February 19, 2019 at 12:15 PM - Board of Managers - Regular Meeting

1. CALL TO ORDER
 

2. ESTABLISHMENT OF QUORUM
 

3. CONSENT AGENDA:

3.A. Approve meeting minutes of Board of Managers:

3.A.1. Regular Meeting of September 7, 2018.
 

3.B. Receive annual listing of vendors as of February 13, 2019; annual listing presented pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

3.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 the calendar quarters ended September 30 and December 31, 2018:

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

3.C.2. Corpus Christi Medical Center;

3.C.3. DeTar Healthcare System; and

3.C.4. Driscoll Children's Hospital.
 

3.D. 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 ended December 31, 2018. (Finance Committee)
 

3.E. Receive summary payment information for fiscal year ended September 30, 2018 and current fiscal year-to-date:

3.E.1. Medical services at Nueces County juvenile detention facility;

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

3.E.3. Supplemental funding for Behavioral Health Center of Nueces County; and

3.E.4. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department. (Finance Committee)
 

3.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):

3.F.1. Execution of Personal Services Agreement with former employee Dena B. Bruni for assistance and other services relating to the Nueces Aid Program and proposed revisions to the Nueces Aid Program Handbook; Agreement term January 1 - December 31, 2019, amount not to exceed $5,000.00 during term.
 

4. REGULAR AGENDA:

4.A. Finance Committee:

4.A.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, 2018. (ACTION)
 

4.A.2. Receive revenue reports relating to CHRISTUS Spohn Health System Corporation Membership Agreement for fiscal year ended September 30, 2018 and current fiscal year-to-date. (ACTION)
 

4.A.3. 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 August 31, 2018 - January 31, 2019. (ACTION)
 

4.A.4. 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:

4.A.4.a. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

4.A.4.a.1. Delivery System Reform Incentive Payment (DSRIP) pool; and

4.A.4.a.2. Hospital Uncompensated Care (UC) pool.

4.A.4.b. Disproportionate Share Hospitals (DSH) program;

4.A.4.c. Network Access Improvement Program (NAIP); and

4.A.4.d. Uniform Hospital Rate Increase Program (UHRIP). (ACTION)
 

4.A.5. Receive and approve unaudited financial statements for months and fiscal year-to-date periods ended July 31 - December 31, 2018. (ACTION)
 

4.A.6. Receive and approve investment reports and ratify related investment transactions:

4.A.6.a. Quarterly Investment Reports for fiscal quarters ended September 30 and December 31, 2018; and

4.A.6.b. Annual Investment Report for fiscal year ended September 30, 2018. (ACTION)
 

4.B. Other Business:

4.B.1. Reappoint Mr. Tony LaMantia as Director to CHRISTUS Spohn Health System Corporation's Board of Directors for three-year term commencing January 1, 2019 and ending December 31, 2021; receive and consider Nueces County Commissioners Court's nomination; concur with Court's nomination and appoint nominee for aforesaid term; appointment pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Article III, Section 3.01(b).  (ACTION)
 

4.B.2. Adopt legislative agenda for the 86th Texas Legislative Session:

4.B.2.a. Hospital provider-funded Local Provider Participation Fund.  (ACTION)
 

4.B.3. Establish sale goals for Request for Proposals on sale of Hospital District-owned real property presently known as CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly known as Memorial Medical Center) located at 2606 Hospital Boulevard, Corpus Christi, Texas and other adjacent and nearby properties. (ACTION)
 

4.B.4. Receive initial 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)
 

4.B.5. Receive 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:

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

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

4.B.5.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

4.B.5.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) 
 

4.C. Indigent Care Provider's Briefing:

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

4.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

4.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) 
 

4.D. Administrator's Briefing:

4.D.1. Next Scheduled Board of Managers and Board Committee meetings (all meetings, dates, and times shown are tentative):

4.D.1.a. Board Meeting:  March 26, 2019; meeting start time to be determined; and

4.D.1.b. Board Committee Meetings: March 26, 2019; meeting start times to be determined:

4.D.1.b.1. Planning Committee;

4.D.1.b.2. Finance Committee; and 

4.D.1.b.3. Quality Management Committee. (INFORMATION) 
 

5. 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; the Texas Health and Safety Code, Chapter 161, §161.031, §161.0315, and §161.032; and the Texas Occupations Code, Chapters 151 and 160; and that the Board specifically expects to go into a closed session(s) on the matters listed below. 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, 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.
 

5.A. Consult with attorneys on matters related to sale of Hospital District-owned real property presently known as CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly known as Memorial Medical Center) located at 2606 Hospital Boulevard, Corpus Christi, Texas and other adjacent and nearby properties; consultation pursuant to Open Meetings Act, Texas Government Code, §551.071.
 

5.B. Consult with attorneys on matters relating to litigation against opioid drug manufacturers, promoters, and distributers responsible for causing and contributing to an epidemic of opioid addiction in Nueces County, including but not limited to Purdue Pharma, Endo Pharmaceuticals, Janssen Pharmaceuticals, Insys Therapeutics, the McKesson Corporation, Cardinal Health and AmerisourceBergen for violations of the DTPA, fraud, unjust enrichment, negligence, violations of the federal Controlled Substances Act, civil conspiracy and any other related causes of action, and related matters; consultation pursuant to Open Meetings Act, Texas Government Code, §551.071.
 

6. OPEN MEETING
 

7. Consider action on item(s) covered during Closed Meeting. (ACTION AS NEEDED)
 

8. ADJOURN