Attendees: Charlie Powell x Sharon Clark x Dr. James Johnson x Bill Whitman x Robert Earley x Ralph Emerson x Acclaim Physician Group, Inc. Executive Committee March 28, 2016 Also in attendance: Scott Rule, Dianna Prachyl, Kelli Shelton, Kenya Woodruff I. Approval of Executive Committee Minutes Powell 1. February 29, 2016 Action Item: Motion for approval of minutes made by Dr. Johnson, second by Mr. Whitman approved unanimously. 2. Mach 10, 2016 attached Action Item: Motion for approval of minutes made by Dr. Johnson, second by Mr. Earley approved unanimously. II. Approval of Professional Services Agreement effective June 1, 2016, between Acclaim and Tarrant Nephrology Associates, P.A. Prachyl In addition to the executive summary provided, it was noted in discussion a fair market assessment was completed on this Agreement. It is anticipated this will go to the Board of Managers Finance Committee in April. Action Item: Motion for approval of Professional Services Agreement made by Dr. Johnson, second by Mr. Whitman approved unanimously. III. Approval of Administrative Services Agreement between Acclaim and Tarrant County Hospital District Prachyl In addition to the executive summary provided, it was noted the expenditures are reflected in the District s and Acclaim s budgets. There were requests for clarifications and agreement the sublease for the May Street space would be reflected in the Administrative Services Agreement. It is anticipated final review and revisions will be made by Ms. Woodruff and Mr. Adams. This will go to the Board of Managers Finance Committee in April for Board of Managers approval. 1
Action Item: Motion for approval of Administrative Services Agreement made by Mr. Earley, second by Dr. Johnson subject to Ms. Woodruff and Mr. Adams final review and approval approved unanimously. IV. Approval of Data Sharing Agreement between Acclaim and Tarrant County Hospital District to facilitate credentialing through Central Verification Office Prachyl Dr. Johnson clarified privileging within hospital will remain with medical staff, but credentialing tasks performed by Central Verification Office (CVO) will expedite processing. The CVO is anticipated to be a physician satisfier by providing a more efficient process. Mr. Rule noted supporting policies and procedures would be submitted to the Acclaim physician Board of Directors for approval. This will go to the Board of Managers meeting on April 13 th for Board of Managers approval. Action Item: Motion for approval of Data Sharing Agreement made by Mr. Earley, second by Mr. Emerson approved unanimously. V. Approval of Managed Care Contracts Clark Action Item: Motion for approval of six managed care contracts reflected on page one of executive summary made by Mr. Emerson, second by Dr. Johnson approved unanimously. VI. Other Discussion Dianna Prachyl provided an update on operationalizing Acclaim. Acclaim has experienced a positive response from physicians related to submission of employment contracts and privileging packets. Movement of staff to the May Street location is in progress. Open positions have been posted for the revenue cycle and human resources functions. The Medicare provider application has been submitted. The President search committee meets on Wednesday. Negotiations are still underway with UNTHSC for the provider staffing agreement. Key performance indicators will be presented to the Acclaim physician Board of Directors. Note: Next Meeting April 25, 2016, 9 am Approved: April 25, 2016 2
STAFF REPORT TO THE EXECUTIVE COMMITTEE OF ACCLAIM AGENDA ITEM BACKUP PROFESSIONAL SERVICES AGREEMENT Tarrant Nephrology Associates, P.A. (Nephrology Services) UCM No. 351822 ACTION ITEM: Approval of PROFESSIONAL SERVICES AGREEMENT ( Agreement ) by and between ACCLAIM PHYSICIAN GROUP, INC. d/b/a Acclaim and Tarrant Nephrology Associates, P.A. (Nephrology Services) COST: No increase for remainder of this fiscal year; budget neutral. 1) Lecturing, teaching, and consultative services related to chronic kidney disease and other topics relevant to the Specialty compensated at $750 per day, not to exceed $273,750.00 per year. 2) For 24/7 Coverage, 2 nd back up call coverage, inpatient and clinic staffing, and availability required to meet patient demand in the Specialty, Acclaim shall pay Contractor a flat rate of Thirty Five Thousand and 00/100 Dollars ($35,000.00) per month from the Effective Date through September 30, 2016, and Fifty Five Thousand and 00/100 Dollars ($55,000.00) per month thereafter, with total compensation not to exceed Six Hundred Sixty Thousand and 00/100 Dollars ($660,000.00) per year. 3) Acclaim shall withhold ten percent (10%) of Contractor s total Annual Compensation Amount (the Annual Withhold Amount ) pending Contractor s achievement of certain Key Performance Indicators ( KPIs ) during that year. Contractor shall be eligible to receive the Annual Withhold Amount as performance compensation ( Performance Compensation ) upon one hundred percent (100%) achievement of all KPIs in a given year. STRATEGIC PLAN ALIGNMENT: Agreement provides nephrology specialty physician services for District, from Acclaim through the Agreement with Nephrology Services, incorporating service and performance standards designed to ensure quality patient care and operational alignment. TERM: Three (3) years June 1, 2016 through May 31, 2019 OTHER DETAILS: Services are those currently provided by JPS Physician Group through subcontract to Tarrant Nephrology. Baselines and performance measures are to be finalized during first quarter of Agreement, then annual review and update of performance compensation and key performance indicators will take place prior to the start of the successive years. STAFF REPORT TO THE EXECUTIVE COMMITTEE OF ACCLAIM 3
AGENDA ITEM BACKUP ADMINISTRATIVE SERVICES AGREEMENT ACTION ITEM: Approval of Administrative SERVICES AGREEMENT by and between ACCLAIM and JPS Health Network (District) COST: $65,836 monthly ($790,032 annually) STRATEGIC PLAN ALIGNMENT: Acclaim will receive, and will reimburse for, administrative assistance from the District, including services of certain District employees, District office space, Information Technology and other District property and services to enable Acclaim to facilitate the management of District health care programs by providing or arranging health care services, developing resources for health care services, or providing ancillary medical services for the District. TERM: One (1) year May 1, 2016 through April 30, 2019 OTHER DETAILS: 4
STAFF REPORT TO THE EXECUTIVE COMMITTEE OF ACCLAIM AGENDA ITEM BACKUP DATA SHARING AGREEMENT ACTION ITEM: Approval of Data Sharing Agreement between ACCLAIM and JPS Health Network STRATEGIC PLAN ALIGNMENT: The Central Verification Office (CVO) was created to provide a more efficient and effective manner to assimilate provider information required for managed care and hospital credentialing. The CVO should improve provider satisfaction by facilitating a singular point of entry for credentialing. In accordance with credentialing guidelines established by The Joint Commission, the Utilization Review Accreditation Commission, and the National Committee for Quality Assurance, and as permitted by applicable law, JPS and Acclaim may exchange certain Credentials about health care practitioners in order to facilitate the process of obtaining, verifying, and assessing the qualifications of a health care practitioner to provide care and services for or on behalf of the Acclaim and/or JPS. In order to ensure any credentialing information exchanged is managed in compliance with applicable law and applicable credentialing guidelines, and to protect the interests of all parties involved in the credentialing process, the Agreement sets forth certain restrictions on use and responsibilities of JPS and Acclaim. 5