March 16, 2021 at 12:00 PM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

___ Daniel W. Dain, Chairman
___ Sylvia Tryon Oliver, Vice-Chairman
___ Belinda Flores, RN
___ Vishnu V. Reddy, M.D.
___ John E. Valls, M.B.A.
___ Mariana Garza, J.D.
___ Efrain Guerrero, Jr.
 

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 minutes:

5.A.1. Regular Meeting of January 27, 2021; and

5.A.2. Special Meeting of March 2, 2021.
 

5.B. Receive listing of new vendors as of March 11, 2021; 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 December 31, 2020:

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 2021 year-to-date:

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

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 periods-ended January 31, 2021 and February 28, 2021. (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 months-ended Janaury 31, 2021 and February 28, 2021. (Finance Committee)
 

5.H. Receive monthly 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. (Finance Committee)
 

5.I. Receive summary report of year-to-date 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. (Finance Committee)

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

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

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

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

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

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

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

5.J. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:

5.J.1. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 86, No. 19, February 1, 2021, pp. 7732-7734; and

5.J.2. Prior DHHS Poverty Guidelines and Federal Register References, 1982 - 2021.
 

5.K. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; adjustments effective March 1, 2021 for:

5.K.1. Household Resources as required by Program’s Handbook Policy No. NA002, Attachment 2, Sections I-B, I-C-1, I-C-23, and I-F; and

5.K.2. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3.
 

6. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

6.A. Board Chairman Business:

6.A.1. Board of Managers Chairman to appoint new Board member Efrain Guerrero, Jr. to one or more Board committee(s); Chairman's appointment(s) pursuant to Board of Managers Bylaws, §2.5.A.  (ACTION)
 

6.B. Finance Committee:

6.B.1. Receive and approve Annual Financial Report from Collier, Johnson, & Woods, P.C., Certified Public Accountants on Nueces County Hospital District's governmental activities financial statements, major funds, and aggregate remaining funds for fiscal year ended September 30, 2020. (ACTION)
 

6.B.2. Receive and approve unaudited financial statements for the months and fiscal year-to-date periods ended January 31, 2021 and February 28, 2021. (ACTION)
 

6.B.3. Receive reports relating to Nueces Aid Program enrollment for months ended January 31, 2021 and February 28, 2021 and discuss any variances in the number of participants enrolled as well as any other enrollment-related items pertaining to the Program. (INFORMATION)
 

6.B.4. Receive report on historical Nueces Aid Program enrollment for the months January 2011 - February 2021. (INFORMATION)
 

6.C. Legislative Committee:

6.C.1. Receive update on 87th Texas Legislative Session agenda. (INFORMATION)
 

6.D. COVID-19 Pandemic:

6.D.1. Ratify execution of Statement of Work (SOW) with Accenture, LLP to address COVID-19 response planning for revised 8-week term March 8, 2021- April 30, 2021; SOW relates to strategy and planning for COVID-19 vaccine second dose scheduling, emergency operations organization reviews, digital portal/test data management - testing and assessment services, public health messaging, and COVID-19 data analytics and reporting. (ACTION)
 

6.E. Community Mental Health Initiatives:

6.E.1. Nueces County's selection of Mental Health Programs Director. (INFORMATION)
 

6.F. Replacement Medical Examiner's Facility Site:

6.F.1. Discuss and consider matters relating to proposed site for replacement medical examiner's facility. (ACTION)
 

6.G. Hospital District Website:

6.G.1. Receive and comment on presentation from Thomas L. Graham on Hospital District's website redesign (beta version); redesign related to pending Personal Services Contract deliverable to develop and upgrade NCHD website. (INFORMATION) 
 

7. ADMINISTRATOR'S BRIEFING:
 

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

7.A.1. Finance Committee: April 20, 2021, 11:15 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
 

7.A.2. Legislative Committee: April 20, 2021, 11:45 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 

7.A.3. Board of Managers:  April 20, 2021, 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (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 and/or §551.072. 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 Cause No. 2016DCV-0484-D, Sundial Owner's Association, Inc. v. Nueces County; Nueces County Hospital District; Del Mar Public Junior College District; City of Corpus Christi; and Port Aransas I.S.D in the District Court of Nueces County, Texas, 105th Judicial District;
 

8.B. Consult with attorneys on matters related to Hospital District-owned real property; and
 

8.C. Consult with attorneys on matters relating to Amended and Restated Membership Agreement between the Hospital District and CHRISTUS Spohn Health System Corporation.
 

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