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Board-Packet-01.22.2014.Pdf Board Meeting January 22, 2014 Agenda Item C1 Approve minutes for the following meetings of the Central Health Board of Managers: a. October 26, 2013; b. November 6, 2013; and c. November 20, 2013. MINUTES OF MEETING – OCTOBER 26, 2013 CENTRAL HEALTH BOARD OF MANAGERS RETREAT On Saturday, October 26, 2013, a meeting of the Central Health Board of Managers convened in open session at 10:13 a.m. in the Training Room of the Central Health Administrative Offices located at 1111 E. Cesar Chavez Street, Austin, Texas 78702. Clerk for the meeting was Ms. Rachael Cortez. _________________________________________________________________________________ Board of Managers present: Chairperson Mendoza, Vice-Chairperson Coleman-Beattie, Manager Coopwood, Manager Heidrick, and Manager Kuykendall. REGULAR AGENDA 1. Receive and discuss a briefing on Changing Healthcare Environment – Business Drivers for Strategic Alignment and business enterprise strategy development for Central Health and affiliated entities from COPE Health Solutions.1 Clerk’s Notes: Mr. Allen Miller, President and CEO of COPE Health Solutions, discussed changes in the current healthcare environment including general assumptions regarding financial and market pressure, safety-net patients, and investments through DSRIP projects. Manager Hudson arrived at 10:14 a.m. Treasurer Daniel arrived at 10:44 a.m. Mr. Miller discussed population heath and managed care. Mr. Miller further discussed elements of an integrated delivery system. Mr. Miller responded to questions from the Board. No action was taken on item 1. 2. Receive and discuss a briefing on Central Health owned property, including University Medical Center at Brackenridge and adjacent properties.1 Clerk’s Notes: Mr. John Stephens, Project Manager, discussed the steps in the planning process for Central Health owned property, including University Medical Center at Brackenridge (UMCB) and adjacent properties. Mr. Stephens reviewed the existing UMCB site use and the current understanding of site factors. Mr. Stephens discussed UMCB statistics and reuse considerations. Mr. Stephens responded to questions from the Board. Manager Zamora arrived at 11:48 a.m. Chairperson Mendoza announced that item 2 would also be discussed in closed session with item 3. No action was taken on item 2. 3. Receive and discuss an agreement among Travis County Healthcare District d/b/a Central Health, Seton Family of Hospitals, the Community Care Collaborative, and the University of Texas at Austin regarding the Dell Medical School.1 Clerk’s Notes: At 12:00 p.m. Chairperson Mendoza announced that the Board is convening in closed session to discuss agenda item 2 under Section 551.071 of the Texas Government Code, Consultation with Attorney and Section 551.072 of the Texas Government Code, Deliberation October 26, 2013 – Board of Managers Retreat Minutes Regarding Real Property. Chairperson Mendoza also announced that the Board is convening in closed session to discuss agenda item 3 under Section 551.071 of the Texas Government Code, Consultation with Attorney and Section 551.085 of the Texas Government Code, Deliberation of Governing Board of Certain Providers of Health Care Services. At 2:12 p.m. the Board reconvened in open session. No action was taken on item 3. 5. Discuss and take appropriate action on the 1115 Medicaid Waiver, Delivery System Reform Incentive Payment (DSRIP) projects, the Community Care Collaborative, including health care delivery arrangements, and other interrelated community partnerships.1 Clerk’s Notes: This item was taken out of sequence. Mr. Jeff Knodel, Chief Financial Officer, reviewed the Regional Health Partnership (“RHP”) 7 three-year DSRIP projects. Mr. Knodel discussed prioritization of the DSRIP projects and constraints for Central Health. Mr. Knodel discussed the impact on Intergovernmental Transfer capacity. Ms. Sarah Cook, Medicaid Waiver Director, reviewed project details for consideration. Ms. Cook and Mr. Knodel responded to questions from the Board. Vice-Chairperson Coleman-Beattie moved that the Board approve staff the recommendation for the Central Health funded Intergovernmental Transfer (IGT) projects, Centering Pregnancy, Telepsychiatry, and Chronic Case Management. Manager Hudson seconded the motion. Chairperson Rosie Mendoza For Vice-Chairperson Brenda Coleman-Beattie For Treasurer Katrina Daniel For Secretary Rebecca Lightsey Absent Manager Tom Coopwood Abstain Manager Clarke Heidrick For Manager Lynne Hudson For Manager Guadalupe Zamora For Manager Kirk Kuykendall For Following the vote, the Board discussed whether to instruct staff on moving the order of these projects. The Board did not take action to rank the projects. 4. Discuss implementation of the Affordable Care Act and its impact on the population served by the Integrated Delivery System.1 Clerk’s Notes: This item was taken out of sequence. Ms. Christie Garbe, Vice President of Planning and Communications, gave a brief overview on this item to prepare the discussion for the next Board meeting. The overview included policy assumptions for Travis County residents under 200% of the Federal Poverty Level and participants in the Medical Access Program (MAP). Ms. Garbe reviewed the timeline for decisions. Ms. Garbe responded to questions from the Board. 6. Receive and discuss a report of the September 2013 financial statements for the Community Care Collaborative. Clerk’s Notes: Item 6 was postponed. October 26, 2013 – Board of Managers Retreat Minutes 7. Confirm the next regular Board meeting date, time, and location. Clerk’s Notes: Chairperson Mendoza announced the next regularly scheduled meeting of the Central Health Board of Managers will be on Wednesday, November 6, 2013 at 5:30 p.m., Central Health Administrative Offices, 1111 E. Cesar Chavez St., Austin, Texas 78702. Treasurer Daniel moved that the Board adjourn. Manager Zamora seconded the motion. Chairperson Rosie Mendoza For Vice-Chairperson Brenda Coleman-Beattie For Treasurer Katrina Daniel For Secretary Rebecca Lightsey Absent Manager Tom Coopwood For Manager Clarke Heidrick For Manager Lynne Hudson For Manager Guadalupe Zamora For Manager Kirk Kuykendall For The meeting was adjourned at 3:00 p.m. Brenda Coleman-Beattie, Chairperson Central Health Board of Managers ATTESTED TO BY: Lynne Hudson, Secretary Central Health Board of Managers October 26, 2013 – Board of Managers Retreat Minutes MINUTES OF MEETING – NOVEMBER 6, 2013 CENTRAL HEALTH BOARD OF MANAGERS On Wednesday, November 6, 2013, a meeting of the Central Health Board of Managers convened in open session at 5:37 p.m. in the Board Room of the Central Health Administrative Offices located at 1111 E. Cesar Chavez Street, Austin, Texas 78702. Clerk for the meeting was Ms. Rachael Cortez. _________________________________________________________________________________ Board of Managers present: Chairperson Mendoza, Vice-Chairperson Coleman-Beattie, Treasurer Daniel, Manager Coopwood, Manager Hudson, Manager Kuykendall, and Manager Zamora. CITIZENS’ COMMUNICATION Clerk’s Notes: Mr. Mike McKinnon, Communications Coordinator, introduced the speakers for Citizens’ Communication. Ms. Cynthia Tabasco, Eligibility Senior Lead, discussed recent flooding and the impact on Central Health staff. Ms. Claudia Lindenberg, Eligibility Services Director, discussed recent flooding and the work of Central Health staff assisting the City of Austin. Mr. Larry Wallace, Vice President of Service Delivery, discussed coordinated efforts with Latino HealthCare Forum regarding recent flooding. Manager Heidrick arrived at 5:42 p.m. Ms. Rosie Mendoza, speaking in her capacity as a Travis County resident, discussed recent flooding and assisting members of the Dove Springs Community through Fiesta de Independencia Foundation. Ms. Christie Garbe, Vice President of Planning and Communications, discussed the first anniversary of the passage of Proposition 1 and reviewed accomplishments for transforming healthcare in Travis County. CONSENT AGENDA C1. Approve the nomination of Ann-Marie Price, Director of Government Affairs, as Compliance Officer. Clerk’s Notes: Item C2 was pulled from the Consent Agenda and moved to the Regular Agenda. Vice-Chairperson Coleman-Beattie moved that the Board approve Consent Agenda item C1. Manager Zamora seconded the motion. Chairperson Rosie Mendoza For Vice-Chairperson Brenda Coleman-Beattie For Treasurer Katrina Daniel For Secretary Rebecca Lightsey Absent Manager Tom Coopwood For Manager Clarke Heidrick For Manager Lynne Hudson For Manager Guadalupe Zamora For November 6, 2013 – Board of Managers Meeting Minutes Manager Kirk Kuykendall For REGULAR AGENDA C2. Approve the creation of an ad hoc Women’s Health Committee to address issues related to women’s health and appoint the following Managers to serve on the committee: a. Rebecca Lightsey (Chairperson); b. Lynne Hudson; and c. Clarke Heidrick. Clerk’s Notes: Ms. Patricia Young Brown, President and CEO, discussed the creation of an ad hoc Women’s Health Committee. Ms. Young stated that the committee would address issues related to women’s health and noted the proposed Board members that would serve on the committee. Ms. Young responded to questions from the Board. Vice-Chairperson Coleman-Beattie moved the Board approve the creation of an ad hoc Women’s Health Committee to address issues related to women’s health and appoint the following Managers to serve on the committee: a. Rebecca Lightsey (Chairperson); b. Lynne Hudson; and c. Clarke Heidrick. Manager Zamora seconded
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