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Hospital Boards Hold Meeting in Lee Town Hall

By Lynette Norris
Greene Publishing, Inc.

The board members of Madison County Hospital Health Systems, Inc., and the Madison County Health and Hospital Board held a noon meeting, one right after the other, at Lee Town Hall, Thursday, June 23.

While meeting as the first board, Board Chair Ben Harris opened the meeting with a big round of “thank you’s,” especially to Administrative Assistant Susan Yonce, who was attending her final Board meeting before “passing the torch to Crystal (Lee).”

Harris then discussed his meeting with Emerald Greene of Greene Publishing, Inc., and talked about the new feature in the Madison County Carrier both had agreed upon, “Hot Questions, Hot Topics,” in which editor Jacob Bembry would bring a question from the public to Hospital CEO David Abercrombie and have him answer it (the first installment has already run in the June 29 edition of the Carrier, where Abercrombie answered the question as to why the hospital has two boards).

Abercrombie stated that the feature was “an opportunity to keep the ball rolling,” adding that he saw it as an educational opportunity for the public as well as an opportunity for the newspaper to get its facts straight.  “There is so much misunderstanding out there,” he said.  “So much the public needs to know.”

Abercrombie’s remarks also referenced an earlier anecdote related by board member Oliver Bradley that a member of the public had accused the board of “hiding out” by holding their meeting in the Lee Town Hall.

They also discussed doing more advertising, since many people were unaware that they could get many procedures done at the hospital as opposed to driving to Valdosta or Tallahassee.  Harris added that changes in the way Blue Cross Blue Shield viewed procedures done in a hospital versus an outpatient facility had led to Blue Cross lowering the required co-pay, a boon for patients with insurance as well as for the hospital.  “We’ll be able to collect insurance for those procedures…as opposed to Medicare and Medicaid, where we lose money.”

In addition to Medicare and Medicaid, indigent care the hospital provides is another financial problem the board wants to discuss with the county commissioners at the next County Commission meeting.  There is a possibility that part of the one-cent sales tax could help alleviat at least some of the indigent care deficit by at least $250,000 a year, if the Commission votes in favor of it.  If it passes, said Abercrombie, “it will be the first time anybody outside the hospital has acknowledged that indigent care is a huge problem that needs to be addressed rather than left for the hospital to deal with.”

Later, during the second meeting, the board also discussed fundraising efforts, but decided that the sheer amount of funds that needed to be raised coupled with board members’ relative inexperience with fundraising of such magnitude meant that this was probably something a professional fundraiser organization should handle.

Howard Phillips proposed renaming the hospital for when the new facility was completed, and Annette Johnson suggested holding a contest to have Madison County residents to come up with a new name.  Suggestions for prizes included a cash prize with each board member personally contributing a portion of the prize money, or a collection of gift cards donated by local merchants.  Other ideas included getting schools involved by having each class of students come up with names; the winners would get an ice cream social, pizza party or a special field trip, with the cost split among individual board members.  When the final details have been ironed out, the board will announce the dates the contest will run and how people can submit their entries.

While on the subject of names, several board members wanted to named at least one wing or some other segment within the hospital after Charlie Moore, who had been at the forefront of the new hospital effort since 1999.
Meeting as the corporate board, Madison County Hospital Health Systems, Inc., the board members noted improvement in the “swing bed” numbers and were pleased with the higher volume of patients using the endoscopy program now the procedure was being offered every other week instead of weekly. Abercrombie noted that “it might be a pretty good fiscal year coming up.”

However, the finances still weren’t good enough for the board to hire an internist who had expressed interest in relocating from Tallahassee to a rural area like Madison.  Abercombie and others expressed regret at not being about to afford the doctor yet, but hoped that they could at some point in the near future.

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New Column: Hot Questions, Hot Topics

By David Abercrombie, MCMH CEO
WHY DOES THE HOSPITAL HAVE TWO BOARDS?
When I first came to Madison five years ago, I was informed that the hospital had two boards -a hospital district board and a hospital corporate board. I have to admit that it confused me. No doubt it confuses many of you too. Now that I understand the reason, let me pass that understanding on to you.
Just to get our bearings, the name of the hospital district board is: Madison County Health and Hospital District. The name of the hospital corporation is: Madison County Health Systems, Inc. For clarity sake, I’ll call one, “the District” and I’ll call the other, “the Corporation.”
Before April 7, 1983 there was only one hospital board – “the District” board. The hospital district is a sub-unit of state government and its board at that time, as it still is today, was appointed by the governor of the state.
The Corporation didn’t yet exist. At that time, all employees of the hospital were District employees and because the hospital was (and is) a subunit of State government, it was required by State law to participate in the State of Florida Retirement System. The State Retirement System contributed 100% of all contributions to each employee’s retirement fund. This cost the Hospital District about a million dollars every year. Looking at this long-range, that means that it cost the District about $10,000,000 over ten years! A million dollars each and every year could be saved by spinning off a non-profit corporation and allowing this non-profit corporation to lease the hospital building and equipment, employ all the hospital employees, and operate the hospital.
The District would then confine its scope of duty to owning and leasing the building and other such property, and ensuring that the healthcare was properly attended to by the non-profit corporation. It was decided back then that the same people the governor appointed to the District board would also serve on the Corporate board. Because it is so obvious, you’ll likely never ask this, but for the sake of completeness let me say that the board members that serve today are not the same people that served in 1983; nor, for that matter is the District’s lawyer the same. The passage of thirty years brings a lot of changes. So…here we are thirty years later and the hospital has still has the two boards.
The question has got to be asked: Okay, is it still necessary to have two boards? The answer is: “yes.” The non-profit hospital corporation (not the District) was issued the State license to operate the hospital. The District does not have a license to operate the hospital.
It would seem like an easy matter to transfer the license, but nothing is ever seems easy. There are a couple of very major hurdles to this. First, if the license to operate the hospital is ever turned back to the State, then there is no guarantee that the State would re-issue another license to a different owner. Certain criteria would have to be met and it would take time, lots of it. Secondly, Medicare has a long process when it stops paying one hospital owner and starts making those payments to another owner (different owners with different license numbers effectively mean a different hospital).

This can take up to an additional year AFTER the new owner has received its new license. All payments from Medicare (about 52% of all money coming into the hospital comes from Medicare) would probably cease for probably about a year, or longer. So, there would probably be no hospital in Madison County for at least a three year span, if everything went right. Obviously, the hospital, as a continuing entity, couldn’t survive such an experience. This doesn’t even take into account that the current 130 hospital employees and the medical staff would be scattered to the wind. The hospital would probably never open again. The hurdles are just too great.
Then why not get rid of the District board and keep the Corporate board? This can’t be done either. First off, as was mentioned earlier in this article, the district is a subunit of State government (a Special Act codified by Chapter 2003-333, Laws of Florida). These board members serve at the pleasure of the governor. The citizens of a county can’t arbitrarily shut down a subunit of State government. Secondly, and this is important – the loan to build a new hospital is made to the District, not the Corporation. So, regarding the two Boards – it is what it is… at least for several years into the future.
This existing two-board structure actual works pretty well. If there is a problem, it seems to be in the form of confusion and misunderstanding. It has been said that the corporation was implemented to hide information regarding the hospital’s operation. That is not so. As a matter of fact, the board meetings of both, the District and the Corporate boards are held at the same sitting, one immediately following the other. Both meetings are open to the public. It has always been that way.
Everyone reading this has a blanket invitation to attend either, or both, meetings. Meetings are held the fourth Thursdays each month at 12 noon. As a way to make these meetings even more accessible, one meeting each quarter is held in communities other than Madison. For example, the meeting of June 23rd was held at Lee. So check your public notice postings to be sure of the time, date, and locations. They are subject to change from time to time.

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Video: MCMH Hospital Board Holds Meeting in Lee

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