LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING THURSDAY, November 10, 2011

Transcription

1 ELECTRONIC BOARD PACKET LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING THURSDAY, November 10, 2011 LEE MEMORIAL HOSPITAL - Boardroom 2776 Cleveland Avenue, Fort Myers, FL (Held concurrently with the Lee Memorial Health System Board Meeting) ELECTRONIC BOARD PACKET

2 LEE COUNTY Trauma Services District BOARD of DIRECTORS OFFICE FAX: P.O. BOX 2218 FORT MYERS, FLORIDA AGENDA TRAUMA DISTRICT MEETING November 10, :00 p.m. Lee Memorial Hospital Boardroom, 2776 Cleveland Ave, Ft. Myers, FL Call To Order (Richard Akin, Board Chairman) Lee County Trauma Services District Board of Directors 2. Public Input Agenda Items: Any Public Input is limited to three minutes and a Request to Address the Board of Directors card must be submitted to the Board Administrator prior to meeting. BOARD OF DIRECTORS DISTRICT ONE Stephen R. Brown, M.D. Marilyn Stout DISTRICT TWO Richard B. Akin Nancy M. McGovern, RN, MSM 3. Trauma District Meeting Minutes (Approve) (Nancy McGovern, RN, MSM, Board Secretary) A. Meeting Minutes of April 21, 2011 B. Meeting Minutes of August 25, Regional Advisory Committee On Trauma Services (Update) (Chris Hansen, Co-Chair) 5. Operations Report (Accept) (Dr. Drew Mikulaschek, Medical Director, Trauma) 6. Trauma District Financials Fiscal Year To Date 2011 (Accept) (Ben Spence, System Director, Reimbursement) DISTRICT THREE Lois C. Barrett, MBA Linda L. Brown, MSN, ARNP DISTRICT FOUR Diane Champion Chris Hansen 7. Legislative Update (Verbal) (Sally Jackson, System Director, Government and Community Relations) 8. Old Business 9. New Business DISTRICT FIVE Donald A. Brown James Green 10. Date of the next REGULAR LEE COUNTY TRAUMA SERVICES DISTRICT MEETING: January 3, 2012, (Time to be Determined), held concurrently with Lee Memorial Health System Board Meeting at Lee Memorial Hospital Boardroom. 11. ADJOURN (Richard Akin, Board Chairman) ke/bod/2011/ Trauma Meeting/Tentative Agenda

3 L E E M E M O R I A L HEALTH SYSTEM BOARD OF DIRECTORS PUBLIC INPUT AGENDA ITEMS: Any public input pertaining to items on the Agenda is limited to three minutes and a Request to Address the Board of Directors card must be completed and submitted to the Board Administrator prior to meeting. Refer to Board Policy: 10:15E: Public Addressing the Board Non-Agenda Item: Individuals wishing to address the Board on an item NOT on the Agenda, the Board office must be notified of subject matter at least seven (7) days prior to the meeting to allow staff time to prepare and to insure the matter is within the jurisdiction of the Board.

4 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS TRAUMA DISTRICT MEETING MINUTES A. April 21, 2011 B. August 25, 2011 (APPROVE)

5 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday, April 21, 2011 LOCATION: Lee Memorial Hospital Boardroom, 2776 Cleveland Avenue, Fort Myers, FL MEMBERS PRESENT: Richard Akin, Board Chairman; Linda Brown, MSN, ARNP, Board Vice Chairman; Nancy McGovern, RN, MSM, Board Secretary; Marilyn Stout, Board Treasurer; Steve Brown, MD, Director; Chris Hansen, Director; Donald Brown, Director; Diane Champion, Director; James Green, Director MEMBERS ABSENT: Lois Barrett, MBA, Director OTHERS PRESENT: James Nathan, President/CEO; Cathy Stephens, Board Administrator; Jim Humphrey, Board Counsel; Larry Antonucci, MD, Chief Operating Officer/Hospital & Physician Services; John Wiest, Chief Operating Officer/Business & Strategic Services; Mary McGillicuddy, Chief Legal Officer; Jon Cecil, Chief Human Resource Officer; Rev. Benjamin Keller, BCC; Michael Raab, MD, Staff Physician/Older Adult Services/Lee Memory Care; Douglas Newland, MD, PRN Medical Director/Older Adult Services/Lee Memory Care; Sandra Simmons, RN, MSN, Hand Hygiene Taskforce Chairperson; Lisa Miller, Hand Hygiene Taskforce Member; Marjory May, Vice President/Post Acute Services; Donna Giannuzzi, RN, Chief Patient Care Officer/Chief Administrative Officer/HP; Wendy Piascik, Vice President/Patient Care Services/CCH; Lisa Sgarlata, RN, Chief Administrative Officer/LMH; Garey Butler, Board Counsel/Fowler White Boggs; Ben Spence, System Director/Reimbursement; Yvonne O Brien Luckett, Director/Physician Services; Carol Simonds, System Director/Leadership Development; Kathy Wecher, Trauma Services Medical Social Worker; Duane Higgins, Director of Development/LMHS Foundation; Drew Mikulaschek, MD, Medical Director/Trauma; Brad Pollins, System Director/Organizational Effectiveness; David Berger, MD, Community Representative/Quality/Education; Bill Silverman, MD, Community Representative/Quality/Education; Marliese Mooney, Physician Leadership Council Consultant/ Planning; Ellen Meyer, Mom of a Trauma Survivor/Guest; Kim Dickerson, Lee County EMS/Guest; Dr. Joseph Lemmons, EMS Medical Director/Guest; Sally Jackson, System Director/Community Projects; Mary Briggs, Interim Public Information Officer; Frank Gluck, News Press/Reporter; Laurie Gretten, Executive Secretary/Board of Directors; Lisa Porter, Executive Secretary/Board of Directors NOTE: Documents referred to in these minutes are on file by reference to this meeting date in the Office of the Board of Directors and on the Board of Directors website at for public inspection. SUBJECT DISCUSSION ACTION FOLLOW- UP MEETING CALLED TO ORDER The Lee County Trauma Services District Board of Directors Meeting was CALLED TO ORDER at 4:00 p.m. by Linda Brown, Board Vice Chairman. INVOCATION AND PLEDGE OF ALLEGIANCE The Invocation was given by Rev. Ben Keller and was followed by the Pledge of Allegiance. PUBLIC INPUT There was none at this time. RECOGNITIONS: A. MEDICAL CARE COUNCIL OF LEE COUNTY B. HEALTHCARE HEROES: ROBERT TOBER AND RICHARD AKIN DAVID LEE ROOT, JR. MEMORIAL FISHING TOURNAMENT The following recognitions were made: A. Medical Care Council of Lee County Chris Hansen presented Certificates of Recognition for Chief Scott Tuttle, EMS; Dr. Joseph Lemmons, EMS Medical Director; and Lt. Michael Hamel, MEDSTAR. Dr. Joseph Lemmons accepted his certificate, and Kim Dickerson accepted the certificates for Chief Scott Tuttle and Lt. Michael Hamel, who were unable to attend. B. Healthcare Heroes: Robert Tober and Richard Akin, Board Chairman Jim Nathan recognized both Robert Tober and Richard Akin, Board Chairman as award winners. Duane Higgins was presented the eighth annual David Lee Root, Jr. Fishing Tournament check given to Lee Memorial Health System from David and Debbie Root (Exhibit 1). The 2011 tournament raised over $30,000. David and Debbie s son passed away in a car accident and never made it to the Trauma Center. David said that he wants to honor his son anyway he can by raising money for the Trauma Center. Marilyn Stout said this was a wonderful tournament for the Trauma Center and that it continues to grow. A clock was presented to the Root Family in recognition of the David Lee Root, Jr. Foundation and appreciation was expressed for how much they have given back to the community. Richard Akin expressed gratitude on behalf of the Board. (James Green arrived at 4:27 p.m.)

6 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday, April 21, 2011 Page 2 of 2 SUBJECT DISCUSSION ACTION FOLLOW- UP TRAUMA OUTREACH Kathy Wecher updated the Board on Trauma Outreach programs (Exhibit 2). She discussed comfort bags for trauma patients and said that a high school group had volunteered to put the bags together. FGCU students collected items for the bags and were planning a fundraiser. All of the students involved were affected by a trauma situation. Kathy told the Board that they were invited to a luncheon on May 24, 2011 where the Kevin E. Glancy Award of Excellence would be given to a Trauma survivor. REGIONAL ADVISORY COMMITTEE ON TRAUMA SERVICES TRAUMA DISTRICT BOARD MEETING MINUTES Chris Hansen gave the Board a verbal update from the Regional Advisory Committee on Trauma Services. Patricia Harrington and Chris Hansen said they will fill the Hendry County vacancy. Nancy McGovern asked if anyone wished to make any additions or corrections to the Lee County Trauma Services District Board of Directors Meeting Minutes of November 18, 2010 and January 4, A motion was made by Nancy McGovern to approve the Lee County Trauma Services District Board of Directors Meeting Minutes of November 18, 2010 and January 4, The motion was seconded by Don Brown and it carried with no opposition. OPERATIONS REPORT 1 st AND 2 ND QTR, FY 2011 Drew Mikulaschek presented the Operations Report for the first and second quarters of Fiscal Year 2011 (Exhibit 3) with the breakdown from the individual counties. He reviewed the Benchmark Report for A motion was made by Chris Hansen to accept the Operations Report (Exhibit 3). The motion was seconded by Don Brown and it carried with no opposition. TRAUMA DISTRICT FINANCIALS 1 st AND 2 nd QTR, FY 2011 LEGISLATIVE UPDATE OLD/NEW BUSINESS DATE OF THE NEXT TRAUMA SERVICES DISTRICT MEETING Ben Spence reviewed the Trauma District Financials for the first and second quarters of fiscal year 2011 (Exhibit 4). Sally Jackson gave the Board a verbal legislative update. She said that revenues had been modest, the Medicaid budget helped convey our messages, and that there was an amendment to personal injury protection. Sally said we may see up to ten times an increase in revenue. There was none at this time. The date of the next regular meeting of the Lee County Trauma Services District is Thursday, August 11, 2011, at 4:00 pm, in the Lee Memorial Hospital Boardroom (held concurrently with the Lee Memorial Health System Board Meeting). A motion was made by Marilyn Stout to accept the Trauma District Financials for 1 st and 2 nd Qtr, FY 2011 (Exhibit 4). The motion was seconded by Linda Brown and it carried with no opposition. ADJOURNMENT The Lee County Trauma Services District Board of Directors meeting was ADJOURNED at 5:10 p.m. by Linda Brown, Board Vice Chairman. Minutes were recorded by Lisa Porter, Executive Secretary/Board of Directors Office Nancy McGovern, RN, MSM Board Secretary

7 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday, August 25, 2011 LOCATION: Lee Memorial Hospital, Boardroom, 2776 Cleveland Avenue, Fort Myers, FL MEMBERS PRESENT: Richard Akin, Board Chairman; Linda Brown, MSN, ARNP, Board Vice Chairman; Nancy McGovern, RN, MSM, Board Secretary; Marilyn Stout, Board Treasurer; Steve Brown, M.D., Director; Chris Hansen, Director; Donald Brown, Director; Diane Champion, Director; James Green, Director. MEMBERS ABSENT: Lois Barrett, MBA, Director. OTHERS PRESENT: Jim Nathan, President/Chief Executive Officer; Cathy Stephens, Board Administrator; Jim Humphrey, Board Counsel;; Thomas Presbrey, M.D., Chairman/Physician Leadership Council Mary McGillicuddy, Chief Legal Officer; John Wiest, Chief Operating Officer/Business and Strategic Services; Larry Antonucci, M.D., Chief Operating Officer/Hospital & Physician Services; ; Charles Swain, Chief Compliance and Internal Audit Officer; Mike German, Chief Financial Officer; Jon Cecil, Chief Human Resource Officer; Scott Nygaard, M.D., Chief Medical Officer Physician Services; Chuck Krivenko, M.D., Chief Medical Officer Clinical and Quality Services, Chief Patient Safety Officer; Donna Giannuzzi, Chief Administrative Officer & Chief Nursing Officer/Health Park Medical Center; Joshua DeTillio, Chief Administrative Officer/Gulf Coast Medical Center; Scott Kashman, Chief Administrative Officer/ Cape Coral Hospital; Lisa Sgarlata, Chief Administrative Officer/Lee Memorial Hospital; Mike Smith, Chief Information Officer; Cindy Brown, Vice President, Patient Care Services/Health Park Medical Center; Kathy Bridge-Liles, Vice President Patient Care Women s and Children s Services; Jennifer Higgins, Vice President Patient Care Services/Lee Memorial Hospital; David Cato, Vice President Outpatient Services; Walter Ittenbach, Vice President Rehabilitation Hospital; Holly Muller, Vice President Patient Care Services/Gulf Coast Medical Center; Cynthia Brasher, System Director Spiritual Services; Joanne Fuciu, System Director Child Development Services; Alison Thurau, System Director Compensation and Benefits; Mark Atkins, System Director Primary Care Services/Lee Physician Group; Mark Greenberg, System Medical Director, Medical Staff Services; Mary Briggs, System Director Media Relations; Sally Jackson, System Director Community Projects; ; Jack Eikenberg, Bob Fischer; Jason Moon; David Berger, M.D; Bill Silverman, M.D.; Marliese Mooney, RN, MS, PLC Consultant; Bob Simpson, CEO/President LeeSar; Denise Anderson, Executive LeeSar, Director Surgical Services Operating Room/Lee Memorial Hospital; Eric Goldsmith, D.O., Medical Director, Education; Susan Nystrom, Director Blood Center; Nancy Hendrick, Blood Center Community Relations Coordinator; Ben Spense, Controller Acute Care and Reimbursement; Sandra Falk, R.N., Surgical Services Specialist/Health Park Medical Center; Laura Vannarath, Senior Financial Analyst; Brian Church, Controller, Physician and Outpatient Services; Tina Glean, Manager Property Management; Kathleen Wecher, Trauma Outreach Coordinator, Medical Social Worker/Lee Memorial Hospital; Emad Salman, M.D., Health Park Medical Center; Lauren Harris, System Counsel/Legal Services; Catherine Kahle, Senior System Counsel/Legal Services; Barbara Melby; Controller Acute Care; Pamela Scardina, Manager Finance; Patricia Duquette, Controller; Evan Rosenbaum, Senior Business Systems Analyst; Randy Toscano, Business Partner Human Resources Administration; Drew Mikulaschek, Mel King, Senior Business Partner Acute/Outpatient Support Services; Sanford Cohen, M.D.; Frank Gluck, News- Press/Reporter; Haley Hinds, WINK/News Reporter; Manny Campa, WINK News; Laurie Gretten, Executive Secretary/Board of Directors; Kathleen Eveland, Administrative Secretary/Board of Directors. NOTE: Documents referred to in these minutes are on file by reference to this meeting date in the Office of the Board of Directors and on the Board of Directors website at for public inspection. SUBJECT DISCUSSION ACTION FOLLOW-UP MEETING CALLED TO ORDER Jim Nathan spoke about the Florida Hospital Association giving awards and recognitions a few years ago we had the first Hospital Hero of the Year Award a few years ago. This year they broke it into a number of different categories, Volunteer of the Year, Improving Care through the Advancement of Nursing, called ICAN Leadership Award and Linda Convertine is the recipient of that award. Another category they added is Trustee of the Year Award honoring a Board Member of a Hospital or Health System has contributed significantly to the health of the community by providing leadership and guidance to the hospital or the System Board. Jim discussed all the judging points for the award. Jim stated that Richard Akin has won the award, applause ensued Celebration of Achievement and Quality and Service Award in the Trustee of the Year over a 150 bed category. Each year FHA recognizes leaders who have contributed to the mission to providing quality health care to the people of Florida your work on behalf of patients and hospitals, is to be commended. I hope you will join us for the Awards Banquet during the FHA Annual Meeting October 13, Congratulations on this tremendous accomplishment. Richard thanked everyone and said he is honored and quite flattered. The Lee Memorial Health System Board of Directors Trauma District Meeting was CALLED TO ORDER at 7:05 p.m. by Richard Akin, Board Chairman. PUBLIC INPUT There was none at this time. REGIONAL ADVISORY COMMITTEE ON TRAUMA SERVICES Fiscal Year 2012 Appointments (Exhibit 1). Chris Hansen thanked Chairman Richard Akin and President Jim Nathan for sending the memo out to the Board about the people who have agreed to serve again on our committee as well as finding a much needed addition to our committee from Hendry County in Janet Taylor. Janet is someone who we all feel is very qualified and look forward to working with her. She has a great experience. We are excited to have her share with us if it meets with the Boards pleasure. A motion was made by James Green to approve the Fiscal Year 2012 Appointments (Exhibit 1). The motion was seconded by Marilyn Stout and, carried with no opposition.

8 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS TRAUMA MEETING MINUTES Thursday, August 25, 2011 Page 2 of 2 SUBJECT DISCUSSION ACTION FOLLOW-UP FINANCIAL REPORTING (ACCEPT) Ben Spence then presented the first nine months of the Fiscal Year of the Trauma District Financials (Exhibit 2) which included Trauma Volumes, Expected Payment; Payer Mix Comparison; Red Light Bill Funds; Trauma District Income Statement for June 30, A motion was made by Nancy McGovern to accept the Trauma District Financials (Exhibit 2). The motion was seconded by Chris Hansen and, it carried with no opposition. OPERATIONS REPORT (ACCEPT) LOCAL, STATE, AND LEGISLATIVE UPDATE ON TRAUMA (UPDATE) TRAUMA OUTREACH (UPDATE) OLD BUSINESS Drew Mikulaschek presented the Lee County Trauma Services District Director s Report (Exhibit 3). Drew reviewed the TRACS Data for FY 2011 Third Quarter, then he reviewed the TRACS Data for the First Second and Third Quarters, Injured Patients per month, Average Trauma Alerts per Month (year to date), Trauma Service Admissions per month (year to date), and then the Average ISS less than or equal to 16 per months (year to date). Jim added a comment regarding the TRACS Data percentages, I think this is a fair statement, the percentages in-county and out of county and the various counties, are pretty much the same that they have always been, there is to a trend, Drew agreed. Jim continued and said that the percentages have not changed. Discussion ensued on the increase of the TRACS data and the injured patients per month. Sally Jackson gave an update on Local, State, and Legislative Update on Trauma (Exhibit 4). Sally discussed two elements that are anticipated to be a concern this year. One is the continued pressure on the revenues at the State and Local Levels, it will likely result in the introduction of bills to redistribute trauma funding from the Red Light Program. We have been successful at protecting that funding and yet there continues to be opposition to the program and we do expect to defend that revenue stream again this year. The other issue that is a concern for us and it has been on the legislative list for several years, is the personal injury protection program. The No Fault auto insurance program in the State of Florida that has been in existence for forty years and the compensation has not changed in that time. Discussion ensued regarding new bills being proposed. Sally Jackson discussed Community Outreach for Trauma Awareness (Exhibit 4) that consisted of; Trauma Month for the month of May. Sally gave highlights of the first annual Second Chance Luncheon on May 24, people attended and $1, was raised for the Trauma Center. Sally discussed the Healthcare Symposium. James Green served as the moderator for the Trauma Panel. Chris Hansen asked if there was any return on the David E. Root event. John Weist stated the figures have not been released, it may be around $30, and around 70 boats involved in the event. A motion was made by Chris Hansen to accept the Trauma District Director s Report (Exhibit 3). The motion was seconded by James Green and, it carried with no opposition. NEW BUSINESS There was none at this time. NEXT REGULAR MEETING The next Lee Memorial Health System Board of Directors Trauma District Meeting is: Thursday, November 10, 2011, 4:00 p.m. in the Lee Memorial Hospital - Boardroom 2776 Cleveland Avenue, Fort Myers, FL ADJOURNMENT The Lee Memorial Health System Board of Directors Trauma District Meeting was ADJOURNED at 7:30p.m. by Richard Akin, Board Chairman. Minutes were recorded by Kathleen Eveland, Administrative Secretary/Board of Directors Office Nancy McGovern, RN, MSM Board Secretary

9 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS REGIONAL ADVISORY COMMITTEE ON TRAUMA SERVICES (Chris Hansen, Co-Chair) (VERBAL)

10 Lee County Trauma Services District Board of Directors Meeting Trauma Director s Report November 10, 2011

11 Injury Data: FY2011 4th Quarter # Pt s # TA Lee 336 (73%) 130 Collier 52 (11%) 43 Charlotte 45 (10%) 40 Hendry 16 (3%) 11 Glades 7 (2%) 7 Other 2 (< 1%) 2 TOTAL : 0.2% 11.5%

12 Injury Data: FY2011 # Pt s # TA Lee 1512 (74%) 522 Collier 198 (10%) 164 Charlotte 165 (8%) 149 Hendry 94 (5%) 60 Glades 17 (< 1%) 16 Other 45 (2%) 33 TOTAL : 4.5% 2.5%

13 Injured Pts per Month

14 Avg. Trauma Alerts per Month (ytd) TA/Mo

15 Trauma Service Admissions per Month (ytd) TS adm

16 Avg. ISS 16 per Month (ytd) ISS>

17 2011 Trauma Highlights

18

19

20 TQIP: Brain Injury Mortality

21 TQIP: TBI Excess LOS

22 TQIP: Shock Mortality

23 TQIP: Shock Excess LOS

24 2011 Highlights Hired our 6 th trauma surgeon. Abstract accepted for presentation to Western Association for the Surgery of Trauma. Mentoring Program started Survivor s Ball: March 2012, fully sponsored David L Root Jr: $25,000

25 2011 Highlights Working on getting our GATE program as part of the Foundations strategic plan. Medical Care Council: attempting to extend the continuity of care from the pre-hospital area to the ER s by including representation from ED doctors as well as LMHS administration.

26 2011 Lowlight Department of Health is being gutted Directly affects the certification and review processes of trauma centers. Ultimately affects patient outcomes as the standards which apply to trauma centers may be altered, and not for the better. Office of Trauma may be moved over to ACHA.

27 Trauma District Financials FISCAL YEAR TO DATE as of September 30, 2011

28 Trauma Volumes Inpatient Discharges: 2,042 vs. 2,078 prior year Decrease of 36 cases or -2% Trauma Surgeries: 180 vs. 173 prior year Increase of 7 cases or 4% Trauma Surgeon Visits: 8,218 vs. 7,804 prior year 5% increase from prior year, 414 visits

29 Expected Payment Expected Inpatient Payment per Case Hospital FY 2010 $14,893 Hospital FY 2011 $15, %

30 Payer Mix Comparison Medicare Medicaid Commercial Managed Care Self Pay/Charity Other FYTD 10 FYTD 11

31 Red Light Bill Funds FYTD 2010: $253,480 FYTD 2011: $473, Trauma Center payouts include funding from State Representative Kreegel sponsored House Bill 481 for fines related to passing a school bus and racing on highway /reckless driving.

32 TRAUMA DISTRICT INCOME STATEMENT September 30, 2011 (in thousands) Budget Actual Prior Year Var to Budget Var to Prior Year Net Revenue 2,098 2,031 1,693-3% 20% Salaries & Wages 4,005 4,001 3, % 8.4% Suppl Other & Purch Svcs 2,099 2,364 2, % 2.3% Total Operating Expenses 6,104 6,365 6, % 6.1% EBITDA (4,006) (4,334) (4,309) 8.2% 0.6% Depreciation & Interest % -20% Loss from Operations (4,060) (4,366) (4,350) 7.5% 0.4% Trauma " Readiness" Costs (2,000) (2,000) (2,000) 0% 0% Net Loss funded by LMHS (6,060) (6,366) (6,350) 5.1% 0.3%

33 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS LEGISLATIVE UPDATE (VERBAL)

34 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS OLD BUSINESS

35 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS NEW BUSINESS

36 ADJOURN Lee County Trauma Services District Board of Directors Date of Next Trauma Meeting: Tuesday, January 3, 2012 Time to be Determined* (concurrent with Full Board Meeting) Lee Memorial Hospital Boardroom 2776 Cleveland Avenue, Ft. Myers, FL 33901