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 Public Comment-related information.
 

4. CONSENT AGENDA:

4.A. Confirm posting of meeting's public notice.
 

4.B. Approve minutes of Board of Managers Meetings:

4.B.1. Regular Sessions of June 6 and September 26, 2019; and

4.B.2. Special Sessions of July 23, August 26, and October 8, 2019.
 

4.C. Receive listing of new vendors as of October 10, 2019; listing pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

4.D. 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 the calendar quarter ended June 30, 2019:

4.D.1. CHRISTUS Spohn Health System Corporation Hospitals: Alice, Beeville, and Kleberg (Consolidated Report);

4.D.2. Corpus Christi Medical Center;

4.D.3. DeTar Healthcare System; and

4.D.4. Driscoll Children's Hospital.
 

4.E. Receive summary payment information on Nueces County health care expenditures for Fiscal Year 2019:

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

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

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

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

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

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

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

4.E.5.a. Charlie's Place;

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

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

4.E.6. Funding for diabetes prevention and supporting programs.
 

4.F. 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):

4.F.1. Letter Agreement extending current Frost Bank depository agreement through October 31, 2019.
 

5. REGULAR AGENDA:

5.A. Community Mental Health Initiatives:

5.A.1. Receive report from Nueces Center for Mental Health and Intellectual Disabilities (NCMHID) on activities performed under Interlocal Agreement between Nueces County, NCMHID, and Hospital District relating to diversion of persons from jails or other detention facilities, provision of crisis intervention teams, expansion of mobile crisis outreach, and development of jail-based competency restoration.  (INFORMATION)
 

5.A.2. Receive update on activities performed under Professional Services Agreement between Nueces County, BeHealthle, and the Hospital District relating to the Nueces County Community Collaborative Program/Jail Diversion Program. (INFORMATION)
 

5.A.3. Receive update on activities performed under Professional Services Agreement between Nueces County, Meadows Mental Health Policy Institute, and the 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. Indigent Health Care:

5.B.1. Receive summary information on 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 September 30, 2019. (INFORMATION)
 

5.B.2. Receive and discuss information from CHRISTUS Spohn Health System Corporation relating to:

5.B.2.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.B.2.b. Programs, projects, and/or activities at CHRISTUS Spohn Hospital Corpus Christi-Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION) 
 

5.B.3. Receive and discuss update from CHRISTUS Spohn Health System Corporation relating to operation, construction, transition, planning, and/or demolition activities pursuant to Sections 3.5 and 3.9 of Amended and Restated Schedule 1 to Spohn Membership Agreement, as schedule to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement:

5.B.3.a. Operations of Dr. Hector P. Garcia - Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas;

5.B.3.b. Construction and/or demolition activities at CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, Corpus Christi, Texas;

5.B.3.c. Transition of certain 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; and

5.B.3.d. 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.C. Finance Business:

5.C.1. Receive and approve unaudited financial statements for months and fiscal year-to-date periods ended May 31 - August 31, 2019. (ACTION)
 

5.C.2. Receive and approve investment reports and ratify related investment transactions:

5.C.2.a. Quarterly Investment Report for fiscal quarter ended June 30, 2019; and

5.C.2.b. Report of interim investment transactions for period July 1, 2019 to date. (ACTION)
 

5.C.3. Receive summary report 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:

5.C.3.a. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

5.C.3.a.1. Delivery System Reform Incentive Payment (DSRIP) pool; and

5.C.3.a.2. Hospital Uncompensated Care (UC) pool.

5.C.3.b. Disproportionate Share Hospitals (DSH) program;

5.C.3.c. Network Access Improvement Program (NAIP);

5.C.3.d. Uniform Hospital Rate Increase Program (UHRIP); and

5.C.3.e. Graduate Medical Education. (INFORMATION)
 

5.C.4. Receive revenue reports relating to CHRISTUS Spohn Health System Corporation Membership Agreement for Fiscal Year 2019 and current fiscal year-to-date. (INFORMATION)
 

5.C.5. Receive monthly statement of escrow amounts deposited and/or withdrawn 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; receive statements for months ended May 31 - September 30, 2019. (INFORMATION)
 

5.D. Other Business:

5.D.1. Approve engagement of Collier, Johnson, & Woods, P.C. Certified Public Accountants to perform an audit of the Hospital District's financial statements of the governmental activities, each major fund, and aggregate remaining funds for fiscal year ending September 30, 2019; authorize Administrator to execute engagement letter and related documents. (ACTION)
 

5.D.2. Receive information/presentation from CHRISTUS Spohn Health System Corporation relating to qualified Nueces Aid Program enrollees voluntarily enrolling in the CHRISTUS Health Plan in lieu of the Nueces Aid Program and authorize Administrator to continue discussions with CHRISTUS Spohn and/or CHRISTUS Health Plan and take related actions. (ACTION)
 

5.D.3. Receive information/presentation from Gulf Copper & Manufacturing Inc. (GCMI) relating to GCMI's proposed establishment and operation of a Foreign Trade Zone on Harbor Island (FTZ) for storage of wind components and parts and GCMI's request of an FTZ-supportive letter directed to the Port of Corpus Christi.  (INFORMATION)
 

5.E. Board of Managers Business:

5.E.1. Discuss and consider prioritizing listing of Hospital District facility tours. (ACTION)
 

5.E.2. Discuss and consider appointment of special (ad-hoc) Committee to review the Board's Bylaws and recommend changes. (ACTION)
 

5.F. Administrator's Briefing:

5.F.1. Future Board of Managers meeting:

5.F.1.a. Next Scheduled Regular Board Meeting:  November 19, 2019, 12 Noon (date/time is subject to change).
 

6. ADJOURN