1. health and fitness

Maricopa County Special Health Care District
(Prepared in compliance with A.R.S. § 38-431.01, A.R.S. § 38-431.02 and A.R.S. § 38-431.03(A))
PUBLIC NOTICE
NOTICE IS HEREBY GIVEN to the members of the Maricopa County Special
Health Care District Board of Directors and to the general public, that the
Board of Directors of the Maricopa County Special Health Care District will
hold a Finance/Quality Meeting open to the public. The Board of Directors
may decide to go into executive session. If authorized by a majority vote of
the Maricopa County Special Health Care District Board of Directors, the
executive session will be held immediately after the vote, and will not be
open to the public.
Date
March 25, 2015
Time
1:00 p.m.
Type
General Meeting
Executive Session
Location
Maricopa Medical Center
Administration Building
Auditoriums 1 and 2
2601 East Roosevelt Street
Phoenix, Arizona 85008
Agendas are available within 24 hours of each of the above scheduled meetings in the Clerk of the Board’s Office
of Maricopa Integrated Health System 2601 E. Roosevelt, Phoenix, Arizona, Monday through Friday, between
the hours of 8:00 a.m. to 5:00 p.m.
Dated this 19th day of March, 2015
Executive Sessions are always preceded by an open, public meeting as per A.R.S. §38-431.03, and are held in compliance with one or more of the following
statute(s):
A.R.S. §38-431.03.1 - Personnel matters
A.R.S. §38-431.03.2 - Records exempt by law from public inspection
A.R.S. §38-431.03.3 - Legal advice
A.R.S. §38-431.03.4 - Litigation; contract negotiations; settlement discussions
A.R.S. §38-431.03.5 - Personnel matters dealing with employee organizations
A.R.S. §38-431.03.6 - International and interstate negotiations
A.R.S. §38-431.03.7 - Purchase sale or lease of real property
c:
Board Members (5)
Cynthia Cornejo, Deputy Clerk of the Board
March 19, 2015
3/19/2015 8:43:51 AM
Removal of this notice is illegal.
Board Members
Terence McMahon, Chair, District 5
Mark Dewane, Vice Chair, District 2
Mary A. Harden, R.N., Director, District 1
Susan Gerard, Director, District 3
Elbert Bicknell, Director, District 4
AGENDA – Finance/Quality
Meeting
Maricopa County Special Health Care District
Board of Directors
President & Chief Executive Officer
Stephen A. Purves, FACHE
Clerk of the Board
Melanie Talbot
Meeting Location
Maricopa Medical Center
Administration Building
Auditoriums 1 and 2
2601 E. Roosevelt Street
Phoenix, AZ 85008
Mission Statement
Maricopa Integrated Health System (MIHS) is Maricopa County’s
only public teaching hospital and health care system. We are
committed to providing safe, comprehensive, high-quality physical
and behavioral health care in a patient-centric environment to the
communities we serve; and expanding the community’s available
pool of physicians and other health care professionals by offering
excellent academic programs.
Welcome
We welcome your interest and hope you will often attend Maricopa County Special Health Care District
Board of Directors meetings. Democracy cannot endure without an informed and involved electorate.
The Board of Directors is the governing body for Maricopa Integrated Health System. Each member
represents one of the five districts in Maricopa Country. Members of the Board are public officials,
elected by the voters of Maricopa Country. The Board of Directors sets policy and the President & Chief
Executive Officer, who is hired by the Board, directs staff to carry out the policies.
Meetings
The Board of Directors generally holds meetings at 1:00 p.m. on the second and fourth Wednesdays of
the month. Please visit http://mihs.org/governing-bodies/bod-calendar or call the District Clerk at 602344-5177 to confirm the date of the next regular meeting.
The meeting may appear to proceed quickly, with important decisions reached with little discussion.
However, the agenda and meeting material is available to the Board of Directors prior to the meeting,
giving them the opportunity to study every item and to ask questions of District staff members. If
no additional facts are presented at the meeting, action may be taken without further discussion.
How Citizens Can Participate
The Board of Directors values citizen comments and input. Citizens may appear before the Board of
Directors to express their views. Any member of the public will be given three minutes to address the
Board on issues of interest or concern to them. If you wish to address the Board, please complete a
Speaker’s Slip and deliver it to the Clerk of the Board. If you have anything that you wish distributed to
the Board and included in the official record, please hand it to the Clerk who will distribute the information
to the Board Members and Maricopa Integrated Health System Senior Staff.
Speakers will be called in the order in which requests to speak are received. Your name will be called
when the Call to Public has been opened or when the Board reaches the agenda item which you wish to
speak. As mandated by the Arizona Open Meeting Law, officials may not discuss items not on the
agenda, but may direct staff to follow-up with the citizen.
Agendas are available within 24 hours of each meeting in the Office of the Board, Maricopa Medical Center, Administration Bldg, 2nd Floor 2601 E. Roosevelt, Phoenix, AZ
85008, Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. and on the internet at http://mihs.org/governing-bodies/bod-calendar. Accommodations for
Individuals with Disabilities, alternative format materials, sign language interpretation, and assistive listening devices are available upon 72 hours advance notice through the
Office of the Board, Maricopa Medical Center, Administration Bldg, 2nd Floor 2601 E. Roosevelt, Phoenix, Arizona 85008, (602) 344- 5177. To the extent possible, additional
reasonable accommodations will be made available within the time constraints of the request.
3/19/2015 8:43 AM
When Speaking at the Podium
Please state your name and the city in which you reside. If you reside in Maricopa County, please state
the District you live in.
If you have an individual concern involving the District, you are encouraged to contact your District Board
member at 602-344-1241. We will do everything possible to be responsive to your individual requests.
Public Rules of Conduct
The Board Chair shall keep control of the meeting and require the speakers and audience to refrain from
abusive or profane remarks, disruptive outbursts, applause, protests, or other conduct which disrupts or
interferes with the orderly conduct of the business of the meeting. Personal attacks on Board members,
staff, or members of the public are not allowed. It is inappropriate to utilize the Call to Public or other
agenda item for purposes of making political speeches, including threats of political action. Engaging in
such conduct, and failing to cease such conduct upon request of the Board Chair will be grounds for
ending a speaker’s time at the podium or for removal of any disruptive person from the meeting room, at
the direction of the Board Chair.
Elbert Bicknell
602-344-1241
[email protected]
Susan Gerard
602-344-1241
[email protected]
Mark Dewane
602-344-1241
[email protected]
Mary A. Harden, R.N.
602-344-1241
[email protected]
2
Terence McMahon
602-344-1241
[email protected]
 Maricopa Medical Center  Administration Building  Auditoriums 1 and 2 
 2601 E. Roosevelt  Phoenix, AZ 85008 
Wednesday, March 25, 2015
1:00 p.m.
One or more of the members of the Board of Directors of the Maricopa County Special Health Care District may attend
telephonically. Board members attending telephonically will be announced at the meeting.
Pursuant to A.R.S. § 38-431.03(A)(3), or any applicable and relevant state or federal law, the Board may vote to recess into an
Executive Session for the purpose of obtaining legal advice from the Board’s attorney or attorneys on any matter listed on the
agenda. The Board also may wish to discuss any items listed for Executive Session discussion in General Session, or the Board
may wish to take action in General Session on any items listed for discussion in Executive Session. To do so, the Board will recess
Executive Session on any particular item and reconvene General Session to discuss that item or to take action on such item.
Call to Order
Roll Call
Pledge of Allegiance
Call to the Public
This is the time for the public to comment. The Board of Directors may not discuss items that are not specifically identified on the
agenda. Therefore, pursuant to A.R.S. § 38-431.01(H), action taken as a result of public comment will be limited to directing staff to
study the matter, responding to any criticism or scheduling a matter for further consideration and decision at a later date.
ITEMS MAY BE DISCUSSED IN A DIFFERENT SEQUENCE
General Session, Presentation, Discussion and Action:
1:05
1.
Motion to Recess General Session and Convene in Executive Session
Terence M. McMahon, Chairman, Board of Directors
Executive Session:
1:05
E-1
Legal Advice; Contracts Subject to Negotiations; Records Exempt by Law from Public Inspection;
1
A.R.S. § 38-431.03(A)(3); A.R.S. § 38-431.03(A)(4); and A.R.S. § 38-431.03(A)(2) : Maricopa
County Special Health Care District d.b.a. Maricopa Integrated Health System strategic plan
portfolio, options, implementation, initiatives and goals, including resources, clinical, behavioral,
financial, operational, business, and service line strategy options going forward 30 min
1
Exemptions based upon A.R.S. § 48-5541.01(M)(4) (c) and (d) including proprietary information provided by a non-governmental source,
records or other matters, the disclosure of which would cause demonstrable and material harm and would place the district at a competitive
disadvantage in the marketplace; or violate any exception, privilege or confidentiality granted or imposed by statute or common law.
Recess Executive Session and Reconvene in General Session
3
General Session, Presentation, Discussion and Action:
1:35
2.
Board Education - Cost Accounting 35 min
Kathy Benaquista, MIHS, Interim Chief Financial Officer
2:10
3.
Approval of Consent Agenda: 15 min
Note: Approval of contracts, minutes, IGA’s, proclamations, etc. Any matter on the Consent Agenda will be removed from the Consent Agenda and discussed as a
regular agenda item upon the request of any Board member.
a.
b.
Contracts:
i.
Approve Amendment #1 to the Intergovernmental Agreement with Arizona
Department of Health Services (90-14-228-1-01) to continue support for the Biorepository database.
ii.
Approve Amendment #3 to the contract with Ernst & Young, LLP (90-12-152-103) to extend the contract for one additional year to provide external auditing
services including financial statement and program audits.
iii.
Approve a new contract with UMR, Inc. (90-15-145-1) to provide administrative
services related to MIHS employee health benefit claims administration. Initial
term of the contract is for three years from July 1, 2014 through June 30, 2017.
iv.
Approve an increase to the Not-To-Exceed amount by an additional $500,000 to
the contract with Leidos Health, LLC (90-11-211-2-18) to support the continued
effort of Leidos Health, LLC in the performance of Revenue Cycle and Patient
Financial Services optimization. This increase also includes funding for additional
services that may be required by other MIHS departments to fulfill resource
needs.
Medical Staff:
i.
Approve MIHS Medical Staff Appointments, FPPEs, Reappointments, Change of
Privileges/Status, Waiver Requests, and Resignations for March 2015
ii.
Approve MIHS Allied Health Professional Staff Appointments, FPPEs,
Reappointments, and Resignations for March 2015
iii.
Approve Proposed Revisions to the Peer Review Policy
iv.
Approve Proposed Revisions to the Medical Staff Organizational Manual
_________________________End of Consent Agenda________________________
2:25
4.
Quarterly Patient Satisfaction Report 15 min
Sherry Stotler, R.N., MIHS, Chief Nursing Officer
2:40
5.
Discuss Uncompensated Care Report 20 min
Kathy Benaquista, MIHS, Interim Chief Financial Officer
3:00
6.
Report on the Affordable Care Act’s (ACA) Impact on Maricopa Integrated Health System;
Meritus Contribution Margin to Maricopa Integrated Health System 15 min
Kathy Benaquista, MIHS, Interim Chief Financial Officer
4
General Session, Presentation, Discussion and Action (cont.):
3:15
7.
Discussion on Maricopa Integrated Health System’s Payer/Revenue Contracts 15 min
Michael Zenobi, MIHS, Vice President, Managed Care Operations
3:30
8.
Discuss and Review February 2015 Maricopa Integrated Health System Key Indicator
Dashboards 15 min
Kathy Benaquista, MIHS, Interim Chief Financial Officer
Sherry Stotler, R.N., MIHS, Chief Nursing Officer
William F. Vanaskie, MIHS, Chief Operating Officer
3:45
9.
Concluding Items 15 min
a.
Old Business:
January 28, 2015 Formal Meeting
Chief Financial Officer Report
• On March 25, 2015 Agenda, Financial Assistance, Structure, Philosophy and
Implementation
•
Please provide the Board payer mix information every quarter (beginning in April
2015)
•
Please add KRONOS to the Strategic and Capital Improvements return on
investment Summary (separate out from EAS); initial review should occur July 2015;
one year after implementation
•
At April 22, 2015 meeting, please provide a progress report on opportunities for
improvement with Regional Behavioral Health Authority/MMIC discharge process
Dashboards
• Please add Patient Satisfaction Survey Return Rate to Quality Dashboard (numbers
will be available by March 25 meeting)
March 11, 2015 Formal Meeting
Contracts
• Please have not only revenues but expenses when submitting contracts/IGAs/Grants,
for Board approval
Margin Improvements/Revenue Cycle Improvements
• When reporting margin improvements, please separate out savings by one-time or
recurring/annualized
•
When reporting revenue cycle improvements, please add the overall liquidity
percentage (VBO cash collection compared to goal)
Bond Issuance
• When the time is appropriate, please provide the Board with a list of needs/proposal
of projects along with accompanying Board resolution to issue bonds.
Chief Financial Officer Report/Financials
• On financial statements, please use the terms Charity Care and Bad Debt instead of
Self-Pay and Bad Debt. Also, please separate out the two instead of combining into
one number
•
On March 25, 2015 agenda, please provide Board education on Cost Accounting
5
General Session, Presentation, Discussion and Action (cont.):
3:45
9.
Concluding Items (cont.)
a.
Old Business (cont.):
March 11, 2015 Formal Meeting (cont.)
Chief Financial Officer Report/Financials (cont.)
• On the Strategic Initiative/Capital Improvements spreadsheet, please add a column
with the final amount of project including how much over/under.
•
On March 25, 2015 agenda, have an item on impact the ACA has had on Maricopa
Integrated Health System; Meritus contribution margin to MIHS
b.
Board Member Requests for Future Agenda Items or Reports
c.
Comments
i.
Chairman and Member Closing Comment
a. Committee Reports
b. Summary of Educational Sessions
ii.
President & Chief Executive Officer Summary of Current Events
Adjourn
6