April 21, 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. February 18, 2020 Regular Meeting; and

4.B.2. April 9, 2020 Special Meeting. 
 

4.C. Receive listing of new vendors as of April 15, 2020; listing provided pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

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

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

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

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

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

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

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

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

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

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

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

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

4.E. Receive reports relating to Nueces Aid Program enrollment for the months-ended February 29, 2020 and March 31, 2020. (Finance Committee)
 

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

4.G. Receive summary imputed claims information on medical and hospital care provided to the Nueces Aid population consistent with the CHRISTUS Spohn Health System Corporation Membership Agreement for fiscal year-to-date periods ended February 29, 2020 and March 31, 2020. (Finance Committee)
 

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

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

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

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

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

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

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

4.I. 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 statements for months-ended February 29, 2020 and March 31, 2020. (Finance Committee)
 

4.J. Receive information on State Comptroller of Public Accounts' 2020 pro-rata distributions of Calendar Year 2019 income from Tobacco Permanent Settlement Trust Account; distributions pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2. (Finance Committee)
 

4.K. Approve footnote revision to Annual Financial Report from Collier, Johnson, & Woods P.C., Certified Public Accountants on Nueces County Hospital Districts's governmental activities financial statements, major funds, and aggregate remaining for the fiscal year-ended September 30, 2019 (AFR); revision to AFR's Note 1, a Reporting Entity footnote relating to expansion of the detailed services required by Spohn under the 2015 transaction. (Finance Committee)
 

5. REGULAR AGENDA:

5.A. COVID-19 Patient Care Unit:

5.A.1. Discuss and consider action(s) relating to establishment of dedicated COVID-19 patient care unit at CHRISTUS Spohn Hospital Corpus Christi – Memorial and potential relocation of mental health/psychiatric services located at Memorial to an alternate location. (ACTION)
 

5.A.2. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the Hospital District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

5.A.2.a. Personal Services Contract between Nueces County Hospital District and Gary W. Eiland relating to provision of consultative services on: (1) contractual matters relating to the Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Nueces County Hospital District (Membership Agreement) in connection with the proposed establishment of a dedicated COVID-19 patient care unit at CHRISTUS Spohn Hospital Corpus Christi - Memorial and potential relocation of mental health/psychiatric services located at Memorial to an alternate location; and (2) Membership Agreement and on other related matters. (ACTION)
 

5.B. Community Mental Health Initiatives:

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. (INFORMATION)

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

5.B.1.b. February 2020 Report.
 

5.C. Community Mental Health and Public Health:

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

5.C.1.a. Personal Services Contract between Nueces County, Nueces County Hospital District, and Thomas L. Graham relating to a communications plan to assess the communications, public education, and engagement needs of the community and identify and implement steps to address through public education, public health care issues and available services, for mental health issues, opioid addiction issues, COVID-19 issues and other health care concerns within Nueces County. (ACTION)

5.C.1.a.1. First Amendment to Personal Services Contract between Nueces County, Nueces County Hospital District, and Thomas L. Graham; First Amendment adds additional deliverable to upgrade Hospital District’s website. (ACTION)

5.C.1.b. Personal Services Contract between Nueces County, Nueces County Hospital District, and Robert T. Durand relating to management of Nueces County's social media channels addressing and providing public information on public health care issues such as COVID-19, County emergency situations, general County information as well as other health care and safety concerns and the available services within Nueces County. (ACTION)
 

5.D. Indigent Health Care:

5.D.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 Membership Agreement. (INFORMATION)
 

5.E. Finance Committee:

5.E.1. Receive and approve unaudited financial statements for fiscal year-to-date periods ended February 29, 2020 and March 31, 2020. (ACTION)
 

5.E.2. Receive and approve Quarterly Investment Report for fiscal quarter-ended March 31, 2020 and ratify related investment transactions. (ACTION)
 

5.E.3. Discuss and consider authorizing the Administrator to issue a Request for Proposals or Request for Qualifications for financial advisory services relating to potential issuance of debt obligations for community mental health services and other related needs. (ACTION)
 

5.E.4. Discuss and consider action(s) relating to a February 14, 2020 funding request letter from Precinct 2 Commissioner Joe A. Gonzalez relating to support of a gifted mobile medical unit trailer; request includes funding for annual maintenance and one-time storage security fencing and professional liability coverage. (ACTION)
 

5.E.5. Receive information on Hospital District operations and staffing during the COVID-19 pandemic and related precautions. (INFORMATION)
 

5.F. Other Business:

5.F.1. Receive briefing on Governor's COVID-19 pandemic-related March 16, 2020  Emergency Executive Order relating to suspension of certain open-meeting statutes and providing for telephonic and video conference meetings. (INFORMATION)
 

5.F.2. Discuss and consider actions relating to the composition, timing, frequency, and/or spacing of future Board of Managers and Board Committee meetings. (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:  May 19, 2020, 11:00 AM; and

6.A.2. Board of Managers:  May 19, 2020, 12 Noon.
 

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.  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 related to establishment of dedicated COVID-19 patient care unit and relocation of mental health/psychiatric services pursuant to Open Meetings Act, Texas Government Code, §551.071:

7.A.1. Amended and Restated Membership Agreement between CHRISTUS Spohn Health System Corporation, CHRISTUS Health, and Nueces County Hospital District;

7.A.2. Support for a dedicated COVID-19 patient care unit at CHRISTUS Spohn Hospital Corpus Christi – Memorial; and

7.A.3. Potential relocation of mental health/psychiatric services located at CHRISTUS Spohn Hospital Corpus Christi – Memorial to an alternate location.
 

8. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the public meeting before taking any action(s) on Closed Meeting matters or adjourning the meeting.
 

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

10. ADJOURN