Greater Naples Leadership Masters Class XXIII

Healthcare Day January 30, 2019

Session Day Materials - Table of Contents

A. Goals & Objectives

B. Agenda

C. Biographies

D. Volunteer Opportunities

E. Reading Recommendations

F. Locations and Directions

(Please click on a heading to be directed to that section in the document)

Dress Code: Business casual for comfort in air-conditioned rooms

Venue: NCH Healthcare System-Downtown Campus. Telford Auditorium, 350 Seventh St. North

Session Leaders: Tara Meenan Lansen (Team Lead), Caren Arnstein, Bernadine Caruso, Mike Hanson; CLT Lead: Gunther Winkler

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Theme: Changes and Chal lenges of Healthcare Del ivery

Goals:

• Understand the healthcare environment and challenges nationally, in Florida and locally• Describe the types and work of the major health providers in the Collier County area• Address the major challenges facing patients and providers here and within the national context• Appreciate the current and future impact of healthcare on the community

Objectives:

• Provide a greater understanding of the complex national, state and local environment and thecurrent outlook given the many changes in recent years.

• Identify how we meet the needs of the underserved in our community.• Identify the health needs of the aging population.• Identify volunteer opportunities for class members.

Healthcare Day Agenda

8:00 Arrive at Naples Community Hospital-Downtown Campus Telford Auditorium, Second Floor Coffee, tea and light, healthy breakfast will be provided

8:15 GNL Welcome • Bill Hogan, GNL Class XXIII Leader

8:20 Team Introductions; Overview of Goals and Objectives • Tara Meenan Lansen, Healthcare Day XXIII Team Lead

8:30 The Challenges of Healthcare Delivery in the US • Dr. Ronald N. Riner, President, The Riner Group

9:15 State Healthcare Priorities and Budget • Senator Kathleen Passidomo

9:45 Q & A with Dr. Riner and Sen. Passidomo

10:05 Comfort Break

10:15 Healthcare Delivery in the Collier County Area • Phil Dutcher, Chief Operations Officer of the NCH Healthcare System• Scott Lowe, CEO of Physicians Regional Healthcare System• Dr. Larry Antonucci, President and CEO of Lee Health

11:25

11:50

Panel Q & A with Phil Dutcher, Scott Lowe, Dr. Larry Antonucci

Comfort Break and Walk to The Garden of Hope and Courage

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12:00 Lunch in the Garden of Hope and Courage • Interactive table discussion with some of the speakers

12:50 Current Choices for Continuum of Care • Dan Lavender, CEO Moorings Park

1:15 Healthcare Issues Facing Seniors: Gerontology and Oncology • Ronald T. Garry, MD, Geriatrician, Subsection Chief of Geriatrics, NCH• Andrew Lipman, MD, Oncologist, Partner, Florida Cancer Specialists & Research

Institute

2:15 Panel Q & A with Dan Lavender, Dr. Garry, and Dr. Lipman

2:35 Comfort Break

2:45 Meeting the Needs of the Underserved in Collier County • Mike Ellis, CEO, Healthcare Network of Southwest Florida• Nancy Dauphinais, COO, David Lawrence Center• Wayne Mullican, VP of Senior Friendship Health Center• Nancy Lascheid, Co-Founder, Neighborhood Health Clinic

3:45 Speed Interactive Overview of Volunteer Opportunities • Divide class into 4 groups, rotate to tables for each above

4:27 Perspective on the Day and Recap of Key Take-Aways • Turn in Evaluation Forms.• Tara Meenan Lansen, Healthcare Day XXIII Team Lead

4:30 GNL Wrap up • Bill Hogan, GNL Class XXIII Leader

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Speaker Biographies

Ronald Riner, M.D Dr. Ronald Riner is President of The Riner Group, a consulting firm serving hospitals, educational institutions, and other components of the healthcare industry.

A graduate of Princeton University, Dr. Riner attended medical school at Cornell and did his residency at the New York Hospital/Sloan Kettering Cancer Center in New York. His fellowship in cardiovascular diseases was at the Mayo Clinic in Rochester, Minnesota. He has also received formal business education at Washington University, Kellogg School at Northwestern and at Harvard University.

He is also a Fellow of the Institute for Advanced Study on International Business Development at Washington University. He is a former graduate medical education director and had over 15 years of private medical practice before devoting himself to the business of medicine and healthcare. He is a frequently requested speaker and advisor in the healthcare industry. He lives in Naples, Florida.

Senator Kathleen Passidomo Senator Kathleen Passidomo was elected to the Florida Senate in November 2016 after having served in the Florida House of Representatives since 2010. She currently serves as the Senate Majority Leader and serves on the Appropriations Committee, the Appropriations Subcommittee on Health and Human Services, the Rules Committee, the Innovation, Industry and Technology Committee and the Ethics and Elections Committee. She also serves as the Senate President’s appointee to the Statewide Council on Human Trafficking and the Florida Public Service Commission Nominating Council.

Senator Passidomo is a Past President of the Board of Directors of the Collier County Bar Association and of the Collier County Women's Bar Association. She is a graduate of Leadership Florida Class XII, Leadership Collier Class of 1991 and Leadership Marco Island Class of 2014

For her work in the legislature Senator Passidomo received numerous recognitions including the 2014 Florida Council on Aging Advocacy Award; the 2014 Legislator of the Year Award from the Elder Law Section of the Florida Bar; the 2013 Legislator of the Year Award from the Florida Land Title Association; the 2013 Legislator of the Year Award from the Florida Bankers Association; the 2013 Legislator of the Year Award from the American Institute of Architects; the 2013 Legislator of the Year Award from the Community Advocacy Network, the 2016 Legislative Champion Award from the Florida Sheriff’s Association and the Distinguished Advocate Award from the Florida Chamber of Commerce in 2012, 2013, 2014, 2015 and 2016. She also received the 2016 State Legislative Achievement Award from the U.S. Chamber of Commerce, the 2018 Most Valuable Legislator Award from the Florida Chamber of Commerce, the 2017 Florida Realtors Legislative Champion Award and the 2017 Florida Association of Women Lawyers Rosemary Barkett Outstanding Achievement Award.

Senator Passidomo and her husband John have lived in Naples for 39 years and have three children, Catarina, Francesca and Gabriella and two grandsons, William and Emilio.

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Phil DutcherPhillip C. Dutcher has spent over 30 years in Healthcare Administration and serves as the Chief Operations Officer of NCH Healthcare System, Inc. He has been with the NCH Healthcare System since 2007.

After graduating from Kettering University in Flint, MI, in 1973, with a Bachelor Degree in Industrial Administration, he earned a MHA and MBA at the University of Michigan in Ann Arbor. Phil then spent 20 years (1975-1995) at Hurley Medical Center in Flint, where he served as CEO from 1981to 1995. He then moved to West Palm Beach, FL where he was CEO of the combined Good Samaritan and St. Mary’s Medical Centers (Intracoastal Health Systems) until 2000. He then served as Senior Vice President for Business Development at Rendina Companies, a medical real estate development company in Palm Beach Gardens, FL. Phil lives in Naples and has two daughters.

Scott Lowe Market CEO, Scott Lowe, brings more than 20 years of administrative experience in both operations and finance to Physicians Regional Healthcare System. Prior to being named Market CEO, he served as the CEO at Physicians Regional - Collier Boulevard for two years. Following this role, he served as the System Chief Financial Officer (CFO).

His prior experience and education are notable. Scott joined Cleveland Clinic Florida in 1998 as part of the management team that developed and opened the Naples campus and remained as the Director of Finance for all Florida operations until 2005. He was the CFO of Surgery Partners, LLC in Tampa from 2005 to 2008 prior to returning to Naples to join Physicians Regional Healthcare System. His earlier career includes appointments in managed care with Neighborhood Health Partners and Blue Cross Blue Shield.

He holds a Master’s degree in Business Administration from the University of Miami, a Master’s degree in Public Health from the University of Texas, and a Bachelor’s degree from the University of Virginia. Scott is very involved in the Collier County community, and has held board positions with the Marco Island YMCA and the Marco Island Charter Middle School Board and has participated in various civic activities.

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Lawrence Antonucci, M.D., MBA Prior to joining Lee Health in 2007, and for 24 years, Dr. Antonucci was a well-respected, practicing obstetrician and gynecologist (OB/GYN). During an era of corporate acquisitions, Dr. Antonucci was determined to keep his OB/GYN practice independent. He strategically expanded the practice by consolidating with another OB/GYN practice and eventually expanded into primary care services. In 1995, he co-founded Physicians Primary Care (PPC), a large multi-specialty physician practice in Lee County. Today, PPC continues as one of Lee County’s premier, independent, group medical practices.

In 2007, Dr. Antonucci joined Lee Health as Chief Administrative Officer for Cape Coral Hospital. In 2009, he was appointed Chief Operating Officer of Hospital Services for the health system and assumed responsibility for Physician Services in early 2010. In October 2011, Dr. Antonucci was named Chief Operating Officer for the health system. He was named President and Chief Executive Officer of Lee Health in June 2017.

During his tenure as Lee Health’s Chief Operating Officer, Dr. Antonucci took a leadership role in hardwiring a lean culture to engage employees, physicians and others in improving quality, safety, and patient experience. As a result, the health system experienced multiple years of successful operations with three consecutive years of record financials and continues to be positioned well for the future.

Dr. Antonucci has been a driving force in Lee Health’s patient safety program, which has won numerous awards. Under his leadership, the health system has made safety the No. 1 core value.

Dr. Antonucci is a strong believer in engaging and empowering front-line staff to improve an organization’s culture and quality. During stints as Chief Administrative Officer for Cape Coral Hospital and as Chief Operating Officer for Lee Health, he frequently embedded himself with front-line work teams, such as housekeeping and patient transport, as a way to stay connected to the care provided to patients each day and identify ways to improve quality and remove barriers.

Dr. Antonucci is guided by passion to deliver care that improves the quality of people’s lives and his commitment to the community, in which he has lived and served for more than 30 years.

Dr. Antonucci attended medical school at the University of Miami and completed his residency in obstetrics and gynecology at Eastern Virginia Graduate School of Medicine. He also earned a master's degree in business administration from the University of South Florida.

Dr. Antonucci is a Diplomate of the American College of Physician Executives and the American Board of Obstetrics and Gynecology, as well as a Fellow with the American College of Obstetrics and Gynecology. He is a member of the American Fertility Society, Lee County Medical Society and Florida Medical Society. He chaired the Horizon Council of Lee County in 2016.

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Daniel J. Lavender Daniel (Dan) Lavender is Chief Executive Officer of The Moorings Park Institute, Inc. The recipient of a Master’s in Business Administration degree from Ohio University, an Ohio Certified Public Accountant license, and a Bachelor of Arts in Accounting and Economics from Bluffton College, he has spent the majority of his career serving seniors. Prior to joining Moorings Park in 2006, Dan was Chief Financial Officer for Methodist ElderCare Services in Columbus, Ohio, helping to guide it through a period of strategic growth and improving financial performance. Previous assignments included regional and division leadership roles at Ohio Presbyterian Retirement Services, one of the 15 largest multi-site non-profit senior living organizations in the country.

Dan currently serves as the Chair of The Greater Naples Chamber of Commerce Board, and also serves on the Florida Gulf Coast University Foundation Board; the Naples Zoo Board; and the Champions for Learning Leadership Council. Dan is a graduate of the Leadership Collier Class of 2010 and was recognized as a 2013 Man of Distinction by Collier County Champions for Learning.

Dr. Ron Garry Dr. Garry was born and raised in New York. He was a scholar in Medicine at Stony Brook’s school of medicine and graduated with added distinction in research. He then moved to Boston where he did his Internal Medicine training at Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School. While at BIDMC he received the Dr. James Tullis award for intellectual growth. Dr. Garry did his Geriatric Fellowship at Harvard Medical School and upon completion joined the faculty at BIDMC and Harvard Medical School.

While in Boston, Dr. Garry was instrumental in setting up the first Acute Care for Elderly Unit (ACE) in Boston. ACE units are specialized geriatric units that improve outcomes for acutely ill seniors. Dr. Garry served as the medical director until relocating to Naples in 2002.

Dr. Garry has lectured nationally on such diverse topics as elderly scuba divers, principles of geriatrics, acute care of the hospitalized elderly, and restraint reduction, among others. He has also published two books with Harvard Health Publications titled: Living Independently in Your Later Years and Living Better, Living Longer: The Secrets to Healthy Aging. He has written articles for CBS HealthWatch and Medscape and has been interviewed by various news outlets on health care policy and general geriatric topics.

Dr. Garry is the subsection chief of geriatrics at Naples Community Hospital. He was appointed by Governor Jeb Bush as an expert to the Agency of Health Care Administration and he is President of the Florida Geriatric Society.

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Dr. Andy Lipman Andrew J. Lipman, MD is a partner with Florida Cancer Specialists & Research Institute in Hematologist & Oncologist. He graduated from Medical University of South Carolina College of Medicine and completed his internship and residency at the Tufts New England Medical Center in Boston, MA, where he completed a fellowship in Hematology/Oncology. He has been in practice for 18 years and is affiliated with Naples Community Hospital (NCH) Healthcare System. Dr. Lipman is board certified in Medical Oncology and has been practicing in Naples since August 2006. Dr Lipman really likes being an Oncologist.

Mike Ellis Mike Ellis is the President/CEO of Healthcare Network of Southwest Florida (2013). Prior to coming to Healthcare Network he was Executive Director of the Golisano Children’s Hospital. He also held senior staff positions at the Family Health Centers of SW Florida, University Hospital at the University of Florida, Nemours Children’s Hospital in Jacksonville, and St. Elizabeth Medical Center in Dayton, Ohio.

Mike has a BS from the University of Cincinnati, a Master of Science in Clinical Chemistry from the University of Dayton, and a Masters in Hospital and Health Administration from Xavier University.

Mike has two grown children. He resides on Pine Island where he is active in boating and environmental issues affecting the island.

Nancy Dauphinais Nancy Dauphinais currently serves as the Chief Operating Officer of the David Lawrence Center. In this role, she oversees all clinical programming and leads the agency’s efforts toward further advancement of evidence-based care. Dauphinais earned her bachelor’s degree in Psychology from Duke University and her master’s degree in Counseling from Florida Gulf Coast University. Dauphinais began her career with the David Lawrence Center in 2005. She is a Licensed Mental Health Counselor, Master’s Level Certified Addiction Professional and a Qualified Supervisor for the state of Florida. As a member of the David Lawrence Center speaker’s bureau, Nancy routinely provides educational presentations on a variety of mental health and substance abuse topics.

Due to her outstanding performance, professionalism and commitment to clients, Nancy was honored with the 2010 Direct Service Provider of the Year Award, the 2012 Leadership Award, and the 2014 Employee and Administrator of the Year Awards.

R. Wayne MullicanWayne Mullican retired as Sr. Vice President of Graphic Packaging Inc. Having been involved withhealthcare for 18 years serving on the Board of two HCA hospitals in Richmond, Virginia, he becameinvolved with the NCH Healthcare System. He later served for seven years on the NCH Board. In 2008,he became involved with the Senior Friendship Health Center. He currently is Vice Chair of their localboard. Wayne has been active in the Naples community, serving as past Chairman of the Committee forInternational Visitors in Naples, served on the Leadership Collier Foundation Board, and the GreaterNaples Leadership Board. He is a graduate of Greater Naples Leadership Class IX and received the GNLDistinguished Leadership Award in 2016. He is active with Champions for Learning and helps withmentoring and preparing students for entering college. Wayne is a past Commissioner of the FloridaCommission for Volunteer Service in Tallahassee where he served for four years.

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Nancy Lascheid, BSN, RN Nancy holds degrees from Allegheny College, Jackson Memorial Hospital, and University of Pittsburgh. Her professional career focused on emergency nursing education. Moving to Naples Florida from Pennsylvania in 1982 she worked with her husband in his private medical practice. Upon retirement in 1999, Nancy and her husband created and developed an innovation option of comprehensive health care for low income workers in Collier County. The concept being funded by private philanthropy and maintained by volunteers.

The Neighborhood Health Clinic a 501©3 opened in April 12, 1999 in a donated storefront and saw eight patients. The NHC now owns a 28,000 sq.ft. state-of-the-art medical and dental clinic; has 15,000 patients, 500 volunteers and a $2.6 million budget. The funding is raised annually from grants, foundations and private donations. The Board of Directors is comprised of 19 local community leaders. The concept has received multiple awards at both State and National levels. Among them are: National Jefferson Award for Public Service, Florida State Point of Light, Florida Medical Association Partners in Medicine, Hodges University Humanitarian, Naples Daily News Healthcare Heroes, and Greater Naples Chamber Citizen of the Year.

Nancy has also received PBS MAKERS, “Women Making a Difference in Florida”. She is a founding member of the Florida Association of Free and Charity Clinics, serves on the Executive Board of Directors and on the organizations Legislative Policy Committee. She has served on many committees and boards at the County, State and National levels, focusing primarily on social, safety and health care issues.

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Volunteer Opportunities Alzheimer’s Association, Florida Gulf Coast Chapter http://www.alz.org/flgulfcoast American Cancer Society of Naples www.cancer.org American Diabetes Association http://www.diabetes.org American Red Cross, South Gulf Region http://www.redcross.org/local/florida/central-florida/volunteer Avow Hospice, Inc. http://avowcares.org Blue Zone Project Naples https://southwestflorida.bluezonesproject.com/ David Lawrence Center, Inc. www.davidlawrencecenter.org Friendship Health Clinic Collier http://www.friendshipcenters.org/Locations/Collier.aspx Garden of Hope and Courage www.gardenofhopeandcourage.org Greater Naples YMCA, Wellness and Fitness www.greaternaplesymca.org Healthcare Network of SW Florida http://www.healthcareswf.org Healthy Start Coalition of SW Florida www.healthystartswf.com Juvenile Diabetes Research Foundation of SW Florida http:// jdrf.org/southgulfcoast For volunteer opportunities at Moorings Park contact the directors directly: Becky Buerman, Director of Activities Orchid Terrace, bbuerman@mooringspark.org, 239-261-2415 Ext 109; or Lauren Wagner, Director of Activities Chateau, lwagner@mooringspark.org, 239-643-9133 Ext 422 National Alliance on Mental Illness (NAMI) - Collier www.NAMI.org

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NCH Healthcare System www.nchmd.org; http://www.nchmd.org/about-us/volunteer-services Neighborhood Health Clinic www.neighborhoodhealthclinic.org Parkinson Association of SW Fl., Inc. https://www.pasfi.org Physicians Regional Healthcare System https://www.physiciansregional.com/volunteer-opportunities (Back to Table of Contents)

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Reading Recommendations

“Mediscene Newsletter ” (rinergroup.com/resources/newsletters/) by The Riner Group

A newsletter published several times per year on the Riner Group website covering the business, art and science of medicine. Provides summaries of key studies and statistics on a wide variety of healthcare topics. To subscribe, please send your email address and contact information to riner@rinergroup.com. Additional helpful background reading suggested by Dr. Ronald Riner for GNL Healthcare Day can be accessed at the following link: (http://www.rinergroup.com/newsletter/TRG-GNLBackgroundReading-013019/index.html?r=0).

“Bellevue: Three Centuries of Medicine and Mayhem at America's Most Storied Hospital” by David Oshinsky

This book chronicles the history of America's oldest hospital from its origins to today and, in so doing, traces the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution. Many problems of healthcare delivery, thought of as new, are noted historically as being almost always been present with society and communities who needed to address them as best as they could.

“The Emperor of All Maladies: A Biography of Cancer” by Siddhartha Mukherjee

About 600,000 Americans, and more than 7 million humans around the world, will die of cancer each year. With this sobering statistic, physician and researcher Siddhartha Mukherjee presents a comprehensive and eloquent "biography" of one of the most virulent diseases of our time, and examines cancer with a cellular biologist’s precision, a historian’s perspective, and a biographer’s passion. The result is an astonishingly lucid and eloquent chronicle of cancer, a disease that humans have lived with—and perished from—for more than five thousand years.

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care by T. R. Reid

This New York Times bestselling book discusses healthcare in industrialized democracies around the world - France, Britain, Germany, Japan, and beyond - to provide a tour of some affordable universal health caresystems. This book will help you understand the state of health care in our country, and around the world.

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Locations and Directions

NCH Baker Hospital Downtown Telford Auditorium

350 7th St N, Naples, FL 34102

Parking for Healthcare Day

Please park in the Employee Parking Garage on the corner of 2nd Ave N and 8th St. N.

See on map - 🅿

Please enter using the ramp on 2nd Ave North, which is opposite Ace Hardware and Wynn’s. Park on levels 2 or 3 or higher, as necessary.

Cross over 8th St to hospital grounds and follow directional signs through The Garden of Hope and Courage.

Please plan accordingly; this is an 8-10 minute walk.

Clickonmaptomakeitlive

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