L E E M E M O R I A L HEALTH SYSTEM BOARD OF … · electronic board packet _____ l e e m e m o r i...

ELECTRONIC BOARD PACKET

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

BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS MEETING

Thursday,

September 25, 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, September 25, 2008, 3:00 p.m. 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 (Rev. 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. Recognition (Chairman John Donaldson, M.D. and Jim Nathan, CEO/President)

Minnie Jackson, RN Retirement – 35 years

5. Board of Directors Meeting Minutes of August 28, 2008 (Approval) (Lois Barrett, M.B.A., Board Secretary)

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

(Thomas Presbrey, M.D., PLC Chairman) B. Recommendations of September 19, 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. Southwest Regional/Gulf Coast Hospital Operations Report (Accept) (Doug Luckett, F.A.C.H.E, Chief Administrative Officer/Ancillary Services, SWR/GCH)

9. Supporting Agency Business A. LMH/HP Annual Auxiliary Report (Acceptance) (Marianne Bechhold, Lee Memorial Auxiliary President)

Introduction of President Elect- Nora Harmon

10. Old Business 11. New Business 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

October 30, 2008, 3:00 p.m., Lee County Public Education Center, 2855 Colonial Blvd., Ft Myers, Florida (Lee County Trauma Services District Meeting held concurrently)

16. ADJOURNMENT if/BOD/Presentation/2008/092508 Agenda


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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

______________________________________________________________________________

LLL EEE EEE MMM EEE MMM OOO RRR III AAA LLL HHHEEEAAALLLTTTHHH SSSYYYSSSTTTEEEMMM BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS

would like to recognize with sincere appreciation

MMiinnnniiee JJaacckkssoonn,, RRNN in her retirement of 35 dedicated service years

to the Lee Memorial Health System.

The entire system wishes you health & happiness, and all the best in your future endeavors.

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES Thursday, August 28, 2008

LOCATION: Lee County Public Education Center (LCPEC), 2855 Colonial Blvd., Fort Myers, FL 33966 MEMBERS PRESENT: Nancy McGovern, RN, MSM, Vice Chairman; Richard Akin, Treasurer; Linda Brown, MSN, ARNP, Director; Kerry Babb, Director; Marilyn Stout, Director; Frank La Rosa, Director; Jason Yost, Director MEMBERS ABSENT: John Donaldson, M.D., Chairman; Lois Barrett, MBA, Secretary; James Green, Director OTHERS PRESENT: Jim Nathan, CEO/President; James Humphrey, Esq., Board Counsel/Fowler & White; Mary McGillicuddy, Chief Legal Officer; John Wiest, Chief Financial Officer; Jon Cecil, Chief Human Resources Officer; Donna Giannuzzi, RN, Chief Patient Care Officer; Chuck Krivenko, M.D., Chief Medical Officer/Clinical and Quality Services; Gaile Anthony, Chief Administrative Officer/LMH; Doug Luckett, Chief Administrative and Ancillary Services Officer/SWFRMC/GCH; Larry Antonucci, M.D., Chief Administrative Officer/CCH; Charles Swain, Chief Compliance and Internal Audit Officer; Ben Spence, System Director/Controller/Reimbursement; Tom Presbrey, M.D., Physician Leadership Council (PLC) Chairman; Drew Mikulaschek, M.D., Medical Director/Trauma Services; Karen Krieger, System Director/Public Affairs; Chaplain Bill Miller, Spiritual Services/LMH; Steve Brown, M.D., Community Representative/Quality & Education Committee; Patricia Harrington, Co-Chair/ Regional Advisory Committee on Trauma Services; Ed Anderson, RN, Guest; Laura Brennanman, RN, MSN, Guest; Kelley Cowan, BS, CCLS, CPST, Guest; Melody Dennis, RN; Judi Flowers, BSW, Guest; Patricia Giddens, Guest; Eileen Grant, MS, OTR/L, Guest; Alana Sarlo Kluttz, MSW, Guest; Lynn Meredith Lee, Guest; Nina Norman, Guest; Kathy Warren, RN, Guest; Roger Wells, Chairman/The Pavilion at HealthPark; Michael Metcalf, Partner, The Pavilion at HealthPark; Dan Page, Chairman/Reliant Healthcare; Jim Harper, President/Reliant Heatlhcare; David Harrod, Program Administrator/Reliant Heatlhcare; Dawson McDaniel, Guest; Kay Moundry, Guest; Rick O’Neal, Guest; Josephine Desibia, Guest; Richard De Idrio, Guest; Matt Bower, Guest; John Reid, Guest; Linda Hammer, Guest; Carol Barclay, Guest; Jason Breece, RN, Guest; Bob Johns, Guest; Bob Janes, Lee County Commissioner; Brian Lucas, Guest; Dan Page, Guest; Jim Harper, Guest; David Harrod; Cathy S0tephens, 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 Vice Chairman Nancy McGovern, RN, MSM, 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.

RELIANT

HEALTHCARE/ THE PAVILLION AT HEALTHPARK, LLC

UPDATE

Jim Nathan introduced members from Reliant Heatlhcare who have played a key role in the future development of the new fifteen-bed geriatric behavioral health facility, The Pavilion at HeatlhPark, LLC. Jim thanked the Reliant Healthcare Board members for their partnership with LMHS in developing behavioral health services in this community. Dan Page said Reliant is very excited to provide mental health treatment to members of this community and gave an update on the project. Jim Nathan said we received the permit yesterday for the fifteen-bed facility at HealthPark and we are projecting completion by December 2008. In addition, we are currently in the planning process for the seventy six-bed behavioral health facility with a projected completion date of August 2010. This facility will have the capability of providing care for up to 3,000 people a year.

Dan Page thanked Jim Nathan for his continued support throughout this process and complimented him on being one of the brightest healthcare executives in the country. Applause followed.

RECOGNITION OF THE

2008 BOARD OF DIRECTORS

“DOC COGGINS” AWARD WINNERS

Nancy Mcgovern provided a brief overview of the creation of the LMHS Board of Directors “Doc Coggins” Commitment to Excellence Award, named after former Board member Lester “Doc” Coggins She welcomed and congratulated the 2008 Doc Coggins winners & their families and presented the framed certificate and award check to the following winners:

Edd Anderson, RN, Laura Brennaman, RN, MSN, Kelley Cowan, BS, CCLS, CPST, Melody Dennis, RN, Judi Flowers, BSW, Patricia Giddens, Eileen Grant, MS, OTR/L, Maria Irizarry, CNAA (unable to attend), Alana Kluttz, MSW, Lynn Meredith Lee,

LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS MEETING MINUTES Thursday, August 28, 2008 Page 2 of 4


Nina Norman, Kathy Warren, RN

RECESSED The Full Board of Directors meeting was Recessed at 3:41pm to allow for photo opportunities for the Doc Coggins winners.

RECONVENED The Full Board of Directors meeting was Reconvened at 3:49pm.

APPROVAL OF

MINUTES Nancy McGovern asked if anyone wished to make any additions or corrections to the June 26, 2008 Board of Directors meeting minutes.

A motion was made by Marilyn Stout to approve the June 26, 2008 Board of Directors meeting minutes. The motion was seconded by Richard Akin and it carried with no opposition.

PHYSICIAN

LEADERSHIP COUNCIL REPORT

MEDICAL STAFF RECOMMENDATIONS OF AUGUST 15, 2008

ISSUES AND DISCUSSION

Tom Presbrey reviewed the Physician Leadership Council (PLC) Report for August 28, 2008 (Exhibit 1). Nancy McGovern reviewed the following Medical Staff Recommendations of August 15, 2008 (Exhibits 2-5):

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

Richard Akin expressed his concern regarding communication issues with the Board of Directors and the Physician Leadership Council (PLC) as addressed in the PLC Report (Exhibit 1). Richard suggested Jim Nathan, Dr. Bisbee, Dr. Presbrey and himself to meet prior to the September 16th, 2008 PLC meeting to discuss the existing communication issue.

(Frank LaRosa left the meeting at 3:51pm)

A motion was made Kerry Babb to accept the Physician Leadership Council (PLC) Report of August 28, 2008 (Exhibit 1). The motion was seconded by Linda Brown and it carried with no opposition. A motion was made by Linda Brown to approve the following Medical Staff Recommendations of August 15, 2008 (Exhibit 2-5):

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

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

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

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

CONSENT AGENDA Nancy McGovern asked if anyone wished to pull any items listed on the Consent Agenda

(Exhibit 6) for discussion. A motion was made by Kerry Babb to approve the Consent Agenda (Exhibit 6) consisting of the following items:

1. Approval of the FY 2008 3rd Quarter Compliance Report.

2. Approval of the FY 2008 3rd Quarter Board of Directors Budget.

3. Approval of the Lee Memorial Health System and the Lee County Trauma Services District Board of Directors 2009 Meeting Schedule.

4. Approval of the Revised FY 2008 LMHS President/CEO Evaluation Format.

5. Approval of the FY 2009 Board of Directors Budget.

6. Approval of the Board Bylaws: a. Article I: Governing Board (no revisions)



b. Article II: Meetings (as revised) c. Article III: Organization (as revised) d. Article IV: Committees (as revised) e. Article V: Administration (as revised) f. Article VI: Health System Auxiliaries

(as revised) g. Article VII: Amendments (as revised)

7. Approval of the Revised Continuing Medical Education (CME) Mission Statement.

8. Approval of the FY 2008 3rd Quarter Risk Management Report.

9. Approval for Lee Memorial Health System to enter into a lease agreement with Lee County Emergency Medical Services to share a Transfer Center facility located at Page Field; for an interim period during construction the center will be at 1876 Llewellyn Street, Fort Myers, FL.

10. Acceptance of the FY 2008 2nd Quarter Organizational Performance Improvement Indicator Report and Scorecard.

11. A Board Directive to appoint a task force (consisting of Board & System Counsel, Quality PLC Consultant & one Board member) to develop a Financial Disclosure/Conflict of Interest policy for anyone doing business with Lee Memorial Health System. Report back within sixty days to this Committee.

12. Approval of the following Joint Venture Entity Reporting Executive Summaries:

a. Access Medical South b. Access Infusion Partners c. Lee Medical Resources Imaging

13. Adoption of Lee Memorial Health System Board of Directors Resolution: Reimbursement for Travel, increasing mileage reimbursement rates from the current rate of $0.445 per mile to the new rate of $0.485 per mile effective October 1, 2008 (FY 2009).

14. Acceptance of the FY 2008 Quarterly Investment Performance Report.

15. Approval of the FY 2009 Capital Budget; contingent upon approval of the FY 2009 Operating Budget at the September 2008 Full Board of Directors Meeting.

16. Acceptance of the Financial and Statistical Reports for June 30, 2008 and July 31, 2008.

17. Acceptance of the FY 2008 Quarterly Capital Update for June 30, 2008.

The motion was seconded by Marilyn Stout and it carried with no opposition.

LEE MEMORIAL

HOSPITAL Gaile Anthony reviewed highlights from the Lee Memorial Hospital Operations Report of August 28, 2008 (Exhibit 7).

A motion was made by Jason Yost to accept the Lee Memorial Hospital Operations Report of



OPERATIONS REPORT

August 28, 2008 (Exhibit 7). The motion was seconded by Kerry Babb and it carried with no opposition.

SUPPORTING AGENCY

BUSINESS There was NO “Supporting Agency Business” to be discussed.

OLD BUSINESS There was NO “Old Business” to be discussed.

NEW BUSINESS There was NO “New Business” to be discussed

PRESIDENT’S REPORT

Jim Nathan provided an update on the following issues and challenges in healthcare: Demographic and Social Changes in Florida: Increase in the aging population, increase

in the unemployed and uninsured population, increased number of emergency room visits from uninsured residents

Major challenges for Hospitals: Medicaid fee-for-services payment cuts and private employers dropping employee health insurance

Florida Budgets: Florida tax revenues are deteriorating, state budgets are reducing, tightening of credit markets, creation of new taxes and fees to compensate for the 30% drop in current tax revenue

Hospitals and Health Systems in Florida without Amendment 5: funding for the Medically Needy and Aged and Disabled, Expansion of Medicaid Managed Care programs for 2009

BOARD OF DIRECTORS’

REPORTS

Richard Akin requested the Board and the Physician Leadership Council to continue efforts for improving communication. He requested the PLC to continue meeting and to encourage Board representation at these meetings as well.

BOARD LIAISON

REPORT

“NOT ON MY WATCH” CAMPAIGN

SEPTEMBER 2008 BOARD CALENDAR

Cathy Stephens announced the Kimberly-Clark “Not On My Watch” health care campaign (Exhibit 8) will be visiting LMHS facilities on September 2-3, 2008 to provide education on reducing the spread of Heathcare Associated Infections (HAI’s). She encouraged the Board and LMHS staff to attend the open house sessions. Cathy reviewed in detail the September 2008 Board of Directors Calendar (Exhibit 9), highlighting the twenty year anniversary of HealthPark Medical Center groundbreaking and all Board of Directors meetings for the month of September 2008. Birthday wishes went to: Jim Humphrey – September 17th Lois Barrett – September 30th

NEXT REGULAR

MEETING The date of the next REGULAR meeting of the Lee Memorial Health System Board of Directors is Thursday, September 25, 2008, 3:00 p.m. at the Lee County Public Education Center (LCPEC).

ADJOURNMENT The Lee Memorial Health System Board of Directors

meeting was ADJOURNED by Vice Chairman Nancy McGovern, RN, MSM at 4:23 p.m.

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

_______________________________________________ Lois C. Barrett, MBA

Board Secretary



MEDICAL STAFF

BUSINESS

PLC Chairman Report to the Board 9/25/2008

1. The PLC met on September 16 th. There were 21 participants present.

2. Report of MEC Issues

GCH/SWFR – Dr. Correnti – September 8th, 2008

No significant issues to report.

CCH – Dr. Dougherty – September 11th, 2008

Foley catheter reminder stamp will be trialed at CCH to promote

decreased catheter dwell times.

All newly developed forms should include physician input.

CCH MEC now has a set time on the agenda for the Board Liaison to

report or discuss topics on interest.

LMHS – Dr. Shannon – September 10th, 2008.

Meeting cancelled.

3. PLC Board Consultant Reports

Planning Committee 9-04-08

TCH 2007 Annual report reviewed with 10 pediatric specialists

recruited.

Next planning steps were reviewed concerning facilities, financial

challenges, consolidation, need for physicians, and core measures.

Quality and Education Committee 9-04-08

Nothing to report

4. Old and Continuing Business

Bylaws Update

The process to develop a new set of Medical Staff Bylaws continues to

forge ahead.

At this meeting of the PLC we discussed additional line items in the

draft and made revisions.

Three Town Hall style meetings have now been held since then at

three sites with each spending about two hours further explaining and

revising the draft. Thanks to the Board members who attended those

meetings.

A final meeting of the PLC and all MECs will be held on October 2nd to

finalize the Bylaws draft for posting by October 5th. Then all MECs will

review and forward to the general Medical Staff for voting.

5. New Business

I reported to the PLC on meeting with Jim Nathan, Chuck Krivenko,

Richard Akins, and Charlie Bisbee concerning the issues of adequate

communication with the Medical Staff, and inclusion and utilization of the

PLC in the communication process. We dissected the orthopedic implant

process to attempt to gain some further understanding and clarity.

Yvonne O’Brien had been assigned to develop a communication plan

going forward to help optimize communications.

Next PLC meeting will be October 21st, 2008.

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: September 19, 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. Scott Altschuler, M.D. – Gastroenterology b. Lea Blackwell, M.D. – General Surgery c. Arnaldo De La Vega, M.D. - Pediatrics d. Karen Earle-Green, M.D. – Internal Medicine e. Alexander Rodi, D.O. – Family Practice f. Dennis Sagini, M.D. – Orthopedic Surgery g. Ashish Sharma, M.D. - Ophthalmology

2. Privilege Requests:

a. Bijan Bakhtian, M.D. – Kyphoplasty b. Jeffrey Henn, M.D. – Kyphoplasty c. Dean Lin, M.D. – Kyphoplasty d. Richard Lane, M.D. – Balloon Sinuplasty e. James Fuller, M.D. – Balloon Sinuplasty f. Daniel J. McKenna, M.D. – Balloon Sinuplasty g. Alexander Lozano, M.D. – Balloon Sinuplasty h. Howard Barrow, M.D. – Balloon Sinuplasty

3. Advancements from Provisional to Active Staff:

a. Shalin B. Mehta, M.D. – Cardiology b. Marc A. Michelsen, D.O. – Anesthesiology c. Kultar Singh, M.D. - Neonatology

4. Advancements from Provisional to Courtesy Staff:

b. Clifford G. Allen, II, D.P.M. – Podiatry c. Leslie Jacobson, M.D. - Teleradiology

5. Reappointments - See Attached List.

Memorandum to Board of Directors September 19, 2008 Page 2 of 2

6. Leave of Absence: a. Jorge L. Serra, M.D. – Internal Medicine, LOA extension to 09-18-08 b. Anne Lord Tomas, D.O. – OB/Gyn., LOA extension from 08-01-08 to 07-31-09

7. Resignations:

a. Gerald Tuite, M.D. – Pediatric Neurosurgery, effective 08-25-08 b. Reena Kaul, M.D. – Pediatrics, effective 07-31-08 c. Pedro Escobar, M.D. – Gyn. Oncology, effective 06-15-08 d. Eva Duckett, M.D. – Teleradiology, effective 08-30-08 e. Natasha Lougheide-Camejo, M.D. – Pediatrics, effective 07-11-08 f. Joseph Graham, D.O. – General & Vascular Surgery, effective 08-15-08 g. Stephen I. Wagner, M.D. – Obstetrics & Gynecology, effective 09-01-08

8. Allied Health Practitioners:

a. Ashley Courtney, PA – Pediatric Orthopedics of SW Florida b. Jonel Gomez, ARNP – Dr. Sunil Lalla c. Daniel Perdicaro, PA-C – Gastroenterology Associates of SW Florida d. Erin Ross, PA – Cogent e. Jeffrey Finn, PA – Orthopedic Center of Florida

9. Practitioners-in-Training

a. Dee Steeb – PA Student with Dr. Waterman and Dr. Sarah Krauss, 08-18-08 to 09-24-8

b. Debra Dean – PA Student with Dr. George Kovacevic, 08-28-08 to 09-24-08 c. Michael A. Tomkins – Medical Student with Dr. Humbert, 11-17-08 to

12-12-08

Approved by the Board of Directors – September 25, 2008

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

LEE MEMORIAL HEALTH SYSTEMLMH/HP REAPPOINTMENTS

10/01/08 - 09/30/10

Name Suffix Specialty TypeMEDICAL STAFFAdler, John J. D.P.M. Podiatric Surgery ActiveAihara, Rie M.D. Trauma Surgery ActiveAlea, Myrian M. M.D. Emergency Medicine ActiveAllen II, Clifford G. D.P.M. Podiatric Surgery CourtesyAlvarez, Jaime A. M.D. Neurosurgery CourtesyAndrew, David S. D.P.M. Podiatric Surgery ActiveArcement, Brian K. M.D. Cardiology ActiveArpin, E. Joy M.D. Neurosurgery HonoraryBailey, David J. O. M.D. Cardiology ActiveBakhtian, Bijan J. M.D. Neurosurgery ActiveBarbounis, Constantine G. D.P.M. Podiatric Surgery ActiveBelis, Andrew M. D.P.M. Podiatric Surgery ActiveBozof, Hal L. D.P.M. Podiatric Surgery ActiveBurg, Brian D. D.P.M. Podiatric Surgery ActiveBurton, M. Erick M.D. Cardiology ActiveBuss, Randall W. M.D. Thoracic Surgery ActiveButler, James F. D.O. Cardiology ActiveCalkins, Karen E. M.D. Emergency Medicine CourtesyCarey, Carolyn M. M.D. Ped. Neurosurgery CourtesyCharara, Husni A. D.P.M. Podiatric Surgery ActiveCharles, Nelson L. M.D. Cardiology ActiveChazal, Richard A. M.D. Cardiology ActiveCintron, Elizabeth M. M.D. Cardiology ActiveConrad, James A. M.D. Cardiology ActiveCook, William R. M.D. Cardiology CourtesyCorbellini, Michael A. D.O. Cardiology ActiveCorrenti, Gary J. M.D. Neurosurgery CourtesyDalley, Anthony M.D. Emergency Medicine ActiveDansby, Horace P. M.D. Cardiology ActiveDanzig, Michael D. M.D. Cardiology ActiveDavid, Niccos J. D.P.M. Podiatric Surgery CourtesyDavis, Richard H. M.D. Cardiology ActiveDesai, Sandra P. D.P.M. Podiatric Surgery ActiveDiGiorgi, Paul L. M.D. Thoracic Surgery ActiveDoerr, Brian K. D.P.M. Podiatric Surgery ActiveDougherty, Timothy J. M.D. Emergency Medicine CourtesyDunn, Carrie S. M.D. Emergency Medicine ActiveDunn, Michael R. M.D. Emergency Medicine ActiveDusseau, John J. M.D. Neurosurgery ActiveEskioglu, Eric M.D. Neurosurgery ActiveFaunce, Wesley H. III M.D. Neurosurgery CourtesyFinn, Lori L. D.P.M. Podiatric Surgery CourtesyFonte, Nelayda D.O. Trauma Surgery ActiveFortier, Glen T. M.D. Emergency Medicine ActiveGavin, David N. D.P.M. Podiatric Surgery ActiveGetson, David M.D. Emergency Medicine ActiveGoldberg, Dean R. D.O. Trauma Surgery ActiveGoldstein, Jerold S. D.P.M. Podiatric Surgery ActiveGostigian, James S. M.D. Emergency Medicine ActiveGreene, Tucker M.D. Emergency Medicine CourtesyGrillo, Joseph D.P.M. Podiatric Surgery ActiveGrohowski, Robert M. M.D. Cardiology ActiveGulde, Joseph F. III M.D. Emergency Medicine Active


10/01/08 - 09/30/10

Name Suffix Specialty TypeHanlon, Brian A. M.D. Cardiology ActiveHenn, Jeffrey S. M.D. Neurosurgery ActiveHilderbrand, Lawrence R. D.P.M. Podiatric Surgery HonoraryHoffman, Eliot B. M.D. Cardiology ActiveHolberg, Steven E. D.P.M. Podiatric Surgery ActiveHon, Henry H. M.D. Cardiology ActiveHowell, Roger A. D.O. Emergency Medicine ActiveHummel, Brian W. M.D. Thoracic Surgery ActiveIlic, Vladimir M.D. Cardiology ActiveImanuel, Howard M. D.P.M. Podiatric Surgery ActiveJacome, Tomas H. M.D. Emergency Medicine ActiveJavedan, Saman P. M.D. Neurosurgery ActiveKanuck, David M. D.P.M. Podiatric Surgery ActiveKennedy, Daniel P. M.D. Emergency Medicine ActiveKleinpell, Gordon J. D.P.M. Podiatric Surgery CourtesyKlimowich, Chris A. D.P.M. Podiatric Surgery ActiveKreulen, Thomas H. M.D. Cardiology HonoraryKshetrapal, Subhash M.D. Cardiology ActiveKuhn, Fred L. M.D. Emergency Medicine ActiveKunkel, Frederick W. M.D. Cardiology ActiveKupsaw, Robert E. M.D. Hyperbaric Medicine ActiveLaoang, Jeffrey G. M.D. Emergency Medicine ActiveLawlor, John C. D.P.M. Podiatric Surgery CourtesyLee, Douglas S. M.D. Emergency Medicine ActiveLee, Steven T. M.D. Cardiology ActiveLerman, Ralph L. D.P.M. Podiatric Surgery ActiveLiccini, R. Paul M.D. Cardiology ActiveLin, Dean D. M.D. Neurosurgery ActiveLongobardi, Steven L. M.D. Cardiology ActiveMacaluso, John R. M.D. Cardiology ActiveMacchiaroli, Richard C. M.D. Emergency Medicine ActiveMaribona, Ricardo P. D.P.M. Podiatric Surgery ActiveMcNamara, Anne D.P.M. Podiatric Surgery CourtesyMehta, Shalin B. M.D. Cardiology ActiveMetke, Michael P. M.D. Thoracic Surgery ActiveMikulaschek, Andrew W. M.D. Trauma Surgery ActiveMina, John W. D.P.M. Podiatric Surgery AffiliateMoyer, Donald J. Jr. M.D. Neurosurgery CourtesyMuller, Arthur J. D.O. Cardiology AffiliateMuppala, Murali M. M.D. Cardiology ActiveNathanson, Marc A. D.P.M. Podiatric Surgery ActiveOrtiz, Narmo L. D.P.M. Podiatric Surgery ActivePalank, Edward A. M.D. Cardiology AffiliatePascotto, Robert D. Jr. M.D. Thoracic Surgery CourtesyPrabakaran, Bala C. M.D. Cardiology ActivePrice, Michael N. D.P.M. Podiatric Surgery ActivePriest, Steven V. M.D. Cardiology ActiveRobben, Christopher N. M.D. Emergency Medicine ActiveRodi, Alexander E. Jr. D.O. Family Practice CourtesyRosen, Jeffrey H. M.D. Cardiology ActiveRubin, Michael R. M.D. Cardiology ActiveSareen, Rajan K. M.D. Cardiology ActiveSarzier, John S. M.D. Neurosurgery ActiveSavage, Douglas F. M.D. Neurosurgery Courtesy


10/01/08 - 09/30/10

Name Suffix Specialty TypeScala, Louis J. M.D. Cardiology ActiveSchultz, Carl H. D.O. Emergency Medicine ActiveSchultz, Scot C. M.D. Thoracic Surgery CourtesySensecqua, James E. M.D. Cardiology ActiveSidell, Peter M. M.D. Thoracic Surgery HonorarySkupny, Curtis W. D.P.M. Podiatric Surgery ActiveSmith, Stephen E. M.D. Ophthalmology CourtesySpehn-Roland, Desiree M.D. Emergency Medicine ActiveStapleton, Dennis J. M.D. Thoracic Surgery ActiveSteier, Michael E. M.D. Thoracic Surgery HonorarySypert, George W. M.D. Neurosurgery HonoraryTaschner, Brian C. M.D. Cardiology ActiveTipton, Benjamin K. M.D. Neurosurgery HonoraryTowe, Kenneth M. M.D. Cardiology ActiveTribuiani, Alphonse R. D.P.M. Podiatric Surgery ActiveTritel, Harvey M.D. Cardiology HonoraryVieux, Ernst E. M.D. Trauma Surgery ActiveVillegas, Henry A. M.D. Emergency Medicine ActiveWeaver, Mark E. D.P.M. Podiatric Surgery ActiveWest, Steven R. M.D. Cardiology ActiveWilson, Jason T. M.D. Emergency Medicine ActiveWohl, Aaron A. M.D. Emergency Medicine ActiveZafar, Daryoush A. D.P.M. Podiatric Surgery Active

ALLIED HEALTHBlack, Renee M. C.N.M. CNM AHPBoyd, Lee Ann ARNP ARNP AHPCapets, Cynthia R. ARNP ARNP AHPCarr, Crystal A. CRNA CRNA AHPCaulfield, Sandra L. P.A. PA AHPChapa, Deborah W. ARNP ARNP AHPCope, Diane G. ARNP ARNP AHPDallessio, Elizabeth A. P.A. PA AHPDel Pizzo, Dianne F. ARNP ARNP AHPDelmont, Daniel M. P.A. PA AHPDeSomma, Misty M. ARNP ARNP AHPDube, Sara E. P.A. PA AHPFarley, Marilyn M. ARNP ARNP AHPForchin, Lorna E. ARNP ARNP AHPFournier, Elaine M. P.A. PA AHPFrancis, Danielle J. ARNP ARNP AHPGibble, Joan M. ARNP ARNP AHPGirts, Debra L. CRNA CRNA AHPHook, Susan K. ARNP ARNP AHPMazzacca, Stephanie A. P.A. PA AHPMeagher, Matthew E. P.A. PA AHPMeandro, Gerriann C. P.A. PA AHPMenga, Heidi E. P.A. PA AHPMora, Patrick G. P.A. PA AHPMouthaan, Laraine M. ARNP ARNP AHPNuckolls, Holly A. P.A. PA AHPOudi, Chandra G. CRNA CRNA AHP


10/01/08 - 09/30/10

Name Suffix Specialty TypePao, Elaine ARNP ARNP AHPPatzwahl, Bruce A P.A. PA AHPRedecker, Nancy G. C.N.M. CNM AHPRhinehart, Katherine E. P.A. PA AHPScudder, Colleen E. ARNP ARNP AHPSierra, Christina V. C.N.M. CNM AHPStaerker, Denise A. C.N.M. CNM AHPWojciki, Pamela K. ARNP ARNP AHPZeszutek, Bernard W. CRNA CRNA AHP

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: September 19, 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. Lea Blackwell, M.D. – General Surgery b. Arnaldo De La Vega, M.D. – Pediatrics c. Alexander Rodi, D.O. – Family Practice d. Dennis Sagini, M.D. – Orthopedic Surgery

2. Intrasystem Appointment – Provisional Staff:

a. Jose Colon, M.D. – Pediatric Neurology

3. Privilege Requests: a. Bijan Bakhtian, M.D. – Kyphoplasty b. Jeffrey Henn, M.D. – Kyphoplasty c. Dean Lin, M.D. – Kyphoplasty d. Richard Lane, M.D. – Balloon Sinuplasty e. James Fuller, M.D. – Balloon Sinuplasty f. Daniel J. McKenna, M.D. – Balloon Sinuplasty g. Alexander Lozano, M.D. – Balloon Sinuplasty h. Howard Barrow, M.D. – Balloon Sinuplasty

4. Advancements from Provisional to Active Staff:

a. Carolyn F. Langford, D.O. – Urology b. Shalin B. Mehta, M.D. – Cardiology c. Marc A. Michelsen, D.O. – Anesthesiology d. Kultar Singh, M.D. - Neonatology

5. Advancements from Provisional to Courtesy Staff:

a. Clifford G. Allen, II, D.P.M. – Podiatry b. Leslie Jacobson, M.D. - Teleradiology


6. Reappointments – See attached list.

7. Leave of Absence: a. Anne Lord Tomas, D.O. – OB/Gyn., LOA extension from 08-01-08 to 07-31-09.

8. Resignations:

a. Eva Duckett, M.D. – Teleradiology, effective 08-30-08 b. Joseph Graham, D.O. – General & Vascular Surgery, effective 08-15-08. c. Jose Lopez-Gutierrez, M.D. – Family Practice, effective 09-04-08.

9. Allied Health Practitioners:

a. Dwight Fiske, PA – Cape Coral Emergency Physicians b. Jonel Gomez, ARNP – Dr. Sunil Lalla c. Daniel Perdicaro, PA-C – Gastroenterology Associates of SW Fla. d. Jeffrey Finn, PA – Orthopedic Center of Florida

10. Practitioners-in-Training:

a. Dee Steeb – PA Student with Dr. Waterman, 08-18-08 to 09-24-08. b. Debra Dean – PA Student with Dr. Kovacevic, 08-28-08 to 09-24-08. c. Michael A. Tomkins – Medical Student with Dr. Humbert, 11-17-08 to 12-12-08. d. Christopher Plaisted – Nurse Practitioner Student with Dr. Dirk Peterson –

09-05-08 – 12-12-08.

Approved by the Board of Directors, September 25, 2008

________________________________________________ John D. Donaldson, M.D., Chairman – Board of Directors

LEE MEMORIAL HEALTH SYSTEMCCH REAPPOINTMENTS

10/01/08 - 09/30/10

Name Suffix Specialty TypeMEDICAL STAFFAdler, John J. D.P.M. Podiatric Surgery ActiveAllen II, Clifford G. D.P.M. Podiatric Surgery CourtesyAlvarez, Jaime A. M.D. Neurosurgery ActiveAndrew, David S. D.P.M. Podiatric Surgery ActiveArpin, E. Joy M.D. Neurosurgery HonoraryBailey, David J. O. M.D. Cardiology ActiveBakhtian, Bijan J. M.D. Neurosurgery CourtesyBarbounis, Constantine G. D.P.M. Podiatric Surgery ActiveBartholomew, Randall J. M.D. Emergency Medicine CourtesyBelis, Andrew M. D.P.M. Podiatric Surgery ActiveBozof, Hal L. D.P.M. Podiatric Surgery ActiveBurg, Brian D. D.P.M. Podiatric Surgery ActiveBuss, Randall W. M.D. Thoracic Surgery CourtesyButler, James F. D.O. Cardiology CourtesyCampbell, Joseph F. D.P.M. Podiatric Surgery ActiveCharara, Husni A. D.P.M. Podiatric Surgery ActiveCharles, Nelson L. M.D. Cardiology ActiveCintron, Elizabeth M. M.D. Cardiology ActiveClaunch, Alan B. M.D. Emergency Medicine ActiveCorrenti, Gary J. M.D. Neurosurgery ActiveDansby, Horace P. M.D. Cardiology ActiveDavid, Niccos J. D.P.M. Podiatric Surgery CourtesyDesai, Sandra P. D.P.M. Podiatric Surgery ActiveDiGiorgi, Paul L. M.D. Thoracic Surgery ActiveDoerr, Brian K. D.P.M. Podiatric Surgery ActiveDougherty, Timothy J. M.D. Emergency Medicine ActiveDougherty, Timothy J. M.D. Toxicology ActiveDusseau, John J. M.D. Neurosurgery CourtesyEskioglu, Eric M.D. Neurosurgery CourtesyEspeleta, Marius C. D.P.M. Podiatric Surgery ActiveFaunce, Wesley H. III M.D. Neurosurgery ActiveFinn, Lori L. D.P.M. Podiatric Surgery CourtesyGavin, David N. D.P.M. Podiatric Surgery CourtesyGeorge, Michael M.D. Emergency Medicine ActiveGetson, David M.D. Emergency Medicine ActiveGoldstein, Jerold S. D.P.M. Podiatric Surgery ActiveGostigian, James S. M.D. Emergency Medicine ActiveGreene, Tucker M.D. Emergency Medicine ActiveGreene, Tucker M.D. Toxicology ActiveGrillo, Joseph D.P.M. Podiatric Surgery CourtesyHabuda, Bradley A. D.P.M. Podiatric Surgery ActiveHam, Christopher A. M.D. Emergency Medicine ActiveHanlon, Brian A. M.D. Cardiology ActiveHenn, Jeffrey S. M.D. Neurosurgery CourtesyHolberg, Steven E. D.P.M. Podiatric Surgery ActiveHon, Henry H. M.D. Cardiology ActiveHowell, Roger A. D.O. Emergency Medicine ActiveHummel, Brian W. M.D. Thoracic Surgery CourtesyIlic, Vladimir M.D. Cardiology CourtesyImanuel, Howard M. D.P.M. Podiatric Surgery CourtesyJacome, Tomas H. M.D. Emergency Medicine ActiveJavedan, Saman P. M.D. Neurosurgery Courtesy


10/01/08 - 09/30/10

Name Suffix Specialty TypeKanuck, David M. D.P.M. Podiatric Surgery ActiveKlimowich, Chris A. D.P.M. Podiatric Surgery ActiveKshetrapal, Subhash M.D. Cardiology ActiveKuhn, Fred L. M.D. Emergency Medicine ActiveKupsaw, Robert E. M.D. Emergency Medicine ActiveKupsaw, Robert E. M.D. Hyperbaric Medicine ActiveLawlor, John C. D.P.M. Podiatric Surgery ActiveLerman, Ralph L. D.P.M. Podiatric Surgery ActiveLin, Dean D. M.D. Neurosurgery CourtesyLongobardi, Steven L. M.D. Cardiology ActiveMaribona, Ricardo P. D.P.M. Podiatric Surgery ActiveMehta, Shalin B. M.D. Cardiology ActiveMetke, Michael P. M.D. Thoracic Surgery CourtesyMoyer, Donald J. Jr. M.D. Neurosurgery ActiveMuppala, Murali M. M.D. Cardiology CourtesyNathanson, Marc A. D.P.M. Podiatric Surgery CourtesyOrtiz, Narmo L. D.P.M. Podiatric Surgery ActivePascotto, Robert D. Jr. M.D. Thoracic Surgery CourtesyPrabakaran, Bala C. M.D. Cardiology ActivePrice, Michael N. D.P.M. Podiatric Surgery ActivePriest, Steven V. M.D. Cardiology ActiveRodi, Alexander E. Jr. D.O. Family Practice ActiveRosen, Jeffrey H. M.D. Cardiology ActiveRubin, Michael R. M.D. Cardiology ActiveSareen, Rajan K. M.D. Cardiology ConsultingSarzier, John S. M.D. Neurosurgery ActiveSavage, Douglas F. M.D. Neurosurgery ActiveScala, Louis J. M.D. Cardiology ActiveSchultz, Carl H. D.O. Emergency Medicine ActiveSchultz, Carl H. D.O. Hyperbaric Medicine ActiveSchultz, Scot C. M.D. Thoracic Surgery ConsultingSensecqua, James E. M.D. Cardiology ActiveSidell, Peter M. M.D. Thoracic Surgery HonorarySkupny, Curtis W. D.P.M. Podiatric Surgery ActiveStapleton, Dennis J. M.D. Thoracic Surgery CourtesySteier, Michael E. M.D. Thoracic Surgery HonorarySypert, George W. M.D. Neurosurgery HonoraryTipton, Benjamin K. M.D. Neurosurgery HonoraryTowe, Kenneth M. M.D. Cardiology ActiveTribuiani, Alphonse R. D.P.M. Podiatric Surgery ActiveTritel, Harvey M.D. Cardiology HonoraryWright, Gary N. M.D. Emergency Medicine ActiveZafar, Daryoush A. D.P.M. Podiatric Surgery Active

ALLIED HEALTHBoyd, Lee Ann ARNP ARNP AHPCapets, Cynthia R. ARNP ARNP AHPCarr, Crystal A. CRNA CRNA AHPCaulfield, Sandra L. P.A. PA AHPChapa, Deborah W. ARNP ARNP AHPCope, Diane G. ARNP ARNP AHPDallessio, Elizabeth A. P.A. PA AHP


10/01/08 - 09/30/10

Name Suffix Specialty TypeDel Pizzo, Dianne F. ARNP ARNP AHPDelmont, Daniel M. P.A. PA AHPDube, Sara E. P.A. PA AHPFarley, Marilyn M. ARNP ARNP AHPForchin, Lorna E. ARNP ARNP AHPFournier, Elaine M. P.A. PA AHPFrancis, Danielle J. ARNP ARNP AHPGibble, Joan M. ARNP ARNP AHPGirts, Debra L. CRNA CRNA AHPHook, Susan K. ARNP ARNP AHPMazzacca, Stephanie A. P.A. PA AHPMenga, Heidi E. P.A. PA AHPMora, Patrick G. P.A. PA AHPMouthaan, Laraine M. ARNP ARNP AHPOudi, Chandra G. CRNA CRNA AHPPao, Elaine ARNP ARNP AHPPatzwahl, Bruce A P.A. PA AHPRhinehart, Katherine E. P.A. PA AHPRusso, Kathleen M. ARNP ARNP AHPScudder, Colleen E. ARNP ARNP AHPStaerker, Denise A. C.N.M. CNM AHPZeszutek, Bernard W. CRNA CRNA AHP

LEE MEMORIAL HEALTH SYSTEM Lee County, Florida

#3 M E M O R A N D U M REVISED – 09-20-08

To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Southwest Regional Medical Center Medical Staff Recommendations Date: September 19, 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. Dennis Sagini, M.D. – Orthopedic Surgery b. Ashish Sharma, M.D. – Ophthalmology

2. Intrasystem Appointment - Active Staff:

a. Alexander Rodi, D.O. – Active Status – Family Practice

3. Privilege Requests: a. Lawrence Leigh, M.D. – Kyphoplasty b. Bijan Bakhtian, M.D. – Kyphoplasty c. Jeffrey Henn, M.D. – Kyphoplasty d. Dean Lin, M.D. – Kyphoplasty e. Richard Lane, M.D. – Balloon Sinuplasty f. James Fuller, M.D. – Balloon Sinuplasty g. Daniel J. McKenna, M.D. – Balloon Sinuplasty h. Alexander Lozano, M.D. – Balloon Sinuplasty i. Howard Barrow, M.D. – Balloon Sinuplasty

4. Resignations:

a. Bradley Castellano, D.P.M. – effective 08-01-2008 b. Pedro Escobar, M.D. – effective 06-15-2008 c. Joseph Graham, D.O. – effective 08-15-08

5. Reappointments – See attached list. 6. Allied Health Professional Sponsor Change:

a. Jeffrey Finn, PA – Orthopedic Center


7. Allied Health Professionals: a. Jonel Gomez, ARNP – Dr. Sunil Lalla b. Daniel Perdicaro, PA-C – Gastroenterology Assoc of SW Fla c. Sonia Rangeloff, ARNP – Q-Life


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

LEE MEMORIAL HEALTH SYSTEMSWR REAPPOINTMENTS

10/01/08 - 09/30/10Name Suffix Specialty TypeMEDICAL STAFFAllen II, Clifford G. D.P.M. Podiatric Surgery CourtesyAlvarez, Jaime A. M.D. Neurosurgery ActiveAndrew, David S. D.P.M. Podiatric Surgery ActiveArcement, Brian K. M.D. Cardiology ActiveBailey, David J. O. M.D. Cardiology ActiveBakhtian, Bijan J. M.D. Neurosurgery ActiveBarbounis, Constantine G. D.P.M. Podiatric Surgery ActiveBelis, Andrew M. D.P.M. Podiatric Surgery ActiveBellew, John H. D.O. Emergency Medicine ActiveBozof, Hal L. D.P.M. Podiatric Surgery ActiveBurg, Brian D. D.P.M. Podiatric Surgery ActiveBuss, Randall W. M.D. Thoracic Surgery ActiveButler, James F. D.O. Cardiology ActiveCampbell, Joseph F. D.P.M. Podiatric Surgery ActiveCharara, Husni A. D.P.M. Podiatric Surgery ActiveCharles, Nelson L. M.D. Cardiology ActiveCintron, Elizabeth M. M.D. Cardiology ActiveConrad, James A. M.D. Cardiology CourtesyCook, William R. M.D. Cardiology ConsultingCorrenti, Gary J. M.D. Neurosurgery ActiveDansby, Horace P. M.D. Cardiology ConsultingDavid, Niccos J. D.P.M. Podiatric Surgery CourtesyDavis, Richard H. M.D. Cardiology ActiveDesmond, Lael A. M.D. Emergency Medicine ActiveDiGiorgi, Paul L. M.D. Thoracic Surgery ActiveDoerr, Brian K. D.P.M. Podiatric Surgery ActiveDusseau, John J. M.D. Neurosurgery ActiveEskioglu, Eric M.D. Neurosurgery ActiveEspeleta, Marius C. D.P.M. Podiatric Surgery CourtesyFaunce, Wesley H. III M.D. Neurosurgery ActiveFinn, Lori L. D.P.M. Podiatric Surgery ActiveGavin, David N. D.P.M. Podiatric Surgery CourtesyGoldstein, Jerold S. D.P.M. Podiatric Surgery ActiveGrillo, Joseph D.P.M. Podiatric Surgery ActiveGrohowski, Robert M. M.D. Cardiology CourtesyHabuda, Bradley A. D.P.M. Podiatric Surgery ActiveHanlon, Brian A. M.D. Cardiology ActiveHearn, William B. D.O. Diagnostic Radiology ActiveHenn, Jeffrey S. M.D. Neurosurgery ActiveHobbs, Larry Allen M.D. Emergency Medicine ActiveHoffman, Eliot B. M.D. Cardiology ActiveHolberg, Steven E. D.P.M. Podiatric Surgery ActiveHon, Henry H. M.D. Cardiology ActiveHummel, Brian W. M.D. Thoracic Surgery ActiveIlic, Vladimir M.D. Cardiology ActiveImanuel, Howard M. D.P.M. Podiatric Surgery ActiveJavedan, Saman P. M.D. Neurosurgery ActiveJohnson, Thomas Brian M.D. Emergency Medicine ActiveKanuck, David M. D.P.M. Podiatric Surgery CourtesyKleinpell, Gordon J. D.P.M. Podiatric Surgery CourtesyKlimowich, Chris A. D.P.M. Podiatric Surgery CourtesyKshetrapal, Subhash M.D. Cardiology Active


10/01/08 - 09/30/10Name Suffix Specialty TypeKunkel, Frederick W. M.D. Cardiology CourtesyKupsaw, Robert E. M.D. Hyperbaric Medicine ActiveLafferty, Keith A. M.D. Emergency Medicine ActiveLawlor, John C. D.P.M. Podiatric Surgery ActiveLee, Steven T. M.D. Cardiology CourtesyLeigh, Lawrence D. M.D. Diagnostic Radiology ActiveLerman, Ralph L. D.P.M. Podiatric Surgery CourtesyLiccini, R. Paul M.D. Cardiology ActiveLin, Dean D. M.D. Neurosurgery ActiveLongobardi, Steven L. M.D. Cardiology ActiveMaribona, Ricardo P. D.P.M. Podiatric Surgery ActiveMcNamara, Anne D.P.M. Podiatric Surgery ConsultingMehta, Shalin B. M.D. Cardiology ActiveMetke, Michael P. M.D. Thoracic Surgery ActiveMina, John W. D.P.M. Podiatric Surgery ConsultingMoyer, Donald J. Jr. M.D. Neurosurgery ActiveMuller, Arthur J. D.O. Cardiology CourtesyMuppala, Murali M. M.D. Cardiology ActiveNathanson, Marc A. D.P.M. Podiatric Surgery CourtesyOrtiz, Narmo L. D.P.M. Podiatric Surgery ActivePally, Madhava T. M.D. Cardiology ActiveParkinson, Abbubacca T. D.P.M. Podiatric Surgery ActivePascotto, Robert D. Jr. M.D. Thoracic Surgery ActivePhelps, Dwight Stephen M.D. Emergency Medicine ActivePound, Greg D. D.P.M. Podiatric Surgery ActivePrabakaran, Bala C. M.D. Cardiology ActivePrice, Michael N. D.P.M. Podiatric Surgery CourtesyPriest, Steven V. M.D. Cardiology ActiveRosen, Jeffrey H. M.D. Cardiology ActiveRubin, Michael R. M.D. Cardiology ActiveSareen, Rajan K. M.D. Cardiology CourtesySarzier, John S. M.D. Neurosurgery ActiveSavage, Douglas F. M.D. Neurosurgery ActiveSchaar, Thomas Lee M.D. Emergency Medicine ActiveSchultz, Scot C. M.D. Thoracic Surgery CourtesySensecqua, James E. M.D. Cardiology ActiveSharkey, Robert G. M.D. Emergency Medicine ActiveSimmons, Walter Ray D.O. Emergency Medicine ActiveSkupny, Curtis W. D.P.M. Podiatric Surgery CourtesySmith, Stephen E. M.D. Ophthalmology ActiveStapleton, Dennis J. M.D. Thoracic Surgery ActiveTaschner, Brian C. M.D. Cardiology CourtesyTowe, Kenneth M. M.D. Cardiology ActiveTribuiani, Alphonse R. D.P.M. Podiatric Surgery ActiveWeaver, Mark E. D.P.M. Podiatric Surgery CourtesyWest, Steven R. M.D. Cardiology ActiveZafar, Daryoush A. D.P.M. Podiatric Surgery Active

ALLIED HEALTHBagley, Donald A. CRNA CRNA AHPBareja, Sylwia P.A. PA AHPBoyd, Lee Ann ARNP ARNP AHP


10/01/08 - 09/30/10Name Suffix Specialty TypeCaulfield, Sandra L. P.A. PA AHPChapa, Deborah W. ARNP ARNP AHPCooper, Gerard M. P.A. PA AHPCope, Diane G. ARNP ARNP AHPDallessio, Elizabeth A. P.A. PA AHPDel Pizzo, Dianne F. ARNP ARNP AHPDelmont, Daniel M. P.A. PA AHPDube, Sara E. P.A. PA AHPFrancis, Danielle J. ARNP ARNP AHPGibble, Joan M. ARNP ARNP AHPGirts, Debra L. CRNA CRNA AHPGraham, Cathleen J. CRNA CRNA AHPMansour, Pauline A. CRNA CRNA AHPMazzacca, Stephanie A. P.A. PA AHPMeagher, Matthew E. P.A. PA AHPMora, Patrick G. P.A. PA AHPMouthaan, Laraine M. ARNP ARNP AHPNuckolls, Holly A. P.A. PA AHPOudi, Chandra G. CRNA CRNA AHPPatzwahl, Bruce A P.A. PA AHPRhinehart, Katherine E. P.A. PA AHPScudder, Colleen E. ARNP ARNP AHP

LEE MEMORIAL HEALTH SYSTEM Lee County, Florida

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

REVISED 09-20-08 To: Board of Directors From: Sandra L. Wharton, CPMSM, CPCS System Director, Medical Staff Services Subject: Gulf Coast Hospital Medical Staff Recommendations Date: September 19, 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. Arnaldo De La Vega, M.D. - Pediatrics b. Dennis Sagini, M.D. – Orthopedic Surgery

2. Intrasystem Appointment – Provisional Staff:

a. Alexander Rodi, D.O. – Family Practice

3. Reappointments – see attached list. 4. Leave of Absence:

a. Anne Lord Tomas, D.O. – OB/Gyn., LOA extension 08-01-08 to 07-31-09 5. Resignations:

a. Bradley Castellano, D.P.M. – effective 08-01-2008 b. Pedro Escobar, M.D. – effective 06-15-2008 c. Reena Kaul, M.D. – effective 07-31-2008 d. Steven Wagner, M.D. – effective 09-01-2008

6. Allied Health Professional Sponsor Change:

a. Jeffrey Finn, PA – Orthopedic Center 7. Allied Health Professionals:

a. Ashley Courtney, PA – Pediatric Orthopedics of SW Fla. b. Jonel Gomez, ARNP – Dr. Sunil Lalla c. Sonia Rangeloff, ARNP – Q-Life


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

LEE MEMORIAL HEALTH SYSTEMGCH REAPPOINTMENTS

10/01/08 - 09/30/10

Name Suffix Specialty TypeMEDICAL STAFFAllen II, Clifford G. D.P.M. Podiatric Surgery CourtesyAlvarez, Jaime A. M.D. Neurosurgery CourtesyAndrew, David S. D.P.M. Podiatric Surgery ConsultingBakhtian, Bijan J. M.D. Neurosurgery ActiveBarbounis, Constantine G. D.P.M. Podiatric Surgery CourtesyBartholomew, Randall J. M.D. Emergency Medicine ActiveBelis, Andrew M. D.P.M. Podiatric Surgery ActiveBozof, Hal L. D.P.M. Podiatric Surgery CourtesyBurg, Brian D. D.P.M. Podiatric Surgery CourtesyCorrenti, Gary J. M.D. Neurosurgery ActiveDavid, Niccos J. D.P.M. Podiatric Surgery CourtesyDesmond, Lael A. M.D. Emergency Medicine ActiveDoerr, Brian K. D.P.M. Podiatric Surgery ActiveDusseau, John J. M.D. Neurosurgery ActiveEskioglu, Eric M.D. Neurosurgery ActiveFaunce, Wesley H. III M.D. Neurosurgery CourtesyFinn, Lori L. D.P.M. Podiatric Surgery ActiveGavin, David N. D.P.M. Podiatric Surgery CourtesyGoldstein, Jerold S. D.P.M. Podiatric Surgery ConsultingGrillo, Joseph D.P.M. Podiatric Surgery CourtesyGuffrey, Gregg J. M.D. Emergency Medicine ActiveHabuda, Bradley A. D.P.M. Podiatric Surgery ActiveHearn, William B. D.O. Diagnostic Radiology ActiveHenn, Jeffrey S. M.D. Neurosurgery ActiveHobbs, Larry Allen M.D. Emergency Medicine CourtesyHolberg, Steven E. D.P.M. Podiatric Surgery ConsultingImanuel, Howard M. D.P.M. Podiatric Surgery ActiveJavedan, Saman P. M.D. Neurosurgery ActiveKanuck, David M. D.P.M. Podiatric Surgery CourtesyKlimowich, Chris A. D.P.M. Podiatric Surgery ConsultingKunkel, Frederick W. M.D. Cardiology ActiveLafferty, Keith A. M.D. Emergency Medicine ActiveLawlor, John C. D.P.M. Podiatric Surgery ActiveLeigh, Lawrence D. M.D. Diagnostic Radiology ActiveLerman, Ralph L. D.P.M. Podiatric Surgery CourtesyLin, Dean D. M.D. Neurosurgery ActiveMacaluso, John R. M.D. Cardiology ActiveMachevan, Claudio E. M.D. Emergency Medicine ActiveMaribona, Ricardo P. D.P.M. Podiatric Surgery CourtesyMcNamara, Anne D.P.M. Podiatric Surgery ActiveMoyer, Donald J. Jr. M.D. Neurosurgery CourtesyNathanson, Marc A. D.P.M. Podiatric Surgery CourtesyOrtiz, Narmo L. D.P.M. Podiatric Surgery CourtesyPally, Madhava T. M.D. Cardiology ActivePhelps, Dwight Stephen M.D. Emergency Medicine ActivePound, Greg D.P.M. Podiatric Surgery CourtesyPrice, Michael N. D.P.M. Podiatric Surgery ActiveReed, Karen Bay M.D. Emergency Medicine ActiveSareen, Rajan K. M.D. Cardiology CourtesySarzier, John S. M.D. Neurosurgery CourtesySavage, Douglas F. M.D. Neurosurgery CourtesySchaar, Thomas Lee M.D. Emergency Medicine Active

LEE MEMORIAL HEALTH SYSTEMGCH REAPPOINTMENTS

10/01/08 - 09/30/10

Name Suffix Specialty TypeSharkey, Robert G. M.D. Emergency Medicine ActiveSimmons, Walter Ray D.O. Emergency Medicine ActiveSkupny, Curtis W. D.P.M. Podiatric Surgery CourtesyTribuiani, Alphonse R. D.P.M. Podiatric Surgery CourtesyWeaver, Mark E. D.P.M. Podiatric Surgery CourtesyZafar, Daryoush A. D.P.M. Podiatric Surgery Active

ALLIED HEALTHBagley, Donald A. CRNA CRNA AHPBareja, Sylwia P.A. PA AHPChapa, Deborah W. ARNP ARNP AHPCooper, Gerard M. P.A. PA AHPDallessio, Elizabeth A. P.A. PA AHPDel Pizzo, Dianne F. ARNP ARNP AHPDelmont, Daniel M. P.A. PA AHPFrancis, Danielle J. ARNP ARNP AHPGirts, Debra L. CRNA CRNA AHPGraham, Cathleen J. CRNA CRNA AHPMansour, Pauline A. CRNA CRNA AHPMazzacca, Stephanie A. P.A. PA AHPMeagher, Matthew E. P.A. PA AHPMora, Patrick G. P.A. PA AHPMouthaan, Laraine M. ARNP ARNP AHPNuckolls, Holly A. P.A. PA AHPOudi, Chandra G. CRNA CRNA AHPPatzwahl, Bruce A P.A. PA AHPRhinehart, Katherine E. P.A. PA AHPScudder, Colleen E. ARNP ARNP AHP



MEDICAL STAFF

BUSINESS Issues -

Discussion

092508 Consent Agenda.doc

______________

L E E M E M O R I A L HEALTH SYSTEM BBBOOOAAARRRDDD OOOFFF DDDIIIRRREEECCCTTTOOORRRSSS

CONSENT AGENDA September 25, 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.

September 4, 2008 Quality & Education Committee of the Whole:

1. Acceptance of the LMHS Annual Ethics Report, August 2007 - August 2008.

September 4, 2008 Planning Committee of the Whole:

2. Acceptance of the The Children’s Hospital of Southwest Florida 2007 Annual Report.

3. Acceptance of the LMHS System Strategic Scorecard for FYTD, July 2008.

4. A Board Directive for John Wiest and Anne Rose to create an outline of future System image and marketing strategies and bring back to the Board for discussion within sixty days.

September 18, 2008 Finance Committee of the Whole:

5. Approval of Gulf Coast Hospital Handicap Accessibility Improvements - $350,000

(Phase I) (previously approved in the FY 08 Major Facilities Capital Budget).

6. Approval of Capital Expenditure Request for East Medical Office Building (Colonial Blvd & I-75)/Ambulatory Surgery Center - $1,750,000 (previously approved in the FY 08 Major Facilities Capital Budget).

7. Approval of the First Amendment to Lease between Lee Healthcare Resources

and Lee Memorial Health System for the Medical Office Building at the intersection of Pine Island Road and Del Prado Boulevard which increases the rentable square footage of the premises to 24,826 square feet and the basic rent from $24.25 to $29.50 per square foot.

8. Approval of a lease agreement for the Lee Memorial Auxiliary Pink Bazaar Thrift Shop

for a 3,600 square foot space at 12135 South Cleveland Avenue, Fort Myers, FL.

9. Approval of the FY 2009 Operating Budget. 10. Approval of the FY 2009 Acute Care Hospital rates.

11. Acceptance of the Financial and Statistical Reports for August 31, 2008.

SWFRMC and Gulf Coast Hospital Operations Report Year to Date ending 08/31/08 Year to Date Budget Actual Prior var Bud var PY Admissions 18237 18156 18033 -0.44% .068% Adjusted Admits 24300 24789 24810 2.01% -0.09% Patient Days 77652 78081 75716 0.55% 3.12% ALOS 4.26 4.30 4.20 1.00% 2.42% ADC 231 232 226 0.55% 2.82% ER Visits 40972 40865 40345 -0.26% 1.29% ER Admits 10320 11272 9854 9.22% 14.39% % Visits Admitted 25.2% 27.6% 24.4% 9.51% 12.93% % Adms from ER 56.6% 62.1% 54.6% 9.71% 13.62% LWOTS 390 1231 -68.3%

Volumes

SWFRMC Admissions exceeded budget by 148 admissions or 1.0% and exceeded PY by 424 admissions or 3.0%. Cardiology Service admissions fell below PY by 143 or -15.0%. Cardio/Thoracic Surgery admissions fell below PY by 14 or -15.0%. Orthopedic admissions fell below PY by 161 or -11.0%. Medical/Surgical admissions exceeded PY by 681 or 7.0%. Neurological Surgery admissions fell below PY by 89 or -11.0%. GCH Admissions fell below budget by 229 admissions or -5.0% and below PY by 301 admissions or -6.0%.

-Med/Surg admissions exceeded prior year by 12.0% or 132 admissions. -OBGyn admissions fell below prior year by -15.0% or 400 admissions. -Pediatric admissions fell below prior year by -58.0% or 194 admissions.

-Orthopedic admissions exceeded prior year by 25.0% or 115 admissions.

Surgical Services SWFRMC IP Surgeries fell below budget by 145 cases or -3.2% and below PY 176 cases or -3.8%. General Surgery increased by 78 cases over PY or 4.6%. ENT decreased by 13 cases below PY or -18.6%. Cardiovascular Surgery decreased by 11 cases below PY or 4.5%. Urology decreased by 22 cases below PY or -9.6%. Neurosurgery decreased by 60 cases below PY or -7.7%. Orthopedics decreased by 114 cases below PY or -7.6%. Other Surgery decreased by 22 cases below PY or -23.9%. OP Surgeries fell below budget by 529 cases or -14.5% and PY by 554 cases or -15.0%. General/Vascular Surgery decreased by 189 cases below PY or -11.1%. Urology Service decreased by 100 cases below PY or -23.9%. Orthopedics increased by 8 cases over PY or 2.1%. Other Surgery decreased by 272 cases below PY or -27.4%. Neurosurgery increased by 8 cases over PY or 40.0%. GCH IP Surgeries exceeded budget by 85 cases or 9.1% and PY by 31 cases or 3.1%. General Surgery decreased by 2 cases below PY or -1.3%. Orthopedics increased by 124 cases over PY or 27.3%. Gynecology decreased by 107 cases below PY or -28.9%. Other Surgery increased by 17 cases over PY or 425.0%.

OP Surgeries exceeded budget by 333 cases or 19.2% and PY by 238 cases or 13.0%. General/Vascular Surgery decreased by 35 cases below PY or -5.8%. Orthopedics increased by 98 cases over PY or 22.8%. Gynecology decreased by 55 cases below PY or -8.4%. Other Surgeries increased by 230 cases over PY or 164.3%. ER Visits ER visits fell below budget by 107 visits or -0.26% and exceeded PY by 520 visits or 1.29%. ER admissions exceeded budget by 952 admissions or 9.22% and PY by 1418 admissions or 14.39%.

Payor Mix Bud Act PY var to Bud var to PY Medicare 56% 56% 55% .52% 2.76% Medicaid 11% 10% 10% -6.01% -0.28% HMO/PPO 24% 24% 25% -3.46% -4.12% Self Pay/Charity 2% 6% 7% 161.12% -0.80% Other 7% 4% 4% -42.72% -10.04% Total 100% 100% 100% 0.00% 0.00%

Case Mix Bud Act PY var to Bud var to PY Total 1.36 1.40 1.37 2.64% 2.11% Medicare 1.60 1.64 1.59 2.43% 2.93%

Net Revenue Net Revenue per adjusted admission fell short of budget by -9.36%, with a negative rate variance of $-17.7M offset by a positive volume variance of $4.3M. Uncompensated Care

Charity Care and Bad Debt as a % of Gross Revenue was 3.20% vs budget 2.44%, or a 47.67% increase year to date. PY was 2.18% or 65.52% increase.

Labor FTEs per AOB was 4.82 vs budget of 4.83 for an improvement 0.17%. Negative Impact: Unbudgeted Pediatric Service 5 FTEs; Unbudgeted Sitters 23 FTEs; Increase in Nursing Orientation due to filling core positions with NSI Initiative to offset high Contract Labor Utilization 20 FTEs (Contract FTEs under budget by 28 FTEs and PY by 43 FTEs) Gain from Operations The Gain from Operations fell below budget by $17.8M or -63.8% year to date. Total Operating Expenses on a year to date basis are below budget by $3.2M or 1.74%. This is being impacted by the Net Revenue decline of $18.4M, negative rate -$22.5 offset by positive volume of $4.1M. Negative impact: Accelerated Depreciation of SW Bldg $2.4M ($1.2M per month through Feb 09) Highlights AHCA approves transition and move plan from SW/GC to the new facility Healthgrades 2009 Pulmonary Care Specialty Excellence Award- Top 10% of Hospitals nationwide for Pulmonary Care.

LEE MEMORIAL AUXILIARY 2007-2008

After 16 years as an Auxilian, I still marvel at the willingness of so many capable and dedicated volunteers to give so completely of their time, their expertise and themselves in support of the Lee Memorial Health System. This was my third year as President of the Lee Memorial Auxiliary. It was truly an honor for which I will always be grateful.

he Lee Memorial Auxiliary is ending a productive and exciting year. With all of our many activities, there are several things that stand out.

• THRIFT SHOP We have focused our efforts toward the goal of opening a new Thrift Shop. After meeting weekly and exploring, researching and negotiating several options, the Thrift Shop Committee has found the ideal location on South Cleveland Avenue. Combining visibility, accessibility, and square footage at a cost substantially less than market value, the new Lee Memorial Auxiliary Pink Bazaar Thrift Shop has been approved by the LMHS Board of Directors. It is expected that the shop will be operational by mid-November.

After closing the Pink Bazaar Thrift Shop in 2006, the Auxiliary has not only been missing a major revenue producer, but also a valuable community service, a source of camaraderie, and a key avenue to promote the programs and policies of LMHS. The resurrection of this favorite Auxiliary service is rejuvenating, energizing, unifying, and garnering much enthusiasm and support from both members and the public.

T

• COFFEE BAR Chocolattes, the coffee bar that pays the Auxiliary a commission on sales, branched out from Healthpark Medical Center and has opened a sister location in the Cafeteria at Lee Memorial Hospital. This provides the Auxiliary with additional funds to focus on our mission of supporting LMHS and provides something special for LMH staff, physicians, volunteers, patients and visitors.

• FUNDRAISING We have set our own record for the number of fundraising events held in one year, raising over $81,000 as of September 1. These activities require great organization, detailed bookkeeping and follow-up, numerous volunteers and are yet another way to interact and team-build.

A new event we hosted this year was our Gold Buy-Back. Instead of selling to employees, we had a representative buying from them. Nobel Jewelers bought over $40,800 worth of unwanted gold items from employees, generating a commission of $8,165 to the Auxiliary.

In addition to book sales, uniform sales, linen sales, candle sales, pots and pans sales, jewelry sales, cookbook sales, and popcorn sales, our baby picture service, post offices and Bright Ideas Gift Shops were a major part of our income. We also raise funds through dues and donations and our famous Bakeless Bake Sale (where donations are made for what someone would have spent if they had had to bake something). One of our fun events that generates community participation is our annual Fashion Show – this is a great afternoon of food, gifts and laughter.

• JOINT EFFORTS Other significant accomplishments this year were our joint efforts with the Auxiliaries of Cape Coral Hospital and Southwest Florida Regional Medical Center. Last year we held a combined theatre night and began regularly working together on planning fundraising sales. This year we helped spearhead the efforts to get a Chocolattes on sight at SWFRMC.

We also helped raise over $49,000 for the Cape Coral Hospital Auxiliary Uniform Business by changing vendors from our usual Uniform Company to their new venture. This switch also enabled them to get uniforms at a lower wholesale price. They in turn gave us a commission of $12,254 - which was almost $2,000 more than we received from our previous sale. Plus they did the bookwork! As part of this joint effort, we have set up shop in Bright Ideas to provide uniforms supplied by the Cape Uniform Business that we will sell to employees. We will make a profit from this venture as well. This promises to be a win-win situation for us all, as we focus our sights on our common mission of working for the benefit of LMHS, our patients and our community.

e continued our volunteer staffing of numerous LMHS Foundation events, community fundraising events, health fairs and more. There are always willing individuals to give extra time to LMHS

and community activities. W

s of August 31, 2008, we have approximately $263,600 that has not been committed. This year so far, $116,000 has been donated for the benefit of the patients of LMHS and our community:

$65,600 for Emergency Code Cart and $50,000 for the LMHS Grant Program. Because of the anticipated opening of the Thrift Shop, we have been holding funds but hope to allocate additional dollars for department requests at our September 24 Board meeting.

A

n addition to our 825+ Auxilians, I would like to give special thanks to the 2007-2008 Auxiliary Board of Directors: Vice President of LMH Jean Perkins, Vice President of HPMC Ketki Shah, Vice

President of Membership Tommie Schott, Secretary Al Kinkle and Treasurer Jim Martin. Our Members-At-Large were Mike Feeney, Nora Harmon, Sandy Heise - Fundraising Chair, and Mary Jane Rockas. The Nominating Committee deserves special thanks as well: Chair Don Fjellin, Betty Fowler, Bob Geiger, Evelyn Giesel, and Margaret Griffiths.

Donna Bradish, Director of Volunteer Services/Auxiliary Development LMH, continued as my mentor, sounding board and friend. Jill Palmer, Director of Volunteer Services/Auxiliary Development HPMC, provided her ongoing support. Jon Cecil, Chief Human Resources Officer and our Administrative Liaison kept me on my toes and always asked the right questions. Secretaries Jenn Paz, Pat Nyberg, Sandy Velez and Linda Johnson, and Bright Ideas staff Deanna Steinberg, Mitzi Callaway, Joanne Dennis, Tami Ornato and Judy O’Halloran each deserve a big thanks for all of their hard work.

Thanks to all of you as well. We appreciate your recognition of us and the role you let us play in the success of Lee Memorial Health System.

Respectfully submitted on September 25, 2008 Marianne Bechhold Marianne Bechhold Lee Memorial Auxiliary President 2007-2008

I



OLD BUSINESS



NEW BUSINESS



PRESIDENT’S REPORT

Jim Nathan CEO/President



BOARD OF

DIRECTORS’REPORTS



BOARD LIAISON REPORT

Cathy Stephens Board Liaison/Assistant to the Board

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

OCTOBER 2008

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1

2 10:30am - 12:00pm Joint Meeting with

Hendy County Board LaBelle, FL

1:00pm Governance

Committee of the Whole (LMH Boardroom)

3 NewsPress Hospital Candidate

Interviews

2:00p – District 1 3:00p – District 3 4:00p – District 5

4 5:00pm “DOC COGGINS”

Gala Gulf Harbour Yacht Club

5

6

7

8

9 Yom Kippur

1:00pm* Planning

Committee of the Whole (LMH Boardroom)

* Flu Shots Before & After

10

11

12 Foundation Event

“Together for Kids” Benefits

The Children’s Hospital

Gulf Coast Town Center October 12th – 26th

13

14

15

KERRY BABB

16 NATIONAL BOSS DAY

*****************************************************

FHA CONFERENCE Orlando, FL

OCT 16th-17th

>>>>>>>>>>>>>>>>>>>>>>>>>>>>

17

>>>>>>>>>>>>>>>

18 Foundation Event

6:00pm-9:00pm “Key to the Cure”

Benefits Lee Cancer Care

Saks Fifth Avenue BellTower, Fort Myers

19

20

21

22

23

24

Foundation Event “Drive to Hawaii” Golf Tournament

Benefits Lee Cancer Care

25

26

MARILYN STOUT

27 28

29 30 3:00pm Trauma District & Full

Board Board of Directors

Meetings (held concurrently)

(LCPEC)

31 HAPPY HALLOWEEN

******************************************************

Foundation Event “Helping Kids with Cancer” Radiothon

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:: TTuueess,, NNoovv.. 44tthh - Election Day TTuueess,, DDeecc.. 22nndd – Foundation Event: Evening of Appreciation SSaatt,, DDeecc.. 1133tthh – Annual Heart Walk, Centennial Park

FFoouunnddaattiioonn EEvveennttss:: For information on Foundation events, please call the Foundation office at 239-985-3550.

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, October 30, 2008

3:00pm

*Held concurrently with the Trauma Services District meeting*

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

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