LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING Thursday, February 11, 2016 GULF COAST MEDICAL CENTER - Boardroom 13685 Doctors Way, Fort Myers, FL 33912
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD of DIRECTORS OFFICE 239-343-00 FAX: 239-343-99 P.O. BOX 2218 FORT MYERS, FLORIDA 33902 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING February 11, 2016 - *1:00 p.m. *Held concurrently with Lee Memorial Health System Board Meeting Gulf Coast Medical Center - Medical Office Building Boardroom 13685 Doctor s Way, Ft. Myers, FL 33912 AGENDA 1. CALL TO ORDER LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS (Sanford Cohen, M.D., Board Chairman) 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 completed and submitted to the Board Administrator prior to meeting. DISTRICT ONE Stephen R. Brown, M.D. Therese Everly, BS, RRT 3. CONSENT AGENDA (Approve) A. Trauma District Minutes of November 5, 20 B. Trauma District Financials DISTRICT TWO Donna Clarke Nancy M. McGovern, RN, MSM 4. OPERATIONS REPORT (Accept) (Dr.Ernst Vieux, Medical Director, Trauma) DISTRICT THREE Sanford N. Cohen, M.D. David F. Collins DISTRICT FOUR Diane Champion Chris Hansen DISTRICT FIVE Jessica Carter Peer Stephanie L, Meyer, BSN, RN 5. LEGISLATIVE UPDATE ON TRAUMA (Verbal) (Sally Jackson, System Director, Government and Community Relations) 6. OTHER ITEMS 7. DATE OF THE NEXT REGULAR LEE COUNTY TRAUMA SERVICES DISTRICT MEETING, Thursday, April 28, 2016, at 1:00 p.m., held concurrently with Lee Memorial Health System Board Meeting 8. ADJOURN (Sanford Cohen, M.D., Board Chairman)
LEE COUNTY TRAUMA SERVICES DISTRICT 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 Staff prior to meeting. Refer to Board Policy: 10:F: 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 three (3) days prior to the meeting to allow staff time to prepare and to insure the matter is within the jurisdiction of the Board.
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS CONSENT AGENDA (Approval) A. Trauma District Minutes of November 5, 20 B. Trauma District Financials
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday, November 5, 20 LOCATION: Gulf Coast Medical Center, Medical Office Building, Board of Directors Boardroom, 13685 Doctors Way, Fort Myers, FL 33912 MEMBERS PRESENT: Sanford Cohen, M.D, Board Chairman; Chris Hansen, Board Vice Chairman; David Collins, Board Treasurer; Diane Champion, Board Secretary; Steve Brown, M.D, Board Member; Therese Everly, Board Member; Nancy McGovern, RN, MSM, Board Member; Donna Clarke, Board Member; Jessica Carter Peer, Board Member; Stephanie Meyer, BSN, RN, Board Member --------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 www.leememorial.org/boardofdirectors for public inspection. SUBJECT DISCUSSION ACTION FOLLOW-UP MEETING CALLED TO ORDER PUBLIC INPUT AGENDA ITEMS The Lee County Trauma Services District Board of Directors Meeting was CALLED TO ORDER at 1:48 p.m. by, Sanford Cohen, M.D., Board Chairman. TRAUMA DISTRICT MINUTES TRAUMA DISTRICT FINANCIALS Dr. Cohen asked for approval of the Trauma District minutes Ben Spence presented the YTD Trauma District Financials A motion was made by Therese Everly to approve the Trauma District minutes. The motion was seconded by David Collins and it carried with no opposition. A motion was made by David Collins to accept the Trauma District Financials. The motion was seconded by Nancy McGovern and it carried with no opposition. OPERATIONS REPORT Dr. Cohen asked for acceptance of the Operations Report A motion was made by Chris Hansen to accept the Operations Report. The motion was seconded by David Collins and it carried with no opposition. LEGISLATIVE UPDATE ON TRAUMA Sally Jackson presented the Legislative Update on Trauma. OTHER ITEMS None at this time NEXT REGULAR SCHEDULED MEETING The date of the next meeting of the Lee County Trauma Services District Board of Directors is on Thursday, February 11, 2016, *1:00pm, in the Gulf Coast Medical Center, Medical Office Building, Board of Directors Boardroom. *(Meeting concurrent with the Lee Memorial Health System Meeting) ADJOURNMENT The Lee County Trauma Services District Board of Directors meeting was ADJOURNED at 2:12 p.m. by, Sanford Cohen, M.D., Board Chairman. Minutes were recorded by Katie Fournier, Board Assistant/Board of Directors office Diane Champion Board Secretary
Trauma District Financials FISCAL YEAR TO DATE as of December 31, 20
Trauma Volumes Inpatient Discharges: 310 vs. 488 prior year Decrease of 178 cases or 36% Inpatient Days: 2,649 vs. 2,596 prior year Increase of 53 days or 2% ALOS: 8.55 vs. 5.32 prior year Increase of 61% from prior year Trauma Surgeon Visits: 3,2 vs. 2,690 prior year Up 17% from prior year, 452 visits CMI: 2.56 vs. 2.01 prior year Up 28% from prior year
Trauma District December 20 FYTD Inpatient Discharges 7 Auto/PIP 51% 39 Medicare/Medicare HMO 13% 30 HMO/PPO/Commercial 10% 36 Medicaid, Medicaid HMO 12% 27 Self Pay or Charity 9% 21 Other Government 5% 310 TOTAL 100%
Payer Mix Comparison 60% 50% 51% 40% 34% 30% 27% 20% 10% 0% 13% 11% 11% 12% 9% 10% 4% 4% 3% 2% FY' DEC YTD FY'16 DEC YTD Medicare Medicaid Auto/Liab Workers Comp Commercial State/Emp/Champ Charity/Self Pay 9%
Special Payments Special Trauma Funding 12/31/20 03/31/2016 6/30/2016 9/30/2016 DEC FYTD Extra Court Fines $5,025 $5,025 Red Light Running $42,883 $42,883 Enhanced Speed Zones $1,450 $1,450 Improper passing a school bus $,217 $,217 Racing on highways & reckless driving $68,825 $68,825 Camera Bill $213,368 $213,368 Total $348,768 $348,768
Trauma District FYTD December 31, 20 FYTD FYTD 16 Change Hospital Net Revenue 10,280,189 10,136,580 (3,608) Physician Net Revenue 574,257 685,234 110,977 Other Operating Revenue 196,243 351,220 4,977 Total Revenues 11,050,689 11,173,035 122,346 Hospital Expenses 7,918,590 8,372,164 453,574 Physician Expenses 1,847,113 1,990,071 2,958 Total Expenses 9,765,703 10,362,235 596,532 Net Gain/(Loss) 1,284,986 810,800 (474,186) Less Trauma Readiness Costs 675,000 675,000 Total Operating Gain/ (Loss) 609,986 135,800 (474,186)
Lee County Trauma Services District Board of Directors Meeting Trauma Report February 11, 2016
Trauma Registry Entries 0 50 100 0 200 250 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- # Registry Patients 12%
0 20 40 60 80 100 120 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- # Trauma Alerts Trauma Alerts 12%
County of Injury (% YTD) County of Injury %YTD Injured Patient %YTD Trauma Alert Lee 74% 55% Collier 13% 23% Charlotte 7% 13% Hendry 3% 4% Glades / Highlands 2% 2% Other 1% 3%
Trauma Service Admissions 120 100 80 60 40 # Trauma Svc. Admits 7 % 20 0 Oct - Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct -
ISS > 60 50 40 30 # ISS> 20 10 5% 0 Oct - Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct -
Questions?
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS LEGISLATIVE UPDATE (verbal) Sally Jackson System Director Government & Community Relations
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS OTHER ITEMS
ADJOURNMENT LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS DATE OF THE NEXT REGULARLY SCHEDULED LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING THURSDAY, APRIL 28, 2016 1:00 P.M.* GULF COAST MEDICAL CENTER BOARDROOM 13685 Doctor s Way, Fort Myers, FL 33912 *Held concurrently with the Lee Memorial Health System Board of Directors Meeting