2. ROLL CALL OF BOARD OF MANAGERS MEMBERS:

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

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 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 Board of Managers meeting minutes of:

5.A.1. September 15, 2020 Regular;

5.A.2. September 24, 2020 Special; and

5.A.3. September 29, 2020 Special.
 

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

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

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

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

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

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

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

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

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

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

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

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

5.B.7. Public health grants; and

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

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

5.D. 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.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 period-ended September 30, 2020. (Finance Committee)
 

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

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

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

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

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

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

5.F.5. Graduate Medical Education (GME). (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 month-ended September 30, 2020. (Finance Committee)
 

6. REGULAR AGENDA:
 

6.A. Finance Committee:

6.A.1. Receive and approve Quarterly and Annual Investment Reports:

6.A.1.a. Quarterly Investment Report for fiscal quarter-ended September 30, 2020 and ratify related investment transactions; and

6.A.1.b. Annual Investment Report for fiscal year-ended September 30, 2020.  (ACTION)
 

6.B. Social Determinants of Health and Health Equity:

6.B.1. Receive information on the role of social determinants of health in promoting health and health equity. (INFORMATION)
 

6.B.2. Discuss and consider approval of Statement of Work (SOW) with Accenture, LLP relating to the provision of and access to proprietary and COVID-19 related data supporting identification of Nueces County's social determinants of health; SOW includes provision of cloud-based social determinants data sets and development of geographical and population-based dashboards in conjunction with Texas Health Institute. SOW accompanies Texas Department of Information Resources Contract No. DIR-TSO-4062 relating to cloud services and related services; and authorize Administrator to finalize details and execute SOW. (ACTION)
 

6.B.3. Discuss and consider approval of an Agreement with Texas Health Institute relating to provision of project management, subject matter expert, environmental and policy scan, community stakeholder engagement services, and recommendations to guide Accenture, LLP's social determinants of health dashboard framework and metrics; and authorize Administrator to finalize details and execute Agreement.  (ACTION)
 

6.C. Community Mental Health Initiatives:

6.C.1. Receive Meadows Mental Health Policy Insitute's Nueces County Comprehensive Behavioral Health Community Needs Assessment Final Report September 2020.  (INFORMATION)
 

6.C.2. Receive presentation from The Police Assisted Addiction and Recovery Initiative (PAARI) relating to support and resources to help law enforcement agencies create non-arrest pathways to treatment and recovery. (INFORMATION)
 

6.C.3. Receive presentation from Cloud 9^® TeleBehavioral Healthcare on technology for law enforcement, fire, and emergency medical services to connect to remote mental health clinicians and/or medical practitioners to jointly treat patients experiencing mental health crisis in the community.  (INFORMATION)
 

6.D. COVID-19 Pandemic:

6.D.1. Receive update on establishment of a COVID-19-related Alternate Care Site for post-acute care at Corpus Christi Medical Center-Northwest located at 13725 Northwest Boulevard, Corpus Christi, Texas. (INFORMATION)
 

6.E. Legislation:

6.E.1. Discuss and consider adoption of legislative agenda for 87th (2021) Texas Legislative Session.  (ACTION)
 

6.F. Board of Managers Business:

6.F.1. Adopt Calendar Year 2021 Board of Managers Meeting dates and times.  (ACTION)
 

6.G. Local Provider Participation Fund:

6.G.1. Receive information on establishment of Nueces County Hospital District LPPF. (INFORMATION)
 

6.H. Purchasing:

6.H.1. Adopt Board of Managers Order granting professional services exemption from the competitive purchasing requirements of Texas Local Government Code, §262.023 for acquisition of Quality Assessment, Utilization Review, and Coding Review Services from the Texas Medical Foundation for Calendar Years 2021, 2022, and 2023; exemption authorized by Local Government Code, §262.024(a)(4). (ACTION) 
 

6.H.2. Adopt Board of Managers Order granting professional services exemption from the competitive purchasing requirements of Texas Local Government Code, §262.023 for acquisition, from Texas Health Institute, of project management, subject matter expert, environmental and policy scan, community stakeholder engagement services, and recommendations to guide Accenture, LLP's social determinants of health dashboard framework and metrics for Calendar Years 2021 and 2022; exemption authorized by Local Government Code, §262.024(a)(4). (ACTION) 
 

6.I. Administrator's Actions:

6.I.1. Receive information on Administrator's action(s) performed as part of his duties directing the affairs of the District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

6.I.1.a. Extension of due date for Deliverable No. 7 of Professional Services Contract with Meadows Mental Health Policy Institute; due date for consultations extended to March 31, 2021. (INFORMATION)
 

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: November 17, 2020, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;

7.A.2. Board of Managers:  November 17, 2020, 12 Noon in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 

8. ADJOURN