LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING THURSDAY, February 2, 2017 Gulf Coast Medical Center Boardroom, Suite 190 13685 Doctors Way Fort Myers, FL 33912 (Held concurrently with the Lee Memorial Health System Board of Directors Meeting)
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 2, 2017 - *1:00 p.m. *Held concurrently with Lee Memorial Health System Board Meeting Gulf Coast Medical Center, Medical Office Building 13685 Doctor s Way, Ft. Myers, FL 33912 AGENDA 1. CALL TO ORDER (Sanford Cohen, M.D., Board Chairman) LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS BOARD OF DIRECTORS DISTRICT ONE Stephen R. Brown, M.D. Therese Everly DISTRICT TWO Donna Clarke Nancy M. McGovern, RN, MSM 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 Staff prior to meeting. Individuals wishing to address the Board on a Non Agenda item must notify the Board Staff of the subject matter at least three (3) days prior to the meeting. 3. Trauma District Meeting Minutes of 11/3/ (Approve) 4. Consent Agenda 1. Trauma District Financials FYTD as of 12/31/ (Accept) 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. Operations Report (Accept) (Michael Marcus, RN, Trauma Program Manager) 6. Legislative Update on Trauma (Verbal) (Sally Jackson, Senior Advisor Government & Community Relations) (Mary Andrews, System Director Government & Community Relations) (Michael Nachef, Director Government Relations) 7. Other Items 8. DATE OF THE NEXT LEE COUNTY TRAUMA SERVICES DISTRICT MEETING, Thursday, May 18, 2017 at 1:00 p.m., held concurrently with Lee Memorial Health System Board Meeting at Lee Memorial Hospital Boardroom. 9. 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 MEETING MINUTES Thursday November 3, 20 Page 1 of 2 LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday, November 3, 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; Donna Clarke, Board Vice Chairman; David Collins, Board Treasurer; Therese Everly, Board Secretary; Steve Brown, M.D, Board Member; Diane Champion, Board Member; Nancy McGovern, RN, MSM, Board Member; Jessica Carter Peer, Board Member; Stephanie Meyer, BSN, RN, Board Member MEMBERS ABSENT: Chris Hansen, 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.leehealth.org/boardofdirectors 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 1:49 p.m. by, Sanford Cohen, M.D., Board Chairman. PUBLIC INPUT AGENDA ITEMS TRAUMA DISTRICT MINUTES None at this time. Dr. Cohen asked for approval of the Trauma District Minutes of August 25, 20. A motion was made by Therese Everly to approve the Trauma District Minutes of August 25, 20. The motion was seconded by David Collins and carried with no opposition. TRAUMA DISTRICT FINANCIALS OPERATIONS REPORT LEGISLATIVE UPDATE ON TRAUMA OTHER ITEMS Ben Spence reviewed the Trauma District Financials FYTD as of September 20. Dr. Vieux presented the Trauma Operations Report. Donna Clarke questioned the time it will take to become a Level 1 Trauma Center. Jim Nathan expressed how there is little difference between Level 1 & Level 2 Trauma Centers, Dr. Vieux concurred with this statement. Dr. Cohen asked for acceptance of the Operations Report. Sally Jackson presented a Legislative Update on Trauma which included references to red light cameras and deregulation of Trauma Centers. Sally Jackson presented the Board Appointments to the Regional Advisory Committee on Trauma Services (RAC) for Chris Hansen. A motion was made by David Collins to approve the Trauma District Financials FYTD as of September 20. The motion was seconded by Donna Clarke and carried with no opposition. A motion was made by David Collins to accept the Operations Report. The motion was seconded by Therese Everly and it carried with no opposition. A motion was made by Therese Everly to accept the Board Appointment Regional Advisory Committee on Trauma Services (RAC). The motion was seconded by David Collins and carried with no opposition. Lee Memorial Health System Board of Directors
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES Thursday November 3, 20 Page 2 of 2 SUBJECT DISCUSSION ACTION FOLLOW-UP NEXT REGULAR SCHEDULED MEETING The date of the next meeting of the Lee County Trauma Services District Board of Directors is on Thursday, February 2, 2017, at *1:00 p.m., in the Gulf Coast Medical Center, Medical Office Building, Board of Directors Boardroom. *(Meeting concurrent with the Lee Health Meeting) ADJOURNMENT The Lee County Trauma Services District Board of Directors meeting was ADJOURNED at 2:31 p.m. by Sanford Cohen, M.D., Board Chairman. Minutes were recorded by Jennifer Morris, Assistant to the Board of Directors Therese Everly Date Board Secretary Lee Memorial Health System Board of Directors
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS CONSENT AGENDA (ACCEPT) 1. Trauma District Financials FYTD as of 12/31/
Trauma District Financials FISCAL YEAR TO DATE as of December 31, 20
Trauma Volumes Inpatient Discharges: 668 vs. 633 prior year Increase of 35 cases or 6% Inpatient Days: 3,312 vs. 4,076 prior year Decrease of 764 days or 19% ALOS: 4.96 vs. 6.44 prior year Decrease of 23% compared to prior year Trauma Surgeon Visits: 2,507 vs. 3,142 prior year Down 20% from prior year, 635 visits CMI: 2.09 vs. 2. prior year Up 3.3% from prior year
Trauma District December 20 FYTD Inpatient Discharges 237 Auto/PIP 35% 212 Medicare/Medicare HMO 32% 70 HMO/PPO/Commercial 10% 41 Medicaid, Medicaid HMO 6% 61 Self Pay or Charity 9% 47 Other Government 8% 668 TOTAL 100%
Payer Mix Comparison 40% 35% 34% 34% 32% 35% 30% 25% 20% % 10% 5% 0% 9% 10% 10% 7% 6% 4% 5% 2% 3% FY' DEC YTD FY' DEC YTD Medicare Medicaid Auto/Liab Workers Comp Commercial State/Emp/Champ Charity/Self Pay 9%
Special Payments Special Trauma Funding 12/31/20 03/31/2017 6/30/2017 9/30/2017 SEP FYTD Extra Court Fines $1,334 $1,334 Red Light Running $13,127 $13,127 Enhanced Speed Zones $752 $752 Improper passing a school bus $6,398 $6,398 Racing on highways & reckless driving $41,044 $41,044 Camera Bill $72,229 $72,229 Total $134,884 $134,884
Trauma District FYTD December 31, 20 FYTD FYTD 17 Change Hospital Net Revenue 12,528,863 12,785,979 257,1 Physician Net Revenue 685,234 476,337 (208,897) Other Operating Revenue 351,220 5,795 (345,425) Total Revenues 13,565,317 13,268,111 (297,206) Hospital Expenses 11,231,445 10,959,917 (271,527) Physician Expenses 2,312,123 2,082,073 (230,050) Total Expenses 13,543,568 13,041,990 (501,577) Net Gain/(Loss) 21,749 226,120 204,371 Less Trauma Readiness Costs 675,000 675,000 Total Operating Gain/ (Loss) (653,251) (448,880) 204,371
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS OPERATIONS REPORT (Michael Marcus, RN, Trauma Program Manager) (ACCEPT)
Lee County Trauma Services District Board of Directors Meeting Trauma Report February 2, 2017
Trauma Registry Data Trauma Registry Entries 250 200 0 100 # Registry Patients 50 0 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov - Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov -
0 20 40 60 80 100 120 140 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov - Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov - # Trauma Alerts Trauma Alerts
County of Injury (% YTD) County of Injury %YTD Injured Patient %YTD Trauma Alert Lee 73% 57% Collier 13% 23% Charlotte 7% 10% Hendry 5% 5% Glades / Highlands 0% 2% Other 4% 3%
Trauma Service Admissions 140 120 100 80 60 # Trauma Svc. Admits 40 20 0 Jan- Feb- Mar- Apr- M ay- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- M ay- Jun- Jul- Aug- Sep- Oct- Nov-
ISS > 70 60 50 40 30 # ISS> 20 10 0 Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov - Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov -
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LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS LEGISLATIVE UPDATE (Sally Jackson, Senior Advisor Government & Community Relations) (Mary Andrews, System Director Government & Community Relations) (Michael Nachef, Director Government Relations) (VERBAL UPDATE)
LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS OTHER ITEMS
ADJOURNMENT LEE COUNTY TRAUMA SERVICES DISTRICT DATE OF THE NEXT REGULARLY SCHEDULED LEE COUNTY TRAUMA SERVICES DISTRICT MEETING: Thursday, May 18, 2017 1:00pm* Gulf Coast Medical Center 13685 Doctors Way Fort Myers, FL 33912 *(Held concurrent with the Lee Memorial Health System Board of Directors Meeting)