Board of Managers Meeting Cypress Conference Room First Floor, University Hospital Tuesday, 5/19/2020 2:00 - 4:00 PM CT 1. Call to Order and Record of Attendance Presented By: Jim Adams, Chair (:01) 2. Invocation - Julie Rowe, Spiritual Care, University Health System Presented By: Jim Adams, Chair (:03) 3. Pledge of Allegiance Presented By: Jim Adams, Chair (:01) 4. Public Comment: (:05) 5. Special Recognition - In Appreciation of their Service and Leadership: Presented By: George B. Hernández, Jr./Board Members (:10) Dianna M. Burns, MD, Secretary, Board of Managers Ms. Janie Barrera, Member, Board of Managers 6. Approval of Minutes of Previous Meetings (:03) April 21, 2020 (Regular Meeting) 4.21.20 minutes - Page 4 7. Report from UT Health San Antonio Presented By: William Henrich, MD, President (:10) A. Acknowledgement of Staff B. Upcoming Events 8. New Business: Presented By: Jim Adams, Chair (:15) Consent Agenda A. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Staff Membership and Delineation of Privileges Presented By: Rajeev Suri, MD, Pesident, Medical/Dental Staff 5.19.20 Medical Dental Staff Membership - Page 22 B. Consideration and Appropriate Action to Appoint Dr. Monica Verduzco-Gutierrez as the Clinical Department Chair of Rehabilitation Medicine Presented By: Rajeev Suri, MD, President, Medical/Dental Staff 5.19.20 Monica Verduzco-Gutierrez PMR Chair - Page 79 5.19.20 Monical Gutierrez - CV - Page 80 C. Consideration and Appropriate Action Regarding an Extension of the Agreement with ABM Healtcare Support Services for Management of Food and Nutritional Services at University Hospital Presented By: Jim Willis 5.19.20 ABM Healthcare Support - Food-Nutrition - Page 85 D. Consideration and Appropriate Action Regarding an Extension of a Lease Agreement with 700LP for the Refugee Clinic located at the Westside Professional Building, 700 S. Zarzamora, San Antonio, TX 78207 Presented By: Don Ryden 5.19.20 -Lease with 700L for Refugee Clinic-Westside Prof Bldg - Page 88 E. Consideration and Appropriate Action Regarding Policy 9.27, Managing the Care of Patients in the Emergency Department Awaiting Admission or Observation Presented By: Juan Garza, MD 5.19.20 Policy 9.27 Onboarding ED Patients - Page 90 5.19.20 Policy No. 9.27 ED Boarding - Page 92 F. Consideration and Appropriate Action Regarding Policy 7.16, Bexar County Hospital District Pension Plan Funding Policy Presented By: Reed Hurley 5.19.20 - 7.16 Pension Plan Funding Write Up - Page 95 5.19.20 Policy 7.16 BCHD Pension Funding Policy - Page 97 G. Consideration and Appropriate Action Regarding Purchasing Activities (See Attachment A) Presented By: Antonio Carrillo/Travis Smith 5.19.20 Purchasing Activities - Page 101 9. Action Items: (:30) A. Consideration and Appropriate Action Regarding the External Auditor's Report on the Audited Financial Statements for 2019 (BKD, LLP/Robert Engberg, Chair, Audit Committee) 5.19.20 Audit - Page 115 B. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Consulting Agreement with Pivotpoint Consulting Associates for Help Desk Support for the Epic Electronic Health Record Project Presented By: Bill Phillips 5.19.20 Epic Help Desk - Pivotpoint Consultants - Page 116 (2) Consideration and Appropriate Action Regarding a Guaranteed Maximum Price Proposal (GMP #10) for the Women's and Children's Hospital Structure and Infrastuture for the Construction Manager at Risk Agreement with Joeris/Dunn Joint Venture Presented By: Don Ryden 5.19.20 GMP10 - Joris+JE Dunn - Page 120 (3) Consideration and Appropriate Action Regarding a Contract with Philips North America for the Purchase and Installation of Two MRI Scanners at University Hospital and Robert B. Green Campus Presented By: Jim Willis 5.19.20 MRI Scanners-Philips - Page 123 (4) Consideration and Appropriate Action Regarding Assignment of Transplant Outreach Clinics in Support of the Transplant Program at University Hospital Presented By: Michael Roussos 5.19.20 Transplant Clinic Assignment - Page 127 C. Consideration and Appropriate Action Regarding the Financial Report for April 2020 Presented By: Reed Hurley 5.19.20 April Financial Highlights and Ex A - Page 130 5.19.20 Financial Activities - Page 134 10. Presentations and Education: A. COVID-20 Operations Report Presented By: Ed Banos/Bryan Alsip, MD 5.19.20 COVID-19 Operations - Page 141 11. Information Only: A. 2020 Quarter I Supplier Diversity Report Presented By: Edward Cruz, Jr./Antonio Carrillo/Travis Smith 5.19.20 Supplier Diversity - Page 148 B. Epic Electronic Health Record Project Update Presented By: Bill Phillips 5.19.20 Epic Update - Page 155 5.19.20 Epic Update - Schedule A - Page 159 5.19.20 Epic Update - Schedule B and C - Page 160 C. Update on the Women's and Children's Hospital and Associated Projects Presented By: Don Ryden 5.19.20 Womens and Childrens Update - Page 162 D. University Health System Foundation Update Presented By: Leni Kirkman 5.19.20 Foundation Update - Page 168 E. Report on Recent Recognitions and Upcoming Events Presented By: Leni Kirkman 5.19.20 Recognitions and Events - Page 170 12. Adjournment Presented By: James Adams, Chair The Board of Managers may recess during the open meeting in order to hold a closed meeting. Alternatively, a closed meeting may be held before the open meeting or after its adjournment. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing, market data and/or financial and planning information relating to the arrangement or provision of proposed new services and/or product lines. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing or financial planning information relating to a bid or negotiation for the arrangement or provision of services or product lines to another person if disclosure of the information would give advantage to competitors of the hospital district. Courtesy Notice: A closed meeting will be held pursuant to TEX. HEALTH & SAFETY CODE, Section 161.032 to evaluate the quality of medical and/or health care services and receive records, information, or reports provided by a medical committee, medical peer review committee, or compliance officer. University Health System BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS By Telephone Tuesday, April 21, 2020 2:00 p.m. Board Room Cypress Room, University Hospital 4502 Medical Drive San Antonio, Texas 78229 MINUTES BOARD MEMBERS PRESENT: James R. Adams, Chair Dianna M. Burns, M.D., Secretary Ira Smith, Vice Chair Roberto L. Jimenez, M.D, Immediate Past Chair Robert Engberg James C. Hasslocher Janie Barrera OTHERS PRESENT: George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan J. Alsip, MD, 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, University Health System Theresa De La Haya, Senior Vice President, Health Promotion/Clinical Prevention, University Health System Roe Garrett, Vice President/Controller, University Health System Rob Hromas, MD, Dean, School of Medicine, UT Health San Antonio Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Daverick Isaac, Vice President/Chief Financial Officer, Community First Health Plans, Inc. Leni Kirkman, Senior Vice President, Strategic Communications, Patient Relations, University Health System; and Interim President, University Health System Foundation Bill Phillips, Senior Vice President/Information Services, University Health System Serina Rivela, Vice President/General Counsel, Legal Services, University Health System Michael Roussos, Administrator, University Hospital Don Ryden, Vice President, Project, Design and Construction, University Health System Armando J. Sandoval, III, Chief of Police/Protective Services, University Health System Theresa Scepanski, Interim President/Chief Executive Officer, Community First Health Plans, Inc. Travis Smith, Deputy Chief Financial Officer, University Health System Allen Strickland, Vice President/Hospital Administration-Fiscal, University Health System Board of Managers Meeting – By Telephone Tuesday, April 21, 2020 Page 2 of 18 Rajeev Suri, MD, Professor/Department of Radiology, UT Health; and President/Medical-Dental Staff, University Health System Janet Tracy, Spiritual Care Services, University Hospital And other attendees. CALL TO ORDER: Mr. Adams called the meeting to order at 2:02 pm. He yielded the floor to the Recording Secretary for the roll call to confirm a quorum. All Board members indicated “present.” Upon confirmation of a quorum, Mr. Adams asked Board members to hold their questions until after each presentation. Voting today will be conducted by individual roll call to clearly identify each Board member by name and vote. Mr. Adams addressed the audience and noted that while members of the public are not able to ask questions during today’s meeting, should any citizen or member of the media have any questions or comments, please email them to [email protected]. This email address is on the Health System’s corporate website in the Contact Us section. A staff member will follow up within a day or two. INVOCATION