September 20, 2022 at 10:15 AM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

___ 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.
___ 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. REAPPOINTMENTS AND APPOINTMENTS TO BOARD OF MANAGERS
 

4.A. Receive notice of Commissioners Court's reappointment of Ms. Belinda Flores, Dr. Vishnu V. Reddy, and Mr. Efrain Guerrero, Jr. for individual three-year terms all ending September 30, 2025; appointments pursuant to Texas Health and Safety Code, §281.021(a) and §281.022(b). (INFORMATION)
 

4.B. Receive notice of Commissioners Court's appointment of Mr. Arthur Granado for partial term ending September 30, 2024; appointment pursuant to Texas Health and Safety Code, §281.021(a) and §281.022(b). (INFORMATION)
 

5. 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. 
 

6. 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:
 

6.A. Approve Board of Managers minutes:
 

6.A.1. Regular Meeting of August 23, 2022; and
 

6.A.2. Special Meeting of August 29, 2022.
 

6.B. Receive listing of new vendors as of September 15, 2022; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

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

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

6.C.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

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

6.C.4. Medical services provided at County correctional facilities:

6.C.4.a. Nueces County Jail; and

6.C.4.b. Nueces County Juvenile Detention Center;
 

6.C.5. Funding for alcohol and drug abuse treatment programs:

6.C.5.a. Cenikor (Charlie's Place);

6.C.5.b. Council on Alcohol and Drug Abuse; and

6.C.5.c. Palmer Drug Abuse Program;
 

6.C.6. Funding for diabetes prevention and supporting programs;
 

6.C.7. Public health grants; and
 

6.C.8. Legal and professional fees.
 

6.D. 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 August 31, 2022.
 

6.E. 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.
 

6.F. 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 August 31, 2022.
 

6.G. 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.
 

6.H. 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):
 

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

6.H.1.a. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

6.H.1.b. Network Access Improvement Program (NAIP);

6.H.1.c. Texas Incentives for Physicians and Professional Services (TIPPS);

6.H.1.d. Uniform Hospital Rate Increase Program (UHRIP); and
 

6.H.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:

6.H.2.a. Disproportionate Share Hospitals (DSH) program;

6.H.2.b. Graduate Medical Education (GME);

6.H.2.c. Hospital Uncompensated Care (UC) pool; and
 

6.H.3. Phase-Out Programs:

6.H.3.a. Delivery System Reform Incentive Payment (DSRIP) pool.
 

7. 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:
 

7.A.1. Confirm posting of public notice of public hearing on the rate of mandatory Program payments that the Board of Managers intends to require of each institutional health care provider located within the Hospital District's boundaries during Hospital District Fiscal Year 2023 (October 1, 2022 - September 30, 2023) and how the revenue derived from the payments will be spent; 
 

7.A.2. Confirm provision to each institutional health care provider within the Hospital District's boundaries of the public notice of public hearing on the rate of mandatory Program payments that the Board of Managers intends to require of each provider during District Fiscal Year 2023 and how the revenue derived from the payments will be spent; and
 

7.A.3. Adopt Board of Managers Order setting the rate of mandatory Program payments during Hospital District Fiscal Year 2023 at six percent (6%) of the net patient revenue of each institutional health care provider located within the Hospital District boundaries. (ACTION)

7.B. Psychiatric Services:
 

7.B.1. Receive information from CHRISTUS Spohn Health System relating to the transition of psychiatric services from CHRISTUS Spohn Hospital Corpus Christi - Memorial to Oceans Behavioral Hospital Corpus Christi at CHRISTUS Spohn Hospital Corpus Christi - Shoreline. (INFORMATION)
 

7.C. Facility Improvements:
 

7.C.1. Authorize Administrator to negotiate and execute a Professional Services Contract for architectural and other related services with CLK Architects & Associates relating to future expansion, remodeling, and/or refurbishment of the Dr. Hector P. Garcia Memorial Family Health Center at 2606 Hospital Boulevard, Corpus Christi, Texas.  (ACTION)
 

7.C.2. Authorize Administrator to negotiate and execute a Professional Services Contract for engineering, owner's representative, and other related services with Hanson Professional Services relating to future expansion, remodeling, and/or refurbishment of the Dr. Hector P. Garcia Memorial Family Health Center at 2606 Hospital Boulevard, Corpus Christi, Texas.  (ACTION)
 

7.D. Memorial Medical Center:
 

7.D.1. Authorize Administrator to negotiate and execute a Personal Services Contract for public relations services with Carol A. Scott relating to the demolition of Memorial Medical Center and related matters. (ACTION)
 

7.E. Federal Emergency Management Agency (FEMA) Cost Recovery:
 

7.F. Nueces Aid Program:
 

7.F.1. Discuss activities relating to building awareness of the Nueces Aid Program the Hospital District's statutorily-required program to furnish medical aid and hospital care to indigent and needy persons residing in the District.  (INFORMATION)
 

7.G. Finance Committee:
 

7.G.1. Nueces Aid Program Enrollment:

7.G.1.a. Receive reports relating to Nueces Aid Program enrollment for the month-ended August 31, 2022:

7.G.1.a.1. Total Persons and Households Enrolled;

7.G.1.a.2. Enrollment Summary;

7.G.1.a.3. Denials; 

7.G.1.a.4. Application Processing Summary; and

7.G.1.a.5. Enrollment by Zip Code. (INFORMATION)
 

7.H. Legislation:
 

7.H.1. Discuss and consider legislative priorities for the 88th Texas Legislative Session. (ACTION)
 

7.I. Board of Managers Business:
 

7.I.1. Elect Board of Managers Chairman and Vice-Chairman to be effective October 1, 2022; elections pursuant to Board of Managers Bylaws, §2.2.A.1. (ACTION)
 

7.I.2. Board Chairman-Elect to appoint Board of Managers Committees and related Chairmen to be effective October 1, 2022; appointments pursuant to Board of Managers Bylaws, §2.2.B.2.(d). (ACTION)
 

7.I.3. Appoint/designate an alternate (to the Chairman) member of the Board of Managers to issue public statements relating to policy and official statements of the Board; appointment/designation pursuant to Board of Managers Bylaws, §2.1.E. (ACTION)
 

7.I.4. Discuss and consider authorizing preparation of a plaque or other similar memorial recognition of Mr. Dan Winship, former Board of Managers member, and such recognition to be posted in the Board of Managers Meeting Room or lobby of the Hospital District's Administrative Offices.  (ACTION)
 

7.I.5. Receive Board of Managers and Board Committee meeting schedules previously approved for Calendar Year 2023 and consider possible amendment of the approved meeting dates and/or times. (INFORMATION/ACTION)
 

7.J. Administrator's Actions:
 

7.J.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):
 

7.J.1.a. Provision of $50,000 supplement/stipend to Nueces County for the Nueces County Attorney’s Fiscal Year 2023 budget; funds to be available for use at the discretion of the County Attorney. (ACTION)
 

7.J.1.b. Relocation of October 27, 2022 Board of Managers and Board Committee meetings. (ACTION)
 

7.K. Community Mental Health Initiatives:
 

7.K.1. Receive and discuss information presented by Nueces County's Director of Mental Health Programs on Hospital District-funded and other mental health programs. (INFORMATION)

 

8. ADMINISTRATOR'S BRIEFING:
 

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

8.A.1. Legislative Committee: October 25, 2022, 9:15 AM in Room #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas 78405;
 

8.A.2. Finance Committee: October 25, 2022, 9:30 AM in Room #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas 78405; and
 

8.A.3. Board of Managers: October 25, 2022, 10:00 AM in Room #1 at Dr. Hector P. Garcia Memorial Family Health Center, 2606 Hospital Boulevard, Corpus Christi, Texas 78405.  (INFORMATION)
 

9. 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:
 

9.A. Consult with attorneys on matters relating to the Health Services Agreement - Nueces County Correctional Facilities between Nueces County, Nueces County Hospital District, and Armor Correctional Health Services, Incorporated.
 

10. 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.
 

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

12. ADJOURN