Board of Directors Meeting Thursday, June 27, 2019 1:00 p.m.€¦ · John Chomeau, Chief Population Health Officer and Joby Kolson, MD presented the Population Health Update including

Board of Directors Meeting

Thursday, June 27, 2019 1:00 p.m.

AGENDA BOARD OF DIRECTORS MEETING

JUNE 27, 2019 AT 1:00 p.m. Gulf Coast Medical Center – Boardroom (Medical Office Building)

13685 Doctor’s Way, Ft. Myers, FL 33912

Time Action

1.00 p.m. 1. Call to Order – Stephen Brown, MD, Board Chairman The Board of Lee Memorial Health System, doing business as Lee Health, Gulf Coast Medical Center & Lee Memorial Hospital/HealthPark Medical Center and the Board of Directors of its subsidiary corporations, including but not limited to Cape Memorial Hospital, Inc. doing business as Cape Coral Hospital; Lee Memorial Home Health, Inc.; and HealthPark Care Center, Inc.

1.05 p.m. 2. Invocation & Pledge of Allegiance (Tim Griffis, MDiv)

3. Public Input

1.10 p.m. 4. Consent Agenda Approve

a. Board Meeting Minutes of 5/30/19

1.15 p.m. 5. President’s Report – (Larry Antonucci, President/CEO) Discuss

1.30 p.m. 6. Physician Leadership Council Update – (William Hearn, D.O., PLC Chairman) Discuss

1.45 p.m. RECESS to CALL TO ORDER Lee County Trauma Services District Board of Directors Meeting (Stephen Brown, MD, Board Chairman)

RECONVENE LEE MEMORIAL HEALTH SYSTEM BOARD MEETING (Stephen Brown, MD, Board Chairman)

2.20 p.m. 7. Medical Staff Credentialing Approve

a. Lee Memorial Hospital

b. Cape Coral Hospital

c. Gulf Coast Medical Center

d. HealthPark Medical Center

e. Golisano Children’s Hospital of SWFL

AGENDA BOARD OF DIRECTORS MEETING 6/27/19

2.25 p.m. 8. Legislative Update – (Michael Nachef, Director, Government Relations) Discuss

3.10 p.m. 9. Committees’ Summaries and Recommendations

a. Audit Committee Verbal Update (Nancy McGovern, Board Member, Audit Committee Chair)

b. Recommended Actions

1. Review of Annual Audit Proposal Approve

3.25 p.m. 10. Board Meeting Evaluation

3.30 p.m. 11. Adjourn

Date of the next Meeting:

August 29, 2019 at 1:00 p.m.

Board of Directors

Gulf Coast Medical Center – Boardroom

13685 Doctors Way, Ft. Myers, FL 33912

Lee Memorial Health System Board of Directors

BOARD OF DIRECTORS

Invocation &

Pledge of Allegiance


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 should be completed and submitted to the Board Staff prior to meeting.

Refer to Board Policy: 10:15H: 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 three (3) days prior to the meeting to allow staff time to prepare and to insure the matter is within the jurisdiction of the Board.

BOARD OF DIRECTORS

CONSENT AGENDA

(APPROVE)

a) Board meeting Minutes of 5/30/19


BOARD OF DIRECTORS MEETING MINUTES

Thursday, May 30, 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; David Collins, Board Treasurer; Therese Everly, Board Secretary; Sanford N. Cohen, M.D., Board Member; Chris Hansen, Board Member; Stephanie Meyer, BSN, RN, Board Member; Nancy McGovern, RN, MSM, Board Member; Diane Champion,

Board Member , Jessica Carter Peer, Board Member MEMBERS ABSENT:

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

FULL BOARD OF DIRECTORS MEETING was CALLED TO ORDER at 1:00 p.m.

by Stephen Brown, M.D., Board Chairman.

INVOCATION AND PLEDGE OF

ALLEGIANCE

Mike Warthen, MDiv, BCC gave the Invocation, followed by the Pledge of Allegiance.

PUBLIC INPUT None at this time.

CONSENT AGENDA Dr. Brown asked for approval of the Consent Agenda. A motion was made by David Collins to approve the Consent Agenda consisting of:

a. Board Meeting Minutes of 4/25/19 b. Risk Management Report

The motion was seconded by Therese Everly and carried with no opposition.

PRESIDENT’S REPORT

Larry Antonucci, M.D., President & CEO presented the President’s Report. Dr. Antonucci highlighted topics such as HCAHPS Review, Physician Engagement, Charge Nurse Leadership Program and Primary Care challenges.

PHYSICIAN LEADERSHIP COUNCIL

UPDATE

William Hearn, D.O., PLC Chairman presented the Physician Leadership Update.

MEDICAL STAFF CREDENTIALING

Dr. Brown asked for approval of the Medical Staff Credentialing. A motion was made by Jessica Carter Peer to approve the Medical Staff Credentialing for Lee Memorial Hospital.

The motion was seconded by Nancy McGovern and carried with no opposition. A motion was made by Nancy McGovern to approve the Medical Staff Credentialing for Cape Coral Hospital.

The motion was seconded by Chris Hansen and carried with no opposition.

LEE HEALTH BOARD OF DIRECTORS MEETING MINUTES

Thursday, May 30, 2019 Page 2 of 5



A motion was made by Chris Hansen to approve the Medical Staff Credentialing for Gulf Coast Medical Center.

The motion was seconded by Nancy McGovern and carried with no opposition. A motion was made by Donna Clarke to approve the Medical Staff Credentialing for HealthPark Medical Center.

The motion was seconded by Dr. Cohen and carried with no opposition. A motion was made by Chris Hansen to approve the Medical Staff Credentialing for Golisano Children’s Hospital of Southwest Florida.

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

GOVERNANCE TASK FORCE UPDATE

Steve Brown, MD asked for a motion to approve the Physician Members of Committees. Steve Brown, MD asked for a motion to approve the appointment of the Audit Committee Community Members. Steve Brown, MD asked for a motion to approve the appointment of the Community Health Improvement Committee Community Members. Steve Brown, MD asked for a motion to approve the appointment of the Finance and Investment Committee Community Members. Steve Brown, MD asked for a motion to approve Board Policy 10.27. Discussion ensued. Steve Brown, MD asked for a motion to approve Board Policy 20.06. Board Counsel reviewed changes to policy. Discussion ensued.

A motion was made by Therese Everly to approve Physician Members of Committees as presented.

The motion was seconded by David Collins and carried with no opposition. A motion was made by David Collins to approve the appointment of the following Community Members to the Audit Committee of the Lee Health Board of Directors. Tami Cindrich, CPA, CHBC, and Bill Foster, CPA

The motion was seconded by Therese Everly and carried with no opposition. A motion was made by Donna Clarke to approve the appointment of the following Community Members to the Community Health Improvement Committee of the Lee Health Board of Directors. David Berger, MD, MBA, FACS, and Minnie Jackson, RN, BSN, MS.

The motion was seconded by Jessica Carter Peer and carried with no opposition. A motion was made by Nancy McGovern to approve the appointment of the following Community Members to the Finance and Investment Committee of the Lee Health Board of Directors. Peter Andruszkiewicz and David H. Klein, MBA.

The motion was seconded by Donna Clarke and carried with no opposition.

A motion was made by Donna Clarke to approve Board Policy 10.27 Reporting and Accreditation, as presented.

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

A motion was made by Donna Clarke to approve the revision to Board Policy 20.06 entitled Contracts (Purchase, Sale, Transfer or Lease) section 3 Contracts for purchase, sale, transfer or lease of real





Steve Brown, MD asked for a motion to adopt a resolution with regard to contracts for purchase, sale, transfer or lease. Discussion ensued. Therese Everly asked that the resolution be added to the policy reference guide.

Steve Brown, MD, updated board members on the process for adding strategy topics for board meetings and closed sessions. Discussion ensued. Topics for regular board meeting agendas should be sent to Genny White and items that fulfil closed session criteria should be communicated to Board Counsel.

property (land and/or buildings) shall be approved by the Board of Directors unless the Board of Directors otherwise authorizes its Chief Executive Officer to approve such contracts. The Motion was seconded by Dr. Cohen and carried with no opposition. A motion was made by Donna Clarke to adopt the proposed resolution which authorizes Lee Health’s President/Chief Executive Officer to make certain contracts for lease of real property in which the aggregate payments from the tenant to the landlord in the first year of the lease are projected to be less than $1,000,000.

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

POPULATION HEALTH UPDATE

John Chomeau, Chief Population Health Officer and Joby Kolson, MD presented the Population Health Update including the Clinically Integrated Network. Discussion ensued.

A motion was made by Donna Clarke to approve Administration’s recommended amendments to the Best Care Collaborative LLC Operating Agreement to 1) increase the size of the BCC Board of Managers; 2) add a requirement that certain items be approved by a majority of Class A and Class B Managers; 3) adding the Compliance Committee as a required committee of the BCC, and 4) correct certain technical errors in the prior version of the Operating Agreement. The motion was seconded by Jessica Carter Peer and carried with no opposition. A motion was made by David Collins to approve Administration’s recommended amendments to the Best Care Assurance LLC Operating Agreement to 1) increase the size of the BCA Board of Managers; 2) add a requirement that certain items be approved by a majority of Class A and Class B Managers; and 3) correct certain technical errors in the prior version of the Operating Agreement. The motion was seconded by Therese Everly and carried with no opposition.

COMMITTEES’ SUMMARIES AND

RECOMMENDATIONS

David Collins, Committee Chair, gave a verbal update from the Finance and Investment Committee Meeting. He stated that the SEI team gave a report on the investment portfolio during the Committee’s meeting. Ben Spence gave the Committee an update on the system’s financial performance. Alison Thurau presented the system’s Total Rewards program to the Committee. She stated that Lee Health management has conducted comparative studies to determine how to increase retention and recruitment of employees. Management shared their initial assumptions they are using to build the 2020 budget. John Chomeau provided an update on Medicare Advantage to the Committee. David Collins asked for various motions for approval as recommended from the Finance Committee.

A motion was made by Therese Everly to approve the Certification & Selection Committee’s Rankings for the 3 year Construction Management Continuing Services Contract for Acute Care Facilities as determined on May 16, 2019. The motion was seconded by Chris Hansen and carried with no opposition. A motion was made by Therese Everly to authorize Lee Health administration to proceed with contract negotiations for a 3 year continuing services contract for construction management for Acute Care Facilities, per Board Policy 20.15D and the Consultants Competitive Negotiation Act, starting with the highest numerically ranked firm, RD Johnson Construction and, if such negotiations are





not successful to authorize the Lee Health Administration to then negotiate with the next ranked firm. The motion was seconded by Dr. Cohen and carried with no opposition. A motion was made by Therese Everly that upon successful negotiation in accordance with Board Policy 20.15D, authorize the President & Chief Executive Officer or Board Chairman to execute a 3 years continuing services contract for Acute Care Facilities, in substantially the same form as the attached draft contract, subject to final legal review. The motion was seconded by Stephen Brown, MD and carried with no opposition. A motion was made by Chris Hansen to accept the Certification & Selection Committee’s Rankings for the 3 Year Construction Management Services Contract for Outpatient Facilities as determined on May 16, 2019. The motion was seconded by Jessica Carter Peer and carried with no opposition. A motion was made by Chris Hansen to authorize Lee Health administration to proceed with contract negotiations for a 3 Year Continuing Services Contract for Construction Management for Outpatient Facilities, per Board Policy 20.15 and the Consultants Competitive Negotiation Act, starting with the highest numerically ranked firm, Stevens Construction and, if such negotiations are not successful to authorize the Lee Health Administration to then negotiate with the next ranked firm. The motion was seconded by Diane Champion and carried with no opposition. A motion was made by Chris Hansen that upon successful negotiation in accordance with Board Policy 20.15D authorize the President & Chief Executive Officer or Board Chairman to execute a Three (3) Year Continuing Services Contract for Outpatient Facilities, in substantially the same form as the attached draft contract, subject to final legal review. The motion was seconded by Sanford Cohen, MD and carried with no opposition. A motion was made by Therese Everly to approve the gain from operations target and budget assumptions to correspond with a 3.0% operating margin and establish the financial goals for the FY2020 budget. The motion was seconded by Donna Clarke and carried with no opposition.





The License Agreement for Parking Spaces was withdrawn, in accordance with Board Policy 20.06.

A motion was made by Jessica Carter Peer to approve the FY2020 Lee Health Compensation Program Recommendations pending the Board of Directors’ final approval of the FY2020 Lee Health Budget and approval of the FY 2020 Lee Health Benefits Program Recommendations pending the Board of Directors’ final approval of the FY 2020 Lee Health Budget The motion was seconded by Donna Clarke and carried with no opposition.

BOARD MEETING EVALUATION

Meeting was informative and board business was conducted in a smooth efficient way. Good discussion. Great executive summary from the Finance and Investment Committee. Nice even flow. David Collins thanked Ben Spence and administrative staff for their support but there are still items that need to be worked out to make the meetings more efficient.

NEXT REGULAR MEETING

The next LEE HEALTH

BOARD OF DIRECTORS & TRAUMA DISTRICT MEETING will be held on June 27, 2019, at 1:00 p.m.

in the Gulf Coast Medical Center, Medical Office Building, Boardroom 13685 Doctors Way, Fort Myers, FL 33912

ADJOURNMENT The LEE HEALTH SYSTEM BOARD OF DIRECTORS MEETINGS

ADJOURNED at 3:23 p.m. by Stephen Brown, M.D., Board Chairman.

Minutes were recorded by Laura Reynolds, Board of Directors Assistant

________________________________________ Therese Everly Date approved

Board Secretary


BOARD OF DIRECTORS

PRESIDENT’S REPORT

Larry Antonucci, MD, President & CEO

Lee Health

Board of Directors Meeting

June 27, 2019

President’s Report

Physician Leadership Program

Exceptional Lee Performance Excellence Update

Healthcare Executives Top Priorities‐The Advisory Board

AMA Position on Medicare For All

State Health System Performance Scorecard

HCAHPS Revision

Telemedicine Update

Bonita Community Health Center Update

Hospitalist Town Halls

Florida Children on Medicaid

FSU Family Medicine Graduation

Clinical Consensus Groups Update

Safety Net Hospital Alliance of Florida‐CIN Presentation

Lee Health Patient and Family Advisory Council

PHYSICIAN LEADERSHIP COUNCIL UPDATE

(William Hearn, D.O, PLC Chairman)


BOARD OF DIRECTORS

MEDICAL STAFF CREDENTIALING

(APPROVE)

a) Lee Memorial Hospital

b) Cape Coral Hospital

c) Gulf Coast Medical Center

d) HealthPark Medical Center

e) Golisano Children’s Hospital of SWFL


LEE HEALTH Lee County, Florida

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

To: Board of Directors From: Nancy A. Taylor, CPMSM, CPCS Director, Centralized Credentialing Services Date: June 19, 2019 Subject: Lee Memorial Hospital Medical Staff Recommendations The Facility Medical 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. Associate Staff Appointment: a. Craig Barkley, M.D. – Urology b. Michael Blum, M.D. – Gastroenterology c. Juan Carrere, M.D. – Gastroenterology d. Jennifer Goss, M.D. – OB/Gyn e. Salomon Levy Miranda, M.D. – General Surgery f. Eve MacLean, D.O. – Internal Medicine g. Kumarapillai Narendran, M.D. – Gastroenterology h. Vera Rosado-Odom, M.D. – Infectious Disease i. Daren Subnaik, D.O. – Physical Medicine & Rehab/Pain Management

2. Privileges Only Appointment:

a. Yaritza Perez-Soto, M.D. – General Surgery 3. M.S. and A.P.P. Reappointments – 07-01-19 to 06-30-2021 (list attached)

4. Temporary Privileges:

a. Fahim Habib, M.D. – Trauma Surgery, 06-27-19 – 07-26-19 b. Sathyavathi Reddy, M.D. – Gastroenterology, 06-03-19 – 07-02-19; 07-03-19 – 08-01-19

5. Resignations:

a. Ugo Adigweme, D.P.M. – Podiatry, effective 07-31-19 b. Ashley Dale, M.D. – Teleneurology, effective 06-10-19 c. Joseph Dietz, M.D. – Psychiatry, effective 05-29-19 d. Angela Echeverria, M.D. – Vascular Surgery, effective 06-30-19 e. Roger Eduardo, M.D. – General Surgery, effective 07-01-19 f. Tatwig Guirguis, M.D. – Internal Medicine, effective 03-01-19 g. Hope McDowell, D.M.D. – Pediatric Dentistry, effective 06-30-19 h. Khoa Nguyen, D.P.M. – Podiatry, effective 06-30-19 i. Adam Phillips, D.O. – General Surgery, effective 07-04-19 j. Chelsea Viola, D.P.M. – Podiatry, effective 06-30-19 k. Russell Weintraub, M.D. – Internal Medicine, effective 03-01-19

Memorandum to Board of Directors - LMH June 19, 2019 Page 2 of 3


6. Leave of Absence : a. Ernesto Del Valle Hernandez, M.D. – Pediatric Orthopedics, personal leave

04-01-19 – 08-31-19 b. Anita Shinde, M.D. – Internal Medicine, education leave 07-01-19 - 06-30-21

7. Privilege Requests:

a. Luis Guerrero, M.D. – Chemical Neuromuscular denervation (Botox/Phenol) Fluoroscopically guided facet blocks, sacroiliac joint injections & nerve

root specific Facet and sacral radiofrequency ablation Fluoroscopic epidural steroid injections Peripheral nerve radiofrequency ablations Percutaneous fasciotomy and tenotomy Platelet Rich Plasma injections; stem cell injections; prolotherapy injections Injections of joints and bursa Peripheral, cranial, costal, plexus and ganglion nerve blocks Trigger point injections

b. Bassan Allan, M.D. – Robotic Surgery 8. First Year Completions: Coppolo, Joseph, Psy.D. Psychology - Refer & Follow HPMC

LMH Associate Associate

Elliott, David, D.O.

Gastroenterology CCH HPMC LMH

Active Active Active

Freeland, Klaus M.D. Ophthalmology GCMC HPMC LMH

Associate Associate Associate

Gesheva, Irena, M.D. Family Medicine - Refer & Follow CCH Associate

Halderman, Charles, D.O. Anesthesiology GCMC Active

Karim, Alim M.D. Family Medicine - Refer & Follow GCMC Associate

Miller, Deborah, M.D. Pediatrics - Refer & Follow CCH GCHSWFHPMC


Ozeran, Allen, D.O. Gastroenterology HPMC LMH

Associate Active

Pendino, Alexander, D.O. Neurology HPMC LMH

Active Active

Smolyar, Albert M.D. Ophthalmology GCMC HPMC LMH


Memorandum to Board of Directors - LMH June 19, 2019 Page 3 of 3


9. Change of Status: a. Myrian Alea, M.D. – Pediatric Emergency Medicine, Honorary, 04-30-19 b. Claude DeGraff, M.D. – Family Medicine, Honorary 12-14-18

10. Advanced Practice Providers:

a. Mark Eldridge, AA – US Anesthesia Partners b. Yamilka Suarez, APRN – Dr. Vijay Ganatra c. Donna Zack, APRN – LPG Cardiology at Metro Parkway d. Margaret Zimmerman, PA – Joint Implant Surgeons of Florida

11. Advanced Practice Providers – Sponsor Change:

a. Tyson Hutchison, APRN – LPG Skilled Nursing b. Susanna Phillips, APRN – LMHS Heart & Vascular Institute c. Wendy Suckow, PA – LPG General & Vascular Surgery

12. Advanced Practice Provider – Sponsor Change/Intrasystem:

a. Stuart Paasche, PA – LPG General & Vascular Surgery 13. Advanced Practice Provider – Additional Sponsor:

a. Bryan Newcomb, PA – Dr. Shetty 14. Advanced Practice Provider – Privilege Request:

a. Ann Cromika, APRN – Intubation

Approved by the Board of Directors – June 27, 2019

________________________________________________ Stephen R. Brown, M.D., Chairman - Board of Directors

LMH Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeMEDICAL STAFFAgress, Jo Ann R., Ph.D. Psychology Associate (R & F)Ahmadi, Anissa, D.M.D. Pediatric Dentistry AssociateAlcalde, Rafael E., D.D.S. Oral/Maxillofacial Surgery ActiveAllen, Robert M., D.O. Psychiatry Associate (R & F)Anderson, Stephen F., D.D.S. Oral/Maxillofacial Surgery AssociateAnthony, Nicholas C., Ph.D. Psychology HonoraryArseneau, Lisa, Ph.D. Psychology Associate (R & F)Bloom, Sharon E., Psy.D. Psychology Associate (R & F)Bustamante, Liliana, M.D. Oncology/Hematology ActiveCagata, Jay C., DMD, MD Oral/Maxillofacial Surgery ActiveCalkins, Cori J., Psy.D. Psychology Associate (R & F)Capozzoli, Pasquale A., Psy.D. Psychology Associate (R & F)Casey, Gregory M., D.D.S. Oral/Maxillofacial Surgery ActiveCastillo, Lazaro L., M.D. Allergy & Immunology Associate (R & F)Chrovian, Sharon L., Psy.D. Psychology Associate (R & F)Coppolo Jr., Joseph, Psy.D. Psychology Associate (R & F)Culver, Keegan R., Psy.D. Psychology Associate (R & F)DenBoer, Samantha R., Psy.D. Psychology Associate (R & F)Dunbar, Scott D., M.D. Oncology/Hematology HonoraryDutchak-Parmenter, Denise A., M.D. Psychiatry Associate (R & F)Esper, Raymond M., M.D. Oncology/Hematology AssociateFavalli, Oliver P., D.M.D. Pediatric Dentistry AssociateFerrari, Bianca, M.D. Oncology/Hematology AssociateForis, Brooke, Psy.D. Psychology Associate (R & F)Gardner, Faithlore P., M.D. Oncology/Hematology ActiveGear Jr., Robert D., DMD, MD Oral/Maxillofacial Surgery ActiveGeiser, David S., Ph.D. Psychology Associate (R & F)Grumbach, Paul G., D.D.S. General Dentistry HonoraryHall, Kevin P., D.D.S. Oral/Maxillofacial Surgery ActiveHansen Cohen, Christina M., Psy.D. Psychology AssociateHarrison, Deborah A., Ph.D. Psychology Associate (R & F)Hart, Lowell L., M.D. Oncology/Hematology ActiveHarwin, William N., M.D. Oncology/Hematology AssociateHidalgo, Jacqueline S., Psy.D. Psychology Associate (R & F)Hoek, Christopher B., D.D.S. Oral/Maxillofacial Surgery HonoraryHogan, Timothy D., D.M.D. Oral/Maxillofacial Surgery ActiveHoward, Eric, Ph.D. Psychology Associate (R & F)Illes, Rose A., Ph.D. Psychology ActiveKasprzak, Cheryl J., Psy.D. Psychology Associate (R & F)Katz, Nolan H., Ph.D. Psychology Associate (R & F)Katz, Sheba P., Ph.D. Psychology Associate (R & F)Kirkwood, Rebecca J., Psy.D. Psychology ActiveKlucka, Charles V., D.O. Allergy & Immunology Associate (R & F)Koehn, David J., Ph.D. Psychology Associate (R & F)Koneru, Bhanuprasad, M.D. Oncology/Hematology AssociateKushner, Marissa R., Ph.D. Psychology Associate (R & F)Laboda, Gerald, D.M.D. Oral/Maxillofacial Surgery HonoraryLarned, Catherine, M.D. Psychiatry HonoraryLopes, Ana L., Psy.D. Psychology Associate (R & F)Lopez, Mabel, Ph.D. Psychology AssociateMachlin, Steven R., M.D. Psychiatry Associate (R & F)Mallory, Yvette C., Psy.D. Psychology Associate (R & F)Mani, Tanja M., Ph.D. Neuropsychology Associate (R & F)Mayor, Ajay, M.D. Psychiatry ActiveMazzorana Jr., Ivan L., M.D. Psychiatry Associate (R & F)McCleod, Michael J., D.O. Oncology/Hematology Associate


Name Specialty Staff TypeMinsky, Susan H., Ph.D. Psychology Associate (R & F)Mulholland, Amy M., Ph.D. Psychology Associate (R & F)Nelsen, Brittany A., Psy.D. Psychology AssociateNixon, Cara L., Psy.D. Psychology ActivePauker, Neil E., M.D. Psychiatry Associate (R & F)Picotte, Dawn M., M.D. Psychiatry ActivePollack, Robert W., M.D. Psychiatry Associate (R & F)Rana, Vanrajsinh G., M.D. Oncology/Hematology AssociateRaymond, Michael G., M.D. Oncology/Hematology ActiveReeves, James A., M.D. Oncology/Hematology AssociateRichardson, Randolph M., D.M.D. Oral/Maxillofacial Surgery ActiveRieche, Omar, M.D. Psychiatry Associate (R & F)Rodriguez, Francisco A., M.D. Oncology/Hematology ActiveRoman-Diaz, Jaime L., M.D. Oncology/Hematology ActiveRomero, Silvia A., M.D. Oncology/Hematology AssociateSabo, Jason, Ph.D. Psychology Associate (R & F)Sangiacomo, Roxann, M.D. Psychiatry Associate (R & F)Sarmiento, Elena Z., M.D. Psychiatry ActiveSchurman, Seth S., M.D. Allergy & Immunology Associate (R & F)Schwartz, Donald P., M.D. Allergy & Immunology Associate (R & F)Schwartz, Scott C., D.D.S. Pediatric Dentistry AssociateShain, Michael P., Ph.D. Neuropsychology Associate (R & F)Shimoda, Kim C., Ph.D. Psychology AssociateSilver, Robert B., Ph.D. Psychology HonorarySooriyaarachchi, Gamini S., M.D. Oncology/Hematology Privilege OnlySpellman, Michael B., Ph.D. Psychology HonoraryStreater, Mark R., D.M.D. Oral/Maxillofacial Surgery ActiveSwanson, Gary E., D.D.S. General Dentistry HonoraryTanski, Daryl R., M.D. Psychiatry AssociateTejera, Tinerfe J., D.M.D., M.D. Oral/Maxillofacial Surgery ActiveTurnier, Charles G., M.D. Allergy & Immunology AssociateVerwest, Tim M., D.M.D. Pediatric Dentistry AssociateWells, Anne M., Ph.D. Psychology AssociateWinchell-Barrile, Kristina A., Ph.D. Psychology Associate (R & F)Wong, LeighAnn S., Ph.D. Psychology AssociateZafar, Syed F., M.D. Oncology/Hematology ActiveZeterberg, Joseph M., M.D. Allergy & Immunology Honorary

ADVANCED PRACTICE PROVIDERSAlonso Rivera, Eileen O., APRN Adv. Practice Registered Nurse Advanced Practice ProviderAsorian, Barbara P., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBertil, Jams, APRN Adv. Practice Registered Nurse Advanced Practice ProviderBrooks, Vicky, APRN Adv. Practice Registered Nurse Advanced Practice ProviderByrd, S. Diane, C.N.M. Cert. Nurse Midwife Advanced Practice ProviderByrne-Forster, Kelly A., P.A. Physician Assistant Advanced Practice ProviderCiambrello, Lisa A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderCittadino, Jennifer L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderClyatt, Caryle L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderColaneri, Karen E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderCorbett, Crista R., P.A. Physician Assistant Advanced Practice ProviderDeLong, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdmiston, Karen M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdwards, Jill E., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderEisenberg, Eric S., P.A. Physician Assistant Advanced Practice ProviderFiscella, Suzanne J., P.A. Physician Assistant Advanced Practice Provider


Name Specialty Staff TypeFrankel, Tiffany D., P.A. Physician Assistant Advanced Practice ProviderFreeman II, Richard R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderFry, Joshua M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGilliam, Melissa A., P.A. Physician Assistant Advanced Practice ProviderGomez, Erica E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderGonzalez, Miguel A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGonzalez, Tilia O., P.A. Physician Assistant Advanced Practice ProviderGottshalk, Tonya T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGovender, Shirley, APRN Adv. Practice Registered Nurse Advanced Practice ProviderGreen, Kwee E., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderHall, Frederick J., P.A. Physician Assistant Advanced Practice ProviderHutchison, Tyson R., APRN Adv. Practice Registered Nurse Advanced Practice ProviderIrminger, Tia L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderJones, Laverne, APRN Adv. Practice Registered Nurse Advanced Practice ProviderKmetz, John P., P.A. Physician Assistant Advanced Practice ProviderKnutson, Katheryn, P.A. Physician Assistant Advanced Practice ProviderLongton, Nicole P., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMallari, Christopher A., P.A. Physician Assistant Advanced Practice ProviderMasch, Carrie L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMcCoy, Dorene M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMilligan, Jaine E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMoss, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderOcchino, Sharon B., APRN Adv. Practice Registered Nurse Advanced Practice ProviderO'Connor, Margaret M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPanepinto, Casey A., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderPerry, Jenevieve T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPowell, Kalan Z., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRademaker, Travis L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRess, Ryan D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderRibot, Yofania, CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRutter, Trisia S., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSamerdyke, Susan M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSaunders, Ira S., P.A. Physician Assistant Advanced Practice ProviderSchultz, Lynette F., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSimpson, Sherika V., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSnyder, Frank C., A.A. Anesthesiology Assistant Advanced Practice ProviderSpirgatis, Shannon R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderSteiner, Shawn M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderStewart, Cynthia B., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderThibodeau, Jenna D., P.A. Physician Assistant Advanced Practice ProviderToledo, Nilda E., P.A. Physician Assistant Advanced Practice ProviderVogelbach, Kimberly A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWaters, Timothy L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWeglarz, Jamie C., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWescoat, Jeanne L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWillaford, Gina T., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice Provider



#2

M E M O R A N D U M To: Board of Directors

From: Nancy A. Taylor, CPMSM, CPCS Director, Centralized Credentialing Services

Subject: Cape Coral Hospital Medical Staff Recommendations

Date: June 19, 2019

The Facility Medical 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. Associate Staff Appointment: a. Craig Barkley, M.D. – Urology b. Lindsay Berbiglia, D.O. – General Surgery c. Michael Blum, M.D. – Gastroenterology d. Juan Carrere, M.D. – Gastroenterology e. Eve MacLean, D.O. – Internal Medicine f. Kumarapillai Narendran, M.D. – Gastroenterology g. Vera Rosado-Odom, M.D. – Infectious Disease h. Daren Subnaik, D.O. – Physical Medicine & Rehab/Pain Management

2. M.S. and A.P.P. Reappointments – 07-01-19 to 06-30-2021 (list attached)


a. Sathyavathi Reddy, M.D. – Gastroenterology, 06-03-19 – 07-02-19; 07-03-19 – 08-01-19 4. Resignations:

a. Ugo Adigweme, D.P.M. – Podiatry, effective 07-31-19 b. Lynsey Biondi, M.D. – General Surgery, effective 06-02-19 c. Ashley Dale, M.D. – Teleneurology, effective 06-10-19 d. Joseph Dietz, M.D. – Psychiatry, effective 05-29-19 e. Angela Echeverria, M.D. – Vascular Surgery, effective 06-30-19 f. David Geiser, Ph.D. – Psychology, effective 06-30-19 g. Tatwig Guirguis, M.D. – Internal Medicine, effective 03-01-19 h. Khoa Nguyen, D.P.M. – Podiatry, effective 06-30-19 i. David Terwilliger, D.O. – General Surgery, effective 05-10-19 j. Chelsea Viola, D.P.M. – Podiatry, effective 06-30-19 k. Russell Weintraub, M.D. – Internal Medicine, effective 03-01-19

Memorandum to Board of Directors - CCH June 19, 2019 Page 2 of 3


5. Leave of Absence : a. Anita Shinde, M.D. – Internal Medicine, education leave 07-01-19 - 06-30-21

6. Privilege Requests:



b. Tal Hazan, M.D. – Extension of EUS privileges 7. First Year Completions: Coppolo, Joseph, Psy.D. Psychology - Refer & Follow HPMC

LMH AssociateAssociate





AssociateAssociateAssociate

Gesheva, Irena, M.D. Family Medicine - Refer & Follow

CCH Associate


Karim, Alim M.D. Family Medicine - Refer & Follow

GCMC Associate

Miller, Deborah, M.D. Pediatrics - Refer & Follow CCH GCHSWF HPMC



AssociateActive


Active Active



Memorandum to Board of Directors - CCH June 19, 2019 Page 3 of 3


8. Advanced Practice Providers: a. Mark Eldridge, AA – US Anesthesia Partners b. Yamilka Suarez, APRN – Dr. Vijay Ganatra c. Donna Zack, APRN – LPG Cardiology at Metro Parkway d. Margaret Zimmerman, PA – Joint Implant Surgeons of Florida


a. Tyson Hutchison, APRN – LPG Skilled Nursing b. Susanna Phillips, APRN – LMHS Heart & Vascular Institute

10. Advanced Practice Provider – Privilege Request:




CCH Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeMEDICAL STAFFAgress, Jo Ann R., Ph.D. Psychology Associate (R & F)Anthony, Nicholas C., Ph.D. Psychology HonoraryArgumosa, Miguel A., D.M.D. Pediatric Dentistry AssociateBustamante, Liliana, M.D. Oncology/Hematology AssociateCastillo, Lazaro L., M.D. Allergy & Immunology Associate (R & F)DenBoer, Samantha R., Psy.D. Psychology Associate (R & F)Dunbar, Scott D., M.D. Oncology/Hematology HonoraryEsper, Raymond M., M.D. Oncology/Hematology AssociateFerrari, Bianca, M.D. Oncology/Hematology AssociateGardner, Faithlore P., M.D. Oncology/Hematology ActiveHart, Lowell L., M.D. Oncology/Hematology AssociateHarwin, William N., M.D. Oncology/Hematology AssociateKirkwood, Rebecca J., Psy.D. Psychology AssociateKlucka, Charles V., D.O. Allergy & Immunology Associate (R & F)Koneru, Bhanuprasad, M.D. Oncology/Hematology AssociateLopez, Mabel, Ph.D. Psychology AssociateMayor, Ajay, M.D. Psychiatry ActiveMazzorana Jr., Ivan L., M.D. Psychiatry Associate (R & F)McCleod, Michael J., D.O. Oncology/Hematology AssociateMcMillan, Michael H., D.M.D. General Dentistry Associate (R & F)Nelsen, Brittany A., Psy.D. Psychology AssociateNixon, Cara L., Psy.D. Psychology AssociatePicotte, Dawn M., M.D. Psychiatry AssociatePollack, Robert W., M.D. Psychiatry Associate (R & F)Rana, Vanrajsinh G., M.D. Oncology/Hematology ActiveRaymond, Michael G., M.D. Oncology/Hematology ActiveReeves, James A., M.D. Oncology/Hematology AssociateRieche, Omar, M.D. Psychiatry Associate (R & F)Rodriguez, Francisco A., M.D. Oncology/Hematology ActiveRoman-Diaz, Jaime L., M.D. Oncology/Hematology ActiveRomero, Silvia A., M.D. Oncology/Hematology AssociateSarmiento, Elena Z., M.D. Psychiatry ActiveSchurman, Seth S., M.D. Allergy & Immunology Associate (R & F)Sooriyaarachchi, Gamini S., M.D. Oncology/Hematology Privilege OnlyTanski, Daryl R., M.D. Psychiatry AssociateZafar, Syed F., M.D. Oncology/Hematology AssociateZeterberg, Joseph M., M.D. Allergy & Immunology Honorary

ADVANCED PRACTICE PROVIDERSAlonso Rivera, Eileen O., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBatdorf, Viola E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBertil, Jams, APRN Adv. Practice Registered Nurse Advanced Practice ProviderByrd, S. Diane, C.N.M. Cert. Nurse Midwife Advanced Practice ProviderByrne-Forster, Kelly A., P.A. Physician Assistant Advanced Practice ProviderCiambrello, Lisa A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderClyatt, Caryle L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderCohen, Michael J., P.A. Physician Assistant Advanced Practice ProviderColaneri, Karen E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderDeLong, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderDowling, Hannah M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdmiston, Karen M., APRN Adv. Practice Registered Nurse Advanced Practice Provider

CCH Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeFrankel, Tiffany D., P.A. Physician Assistant Advanced Practice ProviderFreeman II, Richard R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderFry, Joshua M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGilliam, Melissa A., P.A. Physician Assistant Advanced Practice ProviderGomez, Erica E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderGonzalez, Miguel A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGonzalez, Tilia O., P.A. Physician Assistant Advanced Practice ProviderGottshalk, Tonya T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGovender, Shirley, APRN Adv. Practice Registered Nurse Advanced Practice ProviderHall, Frederick J., P.A. Physician Assistant Advanced Practice ProviderHutchison, Tyson R., APRN Adv. Practice Registered Nurse Advanced Practice ProviderIrminger, Tia L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMallari, Christopher A., P.A. Physician Assistant Advanced Practice ProviderMasch, Carrie L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMilligan, Jaine E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMoss, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderOcchino, Sharon B., APRN Adv. Practice Registered Nurse Advanced Practice ProviderO'Connor, Margaret M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPanepinto, Casey A., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderPerry, Jenevieve T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPowell, Kalan Z., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRademaker, Travis L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRess, Ryan D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderRibot, Yofania, CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRuiz, Enrique, P.A. Physician Assistant Advanced Practice ProviderRutter, Trisia S., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSamerdyke, Susan M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSaunders, Ira S., P.A. Physician Assistant Advanced Practice ProviderSchultz, Lynette F., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSimpson, Sherika V., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSnyder, Frank C., A.A. Anesthesiology Assistant Advanced Practice ProviderSpirgatis, Shannon R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderSuckow, Wendy, P.A. Physician Assistant Advanced Practice ProviderThibodeau, Jenna D., P.A. Physician Assistant Advanced Practice ProviderToledo, Nilda E., P.A. Physician Assistant Advanced Practice ProviderVan De Velde, John D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderVogelbach, Kimberly A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWaters, Timothy L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWeglarz, Jamie C., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWescoat, Jeanne L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWillaford, Gina T., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice Provider



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

To: Board of Directors


Subject: Gulf Coast Medical Center Medical Staff Recommendations

Date: June 19, 2019


1. Associate Staff Appointment: a. Craig Barkley, M.D. – Urology b. Eve MacLean, D.O. – Internal Medicine c. Stephen Muehlenbein, M.D. – Diagnostic Radiology d. Vera Rosado-Odom, M.D. – Infectious Disease e. Daren Subnaik, D.O. – Physical Medicine & Rehab/Pain Management

2. Intrasystem Application:

a. Rie Aihara, M.D. – General Surgery 3. M.S. and A.P.P. Reappointments – 07-01-19 to 06-30-2021 (list attached)

4. Resignations:

a. Ugo Adigweme, D.P.M. – Podiatry, effective 07-31-19 b. Lynsey Biondi, M.D. – General Surgery, effective 06-02-19 c. Ashley Dale, M.D. – Teleneurology, effective 06-10-19 d. Joseph Dietz, M.D. – Psychiatry, effective 05-29-19 e. Angela Echeverria, M.D. – Vascular Surgery, effective 06-30-19 f. Roger Eduardo, M.D. – General Surgery, effective 07-01-19 g. David Goldstein, M.D. – Internal Medicine, effective 05-06-19 h. Tatwig Guirguis, M.D. – Internal Medicine, effective 03-01-19 i. Khoa Nguyen, D.P.M. – Podiatry, effective 06-30-19 j. Socrates Perez Rodriguez, M.D. – Internal Medicine, effective 05-13-19 k. Adam Phillips, D.O. – General Surgery, effective 07-04-19 l. Chelsea Viola, D.P.M. – Podiatry, effective 06-30-19 m. Russell Weintraub, M.D. – Internal Medicine, effective 03-01-19 n. Kimberly Werner, M.D. – Dermatology, effective 03-15-19

5. Leave of Absence :

a. Ernesto Del Valle Hernandez, M.D. – Pediatric Orthopedics, personal leave 04-01-19 – 08-31-19

b. Anita Shinde, M.D. – Internal Medicine, education leave 07-01-19 - 06-30-21

Memorandum to Board of Directors - GCMC June 19, 2019 Page 2 of 3


6. Privilege Requests: a. Luis Guerrero, M.D. –

Chemical Neuromuscular denervation (Botox/Phenol) Fluoroscopically guided facet blocks, sacroiliac joint injections & nerve


7. First Year Completions: Coppolo, Joseph, Psy.D. Psychology - Refer & Follow HPMC

LMH AssociateAssociate






Gesheva, Irena, M.D. Family Medicine - Refer & Follow

CCH Associate


Karim, Alim M.D. Family Medicine - Refer & Follow

GCMC Associate




AssociateActive


Active Active



Memorandum to Board of Directors - GCMC June 19, 2019 Page 3 of 3


8. Change of Status: a. Claude DeGraff, M.D. – Family Medicine, Honorary 12-14-18


a. Yamilka Suarez, APRN – Dr. Vijay Ganatra b. Donna Zack, APRN – LPG Cardiology at Metro Parkway c. Margaret Zimmerman, PA – Joint Implant Surgeons of Florida


a. Tyson Hutchison, APRN – LPG Skilled Nursing b. Susanna Phillips, APRN – LMHS Heart & Vascular Institute

11. Advanced Practice Provider – Intrasystem:

a. Wendy Featherstone, PA – Dr. Aihara 12. Advanced Practice Provider – Additional Sponsor/Intrasystem:

a. Bryan Newcomb, PA – Dr. Shetty 13. Advanced Practice Provider – Privilege Request:




GCMC Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeMEDICAL STAFFAnthony, Nicholas C., Ph.D. Psychology HonoraryBedynerman, Kristina, M.D. Psychiatry Associate (R & F)Bustamante, Liliana, M.D. Oncology/Hematology AssociateCastillo, Lazaro L., M.D. Allergy & Immunology Associate (R & F)DenBoer, Samantha R., Psy.D. Psychology Associate (R & F)Dunbar, Scott D., M.D. Oncology/Hematology HonoraryEsper, Raymond M., M.D. Oncology/Hematology AssociateFerrari, Bianca, M.D. Oncology/Hematology AssociateGardner, Faithlore P., M.D. Oncology/Hematology AssociateGeiser, David S., Ph.D. Psychology Associate (R & F)Grumbach, Paul G., D.D.S. General Dentistry HonoraryHall, Kevin P., D.D.S. Oral/Maxillofacial Surgery AssociateHart, Lowell L., M.D. Oncology/Hematology ActiveHarwin, William N., M.D. Oncology/Hematology AssociateHogan, Timothy D., D.M.D. Oral/Maxillofacial Surgery ActiveKirkwood, Rebecca J., Psy.D. Psychology AssociateKlucka, Charles V., D.O. Allergy & Immunology Associate (R & F)Koneru, Bhanuprasad, M.D. Oncology/Hematology ActiveLopez, Mabel, Ph.D. Psychology AssociateMayor, Ajay, M.D. Psychiatry ActiveMazzorana Jr., Ivan L., M.D. Psychiatry Associate (R & F)McCleod, Michael J., D.O. Oncology/Hematology ActiveNelsen, Brittany A., Psy.D. Psychology AssociateNixon, Cara L., Psy.D. Psychology AssociatePicotte, Dawn M., M.D. Psychiatry AssociatePollack, Robert W., M.D. Psychiatry Associate (R & F)Rana, Vanrajsinh G., M.D. Oncology/Hematology ActiveRaymond, Michael G., M.D. Oncology/Hematology ActiveReeves, James A., M.D. Oncology/Hematology AssociateRieche, Omar, M.D. Psychiatry Associate (R & F)Rodriguez, Francisco A., M.D. Oncology/Hematology ActiveRoman-Diaz, Jaime L., M.D. Oncology/Hematology ActiveRomero, Silvia A., M.D. Oncology/Hematology ActiveSarmiento, Elena Z., M.D. Psychiatry ActiveSchurman, Seth S., M.D. Allergy & Immunology Associate (R & F)Schwartz, Donald P., M.D. Allergy & Immunology Associate (R & F)Schwartz, Scott C., D.D.S. Pediatric Dentistry AssociateSooriyaarachchi, Gamini S., M.D. Oncology/Hematology Privilege OnlySpellman, Michael B., Ph.D. Psychology HonoraryStreater, Mark R., D.M.D. Oral/Maxillofacial Surgery AssociateTanski, Daryl R., M.D. Psychiatry AssociateTejera, Tinerfe J., D.M.D., M.D. Oral/Maxillofacial Surgery ActiveWells, Anne M., Ph.D. Psychology AssociateZafar, Syed F., M.D. Oncology/Hematology Active

ADVANCED PRACTICE PROVIDERSAlonso Rivera, Eileen O., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBatdorf, Viola E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBell, Carri L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderBertil, Jams, APRN Adv. Practice Registered Nurse Advanced Practice ProviderByrne-Forster, Kelly A., P.A. Physician Assistant Advanced Practice ProviderCallahan, William P., P.A. Physician Assistant Advanced Practice ProviderCiambrello, Lisa A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderClyatt, Caryle L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderDeLong, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice Provider

GCMC Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeDenk, Emily E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderEdmiston, Karen M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdwards, Jill E., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderEisenberg, Eric S., P.A. Physician Assistant Advanced Practice ProviderFowler, Stacey L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderFrankel, Tiffany D., P.A. Physician Assistant Advanced Practice ProviderGemme, Gerard L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderGilliam, Melissa A., P.A. Physician Assistant Advanced Practice ProviderGonzalez, Miguel A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGonzalez, Tilia O., P.A. Physician Assistant Advanced Practice ProviderGopi, Maya P., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGottshalk, Tonya T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGovender, Shirley, APRN Adv. Practice Registered Nurse Advanced Practice ProviderHall, Frederick J., P.A. Physician Assistant Advanced Practice ProviderHutchison, Tyson R., APRN Adv. Practice Registered Nurse Advanced Practice ProviderIrminger, Tia L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderJones, Laverne, APRN Adv. Practice Registered Nurse Advanced Practice ProviderKmetz, John P., P.A. Physician Assistant Advanced Practice ProviderMallari, Christopher A., P.A. Physician Assistant Advanced Practice ProviderMcComas, Robert J., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMcCoy, Dorene M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMilligan, Jaine E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMoss, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderOcchino, Sharon B., APRN Adv. Practice Registered Nurse Advanced Practice ProviderO'Connor, Margaret M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPollet, Jacqueline M., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRees, Aleisha N., P.A. Physician Assistant Advanced Practice ProviderRess, Ryan D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderRiley, Candice L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRutter, Trisia S., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSaunders, Ira S., P.A. Physician Assistant Advanced Practice ProviderSchultz, Lynette F., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSimpson, Sherika V., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSuckow, Wendy, P.A. Physician Assistant Advanced Practice ProviderThibodeau, Jenna D., P.A. Physician Assistant Advanced Practice ProviderThomas, Heather L., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderToledo, Nilda E., P.A. Physician Assistant Advanced Practice ProviderVogelbach, Kimberly A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWaters, Timothy L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWillin, Tiffany N., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderZipko, Kelly A., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice Provider



#4

M E M O R A N D U M

To: Board of Directors


Date: June 19, 2019

Subject: HealthPark Medical Center Medical Staff Recommendations


1. Associate Staff Appointment: a. Craig Barkley, M.D. – Urology b. Michael Blum, M.D. – Gastroenterology c. Juan Carrere, M.D. – Gastroenterology d. Salomon Levy Miranda, M.D. – General Surgery e. Eve MacLean, D.O. – Internal Medicine f. Kumarapillai Narendran, M.D. – Gastroenterology g. Vera Rosado-Odom, M.D. – Infectious Disease h. Daren Subnaik, D.O. – Physical Medicine & Rehab/Pain Management

2. M.S. and A.P.P. Reappointments – 07-01-19 to 06-30-2021 (list attached)


a. Fahim Habib, M.D. – Trauma Surgery, 06-27-19 – 07-26-19 b. Sathyavathi Reddy, M.D. – Gastroenterology, 06-03-19 – 07-02-19; 07-03-19 – 08-01-19

4. Resignations:

a. Ugo Adigweme, D.P.M. – Podiatry, effective 07-31-19 b. Heather Auld, M.D. – OB/Gyn, effective 05-20-19 c. Lynsey Biondi, M.D. – General Surgery, effective 06-02-19 d. Ashley Dale, M.D. – Teleneurology, effective 06-10-19 e. Joseph Dietz, M.D. – Psychiatry, effective 05-29-19 f. Angela Echeverria, M.D. – Vascular Surgery, effective 06-30-19 g. Roger Eduardo, M.D. – General Surgery, effective 07-01-19 h. David Goldstein, M.D. – Internal Medicine, effective 05-06-19 i. Tatwig Guirguis, M.D. – Internal Medicine, effective 03-01-19 j. Khoa Nguyen, D.P.M. – Podiatry, effective 06-30-19 k. Adam Phillips, D.O. – General Surgery, effective 07-04-19 l. Chelsea Viola, D.P.M. – Podiatry, effective 06-30-19 m. Russell Weintraub, M.D. – Internal Medicine, effective 03-01-19

Memorandum to Board of Directors - HPMC June 19, 2019 Page 2 of 3


5. Leave of Absence : a. Ernesto Del Valle Hernandez, M.D. – Pediatric Orthopedics, personal leave

04-01-19 – 08-31-19 b. Anita Shinde, M.D. – Internal Medicine, education leave 07-01-19 - 06-30-21

6. Privilege Request:



7. First Year Completions: Coppolo, Joseph, Psy.D. Psychology - Refer & Follow HPMC

LMH Associate Associate






Gesheva, Irena, M.D. Family Medicine - Refer & Follow CCH Associate


Karim, Alim M.D. Family Medicine - Refer & Follow GCMC Associate




Associate Active


Active Active



Memorandum to Board of Directors - HPMC June 19, 2019 Page 3 of 3


8. Change of Status: a. Myrian Alea, M.D. – Pediatric Emergency Medicine, Honorary, 04-30-19 b. Claude DeGraff, M.D. – Family Medicine, Honorary 12-14-18


a. Mark Eldridge, AA – US Anesthesia Partners b. Yamilka Suarez, APRN – Dr. Vijay Ganatra c. Donna Zack, APRN – LPG Cardiology at Metro Parkway d. Margaret Zimmerman, PA – Joint Implant Surgeons of Florida


a. Tyson Hutchison, APRN – LPG Skilled Nursing b. Stuart Paasche, PA – LPG General & Vascular Surgery c. Susanna Phillips, APRN – LMHS Heart & Vascular Institute d. Wendy Suckow, PA – LPG General & Vascular Surgery

11. Advanced Practice Provider – Sponsor Change/Intrasystem:

a. Diana Disesa, APRN – LPG Pediatric Hospitalists 12. Advanced Practice Provider – Additional Sponsor/Intrasystem:

a. Bryan Newcomb, PA – Dr. Shetty



HPMC Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeMEDICAL STAFFAgress, Jo Ann R., Ph.D. Psychology Associate (R & F)Ahmadi, Anissa, D.M.D. Pediatric Dentistry ActiveAllen, Robert M., D.O. Psychiatry Associate (R & F)Anderson, Stephen F., D.D.S. Oral/Maxillofacial Surgery AssociateAnthony, Nicholas C., Ph.D. Psychology HonoraryArgumosa, Miguel A., D.M.D. Pediatric Dentistry ActiveArseneau, Lisa, Ph.D. Psychology Associate (R & F)Ascunce, Leanet, D.M.D. Pediatric Dentistry ActiveBloom, Sharon E., Psy.D. Psychology Associate (R & F)Bustamante, Liliana, M.D. Oncology/Hematology AssociateCalkins, Cori J., Psy.D. Psychology Associate (R & F)Castillo, Lazaro L., M.D. Allergy & Immunology Associate (R & F)Chrovian, Sharon L., Psy.D. Psychology Associate (R & F)Coppolo Jr., Joseph, Psy.D. Psychology Associate (R & F)Culver, Keegan R., Psy.D. Psychology Associate (R & F)DenBoer, Samantha R., Psy.D. Psychology Associate (R & F)Dunbar, Scott D., M.D. Oncology/Hematology HonoraryEsper, Raymond M., M.D. Oncology/Hematology ActiveFavalli, Oliver P., D.M.D. Pediatric Dentistry ActiveFerrari, Bianca, M.D. Oncology/Hematology AssociateForis, Brooke, Psy.D. Psychology Associate (R & F)Gardner, Faithlore P., M.D. Oncology/Hematology AssociateGear Jr., Robert D., DMD, MD Oral/Maxillofacial Surgery ActiveGeiser, David S., Ph.D. Psychology Associate (R & F)Grumbach, Paul G., D.D.S. General Dentistry HonoraryHarrison, Deborah A., Ph.D. Psychology Associate (R & F)Hart, Lowell L., M.D. Oncology/Hematology ActiveHarwin, William N., M.D. Oncology/Hematology ActiveHoek, Christopher B., D.D.S. Oral/Maxillofacial Surgery HonoraryHoward, Eric, Ph.D. Psychology Associate (R & F)Illes, Rose A., Ph.D. Psychology AssociateKasprzak, Cheryl J., Psy.D. Psychology Associate (R & F)Katz, Nolan H., Ph.D. Psychology Associate (R & F)Katz, Sheba P., Ph.D. Psychology Associate (R & F)Kirkwood, Rebecca J., Psy.D. Psychology AssociateKlucka, Charles V., D.O. Allergy & Immunology Associate (R & F)Koehn, David J., Ph.D. Psychology Associate (R & F)Koneru, Bhanuprasad, M.D. Oncology/Hematology AssociateKushner, Marissa R., Ph.D. Psychology Associate (R & F)Laboda, Gerald, D.M.D. Oral/Maxillofacial Surgery HonoraryLarned, Catherine, M.D. Psychiatry HonoraryLopes, Ana L., Psy.D. Psychology Associate (R & F)Lopez, Mabel, Ph.D. Psychology AssociateMachlin, Steven R., M.D. Psychiatry Associate (R & F)Mallory, Yvette C., Psy.D. Psychology Associate (R & F)Mani, Tanja M., Ph.D. Neuropsychology Associate (R & F)Mayor, Ajay, M.D. Psychiatry AssociateMazzorana Jr., Ivan L., M.D. Psychiatry Associate (R & F)McCleod, Michael J., D.O. Oncology/Hematology AssociateMcDowell, Hope E., D.M.D. Pediatric Dentistry ActiveMinsky, Susan H., Ph.D. Psychology Associate (R & F)Mulholland, Amy M., Ph.D. Psychology Associate (R & F)Nelsen, Brittany A., Psy.D. Psychology AssociateNixon, Cara L., Psy.D. Psychology AssociatePauker, Neil E., M.D. Psychiatry Associate (R & F)Picotte, Dawn M., M.D. Psychiatry Active


Name Specialty Staff TypePollack, Robert W., M.D. Psychiatry Associate (R & F)Rana, Vanrajsinh G., M.D. Oncology/Hematology ActiveRaymond, Michael G., M.D. Oncology/Hematology ActiveReeves, James A., M.D. Oncology/Hematology ActiveRichardson, Randolph M., D.M.D. Oral/Maxillofacial Surgery AssociateRieche, Omar, M.D. Psychiatry Associate (R & F)Rodriguez, Francisco A., M.D. Oncology/Hematology ActiveRoman-Diaz, Jaime L., M.D. Oncology/Hematology ActiveRomero, Silvia A., M.D. Oncology/Hematology AssociateSabo, Jason, Ph.D. Psychology Associate (R & F)Sangiacomo, Roxann, M.D. Psychiatry Associate (R & F)Sarmiento, Elena Z., M.D. Psychiatry ActiveSchurman, Seth S., M.D. Allergy & Immunology Associate (R & F)Schwartz, Donald P., M.D. Allergy & Immunology Associate (R & F)Schwartz, Scott C., D.D.S. Pediatric Dentistry AssociateShain, Michael P., Ph.D. Neuropsychology Associate (R & F)Shimoda, Kim C., Ph.D. Psychology ActiveSilver, Robert B., Ph.D. Psychology HonorarySooriyaarachchi, Gamini S., M.D. Oncology/Hematology Privilege OnlySpellman, Michael B., Ph.D. Psychology HonorarySwanson, Gary E., D.D.S. General Dentistry HonoraryTanski, Daryl R., M.D. Psychiatry AssociateTurnier, Charles G., M.D. Allergy & Immunology AssociateVerwest, Tim M., D.M.D. Pediatric Dentistry AssociateWells, Anne M., Ph.D. Psychology AssociateWinchell-Barrile, Kristina A., Ph.D. Psychology Associate (R & F)Wong, LeighAnn S., Ph.D. Psychology AssociateZafar, Syed F., M.D. Oncology/Hematology ActiveZeterberg, Joseph M., M.D. Allergy & Immunology Honorary

ADVANCED PRACTICE PROVIDERSAlonso Rivera, Eileen O., APRN Adv. Practice Registered Nurse Advanced Practice ProviderAsorian, Barbara P., APRN Adv. Practice Registered Nurse Advanced Practice ProviderBertil, Jams, APRN Adv. Practice Registered Nurse Advanced Practice ProviderByrd, S. Diane, C.N.M. Cert. Nurse Midwife Advanced Practice ProviderByrne-Forster, Kelly A., P.A. Physician Assistant Advanced Practice ProviderCallahan, William P., P.A. Physician Assistant Advanced Practice ProviderCiambrello, Lisa A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderCittadino, Jennifer L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderClyatt, Caryle L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderColaneri, Karen E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderDeLong, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdmiston, Karen M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderEdwards, Jill E., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderEisenberg, Eric S., P.A. Physician Assistant Advanced Practice ProviderFiscella, Suzanne J., P.A. Physician Assistant Advanced Practice ProviderFrankel, Tiffany D., P.A. Physician Assistant Advanced Practice ProviderFreeman II, Richard R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderFry, Joshua M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGilliam, Melissa A., P.A. Physician Assistant Advanced Practice ProviderGomez, Erica E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderGonzalez, Miguel A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGonzalez, Tilia O., P.A. Physician Assistant Advanced Practice ProviderGottshalk, Tonya T., APRN Adv. Practice Registered Nurse Advanced Practice ProviderGovender, Shirley, APRN Adv. Practice Registered Nurse Advanced Practice ProviderGreen, Kwee E., C.N.M. Cert. Nurse Midwife Advanced Practice Provider


Name Specialty Staff TypeHall, Frederick J., P.A. Physician Assistant Advanced Practice ProviderHutchison, Tyson R., APRN Adv. Practice Registered Nurse Advanced Practice ProviderIrminger, Tia L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderJones, Laverne, APRN Adv. Practice Registered Nurse Advanced Practice ProviderKmetz, John P., P.A. Physician Assistant Advanced Practice ProviderKnutson, Katheryn, P.A. Physician Assistant Advanced Practice ProviderMareno, Kristin E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMasch, Carrie L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMasse, Heather M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMcCoy, Dorene M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMilligan, Jaine E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMoss, Jennifer M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderOcchino, Sharon B., APRN Adv. Practice Registered Nurse Advanced Practice ProviderO'Connor, Margaret M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPanepinto, Casey A., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderPowell, Kalan Z., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRademaker, Travis L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRess, Ryan D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderRibot, Yofania, CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRutter, Trisia S., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSamerdyke, Susan M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSchultz, Lynette F., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSimpson, Sherika V., APRN Adv. Practice Registered Nurse Advanced Practice ProviderSnyder, Frank C., A.A. Anesthesiology Assistant Advanced Practice ProviderSpirgatis, Shannon R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderSteiner, Shawn M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderStewart, Cynthia B., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderThibodeau, Jenna D., P.A. Physician Assistant Advanced Practice ProviderThomas, Heather L., C.N.M. Cert. Nurse Midwife Advanced Practice ProviderToledo, Nilda E., P.A. Physician Assistant Advanced Practice ProviderVan De Velde, John D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderVogelbach, Kimberly A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWaters, Timothy L., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWeglarz, Jamie C., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWescoat, Jeanne L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWillaford, Gina T., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice Provider



#5

M E M O R A N D U M To: Board of Directors From: Nancy A. Taylor, CPMSM, CPCS Director, Centralized Credentialing Services Date: June 19, 2019 Subject: Golisano Children’s Hospital of Southwest Florida

Medical Staff Recommendations The Facility Medical 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. Intrasystem Application: a. Suzanne Bryce, M.D. – Emergency Medicine

2. Privilege Only Appointment:

a. Ranier Mederos, M.D. – Pediatrics

3. M.S. and A.P.P. Reappointments – 07-01-19 to 06-30-2021 (list attached) 4. Resignations:

a. Ashley Dale, M.D. – Teleneurology, effective 06-10-19 5. Leave of Absence :

a. Ernesto Del Valle Hernandez, M.D. – Pediatric Orthopedics, personal leave 04-01-19 – 08-31-19

6. First Year Completions:



7. Change of Status:

a. Myrian Alea, M.D. – Pediatric Emergency Medicine, Honorary, 04-30-19 8. Advanced Practice Provider:

a. Mark Eldridge, AA – US Anesthesia Partners

Memorandum to Board of Directors June 19, 2019 Page 2 of 2 9. Advanced Practice Provider – Sponsor Change:

a. Diana Disesa, APRN – LPG Pediatric Hospitalists



GCHSWF Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeMEDICAL STAFFAhmadi, Anissa, D.M.D. Pediatric Dentistry ActiveArgumosa, Miguel A., D.M.D. Pediatric Dentistry ActiveArseneau, Lisa, Ph.D. Psychology Associate (R & F)Ascunce, Leanet, D.M.D. Pediatric Dentistry ActiveCapozzoli, Pasquale A., Psy.D. Psychology Associate (R & F)DenBoer, Samantha R., Psy.D. Psychology Associate (R & F)Dutchak-Parmenter, Denise A., M.D. Psychiatry Associate (R & F)Fall, Emily H., D.M.D. Pediatric Dentistry ActiveFavalli, Oliver P., D.M.D. Pediatric Dentistry ActiveForis, Brooke, Psy.D. Psychology Associate (R & F)Gear Jr., Robert D., DMD, MD Oral/Maxillofacial Surgery AssociateGovernale, Lauren M., D.M.D. Pediatric Dentistry ActiveHall, Kevin P., D.D.S. Oral/Maxillofacial Surgery ActiveHansen Cohen, Christina M., Psy.D. Psychology AssociateHester, Jordan T., D.M.D. Pediatric Dentistry ActiveHogan, Timothy D., D.M.D. Oral/Maxillofacial Surgery AssociateIlles, Rose A., Ph.D. Psychology AssociateKatz, Nolan H., Ph.D. Psychology Associate (R & F)Katz, Sheba P., Ph.D. Psychology Associate (R & F)Koehn, David J., Ph.D. Psychology Associate (R & F)Kushner, Marissa R., Ph.D. Psychology Associate (R & F)Magher, Kelly, D.M.D. Pediatric Dentistry ActiveMayor, Ajay, M.D. Psychiatry AssociateMcDowell, Hope E., D.M.D. Pediatric Dentistry ActiveNelsen, Brittany A., Psy.D. Psychology AssociatePicotte, Dawn M., M.D. Psychiatry AssociateRieche, Omar, M.D. Psychiatry Associate (R & F)Sabo, Jason, Ph.D. Psychology ActiveSchwartz, Scott C., D.D.S. Pediatric Dentistry AssociateShimoda, Kim C., Ph.D. Psychology ActiveSilver, Deborah C., Psy.D. Psychology Associate (R & F)Streater, Mark R., D.M.D. Oral/Maxillofacial Surgery AssociateTejera, Tinerfe J., D.M.D., M.D. Oral/Maxillofacial Surgery AssociateVerwest, Tim M., D.M.D. Pediatric Dentistry AssociateWinchell-Barrile, Kristina A., Ph.D. Psychology Associate (R & F)Wong, LeighAnn S., Ph.D. Psychology Associate

ADVANCED PRACTICE PROVIDERSBatdorf, Viola E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderCampbell, Sheresa K., APRN Adv. Practice Registered Nurse Advanced Practice ProviderCiambrello, Lisa A., APRN Adv. Practice Registered Nurse Advanced Practice ProviderColaneri, Karen E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderFreeman II, Richard R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderGomez, Erica E., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMareno, Kristin E., APRN Adv. Practice Registered Nurse Advanced Practice ProviderMasch, Carrie L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderMasse, Heather M., APRN Adv. Practice Registered Nurse Advanced Practice ProviderPanepinto, Casey A., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderPowell, Kalan Z., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRademaker, Travis L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderRibot, Yofania, CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderSnyder, Frank C., A.A. Anesthesiology Assistant Advanced Practice Provider

GCHSWF Reappointments for JUNE 201907/01/19 - 06/30/21

Name Specialty Staff TypeSpirgatis, Shannon R., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderVan De Velde, John D., APRN Adv. Practice Registered Nurse Advanced Practice ProviderWeglarz, Jamie C., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWescoat, Jeanne L., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice ProviderWillaford, Gina T., CRNA Cert. Reg. Nurse Anesthetist Advanced Practice Provider

LEGISLATIVE UPDATE

(Michael Nachef, Director, Government Relations)

#3400.159 Rev. 10/16

Board of Directors Legislative Update Michael Nachef

June 27, 2019

1

Federal Government Outlook • Courts ruled that the federal government acted unlawfully when it sharply reduced certain Medicare outpatient

payments to hospitals in the 340B Drug Pricing Program. This was a big win for all safety net hospitals including Lee Health. We utilize savings from the 340B program (roughly $20 million last year) to support our essential services. The government has challenged the ruling and we are awaiting further action.

• We must work to better explain and defend 340B as an essential part of supporting our community benefit. We’re working to avoid 340B being caught up in larger drug pricing reform debates.

• The Affordable Care Act (ACA) Hospital Disproportionate Share (DSH) cuts are set to go into effect on October 1, 2019. Momentum is building in Congress to delay the DSH cuts again for an additional 2 years.

• Senator Rubio has sponsored a DSH parity bill that we support. The legislation would update an arbitrary federal formula and send more tax dollars back to Florida (roughly $600 million total). We support this legislation; however it will be an uphill battle to pass.

• Traction is gaining for some form of DSH parity reform.

• Elimination of the tax penalty for individuals not purchasing insurance went into effect in January of 2019. We are beginning to see more charity care patients as a result. We will continue to track this data.

• The ACA may again be reviewed in the US Supreme Court as the tax penalty has now been removed, the basis under which the law was originally upheld.

• There is a Medicaid Expansion ballot initiative in Florida that has picked up 80 k plus signatures which clears it for Supreme Court review. Next step will be securing 766 k total signatures to reach the ballot. If enough signatures are secured, the Medicaid expansion question may be on the ballot for voters to decide during the 2020 presidential election cycle.

2019 Florida Legislative Session Overview• 3,571 bills filed

• 2,997 amendments filed

• 3,765 votes taken

• 197 bills passed both chambers

• Therefore, only 0.55% of all bills and 10% of all policy bills filed passed the Legislature.

• Lee Health did well in the budget and on most public policy.

• The Legislature approved a $91.1 billion state budget. The largest budget in Florida history which still only represents 54% of New York's 163.3 billion state budget covering fewer residents.

• With repeal of CON, we will adapt in order to succeed on behalf of our patients, providers, and staff!

• We are optimistic that we will find every opportunity to succeed in the new space the legislature has created.

• We recognize that our most valuable asset is our people and Lee Health will remain as Southwest Florida’s trusted community partner because of our ExceptionaLee efforts!

2

2019 Session Appropriations Summary Florida State Healthcare Budget

• State general revenue spend on the healthcare budget was $10.1 billion. Federal and local share dollars increase that number to more than $30 billion.

• At the onset of the 2019 Session, the Legislature was proposing to eliminate the Critical Care Fund that benefits facilities such as Lee Memorial Hospital and Golisano Children’s Hospital of SWFL. The legislature also proposed a 3% cut in recurring general revenue that represented a $3.6 million loss in Medicaid base rates to Lee Health.

• Fortunately, we were able to defeat those efforts to cut our reimbursements and secure a non-recurring appropriation for our Graduate Medical Education (GME) program. Significant gains were achieved in Medicaid Hospital Disproportionate Share (DSH) and Low Income Pool (LIP) adjustor methodologies.

• The proposal to carry forward a $98 million reduction to Medicaid retroactive eligibility did pass, but language was added to require the cut be reviewed annually. Lee Health is participating on an AHCA task force to review the 90 to 30 day eligibility question.

• We assisted in securing budget language that will lead to receiving a more equitable patient distribution for our Provider Service Network, Vivida Health. The Agency for Healthcare Administration will be required to work with providers over the next several months and author a solution to stakeholders and the Legislature.

• Lee Health faired well in the state budget appropriations process. Total net budget gain in FY 19/20 is $10.3 million higher than FY 18/19.

3

2019 Session Legislation Summary (1) • Several healthcare bills of interest passed during the 2019 Legislative Session.

• House Bill 21: Certificate of Need (CON) law was repealed. The repeal on CON will roll out in two phases, becoming effective for general acute care hospitals in July of this year and specialty hospitals in 2021.

• House Bill 23: Establishes a regulatory framework for telehealth providers and incentives for insurers to offer reimbursements for telehealth services.

• House Bill 19: Authorizes the creation of a prescription drug importation program.

• SB 1460: Revises criteria for hospitals to qualify as stroke centers. Eliminates self attestation process sand require hospital stoke centers to be certified by a nationally recognized accrediting organization by July 1, 2021.

• House Bill 843: Omnibus health bill (Includes more than listed below).

• Allows for up to 24 hours stays in ambulatory surgical centers.

• Requires hospitals to notify a patient's primary care physician (PCP) of admission and/or discharge within 24 hours.

• Requires hospitals to provide quality report cards to patients or patient representatives within 24 hours of patient stabilization or upon discharge.

• Requires hospitals to immediately provide written notice to a patient when placed on observation status.

• Physician Compacts - Requires an Office of Program Policy Analysis and Government Accountability (OPAGA) study on the feasibility of Florida joining the interstate medical licensure compact.

4

2019 Session Legislation Summary (2)

• Though some of the bills that we opposed have passed, we were able to help to defeat a number of misguided policy efforts.

• HB 25: Would have allowed for scheduled C-sections at advanced birthing centers and created 72 hour stays at newly designated recovery care centers. Failed.

• HB 733: Would have repealed personal injury protection (PIP) insurance. Failed.

• SB 1194: Would have required that unnecessary patient safety culture surveys be published. Failed.

• HB 999: Would have required hospitals to establish an internal grievance process for patients to dispute itemized charges and limited a hospitals ability to take actions to collect on medical debts. Failed.

• These bills represent just a portion of the total that we advocated against passing during the 2019 Session.

5

2020 Legislative Session Outlook• The first committee week of the 2020 Legislative Session begins on September 16, 2019. That’s just 80

days from today!

• The 2020 Legislative Session will convene on Tuesday, January 14, 2020.

• The date has not yet been set for the 2020 Lee County Legislative Delegation Meeting.

• With the soon to change healthcare marketplace, Lee Health senior leadership continues to review opportunities to provide us with the best abilities to compete.

• Government Relations is working with partners both internally and externally in order to present requests that will rise to the Board for consideration.

• Expect a local bill to be presented for your review as Lee Health’s top legislative priority during the 2020 Florida Legislative Session.

• Important to note, following the 2020 Legislative Session, the Lee County Legislative Delegation will change significantly during the next election cycle. Lee County will elect one new state senator and three new state representatives to replace our term limited elected officials.

6

Thank You

COMMITTEES’ SUMMARIES & RECOMMENDATIONS

a. Audit Committee Verbal Update

b. Recommended Actions

1. Review of Annual Audit Proposal

Lee Memorial Health System Board of Directors Updated 3/2/17

BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS RECOMMENDED FOR BOARD ACTION

(Action includes Acceptance, Approval, Adoption, etc)

Keep form to one page, EMAIL to: [email protected] by Noon Eight (8) days PRIOR to presenting.

DATE: June 27, 2019 LEGAL SERVICE REVIEW? YES X NO__ SUBJECT: Recommendation of Price Waterhouse Coopers (PWC) as auditors for FY 2019 Financial Audit REQUESTOR & TITLE: Jeffrey R Pigott, VP Compliance and Internal Audit PREVIOUS BOARD ACTION ON THIS ITEM (IF ANY) (justification and/or background for recommendations – internal groups which support the recommendation) Board Policy 20.11E requires a recommendation from Finance management to the full Board for annual approval of an auditing firm. The Lee Health Audit Committee Charter requires that the Committee recommend to the full board the selection, retention or termination of the audit firm annually. SPECIFIC PROPOSED MOTION: Motion to recommend approval to the full Board of Directors that PWC conduct the FY 2019 financial audit for Lee Memorial Health System, Lee County Trauma Service District and Lee Memorial Health System Foundation, Inc. in the manner as outlined in the engagement letter.

FINANCIAL IMPLICATIONS Budgeted Account ____ Non-Budgeted ____ (Annual Project Budget and Total Project Budget) N/A STAFFING & OPERATIONAL IMPLICATIONS (including FTEs, facility needs, etc.) N/A PURPOSE/REASON FOR RECOMMENDATION

SUMMARY (including alternatives considered, Pros and Cons)

BOARD MEETING EVALUATION

ADJOURNMENT

DATE OF THE NEXT

BOARD OF DIRECTORS MEETING

August 29, 2019 1:00 P.M.

Gulf Coast Medical Center Medical Office Building

13685 Doctors Way Ft. Myers, FL 33912