July 26, 2022 at 10:00 AM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

___ Daniel W. Dain, Chairman
___ Sylvia Tryon Oliver, Vice-Chairman
___ Belinda Flores, R.N.
___ Vishnu V. Reddy, M.D.
___ John E. Valls, M.B.A.
___ Mariana Garza, J.D.
___ Efrain Guerrero, Jr.
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETING NOTICE
 

3.A. Call to order.
 

3.B. Establish quorum.
 

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

3.D. Public notice is hereby given that the Board of Managers may elect to go into Closed Meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551.
 

4. WORKSHOP SESSION - Workshop Session is an open meeting for the purposes of information gathering and discussion between the Board of Managers and staff on the Workshop's listed agenda item(s) without taking action on the listed item(s) during the Workshop. Public comment will not be accepted during the Workshop Session.
 

4.A. Fiscal Year 2023 Budget (October 1, 2022 - September 30, 2023) and related matters.
 

4.B. Reimbursement of Nueces County's health care expenditures during Fiscal Year 2023, including reimbursement of the County's Public Health District-related expenses.
 

4.C. Provision and allocation of funding for Mental Health Programs during Fiscal Year 2023.
 

5. REGULAR SESSION - Following the Workshop Session, the Board of Managers will move into the Regular Session prior to taking any action(s) on items listed on the Consent or Regular Agendas.
 

5.A. PUBLIC COMMENT - Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Board meeting room at least five (5) minutes prior to commencement of the meeting. Persons attending via audio or video conference and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities must verbally notify the presiding officer of their desire to comment when the officer calls for public comment from those attending via audio and video conference. Commenters shall limit their comments to three (3) minutes, except that Commenters addressing the Board through a translator shall limit their comments to six (6) minutes. 
 

5.B. CONSENT AGENDA - The Consent Agenda consists of those agenda items which are routine, administrative in nature, not in need of separate attention, and which a member of the Board has not requested be discussed separately. If requested to be discussed separately, that agenda item will be removed from the Consent Agenda by the presiding officer to the Regular Agenda and discussed as a part of the Regular Agenda at the appropriate time. All remaining items listed under the Consent Agenda will be voted upon in a single vote:
 

5.B.1. Approve May 23, 2022 minutes of:
 

5.B.1.a. Board of Managers Regular Meeting; and
 

5.B.1.b. Public Hearing relating to mandatory Health Care Provider Participation Program payments.
 

5.B.2. Receive listing of new vendors as of July 20, 2022; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

5.B.3. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2022 year-to-date:
 

5.B.3.a. Salaries, benefits, supplies, and intergovernmental transfers at/for City of Corpus Christi/Nueces County Public Health District;
 

5.B.3.b. Emergency medical services provided in unincorporated areas of Nueces County;
 

5.B.3.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 

5.B.3.d. Medical services provided at County correctional facilities:

5.B.3.d.1. Nueces County Jail; and

5.B.3.d.2. Nueces County Juvenile Detention Center;
 

5.B.3.e. Funding for alcohol and drug abuse treatment programs:

5.B.3.e.1. Cenikor (Charlie's Place);

5.B.3.e.2. Council on Alcohol and Drug Abuse; and

5.B.3.e.3. Palmer Drug Abuse Program;
 

5.B.3.f. Funding for diabetes prevention and supporting programs;
 

5.B.3.g. Public health grants; and
 

5.B.3.h. Legal and professional fees. (Finance Committee)
 

5.B.4. Receive summary imputed claims information on medical and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date periods-ended May 31, 2022 and June 30, 2022. (Finance Committee)
 

5.B.5. Receive fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03. (Finance Committee)
 

5.B.6. Receive monthly statement of escrow amounts deposited and/or withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Schedule 1 to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; receive statement for months-ended May 31, 2022 and June 30, 2022. (Finance Committee)
 

5.B.7. Receive statement of amounts deposited to and/or withdrawn from Local Provider Participation Fund for fiscal year-to-date; deposits and withdrawals pursuant to Board of Managers Order authorizing participation in a health care provider participation program pursuant to Texas Health and Safety Code, Chapter 298C, as amended. (Finance Committee)
 

5.B.8. Receive summary report of cumulative estimated provider payments and actual intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental and directed payment programs sponsored by the Texas Health and Human Services Commission (HHSC):
 

5.B.8.a. Directed Payment Programs - Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

5.B.8.a.1. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

5.B.8.a.2. Network Access Improvement Program (NAIP);

5.B.8.a.3. Texas Incentives for Physicians and Professional Services (TIPPS);

5.B.8.a.4. Uniform Hospital Rate Increase Program (UHRIP); and
 

5.B.8.b. Supplemental Payment Programs - HHSC-directed payments made to hospitals for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money:

5.B.8.b.1. Disproportionate Share Hospitals (DSH) program;

5.B.8.b.2. Graduate Medical Education (GME);

5.B.8.b.3. Hospital Uncompensated Care (UC) pool; and
 

5.B.8.c. Phase-Out Programs:

5.B.8.c.1. Delivery System Reform Incentive Payment (DSRIP) pool. (Finance Committee)
 

5.C. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or are otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

5.C.1. Finance Committee:
 

5.C.1.a. Financial Statements:

5.C.1.a.1. Receive and approve unaudited financial statements for the months and fiscal year-to-date periods ended May 31, 2022 and June 30, 2022. (ACTION)
 

5.C.1.b. Investment Report:

5.C.1.b.1. Receive Quarterly Investment Report for fiscal quarter-ended June 30, 2022. (INFORMATION)
 

5.C.1.c. Investment Policy:

5.C.1.c.1. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies; adopt policy and strategies to be effective September 1, 2022; review and adoption pursuant to Texas Government Code, §2256.005(e). (ACTION)
 

5.C.1.c.2. Adopt Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopted listing to be effective September 1, 2022; review and adoption pursuant to Texas Government Code, §2256.025. (ACTION)
 

5.C.1.d. Nueces Aid Program Enrollment:

5.C.1.d.1. Receive reports relating to Nueces Aid Program enrollment for the months-ended May 31, 2022 and June 30, 2022:

5.C.1.d.1.1. Total Persons and Households Enrolled;

5.C.1.d.1.2. Enrollment Summary;

5.C.1.d.1.3. Denials; 

5.C.1.d.1.4. Application Processing Summary; and

5.C.1.d.1.5. Enrollment by Zip Code. (INFORMATION)
 

5.C.2. Federal Emergency Management Agency (FEMA):
 

5.C.2.a. Receive status report on Hagerty Consulting Project #1 (FEMA Public Assistance Project Application #674808) relating to recovery of Social Determinants of Health Study-related costs incurred in response to the COVID-19 pandemic. (INFORMATION)
 

5.C.3. Memorial Medical Center Demolition:
 

5.C.3.a. Receive April 22, 2022 letter from CHRISTUS Spohn Health System Corporation relating to removal of Hospital District-owned equipment located at Memorial Medical Center, 2606 Hospital Boulevard, Corpus Christi, Texas; equipment removal to precede remediation and demolition of the Memorial Medical Center facility pursuant to the CHRISTUS Spohn Health System Corporation Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Hospital District.  (INFORMATION)
 

5.C.3.b. Receive May 20, 2022 letter to CHRISTUS Spohn Health System Corporation relating to requirements associated with CHRISTUS Spohn's demolition of the Memorial Medical Center Buildings and Infrastructure; requirements pursuant to Schedule 1, Section 3.5.4 of the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Hospital District.  (INFORMATION)
 

5.C.3.c. Receive July 14, 2022 letter from CHRISTUS Spohn Health System Corporation providing demolition plans relating to CHRISTUS Spohn's demolition of the Memorial Medical Center Buildings and Infrastructure; demolition requirements pursuant to Schedule 1, Section 3.5.4 of the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Hospital District.  (INFORMATION)
 

5.C.4. Nueces County:
 

5.C.4.a. Discuss and consider action relating to Nueces County’s request for reimbursement from the Hospital District for the County’s payment of sick leave and vacation hours for County employees who worked at the Public Health District who were hired by the City of Corpus Christi after the Effective Date (March 1, 2022) of the Amended Cooperative Agreement for City-Operated Corpus Christi-Nueces County Public Health District.  (ACTION)
 

5.C.4.b. Discuss proposed Interlocal Cooperation Agreement between Nueces County and Nueces County Hospital District relating to Hospital District's reimbursement of County's Public Health District-related expenses. (INFORMATION)
 

5.C.5. Community Mental Health Initiatives:
 

5.C.5.a. Receive and discuss information presented by Nueces County's Director of Mental Health Programs on Hospital District-funded and other mental health programs:

5.C.5.a.1. Receive Jail Diversion Programs Recommendation Report.  (INFORMATION)
 

5.D. Administrator's Actions:
 

5.D.1. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):
 

5.D.1.a. Extension of timeline for determining the Specified Annual Percentage for the period October 1, 2022 - September 30, 2023; process pursuant to Section 5.03 of the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Hospital District. (ACTION)
 

5.E. ADMINISTRATOR'S BRIEFING:
 

5.E.1. Next Board of Managers and Board Committee regular meetings (all meetings' dates, times, and locations are subject to change):
 

5.E.1.a. Finance Committee: August 23, 2022, 9:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 

5.E.1.b. Board of Managers:  August 23, 2022, 10:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401. Meeting will include Board Workshop on Hospital District's Fiscal Year 2023 Budget.  (INFORMATION)
 

5.F. CLOSED MEETING - Public notice is hereby given that the Board of Managers may elect to go into closed meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda, when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551 and the Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071 and §551.074. In the event the Board elects to go into closed session(s) regarding an agenda item(s), the section(s) of the Open Meetings Act authorizing the closed session will be publicly announced by the presiding officer. Should any final action, final decision, or final vote be required in the opinion of the Board with regard to any matter considered in closed session(s), then the final action, final decision, or final vote shall be either: (a) in the open meeting covered by the Notice upon reconvening of the public meeting; or (b) at a subsequent public meeting of the Board upon notice thereof, as the Board shall determine pursuant to applicable laws:
 

5.F.1. Consult with attorneys on and/or deliberate evaluation of the Administrator.
 

5.F.2. Consult with attorneys on matters relating to the Administrator's Employment Agreement for the period October 1, 2022 - September 30, 2026.
 

6. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
 

7. Consider final action, decision, or vote on matters considered in the Closed Meeting. (ACTION AS NEEDED)
 

8. ADJOURN