Feckless Broward Health Board Gulps the Cool-Aid

I’m trying to understand why I am so angry tonight after spending most of the afternoon and early evening at a pair of Broward Health Board Meetings.

I don’t think that the fact the Board, after a transparent charade, would choose now indicted and under an ethical cloud Interim CEO Capasso as Broward Health’s permanent CEO made me angry.  After all, last year I wrote an article “Barrett Continues to Purge Top Broward Health Employees,” and I predicted that the Board would appoint Capasso, so that wasn’t a surprise.

In that article I wrote:

…” the permanent CEO search has been alternatively started, stopped, started, pending primarily at the initiative of Board member Chris Ure.  Meanwhile, a costly “outside independent consultant” has been conducting the non-existent search and vetting candidates for a job that most think has already been filled by a Governor Scott’s appointment Capasso through what many consider an illegal Board action.

And

… “Currently, there is no discernable effort to find a permanent CEO to replace the interim CEO, Beverly Capasso.  And while this non-effort continues, Ms.Capasso is hiring permanent staff to fill purged employees.  This is not the action of an interim.  I again give voice to the generally accepted charade that predicts Capasso is here to stay until a competent and proficient Board is appointed.

And

… “The unavoidable optic of these “resignations” is that Broward Health Corporate Counsel Lynn Barrett, apparently together with her pal – Interim Broward Health CEO Beverly Capasso, appear to be consolidating their hold around the neck of Broward Health, purging anyone in their path.  The feckless Board continues to turn a blind eye and seems indifferent to the thousands of employees and the public they purportedly serve.

I don’t think that the fact that Capasso could not and did not meet the qualifications to become the CEO of Broward General when she applied and was turned down for that position, let alone the standards set by the Board for all the applicants of the CEO of the Broward Health system made me angry.

I admit I got a little angry at the three black ministers plus a political operative with questionable providence,  who, after meeting with Broward Health “Senior Staff,” said that not only did they represent the community but that the community wanted the Board to select Interim CEO Capasso for the permanent position.  These “representatives” might represent their congregations, but they certainly don’t represent the black community as a whole nor do they even come close to representing the Broward Health community:  not the physicians, not the employees, not the staff, not the vendors of goods or services and certainly not the taxpayers or close to two million residents in the Broward Health district.

This Blog gets some 30,000 pageviews per month, and I hear from hundreds of readers regularly.  They tell me their views, and they share their stories with me.  Many times, I have shared their stories with you through my writing.  I would submit to you that that is far more representative than our four wise men claiming they represent “the community.”

I also got a little angry when the “Senior Leadership” presented their sub-par grades for the four applicants which ranged from a one to a 2.9 on a scale of 5.  I was angry that a committee comprised almost exclusively of persons hired by Capasso torpedoed the four applicants for CEO, and the Board just gobbled up that crap without question.

I wasn’t even particularly angry when a practiced, meek and humbled Capasso accepted the permanent CEO position saying “gee, golly, I’ll have to sacrifice my lifelong desire to get a doctorate in nursing” (in spite of the fact she would need first an accredited masters degree) and all for a measly $700 thousand a year.  (I’ll bet her new contract will be much higher and with a generous severance!)

I think disappointment is what triggered my anger.  I had hoped that the new Board appointments would help get Broward Health back on track.  I hoped that they would see through the nonsense and install a real, independent and experienced CEO in whom the real Broward Health community could have faith.

If I were a cynical person, I would bet that the appointment of Capasso as permanent CEO was orchestrated, just barely in the sunshine. Regardless, the Board’s decision was certainly manipulated, whether they know it or not.  What this Board does if Capasso gets convicted on all counts will be interesting, even more so if she is found to have violated Florida’s ethics rules in voting for herself as well. Perhaps the Board will shrug the conviction off parroting what one new commissioner said: “It’s just a misdemeanor!”  So who cares about Florida’s Sunshine laws.  Certainly not the Governor, and apparently not the Board.

Oh, one last thing before I close.  The Board in appointing Capasso gleefully exclaimed how everything was so wonderful.  This letter from the Unified Medical Staff at Broward Health dated a few days ago paints a very different picture.

1/19/18 Unified Medical Staff Letter to CEO & Board

 

To respond to the Board when a few of them asked for community input.  Let me summarize; I think the community wanted a deliberate, fair and impartial selection of a professional, experienced and independent CEO.

Instead, the Board insulted the community with banal pandering of the worst sort and utterly failed in one of their most important tasks.  So, same old, same old.  I’m not angry anymore, just sad.

Here are the videos of the meetings.  The real hero on the Board was the one principled “No” vote from Rocky Rodriguez.

Note: Check back in the next day or so for the Agenda Packet update.

1/31/2018 – 1:00pm Special Board Meeting on the CEO Selection

1/31/2018 – 4:00 pm Regular Board Meeting where CEO Decision Ratified & sweetened.

1/31/2018 Broward Health Regular Meeting Packet Excerpts:

1/31/2018 Broward Health Regular Meeting Packet Excerpts
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Broward Health Saw Massive Changes in 2016-2017: HHS Report

I attended several committee meetings and the Broward Health Board meeting on November 29th.  At that meeting, the Board approved and certified with their signature a massive 836-page annual report required by the 70 million dollar settlement with the federal government.  Tthe scope of this Second Annual Report is the period from August 31, 2016, through August 30, 2017.

I requested a copy of this report as it’s appearance and certification at a public meeting of the Broward Health Board automatically made that document a public record.  After multiple requests, I received a heavily redacted copy of this report on January 23rd after the 2nd round of CEO interviews.

Although I requested a “redaction log,” a log identifying with specificity the legal justification for each redaction, this has yet not been provided.  When I receive the log, I will post it.  Without reading the entire document, I noticed blocks of full pages completely redacted, which I believe, will be difficult to justify.  I will keep you posted.

A full copy of this scanned report is linked below.

I have only read to page 6 of the report, but I am struck by the massive number of personnel and structural changes that have occurred to senior leadership in only this year.  All these changes while the Board delayed selecting a permanent outside, experienced and competent CEO.

I thought it would be instructive to list the changes here because the sheer number of changes illustrates the very real impact of the Board’s failure to appoint a permanent CEO.  It has massively destabilized the organization as well as senior and middle management.  Further, and to an unknown extent, some of these changes have certainly usurped the ability and prerogative of the permanent CEO to establish and manage his team.

It is widely believed that this was intentional to pave the way for the permanent appointment of the indicted interim CEO  Beverly Capasso, and appoint a protection layer for the similarly indicted Corporate Counsel Lynn Barrett.

In any case, it is critical that the Board not delay its selection of a permanent CEO and select one of the four finalists interviewed earlier this week.

Here is the change list found in the report pages 1-6.  Note: In most cases “resignation” and “retired”  means “Fired, terminated…”

  • On I 0/14/2016, following her resignation, Ms. Vinnette Hall was removed as a member in her role as Chief Internal Auditor; Nigel Crooks attended the Compliance Committee meetings in 2017 as the representative of Internal Audit. Mr. Crooks was appointed by the NBHD Board of Commissioners a the Interim Chief internal Auditor on 09/25/2017.
  • Following her termination, Ms. Pauline Grant was removed as a member in her role as Interim President and CEO on 12/01 /2016 and Kevin Fusco replaced her as Interim President and CEO.
  • On 01/10/2017, following her resignation, Ms. Alumine Bellone was removed as a member in her role as Director, Risk and Insurance Services.
  • On 01/12/2017, following her resignation, Ms. Maria Panyi was removed as a member in her role as Vice President, Physician Services and Dan Westphal replaced her as Interim Vice President, Physician Services. Ms. Beth Cherry was hired as Vice President, Physician Services effective 09/08/2017.
  • Richie Persaud was added as a member in his role as Corporate Procurement Officer and Director of Materials Management on 03/30/2017.
  • Patricia Phelan was added as a member in her role as Director, Health Plan Administration on 03/30/2017.
  • Robert Vaccaro was added as a member in his role as Director, Payroll on 03/30/20 17.
  • Kathleen Collins was added as a member in her role as Manager, Accounts Payable on 03/30/2017.
  • Kevin Fusco was removed as a member in his role as Interim President and CEO on 05116/2017, following the appointment of Ms. Beverly Capasso as Interim President and CEO.
  • Kevin Fusco was removed as a member in his role as Senior Vice President, Chief Operating Officer on 05/26/2017 following his retirement. Mr. Gino Santorio was hired as Senior Vice President. Chief Operating Officer effective 09/25/2017.
  • Jeffery Suarez was added as a member in his role as Interim Director, Risk and Insurance Services on 05/28/20 17. Mr. Jeffery Suarez was named the Director. Risk and Insurance Services effective 09/03/2017.
  • On 06/24/2017, following his resignation, Dr. John E. Delzell, Jr. was removed as a member in his role as Vice President, Designated Institutional Officer.
  • On 07/20/2017, following her resignation, Ms. Doris Peek was removed as a member in her role as Vice President, Chief Information Officer.
  • On 08/09/2017, following her resignation, Ms. Dionne Wong was removed as a member in her role as Senior Vice President, Chief Human Resources Officer. Mr. Peter Yamora was hired as the Senior Vice President, Chief Human Resources Officer effective 0911 8/2017.
  • Following the resignation of Mr. Sprada, NBHD [Interim CEO] decided to eliminate the position of Vice President, Chief Nursing.
  • Arthur Wallace was removed as a member in his role as Senior Vice President, Chief Financial Officer (Interim) on 08115/2017, and Mr. Alan Goldsmith replaced him in his role as Senior Vice President, Chief Financial Officer. Mr. Arthur Wallace retired as Vice President, Finance on 09/30/2017.
  • Donna Lewis was removed as a member in her role as Vice President, Chief Compliance and Privacy Officer on 09113/20I6 and Mr. Val Aubourg, Esq. replaced her in his role as Interim Vice President, Chief Compliance, and Privacy Officer from 09114/20I6 to I 0/28/20 16.
  • Mr. Nicholas Hatfield was added as a member in his role as Interim Vice President, Chief Compliance and Privacy Officer on l l/14/20I6. Mr. Nicholas Hartfield was named Vice President, Chief Compliance and Privacy Officer on 11 /29/2017.
  • Commissioner Joel Gustafson resigned from the Board of Commissioners on 09/ 1/20I6.
  • Commissioner Beverly Capasso was appointed to the Board of Commissioners by the Governor of Florida on 10/21/2016.
  • Commissioner Maureen Canada’s term ended on 12/16/2016.
  • Commissioner Sheela VanHoose resigned from the Board of Commissioners on 01/01/2017.
  • Commissioner Steven Wellins was appointed to the Board of Commissioners by the Governor of Florida on 04/17/2017.
  • Commissioner Beverly Capasso resigned from the Board of Commissioners on 05/09/2017.
  • Commissioner Andrew M. Klein was appointed to the Board of Commissioners by the Governor of Florida on 08/25/2017.
  • NBHD President/CEO a. Ms. Pauline Grant served as Interim President/CEO until her termination on 12/01 /2016.
  • Kevin Fusco served as Interim President/CEO from 12/01/2016 until the appointment of Ms. Beverly Capasso as Interim President/CEO on 05/16/2016.
  • Chief Internal Auditor, Ms. Vinnette Hall, served as Chief Internal Auditor until her resignation on 10/14/2016.
  • Nigel Crooks was appointed by the BHD Board of Commissioners as the Interim Chief internal Auditor on 9/25/2017.
  • Mark Sprada served as Interim Regional CEO, Broward Health Medical Center, until his resignation on 08/1 1/2017. Ms. Sandra Todd-Atkinson was named Regional CEO. Broward Health Medical Center effective 11/1/2017.
  • Kimberly Graham served as Regional COO/CNO Broward Health Coral Springs until 03/20/2017.
  • Michael D. Leopold began serving as the Regional COO Broward Health Coral Springs on 03/20/2017.
  • Thomas W. Kester began serving as the Regional COO, Broward Health Imperial Point on 09/04/2016.
  • Ronald Brandenburg served as Regional CFO, Broward Health Coral Springs until his resignation on 7/13/2017.
  • Mr. Onel Rodriguez, Jr. was hired as Regional CFO, Broward Health Coral Springs effective 9/25/2017.
  • Grace King served as Regional Director. Human Resources, until her transfer to Regional Director, Human Resources, Broward Health Corporate on 08/06/2017.
  • Carl A. McDonald began serving as Regional Director, Human Resources, on 08/06/2017.
  • Carl A. McDonald served as Regional Director, Human Resources, Broward Health Imperial Point until his transfer to Regional Director, Human Resources, Broward Health North on 08/06/2017.
  • Gary Lyew-Ayee was hired as Regional Director, Human Resources, Broward Health Imperial Point effective 09/05/2017.
  • Doris Peek served as served as Senior Vice President, Communications, and Marketing until her resignation on 07/20/2017.
  • Charlotte Mather-Taylor began serving as Interim Senior Vice President, Communications, and Marketing, fi·om 08/06/2017 to 11/10/2017.
  • Denise R. Moore was hired as Vice President, Communications & Marketing effective 11/14/2017.
  • Dionne Wong served as Senior Vice President, Chief Human Resources Officer until her resignation on 8/9/2017.
  • Peter Nyamora was hired as the Senior Vice President. Chief Human Resources Officer effective 09/ 18/2017.
  • Arthur Wallace served as Interim Chief Financial Officer until 08/15/2017. Mr. Arthur Wallace retired from NBHD as the Vice President. Finance effective 09/30/2017.
  • Alan Goldsmith began serving as Chief Financial Officer on 08/15/2017.
  • Kevin Fusco served as Chief Operating Officer until his retirement on 05/26/2017.
  • Gino Santorio was hired as Senior Vice President, Chief Operating Officer effective 09/25/2017.
  • Maria Panyi served as Vice President, Physician Services until her resignation on 01/12/2017.
  • Dan Westphal began serving as Interim Vice President Physician Services, on 01 / 13/2017.
  • Beth Cherry was hired as Vice President, Physician Services effective 09/8/2017.
  • Doris Peek served as Chief Information Officer until her resignation on 07/20/2017.
  • John Delzell, Jr. served as Vice President, Designated Institutional Officer until his resignation on 07/24/2017.
  • Donna Lewis served as the Chief Compliance and Privacy Officer until her termination on 09/13/2016.
  • Val Aubourg served as Interim Chief Compliance and Privacy Officer from 09/14/2016 until his resignation on 10/28/2016.
  • Nicholas Hartfield began serving as the Interim Chief Compliance and Privacy Officer on 11/ 14/2016. Mr. Nicholas Hartfield was named Vice President, Chief Compliance and Privacy Officer, effective I 1/29/201 7.

(This is a huge report – may take a few minutes to load!)
Click here download the full scanned report 

Broward Health 12/04/2017 HHS-OIG Corporate Integrity Report
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Christopher Ure tries to derail Broward health CEO selection, again!

Broward Health Special Board Meeting 1/23/18-
2nd set of CEO Interviews

Today I attended and recorded the Broward Health Board interview the last two of four CEO finalists. That is four of some 4-600 applicants for the CEO job at Broward Health. Both candidates today were exceptional and in my view, all four candidates – the two from yesterday, and the two today all demonstrated the competence, experience, and objectivity that any public board would seek.

You can watch today’s interviews below, and I have also posted the agenda packet containing their CV’s.

But, before you review the interview video, you might want to view the Board discussion that occurred immediately after the final interview finished.

Let me provide you with some context to the discussion.

Over a year ago, the Board spent hundreds of thousands of dollars searching for a CEO. Candidates were selected and culled down to a manageable list to interview. Then hypocrite low-life Christopher “Guy Weston” Ure, as chair of the Human Resource committee directing the CEO search, announced to a stunned Board meeting audience that he recommends that the Board “suspend” their search for a permanent CEO until the Board better understood what the CEO job entailed. “He just wasn’t comfortable going forward.”

As a glorified insurance salesman masquerading as a “wealth advisor,” hypocrite low-life Christopher “Guy Weston” Ure has not provided any evidence that he knows anything about top executive recruiting let alone hiring a top-level CEO for a billion-dollar organization, so one could only imagine the source of his discomfort.

Frustrated with the lack of progress and focus on the CEO search and furious that Ure was appearing to advocate for a multi-million dollar “management” consultant instead of a CEO, Chairman Rodreguez masterfully applied the “peter” principle and moved Ure out of the CEO search. Chairman Rodreguez then asked newly appointed Commissioner Wellins to serve with him on a new CEO search committee.

The new search committee of Wellins and Rodriguez immediately got down to business and refocused the search firm resulting in 4-600 applications. These applications resulted in 10 semi-finalists and six scheduled for Board interviews. Over time, the six became four.
I and a fair number of others were skeptics. Because the interim Broward health CEO was so aggressively modifying senior management structures and personnel during the “interim,” we believed that although feigning that the appointment was temporary, she intended it to be permanent.

(I should remind you the interim CEO together with Broward Health’s corporate counsel, and three board members (2 active & 1 previous member) were recently indicted for the manner in which she was appointed interim CEO. Those indictments are in the courts with a court date as early as February 9th.)

Chairman Rocky Rodriguez is right when he advocates for an independent, competent, objective and experienced CEO without entanglements to Jackson Hospital system, Governor Scott, Corporate Counsel Lynn Barrett, or Bill Rubin just to name just a few. Without such a person, the system will never be able to dig itself out of the hole in the public’s trust in which it finds itself, and Rocky intuitively knows that.

Watch as Hypocrite Low-Life Christopher “Guy Weston” Ure today tried to derail the CEO selection again & Broward Health Staff tries unsuccessfully to put indicted interim CEO Beverly Capasso into consideration. If I were the cynical type, I might imagine all kinds of nefarious motives for both, but I’m trying to be a better person.

In spite of these misguided efforts, watch as Chairman Rocky Rodriguez decisively stays on course and sets Board on task to make a CEO selection from the four candidates on January 31st.

Then watch the interviews and be as impressed as I was at the quality of the candidates. Just what the doctor ordered!

Board Discussion after interviews

Unedited Interviews & Meeting

Meeting Agenda Packet:

BH January 23, 2018 Special Meeting
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Broward Health Board Interviews First Two CEO Finalists

After more than two years searching for a permanent Chief Executive Officer, the Broward Health Board began it interview process today with the first two of four finalists.

Perhaps the seminal moment came at the end of each interview with a question from Chairman Rodreguez. He asked plainly – where does quality start [at Broward health]?

The interviewees wisely sidestepped the question through a patient care perspective because the correct answer – that quality starts with the Board and senior management would necessarily open a difficult and impolitic discussion about the pending indictments of two of the five Board members, the corporate counsel, and the current interim CEO.

Some of the Board member questions made it evident that they still fail to understand or appreciate the fundamental truth of Broward Health.

The Fundamental Truth – Broward Health is a public enterprise which is so much more than just a hospital system to the community. It is a healthcare safety net. It is an economic engine providing jobs and training in the community. It provides career paths and opportunities to our educational footprint. It is an organization that is entirely owned by and serves the public reinvesting profits and people into our community. Broward Health is not a private hospital system that does some charity work.

Neither the Broward Health Board nor its management believes this truth.

Decades ago, Fort Lauderdale leaders established the Hospital System on public lands and with public monies because they did not want their health care left up to market forces which at the time were failing to serve the community. Over time, this system became the public’s “safety net” in an overly complex health care fabric. Out of these public seeds grew one of the largest hospital systems in the country – Broward Health. A publicly owned, publicly managed, public health care system with over 6,000 mostly dedicated employees that was and is the envy of private interests that everyday covet Broward Health’s assets and money. I wrote an article about Broward Health’s beginnings which you can read or reread by clicking here.

This history is important because the current Board of Commissioners and senior management appear to be doing everything they can to privatize and consume the public’s health care assets for both private and political gain while making a concerted effort to exclude any public oversight or participation.

The Current Broward Health Board

Andrew Klein

Nancy Gregoire

It’s a broad brush, so let me be a little more specific and, at least for the time being, exclude the two newest Board appointments from criticism. Both Andrew Klein and Nancy Gregoire appear thus far to be not only remarkably competent but skeptical about management and recent Board actions, and they should be. It is a good thing that they do not appear to accept management’s and legal’s representations on face value. I hope they will continue to listen to what staff is telling them with some skepticism and more importantly listen to what staff is not telling them. Time will tell.

Steven Wellins

While I had some hope for Steven Wellins, the third newest Board appointment, that hope has mostly evaporated. He is a senior officer with Well Fargo Bank which has many entanglements with Broward Health which required Mr. Wellins to recuse himself on some important matters. But more importantly, he appears to gulp the cool-aide and become more a cheerleader than someone with serious public oversite responsibilities.

Christopher “Guy Weston” Ure

Commissioner Ure, or as I call him “Guy Weston” is a person of low moral character even for an insurance salesman masquerading as a “wealth manager.” Not only was he indicted for willful violations of Florida’s Sunshine laws, but he is also still under investigation for additional official misconduct as detailed in my “Commissioner Ure = Bully Busted” article. Not only does he not get it, but he also will never get it. As long as he is on the Board, he will be a public embarrassment to Governor Scott and us.

Rocky Rodriquez

Chairman Rocky Rodriguez is and has been my friend for more than 35 years. He cares about the community and selflessly serves. He’s in trouble because he has been and I believe legal counsel Lynn Barrett and others continue to mislead him with poor advice. Rocky is just too trusting for the job. He was correctly indicted on Sunshine violations, and he should have known better. I feel sorry for my friend.

The Governor continues his more than two-year refusal to fulfill his constitutional obligation to make appointments to complete the seven Broward Health member Board. His irresponsibility will certainly be a campaign issue should he finally announce his much rumored and expected candidacy for United States Senate. Certainly, the more than 6,000 health care employees and close to 1,000 physicians, not to mention the many vendors and suppliers that the Governor’s failure in appointing Board members has adversely affected will be a potent political block. Not smart Governor!

With this backdrop, the Board interviewed it’s first two candidates. Here is the meeting:

Meeting Agenda Packet:

BH January 22, 2018 Special Meeting
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State Attorney Michael Satz attacked by Broward Health Attorneys in Public Meeting

December 20, 2017, Broward Health Regular Board Meeting
[Updated 12/21/17: 8:00a.m.]

In an otherwise non-descript regular meeting of the Broward Health Board of Commissioners, an orchestrated kumbaya for Broward Health’s Board with Broward Health’s outside counsels and a senior staff member allegedly representing the employees strangely began the usually silent public comments item at the start of the meeting.

Former Attorney General Bob Butterworth began the public comments by extolling the virtues of the Board, omitting the fact that he is on their payroll and likely being paid for his time. Bob has been my friend ever since he was appointed Mayor of Sunrise, then appointed Sheriff of Broward County, all prior to his election as Attorney General.  To be fair, some of his laudatory comments carry some truth, but not for all the board and certainly not for all of the indicted.  However, in fairness – he should have made it clear he was praising his bosses.

Next came Mr. Mitchell, another Broward Health outside counsel working with Butterworth who huffed and puffed about how unjust the Grand Jury was to his clients, I couldn’t help but think of Richard Gere singing Razzle- dazzle in the musical Chicago.,

Roxie, you got nothing to worry about.
It’s all a circus, kid. A three ring circus.
These trials- the whole world- all show business.
But kid, you’re working with a star, the biggest!
Give ’em the old razzle dazzle
Razzle Dazzle ’em
Give ’em an act with lots of flash in it
And the reaction will be passionate
Give ’em the old hocus pocus
Bead and feather ’em
How can they see with sequins in their eyes?

Seemingly to prove his point, he exclaimed in a disingenuous voice – that he had a witness that would vindicate the indicted and that Mike Satz knew about the witness and did not subpoena him to appear before the grand jury.   What injustice! Well, what he did not share with those assembled in the meeting was that the witness was indeed invited to appear before the grand jury but refused to do so without immunity.  The same was true for Bob Butterworth.

So it begs the question; why wouldn’t they appear without immunity?  Well, I think the question answers itself.

The State Attorney, Michael Satz, and his assistant state attorney Tim Donnelly showed remarkable restraint in only indicting those charged with violations of the sunshine laws.  I am told that there are currently other matters under investigation and perhaps we will hear more in the near future.  That being said, one has to wonder what the purpose of having Broward Health’s outside counsel come to address the board as part of public comments instead of the more dignified, and appropriate time as part of Broward Health’s regular Corporate Counsel’s report.   Oh, I forgot, the corporate counsel no longer gives a report.  Used to be…  but that’s for a future article.

Then the meeting got interesting, starting with the articulate Senator Perry Thurston who wondered out loud why there seem to be some rules if you are black and other rules if you are white.

They justly wondered why the rules for an accused black Broward Health interim CEO who was summerly fired based upon an allegation, a mere investigation – when the current white interim CEO keeps her job after being charged with a crime.  I wrote about this in my previous article, so I won’t rehash the argument here.  The argument was eloquently stated by State Senator Perry Thurston.

Here’s how the Sun-Sentinel saw the public comments:

Broward Health board attacked after indictments
David Fleshler

“The leaders of Broward Health sat stone-faced Wednesday afternoon as several black leaders accused them of hypocrisy for clinging to their positions despite the indictments that shook the public hospital system. Four people at the table — two board members, the general counsel and the interim chief…”

There were a few other curious matters during this meeting into which I need to do some investigation, but I want to post this as quickly as I could so I will end the post here.

Just the public comments portion of the meeting:

The full unedited Board meeting:

BH December 20, 2017, Board Meeting Agenda Packet
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Broward Health: More whistleblowing and Thursday’s board meeting of the indicted

By Dan Christensen, FloridaBulldog.org – More whistleblowing at Broward Health as board meeting with indicted commissioners and counsel draws near.

…”The latest case, filed in Broward Circuit Court Dec. 8, accuses Broward Health, through General Counsel Lynn Barrett, of firing former CEO Pauline Grant on Dec. 1, 2016 “in retaliation for actions she took in an attempt to investigate and remedy misfeasance and malfeasance within the public agency.”

…”Also still unfolding is Broward Health Commission Chairman David Di Pietro’s politically explosive whistleblower complaint, first reported by Florida Bulldog in September. In an amended complaint, Di Pietro has included more information about alleged political influence and bribery.”…

Read the whole story: Broward Health: More whistleblowing and Thursday’s board meeting of the indicted

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Broward Health Indictments – Booyah!

On December 12th, the Broward County Grand Jury indicted Broward Health Board Chairman Rocky Rodriguez, Commissioner Christopher Ure, former Commissioner Linda Robison, General Counsel Lynn Barrett and Broward Health Interim CEO/President and former Commissioner Beverly Capasso for violating Florida’s Sunshine Laws as well as conspiracy to violate Florida’s Sunshine Laws.

Broward State Attorney Mike Satz and assistant State Attorney Tim Donnelly should be thanked for representing the public interests in bringing these indictments.  It took courage and character. Knowing something about the circumstances surrounding these indictments – I have no doubt that in a fair trial by either a jury or judge – there with be convictions or plea-bargained settlements.

Before I get to my analysis, let me “set the table” for my discussion.

You can read news stories about these indictments in most of the local publications and blogs (e.g. Broward Beat, Florida Bulldog, The Sun-Sentinel, Local10 – Bob Norman)  Buddy Nevins of Broward Beat lists the indictment counts and it bears repeating here for context.

  • Count I of the Indictment alleges that the four commissioners met out of the public eye through conduits or intermediaries to hold defacto meetings at a hotel, restaurant, and/or by telephone to discuss a “reportable event” allegedly committed by them North Broward Hospital District Interim CEO/President Pauline Grant, prior to the District’s December 1, 2016, Special Board Meeting
  • Count II of the Indictment alleges that the four commissioners violated the Sunshine Law at the December 1, 2016 Special Board Meeting by not properly noticing to the public the proposition and action they took regarding the termination of Pauline Grant
  • Count III of the Indictment alleges that General Counsel Lynn Barrett solicited the commissioners to violate the Florida Sunshine Law.
  • Count IV of the Indictment alleges that the General Counsel and the Commissioners conspired to violate the Florida Sunshine Law.

In reaction to the indictments, my friend Robert Butterworth (Counsel for Broward Health and former Florida Attorney General) and Roberto Martinez issued the following ill-advised statement.

Media Statement from Robert A. Butterworth and Roberto Martínez regarding action taken by the Broward County State Attorney:

This is the most misguided prosecution we have ever seen.

Instead of protecting the new management and commissioners at the North Broward Health District, who have been intimidated and harassed while cooperating with federal and state law enforcement officers to root out corruption and violations of the federal health care laws, the State Attorney’s Office (SAO) allowed itself to be manipulated by the very same people who were replaced because of their mismanagement and corruption. The SAO deliberately disregarded the reports of the federally mandated Independent Review Organization issued to the Office of the Inspector General of the Department of Health and Human Services describing the pattern of obstruction and other potential violations of the laws by some former executives and commissioners.

This deeply flawed investigation was predetermined, biased, and manipulated from the start.

The SAO’s professed interest about enforcing the Sunshine Laws is contradicted by its refusal to subpoena the most critical witness to the grand jury that has essential exculpatory evidence about defendants’ compliance with the Sunshine Laws.

All the defendants are innocent and will be exonerated at the trial.

Let’s be clear. If it walks like a duck, quacks like a duck – sometimes, it’s a duck!

First the obvious.  Of course – to any reasonable person, the Board and Lynn Barrett violated the sunshine laws.  The record of the December 1st, 2016 special board meeting could not reasonably support any other explanation for the instantaneous, abrupt and draconian actions taken completely absent any deliberation or discussion.

A Pattern of indifference

As in any case, the problem is proof of the obvious – and for that, the Grand Jury heard testimony apparently sufficient to indict.   Since the replacement of the very capable Corporate Counsel Sam Goren in 2015 with the current Counsel Lynn Barrett, Broward Health talks about transparency yet has established a pattern of apparent bush-league Sunshine violations from the failure to properly notice meetings, action on agenda walk-on items without sufficient cause, failure to provide meeting materials to the public and providing the public an opportunity speak to every agenda item.   Routinely, public matters are discussed in “strategic” shade meetings like the advertising and marketing contracts with “Outside Eyes”, and “Zimmerman” as well as a variety of district priorities and their associated budgets. I have written may posts about these issues over the last three years (See my archived Posts).  These continual violations have been without consequence so it is not difficult to understand that when a potential real problem requiring Board Action arises – why not just do what is expedient.  At Broward Health, too often it appears that to management and Miss Barrett, in particular- the end justifies the means.

While historically there have been Sunshine miss steps at Broward Health prior to Miss Barrett, the team of Board Chair DiPietro, CEO Nabil El Sanadi, and General Counsel Barrett made a mockery of the Sunshine Laws, transparency, the system’s financial stability and any public accountability let alone participation.   Competent staff were driven away or purged, important clinical programs and initiatives were abandoned in favor of “special deals”, and of course – the flag ship deal of “Outside Eyes” and Zimmerman advertising linking Broward Health politically and financially with DiPietro, Broward County Commissioner Chip LaMarca (now candidate for a state house seat).  You will recall that the legacy of at least part of this deal was a reportable event in the opinion of the Independent Reporting Organization (IRO).   I spent some time documenting these matters contemporaneously and if have read any of my past posts you know that I could add to the above list with many more examples of mismanagement. (I have reason to believe that “other agencies” still have this particular issue under investigation..)

The reason I digress historically is that it is this mismanagement that is Broward Health’s greatest challenge today, and one of the Board Commissioners was there through it all; Chairman Rocky Rodriguez.  Rocky has been my friend for more than three decades, and I can tell you absolutely that Rocky would not knowingly violate Florida’s Sunshine laws yet I believe he absolutely did violate the sunshine laws.  How could this happen?  In my view, he was given bad advice that he would be acting within the law.  But Rocky should have known better.   Rocky did know better.

Rocky’s other problem is that obligations under the Sunshine Laws are personal which means that he is not entitled to legal representation provided by Broward Health and he cannot receive legal assistance as a gift due to gift limitations of public officials.  If he is acquitted by a court, he can recover his legal fees – but I don’t believe he will be acquitted if he goes to trial.

Rocky’s final problem is that the same policy the board used to oust Paulene Grant, a reportable event as the basis of a demand for a resignation or removal from office – applies to himself.  Under this circumstance, his failure to resign will likely trigger even more legal issues.  I’m truly sorry for my friend Rocky, but the rules have to apply to everyone or they apply to no-one.

Rocky’s dilemmas apply equally to Commissioner Ure. But unlike Rocky who I know to be honorable, in my opinion, Ure is not.  In addition to Mr. Ure Sunshine problems, there is the little matter of apparent ethical breaches discussed in my “Commissioner Ure – Bully Busted!” post on my http://www.brwdhealth.com blog that remains pending.

“Hoisted by their own Petard”.

Similar to the additional issues potentially facing Commissioner Ure, Counsel Lynn Barrett and interim CEO Capasso face removal by the Board should the Board apply the same standards they used to justify the removal of interim CEO Paulene Grant.  The adopted policy requires those accused of a crime defined as a reportable event in the Federal Consent Agreement (CIA) must resign or be terminated.  This stark and uncompromising policy was adopted by the Board to comply with the CIA’s requirement that Broward Health promulgates policies to enforce the consent agreement.  It will be interesting to see if the rules apply to everyone or just those who question Lynn Barrett.

No doubt, as an additional matter – Counsel Lynn Barrett will also face a number of bar complaints relating to her actions “counseling” various board members to allegedly violate Florida’s sunshine laws.  And we haven’t even begun to discuss the manner that Broward Health handles public records requests.

So, to summarize:

  • The obligations of Florida’s Sunshine Laws are personal.
  • Everyone who was indicted must use their own funds to defend their actions until a verdict.
  • Gift limitations for public official severely limit the accused from receiving “free” legal assistance, and the optics for attorneys with Broward Health relationships would be horrific if they provided legal assistance under any unusual or strange circumstances.
  • If a Court of competent jurisdiction acquits, their legal fees can be substantially recovered from Broward Health.
  • The Governor typically suspends public officials when they are charged with a crime. If the Governor follows his own policy, Commissioners Rodriguez and Ure will be suspended.
  • If the Governor does not suspend Commissioners Rodriguez and Ure, Broward Health’s own policy under the CIA would require them to resign – if the policy actually applies to everyone as they say.
  • Commissioner Ure probably faces other official actions relating to ethical issues
  • Interim CEO Capasso and General Council Barrett should be required to resign or be removed by the Board under Broward Health’s own CIA related policy.
  • Counsel Barrett probably faces multiple bar complaints relating to both ethical and professional issues raised.

As to my good friend Robert Butterworth and his colleague Roberto Martinez surprising media statement.  It was as factually inaccurate as it was ill-advised on so many levels as will become apparent over the coming legal proceedings.  One particularly misleading point in the statement was “refusal to subpoena the most critical witness”.  While I have no specific information about the actions of the State Attorney’s office nor the Grand Jury and I am not an attorney –  even I know that the State Attorney cannot “subpoena” someone without granting them immunity.  I am certain that the State Attorney “invited” all Mr. Butterworth’s so-called witnesses to address the Grand Jury, but they chose not to do so without immunity.

I am certain that, contrary to Butterworth’s statement, the Grand Jury carefully did their duty and considered all the evidence as well as any exculpatory explanations before indicting.   The point simply is this, these specific sunshine violations were not isolated events and are regular occurrences at Broward Health.  I am convinced that the State Attorney will be able to show a pattern of indifference if not outright animosity to transparency, and the public’s right to know at Broward Health, our public hospital system.

Sadly, I don’t think the indicted will do anything but shamefully spend our tax dollars and continue to act disregarding the public’s right to know, and conducting the Broward Health’s business like a private republican enclave that is inconvenienced by its public responsibilities.  When will the Broward Health Board and senior management realize that it is a Public Hospital System, and not Governor Scott’s private cat box?

Here are some of the published articles about the indictments, in case you missed any of them.

Indicted Broward Health officials attack Broward state attorney’s case
WPLG Local 10
Capasso emailed the attorneys’ statement to all Broward Health employees on her account. All four officials are still in their offices. Gov. Rick Scott, who appointed Rodriguez and other indicted board members, and is known to have a friendship with Barrett, is reviewing the case to determine whether he …

Indictments could disrupt Broward Health’s search for new CEO
Becker’s Hospital Review
Fort Lauderdale, Fla.-based Broward Health board members had planned to interview finalists for the position of CEO on Jan. 22. However, that process may be disrupted, as board chairman Rocky Rodriguez and four current and former leaders of the health system are scheduled to be arraigned on …

Criminal Charges For Broward Health Officials Could Affect CEO Search
Health News Florida
Broward Health operates five public hospitals that serve the majority of people living in central and northern Broward County. This week, five of the.

Officials At Broward Health Indicted On Charges Of Sunshine Law Violations
WGCU News
Top officials on the Broward Health System’s board have been indicted on counts of violating Florida’s open government law. … But a grand jury doesn’t think officials at Broward Health followed that law in late 2016 when individual meetings were held by board members just before a vote to fire then …

Criminal Charges For Broward Health Officials Could Affect CEO Search
WLRN
Broward Health operates five public hospitals that serve the majority of people living in central and northern Broward County. This week, five of the agency’s board members were indicted on charges of violating Florida’s open government law, also known as the Sunshine Law. The charges could affect …

5 Broward Health execs face criminal charges for conspiring to fire former CEO
FierceHealthcare
5 Broward Health execs face criminal charges for conspiring to fire former CEO. by Ilene MacDonald |. Dec 14, 2017 10:28am. gavel and books. Attorneys for the hospital district and the organization’s general counsel said in a media statement that “this is the most misguided prosecution we have ever …

Power Lunch: Just one Irma-related price-gouging complaint settled
Sun Sentinel
When it arraigns, it pours: Leaders at Broward Health had been looking forward to Jan. 22, when they would interview candidates for chief executive officer, the Sun Sentinel’s David Fleshler reports. Now, that’s the date many of them will be arraigned on charges of violating Florida’s open-meetings law.

Criminal Charges For Broward Health Officials Could Affect CEO Search
Health News Florida
Broward Health operates five public hospitals that serve the majority of people living in central and northern Broward County. This week, five of the.

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December 2017 Joint Conference Committee

On December 14th, 2017, the Broward Health Joint Conference Committee met.  Board Chairman Rocky Rodriguez was joined by the two newest members of the Broward Health Board; Andrew Klein, and Nancy Gregoire.  Based on what I have seen thus far, these two new Board appointments make me cautiously optimistic about Broward Health’s future.

Although the audio had some problems part way through the meeting recording (apparently someone was unknowingly stepping on a cable), the meeting had some pretty important discussions.

Here is the meeting:

Meeting Agenda Packet:

BH Joint Conference Committee Agenda Packet
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Gov. Rick Scott leaves indicted leaders in office | Editorial

Sun-Sentinel Editorial

“Gov. Rick Scott last year suspended two Broward Health board members based on a letter from his inspector general. He should similarly suspend two board members indicted by a grand jury last week on charges of conspiring to violate the Sunshine Law.”

“If everything was on the up and up, as their lawyers insist, why did board members at Broward Health secretly meet at a hotel, a restaurant and over the phone with attorneys dishing dirt on their interim CEO?”…

…”And it’s unfair to ask taxpayers to trust an organization led by people under criminal indictment.”..

Read the full editorial here: Gov. Rick Scott leaves indicted leaders in office | Editorial

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Grand jury indicts Broward Health’s top leadership for Sunshine law violations

By Dan Christensen, FloridaBulldog.org – A Broward grand jury has indicted Broward Health’s top leadership for Sunshine Law violations.

P.M. UPDATE: Broward Health’s top leadership, including its CEO and board chairman, are named in a four count indictment alleging violations of Florida’s Government-in-the-Sunshine law.”

“Florida Bulldog has obtained a copy of the four-page indictment Tuesday that accuses five defendants – Broward Health CEO Beverly Capasso, Commission Chairman Rocky Rodriguez, Commissioner Christopher Ure, former Commissioner Linda Robison and general counsel Lynn Barrett – of conspiring to violate Florida’s public meetings law, also known as the Government-in-the-Sunshine law.”

“Capasso, Rodriguez, Ure and Robison were also charged with two counts of violating the public meetings law. Barrett also was charged alone in one count that accuses her of solicitation to violate the Sunshine Law.”

Read the rest of the story here:: Grand jury indicts Broward Health’s top leadership for Sunshine law violations

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