November 19, 2020 at 12:00 PM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS:

___ 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, M.B.A.
___ 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. 
 

5. CONSENT AGENDA - SThe Consent Agenda consists of those agenda items which are routine, non-controversial, administrative in nature, not in need of separate attention, and which a member of the Board has not requested be discussed separately. If requested to be discussed separately, that agenda item will be removed from the Consent Agenda by the presiding officer to the Regular Agenda and discussed as a part of the Regular Agenda at the appropriate time. All remaining items listed under the Consent Agenda will be voted upon in a single vote:
 

5.A. Approve Board of Managers Regular Meeting minutes of October 20, 2020.
 

5.B. Receive listing of new vendors as of November 13, 2020; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

5.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 calendar quarter-ended September 30, 2020:

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

5.C.2. Corpus Christi Medical Center; and

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

5.D. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2021 year-to-date:

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

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

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

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

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

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

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

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

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

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

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

5.D.7. Public health grants; and

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

5.E. Receive reports relating to Nueces Aid Program enrollment for month-ended October 31, 2020. (Finance Committee)
 

5.F. 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.G. 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 October 31, 2020. (Finance Committee)
 

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

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

5.H.1.b. Hospital Uncompensated Care (UC) pool;

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

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

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

5.H.5. Graduate Medical Education (GME). (Finance Committee)
 

5.I. 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 October 31, 2020. (Finance Committee)
 

6. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, potentially controversial, not administrative in nature, or otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

6.A. Finance Committee:

6.A.1. Receive and approve unaudited financial statements for fiscal year-ended September 30, 2020. (ACTION)
 

6.A.2. Receive and approve unaudited financial statements for the month and fiscal year-to-date period ended October 31, 2020. (ACTION)
 

6.A.3. Ratify engagement of Collier, Johnson & Woods, P.C., Certified Public Accountants to perform an audit of the Hospital District's financial statements for the fiscal year ended September 30, 2020. (ACTION)
 

6.B. Community Mental Health Initiatives:

6.B.1. Receive copy of letter from Nueces County Medical Society to Nueces County Judge relating to the Meadows Foundation Comprehensive Behavioral Health Community Needs Assessment.  (INFORMATION)
 

6.B.2. Approve Supplemental Agreement No. 1 to Professional Services Contract between Nueces County, Nueces County Hospital District, and Meadows Mental Health Policy Institute; Supplemental Agreement extends due date for Deliverable No. 7 relating to implementation consulting services to March 31, 2021.  (ACTION)
 

6.B.3. Approve agreement/contract with The Police Assisted Addiction and Recovery Initiative (PAARI) relating to support and resources to assist law enforcement agencies in creating non-arrest pathways to addiction treatment and recovery. (ACTION)
 

6.C. COVID-19 Pandemic:

6.C.1. Receive presentation from the Coastal Bend Joint Task Force between City of Corpus Christi, Nueces County, and Texas A&M University-Corpus Christi on modeling the potential effects of COVID-19 on the Coastal Bend Region. (INFORMATION)
 

6.C.2. 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.C.3. Discuss and consider alternate actions relating to establishment of a COVID-19-related Alternate Care Site. (ACTION)
 

6.D. Legislative Committee:

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

6.E. Correctional Facilities Health Services:

6.E.1. Approve Health Services Agreement for Nueces County Correctional Facilities between Nueces County, Nueces County Hospital District, and Armor Correctional Health Services, Inc. for initial three-year term December 1, 2020 - November 30, 2023, and two one-year renewal options December 1, 2023 - November 30, 2024 and December 1, 2024 - November 30, 2025. (ACTION)
 

6.F. Local Provider Participation Fund (LPPF):

6.F.1. Approve LPPF-related Indigent Care Affiliation Agreements for Fiscal Year 2020 (October 1, 2019 - September 30, 2020):

6.F.1.a. CHRISTUS Spohn Hospital Corpus Christi;

6.F.1.b. Corpus Christi Rehabilitation Hospital;

6.F.1.c. Driscoll Children's Hospital;

6.F.1.d. PAM Rehabilitation Hospital of Corpus Christi;

6.F.1.e. PAM Specialty Hospital of Corpus Christi North;

6.F.1.f. South Texas Surgical Hospital; and

6.F.1.g. The Corpus Christi Medical Center - Bay Area.  (ACTION)
 

6.G. Nueces Aid Program:

6.G.1. Approve Contract Amendment No. 2 to Personal Services Contract, as amended, between Nueces County, Nueces County Hospital District, and Thomas L. Graham; Amendment extends term and final website deliverable due date to January 31, 2021.  (ACTION)
 

6.H. Board of Managers Business:

6.H.1. Elect Board of Managers Chairman to fill remainder of Fiscal Year 2021 term. (ACTION)
 

6.I. Administrator's Actions:

6.I.1. Ratify 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. Ratify renewal of Quality Assessment, Utilization Review, and Coding Review Services Agreement with Texas Medical Foundation for the period January 1, 2021 - December 31, 2022. (ACTION)
 

6.I.1.b. Receive executed 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. (INFORMATION)
 

6.I.1.c. Receive executed 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.  (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: December 15, 2020 at 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: December 15, 2020 at 12 Noon in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 

8. 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 and the Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071. 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, or 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:
 

8.A. Consult with attorneys on matters relating to litigation against opioid drug manufacturers, promoters, and distributors 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 Deceptive Trade Practices Act, fraud, unjust enrichment, negligence, violations of the federal Controlled Substances Act, civil conspiracy and any other related causes of action, and related matters.
 

9. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
 

10. Consider final action, decision, or vote on matters considered in the Closed Meeting. (ACTION AS NEEDED)
 

11. ADJOURN