THE BOARD OF MANAGERS MEETING AGENDA

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THE BOARD OF MANAGERS MEETING 9:00 A.M. Thursday, BOARD ROOM 2525 Holly Hall Drive, Houston, Texas 77054 Mission We improve our community s health by delivering high-quality healthcare to Harris County residents and by training the next generation of health professionals. AGENDA I. Call to Order and Record of Attendance, Chair II. Approval of the Minutes of Previous Meetings Regular Board Meeting April 28, 2016 III. Hear From Citizens IV. Consideration of Approval of Recommendations and Acceptance of Consent Agenda Items [Consent agenda items may be pulled from this consideration for individual action or presentation.] A. Items Related to Purchasing A(1). A(2). Consideration of Purchasing Recommendations Requiring Board Approval Transmittal of Competitive Awards [For Informational Purposes Only] B. Recommended Committee Approvals 1. Consideration of Approval of the 2016 Patient Safety Plan [Annual Accountability] Dr. Parikshet Babber 2. Consideration of Approval to Transfer Funds in the Amount of $12,495,000 to the Harris County Engineering Department to Provide Architectural, Engineering, Construction Management, and Other Related Services Required for Relocation of the Ben Taub Hospital Specialty Clinics Mr. David Attard 3. Consideration of Approval to Transfer Funds in an Amount Not to Exceed $2,240,910 to the Harris County Engineering Department to Provide Architectural, Engineering, Construction Management, and Other Related Services Required for the Ben Taub Hospital Kitchen Basement Sewer Repair Mr. David Attard Anne Clutterbuck Page 1 of 6

4. Consideration of Approval to Transfer Funds in an Amount Not to Exceed $1,150,000 to the Harris County Engineering Department to Provide Architectural, Engineering, Construction Management, and Other Related Services Required for the Lyndon B. Johnson Hospital Annex Roof and Rooftop Units Replacement Mr. David Attard 5. Consideration of Approval to Transfer Funds in the Amount of $726,471 to the Harris County Engineering Department to Provide Architectural, Engineering, Construction Management, and Other Related Services Required for the Baytown Health Center Roof and Rooftop Units Replacement Mr. David Attard 6. Consideration of Approval to Transfer Funds in an Amount Not to Exceed $500,000 to the Harris County Engineering Department to Provide Architectural, Engineering, Construction Management, and Other Related Services Required for the Ben Taub Hospital Elevator Modernization Project Mr. David Attard 7. Consideration of Approval of an Affiliation Agreement Between Texas Tech University Health Science Center School of Pharmacy (Doctor of Pharmacy Program) Mr. Omar Reid 8. Consideration of Approval of an Affiliation Agreement Between Texas Woman s University College of Health Sciences (Masters of Science in Occupational Therapy Program) Mr. Omar Reid 9. Consideration of Approval of an Affiliation Agreement Between The University of Texas at El Paso College of Health Sciences (Masters of Science in Occupational Therapy Program) Mr. Omar Reid 10. Consideration of Approval of an Affiliation Agreement Between Harris County Hospital District d/b/a Harris Health System, The University of Texas Medical Branch at Galveston, and Baylor College of Medicine (Masters of Science in Physician Assistant Studies Program) Mr. Omar Reid 11. Consideration of Approval of an Affiliation Agreement Between The University of Texas Health Science Center at Houston School of Nursing (Doctor of Nursing Practice Nurse Anesthesia Program) Mr. Omar Reid 12. Consideration of Approval of an Affiliation Agreement Between Harris County Hospital District d/b/a Harris Health System, The University of Texas Medical Branch at Galveston, and The University of Texas Health Science Center at Houston (Masters of Science in Physician Assistant Studies Program) Mr. Omar Reid 13. Consideration of Approval of an Affiliation Agreement Between The Page 2 of 6

University of Texas MD Anderson Cancer Center (Fellowship of Interventional Radiology Program) Mr. Omar Reid 14. Consideration of Approval of an Affiliation Agreement Between the University of Houston School of Nursing (Masters of Science in Nursing Program) Mr. Omar Reid 15. Consideration of Approval of an Affiliation Agreement Between the University of Houston School of Nursing (Bachelor of Science in Nursing Program) Mr. Omar Reid 16. Consideration of Approval of an Affiliation Agreement Between Alvin Community College District (Associate of Applied Sciences in Respiratory Care Program) Mr. Omar Reid 17. Consideration of Approval to Ratify the Sixth Amendment to the Fidelity Trust Agreement for the 457(b) Plan, Effective March 30, 2016, and to Ratify Replacement of the BlackRock Equity Dividend Fund with the Diamond Hill Large Cap Fund for the 457(b) Plan, Effective March 31, 2016 Mr. Michael Norby and Mr. Omar Reid 18. Consideration of Approval to Ratify the Replacement of the Atlanta Capital Management Company, LLC with Jennison Associates LLC as an Investment Manager and to Ratify Additional Investment Guidelines for the Harris County Hospital District Pension Plan, Each Effective March 3, 2016 Mr. Michael Norby and Mr. Omar Reid 19. Consideration of Approval of an Agreement Between Harris County Hospital District d/b/a Harris Health System and the Society of Thoracic Surgeons to Participate in a National Database for Adult Cardiac Surgery Patients Dr. Ericka Brown 20. Consideration of Approval of an Agreement Between Harris County Hospital District d/b/a Harris Health System and the Johnson & Johnson Patient Assistance Foundation, Inc. to Participate in the Hospital Access Patient Assistance Program Mr. Alan Vierling 21. Consideration of Approval of an Agreement Between the Harris Health System Central Fill Pharmacy and the Pfizer Hospital Partnership Program to Participate in the Pfizer Institutional Patient Assistance Program Mr. Alan Vierling {End of Consent Agenda} V. Board Review and Action Items [All non-routine items that require discussion and/or action are presented in this section. Presentation and discussion should not exceed 5-7 minutes.] The following are non-routine review and/or action items that are presented directly to the Board: Page 3 of 6

A. Review Item Related to the Budget and Finance Committee 1. Review of Transmittal of Purchase for Neuroconnect, LLC to Provide Intraoperative Neuromonitoring Services in the Estimated Amount of $50,000 for a One-Year Initial Term With Five (5) One- Year Renewal Options [For Informational Purposes Only] Mr. DeWight Dopslauf B. Action Item Related to the Planning and Operations Committee 1. Consideration of Approval of an Affiliation Agreement Between Wilkes University Passan School of Nursing (Online Masters of Science in Nursing for Harris Health Employees Only) Mr. Omar Reid C. Action Items Related to the Corporate Compliance Committee 1. Consideration of Approval to Establish a Governing Body for the Ambulatory Surgical Center at Lyndon B. Johnson Hospital and Approval of the Bylaws of the Governing Body for the Ambulatory Surgical Center at Lyndon B. Johnson Hospital Mr. George Masi 2. Discussion and Possible Action Regarding the Appointment of Members to the Governing Body of the Ambulatory Surgical Center at Lyndon B. Johnson Hospital Mr. George Masi VI. Strategic Discussion Issues [All Harris Health System non-routine strategic discussion issues are placed in this section.] A. Strategic Capital for Infrastructure Priorities and Recommendation for Financing [Board Deliverable] B. Compliance Education Compliance Enforcement Trends (July 2015 April 2016) [Board Education] David Attard Michael Norby Terry Reeves VII. Key Performance Reports [All routine performance reports are placed in this section and should not exceed five (5) minutes.] A. Committee Reports 1. Joint Conference Committee Carol Graebner a. Consideration of Acceptance of the Medical Executive Board Report for May 2016 Dr. Maya Suresh Page 4 of 6

b. Consideration of Approval Regarding the Credentialing Changes for Members of the Harris Health System Medical Staff (May 2016) Dr. Maya Suresh 2. Performance Improvement and Patient Safety Committee Dr. Kimberly Monday a. Review and Discussion Regarding the Harris Health System Quality Executive Summary and Scorecard Dr. Parikshet Babber 3. Budget and Finance Committee Anne Clutterbuck a. Consideration of Acceptance of the Harris Health System April 2016 Financial Report Subject to Audit Mr. Michael Norby b. Review and Discussion Regarding the Health Insurance Marketplace and MY Harris Health Self-Pay Program Registration [Board Deliverable] Mr. Michael Norby and Mr. Michael Hill c. Presentation of the April 2016 Financial Statements of Community Health Choice, Inc. Mr. Kenneth Janda VIII. Executive Session A. Report by Senior Vice President of Corporate Compliance Regarding Compliance with Medicare, Medicaid, HIPAA and Other Federal and State Health Care Program Requirements and a Status of Fraud and Abuse Investigations, Pursuant to Section 161.032 of the Tex. Health & Safety Code, and Possible Action Upon Return to Open Session Mr. Terry Reeves B. Report by the Chief Medical Officer Regarding Quality of Medical and Health Care, Pursuant to Tex. Health & Safety Code Ann. 161.032 and Tex. Occupations Code Ann. 160.007 to Receive Peer Review and/or Medical Committee Report in Connection with the Evaluation of the Quality of Medical and Health Care Services, and Possible Action Upon Return to Open Session Dr. Parikshet Babber C. Consultation with the County Attorney Regarding Refinancing of Harris Health's Outstanding Revenue Bonds Pursuant to Tex. Gov't Code Ann. 551.071, and Possible Action Regarding This Matter Upon Return to Open Session Ms. Mercedes Leal D. Consultation with the County Attorney Regarding Agreement with Texas Medical Center Central Heating and Cooling Services Corporation for Chilled Water and Steam Service at Ben Taub Hospital Pursuant to Tex. Gov't Code Ann. 551.071, and Possible Action Regarding This Matter Upon Return to Open Session Ms. Mercedes Leal E. Consultation with the County Attorney Regarding Directors and Officers Liability Insurance Pursuant to Tex. Gov't Code Ann. 551.071, and Page 5 of 6

Possible Action Upon Return to Open Session [Board Deliverable] Ms. Mercedes Leal F. Consultation with the County Attorney Regarding Cause No. 4:15-cv-00747; Olusola Ajeleti-Olufadeju v. Harris Counry Hospital District d/b/a Harris Health System; In the United States District Court for the Southern District of Texas, Pursuant to Tex. Gov't Code Ann. 551.071, and Possible Action Regarding This Matter Upon Return to Open Session Ms. Mercedes Leal G. Consultation with the County Attorney Regarding Cause No. D-1-GN-16-001927; Harris County Hospital District d/b/a Harris Health System v. Honorable Ken Paxton, Attorney General of Texas; In the 419th Judicial District Court of Travis County, Pursuant to Tex. Gov't Code Ann. 551.071, and Possible Action Regarding This Matter Upon Return to Open Session Ms. Mercedes Leal H. Consultation with the County Attorney Regarding Disposition of Vizient, Inc. Stock Pursuant to Tex. Gov't Code Ann. 551.071, and Possible Action Regarding This Matter Upon Return to Open Session Ms. Mercedes Leal I. Discussion Regarding Strategies to Improve and Maximize Financial Performance and Budget Projections Under Provider Agreements, Network Relationships, and Other Strategic Means or Additional Lines of Business for Community Health Choice, Inc., Pursuant to Tex. Gov t Code 551.085 Board of Managers IX. Reconvene X. Adjournment Page 6 of 6