L E E M E M O R I A L HEALTH SYSTEM BOARD OF DIRECTORS · PDF fileMemorial Health System Board of Directors and the Board of ... of Directors’ Liaison; Isabel Firth, ... as the recipient

ELECTRONIC BOARD PACKET

___________________ L E E M E M O R I A L HEALTH SYSTEM

BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS MEETING

Thursday,

FEBRUARY 28, 2008 6:00pm

LEE COUNTY PUBLIC EDUCATION CENTER 2855 Colonial Blvd, Ft. Myers, FL 33966

ELECTRONIC BOARD PACKET

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 Assistant prior to

meeting.

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS

Thursday, February 28, 2008, 6:00 pm LEE COUNTY PUBLIC EDUCATION CENTER, 2855 Colonial Blvd, Ft. Myers, FL 33966

AGENDA

1. 5:00pm – Reception Honoring Dr. John Fenning (Fine Dining Room, East Entrance)

2. 6:00pm - CALL TO ORDER (Board Chairman John Donaldson, MD) LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS, sitting as the Lee Memorial Health System Board of Directors and the Board of Directors of its subsidiary corporations: Cape Memorial Hospital, Inc.; Lee Memorial Medical Management, Inc.; Lee Memorial Home Health, Inc.; and HealthPark Care Center, Inc.

3. Invocation and Pledge of Allegiance (Rev. Tom Brenner)

4. 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 Assistant prior to meeting.

5. Recognition of Dr. John Fenning – Pioneer in Joint Replacement Surgery (Chairman John Donaldson, MD, Jim Nathan, CEO/President and F. Brett Shannon, DO, Medical Staff President/LMHS)

6. Board of Directors Meeting Minutes of January 31, 2008 (Approval) (Lois Barrett, MBA, Board Secretary)

7. Medical Staff Business (All Directors) i. Physician Leadership Council Report (Accept)

ii. Recommendations of February 15, 2008 (Approvals) a. Lee Memorial Hospital/HealthPark Medical Center b. Cape Coral Hospital c. Southwest Florida Regional Medical Center d. Gulf Coast Hospital

iii. Issues/Discussion

8. Consent Agenda (All Directors) (Approval)

9. Cape Coral Hospital Operations Report (Acceptance) (Larry Antonucci, MD, Chief Administrative Officer/Cape Coral Hospital)

10. Supporting Agency Business 11. Old Business 12. New Business 13. President’s Report (Jim Nathan, President/CEO) 14. Board of Directors’ Report 15. Board Liaison Report (Cathy Stephens, Board Liaison) 16. Date of the next LEE MEMORIAL HEALTH SYSTEM BOARD MEETING

March 27, 2008, 6:00pm, Lee County Public Education Center, 2855 Colonial Blvd., Ft Myers, Florida

17. ADJOURN LEE MEMORIAL HEALTH SYSTEM BOARD MEETING Followed by a Lee County Trauma Services District Meeting


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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 Assistant

prior to meeting.

Refer to Board Policy: 10:15D: 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.



Thursday, February 28, 2008

RECOGNITION of

John Fenning, MD

Pioneer in Joint Replacement Surgery

Lee Memorial Health System Board Of Directors

Resolution in Honor of John B. Fenning, MDWHEREASDr. Fenning graduated from the University of Vermont College of Medicine, and received medical and surgical training at the U.S. Naval Hospitals in Chelsea, Massachusetts and Portsmouth, Vermont, followed by a surgical residency at Duke University and 12 years with the U.S. Navy as an orthopaedic surgeon; and is Board Certified by the American Academy of Orthopaedic Surgery; and

WHEREASDr. Fenning established his private practice in Fort Myers, Florida and has dedicated his career as a world renowned orthopaedic surgeon while serving on the Lee Memorial Hospital Medical Staff since May 25, 1971; and has been a pioneer and innovator implanting more than 20,000 total joints at Lee Memorial Hospital including: being one of only four U.S. orthopaedic surgeons in the introduction of the AML, the first porous coated implant used in the U.S.; the first AML hip implant in Florida, performed at Lee Memorial Hospital in 1981; more LCS (Low Contact Stress) knees than anyone else in the world, and one of the largest series of total ankles in the country, all at Lee Memorial Hospital; and

WHEREASDr. Fenning has been a consultant to the major orthopaedic companies (Biomet, DePuy, Zimmer, and others) designing both original instrumentations and surgical techniques including groundbreaking work with porous coated implants, which were controversial when introduced, and now represent the standard of care for high demand or active patients; including moveable bearings for the tibial surface, also initially controversial and now in every major orthopaedic company’s product line; other implant line extension and instrumentation designs still in use worldwide today; as well as the first intra-medulary instruments for the LCS knee, which continue to evolve in use today; and

WHEREASDr. Fenning has brought worldwide attention to Lee Memorial Hospital as a teaching site for both the AML hip and the LCS knee, having trained surgeons from all over the world for more than 15 years, including over 300 surgeons from France on the LCS knee, and was inducted into the French Orthopedic Society and gave presentations in fluent French during many European trips, and also conducted numerous domestic presentations on his work;

NOW, THEREFORE BE IT RESOLVED THAT ON THIS DAY OF February 28, 2008, the Lee Memorial Health System Board of Directors do hereby congratulate and recognize John B. Fenning, MD, for his pioneering spirit and many accomplishments which have brought worldwide renown to both Dr. Fenning and the Lee Memorial Health System. We thank you for 37 years of extraordinary service.

_____________________________John Donaldson, MD Chairman, Board of Directors Lee Memorial Health System

LEE MEMORIAL HEALTH SYSTEM, Lee County, Florida LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES

Thursday, January 31, 2008 LOCATION: Lee County Public Education Center (LCPEC), 2855 Colonial Blvd., Fort Myers, FL 33966 MEMBERS PRESENT: John Donaldson, MD, Chairman; Nancy McGovern, RN, MSM, Vice Chairman; Richard Akin, Treasurer; Kerry Babb, Director; Linda L. Brown, MSN, ARNP, Director; James Green, Director; Frank T. La Rosa, Director; Jason A. Yost, Director MEMBERS ABSENT: Lois C. Barrett, MBA, Secretary; Marilyn Stout, Director OTHERS PRESENT: Jim Nathan, CEO/President; James T. Humphrey, Esq., Board Counsel/Fowler & White; Mary McGillicuddy, Chief Legal Officer; Jon Cecil, Chief Human Resources Officer; CB Rebsamen, MD, Chief Medical Officer/Ambulatory & Strategic Services; Donna Giannuzzi, RN, Chief Patient Care Officer; Chuck Krivenko, MD, Chief Medical Officer/Clinical & Quality Services; Larry Antonucci, MD, Chief Administrative Officer/CCH; Gaile Anthony, Chief Administrative Officer/LMH; Doug Luckett. Chief Administrative Officer and Ancillary Services/SWRMC/GC; John Iacuone, MD, Executive Director/The Children’s Hospital; Ben Spence, System Director/Financial Services/ Reimbursement; Cindy Brown, Vice President/Nursing/HPMC; Marilyn Kole, MD, System Medical Director/Clinical Services; Tom Presbrey, MD, Chairman/Physician Leadership Council (PLC); Karen Krieger, System Director/Public Affairs and Press; Bill Miller, Chaplain/Spiritual Services; Jack Hess, President/Auxiliary/CCH; Anna Lou Sonderman, President/Auxiliary/SWRMC; Diane Spears, Nursing Director/General Medical/Infectious Diseases/LMH; Marliese Mooney, Physician Leadership Council (PLC) Consultant/Planning Committee of the Whole; John Noland, Chairman/Lee Healthcare Resources; Doug Dodson, President/Lee Healthcare Resources; Al Winchell, Director/Lee Healthcare Resources; Bill Byrd, Guest; Bob Johns, Guest; Cathy Stephens, Board of Directors’ Liaison; Isabel Firth, Administrative Secretary/Board of Directors; Beth Finney, 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 are available for public inspection.

SUBJECT DISCUSSION ACTION FOLLOW-UP

MEETING CALLED TO ORDER

The Lee Memorial Health System Board of Directors meeting was CALLED TO ORDER by

Chairman John Donaldson, MD at 6:00 pm.

INVOCATION AND PLEDGE OF

ALLEGIANCE

The Invocation was given by Chaplain Bill Miller and was followed by the Pledge of Allegiance.

(Frank La Rosa entered the meeting at 6:05pm)

PUBLIC INPUT There were NO “Public Input” items.

RECOGNITIONS AND

PRESENTATIONS

2008 NURSE RECRUITING

EFFORTS

REMODEL OF 2WEST FOR SPINE UNIT

RECOGNIZED LINDA BROWN

LHR BOARD LIAISON

JON CECIL FACHE DESIGNATION

Jim Nathan introduced John Noland and gave a brief overview of his history with Lee Healthcare Resources and their relationship with Lee Memorial Health System. Jon Cecil had actively expressed the need for assistance in Nurse Recruiting to John Noland and in response Lee Healthcare Resources presented LMHS a generous check in the amount of $250,000 to further assist in this area. Gaile Anthony has been collaborating with Lee Healthcare Resources in efforts to remodel 2West at LMH for the Spine Unit. John Noland said Gaile approached the Board at Lee Healthcare Resources and created excitement towards improving the neurology department. In response Lee Healthcare Resources presented LMHS a check in the amount $250,000 dollars to remodel 2West at LMH for the Spine Unit. John Nolan publicly thanked Linda Brown for her dedication and participation in serving as Board Liaison to LHR the past few years. Adding he looks forward working with his new Board Liaison, Richard Akin. Jim Nathan announced a recent article in the Southwest Florida News (Exhibit 1) recognizing Jon Cecil for leading LMHS to be deemed by the American Association for Retired Persons (AARP) as “One of America’s Top Ten Best Employers for Workers 50 and Over”. Jim also congratulated Jon on his recent designation as a new member of the Fellow American College of Healthcare Executives (FACHE). Jim said obtaining the FACHE designation is one of the highest honors in the healthcare profession and LMHS is so very thankful for Jon’s leadership. Jon commented LMHS has a phenomenal team of employees. Applause followed.

(Linda Brown entered the meeting at 6:08pm)

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES Thursday, JANUARY 31, 2008 Page 2 of 6

FOLLOW-SUBJECT DISCUSSION ACTION UP

DONNA GIANNUZZI “2007 HUMANITARIAN

AWARD”

DIANE SPEARS “ROSE OF CARE

AWARD”

QUALITY INITIATIVE VIDEO:

INTENSIVE CARE UNIT

Jim Nathan recognized Donna Giannuzzi as the recipient of the 2007 Saks Fifth Avenue “Key to the Cure” Humanitarian Award. Jim said this award is given to people in our community who have dedicated themselves to ensuring complete quality of care for the patients and families of those seeking oncology care. Jim thanked Donna on behalf of LMHS for her excellence and commitment to the oncology patients in our community. Applause followed. Linda Brown and Donna Giannuzzi recognized Diane Spears for being the first recipient of the Rose of Care Award. Linda Brown said the Rose of Care is an award founded by Hadassah and developed to honor nurses who provide whole health care not only to our community but outside the community as well. Diane Spears said she is very honored to receive the Rose of Care award. She thanked Linda Brown for recognizing her efforts and for nominating her for this prestigious award. Donna said there were more than one hundred nominees for this award and twenty-two finalists, nine of which were LMHS employees. Donna added Diane has played a major role in cancer awareness in our community and has volunteered her time, visiting Africa to aid in relief of suffering. Applause followed.

Dr. Chuck Krivenko presented the Quality Initiative Video regarding the Intensive Care Unit (Exhibit 2). He added the Intensive Care Unit has recently had the best quarter in the nation with regard to decreased mortality. Dr. Krivenko and Dr. Marilyn Kole presented the Board with copies of the book, Escape from Fire autographed by author Don Berwick. Dr. Krivenko thanked the marketing department for collaborating with him and his team to create the IS Video. John Donaldson said we currently have the best Intensive Care Unit outcomes in the nation and we plan to continue leading LMHS on the same path with the same high quality standards.

MEETING MINUTES John Donaldson asked if anyone wished to make any additions or corrections to the

January 8, 2008 Board of Directors Annual Organizational Meeting Minutes. A motion was made by James Green to approve the January 8, 2008 Board of Directors Annual Organizational Meeting Minutes. The motion was seconded by Nancy McGovern and it carried with no opposition.

MEDICAL STAFF

BUSINESS

PHYSICIAN LEADERSHIP COUNCIL

UPDATE

RECOMMENDATIONS

ISSUES/ DISCUSSION

Dr. Tom Presbrey reviewed the Physician Leadership Council (PLC) Report of January 31, 2008 (Exhibit 3). Discussion ensued regarding physician preference for future facility and service line allocations. Dr. CB Rebsamen commented, there are many ever changing factors contributing to the decision making process. James Green asked for an update on physician involvement at the recent Town Hall Medical Staff meetings? Tom said the meetings primarily consists of physicians and members of the medical staff working toward opening the lines of communication and developing a system for the Medical Staff to govern itself. He said there has been tremendous support and involvement from the Medical Staff. John Donaldson commented we have created an opportunity for the Medical Staff to participate and work collaboratively on specific system wide issues and have already accomplished many improvements in just fifteen months. John Donaldson reviewed the following Medical Staff Recommendations of January 24, 2008 (Exhibits 4-7).

A. Lee Memorial/HealthPark Medical Center (Exhibit 4) B. Cape Coral Hospital (Exhibit 5) C. Southwest Regional Medical Center (Exhibit 6) D. Gulf Coast Hospital (Exhibit 7)

There were NO “Issues/Discussion” items.

A motion was made by Nancy McGovern to accept the Physician Leadership Council (PLC) Report of January 31, 2008 (Exhibit 3). The motion was seconded by Linda Brown and it carried with no opposition. A motion was made by James Green to approve the following Medical Staff Recommendations of January 24, 2008 (Exhibits 4-7):

A. Lee Memorial/HealthPark Medical Center (Exhibit 4) B. Cape Coral Hospital (Exhibit 5) C. Southwest Regional Medical Center (Exhibit 6) D. Gulf Coast Hospital (Exhibit 7)

The motion was seconded by Kerry Babb and it carried with no opposition.



CONSENT AGENDA John Donaldson asked if anyone wished to pull any items listed on the Consent Agenda (Exhibit 8) for discussion.

A motion was made by Linda Brown to approve the Consent Agenda (Exhibit 8) consisting of the following items: 1. Acceptance of the FY 2007 LMHS System Strategic

Scorecard. 2. Acceptance of the FY 2008, November LMHS System

Strategic Scorecard. 3. Approval of the 2008 LMHS System Strategic Outline

Plan as presented. 4. Approval to collaborate with Lee County Emergency

Medical Services (EMS) to establish a Centralized Transfer Center to coordinate movement of patient transportation as well as identify capacity and physician service capabilities through improved lines of communication.

5. Approval of the Revised Children’s Hospital Advisory Board Bylaws.

6. Approval of the following Medical Staff Rules and Regulations REVISIONS:

A. Lee Memorial/HeatlhPark Medical Center i. Rule #5: Physicians Order

ii. Rule #11: Guidelines for Allied Health Practitioners

B. Gulf Coast Hospital i. 1300 Provisional Staff Review

C. Cape Coral Hospital i. 2.16: Patient Restraints

ii. 11.3: Supervision 7. Board Directive for the Chief Financial Officer and Board

Treasurer to review Board policy 20.09H: Capital Budget Authorization of Capital Commitments and to bring back any revisions to the February Governance Committee.

8. Approval of an additional $28,000 Capital Request for furniture, equipment, and information technology for the previously approved Capital Budget item of $120,000 to complete the new Lee Physician Services – Associates in Pediatrics Facility in Lehigh Acres.

9. Approval of the Capital Expenditure request in the amount of $150,000 to replace Air Handler #201, (previously approved as part of the FY 2008 Major Facilities Capital Budget).

10. Approval to replace Radiology Air Handler Unit #8 at Cape Coral Hospital in the amount of $120,000 (previously approved as part of the FY 2008 Major Facilities Capital Budget).

11. Acceptance of PricewaterhouseCoopers (PwC) Fiscal Year 2007 Financial Audit Report.

12. Endorsement of LeeSar’s future venture to develop the next level of service for LMHS by providing a Central Sterile Processing Facility and Centralized Food Processing cook and chill facility at an offsite location.

13. Acceptance of the Financial and Statistical Reports of November 30, 2007 and December 31, 2007.



The motion was seconded by Nancy McGovern and it carried with no opposition.

HEALTHPARK

MEDICAL CENTER OPERATIONS REPORT

Donna Giannuzzi reviewed the HealthPark Medical Center Operations Report (Exhibit 9). She gave special thanks to Kathy Bridge-Liles, Cindy Brown, Dr. John Iacuone and all other members of her team for their hard work and dedication. She also announced for the first time at The Children’s Hospital there are no nurse travelers or staff vacancies.

(James Green left the meeting at 6:42pm) A motion was made by Jason Yost to accept the HealthPark Medical Center Operations Report (Exhibit 9). The motion was seconded by Frank La Rosa and it carried with no opposition.

SUPPORTING

AGENCY BUSINESS

CAPE CORAL AUXILIARY REPORT

John Donaldson recognized Southwest Regional Medical Center Auxiliary President Anna Lou Sonderman and thanked her for attending the Board meeting. Jack Hess reviewed the Cape Coral Auxiliary Report (Exhibit 10).

(James Green re-entered the meeting at 6:53pm) A motion was made by Linda Brown to accept the Cape Coral Hospital Auxiliary Report (Exhibit 10). The motion was seconded by Frank La Rosa and it carried with no opposition.

OLD BUSINESS

GULF COAST HOSPITAL EXPANSION

PROJECT

Jim Humphrey reviewed the Gulf Coast Hospital Expansion document (Exhibit 11), which includes approval of the Domestic Wastewater Collection/Transmission System and the Perpetual Public Utility Easement. Jim said approval of these items is necessary to continue with the Gulf Coast Hospital Expansion process.

A motion was made by James Green to approve the Gulf Coast Hospital Expansion project which includes the Domestic Wastewater Collection / Transmission System and the Perpetual Public Utility Easement (Exhibit 11). The motion was seconded by Nancy McGovern and it carried with no opposition.

NEW BUSINESS There were NO “New Business” items. (Jason Yost left the meeting at 6:57pm)

PRESIDENT’S

REPORT

Jim Nathan presented the President’s Report (Exhibit 11) which covered issues relating to the financial state of healthcare in Florida and the current wide spread obesity epidemic. John Donaldson asked for clarification on page 5 (Exhibit 11) with regard to reporting dollars lost from the underinsured and under paid. He suggested adding a third category providing funds available in comparison to the permanent cost and percent of revenues. Discussion ensued regarding residents leaving the community and a lower volume of tourists.

BOARD OF

DIRECTORS’ REPORT John Donaldson said this has been a busy year for LMHS and we have successfully met many challenges however, in looking forward he asked for Board members, Senior Leadership, and other members present at the meeting to provide him with a verbal update on their goals for the next ninety days. Goals were as follows: Dr. Larry Antonucci:

• Continue Intensive Care Unit Initiatives, Tighten up the hospital finances, Improve communication with the Medical Staff

Ben Spence: • Continue making siginificant efforts to improve System finances, Increasing

productivity with current staff Doug Luckett:

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES Thursday JANUARY 31, 200

, 8 Page 5 of 6 SUBJECT DISCUSSION ACTION FOLLOW-

UP • Continue progress on the new Gulf Coast Hospital Facility, Improve product

standardization, Create a sharper focus on daily productivity management Dr. Tom Presbrey:

• Continue integrating the Physician Leadership Council Task Force groups, Moving towards integration and system wide standards and processes, Cooperative ventures, Complete the Medical Staff Bylaws

Dr. Chuck Krivenko:

• Continuing support of the Medical Staff processes, Completion of the integration of the Medical Staff, Create an innovative solution to the Emergency Department (ED) on call situation, Continue improving quality and safety, working towards the Joint Commission survey

Donna Giannuzzi, RN:

• Continue nursing staff retention efforts, Joint Commission survey, Strengthening her team by continuing to focus on quality and safety

Dr. CB Rebsamem:

• Continue progress in organizational clarity in key financial initiatives both with the medical staff and administration, Continue improvements to financial initiatives

Jon Cecil: • Continue to fill core positions, decreasing usage of traveling nurses, Support work

force to eliminate waste, create better efficiencies to improve revenue

Kerry Babb: • Work collaboratively with Administration, Physicians and Vendors to bring the cost of

orthopedic implants down. Linda Brown, MSN, ARNP:

• Future lobbying in the Legislature to enhance awareness and create laws to improve healthcare funding.

Nancy McGovern, RN, MSM: • Continue working with physicians and the Physician Leadership Council (PLC),

Improve efficiency of the Board through Governance, Work towards a nursing program and “Growing Our Own”

James Green:

• Create relationships with other publicly elected hospital boards, Further involvement with LeeSar

Frank La Rosa: • Continuing support of the Emergency Department (ED) program, Continue

collaboration with LeeSar, Tighten up financially, system wide Richard Akin:

• Controlling expenses and increasing revenue, Further development of the Physician Leadership Council (PLC), Continue facilities planning

Dr. John Donaldson said in looking into the future he hopes to continue working on the following projects:

• Training and educational programs, Surgical Operations, Implant pricing, Contracting, Transfer Center: integrated into the community, Strategic planning


SUBJECT DISCUSSION ACTION FOLLOW-

UP based on an ever changing environment

BOARD LIAISON

REPORT

Cathy reviewed the February 2008 Board of Directors Calendar (Exhibit 12). She said all the documents included in the Board Packet are available to view at the Lee Memorial Health System website (www.leememorial.org). Cathy announced the following February birthdays: Doug Luckett – February 5th, 2008 and Karen Krieger – February 9, 2008.

NEXT REGULAR

MEETING The date of the next REGULAR meeting of the Lee Memorial Health System Board of Directors is Thursday, February 28, 2008, 6:00pm at the Lee County Public Education Center (LCPEC).

ADJOURNMENT The Lee Memorial Health System Board of Directors

meeting was ADJOURNED by Chairman John Donaldson, MD at 7:44pm.

______________________________________ Lois C. Barrett, MBA

Board Secretary

Minutes were recorded by Beth Finney, Executive Secretary/Board of Directors Office

http://www.leememorial.org/



MEDICAL STAFF

BUSINESS

PLC Chairman Report to the Board 2/28/2008

1. The PLC held its monthly meeting on February 19th 6:30-8:30 PM.

2. Report of MEC Issues—Summation of the Minutes of the MEC

CCH – Dr. Carrasquillo – February 14th

Surgery call rules were referred back to Department for revision

because no mention was made of minimum number of surgeons to be

on call.

Mandatory consultation policy for the ICU was discussed and referred

to the Critical Care committee. Discussion concerning the way

mandatory ICU consults are handled at SWR.

LMHS – Dr. Shannon – February 13th

Surgery call rule revision was referred back to the Surgery Council for

additional work regarding coverage.

More discussion was held concerning the separation of the Lee and

HP medical staffs. Issues will be reported back to the Governance and

Bylaws Task Force and a favorable vote of the entire Medical Staff at

Lee and HP will be required. Importantly an educational process will

occur for the Medical Staff so they can have an informed vote.

GCH/SWFR – Dr. Bisbee – February 11th

The surgery rule revision was not approved due to the small number of

surgeons at GCH and SWR.

Sedation privileging criteria were approved.

3. Update on PLC Task Force Meetings

ER Call Task Force – Dr. Hobbs – 1/21 and 2/18

This Task Force has held its final official meeting.

ED Call Policy and Principles have been developed and distributed to

the Medical Staff. Subspecialties or sections will now come together to

consider how to address call following the principles.

It was recognized that there will be a need for a standing ED call

committee to assist and address issues as they arise. Governance

and Bylaws will address a structure for this ongoing PRN committee.

Dr. Hobbs and his committee were thanked for their hard work.

Quality and Peer Review Task Force – Dr. Roland

Documents are currently under review by the Medical Staffs and then

to each MEC and through the PLC.

Governance & Bylaws – Dr Levine

Intend to keep the PLC functioning and defined in the Bylaws to

communicate with one voice to the Board.

Education process with Town Hall style meetings to begin for the entire

Medical Staff concerning implications of changes in structure of the

Medical Staffs.

Draft documents for Bylaws are going to go to legal review, then the

entire Medical Staff. Expect to be completed by June or July

4. Facility and Service Line Allocation Task Force – Dr. Presbrey and Dr.

Rebsamen

Had the final meeting of Phase 1.

Discussion of Oncology services. Emphasis on the nursing staff as being

a key element to the provision of care.

I expect to be receiving a final summary document shortly before we move

into Phase Two of the process.

The following physicians have been asked for Phase Two to meet in four

additional meetings with the Senior Leadership Council and all have

accepted.

Emergency Medicine Tim Dougherty, M.D.

Neurosurgery Sam Javedan, M.D.

Orthopedic Surgery John Mehalik, M.D.

Obstetrics/Gynecology Blaise Kovaz, M.D.

Pediatric Oncology Emad Salman, M.D.

Thoracic Surgery Mike Metke, M.D.

PLC Tom Presbrey, M.D.

5. Other Issues Discussed

Dr. Bisbee attended the Board Planning Committee where the naming

of the new hospital was discussed. The Gulf Coast / SWR MEC

wanted to let the Board of Directors know that they would like to have

been involved in this process for name selection.

LPG Referrals—Discussed at the Cape MEC initially and then at the

PLC.

A group of hospitalist physicians in Cape Coral received the attached

letter from LPG primary care physicians instructing them to refer their

patients exclusively to LPG surgeons in Cape Coral unless the patient

requested otherwise.

After the Cape MEC discussion, the letter and concerns were

forwarded to Jim Nathan, who responded to the Cape MS President,

Marilyn Stout, and to me. That response was also reviewed by the

PLC prior to and during our discussion.

The major concern was whether or not the System Administration

instructed or coerced these LPG physicians into writing this letter as it

occurred after a visit to them by two System Administrators to discuss

a range of issues. This of course would be in violation of Board policy.

This was discussed at the Cape MEC and the PLC.

I personally talked to the actual author of the letter who stated that he

was not directed to write it by anyone. They felt that the LPG surgeons

were basically not getting enough business to survive.

At the PLC, two members who are LPG physicians also stated that

they have never been directed where to send patient referrals.

After about 40 minutes of discussion at the PLC, the following motion

was made and passed by a 9 to 4 vote:

“The PLC Chairman is to advise the Administration and the Board that

there is concern that LPG patient referrals are being directed by the

Administration.”

I apologize that I am unable to attend the Board meeting this month personally as

I am traveling to visit my elderly mother. I had originally planned on being

present. Dr. Bisbee, Vice Chair, was also committed elsewhere for this evening.

I will be happy to answer any questions or concerns at next months meeting or

by phone or email.

Thank you for your attention.

Tom Presbrey, MD

PLC Chairman

LEE MEMORIAL HEALTH SYSTEM Lee County, Florida

#1 M E M O R A N D U M

To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Lee Memorial Health System (Lee Memorial Hospital and Health Park Medical Center) Medical Staff Recommendations Date: February 15, 2008 The Executive Committee of the Medical Staff recommends the following physicians and allied health practitioners and certifies they have met the requirements set forth in the bylaws:

1. Provisional Staff Appointments: a. Norris Allen, M.D. – OB/Gyn b. Gil Narvaez-Soto, M.D. – Teleradiology c. Edward Marineau, M.D. – OB/GYN d. Christine Nielson, M.D. – Family Practice e. Raymond Santucci, M.D. – Pulmonary Medicine f. Margaret Thirston, M.D. – Anesthesiology

2. Intrasystem Appointment to Courtesy Staff:

a. Robert DiFronzo, M.D. – Internal Medicine

3. Privilege Requests: Level II Coronary CT Angiograms a. David Bailey, M.D. – Cardiology b. Jeffrey Bisker, M.D. – Radiology c. Richard Chazal, M.D. – Cardiology d. Elizabeth Cintron, M.D. – Cardiology e. Brian Hanlon, M.D. – Cardiology f. Jeffrey Sonn, M.D. – Radiology g. Joseph Tienstra, Jr., M.D. – Radiology

4. Advancements from Provisional to Active Staff:

a. May L. Foo, M.D. – Radiation Oncology b. Douglas S. Lee, M.D. – Emergency Medicine c. Yasin Zada, M.D. – Internal Medicine

5. Advancement from Provisional to Courtesy Staff:

a. Richard D. Rossin, M.D. - Teleradiology

6. Change of Status - Active to Affiliate Staff: a. Jennifer A. Springer, M.D. – Emergency Medicine, Active to Affiliate effective

02-18-08 b. Larry Eisenfeld, M.D. – Orthopedic Surgery

7. Change of Status – Active to Courtesy Staff:

a. Naser Kamkar, M.D. – Family Practice

Memorandum to Board of Directors LMHS Medical Staff Recommendations February 15, 2008 Page 2 of 2

8. Resignations: a. Aldo R. Beretta, M.D. – Orthopedic Surgery, effective 01-31-08 b. Oluwatoyin Ajose, M.D. – Pediatrics, effective 08-22-07

9. Allied Health Practitioners – Privilege Requests:

a. Robert Gilbert, PA-C – Physician Assistant – placement of central venous catheters (subclavian, internal jugular and femoral and placement of arterial lines (femoral and radial) under the supervision of Dr. Stephen Hannan

b. Christopher Mallari, PA-C - Physician Assistant – placement of central venous catheters (subclavian, internal jugular and femoral and placement of arterial lines Dr. Stephen Hannan

10. Allied Health Practitioners- Intrasystem Appointment:

a. Beth Dickey, ARNP – Advanced Registered Nurse Practitioner – Dr. Roggow

11. Allied Health Practitioners: a. Debra Berry, ARNP – Advanced Registered Nurse Practitioner – Dr. Marilyn Koleb. Mary Canfield, CRNA – Certified Registered Nurse Anesthetist – MAPMC c. Mary Ellen DeMartini, ARNP – Advanced Registered Nurse Practitioner – Assoc

in Internal Medicine d. Makenzi Gillis, PA-C – Physician Assistant – Orthopedic Specialists e. Stuart Jones, CRNA – Certified Registered Nurse Anesthetist - MAPMC f. Tammy Luettich, CNM – Nurse Midwife – Lee OB/GYN Associates g. Jessica Sherman, CRNA – Certified Registered Nurse Anesthetist - MAPMC

12. Practitioners-In-Training:

a. Jonel Archard – Nurse Practitioner student with Dr. Sunil Lalla, 01-23-08 to 05-01-08

b. Pravin George – Medical student with Dr. Bipin Shah, 02-11-08 to 03-07-08 c. Ava George – Medical student with Dr. Deidre Fish, 02-11-08 to 03-07-08 d. Jennifer Fedak – PA student with Dr. Deidre Fish, 02-11-08 to 03-14-08 e. Kelly Dahl – PA student with Dr. William Kokal, 02-11-08 to 03-14-08 f. Jennifer Garrett – PA student with Dr. William Kokal, 02-11-08 to 03-14-08 g. Sarah Kallansrude – PA student with Dr. William Kokal, 02-11-08 to 03-14-08 h. Michelle Sexton – PA student with Dr. William Kokal, 02-11-08 to 03-14-08 i. Helen Robbins – PA student with Dr. Tomas Jacome, 02-11-08 to 03-14-08 j. Sarah Browning – PA student with Dr. Roger Howell, 02-11-08 to 03-14-08 k. Jennifer Schnering – PA student with Dr. Roger Howell, 02-11-08 to 03-14-08 l. Suzanne Cole – PA student with Dr. Janet Rios, 02-11-08 to 03-14-08 m. Tara Sadonis – PA student with Dr. Janet Rios, 02-11-08 to 03-14-08 n. Stephanie Wesley – PA student with Dr. Ed Gomez, 02-11-08 to 03-14-08 o. Kimberly Munkers – PA student with Dr. Ed Halpren, 02-11-08 to 03-14-08

Approved by the Board of Directors –February 28, 2008

_________________________________________________ John D. Donaldson, M.D., Chairman - Board of Directors


#2

M E M O R A N D U M To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Cape Coral Hospital Medical Staff Recommendations Date: February 15, 2008 The Executive Committee of the Medical Staff recommends the following physicians and allied health practitioners and certifies they have met the requirements set forth in the bylaws:

1. Provisional Staff Appointments: a. Gil Narvaez-Soto, M.D. – Teleradiology b. Christine Nielson, M.D. – Family Practice – Geriatrics c. Margaret Thirston, M.D. - Anesthesiology

2. Intrasystem Appointment to Active Status:

a. Jelin Israel-Cvik, M.D., Internal Medicine

3. Change of Status – Honorary to Courtesy Staff: a. John A. White, M.D., Orthopedic Surgery

4. Resignation:

a. Rex E. Stubbs, M.D. – OB/Gyn, 02-01-08

5. Advancement from Provisional to Active Staff: a. May L. Foo, M.D. – Radiation Oncology

6. Advancement from Provisional to Courtesy Staff:

a. Richard D. Rossin, M.D. - Teleradiology

7. Allied Health Practitioners – Intrasystem Appointments: a. Beth Dickey, ARNP – Advanced Registered Nurse Practitioner for Dr. Roggow. b. Jennifer Lin, PA – Physician Assistant for Cape Coral ED Physicians.

8. Allied Health Practitioners:

a. Debra Berry, ARNP – Advanced Registered Nurse Practitioner for Dr. Kole. b. Mary Canfield, CRNA – Certified Registered Nurse Anesthetist for MAPMC c. Stuart Jones, CRNA – Certified Registered Nurse Anesthetist for MAPMC d. Jessica Sherman, CRNA – Certified Registered Nurse Anesthetist for MAPMC. e. Patrick Mora, PA – Physician Assistant for Dr. Perez.

Memorandum to Board of Directors Cape Coral Hospital Medical Staff Recommendations February 15, 2008 Page 2 of 2

9. Practitioners-in-Training:

a. Jonel Archard – Nurse Practitioner student with Dr. Sunil Lalla, 01-23-08 to 05-01-08. b. Jill Kerik – Nurse Practitioner student with CCH ER Physicians, 02-04-08 to 05-16-08. c. Lauren Sachs – Medical student with CCH ER Physicians, 03-24-08 to 04-18-08.

Approved by the Board of Directors, February 28, 2008

________________________________________________ John D. Donaldson, M.D., Chairman – Board of Directors

LEE MEMORIAL HEALTH SYSTEM

Lee County, Florida #3

M E M O R A N D U M To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Southwest Regional Medical Center Medical Staff Recommendations Date: February 15, 2008 The Executive Committee of the Medical Staff recommends the following physicians and allied health practitioners and certifies they have met the requirements set forth in the bylaws:

1. Provisional Staff Appointment: a. Gil Narvaez-Soto, M.D. - Teleradiology

2. Intrasystem Appointment to Consulting Staff:

a. Ivan Mazzorana, M.D., Psychiatry 3. Change of Status:

a. Irit Hemed, M.D. - Internal Medicine, Consulting to Active b. Joseph Graham, D.O.- General Surgery, Active to Consulting

4. Reinstatement to Active Staff:

a. Keith Lafferty, M.D. - Emergency Medicine

5. Resignation: a. Matthew Allen, DDS - Dentistry, effective 04-01-08

6. Recommendation for waiver of bylaws:

a. SECTION 5. PROFESSIONAL LIABILITY INSURANCE Unless a waiver is specifically requested by the physician, recommended by the Executive Committee, and approved by the Governing Board, all new applicants for Staff membership and current members of the Medical Staff, shall be required to hold professional liability insurance in no event less that $250,000 per occurrence and $750,000 in the aggregate or such amount allowed by State Law, whichever is less. This requirement shall not be considered reviewable for purposes of the Fair Hearing Plan. Recommendation to waive bylaws and allow the following surgeons to file with the State and not carry professional liability insurance:

• Gordon D. Burtch, M.D. • Ajay Kalra, M.D. • Anthony D’Angelo, M.D. • Jose Manibo, M.D.

Memorandum to Board of Directors Southwest Regional Medical Center Medical Staff Recommendations February 15, 2008 Page 2 of 2 7. Reappointments - See Attached List. 8. Allied Health Practitioners - Intrasystem Appointments:

a. Beth Dickey, ARNP – Dr. Debra Roggow b. Dianne Del Pizzo, ARNP – Dr. Ivan Mazzorana c. Angela Monterosso, ARNP – Dr. Ivan Mazzorana d. Colleen Scudder, ARNP – Dr. Ivan Mazzorana

9. Allied Health Practitioners – Privilege Requests:

a. Barbara Evans, ARNP - routine suturing of lacerations and surgical wounds, tissue biopsies and excision of simple skin lesions, perform routine incision and drainage and perform routine wound care and debridement.

b. Heather Wilenius, ARNP - routine suturing of lacerations and surgical wounds, tissue biopsies and excision of simple skin lesions, perform routine incision and drainage and perform routine wound care and debridement.


a. Debra Berry, ARNP –Dr. Marilyn Kole b. Makenzi Gillis, PA – Dr. Antonio Flores c. Sally Jo Guske, CRNA – Dr. Simeon Manalili d. Joseph Santini, PA –Dr. Tom Schaar

Approved by the Board of Directors – February 28, 2008

_________________________________________________ John D. Donaldson, M.D., Chairman, Board of Directors

REAPPOINTMENTS - MARCH 1, 2008 - FEBRUARY 28, 2010

SOUTHWEST FLORIDA REGIONAL MEDICAL CENTER

Name Specialty Status

Wayne Burr M.D. Internal Medicine ActiveValerie Dyke M.D. General Surgery ActiveErnest Gesiotto M.D. Internal Medicine ActiveRichard Glasser M.D. Ophthalmology CourtesyJohn Green D.O. Internal Medicine ActiveRaymond Kordonowy M.D. Internal Medicine ActiveBrian Kurland M.D. General/Vascular ActiveRalph Lerman D.P.M. Podiatry CourtesySteven Levine M.D. Pathology ActiveSergio Mather M.D. Internal Medicine/ Endocrinology ActiveSarada Penukonda M.D. Internal Medicine ActoRajan Sareen M.D. Cardiology CourtesyDouglas Savage M.D. Neurosurgery ActivePeter Schreiber M.D. Physical Medicine & Rehabilitation ActiveRonny Taschner D.D.S. Dentistry Consulting

ALLIED HEALTH PROFESSIONALS

Rick Hall P.A. Physician Assistant Sponsor: Dr. Larry Hobbs

REAPPOINTMENTS - MARCH 1, 2008 - FEBRUARY 28, 2010

GULF COAST HOSPITAL

Name Specialty Status

Valerie Dyke M.D. General Surgery CourtesyJohn Green D.O. Internal Medicine ActiveBrian Kurland M.D. General/Vascular CourtesyRalph Lerman D.P.M. Podiatry CourtesySteven Levine M.D. Pathology ActiveSarada Penukonda M.D. Internal Medicine CourtesyRajan Sareen M.D. Cardiology CourtesyDouglas Savage M.D. Neurosurgery CourtesyPeter Schreiber M.D. Physical Medicine & Rehabilitation Courtesy

ALLIED HEALTH PROFESSIONALS

Rick Hall P.A. Physician Assistant Sponsor: Dr. Larry Hobbs


#4 M E M O R A N D U M

To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Gulf Coast Hospital Medical Staff Recommendations Date: February 15, 2008 The Executive Committee of the Medical Staff recommends the following physicians and allied health practitioners and certifies they have met the requirements set forth in the bylaws:

1. Provisional Staff Appointments: a. Norris Allen, M.D. – Obstetrics/Gynecology b. Gil Narvaez-Soto, M.D. Teleradiology

2. Intrasystem Appointments to Consulting Staff:

a. Ivan Mazzorana, M.D. Psychiatry b. Mary Stegman, M.D. Internal Medicine

3. Change of Status – Active to Courtesy Staff:

a. Harold Tsai, M.D. - Urology

4. Reinstatement to Active Status: a. Keith Lafferty, M.D. – Emergency Medicine

5. Resignations:

a. Oluwatoyin Ajose, M.D. – Pediatrics (effective 08-02-07) b. Aldo Beretta, M.D. – Orthopedics (effective 01-31-08)

6. Reappointments - See Attached List.

7. Recommendation for waiver of bylaws:

a. SECTION 5. PROFESSIONAL LIABILITY INSURANCE Unless a waiver is specifically requested by the physician, recommended by the Executive Committee, and approved by the Governing Board, all new applicants for Staff membership and current members of the Medical Staff, shall be required to hold professional liability insurance in no event less that $250,000 per occurrence and $750,000 in the aggregate or such amount allowed by State Law, whichever is less. This requirement shall not be considered reviewable for purposes of the Fair Hearing Plan. Recommendation to waive bylaws and allow the following surgeons to file with the State and not carry professional liability insurance:

• Gordon D. Burtch, M.D. • Ajay Kalra, M.D. • Anthony D’Angelo, M.D. • Jose Manibo, M.D.

Memorandum to Board of Directors Gulf Coast Hospital Medical Staff Recommendations February 15, 2008 Page 2 of 2

8. Allied Health Practitioners - Intrasystem Appointments: a. Beth Dickey, ARNP – Dr. Debra Roggow b. Dianne Del Pizzo, ARNP – Dr. Ivan Mazzorana c. Angela Monterosso, ARNP – Dr. Ivan Mazzorana d. Colleen Scudder, ARNP – Dr. Ivan Mazzorana

9. Privilege Requests:

a. Barbara Evans, ARNP - routine suturing of lacerations and surgical wounds, tissue biopsies and excision of simple skin lesions, perform routine incision and drainage and perform routine wound care and debridement.

b. Heather Wilenius, ARNP - routine suturing of lacerations and surgical wounds, tissue biopsies and excision of simple skin lesions, perform routine incision and drainage and perform routine wound care and debridement.


a. Debra Berry, ARNP –Dr. Marilyn Kole b. Makenzi Gillis, PA – Dr. Antonio Flores c. Sally Jo Guske, CRNA – Dr. Simeon Manalili d. Joseph Santini, PA –Dr. Tom Schaar

Approved by the Board of Directors – February 28, 2008

_________________________________________________ John D. Donaldson, M.D., Chairman, Board of Directors



MEDICAL STAFF

BUSINESS Issues -

Discussion

Any item on the Consent Agenda may be pulled by a Director or member of the public for discussion. Copies of all listed items are available for review in the Meeting Agenda/Exhibits Folder

in rear of the room. The remainder of the Consent Agenda can be approved by a single vote. Items pulled will be considered separately immediately following the Consent vote.

CONSENT AGENDA for February 28, 2008

February 7, 2008 Governance Board Retreat

1. Approval of the FY 2008 1st Quarter Compliance Report. 2. Approval of the FY 2008 1st Quarter Board of Directors Budget. 3. A Board Directive to defer to the May 8, 2008 Governance meeting, any revisions to the

LMHS President’s evaluation format. 4. Approval of the Board Liaisons’ annual evaluation format. 5. Approval of the Board Counsels’ annual evaluation format. 6. A Board Directive for the Board Liaison to annually survey all Board members for their

interest in holding a Board officer position and to submit with updated bio information to the

Board prior to the Annual Organizational meeting. 7. Approval of the revised 2008 Board Liaison Assignments {Copy Attached}. 8. A Board Directive to move the Full Board of Directors meetings from 6:00pm to 1:00pm

beginning in April 2008, with televised recording to be shown at 6:00pm on the same day. 9. A Board Directive for the Chairman and Board Liaison by the May 8, 2008 Governance

meeting to arrange for Board member access to a workspace with a computer in the Board

office during after hours.

10. A Board Directive to maintain all Board meeting documents on the LMHS website for ninety

days, afterwards, an agenda & approved minutes will remain.

11. A Board Directive for the LMHS President to assist the Board in establishing relationships

with other publicly elected Hospital Boards. February 14, 2008 Quality and Education Committee of the Whole

12. Acceptance of the FY 2008 1st Quarter Risk Management Report. 13. Acceptance of the FY 2007 4th Quarter Performance Measure Report.

February 14, 2008 Planning Committee of the Whole

14. Approval of the Rehabilitation Hospital Annual Executive Summary Report. 15. Acceptance of the Outpatient Services Executive Summary Report. 16. Approval of the recommended temporary name of Gulf Coast Medical Center for the new

facility at Metro and Daniels Parkway.

022807 Consent Agenda Page 1 of 2

022807 Consent Agenda Page 2 of 2

February 21, 2008 Finance Committee of the Whole

17. Approval to replace the HealthPark Medical Center Cooling Towers 1 & 2 - $500,000 (previously approved as part of the FY 2008 Facility Capital Budget).

18. Approval of the dual fuel system conversion of the emergency generators at Cape Coral

Hospital - $250,000 (previously approved as part of the FY 2008 Facility Capital Budget).

19. Adoption of a Resolution authorizing the Chief Financial Officer & Board Treasurer to

negotiate a viable financing option in a principal amount up to $60,000,000 with respect to

the outstanding Health System Revenue Bonds (Health Park Project) 2003 Series A, and to

execute all required documents related to the financing.

20. A Board Directive for the System Finance and Legal departments to examine options for

maximizing the recovery of funds from Ambac due to the lack of purchase of our Auction

Rate Bonds and to discuss with organizations who have encountered similar losses to

consider a class action lawsuit against Ambac. 21. Acceptance of LMHS Investment Performance Report as of 12/31/07 as presented.

22. Approval to adopt the Investment Policy Statement (IPS) compliance model as presented for

short term, and for SEI to complete a Risk Tolerance Survey of all Board Finance

Committee members and Senior Leadership members by next Finance Committee.

23. A Directive to Table Board Policy 20.09H: Capital Budget Authorization, to review with all

current Board policies related to capital spending and authorization of same. Motion

included a Directive for creation of a Capital Projects status report for Board review.

24. Acceptance of the FY 2008 Financial and Statistical Reports for January 31, 2008.

25. Acceptance of the FY 2008 1st Quarter Capital Update.

26. Approval to appoint Jack Eikenberg, Board Planning Committee Community Representative

to provide a business review of all entities contained within “physician services”, and to

provide a report back to the Board within ninety days.

V:\PRESENTATIONS\2008\Full Board\022808\2008 FINAL Liaison Appointments - approved 022808.doc Page 1 of 2

LLEEEE MMEEMMOORRIIAALL HHEEAALLTTHH SSYYSSTTEEMM BBOOAARRDD OOFF DDIIRREECCTTOORRSS

2008 BOARD LIAISON APPOINTMENTS (sorted by Director)

AREA

BOARD MEMBER

ADMINISTRATOR

Board Secretary

Lois Barrett, MBA Cathy Stephens

The Children's Hospital Executive Council Lois Barrett, MBA

John Iacuone, MD

Post Acute Services Lois Barrett, MBA

CB Rebsamen, Marjory May

Emergency Frank La Rosa Lisa Sgarlata, RN

Trauma Services Frank La Rosa

Anne Rose

Pre Hospital Care Consists of Transfer Center/EMS Relations

Frank La Rosa Chris Nesheim

Southwest Regional/Gulf Coast ** James Green

Doug Luckett, CAO Marilyn Kole, MD

Human Resources James Green Jon Cecil

Risk Management James Green Mary McGillicuddy

Lee Memorial Hospital **

Jason Yost

Gaile Anthony, CAO Mark Greenberg, MD

Ambulatory Care Jason Yost

CB Rebsamen, MD & Guert Peet

Facilities

John Donaldson, MD Dave Kistel

Physician Leadership Council /Credentialing John Donaldson, MD

Chuck Krivenko, MD

Clinical Operations (System) John Donaldson MD Chuck Krivenko, MD Donna Giannuzzi, RN

Marketing/Public Relations

Kerry Babb

Anne Rose

Quality & Standards

Kerry Babb Chuck Krivenko, MD

Planning/Strategy

Linda Brown, MSN, ARNP

CB Rebsamen, MD

Foundation Linda Brown, MSN, ARNP

Sharon MacDonald

Oncology

Linda Brown, MSN, ARNP

Sharon MacDonald

Corporate Compliance Nancy McGovern, RN, MSM

Charles Swain

V:\PRESENTATIONS\2008\Full Board\022808\2008 FINAL Liaison Appointments - approved 022808.doc Page 2 of 2

AREA

BOARD MEMBER

ADMINISTRATOR

Nursing Nancy McGovern, RN, MSM

Donna Giannuzzi, RN

Women’s Services

Nancy McGovern, RN, MSM

Kathy Bridge-Liles

Financial Operations Richard Akin

John Wiest

Children’s Hospital Richard Akin

Kathy Bridge-Liles John Iacuone, MD

Bonita Community Health Center Richard Akin

C.B. Rebsamen, MD

Cape Coral Hospital ** Marilyn Stout

Larry Antonnucci, MD

Cardiology Marilyn Stout Cindy Brown

Trauma Advisory Committee Co-Chair Marilyn Stout Drew Mikulaschek, MD

Anne Rose **Note: Assignment to a hospital facility includes all aspects of that facility including Auxiliary, Events, Medical Staff, etc and the responsible party will be both to the CAO and Medical Director

COMMITTEE OF THE WHOLE CORE MEMBERS (2008):

CoW MEETING CHAIR CO-CHAIR

GOVERNANCE Nancy McGovern, RN, MSM James Green PLANNING Linda Brown, MSN, ARNP Jason Yost QUALITY/EDUCATION Kerry Babb John Donaldson, MD FINANCE Richard Akin Marilyn Stout

Cape Coral Hospital Operations Report to The Board of Directors

Quarter 1, FY 2008 Lawrence R. Antonucci, Chief Administrative Officer, CCH

February 28, 2008 Cape Coral Hospital key facility statistics include: • Admissions excluding normal newborn were 3,331, 8.1% less than budget and

7.6% less than last year. • Average LOS was 4.44 days, 6.6% greater than budget and 13.0% greater than

last year. • ER visits were 13,779, 4.5% greater than budget and 5.9% greater than last

year. • Births were 370, 17.6% less than budget and 10.2% less than last year. • Surgery cases were 2,095, 3.0% less than budget and 3.3% less than last year. • Gain (Loss) from operations was 13.6% less than budget. • Net revenue per Adjusted Admission was 1.5% greater than budget for the 1st

quarter of FY ’08 and 15.5% greater than previous year. • The FTE per AOB was 4.38, 2.7% less than budget and 3% less than last year. • FY 2008 1st Quarter patient satisfaction score was 89.9 for inpatient likelihood to

recommend vs. FY 2007 4th Quarter score of 88.5. • The ER FY 2008 1st Quarter patient satisfaction score was 82.0 for likelihood to

recommend vs. FY 2007 4th Quarter score of 79.8. Highlights of the Quarter:

• Driven by feedback from staff, Food Services has implemented Healthier U, priced right menus to encourage healthier food choices.

• Employee referrals increased from 18% to 25% in 2007. • Interpreter dedicated to CCH. • Interpreters translated 75 documents; system savings of $20K. • CCH Received congressional Medal of Honor for attaining 75% conversion

rate of those eligible to donate using LifeLink program.



SUPPORTING AGENCY

BUSINESS



OLD BUSINESS



NEW BUSINESS



PRESIDENT’S REPORT

Jim Nathan CEO/President



BOARD OF

DIRECTORS’REPORTS



BOARD LIAISON REPORT

Cathy Stephens

LLEEEE MMEEMMOORRIIAALL HHEEAALLTTHH SSYYSSTTEEMM && LLEEEE CCOOUUNNTTYY TTRRAAUUMMAA SSEERRVVIICCEESS DDIISSTTRRIICCTT BBOOAARRDD OOFF DDIIRREECCTTOORRSS MMEEEETTIINNGG CCAALLEENNDDAARR

MMAARRCCHH 22000088 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

FOUNDATION EVENT 33rd Annual Greek Fest

to benefit The Children’s Hospital

Feb 29-March 2 Greek Orthodox Church on

Cypress Lake Drive

1 FOUNDATION EVENT

Celebrity Tennis Day to benefit

Barbara’s Friends The Children’s Hospital

8:30am High Rises @ Bonita Bay

2

3

Nancy McGovern

4 FOUNDATION EVENT “A Night of Discovery”

Cancer Research & Technology

South Fort Myers High 7pm-8pm

5

6 1:00pm Planning

Committee of the Whole (LMH Boardroom)

2:00 pm Quality & Education


7 8

9 Daylight

Savings Time Begins

10 FHA

“Hospital Days” Tallahassee

10th – 11th

11 FHA “Hospital Days”

Tallahassee 10th – 11th

12 13

FOUNDATION EVENT 11th Annual Diamond Dinner

Boston Red Sox City of Palms Park

6pm

14 15 American Red Cross

“Star Struck 2008” (International Design Center)

16 FOUNDATION

EVENT 5th Annual

Barbara’s Friend’s Charity Classic

Lexington County Club

17 Happy

St. Patty’s Day!

18 19 Service Award

Luncheon CCH Auxiliary

Conference Room 11:30am – 1:15pm

20 1st Day of Spring

Service Award Luncheon GCH & SW CHCC Auditorium

11:30am – 1:15pm ++++++++++++++++++++++++++++++++++++++++

1:00 pm Finance


21 Good Friday

Service Award Luncheon

LMH Auditorium 11:30am – 1:15pm

22

23 EASTER

24 25

Service Award Luncheon

HPMC Room H201-H204 11:30am – 1:15pm

26 27

Linda Brown ++++++++++++++++++++++++++++++++++++++++++

6:00pm Board of Directors Meeting

(LCPEC)

28

29

30 31

Questions about this schedule: Contact the LMHS Board of Directors office at (239) 334-5943

Key: LMH – Lee Memorial Hospital, 2776 Cleveland Avenue, Ft Myers, FL 33901 LCPEC – Lee County Public Education Center, 2855 Colonial Blvd., Ft Myers, FL 33966

FFUUTTUURREE IIMMPPOORRTTAANNTT DDAATTEESS TTOO RREEMMEEMMBBEERR: April 17th - Pioneer Physician Recognition Dinner April 26th - Service Awards Banquet, Broadway Palm Theatre

FFOOUUNNDDAATTIIOONN EEVVEENNTTSS: For further details, please contact the Foundation at (239) 985-3550

Connect. Heal. Save.

Admission is free and open to the public.

Please join Lee Memorial Health System Foundation for

Join us for a look into the future! Cancer patient and local Sanibel Island resident, John Kanzius, will share his invention that utilizes a high-energy radiowave fi eld and nanoparticles to

kill cancer cells. Recent trials at MD Anderson have received growing attention from both the national and international medical communities.All ages are encouraged to attend and group reservations are welcome.

Silver Sponsors:Florida Cancer Specialists21st Century Oncology

LeeSarLee Memorial Health System/Lee Cancer Care

Presenting sponsor:

Tuesday, March 4, 2008 • 7:00 p.m. – 8:00 p.m. • South Fort Myers High School Auditorium 14020 Plantation Road, Ft. Myers • Kindly RSVP to (239) 335-7595

A cancer research & technology presentation by Steven A. Curley, M.D., FACS & Inventor John Kanzius

Don’t miss this demonstration and open-forum discussion on an amazing cancer research project.

www.leememorial.org/foundation

A Night of Discovery: “Sending Cancer a Signal”

ADJOURNMENT



DATE OF THE NEXT REGULARLY SCHEDULED

FULL BOARD OF DIRECTORS MEETING:

THURSDAY, MARCH 27, 2008

6:00pm

LEE COUNTY PUBLIC EDUCATION CENTER 2855 Colonial Blvd, Ft. Myers, FL 33966