July 21, 2020 at 12:00 PM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

MEMBERS:
___ John B. Martinez, JD, Chairman 
___ Sylvia Tryon-Oliver, Vice-Chairman
___ Belinda Flores, RN
___ Vishnu V. Reddy, MD
___ Pamela L. Brower
___ Daniel W. Dain
___ John E. Valls
 

3. CALL TO ORDER & ESTABLISHMENT OF QUORUM

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.
 

4. 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.
 

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

5.A. Approve meeting minutes of:

5.A.1. June 16, 2020 Regular Meeting; and

5.A.2. July 15, 2020 Special Meeting. 
 

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

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

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

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

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

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

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

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

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

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

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

5.C.5.c. Palmer Drug Abuse Program;

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

5.C.7. Public health grants; and

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

5.D. Receive reports relating to Nueces Aid Program enrollment for the month-ended June 30, 2020. (Finance Committee)
 

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

5.F. 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 June 30, 2020. (Finance Committee)
 

5.G. Receive summary report of Hospital District's 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:

5.G.1. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

5.G.1.a. Delivery System Reform Incentive Payment (DSRIP) pool; and

5.G.1.b. Hospital Uncompensated Care (UC) pool.

5.G.2. Disproportionate Share Hospitals (DSH) program;

5.G.3. Network Access Improvement Program (NAIP);

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

5.G.5. Graduate Medical Education (GME). (Finance Committee)
 

5.H. 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 June 30, 2020. (Finance Committee)
 

6. REGULAR AGENDA: 
 

6.A. Finance Committee:

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

6.A.2. Receive and approve Quarterly Investment Report for fiscal quarter-ended June 30, 2020 and ratify related investment transactions. (ACTION)
 

6.A.3. Receive and discuss information relating to projected revenues and expenditures for fiscal year-end September 30, 2020. (INFORMATION)
 

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

6.A.5. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies; adopt changes to policy and strategies to be effective August 1, 2020; review and adoption pursuant to Texas Government Code, §2256.005(e). (ACTION)
 

6.A.6. Adopt of Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopt listing to be effective August 1, 2020; review and adoption pursuant to Texas Government Code, §2256.025. (ACTION)
 

6.B. Community Mental Health:

6.B.1. Review and discuss Meadows Mental Health Policy Institute's Nueces County Comprehensive Behavioral Health Community Needs Assessment Revised Draft Report June 2020.; determine next steps and approve related actions. (ACTION) 
 

6.C. COVID-19 Pandemic:

6.C.1. Discuss and consider identification of additional and/or alternative facilities for Nueces County to establish a COVID-19-related Alternate Care Site; authorize Administrator to identify potential facilities within Nueces County.  (ACTION)
 

6.C.2. Receive update on Hospital District activities supporting Nueces County's efforts to establish a COVID-19-related Alternate Care Site at CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly Memorial Medical Center) located at 2606 Hospital Boulevard.  (INFORMATION)
 

6.C.3. Discuss and revise Board of Managers' actions of April 17, 2020 relating to establishment by Nueces County of a COVID-19-related Alternate Care Site (ACS) at CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly Memorial Medical Center); rescind then-established conditions and re-authorize expenditure of $3 million for recommended maintenance and upgrades at the Hospital necessary for establishment of the ACS. (ACTION)
 

6.C.4. Discuss and authorize actions necessary for Nueces County to establish a COVID-19-related Alternate Care Site (ACS) at CHRISTUS Spohn Hospital Corpus Christi-Memorial (Hospital); related maintenance and upgrades at Hospital subject to Commissioners Court's approval pursuant to Section 281.050, Texas Health and Safety Code: 

6.C.4.a. Authorize Nueces County to obtain consent from CHRISTUS Spohn Health System for establishment of the ACS at the Hospital;

6.C.4.b. Select CLK Architects & Associates to provide architectural and related services necessary to establish the ACS at the Hospital and authorize Administrator to execute related agreement;

6.C.4.c. Select SpawGlass Contractors from BuyBoard Purchasing Cooperative vendor listing to perform recommended maintenance and upgrades at the Hospital necessary for establishment of the ACS; and

6.C.4.d. Authorize Administrator to finalize and execute a contract with SpawGlass Contractors to perform the recommended maintenance and upgrades at the Hospital necessary for establishment of the ACS; contract amount not to exceed $3 million.  (ACTION)
 

6.D. Public Health:

6.D.1. Discuss and consider support of Nueces County's request to establish an outpatient clinic to provide medical care for COVID-19-afflicted persons; affirm support and authorize Administrator to negotiate and execute any and all agreements necessary for clinic start-up.  (ACTION)
 

6.E. Medical Examiner Facility:

6.E.1. Discuss Nueces County's request for a 3.39 acre tract of Hospital District-owned real property located at 2606 Hospital Boulevard, Corpus Christi, Texas for the County's construction of a replacement Medical Examiner's facility; authorize the County to obtain consent from CHRISTUS Spohn Health System for use of the identified tract for that purpose.  (ACTION)
 

6.F. Other Business:

6.F.1. Discuss development and future implementation of Board of Managers policies relating to its meeting practices and locations considering the current COVID-19 pandemic to reduce the possibility of spread resulting from in-person meetings, physical meeting space limitations, and other factors; authorize Administrator to prepare related policies.  (ACTION)
 

7. ADMINISTRATOR'S BRIEFING:
 

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

7.A.1. Finance Committee:  August 18, 2020, 11:00 AM; and

7.A.2. Board of Managers:  August 18, 2020, 12 Noon.  (INFORMATION)
 

7.B. August 18, 2020 Board of Managers and Board Committee Meetings. (INFORMATION)
 

8. ADJOURN