LEE COUNTY TRAUMA SERVICES DISTRICT

BOARD OF DIRECTORS MEETING

THURSDAY, February 27, 2020

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

239-343-1500 FAX: 239-343-1599

P.O. BOX 2218

FORT MYERS, FLORIDA 33902

BOARD OF DIRECTORS

DISTRICT ONE

Stephen R. Brown, M.D.

Therese Everly, BS, RRT

DISTRICT TWO

Donna Clarke

Nancy M. McGovern, RN, MSM

DISTRICT THREE

Sanford N. Cohen, M.D.

David Collins

DISTRICT FOUR

Diane Champion

Chris Hansen

DISTRICT FIVE Jessica Carter Peer

Stephanie Meyer, BSN, RN

LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING

February 27 2020 - *1:00 p.m.

*Held concurrently with Lee Memorial Health System Board Meeting

Gulf Coast Medical Center, Medical Office Building

AGENDA

Action

1.

Call to Order (Stephen Brown, MD, Board Chairman) LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS

2.

Public Input: 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 Office prior to the meeting.

3. Trauma District Minutes as of 11/21/2020 (Therese Everly, Board Secretary)

Approve

4. Trauma District Financials (Mark Atkins, Controller Acute Care)

Informational

5. Operations Report (Michael Marcus, RN, Trauma Program Manager)

Informational

6. Other Items

1. Board Policy TD10.50A – Regional Advisory Committee on Trauma Services

Informational

7.

Date of the Next Lee County Trauma Services District Meeting

May 28, 2020 at * 1:00 p.m. Board of Directors

Gulf Coast Medical Center – Boardroom 13685 Doctor’s Way, Ft. Myers, FL 33912

8 Adjourn (Stephen Brown, MD, 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: 10:15H: Public Addressing the Board

Non-Agenda Items: Should any member of the public desire to address the Board pertaining to an item or proposition which is not on the meeting agenda, such member must notify the Board Office Coordinator at least three (3) days in advance of the Board meeting in order to allow staff and counsel time to ensure the matter is within the Board’s jurisdiction.

LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES

Thursday, November 21, 2019 Page 1 of 1

Lee Memorial Health System Board of Directors

LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS MEETING MINUTES

Thursday, November 21, 2019

LOCATION: Gulf Coast Medical Center, Medical Office Building, Board of Directors Boardroom, 13685 Doctors Way, Fort Myers, FL 33912 MEMBERS PRESENT: Stephen Brown, M.D, Board Chairman; Donna Clarke, Board Vice Chairman; Chris Hansen , Board Member; Therese Everly, Board Secretary; Sanford Cohen, M.D., Board Member; Nancy McGovern, RN,

MSM, Board Member; Stephanie Meyer, BSN, RN, Board Member; Jessica Carter Peer, Board Member; Diane Champion, Board Member

MEMBERS ABSENT: David Collins, Board Treasurer 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 1:17p.m. by Stephen Brown, M.D., Board Chairman.

PUBLIC INPUT

AGENDA ITEMS None at this time.

TRAUMA DISTRICT

MINUTES OF 8/29/19 Dr. Brown asked for approval of the Trauma District Minutes of 08/29/19.

A motion was made by Jessica Carter Peer to approve the Trauma District Minutes of 08/29/19.

The motion was seconded by Diane Champion and carried with no opposition.

Trauma District

Financials Ben Spence, Chief Financial Officer reviewed the Trauma District financials FYTD as of September 30, 2019. Discussion ensued.

Operations Report Michael Marcus, RN, Trauma Program Manager presented the Trauma Operations Report. Discussion ensued. Board Members expressed gratitude to the trauma department for their services to our patients and the community.

OTHER ITEMS None

NEXT REGULAR

SCHEDULED MEETING

The date of the next meeting of the Lee County Trauma Services District Board of Directors is on Thursday, February 27, 2020, 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 1:48 p.m. by Stephen Brown, M.D., Board Chairman.

Minutes were recorded by Kathy J. Hagen, Assistant to the Board of Directors

________________________ ______________________________________________ Therese Everly Date Board Secretary

LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS

TRAUMA DISTRICT FINANCIALS

(Informational)

#3400.159 Rev. 10/16

Mark Atkins

February 19, 2020

Trauma District FinancialsFISCAL YEAR TO DATE as of December 31, 2019

TRAUMA DISTRICTVOLUMES-For the quarter ended Dec 30

FY 19 FY 20•Inpatient Discharges 738 744

•Inpatient Days 3,456 3,737

•Average Length of Stay 4.68 5.02

•Case Mix Index 1.92 2.20

TRAUMA DISTRICTKey Indicators-For the quarter ended Dec 31

FY 19 FY 20

•Revenue per Discharge $20,865 $20,771

•Cost per Discharge $16,404 $17,465

•Profit Margin(excludes Corp OH) 21.4% 15.9%

Trauma District-Payor Mix

36%39%

6% 6%

29%26%

5% 4%

12% 11%

2% 3%

10% 11%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

FY'19 DEC YTD FY'20 DEC YTDMedicare Medicaid Auto/Liab Workers Comp Comme rcial State/Emp/Champ Charity/ Se lf Pay

Special Trauma Funding CY20-1 CY20-2 CY20-3 CY20-4 Dec’19 FYTD

Extra Court Fines 0 0 0 0 0

Red Light Running 0 0 0 0 0

Enhanced Speed Zones 0 0 0 0 0

Improper passing a school bus 0 0 0 0 0

Racing on highways & reckless driving 0 0 0 0 0

Camera Bill 0 0 0 0 0

Total 0 0 0 0 0

Trauma District-Special Payments

Trauma District-Statement of Operations

FYTD Dec 31, 2019FYTD 19 FYTD 20 Change

Hospital Net Revenue 14,933,796 14,871,498 (62,298)

Physician Net Revenue 460,571 552,622 92,051

Other Operating Revenue 3,845 29,421 25,576

Total Revenues 15,398,212 15,453,541 55,329

Hospital Expenses 10,158,318 11,289,904 1,131,586Physician Expenses 1,948,081 1,704,386 (243,694)

Total Expenses 12,106,399 12,994,291 887,892

Net Gain/(Loss) 3,291,813 2,459,250 (832,563)

Thank You

LEE COUNTY TRAUMA SERVICES DISTRICT BOARD OF DIRECTORS

OPERATIONS REPORT

(Informational)

Lee County Trauma Services DistrictBoard of Directors Meeting

Trauma ReportFebruary 27, 2020

Injury Admissions and Trauma Alert Volume

Trauma Alert Mechanism of Injury FY 2019

County of Injury FY 2019

County of Injury Injured Patient Trauma Alert

LeePop est. 735,148

72% 57%

CollierPop est. 376,706

13% 24%

CharlottePop est. 181,770

7% 11%

HendryPop est. 40,120

3% 4%

Glades / Highlands 3% 2%

Other 1% 1%

**Population Estimates: Florida Legislature, Office of Economic and Demographic Research July 2019

Trauma Service Admissions

Trauma Volume

LEE COUNTY TRAUMA SERVICES DISTRICT

BOARD OF DIRECTORS

OTHER ITEMS

Once this policy is printed, it is not considered a controlled document. Please review electronic version of this policy for the most current document.

TD10.50AB – Lee County Trauma Services District Board Policy – Regional Advisory Committee on Trauma Services Page 1 of 2

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS POLICY MANUAL no. TD 10.50A B supersedes no. 10.50A ------------------------------------------------------------------------------------------------------------------------------------- category: General Operations title: Regional Advisory Committee on Trauma Services ------------------------------------------------------------------------------------------------------------------------------------- Date Originated: 01/06/04

Reviewed/No Revision: 8/24/17

Dates Revised: 9/11/14, 3/26/20

Next Review Date: 8/24/203/26/23

------------------------------------------------------------------------------------------------------------------------------------- PURPOSE: To provide for the creation of a Regional Advisory Committee on Trauma Services (“Advisory Committee”) comprised of community representatives to serve only in a fact-finding and advisory capacity to the Lee County Trauma Services District Board of Directors (“District Board”) and to provide for the appointment of said members. The Regional Advisory Committee collaborates with the Trauma Center to advocate for and support injury prevention education and outreach throughout the Trauma District regional communities. ------------------------------------------------------------------------------------------------------------------------------------- POLICY: The Lee County Trauma Services District (“Trauma District”) shall create a Regional Advisory Committee on Trauma Services in order to secure appropriate community and regional involvement. The Trauma District Chair and the President shall have the authority to recommend persons for appointment to serve on the Advisory Committee who are not Directors of the Lee County Trauma Services District. Such persons shall be entitled to vote at the committee level, however, the District Board shall retain all of the District Board’s decision-making authority. The District Board shall appoint a District Board member to serve as a Co-Chair of the Advisory Committee. PROCEDURE:

1) District Directors, the President, members of Senior Leadership of Lee Memorial Health System, as well as any person from the community may nominate a person or persons for appointment as a community representative to serve on the Advisory Committee. All nominations must be accompanied by a written resume of the nominee’s education, training and experience.

2) From the nominees, the District Board Chair and the President shall recommend those

persons to be appointed, and the District Board Chair, with the approval of the District Board, shall appoint not more than fifteen persons to serve as community representatives on the Advisory Committee in a voting capacity.

3) One of those appointed shall be selected by the Committee Members to serve as Co-

Once this policy is printed, it is not considered a controlled document. Please review electronic version of this policy for the most current document.

TD10.50AB – Lee County Trauma Services District Board Policy – Regional Advisory Committee on Trauma Services Page 2 of 2

Chair with the District Board Member appointee. The Co-Chairs shall have the responsibility to convene Advisory Committee meetings and to organize and coordinate Advisory Committee activities.

4) In addition to the community representatives recommended by the District Board Chair

and the President and approved by the District Board, the District Board Chair shall appoint a member of the District Board who shall serve as a Co-Chair of the Advisory Committee and act as liaison to the District Board and Lee Memorial Health System in advising both bodies of the activities of the Advisory Committee.

5) Five of the fifteen members appointed shall come from each of the following counties in

Southwest Florida: Charlotte, Collier, Glades, Hendry, and Lee. The remaining ten members shall be at large appointees and shall reside in any one of the five counties.

6) Community representatives so appointed shall serve a term of one fiscal year, and may

be reappointed if recommended by the District Board Chair and the President, and approved by the District Board. A community representative appointed after October 1 of any year shall serve until the 30th of September following such appointment.

7) Community representatives shall receive no compensation for their services. With the

approval of the District Board, community representatives may be reimbursed for travel expenses in accordance with the provisions of section 112.061, Fla. Stat., and the District Board policy on travel reimbursement, when traveling to meetings or functions outside the community representative’s county of residence at the direction or invitation of the District Board Chair and the President.

8) This Policy shall not be construed to require that any individual who is nominated be

recommended or appointed as a community representative, and all recommendations of community representatives shall be at the discretion of the District Board Chair and the President, and appointments at the discretion of the District Chair and District Board.

9) Community representatives shall serve at the pleasure of the District Board Chair, and

may be dismissed by the District Board Chair from service on the Advisory Committee at any time, for any reason or for no reason, without recourse.

10) The District Board may, at its sole discretion, and at any time, dissolve the Advisory

Committee.

ADJOURNMENT

LEE COUNTY TRAUMA SERVICES DISTRICT

DATE OF THE NEXT REGULARLY SCHEDULED

LEE COUNTY TRAUMA SERVICES

DISTRICT MEETING:

Thursday, May 28, 2020 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)