Tuesday, April 24, 2018 6:00 P.M
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REGULAR BI-MONTHLY MEETING OF THE BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, April 24, 2018 6:00 p.m. Board Room Texas Diabetes Institute 701 S. Zarzamora San Antonio, Texas 78207 MINUTES BOARD MEMBERS PRESENT: Ira Smith, Vice Chair Dianna M. Burns, M.D., Secretary Roberto L. Jimenez, M.D, Immediate Past Chair Robert Engberg James Hasslocher Janie Barrera BOARD MEMBERS ABSENT: James R. Adams, Chair OTHERS PRESENT: George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan J. Alsip, M.D., Executive Vice President/Chief Medical Officer, University Health System Edward Banos, Executive Vice President/Chief Operating Officer, University Health System Antonio Carrillo, Executive Director, Procurement Services, University Health System Ted Day, Executive Vice President, Strategic Planning and Business Development, University Health System Sergio Farrell, Senior Vice President/Chief, Ambulatory Services, Robert B. Green Donald Finley, Director, External Communications/Corporate Communications, University Health System Roe Garrett, Vice President/Controller, University Health System Greg Gieseman, President/Chief Executive Officer, Community First Health Plans, Inc. William Henrich, M.D., President, UT Health, San Antonio Barbara Holmes, Vice President/Chief Financial Officer, Community First Health Plans, Inc. Rob Hromas, M.D., Dean, Long School of Medicine, UT Health, San Antonio Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Daniel Johnson, Herbert F. Mueller Chair in Ophthalmology, UT Health San Antonio Monika Kapur, M.D., President/Chief Executive Officer, University Medicine Associates Leni Kirkman, Senior Vice President, Strategic Communications and Patient Relations, University Health System Winga Manning, Supplier Diversity Coordinator/Procurement Services, University Health System Bill Mundt, Deputy Chief Information Officer/Information Services, University Health System Regular Bi-Monthly Meeting of the Board of Managers Tuesday, April 24, 2018 Page 2 of 15 _____________________________________________________________________________________ Bill Phillips, Senior Vice President/Chief Information Officer, Information Services, University Health System Kirsten Plastino, M.D., President, Medical/Dental Staff, University Health System; and Professor, Department of Obstetrics/Gynecology, UT Health, San Antonio Maulik P. Purohit, M.D., Vice President/Chief Medical Information Officer, Brain Injury Medicine, and Neuro-Rehabilitation, University Health System Serina Rivela, Interim Chief Legal Office, University Health System Ron Rodriguez, M.D., Professor and Chairman, Department of Urology/Long School of Medicine, UT Health San Antonio Carlos Rosende, Thom F. Hogan, Jr., Distinguished Professorship in Complicated Ophthalmology, Long School of Medicine, UT Health San Antonio Don Ryden, Vice President, Project, Design, and Construction, University Health System Armando J. Sandoval, Chief of Police, University Health System Cystal Senesac, Executive Director, Marketing/Corporate Communications, University Health System Travis Smith, Deputy Chief Financial Officer, University Health System Allen Strickland, Vice President, Hospital Administration, University Hospital Sally Taylor, M.D., Senior Vice President/Chief, Behavioral Health, University Health System Roberto Villarreal, M.D., Senior Vice President, Research and Information Management, University Health System Emily Volk, M.D., Senior Vice President/Clinical Services, University Health System Jim Willis, Associate Administrator, University Hospital And other attendees. CALL TO ORDER AND RECORD OF ATTENDANCE: IRA SMITH, VICE CHAIR, BOARD OF MANAGERS Mr. Smith called the meeting to order at 6:05 p.m. INVOCATION AND PLEDGE OF ALLEGIANCE Mr. Smith introduced Mr. Cliff Harden, First Baptist Church of Lacoste, Texas, for the invocation and he led the pledge of allegiance. QUARTERLY EMPLOYEE RECOGNITION AWARDS - GEORGE B. HERNÁNDEZ, JR./BOARD MEMBERS Employees listed below were recognized by the Board of Managers: Professional: Jillian Ard-Cotter (Nursing) Clinic Staff Nurse I, Inpatient Pediatric Hematology/Oncology Professional: Ana Crystal Franco-Martinez (Non-Nursing) Clinical Specialist – University Hospital Management: Susan Lomba Executive Director, Quality Management & Accreditation Community First Health Plans Technical: Cedrick Wright Surgical Technician, Medicine Acute Care Regular Bi-Monthly Meeting of the Board of Managers Tuesday, April 24, 2018 Page 3 of 15 _____________________________________________________________________________________ Clerical: Anthony Garcia Team Leader Distribution, Hospital Supply Service: Alfonso Lopez Environmental Associate, Environmental Services-UH Volunteer: Marcella Loya Volunteer, Volunteer Services Physician: DeAndra Ransom Physician Assistant, Pavilion Express Med Clinic Team: Protective Services Team Vivian Garza, Cynthia Cabello All of this year’s quarterly recipients will be special honored guests at the Annual Recognition Awards Ceremony at the Omni Hotel on Thursday, February 28, 2019. Employees of the Quarter receive a plaque, embossed pen and an opportunity to select one of numerous awards valued at $100 on the employee recognition website. Dr. Jimenez addressed the honored employees on behalf of the Board of Managers. The Board enjoys employee presentations very much because Health System employees are the best. Employees helped to establish this institution; its reputation is number one in the country - . Board members are proud to see those billboards all over town. They look forward to celebrating employee successes at the Employee Recognition Banquet early next year, and he reiterated that employees are the best aspect of University Health System. Thank you for the work you do on behalf of the people of Bexar County. CITIZENS’ PARTICIPATION: None. REPORT FROM UT HEALTH SAN ANTONIO – WILLIAM HENRICH, M.D., PRESIDENT SUMMARY: Dr. Henrich reported a good month in terms of recruiting clinicians and scientists. He is pleased to welcome Dr. David Lehenbauer as the new congenital heart surgeon, currently finishing up a fellowship in advance congenital heart surgery at the University of Cincinnati/Cincinnati Children’s Hospital, a premier children’s hospital in the United States. Dr. Lehenbauer spent one week in University Hospital’s operating room with the cardiothoracic team and he emerged as a finalist for the position. He will be a major boost for University Health System’s congenital heart program. On the science front, UT Health has made a number of important recruits including Dr. Patrick Sung, a decorated scientist from Yale. Dr. Sung was at UT Health San Antonio 25 years ago and left to join the Department of Molecular Biophysics & Biochemistry at Yale University. At the present time, Dr. Sung works in cancer generation DNA repair. He was attracted to UT Health by the institution’s existing research strength in DNA repair (in several laboratories, including the lab of Dr. Hromas). This is a major recruit evidenced by a recent $6 million award by the Cancer Prevention & Research Institute of Texas (CPRIT) in support of his recruitment. In the past, Dallas and Houston have had a monopoly on these types of awards until now. UT Health is simply happy to break that string of their dominance by bringing an internationally renowned scientist to San Antonio. On the clinical front, the UT physician practice continues to grow, with a 22 percent increase in new patients, which bodes well for the future of this partnership in Regular Bi-Monthly Meeting of the Board of Managers Tuesday, April 24, 2018 Page 4 of 15 _____________________________________________________________________________________ terms of joint business. Dr. Henrich made a warm and sincere invitation to each of the Board members to attend any of the UT Health graduations (Medicine, Dental, Nursing, Allied Health Sciences, or Graduate School) in mid-May. Graduations are always a happy occasion. Dr. Henrich yielded the floor to Dr. Hromas, who commended the Board of Managers for their foresight in establishing the Texas Diabetes Institute before diabetes was recognized as a national problem. The School of Medicine recently applied; however, did not receive, a National Institutes of Health (NIH) Center of Excellence in Diabetes grant. NIH suggested to the School of Medicine that they needed to have at least two more diabetes researchers on staff, so the School of Medicine hired three more researchers. The team will apply again in the fall for a Center of Excellence in Diabetes grant. The Center of Excellence will be housed at the University Health System’s Texas Diabetes Institute. Dr. Plastino acknowledged physician leaders present. She is excited to be working on women’s & children’s tower plans. Health System and UT Health teams are working closely together, in the early planning stages. Staff continues to work on enhancements to the electronic medical record even if transitioning to Epic. Dr. Purohit and Dr. Volk have been working closely with medical/dental staff to make sure that metrics are being met for accrediting agencies and to improve patient care. Enhancements have been communicated very well to the medical staff before they occur. Dr. Henrich asked about the various phases of the planning and design process. Mr. Hernandez informed him that since the architectural firm has been selected, architects and Mr. Ryden are now meeting with stake holders to better