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 September 12, 2016 Board of Managers regular meeting.
 

4.A.2. Receive complete listing of vendors as of January 6, 2017; complete listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

4.B. Finance Committee:

4.B.1. Receive unaudited financial statements for the month and fiscal year-to-date periods ended August 31, 2016 - November 30, 2016.

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

4.B.2.a. Quarterly Investment Report for fiscal quarter ended September 30, 2016.

4.B.3. Receive revenue report relating to CHRISTUS Spohn Health System Corporation Membership Agreement for current fiscal year-to-date.
 

4.B.4. 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 November 30, 2016.
 

4.B.5. Receive summary payment information for current fiscal year-to-date:

4.B.5.a. Medical services at Nueces County juvenile detention facility;

4.B.5.b. Emergency medical services in unincorporated areas of Nueces County;

4.B.5.c. Supplemental funding for Behavioral Health Center of Nueces County; and

4.B.5.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

4.B.6. Receive summary report of intergovernmental transfers in support of the Medicaid 1115 Waiver-related Texas Healthcare Transformation and Quality Improvement Program sponsored by the Texas Health and Human Commission for fiscal year-to-date.
 

4.B.7. Confirm FY 2017 Annual Budget; Annual Budget comprised of: 

4.B.7.a. Consolidated Budget, inclusive of General, Tobacco, and Indigent Care Funds Budgets; and

4.B.7.b. Capital Budget.

4.B.8. Ratify Administrator's action(s) performed as part of duties required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

4.B.8.a. Engagement of Collier, Johnson, & Woods, P.C. Certified Public Accountants to perform an audit of the financial statements of the governmental activities, each major fund, and the aggregate remaining fund information of the Nueces County Hospital District for the fiscal year ended September 30, 2016.

4.C. Planning Committee:

4.C.1. Receive hospital providers' reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for calendar quarter ended September 30, 2016:

4.C.1.a. CHRISTUS Spohn Health System Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.C.1.b. Corpus Christi Medical Center;

4.C.1.c. DeTar Healthcare System; and

4.C.1.d. Driscoll Children's Hospital.

4.C.2. Ratify Administrator's action(s) performed as part of duties required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

4.C.2.a. Grant of License Agreement request from Nueces County acting as Property Trustee for 0.061 acres of Flour Bluff Park Lots 1-5, Block 16, 901 McIver, Corpus Christi, Texas for the purpose of providing temporary construction work space on aforesaid property to Electric Transmission Texas, LLC (ETT) for ETT to construct an underground electric transmission line;

4.C.2.b. Execution of Assignment Agreement assigning Engineering Services Agreement for Owner's Representative Services for Memorial Property Improvements from Naismith Engineering, Inc. to Hanson Professional Services, Inc.; assignment effective September 12, 2016;

4.C.2.c. Execution of Amendment One to Interlocal Agreement between the Texas Health & Human Services Commission and Nueces County Hospital District; amendment relating to 18-month extension of the Texas Transformation and Quality Improvement Program Section 1115 Waiver and amends and extends original 2013 Agreement to January 31, 2018;

4.C.2.d. Execution of Information Technology Management and Support Services Agreement with Southern Networks for the term October 1, 2016 - September 30, 2017 with three additional one-year renewal options; execution related to award of Request for Proposal No. 2016-01;

4.C.2.e. Execution of Pharmacy Benefit Administrative Services Agreement with Script Care, Inc. for initial one-year period January 1 - December 31, 2017 with three additional one-year renewal options; execution related to award of Request for Proposal No. 2016-02; and

4.C.2.f. Execution of Renewal of Quality Assessment, Utilization Review, and Coding Review Services Agreement with Texas Medical Foundation for two-year term January 1, 2017 - December 31, 2018.

5. REGULAR AGENDA:

5.A. Board of Managers:

5.A.1. Receive update from CHRISTUS Spohn Health System Corporation relating to planning, construction, and/or demolition activities associated with September 10, 2014 Letter of Intent Regarding Material Alteration Notice:

5.A.1.a. Construction of Dr. Hector P. Garcia - Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas;

5.A.1.b. Construction and/or demolition activities at CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, Corpus Christi, Texas; and

5.A.1.c. Planning orderly transition of services from Hospital District-owned hospital presently known as CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly known as Memorial Medical Center) located at 2606 Hospital Boulevard to CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, both facility locations in Corpus Christi, Texas. (INFORMATION) 
 

5.A.2. Receive Owner's Representative update from Hanson Professional Services Inc. (formerly 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. 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, 2016. (ACTION)

5.B.2. Receive select statements of escrow amounts deposited by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Section 3.9.7 of Amended and Restated Schedule 1 to Spohn Membership Agreement, a schedule to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, and Attachment B, Paragraph 9 of Amended and Restated Memorandum of Understanding; statements of escrow amounts for the monthly periods:

5.B.2.a. January 1, 2016 - January 31, 2016; and

5.B.2.b. November 1, 2016 - November 30, 2016.  (INFORMATION)

5.C. Planning Committee:

5.C.1. Appoint Director to CHRISTUS Spohn Health System Corporation's Board of Directors for three-year term commencing January 1, 2017 and ending December 31, 2019; receive Nueces County Commissioners Court's nomination for consideration of appointment; adopt Court's nomination and appoint nominee for aforesaid term; Hospital District's appointment pursuant to CHRISTUS Spohn Health System Membership Agreement, Article IV, Section 4.01(b).  (ACTION)

5.C.2. Appoint Director to Board of City of Corpus Christi's Reinvestment Zone No. 2 for two-year term to expire November 1, 2018; appointment pursuant to Texas Tax Code, §311.009(a). (ACTION)
 

5.D. Indigent Care Provider's Briefing:

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

5.D.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.D.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.E. Administrator's Briefing:

5.E.1. Next Scheduled Board of Managers and Board Committee meetings (all dates and times tentative):

5.E.1.a. Board Meeting:  March 28, 2017; meeting start time to be determined; and

5.E.1.b. Board Committee Meetings: March 28, 2017; meeting start times to be determined:

5.E.1.b.1. Planning Committee;

5.E.1.b.2. Finance Committee; and 

5.E.1.b.3. Quality Management Committee. (INFORMATION) 
 

6. ADJOURN