SOUTH BROWARD HOSPITAL DISTRICT
REGULAR MEETING OF THE BOARD OF COMMISSIONERS OF THE
SOUTH BROWARD HOSPITAL DISTRICT
INCLUDING REPRESENTATIVES OF THE MEDICAL STAFF OF EACH OF ITS HOSPITALS
April 25, 2012
A Regular Meeting of the Board of Commissioners of the South Broward Hospital District (S.B.H.D.)
was held at Memorial Regional Hospital, in Perry Auditorium, April 25, 2012, at 5:40 p.m.
The following members were present:
Ms. Sara E. Wolfer
Chairman
Mr. Alfredo Avalos
Vice Chairman
Mr. Hobel Florido
Secretary Treasurer
Mr. Jose Basulto
Ms. Kathy Durham
Mr. Albert C. Jones
Ms. Laura Raybin Miller
A registration sheet listing all attendees is on file in the Executive Office.
1.
CALL TO ORDER
There being a quorum present, the meeting was called to order by Ms. Sara Wolfer, Chairman.
2.
PRESENTATION
a. Request Board Approval of Resolution Honoring Anthony C. Krayer, Executive Vice
President and Chief Administrative Officer, Memorial Healthcare System
Mr. Jones moved, seconded by Mr. Florido, that
THE BOARD OF COMMISSIONERS APPROVE THE RESOLUTION
HONORING ANTHONY C. KRAYER, EXECUTIVE VICE PRESIDENT AND
CHIEF ADMINISTRATIVE OFFICER
Ms. Stratos read Resolution No. 357 honoring Anthony C. Krayer, Executive Vice President
and Chief Administrative Officer, for his many years of service.
The motion carried unanimously.
Board Chair, Sara E. Wolfer, presented Mr. Krayer with the resolution and, on behalf of the
Board, thanked him for his many contributions to the Healthcare System.
Mr. Krayer thanked the Board for their service and dedication to the organization. He also
thanked Mr. Sacco for the opportunity to work for the System and expressed pride in the
outstanding team in place that will continue to ensure the financial success of the
organization and provide the quality service expected by the community.
Mr. Sacco reflected on Mr. Krayer’s career and the major role he played in the growth and
financial success of the Healthcare System.
Board of Commissioners
April 25, 2012
3.
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APPROVAL OF MINUTES
a. Regular Meeting Held March 28, 2012
There being no additions or corrections to the Minutes,
Mr. Basulto moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE MINUTES OF THE
REGULAR MEETING HELD MARCH 28, 2012
The motion carried unanimously.
4.
REPORTS TO THE BOARD; REPORTS FROM BOARD OFFICERS AND STANDING
COMMITTEES
a. Audit and Compliance Committee; Mr. A. Avalos, Chairman
Minutes of Meeting Held 4/16/12
Mr. Florido presented the Minutes of the Audit and Compliance Committee meeting held
April 16, 2012, a copy of which is on file in the Executive Office.
(1) Request Board Acceptance of Fiscal Year 2013 Audit and Compliance Work Plan
Ms. Durham moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS ACCEPT THE FISCAL YEAR 2013
AUDIT AND COMPLIANCE WORK PLAN
In response to Mr. Jones, Mr. Sacco discussed the System’s software package that
revealed inappropriate access of patient information by two employees that were
subsequently discharged.
Mr. Muhart outlined the broad measures taken by the System to further protect patients’
social security information and noted that EPIC has also expressed an interest in
assisting the System with this issue.
Mr. Florido thanked Mr. Sacco and his team for a well handled response to this matter.
In turn, Mr. Sacco recognized the efforts of Kim Stratos and Matt Muhart.
In response to Mr. Basulto, Mr. Resmini provided further information regarding the audit
of alleged unlawful physician billing practices, which upon review proved to be false.
The motion carried unanimously.
Ms. Durham moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE MINUTES OF THE
AUDIT AND COMPLIANCE COMMITTEE MEETING HELD APRIL 16, 2012
The motion carried unanimously.
Board of Commissioners
April 25, 2012
Page 3
b. Contracts Committee; Mr. A. Avalos, Chairman
Minutes of Meeting Held 4/16/12
Mr. Florido presented the Minutes of the Contracts Committee meeting held April 16, 2012,
a copy of which is on file in the Executive Office.
(1) Request Board Approval of Renewal Agreement Between S.B.H.D.and InPhyNet
South Broward, Inc. for Emergency Physician Services
Mr. Piriz provided an overview of the renewal agreement between InPhyNet South
Broward, Inc. and S.B.H.D. for Emergency Physician Services.
Mr. Jones moved, seconded by Ms. Durham, that
THE BOARD OF COMMISSIONERS APPROVE THE RENEWAL
AGREEMENT WITH INPHYNET SOUTH BROWARD, INC., FOR
EMERGENCY PHYSICIAN SERVICES
On behalf of the group, Dr. Randy Katz, Chief of Emergency Medicine at Memorial
Regional Hospital, thanked the Board for the opportunity to serve another three years
and emphasized their commitment to growth, quality care, and efficiency.
Mr. Florido commended the group on its consistently high patient satisfaction scores.
Mr. Sacco advised that the group meets quarterly at the executive level to review their
performance scorecard for the previous quarter and has worked with the System on
efficiency issues, notably in the area of Imaging. He credited Dr. Fred Keroff for
significant improvements in the group’s performance. In addition, InPhyNet received
high rankings on the last medical staff satisfaction survey.
Each of the Chiefs of Staff expressed praise for the group’s performance, noting
continual improvement over the years, the quality of physicians, and collaborative efforts
to reduce utilization and streamline workflow.
Mr. Jones expressed appreciation for the group’s willingness to collaborate with the
System for the betterment of both organizations.
The motion carried unanimously.
(2) Request Board Approval of Renewal Agreement between S.B.H.D. and Sheridan
Children’s Healthcare Services, Inc., for Neonatology Physician Services
Mr. Piriz provided an overview of the renewal agreement between Sheridan Children’s
Healthcare Services, Inc. and S.B.H.D. for Neonatology Physician Services.
Mr. Basulto moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE RENEWAL
AGREEMENT WITH SHERIDAN CHILDREN’S HEALTHCARE SERVICES,
INC., FOR NEONATOLOGY PHYSICIAN SERVICES
Ms. Miller declared a conflict in voting for this issue.
Board of Commissioners
April 25, 2012
Page 4
Lester McIntyre, M.D., Chief of Neonatology Services for Memorial Healthcare System,
reflected on the group’s 26 year affiliation with the District. The group takes pride in its
focus on patient satisfaction and patient and family centered care and currently has
several quality initiatives underway. In addition, they have experienced very little
turnover through the years and have been proactive in adjusting to the needs of the
District. He looks forward to a continued relationship.
Dr. McIntyre introduced Bruce Schulman, M.D., Medical Director of the Neonatal ICU at
Joe DiMaggio Children’s Hospital, and Vicki Johnston, M.D., Medical Director of the
Neonatal ICU at Memorial Hospital West.
Richard Auerbach, M.D., Senior V.P. of Children’s Services of Sheridan Healthcare
Services, thanked the Board for renewal of the agreement. He expressed pride in their
caring, conscientious, and cohesive group of physicians and appreciates the opportunity
to continue to provide care.
The motion carried unanimously, with the abstention of Ms. Miller.
For information only, the Board was provided with information relative to the renewal
employment agreement with Mark Block, M.D. for Thoracic Surgery Services. This
agreement falls within the approval authority of the System’s CEO.
Mr. Jones moved, seconded by Ms. Durham, that
THE BOARD OF COMMISSIONERS APPROVE THE MINUTES OF THE
CONTRACTS COMMITTEE MEETING HELD APRIL 16, 2012
The motion carried unanimously.
c. Finance Committee; Ms. K. Durham, Chairman
Minutes of Meeting Held 4/16/12
Ms. Durham presented the Minutes of the Finance Committee meeting held April 16, 2012,
a copy of which is on file in the Executive Office.
Mr. Muhart and Mr. Wheatley discussed the investment styles of both firms interviewed for
long/short equity hedge fund managers for the District’s pension plan. Jeffrey Slocum and
Associates found both the Turner Spectrum Fund and Grosvenor’s Enhanced Long/Short
Equity LP to be acceptable to the District.
It was the consensus of the Finance Committee to initially invest in Turner Spectrum Fund
as a comfortable investment vehicle; however, continue on with some due diligence into the
underlying documents that would control the relationship between Grosvenor and the
District. At some point in the future, the District could then consider distributing some of the
allocation of its hedge fund strategy to both Turner and Grosvenor.
(1) Request Board Approval for the Pension Plan to Invest in Turner Spectrum Fund
up to the Ten Percent Allocation for Long/Short Hedge Funds
Mr. Jones moved, seconded by Ms. Miller, that
Board of Commissioners
April 25, 2012
Page 5
THE BOARD OF COMMISSIONERS APPROVE FOR THE PENSION PLAN
TO INVEST IN TURNER SPECTRUM FUND UP TO THE TEN PERCENT
ALLOCATION FOR LONG/SHORT HEDGE FUNDS
The motion carried unanimously.
(2) Request Board Approval to Authorize Management to Review Documents and
Undertake Contracting Due Diligence for the Grosvenor Enhanced Long/Short
Equity LP and for Pension Fund Investment in the Grosvenor Enhanced
Long/Short Equity LP
Mr. Florido moved, seconded by Mr. Basulto, that
THE BOARD OF COMMISSIONERS AUTHORIZE MANAGEMENT TO
REVIEW DOCUMENTS AND UNDERTAKE CONTRACTING DUE
DILIGENCE FOR THE GROSVENOR ENHANCED LONG/SHORT EQUITY
LP AND FOR THE PENSION FUND TO INVEST IN THE GROSVENOR
ENHANCED LONG/SHORT EQUITY LP BASED ON THE FINANCE
COMMITTEE’S FUTURE RECOMMENDATION
The motion carried unanimously.
An update relative to the performance of the Neuberger Berman Large Cap Growth
Fund, offered to employees in 401(a), 403(b) and 457(b) defined contribution plans, was
provided by Mr. Wheatley. The fund exceeded its benchmark during the last quarter,
reversing a trend of underperformance. Jeffrey Slocum and Associates will continue to
monitor and update the Finance Committee.
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE MINUTES OF THE
FINANCE COMMITTEE MEETING HELD APRIL 16, 2012
The motion carried unanimously.
d. Home Health Agency Committee; Ms. S. Wolfer, Chairman
Minutes of Meeting Held on 4/16/12
Ms. Wolfer presented the Minutes of the Home Health Agency Committee meeting held
April 16, 2012, a copy of which is on file in the Executive Office.
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE MINUTES OF THE
HOME HEALTH AGENCY COMMITTEE MEETING HELD APRIL 16, 2012
In response to Mr. Florido, Ms. Schubert provided additional information relative to CMS
indicators. She also discussed the various components of the formal work plan in place to
increase patient satisfaction and develop a culture of accountability.
The motion carried unanimously.
Board of Commissioners
April 25, 2012
5.
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REPORT OF SPECIAL COMMITTEES
None
6.
ANNOUNCEMENTS
None
CORRESPONDENCE
None
7.
UNFINISHED BUSINESS
None
8.
BOARD REGULAR BUSINESS
a. Report from Chief of Staff, Memorial Regional Hospital; S. Steinlauf, M.D.
(1) Executive Committee Report Re Recommendations for Appointments,
Advancements, etc.
Dr. Steinlauf presented the Executive Committee Report re recommendations for
appointments, advancements, etc., dated April 18, 2012, a copy of which is on file in the
Executive Office.
Ms. Durham moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE RECOMMENDATIONS
OF THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF AT
MEMORIAL REGIONAL HOSPITAL
Ms. Wolfer recognized the transfer of Mario Markelis, M.D. to Memorial Regional
Hospital’s Honorary Staff.
The motion carried unanimously.
(2) Request Board Approval of Performance Improvement Plan
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE PERFORMANCE
IMPROVEMENT PLAN
The motion carried unanimously.
(3) Request Board Approval of Amendment to the Rules and Regulations of the
Medical Staff of Memorial Regional Hospital
Mr. Jones moved, seconded by Mr. Avalos, that
Board of Commissioners
April 25, 2012
Page 7
THE BOARD OF COMMISSIONERS APPROVE THE AMENDMENT TO THE
RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL
REGIONAL HOSPITAL
Dr. Marks clarified that this particular policy relates to clinical care.
The motion carried unanimously.
b. Report from Chief of Staff, Joe DiMaggio Children’s Hospital; M. Jofe, M.D.
(1) Executive Committee Report Re Recommendations for Appointments,
Advancements, etc.
Dr. Jofe presented the Executive Committee Report re recommendations for
appointments, advancements, etc., dated April 17, 2012, a copy of which is on file in the
Executive Office.
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE RECOMMENDATIONS
OF THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF AT JOE
DIMAGGIO CHILDREN’S HOSPITAL
The motion carried unanimously.
(2) Request Board Approval of Performance Improvement Plan
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE PERFORMANCE
IMPROVEMENT PLAN
The motion carried unanimously.
(3) Request Board Approval of Amendment to the Rules and Regulations of the
Medical Staff of Joe DiMaggio Children’s Hospital
Mr. Jones moved, seconded by Ms. Durham, that
THE BOARD OF COMMISSIONERS APPROVE THE AMENDMENT TO THE
RULES AND REGULATIONS OF THE MEDICAL STAFF OF JOE
DIMAGGIO CHILDREN’S HOSPITAL
The motion carried unanimously.
c. Report from Chief of Staff, Memorial Hospital West; J. Cooper, M.D.
(1) Executive Committee Report Re Recommendations for Appointments,
Advancements, etc.
Dr. Cooper presented the Executive Committee Report re recommendations for
appointments, advancements, etc., dated April 17, 2012, a copy of which is on file in the
Executive Office.
Board of Commissioners
April 25, 2012
Page 8
Mr. Avalos moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE RECOMMENDATIONS
OF THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF AT
MEMORIAL HOSPITAL WEST
The motion carried unanimously.
(2) Request Board Approval of Performance Improvement Plan
Mr. Avalos moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE PERFORMANCE
IMPROVEMENT PLAN
The motion carried unanimously.
(3) Request Board Approval of Amendment to the Rules and Regulations of the
Medical Staff of Memorial Hospital West
Ms. Durham moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE AMENDMENT TO THE
RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL
HOSPITAL WEST
The motion carried unanimously.
d. Report from Chief of Staff, Memorial Hospital Miramar; H. Pombo, M.D.
(1) Executive Committee Report Re Recommendations for Appointments,
Advancements, etc.
Dr. Pombo presented the Executive Committee Report re recommendations for
appointments, advancements, etc., dated April 16, 2012, a copy of which is on file in the
Executive Office.
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE RECOMMENDATIONS
OF THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF AT
MEMORIAL HOSPITAL MIRAMAR
The motion carried unanimously.
(2) Request Board Approval of Performance Improvement Plan
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE PERFORMANCE
IMPROVEMENT PLAN
Board of Commissioners
April 25, 2012
Page 9
The motion carried unanimously.
(3) Request Board Approval of Amendment to the Rules and Regulations of the
Medical Staff of Memorial Hospital Miramar
Mr. Jones moved, seconded by Ms. Durham, that
THE BOARD OF COMMISSIONERS APPROVE THE AMENDMENT TO THE
RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL
HOSPITAL MIRAMAR
The motion carried unanimously.
e. Report from Chief of Staff, Memorial Hospital Pembroke; E. Bolton, D.O.
(1) Executive Committee Report Re Recommendations for Appointments,
Advancements, etc.
Dr. Bolton presented the Executive Committee Report re recommendations for
appointments, advancements, etc., dated April 17, 2012, a copy of which is on file in the
Executive Office.
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE RECOMMENDATIONS
OF THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF AT
MEMORIAL HOSPITAL PEMBROKE
Ms. Wolfer recognized the transfer of Sydney O. Suite, M.D. to Memorial Hospital
Pembroke’s Honorary Emeritus staff.
The motion carried unanimously.
(2) Request Board Approval of Performance Improvement Plan
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE PERFORMANCE
IMPROVEMENT PLAN
The motion carried unanimously.
(3) Request Board Approval of Amendment to the Rules and Regulations of the
Medical Staff of Memorial Hospital Pembroke
Mr. Jones moved, seconded by Mr. Avalos, that
THE BOARD OF COMMISSIONERS APPROVE THE AMENDMENT TO THE
RULES AND REGULATIONS OF THE MEDICAL STAFF OF MEMORIAL
HOSPITAL PEMBROKE
The motion carried unanimously.
Board of Commissioners
April 25, 2012
f.
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Administrative Staff
No report.
g. Financial Report; Mr. M. Muhart, Senior Vice President and Chief Financial Officer
(1) Annual Financial Report for the Month of March 2012
Mr. Muhart reviewed the Financial Report for the month of March 2012, a copy of which
is on file in the Executive Office.
Ms. Durham moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE FINANCIAL REPORT
FOR THE MONTH OF MARCH 2012
The motion carried unanimously.
(2) Request Board Approval of Operating and Capital Budgets for Memorial Healthcare
System for Fiscal Year 2013
Mr. Muhart recapped the major elements of the Memorial Healthcare System Operating
and Capital Budgets for Fiscal Year 2013. The budgets were previously presented to the
Board in a comprehensive, three hour budget workshop on April 17, 2012.
Mr. Florido moved, seconded by Mr. Jones, that
THE BOARD OF COMMISSIONERS APPROVE THE OPERATING AND
CAPITAL BUDGETS FOR MEMORIAL HEALTHCARE SYSTEM FOR
FISCAL YEAR 2013
The motion carried unanimously.
h. Legal Counsel; Ms. K. Stratos, Senior Vice President and General Counsel
No report.
9.
NEW BUSINESS
None to report.
10. COMMISSIONERS COMMENTS
None.
11. ADJOURNMENT
There being no further business to come before the Board, Ms. Wolfer declared the meeting
adjourned at 7:20 p.m.
Board of Commissioners
April 25, 2012
Page 11
THE BOARD OF COMMISSIONERS OF THE SOUTH
BROWARD HOSPITAL DISTRICT
BY: ______________________________
Sara E. Wolfer, Chairman
ATTEST: ________________________________________
Hobel Florido, Secretary Treasurer