November 17, 2022 at 10:00 AM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

___ John E. Valls, MBA, Chairman
___ Vishnu V. Reddy, M.D., Vice Chairman
___ Sylvia Tryon Oliver
___ Belinda Flores, R.N.
___ Judge Mariana Garza
___ Efrain Guerrero, Jr.
___ Arthur Granado
 

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. 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. 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.A. Approve Board of Managers Regular Meeting minutes of October 25, 2022.
 

5.B. Receive listing of new vendors as of November 10, 2022; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

5.C. Receive hospital providers' quarterly reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver for calendar quarter-ended September 30, 2022:
 

5.C.1. CHRISTUS Spohn Health System Corporation Hospitals: Alice, Beeville, and Kleberg (Consolidated Report);
 

5.C.2. Corpus Christi Medical Center; and
 

5.C.3. Driscoll Children's Hospital.
 

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

5.D.1. Salaries, benefits, supplies, and intergovernmental transfers at/for City of Corpus Christi/Nueces County Public Health District;
 

5.D.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

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

5.D.4. Medical services provided at County correctional facilities:

5.D.4.a. Nueces County Jail; and

5.D.4.b. Nueces County Juvenile Detention Center;
 

5.D.5. Funding for alcohol and drug abuse treatment programs:

5.D.5.a. Cenikor (Charlie's Place);

5.D.5.b. Council on Alcohol and Drug Abuse; and

5.D.5.c. Palmer Drug Abuse Program;
 

5.D.6. Funding for diabetes prevention and supporting programs;
 

5.D.7. Public health grants; and
 

5.D.8. Legal and professional fees. (Finance Committee)
 

5.E. 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 period-ended October 31, 2022. (Finance Committee)
 

5.F. 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.G. 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 month-ended October 31, 2022. (Finance Committee)
 

5.H. 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.I. 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.I.1. Directed Payment Programs - Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

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

5.I.1.b. Network Access Improvement Program (NAIP);

5.I.1.c. Texas Incentives for Physicians and Professional Services (TIPPS);

5.I.1.d. Uniform Hospital Rate Increase Program (UHRIP); and
 

5.I.2. 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.I.2.a. Disproportionate Share Hospitals (DSH) program;

5.I.2.b. Graduate Medical Education (GME);

5.I.2.c. Hospital Uncompensated Care (UC) pool; and
 

5.I.3. Phase-Out Programs:

5.I.3.a. Delivery System Reform Incentive Payment (DSRIP) pool. (Finance Committee)
 

6. 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:
 

6.A. Finance Committee:

6.A.1. Financial Statements:

6.A.1.a. Receive and approve unaudited financial statements for the fiscal year ended September 30, 2022. (ACTION)
 

6.A.2. Capital Project Financing:

6.A.2.a. Discuss and consider authorizing the Administrator to secure financial advisory services for development of strategies to finance future capital projects; authorize the Administrator to negotiate a Professional Services Contract for such services. (ACTION)
 

6.A.3. Investment Policies and Strategies:

6.A.3.a. Discuss and consider authorizing the Administrator to secure investment advisory services for revision of investment policies and strategies; authorize the Administrator to negotiate a Professional Services Contract for such services. (ACTION)
 

6.A.4. Nueces Aid Program Enrollment:

6.A.4.a. Receive reports relating to Nueces Aid Program enrollment for the month-ended October 31, 2022:

6.A.4.a.1. Total Persons and Households Enrolled;

6.A.4.a.2. Enrollment Summary;

6.A.4.a.3. Denials; 

6.A.4.a.4. Application Processing Summary; and

6.A.4.a.5. Enrollment by Zip Code. (INFORMATION)
 

6.B. Legislative Committee:

6.B.1. Discuss and consider adoption of legislative agenda for 88th Texas Session (2023).  (ACTION)
 

6.C. Federal Emergency Management Agency (FEMA) Cost Recovery:

6.C.1. Receive an update from Hagerty Consulting, Inc. on FEMA DR-4485-TX (COVID-19) Public Assistance Project Application #674808 relating to recovery of Hospital District's Social Determinants of Health Study-related costs. (INFORMATION)
 

6.D. Memorial Medical Center Demolition:

6.D.1. Receive and discuss report from Hanson Professional Services, Owner's Representative, on the Memorial Medical Center demolition project being conducted by CHRISTUS Spohn Health System Corporation; demolition project located at 2606 Hospital Boulevard, Corpus Christi, Texas. (INFORMATION)
 

6.D.2. Receive Uniform Resource Locator (URL) to video feed from the Memorial Medical Center demolition project being conducted by CHRISTUS Spohn Health System Corporation; project located at 2606 Hospital Boulevard, Corpus Christi, Texas, OxBlue video feed provided by Grant Mackay Company, demolition contractor. (INFORMATION)
 

6.E. Nueces County Juvenile Department:

6.E.1. Approve additional funding in the amount of $67,000 for Nueces County Juvenile Department detainee health care costs during Fiscal Year 2023. (ACTION)
 

6.F. Board of Managers Business:

6.F.1. Discuss and consider canceling December 2022 Board and Board Committee Meetings.  (ACTION)
 

6.G. Administrator's Actions:

6.G.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):

6.G.1.a. Ratify execution of Supplemental Agreement No. 1 and Work Authorization No. 2 to Services Contract with Hagerty Consulting, Inc. increasing the Not-To-Exceed amount to $75,000 for FEMA DR-4485-TX Public Assistance Project Applications and related work. (ACTION)
 

6.H. Community Mental Health Initiatives:

6.H.1. Receive and discuss information and reports from the Nueces Center for Mental Health and Intellectual Disabilities ("MHID") relating to work performed under mental health agreements between Nueces County, MHID, and Nueces County Hospital District during Fiscal Year 2022.  (INFORMATION)
 

6.H.2. Receive and discuss information presented by Nueces County's Director of Mental Health Programs on Hospital District-funded and other mental health programs. (INFORMATION)
 

7. ADMINISTRATOR'S BRIEFING:
 

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

7.A.1. Legislative Committee: December 20, 2022, 9:00 AM in Classroom #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas;
 

7.A.2. Finance Committee: December 20, 2022, 9:30 AM in Classroom #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas; and
 

7.A.3. Board of Managers:  December 20, 2022, 10:00 AM in Classroom #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas.  (INFORMATION)
 

8. 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. 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:
 

8.A. Consult with attorneys on matters relating to litigation against opioid drug manufacturers, promoters, and distributors, including related settlements and other related matters.
 

9. 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.
 

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

11. ADJOURN