, Vice Chair P
Commissioner Brenda Holt P
Commissioner Doug Croley P
Commissioner Eugene Lamb P
Mike Glazer, Assistant Co. Attorney P
Nicholas Thomas, Clerk of the Courts P
Johnny Williams, County Administrator P
Jean Chesser, Deputy Clerk P
GHI --
Craig McMillan, Chair P
Herb Sheheane, Vice Chair P
Dr. Charles Kent P
Sen. Fred Dudley P
Ms. Shelia Atkins A
Scott Whitehead P
Jimmy Suber (Present via phone)
Meeting called to order at 5:40 PM BOCC Chair Taylor
GHI Chair McMillan requested Item # 5 be heard first and Agenda
was amended accordingly.
ITEM 5 –DISCUSSION OF EMS TRANSFER PROTOCOLS – DR. JOSE
SANTANA, EMS MEDICAL DIRECTOR & DON CRUM, EMS CHIEF
Dr. Santana addressed the Boards jointly – review all protocols
for EMS as well as change to some medications on ambulances.
Educational curriculum for EMS employees. Stroke training for
patients being taken immediately. Patient Transport Protocol
report distributed to all commissioners for informational
purposes – Code levels 1,2,3,4. Basic clarification of protocol
Discussion by Commissioners
2.
AMENDMENT TO ARTICLES OF INCORPORATION BYLAWS OF GHI, INC.
(Assistant County Attorney Mike Glazer)
Mike Glazer explained changes need to be made to the ByLaws, and if acceptable be presented for vote by GHI – If
approved by GHI will then be presented to BOCC for action/vote.
To save county money, Mr. Glaze recommended not require separate
audit be done on hospital separate from County audit. Article of
Incorporation reviewed by Mr. Glazer with changes that non-leased
space available in the Hospital (excluding all leased space with
CRMC) be available for other medical interests wishing to do
medical services in the facility – all of which must meet all
requirements as specified by GHI/County. Soverign Immunity
changes suggested (page 3). Delete article requiring financial
statement (bottom pg 6)
Senator Dudley questions to Mr. Glazer on GHI powers as
stated in Article of Incorporation and Mr. Glazer’s explanation.
Commissioner Croley Questions on future role of GHI Board
regarding operations, etc of hospital. Said GHI Board needs to
stay in tact.
Mr. Glazer comments –
Clerk Thomas explanation of hospital costs included in
County’s audit.
Additional Commission Comments -- Clerk Thomas should remain
as the Registered Agent for the County on financial issues with
GHI/Hospital.
Commissioner Holt said she feels an independent audit needs to be
done – in favor of independent audit. Wants more people dealing
in medicine to be on the GHI Board.
Senator Dudley on annual reporting from GHI Board to BOCC on
financial status –
Craig McMillan response to Commissioner Holt on Sovereign
Immunity
Chair Taylor – GHI Sovereign Immunity remain as is for now
and Co. Administrator to check on sovereign immunity for all
boards dealing with County – are all boards included under
Sovereign Immunity. She also agreed with Comm Croley and Comm
Holt that all types of charges as discussed/associated with
hospital goes through the Clerk’s Office.
Mr. Glazer reviewed all proposed changes to By-Laws,
Articles of Incorporation.
Clerk Thomas’ comments concerning audit that will be
performed by Purvis-Gray as they have determined they should be
audited.
Additional BOCC comments -- Commissioner Croley wants at the
very least, an annual report regarding the overall operations
with CRMC and that the GHI Board is reviewing all of these
issues. Commissioner Morgan – everything needs to be simplified
as much as possible. It is essential that the public understand
the need for the GHI Board and their association with CRMC.
Feels audit as being performed by Purvis Gray is appropriate.
Comments by Senator Dudley on future role of GHI Board.
Comments from Commissioner Lamb
Comments by Chair Taylor – needs to use term may in by-laws that
there will be an audit.
Mr. Glazer said requirement for independent audit SHOULD BE be
removed.
A. Action by GHI Board—
UPON A MOTION BY GHI BOARD MEMBER DUDLEY/SHEHEANE TO
REFLECT CHANGES OF ARTICLES OF INCORPORATION AS PRESENTED
TONIGHT BE APPROVED, THE GHI BOARD VOTED 6-0 IN FAVOR OF THE
MOTION.
UPON A MOTION BY GHI BOARD MEMBER WHITEHEAD/SHEHEANE TO
REFLECT CHANGES TO THE GHI BYLAWS AS PRESENTED TONIGHT BE
APPROVED, THE GHI BOARD VOTED 6-0 IN FAVOR OF THE MOTION.
B. Action by BOCCUPON A MOTION BY BOCC COMMISSIONER CROLEY/LAMB TO APPROVE
ARTICLES OF INCORPORATION WITH CHANGES AS PRESENTED TONIGHT, THE
BOCC VOTED 4-1 IN FAVOR OF THE MOTION. MOTION CARRIED 4-1 WITH
COMMISSIONER HOLT VOTING AGAINST MOTION.
UPON A MOTION BY BOCC COMM LAMB/CROLEY TO APPROVE BYLAWS
WITH CHANGES AS PRESENTED TONIGHT, THE BOCC VOTED 4-1 IN FAVOR OF
THE MOTION. MOTION CARRIED – PASSED 4-1 WITH COMMISSIONER HOLT
VOTING AGAINST MOTION.
3. UPDATE ON CAPITAL REGIONAL MEDICAL CENTER – GADSDEN MEMORIAL
CAMPUS
-- (Bud Wethington, CEO, CRMC)
Mr. Wethington 9300 patients from end of June – end of December –
ER satisfaction runs at least 90% at all times. 2011 will see
somewhere between 15-16,000 patients. Needs community support and CRMC
is bringing assets to the community, can’t operate hospital as wanted
without specialist, etc. Trying to get those physicians to come here.
Interest has to be rekindled after hospital being shut down for 5
years. It’s all about saving heart – saving lives. Asked BOCC to
consider sprinkler system out front.
Commissioner comments – need for specialists – what is being done
on this by CRMC—resources to bring powerhouse to the hospital is
something the GHI Board will also be looking at. Does projected number
of patients for 2011 in line with costs as CRMC previously thought
they would be. Mr. Wethington explained Payor mix is about the same as
seen at CRMC in Tallahassee.
Commissioner Morgan – BOCC needs to do everything they can to continue
striving to promote the hospital within the county and the surrounding
counties – would be a good investment for the County.
Comments suggestions by Mr. Marlon Hunter, Administrator of County
Health Dept. Comments from Maximo Martinez, Health Council, Howard
McKinnon spoke as Chairman of Health Council on the issue of $200,000
for possible purchase of mobile unit for Health Council in the County.
Administrator to check into balance of funds from the $400,000 as
discussed by Mr. McKinnon and report to the Board.
4. USE OF FORMER URGENT CARE SECTION & OTHER UNUSED SECTIONS OF THE
GADSDEN MEMORIAL CAMPUS BUILDING (Craig McMillan, Mike Glazer,
Clyde Collins) &
5. OPEN DISCUSSION
Chair McMillan comments on marketing for the use of the facility
building – asked Chamber to be involved –Discussed $400,000 approx
left from indigent sur-tax -- $140,000 for Helipad Leaving about
$260,000. Wants direction from BOCC as to how the Board would like GHI
to proceed.
Comments from Mr. Glazer on all facets and Funds from Indigent
Surtax cannot be used for EMS to occupy urgent care center – must be
physician.
Mr. Glazer explained “time share” concept for possible
consideration in bringing physicians/specialists into the facility.
Commissioners comments – Holt/Croley wants to see business plans
before making any type of decision. Wants to hear more back from GHI
Board and Mr. Glazer. Commissioner Morgan may behoove GHI Board to
talk to other hospitals on this issue and would rather see the
facility build out. Commissioner Taylor’s comments on best way to
proceed in determining best route to take in use of rest of facility –
County Administrator to look at cost of moving EMS, and cost of
building out rest of facility.
Maximo Martinez has interested groups wanting to lease space – has
groups that have state funding to pay lease.
Dr. Kent – very hard and difficult to get specialists to come out
and stay in Gadsden County.
Specialists see the need but it is a
challenge because of economics. Would be great to have couple
internists and couple of general surgeons.
Clerk Thomas explained the $400,000 left – some was given to
various needs – about 66,000 goes out monthly on debt service, etc.
He said the Court approved $4 MILLION AND APPROX $3.3 MILLION HAS BEEN
USED. CCBC REP Randy Popel EXPLAINED 7.6 MILLION IN TRUST AS OF
YESTERDAY – STAYED CONSERVATIVE -- Interest investment income will go
to CRMC.
Commission discussion and Mr. Glazer response. Comm. Holt may wish
to find out if Ron Sachs would be interested in the advertisement for
physicians, etc. Chair Taylor said there needs to be more direction on
the use of the Urgent Care area.
Senator Dudley left meeting at 7:35
7. ANESTHESIA MACHINE LEASE EXTENSION (GHI Board only – Craig
McMillan)
Ghi Chair explained anesthesia equipment has been leased to
Tallahassee Memorial Hospital at a cost of $200.00 per month and TMH
has expressed desire to extend lease for an additional year at the
same rate.
MOTION BY GHI BOARD MEMBER SHEHEANE/DR. KENT TO APPROVE THE
EXTENDED LEASE FOR ONE ADDITIONAL YEAR AS REQUESTED, THE GHI BOARD
VOTED 5-0 IN FAVOR OF THE MOTION.
Chair Taylor said there needs to be another meeting to discuss the
available space for lease in the facility – Need more information
from GHI Board and the County Attorney before making any type of
decisions on how to move forward with this issue.
8. ADJOURNMENT
THERE BEING NO FURTHER BUSINESS TO COME BEFORE THE BOARDS AT THIS
TIME, THE MEETING WAS ADJOURNED AT 8:00 PM.