May 19, 2020 at 12:00 PM - Board of Managers - Regular Meeting

1. CALL TO ORDER
 

2. ESTABLISHMENT OF QUORUM
 

3. PUBLIC COMMENT - Persons 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. 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. See the "Public Comment" section of the preceding General Information page for additional information.
 

4. CONSENT AGENDA - See the "Consent Agenda" section of the preceding General Information page for an explanation of the Consent Agenda and for additional information.

4.A. Confirm posting of Meeting's public notice.
 

4.B. Approve minutes of Board of Managers Meetings:

4.B.1. Regular Meeting of April 21, 2020;

4.B.2. Special Meetings of May 1, 2020 and May 11, 2020; and

4.B.3. Emergency Meetings of April 17, 2020 and May 1, 2020.
 

4.C. Receive listing of new vendors as of May 13, 2020; listing provided pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

4.D. 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 the calendar quarter ended March 31, 2020:

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

4.D.2. Corpus Christi Medical Center; and

4.D.3. Driscoll Children's Hospital.
 

4.E. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2020 year-to-date:

4.E.1. Salaries, benefits, supplies, and intergovernmental transfers at/for Corpus Christi/Nueces County Public Health Department;

4.E.2. Emergency medical services provided in unincorporated areas of Nueces County;

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

4.E.4. Medical services provided at County correctional facilities:

4.E.4.a. Nueces County Jail; and

4.E.4.b. Nueces County Juvenile Detention Center;

4.E.5. Funding for alcohol and drug abuse treatment programs:

4.E.5.a. Cenikor (Charlie's Place);

4.E.5.b. Council on Alcohol and Drug Abuse; and

4.E.5.c. Palmer Drug Abuse Program;

4.E.6. Funding for diabetes prevention and supporting programs. (Finance Committee)
 

4.F. Receive reports relating to Nueces Aid Program enrollment for the month-ended April 30, 2020. (Finance Committee)
 

4.G. Receive revenue reports relating to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date. (Finance Committee)
 

4.H. Receive summary imputed claims information on medical and hospital care provided to the Nueces Aid population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date period-ended April 30, 2020. (Finance Committee)
 

4.I. Receive summary report to-date of intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental payment programs sponsored by the Texas Health and Human Commission year-to-date:

4.I.1. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

4.I.1.a. Delivery System Reform Incentive Payment (DSRIP) pool; and

4.I.1.b. Hospital Uncompensated Care (UC) pool.

4.I.2. Disproportionate Share Hospitals (DSH) program;

4.I.3. Network Access Improvement Program (NAIP);

4.I.4. Uniform Hospital Rate Increase Program (UHRIP); and

4.I.5. Graduate Medical Education (GME). (Finance Committee)
 

4.J. 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 April 30, 2020. (Finance Committee)
 

5. REGULAR AGENDA:

5.A. Finance Committee:

5.A.1. Receive and approve unaudited financial statements for fiscal year-to-date period ended April 30, 2020. (ACTION)
 

5.A.2. Receive and discuss summarized historical Nueces Aid Program mental health inpatient and outpatient volume and adjudicated claims information. (INFORMATION)
 

5.A.3. Receive and discuss information relating to projected revenues and expenditures at close of the Hospital District's Fiscal Year 2019-2020 Annual Budget on September 30, 2020, including the projected reduction of revenues expected to be received under the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement due to the current COVID-19 pandemic. (INFORMATION)
 

5.A.4. Receive and discuss information relating to the plan and process for development of the Hospital District's Fiscal Year 2020-2021 Annual Budget. (INFORMATION)
 

5.B. Community Mental Health:

5.B.1. Receive Progress Report(s) on work performed under the continuing Professional Services Agreement between Nueces County, Meadows Mental Health Policy Institute, and Hospital District relating to preparation of a comprehensive needs assessment for Nueces County that can serve as the basis for a systematic approach to providing services for mental illnesses and substance abuse disorders in the County:

5.B.1.a. March 2020 Report; and

5.B.1.b. April 2020 Report.  (INFORMATION)
 

5.B.2. Receive and consider adoption of revised plan from Board of Managers' Ad-Hoc Committee on a comprehensive and long-range Behavioral Health initiative for Nueces County.  (ACTION)
 

5.C. Indigent Health Care:

5.C.1. Receive information from CHRISTUS Spohn Health System Corporation relating to medical aid and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement. (INFORMATION) 
 

5.D. COVID-19 Pandemic:

5.D.1. Receive information on site evaluation activity at CHRISTUS Spohn Hospital Corpus Christi - Memorial relating to establishment of a dedicated COVID-19 alternate care site.  (INFORMATION)
  

5.E. Other Business:

5.E.1. Consider adoption of Board of Managers Orders relating to payment of certain professional services fees:

5.E.1.a. Law Offices of Steve Aragón; and

5.E.1.b. CLK Architects & Associates. (ACTION) 
 

6. ADMINISTRATOR'S BRIEFING:

6.A. Next Board of Managers and Board Committee Meetings (all Meetings' dates, times, and locations subject to change):

6.A.1. Finance Committee:  June 16, 2020, 11:00 AM; and

6.A.2. Board of Managers:  June 16, 2020, 12 Noon.  (INFORMATION)
 

6.B. Potential rescheduling of August 18, 2020 Board of Managers and Board Committee Meetings.  (INFORMATION)
 

7. 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:

7.A. Consult with attorneys on legal matters relating to payment of certain professional services fees.
 

7.B. Consult with attorneys on legal matters related to amending the Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Nueces County Hospital District.
 

8. 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.
 

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

10. ADJOURN