l e e m e m o r i a l health system board of … . whereas, men and women of the armed forces from...

ELECTRONIC BOARD PACKET

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

BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS MEETING

Thursday,

May 29, 2008 3:00pm

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, May 29, 2008, 3:00 pm

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

AGENDA

1. 3:00pm - CALL TO ORDER (Board Chairman John Donaldson, M.D.) LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS, sitting as the Lee Memorial Health System (LMHS) Board of Directors for Southwest Florida Regional Medical Center/Gulf Coast Hospital & Lee Memorial Hospital/HealthPark Medical Center and the Board of Directors of its subsidiary corporations: Cape Memorial Hospital, Inc. doing business as Cape Coral Hospital; Lee Memorial Medical Management, Inc.; Lee Memorial Home Health, Inc.; and HealthPark Care Center, Inc.

2. Invocation and Pledge of Allegiance (Reverend Tom Brenner)

3. 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.

4. Recognitions (Jim Nathan, CEO/President) A. Proclamation - 5th Anniversary LMHS Military Support (Kim Gaide, BSM, Associates in Cardiac Care, Coord. LMHS Military Support)

5. Board of Directors Meeting Minutes of April 24, 2008 (Approval)

(Lois Barrett, MBA, Board Secretary)

6. Medical Staff Business (All Directors) A. Physician Leadership Council Report (Acceptance)

(Thomas Presbrey, M.D. PLC Chairman) B. Recommendations of May 15, 2008 (Approvals) 1. Lee Memorial Hospital/HealthPark Medical Center

2. Cape Coral Hospital 3. Southwest Florida Regional Medical Center 4. Gulf Coast Hospital

C. Issues/Discussion

7. Consent Agenda (All Directors) (Approval)

8. Lee Memorial Hospital Operations Report (Acceptance) (Gail Anthony, Chief Administrative Officer/Lee Memorial Hospital)

9. Supporting Agency Business 10. Old Business 11. New Business A. 2008 Board of Directors Election Resolution (Adoption)

(Allison Ash, Esquire, Fowler, White, Boggs, Banker) 12. President’s Report (Jim Nathan, President/CEO) 13. Board of Directors’ Report 14. Board Liaison Report (Cathy Stephens, Board Liaison) 15. Date of the next LEE MEMORIAL HEALTH SYSTEM BOARD MEETING

June 26, 2008, 3:00pm, Lee County Public Education Center, 2855 Colonial Blvd., Ft Myers, Florida

16. 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.

PROCLAMATION

WHEREAS, men and women of the Armed Forces from Lee Memorial Health System, their family members, and Lee County residents have been deployed to assignments and missions related to the current crisis in Iraq and other conflicts throughout the world; and

WHEREAS, Lee Memorial Health System has served the citizens of Lee County and the surrounding communities since 1916 and is the leading provider of health care services in Southwest Florida; and

WHEREAS, the uniformed men and women of our community are called on to offer their utmost devotion in service to their country; and

WHEREAS, the Military Support program of the Lee Memorial Health System provides an organized means for the more than 9,600 Employees, 3,250 Volunteers and Auxilians, and 1,200 Physicians on staff, to voluntarily show their individual and personal support of our employees and their families in the military through gifts and letters to them and recognition throughout the System of their brave service;

WHEREAS, 17,000 pounds of care packages have been sent to those we sponsor since May 2003:

NOW THEREFORE, we, the Lee Memorial Health System Board of Directors of Lee County, Florida wholeheartedly support and appreciate the dedicated men and women of Lee Memorial Health System, and their families, who are serving in the United States military, and wish them a safe return from harm’s way. Dated this 29th day of May 2008.

________________________ ______________________John Donaldson, M.D. James R. NathanChairman, Board of Directors President

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

Thursday, April 24, 2008 LOCATION: Lee County Public Education Center (LCPEC), 2855 Colonial Blvd., Fort Myers, FL 33966 MEMBERS PRESENT: John Donaldson, M.D., Chairman; Nancy McGovern, RN, MSM, Vice Chairman; Richard Akin, Treasurer; Linda Brown, MSN, ARNP, Director; Kerry Babb, Director; Marilyn Stout, Director; James Green, Director; Frank La Rosa, Director; Jason Yost, Director MEMBERS ABSENT: Lois Barrett, MBA, Secretary OTHERS PRESENT: Jim Nathan, CEO/President; Alison Ash, Esq./Fowler & White; Mary McGillicuddy, Chief Legal Officer; Jon Cecil, Chief Human Resources Officer; John Wiest, Chief Financial Officer/Institutional Services Officer; CB Rebsamen, MD, Chief Medical Officer/Ambulatory & Strategic Services Charles Swain, Chief Compliance and Internal Audit Officer; Donna Giannuzzi, RN, Chief Patient Care Officer; Chuck Krivenko, M.D., Chief Medical Officer/Clinical & Quality Services; Larry Antonucci, M.D., Chief Administrative Officer/CCH; Doug Luckett, Chief Administrative Officer and Ancillary Services Officer/SWFRMC/GCH; Tom Presbrey, M.D., Physician Leadership Council (PLC) Chairman; Chaplain Bill Miller/Spiritual Services/LMH; Jack Hess, President/Auxiliary/CCH; Anna Lou Sonderman, President/Auxiliary/SWFRMC/GCH; Bob Johns, Guest; Kristin Ritts, 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, sitting as the Lee Memorial Health System Board of Directors for Southwest Florida Regional Medical Center/Gulf Coast Hospital & Lee Memorial Hospital/HealthPark Medical Center and the Board of Directors of its subsidiary corporations: Cape Memorial Hospital, Inc. doing business as Cape Coral Hospital; Lee Memorial Medical Management, Inc.; Lee Memorial Home Health, Inc.; and HealthPark Care Center, Inc. meeting was CALLED TO ORDER by Chairman John Donaldson, M.D. at 3:00 p.m.

INVOCATION AND

PLEDGE OF ALLEGIANCE

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

PUBLIC INPUT There were NO “Public Input” items.

RECOGNITIONS

PIONEER PHYSICIAN

RECOGNITION OF ROGER SCOTT, M.D.

Richard Akin gave a brief overview of the inception of the pioneer physician recognition created in an effort to preserve history and honor physicians who were so instrumental in the development of health care in our community. He introduced and recognized pioneer physician Dr. Roger Scott who has worked so passionately to create the Medical Museum. Richard presented Roger with a plaque in appreciation of his hard work as curator of the Museum and as one of the pioneer physicians. Richard announced the pioneer physician recognition reception and dinner will be held immediately following this Board of Directors meeting.

(James Green and Frank La Rosa entered the meeting at 3:05 p.m.)

APPROVAL OF

MINUTES John Donaldson asked if anyone wished to make any additions or corrections to the March 27, 2008 Board of Directors Meeting Minutes.

A motion was made by James Green to approve the March 27, 2008 Board of Directors Meeting minutes. The motion was seconded by Richard Akin and it carried with no opposition.

MEDICAL STAFF

BUSINESS

PHYSICIAN LEADERSHIP COUNCIL

REPORT

Dr. Tom Presbrey gave a verbal update on the Physician Leadership Council (PLC) highlighting current initiatives such as the separation of the medical staffs and the status of the Governance and Bylaws Task Force. Mary McGillicuddy said the Governance Task Force bylaws are being reviewed by an independent outside source. After the draft bylaws have been reviewed by the Physician Leadership Council (PLC) they will be brought to the Board for final approval hopefully by summer. John Donaldson said the PLC has made a huge accomplishment in a very short period of time. He thanked Tom for his incredible support and for acting so quickly during such a busy time for LMHS.

A motion was made by Nancy McGovern to accept the Physician Leadership Council (PLC) Report (Exhibit ). The motion was seconded by Linda Brown and it carried with no opposition.

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES Thursday, APRIL 24, 2008 Page 2 of 4


MEDICAL STAFF RECOMMENDATIONS

OF APRIL 15, 2008

ISSUES/DISCUSSION

John Donaldson asked for approval of the following Medical Staff Recommendations of April 15, 2008 (Exhibits 2-5):

A. Lee Memorial Hospital/HealthPark Medical Center (Exhibit 2) B. Cape Coral Hospital (Exhibit 3) C. Southwest Florida Regional Medical Center (Exhibit 4) D. Gulf Coast Hospital (Exhibit 5)

There were no additional issues for discussion.

A motion was made by James Green to approve the following Medical Staff Recommendations of April 15, 2008 (Exhibits 2-5):

A. Lee Memorial Hospital/HealthPark Medical Center (Exhibit 2)

B. Cape Coral Hospital (Exhibit 3) C. Southwest Florida Regional Medical Center

(Exhibit 4) D. Gulf Coast Hospital (Exhibit 5)

The motion was seconded by Jason Yost and it carried with no opposition.

CONSENT AGENDA John Donaldson asked if anyone wished to pull any items listed on the Consent Agenda

(Exhibit 6) for discussion. Linda Brown requested to pull Consent Agenda item #7: Endorsement of Governor Charlie Crist’s proposed plan for the government to help the growing number of Florida’s uninsured population by providing an insurance plan at a cost of $100.00 for any uninsured Florida resident for discussion. With regard to Consent Agenda item #7, Linda said the cost of the insurance plan has not

A motion was made by James Green to approve the Consent Agenda (Exhibit 6) consisting of the following items: 1. A Board Directive authorizing LMHS Chief Legal Officer

to research and review an appropriate agreement vehicle for an arrangement allowing LMHS to provide subspecialty care to Immokalee and Collier County area.

2. Approval of the following revisions to the Medical Staff Rules and Regulations:

A. Lee Memorial/HealthPark Medical Center i. Rule #8: Medical Records

B. Gulf Coast Hospital and Southwest Florida Regional Medical Center

i. 200: Medical Records C. Cape Coral Hospital

ii. IV – Records and Charting/Suspension 3. Approval of the 2008 Utilization Management Plan. 4. Acceptance of the Bonita Community Health Center

Executive Summary Report. 5. Acceptance of the System Strategic Scorecard FYTD for

February 2008. 6. A Board Directive to replace the August 7, 2008 Board

Governance Committee of the Whole meeting with a one-day Planning and Strategy Workshop.

7. Item pulled for discussion by Linda Brown. 8. Approval of the amended LMHS Foundation Articles of

Incorporation. 9. Acceptance of the Risk Tolerance Questionnaire Results

as presented. 10. Acceptance of the FY 2008 Financial and Statistical

Reports for March 31, 2008. 11. Acceptance of the March 31, 2008 Capital Report. 12. Adoption of Board Policy: 20.17J Financial Goal Policy.

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



yet been confirmed therefore she would like to reword this item to reflect the insurance plan will be at a minimal cost to uninsured Florida residents. In addition, Marilyn Stout requested to include that the minimal cost is on a per month basis and not a one-time fee.

A motion was made by Linda Brown to approve Consent Agenda Item #7 as revised: To endorse Governor Charlie Crist’s proposed plan for the government to help the growing number of Florida’s uninsured population by providing an insurance plan at a minimal monthly cost for any uninsured Florida resident. The motion was seconded by Frank La Rosa and it carried with no opposition.

HEALTHPARK

MEDICAL CENTER OPERATIONS REPORT

Donna Giannuzzi reviewed the HealthPark Medical Center Operations Report (Exhibit 7). John Donaldson said, in moving forward we need to actively examine the surgery case mix and assigning surgeries appropriately at HealthPark Medical Center.

A motion was made by Nancy McGovern to accept the HealthPark Medical Center Operations Report (Exhibit 7). The motion was seconded by Frank La Rosa and it carried with no opposition.

SUPPORTING

AGENCY BUSINESS

CCH SEMI-ANNUAL AUXILIARY REPORT

Jack Hess reviewed the Cape Coral Hospital Semi-Annual Auxiliary Report (Exhibit 8). Linda Brown thanked Jack and the Auxiliary for implementing a program allowing nursing staff to purchase their uniforms at work and for the additional revenue this program will generate.

A motion was made by Linda Brown to accept the Cape Coral Hospital Semi-Annual Report (Exhibit 7). The motion was seconded by Frank La Rosa and it carried with no opposition.

OLD BUSINESS

LAWSUIT UPDATE

James Green asked Mary McGillicuddy for a brief update on the Roy Meidenger versus Lee Memorial Health System lawsuit. Mary said the discovery process is still ongoing while we wait for our time in court, which is a slow process due to the overwhelming number of cases in the Florida court system right now.

NEW BUSINESS There were NO “New Business” items.

PRESIDENT’S

REPORT

Jim Nathan gave the President’s Report which focused on the economic downturn and funding for health care today and the increasing numbers of uninsured and underinsured in Florida. Frank La Rosa commented, regardless of the economic downturn we are experiencing, LMHS continues to meet high standards in quality of care

BOARD OF

DIRECTORS’ REPORTS

ORTHO IMPLANT RFP PROCESS

NICU EXPANSION

NURSING RESEARCH & EVIDENCE BASED

CONFERENCE

PENDERGAST LECTURE SERIES ON

CHILD ABUSE

Kerry Babb gave a brief update on the Orthopedic Implant Request for Proposal (RFP) process. He said this process is still underway and as expected the vendors have raised their prices so they have more room to negotiate down. He said Administration will be working with an outside firm, to move forward and plan our next steps.

Linda Brown said she attended the reception and ribbon cutting ceremony for the NICU Expansion Project at HealthPark Medical Center. She said the newly expanded NICU is a beautiful facility and encouraged others to visit. Linda gave a brief update on the 3rd Annual Nursing Research & Evidence Based Conference which she and Nancy McGovern attended. She congratulated the nurses on their participation and research in an effort to expand the understanding and use of research-based evidence to produce the best patient outcomes and obtain grants which will benefit the patients in our community. Nancy McGovern said she was so impressed by the nursing staff for their extreme talent and contribution to research and the community. Nancy McGovern gave a brief update on the Pendergast lecture series she recently attended on child abuse. She said it was extremely informative and encouraged others in the community to attend and to become more involved in eliminating child abuse.



CCH AUXILIARY AND MED STAFF EXECUTIVE

MEETINGS

SWFRMC MED STAFF EXECUTIVE COMMIITEE

MEETINGS

JOINT MEETING WITH HENDRY HOSPITAL

BOARD

EDUCATIONAL PROGRAMS

Marilyn Stout said she attended the Cape Coral Hospital Auxiliary and Medical Staff Executive Committee meetings, both of which were very interesting and productive. In addition, she said she will be attending the SEI seminar in Scottsdale, AZ and she will provide a summary on the conference when she returns. James Green said he currently attends the Southwest Florida Regional Medical Center Medical Staff Executive Committee meetings however he may not be able to attend during the summer months. He requested for a Board member to attend in his place if possible, and this can be coordinated through the Board office. James asked where we are with setting up a joint meeting with Hendry Hospital Board, and Jim Nathan explained we have made contact and we are jointly working on finding a convenient date for both parties.

John Donaldson gave a brief update on collaborating with Allied and NOVA in an effort to grow medical education programs in the community, many of our staff will become the faculty.

BOARD LIAISON

REPORT

CALENDAR REVIEW AND DOC COGGINS

UPDATE

MONITORS

DOCUMENTS AVAILABLE FOR REVIEW ON THE LMHS WEBSITE

Cathy Stephens reviewed the May 2008 Board of Directors Calendar (Exhibit 9) highlighting important events in May along with the kick-off of the Doc Coggins Award nomination period May 1 – June 30. She gave a brief update on installing monitors in the Boardroom at Lee Memorial Hospital; she is still gathering pricing and installation information. Cathy explained to the viewing audience that all documents referred to in this meeting can be viewed on the LMHS website at www.leememorial.org/boardofdirectors.

NEXT REGULAR

MEETING The date of the next REGULAR meeting of the Lee Memorial Health System Board of Directors is Thursday, May 29, 2008, 3:00 p.m. at the Lee County Public Education Center (LCPEC) and will be held concurrently with the Lee County Trauma Services District Meeting.

ADJOURNMENT The Lee Memorial Health System Board of Directors meeting

was ADJOURNED by Chairman John Donaldson, M.D. at 4:06 p.m.

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

______________________________________ Lois C. Barrett, MBA

Board Secretary

http://www.leememorial.org/



MEDICAL STAFF

BUSINESS

PLC Chairman Report to the Board 5/29/2008

1. The PLC met on May 20th from 6:30 PM until 8 PM with 18 people attending

at 3 campuses.

2. PLC Consultant Reports

Planning Committee events reviewed:

A report on Family Health Centers patient demographics.

The net value of Lee Memorial community benefits $117 million.

The Long Term Facilities Planning Committee to report at next BOD

Planning Committee.

Consolidation of governing structures of the system and centralization

of services.

Collaborative efforts between radiology and anesthesiology groups.

Quality and Education Committee events reviewed: CCH CAO Baker Act patient update and possible plan Orthopedic Implant RFP update Corporate Compliance Program update

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

CCH – Dr. Dougherty – April 10th and May 8th

Female Admission for Medical Problem - Another lengthy discussion

was held on medical physicians not accepting consults for pregnant

patients. At CCH the ER consults all the specialists felt to be needed

and the OB admits the patient. Hospitalists at LMH and HP do not

admit pregnant patients.

For disaster planning Medical Staff is updating all physician contact

information. System is investigating broadcast text messaging to all

phones for disasters.

Discussing concerning the transfer of a patient to Healthpark and the

involvement of a Board member in the issue of appropriateness of the

transfer. CCH MEC has requested some specific actions be taken.

LMHS – Dr. Shannon – April 9th and May 14th

Medicine Council recommendation for critical care oversight with the

ICU Medical Director having the option to see patients if needed.

Chief Legal reviewed the issue of protection of peer review documents.

The Annual Medical Staff meeting format will be changed to save

money for the System.

GCH/SWFR – Dr. Bisbee – April 14th and May 12th

All new policies are emailed to MEC members prior to the meeting for

review.

Colon and rectal surgery core privileges were accepted

The CME funds left will be earmarked for the library at Gulf Coast

4. Update on PLC Task Force Meetings

Governance & Bylaws

Timeline continues to run for new bylaws development

Each MEC will be asked to allow the early start up of the System

Emergency Services Committee as defined in the new bylaws. Motion

carried. Committee to coordinate call issues across the system and

recommend policies to improve patient care.

5. New Business Discussed

There is a difficulty with unassigned patients seen in the ER and not

admitted obtaining follow up care from the community physicians.

Many receive unneeded referrals to specialists. There was discussion

considering asking all Primary Care physicians to rotate accepting

follow up patient visits in their offices. This would also include Affiliate

Medical Staff members who currently have no such responsibility for

call.

Similarly is the difficulty hospitalists have with discharging patients

from the hospital when they have no primary physician for follow up.

Further discussion will ensue.

6. Facility and Service Line Allocation Task Force –

Four meetings were held.

Follow up is coming to the BOD Planning Committee.

Thanks to all physicians and administrators who attended.

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: May 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. Lynne Einbinder, M.D. – Cardiology b. Denise Thurling, M.D. – Emergency Medicine

2. Advancement from Provisional to Active Staff:

a. James M. Toomey, M.D. – Infectious Disease

3. Advancement from Provisional to Courtesy Staff: a. Stephanie Kurtz, M.D. – Pediatric Cardiology

4. Change of Status:

a. Sharon M. Salamat, M.D. – Maternal Fetal Medicine, Courtesy to Active Staff.

5. Leave of Absence: a. Avanee Master Lobo, M.D. – Pediatrics, 04-10-08 to 05-28-08 c. Stephen I. Wagner, M.D. – Obstetrics & Gynecology, 05-01-08 to 10-31-08

6. Resignations:

a. Martin Pinto, M.D. – Internal Medicine, effective 04-01-08 b. Michael Verwest, M.D. - Family Practice, effective 05-03-08 c. Dennis A. Cardone, D.O. – Family Practice, effective 05-01-08

7. Allied Health Practitioner:

a. Andrea Kuiper, P.A. – physician change to Brian Hummel, M.D.

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

8. Practitioners-In-Training: a. Jennifer Fedak – PA Student with Dr. Rios, 05-05-08 to 06-11-08 b. Stephanie Wesley – PA Student with Dr. Kokal, 05-05-08 to 06-11-08 c. Frank Vallor – PA Student with Dr. Kokal, 05-05-08 to 06-11-08 d. Reagan Taylor – PA Student with Dr. Kokal, 05-05-08 to 06-11-08 e. Helen Robbins – PA Student with Dr. Orr, 05-05-08 to 06-11-08 f. Jennifer Schnering – PA Student with Dr. Orr, 05-05-08 to 06-11-08 g. Matthew Taylor – PA Student with Dr. Howell, 05-05-08 to 06-11-08 h. Amy Steinhour – PA Student with Dr. Howell, 05-05-08 to 06-11-08 i. Leigh Phoenix – PA Student with Dr. Goldberger, 05-05-08 to 06-11-08 j. Dan Prince – PA Student with Dr. Fonte, 06-30-08 to 08-15-08 k. Maria Ciferni – Nurse Practitioner Student with Dr. Kole, 05-12-08 to 08-01-08

Approved by the Board of Directors – May 29, 2008

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

LEE MEMORIAL HEALTH SYSTEM

Lee County, Florida #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: May 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. Lynne Einbinder, M.D. – Cardiology

2. Advancement from Provision to Active Staff:

a. Gary N. Wright, M.D. – Emergency Medicine

3. Change of Status: a. Michael Verwest, M.D. – Family Practice, Active to Honorary. b. Sharon M. Salmat, M.D. – Maternal Fetal Medicine, Courtesy to Active Staff.

4. Leave of Absence Request:

a. Avanee D. Master Lobo, M.D. – Pediatrics, 04-10-08 to 05-28-08

5. Allied Health Practitioners: a. Mary Hoke, ARNP – additional physician - Dr. Vijay Ganatra. b. Andrea Kuiper, PA – physician change - Dr. Brian Hummel.

Approved by the Board of Directors, May 29, 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: May 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. Lynne Einbinder, M.D. – Cardiology b. Rashida Loya, M.D. - Anesthesiology

2. Reappointments:

a. Asif Choudhury, M.D. – Gastroenterology – Active b. Rodrigo Torres, M.D. – Internal Medicine – Active

3. Reappointments with Status Change:

a. Gregory Fairchok, M.D. – Teleradiology – advance to Consulting b. David Kanuck, D.P.M. – Podiatry – advance to Courtesy c. Nima Mowzoon, M.D. – Neurology – advance to Active d. William Wiley, D.O. – Radiology – advance to Active

4. Resignation:

a. Martin Pinto, M.D. – Internal Medicine, effective 04-01-08 5. Allied Health Practitioners:

a. Mary Hoke, ARNP – Dr. Vijay Ganatra b. Andrea Kuiper, PA – Dr. Brian Hummel


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

LEE MEMORIAL HEALTH SYSTEM Lee County, Florida

#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: May 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. Rashida Loya, M.D. - Anesthesiology

2. Reappointments

a. Asif Choudhury. M.D. – Gastroenterology – Consulting b. Roberto Monge, M.D. – Pediatrics – Consulting c. Steven Pollard, Ph.D. – Psychology – Consulting d. Rodrigo Torres, M.D. – Internal Medicine – Active

3. Reappointments with Status Change:

a. Gregory Fairchok, M.D. – Teleradiology – advance to Consulting b. Luis Faverio, M.D. – Pediatric Pulmonology – change to Consulting c. David Kanuck, D.P.M. – Podiatry – advance to Courtesy d. William Wiley, D.O. – Radiology – advance to Active

4. Leave of Absence:

a. Stephen Wagner, M.D. – OB/Gyn. – 05-01-08 to 10-31-08 5. Resignations:

a. Dennis Cardone, D.O. – Family Practice effective 05-01-08 b. Harold Tsai, M.D. – Urology effective 05-01-08


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



MEDICAL STAFF

BUSINESS Issues -

Discussion

052908 Consent Agenda.doc

______________

L E E M E M O R I A L HEALTH SYSTEM BBBOOOAAARRRDDD OOOFFF D DDIIIRRREEECCCTTTOOORRRSSS

CONSENT AGENDA May 29, 2008

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.

May 15, 2008 Planning Committee of the Whole 1. Acceptance of the following Entity Reporting Executive Summaries:

• Lee Memorial Home Health, FY 2007 • HealthPark Care Center, YTD March 2008

May 15, 2008 Quality & Education Committee of the Whole 2. Acceptance of the FY 2008 2nd Quarter Risk Management Report.

3. A Board Directive requesting Administration examine the financial implications of establishing

psychiatric services with staffing requirements and availability of a centrally located facility.

4. Acceptance of the 2007 Failure Mode Effects Analysis (FMEA) on Patient Elopement.

5. Approval of the following revisions to the Medical Staff Rules and Regulations:

a. Lee Memorial/HealthPark Medical Center: Rule #8 Medical Records, Rule #8-B. (2) History

& Physical Examination

b. Cape Coral Hospital: IV – Records and Charting/Suspension, 4.2 History & Physical

6. Approval of the Orthopedic Implant Request for Proposal (RFP) progress letter be sent to

physicians.

7. Acceptance of the FY 2008 1st Quarter Organizational Performance Scorecard.

8. Acceptance of the FY 2008 2nd Quarter Compliance Report.

9. Approval of the March 2008 Revised Compliance Program.

May 22, 2008 Finance Committee of the Whole 10. Acceptance of the SEI Quarterly Investment Report as of 4/30/08.

11. Approval to allow LeeSar/CSF to use the Winkler Avenue Property and Building (SWFRMC) to build

a Centralized Support Service Center, to be utilized by its owners and customers; and to provide

this Board a follow-up report.

12. Approval of the Volume Assumptions and Projections for use in developing the FY 2009 Budget.

13. Acceptance of the FY 2008 Financial & Statistical Reports for April 30, 2008.

14. Acceptance of the Capital Update with regard to spending as of 4/30/08.

Lee Memorial Hospital Operations Report to The Board of Directors

Gaile Anthony, Chief Administrative Officer LMH

May 29, 2008

Key Facility Statistics Include:

• Admissions YTD budget 7,222, YTD actual of 6,794, (-5.9% variance).

• Average LOS YTD budget 5.33 days, YTD actual 5.02 days (-5.8% variance).

• ER Visits YTD budget 25,441, YTD actual 26,767, up 5.8% variance.

• Surgery Cases System Budget 2008 YTD 17,080, actual YTD 16,882, 198 cases under budget (1%). LMH budget YTD 5,963, actual cases 5,705 YTD (<258 cases or 4% under budget YTD). Moved cataract surgery to outpatient surgery centers (155 cases). Orthopedics and General Surgery volumes continue to be very strong for the system.

• New Surgeon Volume 6% YTD (2007 YTD 12%)

• Gain from Operations budget YTD $23.7 million – YTD actual $15.6 million (-34.5% variance).

Patient Satisfaction

• YTD inpatient patient satisfaction likelihood to recommend score is 85.6. Continuing to work on the focus of Nursing meeting the personal needs of patients and families, raising awareness of staff sensitivity to patient inconvenience, and to giving prompt response to patient concerns and complaints. All Nursing Units will implement Intentional Rounding by the end of the year.

• The Emergency Department patient satisfaction overall rating score is 84.4 YTD. Continue to see patient satisfaction (Press Ganey) trend line moving in a positive direction.

Highlights For Fiscal Year 2008 To Date

• The 2-West 7-bed nursing unit final phase remodeling to open June 9, 2008 as The Spine Center (wellness focus).

• The SICU and MICU have been very busy this quarter with volumes above budget.

• MET (Medical Emergency Team) continued to decrease Code Blues outside of the ICU in 2008. A direct correlation with high MET calls, less than two Code Blues outside the ICU. Large reason for MET Calls – “Staff worried about patient.”

• Construction for safety upgrades for 3-West 15-bed geriatric-psychiatric unit is in process and will open in September 2008.

• All Star Total Joint Program continues to have high activity and reported positive patient experience and outcomes. The patients in the program rated the unit for the quarter at 87.8 Likelihood to Recommend, continued highest score at LMH. The second floor Orthopedic Unit moved to all private rooms and Total Joint Program patients only. General Orthopedics placed on 5-North.

• Bariatric Surgery Program started May 15, 2008. Dr. Moses Sheih has at least 50 patients ready for a Laparoscopic Banding procedure over the next six months.

• Action plan developed by LMH Leadership to address projected census points and decreased volume. All action plans in use beginning May 15, 2008.



SUPPORTING AGENCY

BUSINESS



OLD BUSINESS



NEW BUSINESS:

A. 2008 Board of Directors Election Resolution (Adoption)

(Allison Ash, Esquire, Fowler, White, Boggs, Banker)

RESOLUTION OF THE LEE MEMORIAL HEALTH SYSTEM

BOARD OF DIRECTORS

RESOLUTION NO. ______________ WHEREAS, the Lee Memorial Health System is a Special District established by the Florida Legislature pursuant to Chapter 2000-439, Laws of Florida; and WHEREAS, the Special Act and Florida Law provides for the election of two Directors from each of the five county health system districts. System board members are to be elected on a nonpartisan basis by a vote of the electorate from Lee County as a whole and are to serve staggered four year terms; and WHEREAS, Directors from Districts one, three and five of the Lee Memorial Health System Board of Directors’ shall be elected at the general election to be held on November 4, 2008, and their length of terms shall be as follows: District Number One Length of Terms 4 Years District Number One Length of Terms 4 Years District Number Three Length of Terms 4 Years District Number Three Length of Terms 4 Years District Number Five Length of Terms 4 Years District Number Five Length of Terms 4 Years NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF DIRECTORS OF THE LEE MEMORIAL HEALTH SYSTEM, that:

SECTION ONE There is hereby called an election in the County of Lee, State of Florida. Said election is to be held on November 4, 2008, for the purpose of having all of the qualified electors residing within the boundaries of said District which is all of Lee County, to determine the members to serve as Directors for Districts one, three and five.

SECTION TWO FS §99.061

The period of qualifying as a candidate for a Board Director to said district shall be from Noon June 16, 2008 through Noon June 20, 2008.

SECTION THREE

FS §100.011, FS CHAPTERS 189, 190 and Chapter 2000-439, Laws of Florida

Said election shall be conducted according to the requirements of general law and the law governing special district elections. Each candidate seeking election as a Director of the Lee Memorial Health System Board of Directors shall sign an oath that he or she is a legal resident of the health system district of Lee County in which he or she is running for election, that he or she is a citizen of the United States, that he or she is a duly qualified elector in the State, and that he or she has not violated any of the laws of the State relating to electors and to the registration of electors.

SECTION FOUR FS §100.011 AND §101.151

The election shall be held at the precinct polling places designated by the Supervisor of Elections in Lee County, Florida. The polls shall be opened and closed as provided by law, and the ballot shall contain the names of the candidates to be voted upon.

SECTION FIVE FS 100.021

F.S. 100.021 Notice of general election. – The Department of State shall, in any year in which a general election is held, make out a notice stating what offices and vacancies are to be filled at the general election in the state, and in each county and district thereof. During the 30 days prior to the beginning of qualifying, the Department of State shall have the notice published two times in a newspaper of general circulation in each county; and, in counties in which there is no newspaper of general circulation, it shall send to the sheriff a notice of the offices and vacancies to be filled at such general election by the qualified voters of the sheriff’s county or any district thereof, and the sheriff shall have at least five copies of the notice posted in conspicuous places in the county.

SECTION SIX §100.011

Election costs shall be the responsibility of the District pursuant to Florida Statute 100.011.

THE FOREGOING RESOLUTION was offered by Board Director ___________________ who moved its adoption. The motion was seconded by Board Director ___________________ and upon being put to vote, the vote was as follows: John D. Donaldson, MD, District One ____________________________________

Marilyn Stout, District One ____________________________________

Richard B. Akin, District Two ____________________________________

Nancy M. McGovern, RN, MSM District Two ____________________________________

Lois C. Barrett, BSE, MBA District Three ____________________________________

Linda L. Brown, MSN, ARNP, District Three ____________________________________

Frank T. La Rosa, District Four ____________________________________

Jason A. Yost, District Four ____________________________________

Kerry Babb, District Five ____________________________________

James Green, District Five ____________________________________

DULY PASSED AND ADOPTED this 29th day of May, 2008. LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS BY: _______________________________ John D. Donaldson MD, Chairman ATTEST: BY: _______________________________ Lois C. Barrett, BSE, MBA, Secretary



PRESIDENT’S REPORT

Jim Nathan CEO/President



BOARD OF

DIRECTORS’REPORTS



BOARD LIAISON REPORT

Cathy Stephens Board Liaison/Assistant to the Board

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS

Recognizes and Awards

2008 WINNERS? Who are they?2008 WINNERS? Who are they?2008 “DOC” COGGINS

COMMITMENT TO EXCELLENCE AWARD

BOARD OF DIRECTORSDistrict 1 – John Donaldson, MD • Marilyn Stout

District 2 – Richard Akin • Nancy McGovern, RN, MSMDistrict 3 – Lois Barrett, MBA • Linda L. Brown, MSN, ARNP

District 4 – Frank La Rosa • Jason Yost District 5 – Kerry Babb • James Green

The Lee County Board of County Commissionersand their partners listed above

Cordially Invite You to Attend the Ribbon Cutting Ceremony for theLee County Triage Center / Low Demand Shelter

on Friday, May 30, 2008, 10:00 AMLee Mental Health Center, Ruth Cooper Campus

2789 Ortiz Avenue, Building “L”Fort Myers, Florida

(See other side for the map)

(See the other side for the invitation)Indicates Ceremonial Site

I-75

Dr. MLK Blvd.

Colonial Blvd.

Ort

iz A

ve.

Eastwood

Golf

Course

( SR 82 )

( SR 884 )

Exit

138

Exit

136

Map to Lee Mental Health Lee Mental Health Campus

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Several

Buildings

and Small

Staff Parking

Lot

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Large Parking

Lot for

Event Attendees

Triage Center and Ceremony SiteBuilding “L”

Lee County Triage Center/Low Demand Shelter Ribbon Cutting Ceremony

Friday, May 30, 2008, 10:00 AM

Lee Mental Health Center, Ruth Cooper Campus

Building L

2789 Ortiz Avenue Fort Myers, Florida

Photo—Todd Cordisco

WELCOME Bob Janes

Lee County Board of County Commissioners and

Master of Ceremonies

INVOCATION Major Austruberto Flores III

Corps Officer, The Salvation Army of Lee and Hendry Counties

PLEDGE OF ALLEGIANCE

REMARKS Ray Judah

Chairman, Lee County Board of County Commissioners Frank Mann

Vice Chairman, Lee County Board of County Commissioners Tammy Hall

Lee County Board of County Commissioners Brian Bigelow

Lee County Board of County Commissioners Mike Scott

Sheriff, Lee County Sheriff’s Office Harriet “Cookie” Coleman

Circuit 20 Administrator, Florida Department of Children and Families Larry Hart

Board Member, Florida Substance Abuse and Mental Health Corporation Marshall Bower

Chairman, Board of Directors, Lee Mental Health Center Meg M. Geltner

General Manager, The Salvation Army of Lee and Hendry Counties Jim Nathan

President and CEO, Lee Memorial Health Services Rosemary Boisvert

Director of the Transitional Living Center, Southwest Florida Addiction Services Cliff Smith

President, United Way of Lee, Hendry and Glades Counties

PRESENTATION OF PLAQUES

RIBBON CUTTING

FACILTY GUIDED TOURS

REFRESHMENTS AND BOTTLED WATER Courtesy of The Salvation Army of Lee and Hendry Counties

and Cadillac Vending and Aqua Systems

LEE COUNTY TRIAGE CENTER/LOW DEMAND SHELTER Teamwork—work done by a number of parties each doing a part but all subordinating per-sonal prominence to the efficiency of the whole……..that textbook definition perfectly describes this project. Specifically, the State of Florida Department of Children and Families, Florida Substance Abuse and Mental Health Corporation, Lee County Board of County Commission-ers, Lee Mental Health Center, Lee Memorial Health System, Southwest Florida Addiction Ser-vices, The Salvation Army of Lee and Hendry Counties and United Way of Lee, Hendry and Glades Counties pooled their resources and worked cooperatively and the result is establish-ment of this critically important facility in Lee County. In 2007, the Florida State Legislature appropriated the funding through the Department of Chil-dren and Families for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant. The Lee County Board of County Commissioners, submitted an application in conjunc-tion with the project partners, and was selected to receive a three year grant in the amount of $1 million to operate the Triage Center/Low Demand Shelter. In addition to the grant funding, the project partners are contributing resources valued at $750,000 annually to meet the grant match requirement and operate the program. Lee County could not have been successful in obtaining funding from the State of Florida for this project without the statewide advocacy efforts of Lee County Commissioner Bob Janes. Commissioner Janes serves on the Board of Directors for the Florida Partners in Crisis, a state-wide organization of a diverse group of stakeholders committed to working together to advocate for improvements in Florida’s mental health and substance abuse prevention and treatment sys-tem. In addition, his passion in advocating mental health issues lead to his appointment as an ex-officio member of the Florida Substance Abuse and Mental Health Corporation. This or-ganization is a non-profit corporation created by the Legislature to oversee the state’s publicly funded substance abuse and mental health services. The Triage Center/Low Demand Shelter will provide all Lee County law enforcement agencies with an alternative to incarceration of individuals experiencing a behavioral health crisis. Indi-viduals targeted for services at the center are those who, in addition to being in crisis, are at risk of being charged with a minor ordinance violation or non-violent offense (specifically open container, disorderly conduct, disturbing the peace, loitering/prowling and trespass charges). These individuals may have come to the attention of law enforcement due to a variety of pre-senting problems, which may include homelessness, substance use disorders and/or mental ill-ness. The Triage Center/Low Demand Shelter is housed at the former Children’s Crisis Unit on the Ruth Cooper Campus of the Lee Mental Health Center. The Triage Center will accept individu-als brought by law enforcement from 4 PM until 11 PM seven days a week.

The Triage Center is staffed by medical and behavioral health and substance abuse professionals from Lee Memorial Health System, Lee Mental Health Center, and Southwest Florida Addiction Services. The Low Demand Shelter is operated by The Salvation Army with financial support from the United Way. The facility provides a safe environment for someone who may be inebriated while attempts are made to have the individual engage in treatment or services that may be needed. The partner organizations perform nursing assessments, psycho social assessments, and work in a coordinated effort to sort and link individuals in need of services when possible. The Lee County Department of Human Services serves as the lead agency and contract manager providing project oversight and funding for the triage clinicians. The program’s goals are to:

• Reduce the number of individuals with known mental illness or substance use disorders be-ing incarcerated in the Lee County jail after having been arrested for low level offenses. Historically, these individuals tend to stay in jail longer and have multiple arrests.

• Reduce time that law enforcement interacts with individuals who have a mental illness or substance use disorder.

• Improve outcomes for individuals who tend to cycle through the criminal justice system by engaging them in treatment. When targeted offenders with behavioral health disorders are diverted from arrest, this reduces the costs of incarceration. Additionally, when individuals are successfully engaged in a supportive service or treatment effort, not only is it better for that specific individual it reduces the ongoing costs of recidivism.

Teamwork…..when all parties work together…..everyone benefits…..government, businesses and, most importantly, the citizens of Lee County.

A local citizen at the Lee County Triage Center/Low Demand Shelter searching for employment.

THANKS Projects such as these would not be possible without the cooperation, teamwork and dedication of a

number of individuals and organizations. They include:

GOVERNMENT State of Florida

Governor and Lieutenant Governor Charlie Crist, Jeff Kottkamp

State Legislature/Southwest Florida Delegation Senate

Mike Bennett, Dave Aronberg, Burt Saunders House of Representatives

Michael Grant, Paige Kreegel, Nick Thompson, Gary Aubuchon, Trudi Williams Florida Department of Children and Families

Robert Butterworth, William Janes, Joy Neves, Jimmers Micallef, Harriet “Cookie” Coleman, Mike Sedgwick

Florida Substance Abuse and Mental Health Corporation Board of Directors

David Miller, Rocky Rodriguez, Ted Serbousek, Patricia Barton, Christine Cauffield, Larry Hart, Lisa DeVitto, Marcia Mathes, Melanie May,

William Allen Mellan, Jr., Mark Speiser, Alex Rodriguez Executive Director Ellen Piekalkiewicz

20th Judicial Circuit Court Administration

Richard Callanan, Scott Wilsker, Belinda Smith, Ray Lannen Lee County Public Safety Coordinating Council

Hugh Starnes, Bob Janes, Frank Busbee, Radford Sturgis, Steven Russell, Kathy Smith, Kevin Lewis, Liza Maldonado, Pam Donelson, Richard Callanan, Scott Wilsker, Mike Scott, Mike Waite, Rob Petrovich, Hilton Daniels, Richard Severson, Steven C. Moore,

James Phillips, Dena Geraghty, Dianne Derby, Jennifer Spencer, Daleen O’Dell, Mike Sedgwick, Tim McCormick, Carol Helton

Lee County Board of County Commissioners Ray Judah, Frank Mann, Bob Janes, Tammy Hall, Brian Bigelow

Attorney David Owen, Andrea Fraser, Melody Bowers

Administration Donald Stilwell, William Hammond, Holly Schwartz,

Pete Winton, Karen McDonough Human Services

Karen Hawes, Ann Arnall, Joan Brown, Deanna Gilkerson, Virginia “Ginger” Lynn, Eric Pateidl, Dawn Whelan

Lee County Sheriff’s Office Mike Scott, Mike Waite, Scott Hall, Scott Brock, Matt Powell, Dena Macomber

Lee County Port Authority Police Department Richard Severson

Florida Gulf Coast University Police and Safety Department Steve Moore, Cindy Gray City of Bonita Springs

Mayor and City Council

Ben Nelson, Richard Ferreira, Janet Martin, Pat Mccourt, John Spear, Martha Simons, Bill Lonkart

City Manager Gary Price

City of Cape Coral Mayor and City Council

Eric Feichthaler, James Burch, Peter Brandt, William Deile, Dolores Bertolini, Eric Grill, Timothy Day, Dr. Derrick Donnell

City Manager Terry Stewart

Police Department Rob Petrovich, Jay Murphy, Steve Furderer

City of Fort Myers Mayor and City Council

Jim Humphrey, Warren Wright, Johnny Streets Jr., Levon Simms, Michael Flanders, Randy Henderson, Tom Leonardo

City Manager Billy Mitchell

Police Department Hilton Daniels, Doug Baker, Phil Shevlin, Ken Leach

Town of Fort Myers Beach Mayor and Town Council

Larry Kiker, Herb Acken, Tom Babcock, Jo List, Bob Raymond Town Manager

Scott Janke City of Sanibel

Mayor and City Council Mick Denham, Carla Brooks Johnston, Kevin Ruane, Peter Pappas, Jim Jennings

City Manager Judie Zimomra

Police Department Bill Tomlinson

PROFESSIONAL AND COMMUNITY ORGANIZATIONS Lee Mental Health Center

Board of Directors Marshall Bower, Dr. Madelyn Isaacs, Joan Cabai, Edward Kleinow, James Reilly,

Michael Reitmann, Sue Ackert, Dr. Theodor Bonstedt, Ismael Hernandez, Kay MacDougall, Mike Scott, Shawn Seliger, Dr. Judith Hartner, Dr. Joseph Shepard, Dave Aronberg,

Carl Joseph Coleman, Joseph Mazurkiewicz Management Team and Staff

David Winters, Jennifer Spencer, Susan Noble, Michael McNally, Nedje Zamor, Karla Morgan, Todd Cordisco, Stacey Cook-Hawk, Phyllis Gamm, Linda Ebner, Paul Everett, Edwin Fong,

Jessica Stone, Luna Smith, David Lee The Salvation Army of Lee and Hendry Counties

Advisory Board Lara Kunkler, Dennis Pearlman, Lyman Phillips, Kathy Galloway, Kathy Adams, Charles Basinait,

Tom Birch, William Blevins, Dr. Robert Brueck, Joseph Catti, James English,Randy Henderson, Tina Matte, B. Pat O’Rourke, Steve Personette, Johnny Restrepo, Dave Shellenbarger, Sandra Stilwell,

Don Strang Jr., Dr. James Taylor, Dr. William Truax, Stephanie Webb, Lloyd Hendry, Wilbur ( Bill ) Smith Jr., Tom Smoot Jr., Hank Hendry, Helen McClary, Bruce Strayhorn,

Dr. Samuel Watkins

Management Team Major Austruberto Flores III, Meg M. Geltner, Tim McCormick,

Regina Young, Serafin Cintron Lee Memorial Health System

Board of Directors Dr. John Donaldson, Nancy McGovern, Richard Akin, Lois Barrett, Kerry Babb,

Linda Brown, James Green, Frank LaRosa, Marilyn Stout, Jason Yost Management Team

Jim Nathan, Mary McGillicuddy, Gaile Anthony, Doug Luckett, Sally Jackson, Lisa Sgarlata

Southwest Florida Addiction Services Board of Directors

Andrea Fraser, Dena Geraghty, Geoff Roepstorff, Diana Black, Bill Cameron, Joseph D’Alessandro, Jim McLaughlin, Jeannie Morningstar, Larry Hart,

William Keyes, Fred Anderson, Kathleen Smith Management Team

Kevin Lewis, Michelle Phillips, Rosemary Boisvert, Janice Cook, Wallace Neal, Chris Magneila

United Way of Lee, Hendry and Glades Counties Board of Directors

Betsy Alderman, Victor Arias, Bob Bechtel, Diana Black, Greg Brock, Joe Catti, Carol Conway, Jerry Elliott, Kate English, Tom Fewster, Craig Folk, Amy Fontaine,

Arlene Goldberg, Gary Griffin, Larry Hart, Barbara Hartman, Patricia Heath, Marcia Hobe, Carol Hudler, William Hughes, Cary Kleinfield, Lara Kunkler, Tony Lapi, Kevin Lewis, David Lucas, Doug Luckett, John Mantica, Cora Molloy, Danny Morgan,

Mark Morris, Dick Miller, Susan Nasworthy, James Nolte, Patricia O'Donnell, Harlan Parrish, Steve Personette, John Pollock, Steve Pontius, Sandy Robinson, Ed Ryan,

Karen Ryan, Jacque Rippe, Bruce Schultz, Mike Scott, Andy Sheppard, Laruel Smith, Mary Snell, Terry Stewart, Tom Uhler, Bill Valenti, Marti Van Veen, Scott White,

Robert Wigley, Robert Wilson Management Team

Cliff Smith, Greg Gardner NAMI Lee County, Inc.

Board of Directors Cary Kleinfield, Lance McKinney, Jacqueline Casiano, Jonathan Rhynes,

Giovanni Naranjo, Arthur Fleck II, Orv Curry, Ken Leach Management Team Elizabeth Givens

LOWES Home Improvement Warehouse Richard Epps, Jerry Ayres, Jonathon Fillenworth

Harry Chapin Food Bank Al Brislain, Fred Richards, Suzanne Foster

and THE CITIZENS OF LEE COUNTY

Salvation Army employees (pictured here) as well as employees from Lee Mental Health, Lee Memorial Health System and Southwest Florida Addiction Services are ready, willing and able to help citizens in need who are brought to the Triage Center/Low Demand Shelter.

Sponsored by Lee County and the State of Florida Department of Children and Families

and the Substance Abuse and Mental Health Corporation.

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

JUNE 2008

Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 2 3

4

5 1:00pm

Planning Committee of the Whole

(LMH Boardroom)

6 12th Anniversary

Acquisition of Cape Coral Hospital

(1996)

7

8

JOHN DONALDSON

9

10

11

12 1:00pm

Quality & Education Committee of the Whole

(LMH Boardroom)

13 14

15 HAPPY FATHERS DAY

16

17

18

19

1:00pm Finance

Committee of the Whole (LMH Boardroom)

20

21 Summer Begins

22

23

24

25

26 3:00pm

Full Board of Directors Meeting (LCPEC)

27

28

29

30

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

DDaatteess ttoo RReemmeemmbbeerr:: July – No Board Meetings July 1 - Statement of Financial Interest due to Elections Office August 7 – All Day Board Planning Workshop

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

ADJOURNMENT



DATE OF THE NEXT REGULARLY SCHEDULED

FULL BOARD OF DIRECTORS MEETING:

THURSDAY, June 26, 2008

3:00pm

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