2. ESTABLISHMENT OF QUORUM

3. PUBLIC COMMENT - Persons wishing to comment 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 Board meeting.  See the "Public Comment" section of the preceding General Information page for additional Public Comment-related information; commenters shall limit their comments to three (3) minutes.

4. CONSENT AGENDA:

4.A. Board of Managers:

4.A.1. Approve minutes of June 28, 2016 Board of Managers regular meeting.

4.A.2. Receive listing of new vendors as of September 7, 2016; vendor listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.

4.A.3. Receive hospital providers' reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Medicaid demonstration Texas Healthcare Transformation and Quality Improvement Program Section 1115 Waiver; receive providers' reports for the calendar quarter ended June 30, 2016:

4.A.3.a. Christus Spohn Health System Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.A.3.b. Corpus Christi Medical Center;

4.A.3.c. DeTar Healthcare System; and

4.A.3.d. Driscoll Children's Hospital.

4.A.4. Approve Interlocal Agreements between Nueces County and various emergency medical services providers for support of medical emergency operations within the County; providers include City of Corpus Christi, City of Port Aransas, City of Robstown, Nueces County Emergency Services Districts 1, 2, 4 and 6, and Tri-County Emergency Medical Services; approval pursuant to Texas Health & Safety Code, §774.003; and authorize Administrator to execute Agreements.

4.A.5. Authorize execution of or ratify Agreements with Texas Health & Human Services Commission:

4.A.5.a. Authorize Administrator to execute Amendment One to the Interlocal Agreement between the Texas Health & Human Services Commission and Nueces County Hospital District; amendment relates to 18-month extension of the Texas Transformation and Quality Improvement Program Section 1115 Waiver and amends and extends the original 2013 Agreement to January 31, 2018; and

4.A.5.b. Ratify execution of Medicaid Network Access Improvement Program (NAIP) IGT Responsibility Agreement with the Texas Health & Human Services Commission for the term September 1, 2016 - August 31, 2017; agreement facilitates CHRISTUS Spohn Hospital Corpus Christi's participation in the Program.

4.A.6. Ratify award of RFP #2016-01 for Information Technology Management and Support Services to Southern Networks for the term October 1, 2016 - September 30, 2017 with three additional one-year renewal options.

4.A.7. Announce meeting schedule for Calendar Year 2017 Board of Managers and Board Committee meetings.

4.B. Finance Committee:

4.B.1. Receive revenue report relating to Christus Spohn Health System Corporation Membership Agreement for current fiscal year-to-date.

4.B.2. Receive summary report of intergovernmental transfers in support of the Medicaid demonstration Texas Healthcare Transformation and Quality Improvement Program Section 1115 Waiver sponsored by the Texas Health and Human Commission for fiscal year-to-date.

4.B.3. Receive summary information relating to medical and hospital care provided to the Nueces Aid population consistent with the Christus Spohn Health System Corporation Membership Agreement for calendar year-to-date ended July 31, 2016.

4.B.4. Receive summary payment information for current fiscal year-to-date:

4.B.4.a. Medical services at Nueces County juvenile detention facility;

4.B.4.b. Emergency medical services in unincorporated areas of Nueces County;

4.B.4.c. Supplemental funding for Behavioral Health Center of Nueces County; and

4.B.4.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

5. REGULAR AGENDA:

5.A. Board of Managers:

5.A.1. Receive Owner's Representative update from Naismith Engineering, Inc. on construction of Dr. Hector P. Garcia-Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas. (INFORMATION) 

5.B. Finance Committee: 

5.B.1. Receive unaudited financial statements for the months and fiscal year-to-date periods ended May 31, 2016 - July 31, 2016. (INFORMATION)

5.B.2. Receive investment reports and ratify related investment transactions:

5.B.2.a. Quarterly Investment Report for fiscal quarter ended June 30, 2016; and

5.B.2.b. Interim Investment Transactions Report for period of July 1, 2016 to present. (INFORMATION)

5.B.3. Adopt Board of Managers Resolutions relating to approval of the Nueces County Hospital District (NCHD) Fiscal Year 2017 Annual Budget for the period October 1, 2016 - September 30, 2017:

5.B.3.a. Resolutions approving external funding in the NCHD FY 2017 Annual Budget for:

5.B.3.a.1. Behavioral Health Center of Nueces County; and

5.B.3.a.2. Nueces County-related healthcare expenditures; and

5.B.3.b. Resolution approving NCHD's FY 2017 Annual Budget, approval pursuant to Texas Health and Safety Code, §281.091(b); FY 2017 Annual Budget comprised of:

5.B.3.b.1. Consolidated Budget, inclusive of General, Tobacco, and Indigent Care Funds; and

5.B.3.b.2. Capital Budget.  (ACTION)

5.B.4. Adopt Board of Managers Resolution committing an amount of the September 30, 2016 fiscal year-end General Fund balance to the subsequent fiscal year for unpaid intergovernmental transfers for Demonstration Year No. 5 of the Texas Healthcare Transformation and Quality Improvement Program Section 1115 Waiver.  (ACTION)

5.C. Indigent Care Provider's Briefing:

5.C.1. Receive and discuss information from Christus Spohn Health System Corporation (Provider) relating to:

5.C.1.a. Medical aid and hospital care provided to the Nueces Aid Program population consistent with the Christus Spohn Health System Corporation Membership Agreement and related matters; and

5.C.1.b. Programs, projects, and/or activities at Christus Spohn Hospital Corpus Christi-Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION)

5.D. Administrator's Briefing:

5.D.1. Next Scheduled Board and Committee meetings:

5.D.1.a. Board Meeting:  November 15, 2016; meeting time to be determined; and

5.D.1.b. Committee Meetings: November 15, 2016; meeting times to be determined:

5.D.1.b.1. Planning Committee;

5.D.1.b.2. Finance Committee; and

5.D.1.b.3. Board of Managers.  (INFORMATION)

6. ADJOURN