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1983-1986
t F c ~ MEDICAL CONSULTANT ASSOCIATES, INC. 725 S, Contra! Expressway, Suite A. 12 Richardson taxes 8081 (214)255.1385 February 17, 1983 i Air. Chris Hartung City Manager City of Denton j 215 E. McKinney Denton, Toms 76201 Lear Chris$ I Mike Simmons called me from Austin this week r d mentioned that he had talked with you and that you vaguely recall-cd our going to S.M.U. together. For sane reason, I rlementer the "Pine Bluff" delegation quite well, Chris, I am writing to introduce my firm to you, Medical Consultant Associates was formed by myself and two other principals in Septatiber, 1976, Our client base includes representative entities in all areas c,,e health can, We would certainly like to add the City of Denton and/or the Flow Manorial Hospital to our client list. I am enclosing, for your files, one of our brochures and a brief desoription of a particular, service that we provide for hospitals. Should a situation arise where you might need our services, I would take personal responsibility for the job and its successful cowletion. Lot me know if we can be of assistance now or in the future, and I will look forward to seeing you again, OA, Stephen G. Clayton President SX/em Wcl Wench Office • 8824 Fredericksburg pond 0 Suite 200 4 San Antonio, Texas 78220 6 (812) 340.2228 I M 'Nxituuc.at As3+ASU11u0c, £;Orvic.M3 I A ManayeanunL servicEa Cortx3ratiun pr.-jv.ides acluini:3trativo euppor:l: in accowrts reQeivablu cernLrvl and Ilia reduction of third party recolvablos. MCA offers short tann tocIvAcal aaaalmLalwo to health crrro pxxn+idera whooe acxroturts receivable and days of revenue outal:andiny have reachcxd a level higher, Own amet.3t.abio to m-magcm it anxd admi.nLaLrat.ion. 'Mese uh..)m. term sltluitiws tx-v 1r pkwiodic:ally for reasons as divor'se aar * 'IvAijorary staff ulr)rtay(.)s * Immovor of key personnel * fk,~asorcal or cyclical rxzaku in workload * ikaLa procesrs.ing charyps WA's surviceu forms imiyAlate, intrmaivo mncentraL•ion on revenue pro- dewing activity wittiout staff irrm"so in terms of parsamel, payroll and benefite grad witturut the recruitaruit arcs training lead time asaociatettl with staff increases. Our short tom technical services allow ninagment to focus on long term objectives wits»ut abrogation of retipowilb;tli.ty, I our product has lxxur dcavelopecl over rho last fifteen yoars through the +I foll.ming activitiusr Ri,ghLy hwlLh rare-rolated cx3n,'anrl.Ling cingagellente II enruigAssinq af.Y ow'ta receivablo activities aryl acynputer application design and inVicnontzation * WnLrcact mmiaganxent; of awowts receivable activities * Interface with L•1ri.rc3 rmu'ty paayora in thirty sevcsn states * "tinistxation of third party payment activity MCA has found drat mast i.nflaled iwcowts rcxrelvablettirc'insurance .mete d' . (Air ooLimatos are L,WAL eighty rAnrc:ent of patient acwwts have sans typo of third party invulmori ent. fWcjardlesu of Lho client's 1laL%arnal policy, we find Coiaronaliticana lit amsL of okw crngagmmts. * lrwrod,;al acxxrunts rc4alvable+ results in an increasW followup burden wld.etn can ovorwholm the inauranco department. * Sranonal aloAlorn on the part of tiaw third parties for internal, accounting puxposeu * Internal problam which tiave the of.Lect of daring payowta by a third party * Claims st nitt W with iwauificimt. or incorrva. data which eithcrr fall into a ca)rreopondenc o loop or are simply ipored * Co-inwurdrs awaiting pay(wnt by ties prirn,<ary inouvor w AIM Ak AM private pay portions awaiting insurance payment * Incorrect elegibility data gathered by admitting parsonrwl * Inc lAote: dmeription of aervicen and medical kleceuuity * Claims which, duo to external or inteinal rcasors, did not arrive at the payment section of the third party * Clai ug wlrl.ch have been 'gobbled or garbled' by the data procossing syst i of eitltetr the provider or third * C tllerical errors, at elthor arid, which result in (1) no pay (2) slow pay or (3) reduced pay j * Assigned claims IvId dirw.tly to the patient * Payments forwarded incorrectly to another provider With the understanding that no two situations are exaoLly alike, a ' typical engagenmt of MCA services is outlined bolowi * An agreenant is reachad based on the category or age J of', the accounts toward which MCA is to direct: its I! activities * MCA and client roprestuttativoe flag these accounts and install rwaporting mrchanisme * t'ollow-up work - corresponderu:e, telephone caller personal vi.sit:e and resubmiesion activity - is iniated * If doeiredr a client ntatf ramber is included in t1w project team for training pttrpos4s. Additionally, a report evaluating the information gathering aspect of the admission function can be prepared for management revi(*u, * As third party and patient payments aro received, they aro credited to the project and reported to client management * When the project goal is achieved, our staff returns .day-today fullcxnrp operations to the client in arklition to baWlate action tuxl cash flaw increase, our clients find several advantages to MCA services. * The client can focus exi.s+:ing staff on currant work * Paynwts are mailed to t:ho client and never leavo the ' cliett's control * This is a short tarns solution to a short term problem * Percentage feet basis requires no downside financial exposure * btu l+ obtains maximum reimburamont ttndor policy limitations i * Oworatoa semidary paymenta Eton ou-lnsurame sottrcos a Pro°assienal contact with ptttiaits to insure inesexvaLlon c goad will " M:A autff can appL to W. al.tortt mmployeea * No usurption of managern:3m authority - just technical assistm.,e Our pricing structure is basted on throe variables all tied direoLly to perfonnance. + Vaet dun inauranco (ovar 120 clays from date of discharge) - 208 * Concurrent insurance (lose than 120 days) 104 * Private pay follow-up 358 in stmmary, the stimulation of third parity ixtymants is an activity which rcgiires in-depth knowledgo of Wo health care lixiuatry, our servicos are designed to fill the gap botwoun a collection agency and total contract managwul it. i ~L nRCA (KlAL3:P iC'A`1`t:ONti 1. MrLtnist.rative cierionou in 911w cmas 4rx3 Modica.re. 2. Dusign and iq,lcmntatiaa of manual and caa[PuL•esri.zed health Cain acmnt:a receivable eystems. { j 3. Prior axPerionce in long tone contrfactirmiagement of health cam aceowits rwaivable. 4. C`,anaulti.ng (ern3rge oy) engagenxusta involving organizations with ,im adiate, critical cash flow problec, 5, Long tau h'lwinLig of capital intensive projects reguiring analysia and forecast of patient care rovaniie. 6. Mamgenuit experience in henlih cure orgard.zations. 7. Analysis of existing and prgmed Information g1rocessing symwas to dota mind efficiency and effectivity bi patient aocounts management. nvr~ PRWE) V ACTIVITIES 1. As in any wall plaMUA proJecL - analyze the structure of tI'a accounts and categorize than by carrier and apparent problem. 2. petondne what interrial. activities have taken place on the accounts (claims). 3, EstabllHh a control mochanium and begin, A. 'Jblephone work B. Correspondence C. Third party site visits U. 1b: Uvdssion activity 4. Use foodbaok frxcm initial findings to adjust subsequent activity, 5. 11here are three keys to successful ptnjwt cxnpletiont A. 'Iie first is the type of definition and logic activity just dosoribed, Ito swa d is knowing through past experiences (1) The nuances of individual third parties and programs, (2) LP"rience in cutting through the administrative underbrush to obtain maxima payment. (3) Cwistant unrenmiting followup until the objective is acomplished. (4) Having no oU*r distracting daily activities. C. The third is having access to a variable-sized, experienced staff. - Plaimpfnr * MCA appmuchos each proJeat, on an .individual basis, structured to moot the specific needs of the client. 1 We work in the health care field, using our awn staff and our understanding of third party rabibursemant and the m di.cal. environmt. F * MCA is not a collection agemy, our emphasis is on the original source of funding rather than thw,debtor. High pressure or utiVmfessional techniques am never used. * We work on a local aid uvuilablo basis. MCh does not make sweeping guarantees or pranise over- niglit miracles. our inomitive is a percentage of + irwreased ituxm gcmeraLed through attention to detail. ! It has ken our exlmrience that a methodical approach is necessary to maximize vewoue. * we will famish the client with a finial, analytical report. 'this document will identify what we peroeive to be problem areas and outline reomwe ded corrective aation. 1 ' MCA ` March 19, 1982 Any 1108pital 123 Oak Streot Dallas, Tx 12345 i _ Getlt1E1111~I1f 1hia Inner of. Agrees mit. describes Use Lorm3, comlitions and services of MCA accounts receivable activity. 11b imlicate acceptance, please sign ! and return hnmdiately, retaining a copy for your records, ! 1, Our farina are as follows( ! A. Insurance Accounts - (1) 10% 31-120 days (2) 20% Over 120 ('lays B. Caen agents - 35% over 31 days* f Insurance, accounts wtsich ate dotennined to have no insu:anc(i Lmef.its will fall into the (gash category of 31 days old. 2. 'oils contract is for six mcxsUss fo11c>rriasg the date of agretmAit. 3. MCA shall recolvo credit for payments made starting the clay following the date accounts are referral. 4. AfL•or the agreed upon six month period, the agreamuit may be, cancelled by either panty with sixty days prior written notice. 5. MCA shall receivo payment credit for 60 days fr6n the effective bate of oontract ca1>cellation, 6. MCA will provide constant follow-up In line with good public relations my] ethical practices. 7. (Client) will arramgd for pranpt reporting of all payments received in their office. 8. Billing to the client will be twice a month. A atatcmcnt will be furnished itemizing the total mcanth'e collections - ammunt paid, balance due, client's pexcastage and MCA fee. 9. Payment. is raguested within ten days of the receipt of our statoment. ' 10, in con:junction with i.hi.s agr=,ant, WA will prepare n ropos.-l. assessing the effectiveness of tho client's acoounta recoivable activities wit;ls reommmlations for imptovmcnnt. ._....._._.__.........~-Einar t~l"hfti~ttgc~i~srst' ser`v~cE:"s C,orporaL oT`n r~ I e M A Jay K. Lock)uirt cawles w. Newnuvi U~wutive Director Duvolopmarit Director P4xliCal nilw uwult. Graup liwpitzil CozparatLon of lvcnrica 12 700 Preston lk)ad nllU Park Plraza Sttit.e 270 Nashvi.llu, 're uieesce 37202 Dallas, 'ikow 75230 6].5-327-9551 214-934-1261 lAMIld V. M7lan Darrell D. Whitt /vdnu.iiistrator I ' Adminiatrator &wL Rancle Clinice, iAtd. Lewis-Gayle Clinic, 1110. 910 Mk>rth Sixth Avenue 1002 liraebuin Drive Virginia, Mirutesota 55792 Salem, Virginia P4153 210-741-0150 703-774-9241 ►dC*w'd L. 2Auder, M.D. F. Carter ftinill., M.D. ajairnrrat, tqwaztnent of Aruaathesielogy Vice Preaident for ltealt.h Scienwa Upatato WXUCal Collecclo State University of Now York 766 Trvilu7 Avenue 101 Patter Hall Syracuse, Nw- York 13210 3435 Main 3treeL- 315-473-4720 Eiuffalo, New York 14214 716-881-3711 Uneut. Marlanti PresidwL Dcuull.d L. Strange Marlanti and Asaoc.tatos Ragiaruzl Viae President 2128 t rcaenvie'w Drive Hospital Uorporatian of Awrica Ann Arbor, Michigan 48103 Wellesly Office Park G-59 313761«5252 Wallesly, Mewsachusetta 02081 617-431-1600 Frank M. I wnaelxl, M.D. Piofonsor ml Chairmwi Stewart R. Ru0t:a1', MLD., J.D. Dep,irtmont of PaLhology Professor wvJ Cludrrntan University of IWw Health Departnient of Radiology Sciance Ceni;or at San Antonio Wivsrsity of Tema Health 7703 Floyd Curl Drive Soiewe Canter at Scut Antonio San Antonio, TwAs 78284 7703 Floyd Carl Drive 5t2-691-6121 Elan Antonio, Taxas '18284 512-6916596 Janes P, t,zeshtun Prw Idu~ L rt'& w J. Darnell, M.D. MCClic:al Group Syatma, Inc. R&R Niesthesiol.ogy Associates 8730 King cp-orgo Dr, #104 5959 Harry Mines tloulevazd Dallas, Tema 75235 Dallas, Ir'sme 214-631.1190 214-630-5167 Jamris R. Grant Grant and Associates Dallas, Ilama 75225 214-239-4053 Jay X. Lo khart Charles W. Nounajvk LNeCutlvo Dire!ctAr. Dovolopwt Director Mxlical Warr'ujuijurt. Group tioupi.tal Coi.jx)rai:ton of Poericx 12700 Preston Prxu1 fake Park Plaza Suits 270 Nashville, airknessee 37202 Dallas, 'lamas 7:3230 6.15-327-9551 214-934-1261 Wrtsld F. MOran Darrell 1), Wlrltt P&iinisuator Admirkiatrawr BasL Parkcle Clinics, L-Ld. Lnwis-Gayle Clinic, Inc, 9)0 NurL'h Sixth Avenue 1802 llraeburn Drive Virginia, Minnc+sota 55792 Salem, Virginia 24153 210-741-0150 703-714-4291 ►mard L. Zatxlor, M.D. F. Cafter Panni.ll., M.D, Chairnkakt, lxpartinent of Atwuthosi,olocgy Vice President for Hualt:h Scienc.-ea Upstate Medical College State University of Nciw York 766 Irving Avenue 101 Farber flail Syracuse, Nw- York 13210 I 3435 Main Street 315-473-4720 BaVEalo, New York 14214 II 716-881-3711 F,nwet trlanti Preoidenl Uonam L. Strange Morlanti and Avszciatca Rogieuual Vice Presidcmt 2118 Grwaviow Drive Hospital Wq.*ration of America Ann Arbor, Michigan 481.03 Wellealy Office Park G-59 313-761-5252 W:allosly, Massachusetts 02081 617-431-1600 Prank M, IWnsw*xJr M.D. Profussor and Chai.rron Stmtrt R. Reuter, M.U., J.D. Uepcu't=-nt of Pathology Professor MA chairmlui University of 'ir: = linalth Depar4nent of Radiology ScRinre Cantor at Sint Antonio University of '1%%ab Health 7703 Floyd Curl. Drive 5oiw%ce Center at :tnn Antonio San Antonio, 'texas 78284 7703 Floyd Curl Drive 512-691-6121 San Antonio, Texas 78284 512-691-6596 Jrunes P. Graslwtn rrcoident ArkdLGw J. Darnoll, M.D. Maciical Group Syeta e 111c. R&R AimztYwiology Ansoc;iatos 8730 Klivj Congo Dr. 0104 5959 Harry Mines liauleviud Dallas, 'foxes 75235 Dallas, 'tcaxas 214-631-1190 214-630-5167 Jcuklcu R. Grant Grant and Associates Dallas, klwma 75225 214-2394053 mill: 9TAT)*, (N' 'MXM; X G( A-, au.•+~rr+Inr, 1101;rlv'n[, n(; ur•:ar COUNTY OF WITON X wt:, tho undoralr,nud t:hroo I,n r t 1 (114, hoi nei LI10 ro rn m I it a l nn i 1 rq Court of the County of fx)ntnn, T„xw, tho city of 1)onton, 'f,.~xnss, and the Board of Directors; of slow Memorial Iloap'.tal, nll nF r)anton County, Texas, pursuant to mutual Rosolutions herotlaforn passed h.. the Commissioners' Court of the County of txinton and the City of j Denton, hereby dissolve the organization of said Hospital under 1 Revised Civil Statute Article 44941 and hereby rn-organize said i Hospital under the provisions of Texas Revised Civil Statutns, Article 44941-1, which Article is incorporated into this contract, with and subject to the following conditi-•:s, terms, and covenants to which all parties heroto, and their successors in office, shall be mutually bound, to-wits I, The City of Denton, hereinafter referred to as CITY, and the County of Denton, hereinafter referred to as COUNTY, shall retain title to all hospital lands, physical assets and faolliti.os, cvnav t as may be hereafter granted by resolution of the respoctivr, gnvorn- ing bodies. Any matter requiring a vote on the part of both the City and County other than the expenditure or transfer of funds shall be passed upon the affirmative vote of any six (6) members of said combined governing bodies at a joint meeting, and any eight (8) maml)ara of the combined Commissioners' Court and Citv Council shell canstitute a quorum to act on any hospital matter requiring apprcval of City and County other than the transfer of City or county funds, the pledging of any City or County asset, or the term- ination of this contract as provided below. Any decision on tho pert of either of said bodies to authorize the transfer of fund?, or pledge assets, tb Flow Memorial Hospital, hereinafter referred to as HO8NiTAL, shall be decided under existing law pertinent to the res- pective bodies. i , I E The Citv and tnunty r;hf,11 nxoral4o fill noarcl of diractors or t'1o4+ !Oornorial itospl tal, horoinartnr roforrml to as lIOARn, cons If,t',rtt wtth the intont of said Ar.LiClo 44741-1. Tot: Diroctor of Plnanco of thin City, and the Aurlltor of tlto County, shall each have the authority as authorized undor the 101,18 or the State of Texas to examine all hospital books and records at any reasonable time, eitt,sr separately or together, All donations and grants for the benefit of the ?Hospital, in- cluding benefits of trust funds, may be made directly to the Board E of Directors of the Hospital but shall be subject to approval by ' City and County if any condition, obligation or limitation is con- e naoted with any such donation or benefit. All fun,4a transferred by the City and County to, or for the benefit o4r the Hospital shall be based upon a written detailr,d budget, as described below, and no spacial transfers of City or County funds within a budget near may he made without the eubmias- ion and approval of a budget amendment or attl+plemont prior to anv such transfer. The said City and Countv agree to provide all funds necessary to balance said budget after said budge#- is examfnedr aoosnt- ad and arprovrd by the said City and County, The City and County shall transfer funds to the hospital in the following proportions, For each dollar traneforrad, the City shall commit 6_.,,YM t and the County shall commit 5rl sler_cont, afte- the amount of each tra g9far hag been authorised by both, This percentage of fundinq Is Val only the year thereafter. It 19710 through Aaptembal 10,1972, to The initial Board shall consist of the following seven appoint- ments, three of which were appointed by the City, and four of which ware appointed by the County, with the terms of office as eat out { by each nano. The terms shall begin on the execution date of this contract, and it is specifically provided that the terms shall ex- ..2.. ~ff i l Piro on the first and nocand nnnivoranrv of the lnat day of the next comploto fincal yonr Of Said }IOalfitnl, clopendl,nq nn din initial term, thon each now appointmont nr reappointment ahnll bo for a term of two years beginning with the expiration dAtn of the Initial term, as provided in said Article 44941-1. No member shall carry over into a new term unless properly reappointed, as all terms automatically expire as indicated. The initial appointees and their terms ere as foliowni COUNTY APPOINTEES TERN EXPIPATT.ON DATE 1. Mrs. Paul N, Simpson / VA"' /D-/-'1 2, Mr. Walter Ray /go .T 3. Mr, Carl Degan, Jr. /p • '02. 4. Mr. Al Testa dyl CITY APPOINTEES TERM EXPTAATION DATP 1. Dr. Charles Saunders /g, 7y 2. Dr. John Carter ✓ /e 3. Mr, Dorcell Young X /is • i • 4s County appoints two members for two year term and two for one year term, city appoints two members for two year term and one for one year term. It shall be the duty of the Board to appoint a Hospital Ad- ministrator having the qualifications established in the By-Laws, and to confirm the appointment of the Assistant Adminib "ntor and the Comptroller (or Controlleg). The Board shall execute a written contract with the Administrator for his servicos with such provis- ions as may be agreed upon, but no such employment contract shall exceed a term of four (4) years, and "hall provide for removal for cause. The Board shall concur in anO approve any written oontraot the Administrator may negotiate for the emplovment of the Assistant Administrator and the Comptroller (Controller) prior to any such employment, The Board shall have final authority in all matters of hos- pital policy, including management policies, in the government and operation of the Hospital. The matters of quorum and voting are as governed by said Article 44941-1 and the B,y-I,awe. All official acts of the Board affecting the management Or operation of the hospital shall be by written resolution. All acid roeoluttonH duly paased upon during an offfulaI Iloard meeting Filial l. he rof loet.- od in the minutos of the Dnard, All expenditures of Hospital Fonda in oxcehs uf. the total get allocation shall be approved by the Board, the City and the County prior to any such expenditure. It shall be the duty and responsibility of the Board during each fiscal year to engage an independent auditing firm to make an audit of that fiscal year. such engagement contract, or letter, shall be approved jointly by the City and County, an to its terms, and it shall provide that true copies of all audit reports and mnt- erial, including the auditors management letter slid confidential information, shall be furnished simultaneously to the Board, the City and the County. The Board may appoint advisory committees, to serve without compensation, under terms and for purposes which Said Board deems proper. All committees other than advisory shall be as provided in the By-Laws, All meetings of the Board and its Executive Committee shall be open to the public according to the provisions of the Open Session Act, Texas Revised Civil Statutes, Article 6232-17, as amended, III4 The Hospital Administrator shall have the authority and rae- ponsibility to do any and all sots necessary and appropriate in the administration and oporation of Flow Memorial Hospital with in the framework of the policies set by the Board in its By-Lades and by Resolution. The line of authority from all employees and personnel of the Hospital shall be to and from said Administrator, who shall appoint and discharge all hospital salaried personnel and employees, provided that the Board must approve the appoint- mant of the Assistant Administrator and the Comptroller (ControllAr), wh') shall each or both lbo r:ntitlod to a hearinq beforo the noar.d prior to diamiesal by the Administrator, as set forth in tho ny-Lnwe. Tile Adminiatrnlot ahnll oacn mo,.th Provide tho nnard, the Citv and the County wi tl', e, summary of accounts and expenditures, and o,! th a list of all accounts to bo designated uncollectible, The annual budget for each fiscal year of the hospital shall be prepared by the Aaminiserator and presented to the Board no later than the first day of Mav proceeding that fiscal year, and the Board shall present same to the County and the City within thirty (30) (lava of its receipt thereof, or no later than the first day of ,Tune pro- ceeding that fiscal year, The hospital budget shall be considered a public record and be readily available at all times. The budget shall set out estimated indigent care and bad debt loss in one aooount, to be separate aco- ounts when determinable by the County Medical Servicos Consultant, , The budget shall be compatible with the organizational chart, which shall divide the hospital organization into departments and sub-departments. The hospital budget shall be consistent with the form of accounts and method suggested by the American Hospital Association, and sufficient in detail to show all income, revenues, losses, ex- penditurea of funds, and salaries of ail hospital narsonnol. The fiscal year of the hospital shall begin the first day of 4ctobor and and the 30th day of September, V. The by-Laws of the hospital, and all amendments thereto, shall be prepared by the Board and approved by the City and the County prior to adoption, Such By-Laws shall be made pursuant to the terms and conditions of this contraot, and generally follow guidelines established there- for by the American Hospital Association. -9- . A copy of such By-Lnoi~ nn.l nmundmontn nlu.ll ho rural^,hrr! r„ thu City, the County, fin.l i:h¢, rriml ni sl•rator, BY-LA V'13 nru nuPorinr to any resolution of lat.+ ❑o,trd, find no resolution fir other not: of the Board shall bo contrnry tharoto. VI. The transfer of the funds approved by the City and the County, upon acceptance of the regular annual hospital budget, shall he made to the Board in one Of the following manners in oash on or be- fore February 1 of the approved budget year, or, not leas than 1/12 of said sum on or before the let day of each month during such bud- get yearl or, in three (3) equal oa.yments of 1/3 each, beginning February 1 of such approved budget year. The payment option shall be made by City and County, respeatively, at the time the budget is finally approved. lilt, The Board shall require bonds of the Administrator, the Assist- ant Administrator, the comptroller (or controller), and of all other hospital sm•,!,oyees who receive or pay out any monies of the hospital. The amour of such bonds shall be determined by the Board, and the cost thereof shall be borne by the hospital, No ouoh bonds, however, shall be for lees than Ten Thousand (010,000.00) Dollars. Vill, This contract shall remain in full force and effect until amend- ed or terminated by a majority vote of all of the three parties here- to, separately, unless sooner terminated by the dissolution of the orgsnitantion under Artiala 44941-1 by joint not of the Citv and County. Such dissolving of the organization shall automaticAlly, germinate this nonbrllot, t zx. this contract to become effective on October 1, 1971, when approved by all parties hereto. r Y.i r/1' fir ...vr ...yi.,. i ~ Y Y~, r V 4 u~, ,r n 1 i. r ~ r . r r , • V r r V. / I .0 1 V~ C14~ fIY UJOrIT',L ~X 14, YII'7,AY f J:,-f/r' UUdIS A :I~rf r('crUY,fI~1 A • Df{, 0!hI:T 1~ L'Nh, CA>;HdS1i1~A JJ I f iANALU 11w' Jrl~l Y f ~Olf 0 ~IMAn ~ ` APPA()Vro WILD day o! VOAAO 08 OtRi'CYORtl GP PLOIJ JIy;lOI,IAi, I'G!14Y': i 1 {U ;!I iI, ful !7Jan~) f 'Cd'l!- UD V 1~lAI, i~f' It~~ AMOVEO ~ ~tto JUN 121986 , DENTON COUNTY COMMIES Rav, YfkT1;5r Ctrv rANACItts OUt,Elm-- 11 11 Ali I It 4 MEETING AT 212 W. SYCAMORE STF+~4.f;TE AS MONDAY, JUNE 16, 19661 9100 A. M. ,6uNf Y CLE1tl (?ENTON CO. IEX, qv ,,..c _-_DEPUTY i, PLEOSE OF ALL93IANCE 2. CONSIDERATION OF APPROVAL OF MINUTES MAY 19, 1986 Z. CONSIDERATION OF APPROVAL OF BILLS l I q. CONSIDERATION OF PREMENTATIONS SY CITIZENS WHO WISH TO SPEAK TO THE 1 I COMMISSIONERS COURT 9130 A.M. - CONSIDERATION OF PRESENTATION, REVIEW &i APPROVAL. OF CONTRACT AGREEMENT WITH TEXAS DEPT. OF HUMAN RESOURCES FOR LFWISVILLE BUILDING SPACE - DENNIS BELL 1000 A.M. CONSIDERATION OF PRESENTATION BY REPREOENTA1'IVE3 OF THE INANEW TION VALUES; APPRAISAL INO DETERMREGARDING DENTON COUNTY ISION DISTRICT R90ANDOFFICE PROCESS AND GENERAL NFCRMAT 7. 10130 A.M. - CONSIDERATION OF DISCUSSION, REVIEW, & APPROVAL OF POLICY FOR PROBATION PERIOD IN REGARD TO REQUEST OF DENTON COUNTY CIVIL SERVICE MkIEVANCE BOARD, SETTING A PROBATIONARY PERIOD FOR NEW &s/OR PROMOTED SMPLOYEES AND CONSIDERATION OF REVIEW & APPROVAL OF POLICY R63ARDINO TEMPORARY ASSIGNMENTS & EMPLOYEES & GRIEVANCES & R10HTS FDA SAME 8. CONSIDERATION DEPUTIESPRINCLUDTNf3 CTRAININI]A ON & EDUCATION, UNIFORMS, SIC.) 9. 10s30 A.M. - CONSIDERATION OF DISCUSSION REVIEW, & APPROVAL OF POLICY ON PROBATIONARY PERIOD IN REGARD TO DRNTON COUNTY CIVIL SERVICE GRIEVANCE P~,OOA.TOFIQNARYPOLICYPERREGARDIIOD GRIEVANCES AND EMPLOYEE RIGHTS 10. 11 30 A.M. - CONSIDERATION OF R9QUE8TSS FROM DEVELOPERS, ORGANIZATIONS, SUSTNRSSSB, 9TC.i OF TEXAS TA A> CONSIDERATION CABLE ASMUEST OF IN H COM. COMPANY PRECINCT 3 ALONG ROBINSON A ROAD TELEPHONE PLACE AERIAL D) CONSIDERATION OF REQUEST FOR APPROVAL OF FINAL. KPLAT OF SROOKSTONE 11 LOTS 14 & 151 OWNERS, R.S.R. INVESTMENTS, PDANOKE - COM. PRECINCT 3 OF R C) PLATIA00ITION1 (NOEROADS)QUEST rRCEM AN,~ rILANOOF f~RE6A)AN COM. PR9CINCT h 1 II.~'I""IY)"'CHittS'ID3RATION OF REQUEST FOR APPROVAL OF PRELIMINARY FLAT OF JU~~a f G F VALLEY RANCH, PHASE II OWNER, JOE JEETER, DENT(Ill C rAECINCT 4 ,;"1YC q,cCE'G'p1Y Q,R~^(•ATION OF REQUEST FOCI APPROVAL OF PRELIMINARY PLAT OF Zv OR p ALLEY RANCH, PHASE III OWNER, JOE JEETER, DENTON - CO ECINCT 4 F) CONSIDERATION OF REQUEST FOR APPROVAL OF PRELIMINARY PLAT OF TRINITY HIGHLANDSI OWNERS GARLAND WILSON, AUBREEY - COM. PRECINCT 4 11. 1134 P.M.- CONSIDERATION OF EXECUTIVE SESSION(S) PURSUANT TO I ARTICLE 6252-'17, SCC. 21 V.A.C.S. RC(BAROINO PERSONNEL (e), REAL ESTATE (4), LITIGATION (q), & 8ECURITY M. THE COURT RESERVES THE RIGHT TO CONVENE IN EXECUTIVE SESSION, FROM TIME TO TIME , AS DEEMED 'NECESSARY, DURING THXe MEETING. A) REAL ESTATE ON SANDER SATELLITE FACILITY H) 12. CONSIDERATION OF ANY APPROPRIATE ACTION RESULTING FROM EXECUTIVE SESSION(S) 2100 P.M. - CONSIDERATION OF ALL MATTERS INCIDENT & RELATED TO THE DISCUSSION & ADOPTION OF TRANSFER AMPS911UNT CONCERNING FLOW MEMORIAL HOSPITAL TO A PRIVATE NON-PROFIT CORPORATION & ANY APPROPRIATE ACTION 14. CONSIDERATION OF DISCUSSION & ANY APPROPRIATI ACTION 4R40ARDINO A METHOD TO K SC IV9 PROP00ALS ON INDIANT CARS SEAVICE PAOVI816N FROM ALL HOSf~i~ALS IN MOON CCSIINTV QOM.' dAC068 15. REPORTS & REQUESTS FROM ELECTED OFFICIALS & DEPARTMENT HEADSI A) CONSIDERATION OF APPROVAL OF ORDERS APPOINTING NEW EMPLOYEES S) CONSIDERATION OF MONTHLY PROGRESS REPORT ON JAIL CONSTRUCTION KEY RYAN C) CONSIDERATION OF CHANOR ORDER(S) ON JAIL CONSTRUCTION D) -CONSIDERATION OF ANY NECEBBARY & APPROPRIATE: ACTION ACLATED TO THE DENTON COUNTY JAIL & TEXAS COMMISSION ON JAIL STANDARDS E) CONSIDERATION OF PRO©R98S WORTS ON EQUIPPING THE NEIJ JAIL ADMINISTRATIVE WING, DISCUSSION & ANY APPROPRIATE ACTION JIM ANDERSON F) CONSIDERATION OF PROGRESS REPORTS , CHANGE ORDER(S), DESIGN CHANGES P< ANY APPROPRIATE ACTION REGARDING THE RESTORATION OF THE HISTORIC COURTHOUSE ON THE SQUARE, (PHASE IV) 2 r 0) CONSIDERATION OF APPROVAL OFF SOLE SOURCE VENDOR FOR AN ADDITION TO ~ THE FILING SYSTEM FOR THE DISTRICT CL5RK'S OFFICE - PURCHASING H) CONSIDERATION OF AWARD OF BID FOR TRACTOR & BRUSH CUTTER FOR R&D PRECINCT 0 1 - PURCHASING I) CONSIDERATION OF ORDER APPROVING PAYMENT BY CLAIM & ACCOUNT FOR IN VOICC 4 S TO SHWC,INC. IN CONNECTION WITH A CONTRACT RELATING TO THE CONSTRUCTION OF A JUVENILE DETENTION CENTER J) CONSIDERATION OF REQUEST FOR AUTHORITY 70 ADVERTISE FOR PUBLIC HEARING TO SET WEIGHT LIMITS ON MIDWAY ROAD WEST IN CON. PRECINCT 2 1;) CONSIDERATION OF REQUEST FOR AUTHORITY TO ADVER'PIS4 FOR PUBLIC HEARING 70 SET SPEED LIMIT OF 34 MPH ON STONECREST ROAD IN CON. PRECINCT 3 Y L) CONSIDERATION OF ADOPTION OF RESOLUTION REGARDING HIGHWAY 114 - CON. PRECINCT 3 11) CONSIDERATION OF APPROVAL OF APPLICATION FOR DEPUTIZATIUN OF AN LMPLOYEE OF HUFFINSS' DODGE - HERB BARNHART 16. CONSIDERATION OF REVIEW AND APPROVAL OF RFP FOR CONSTRUCTION MANAGER FOR THE JUVENILE DETENTION/JUVENILE & ADULT PROBATION FACILITY 17. CONSIDERATION OF REVIEW & DISCUSSION & ANY AP'P'ROPRIATE ACTION REGARDING A NEW FORM & POLICY REVISION FOR "ORDERS APPOINTING NEW SMPLOYESS" 10. CONSIDERATION OF PHASE I OF REPORT FROM AUDITOR'S OFFICE IN REFERENCE TO THE MANAGEMENT AUDIT OF AURTHUR ANDERSON COMPANY - JAMES WELLS 19. CONSIDERATION OF REPORT ON THE COLLECTION OF DELINQUENT FEES, FINES, & COURT COSTS - JAMES WELLS 20. CCNSIDERATION OF REVIEW & APPROVAL OF SCOPE OF WORK FOR, COUNTY WA3"'R PLAN, APPROVAL CF ENGINEERS' LIST & AUTHQRITY.TQ SOLICIT LETTERS OF INTEREST (FROM FIRMS ON APPROVED LIST - CON. WALKER 21. CONSIDERATION OF REVIEW & APPROVAL OF COUNTY MAP SPECIFICATIONS & AUTHORITY TO ADVERTISE FOR PRCPOSALS FOR PREPARING A DENTON COUNTY MAP EOM, JACOBS 22, CONSIDERATION OF DISCUSSION $1 ANY APPROPRIATE ACTION RELATED TO SPACE NEEDS FOR DENTON COUNTY OPERATIONS (D.A,, BALLOT BOX RQCM, LAW LIBRARY, PERSONNEL, STORAGE NEEDS, COUNTY ATTORNEY, NEW DISTRICT COURT, ETC.) 27., CONSIDERATION OF DISCUSSION RIGARDING SUBDIVISION RU4ES & K-EGULATIONS, POSSIBLE CHANGES (1.E,1 SEC. 1.14, 1-I-5), AND ANY MOMPRIAT~CTLION X21'J~ ~gqJJN'(~Y)1~1 ,J1117u: 24, CON30MATION OF BUDGET DIACUSS3IONS/HCARINOS 11'J~ti, 25, CONSIDERATION OF FUTURE AGENDA ITEMS wt ~~iY10yiL 'l,➢~~'. ti w~ yr, Y~; Pf ~l~rJrx. r rxnrn,sawr+..i+►... WORK SESSIONS, PUBLIC 'HEARINGS, BUDGET HEq{~1'Jr f~~~CtL(@~ 1f1if 1 lls 41 JUNE 17, 1986, 9200 A. M. iIOF! CC, lE%. WORK SESSION ON JUS-PICE..3a' lVANPUTER BUDGET DISCUSSIONS/HEARINGS FOLLOWING THE WORK SESSION PRESENTATION JUNE 24, 1986, 9100 A.M. BUDGET HEARINGS/DISCUSSIONS JUNE 23, 19861 9101) A. M. I BUDGET HRARIN09/DISCU58IONS JULY 1, 19869 9100 A.M. BUDGET HEARINGS/DISCUSSIONS i 4 dof ofrMaay,ft1986 inespecialssession atu212 k.OSyncamoreuwlth dodge COiaopnr'ealdfnhe loth ilaker, Tansey, Jacobs, Switzer and deputy clerk to the court, Marilyn Robinson, present Comms. when the following proceedings were had to wit; Court opened with the Pledge of Allegiance followed by a moment of silence, f 1 ITEM 18-0 . SPECS 21 TON TRUCK, PCT, 4 + trucksoandngrantOthe•authority socood specs Motionrunanimous, ITEM / 8-11 - SPECS-CHIPPER•PCT. 4 Motion by Coma. Switzer second by Cam. W41ker to approve specs and grant the authority to advertise for a chipper for precinct 46 Mat on unanimous, ITEM 1 9-A - CENTRAL TELE, . LOIS RO,PCT,4 Motion by Comm, Switzer second bf Comm, Jacobs to appprove the ,request of Central Telephone to place buried cable on Lois Road west of-right of way in Cam, Pct, 4. Motion unanimous, ITEM Mo1 9-0 tion-byRCam, Switzer second BbylCpiro Tdnsay to approve the preliminary plat of Cherokee Crossings in Cam, Pct. 46 Motion unanimous, ITEM 1 3 - MINUTES p 28 and Mayn 9 1 1886 withcthe following correetionst Pigeplrofe4t(4/28%86)sitem #5 to read in audition td what is stated, "Comm, Tansey referred to the legal opinion from attorney Jim Allison stating that the current contract is ill'agil because of the constitutional limitation of a comnieaioners' court to encumber funds past a budget year, He further cautioned the court that public funds must be spent for a clear public use", Coma, Switzer stated in relation to this same item that he would "like to see the group form a.Special district such as Clear Creek Watershed and that the county would be willing to help", relating to the personnel director Miring, the motion was seconded by Comm, "Jacobs" and should state that"the members of the court thenminutes shouldhrefiectpthat Comm, Walkepersonnel cept atcheckItem for $370000aforrescrow, motion unanimous, ITEM HIE. CITIZENS ITEM 1 B • APPT. DENTON COUNTY LID yy Anita Moti. Cook as aaonewed e4otoroto the CDOention~County to ImphroveeonttDistrictiNoilg due to the resignation of one of tho directors. Motion unanimous"Judy Lawson reaigned) ITEM 18 . DEPT, HEADS Judge Cole presented the court with a letter stating that JP Coker 3 Gregory attended JP training courses is required by statute. ITEM 1 8•A - ORDERS NEW DIPPLOYEES yy pp 44 Adis MMOantonthy SheriffjnJillaArett,bProb~aticnwItset to me)IrDeiileh Garza, Probationg (part time 4ettie Beard, Probation (part tia%e 411 properly advertised, posted, meet the , MC, Consent Oecrsa and budget. Motion unanimous, .ITEM 1 8•B • PAYROLL Motion by Comm, Jacobs second by Comm, Tansey to approve payroll, Motion unanimous. ITEM Judge Cola gavepaRverbal report on the jail as he had received from Key copy of the written report follows, At this time,.9130 a.m.,Coms, Switzer loftacourt, ITEM 1 6 - CO's publication of ?OOtlceJof ihtention to Issue certiificatespof abli?odtionrinuanoamount not to exceed =1,280,000,00 issued in accordance with the provisions of article 23¢bBA.1 constructingoandhequipping afjailiandOp7}rprdfeeslonetaieeviaas,bNation carried w1lh all those present voting eye', ITEM 1 23 - MAMA furaishedJthe courtnwithraereportdonctheistepasathat wouldibe eecesaeryrInaorderhtohed Page 1 of 7 • May 19, logo designate a Community Center for Denton County, and the status of NCTMHMR. Last week a report was heard from the State people. With the dissolution of NCT there will he no deignated center as the term is used in the statutes for Denton County, The statute creates a situation htat envisions one or more Community centers in a county, It also states those centers will be given preference by TDMHMA. This is important because it , indicates that the local government has designated a community center to sponsor the center and also extends to that center a preference for funding, The "center" can be designated as a Mental Health Center or Mental Retardation Center or both and in this instance Mr. Allison prepared a resolution designating Denton County Mental Health Center as the Denton County Mental Health Mental Retardation Center: Presently they are serving both of the areas as it is understood by Mr. Allison. It has been dis- cussed with the board of trustees of the Denton County Mental Health Center the steps necessary to achieve designation and they have requested and are willing to be designated as a community center, They have in the past been the prime contractor for services in Denton County and for NCT and other agencies for the last few years. Steps in the statutes state that the board of directors of the center must be appointed by the public agency that sakes the designation, It also sets forth the terms they must hold being that of 2 year terms of at least 1/3 and not' more than 1/2 hold 1 year terms and after that they all hold 1 year terms, Comae Jacobs stated that a "quorum" was not addressed with Atty. Jim Allison stating that it was addressed in the by taws and the Texas statutes. In relation to attendance as questioned byy Come Jacobs, Mr. Allison stated that it was addressed in the by-laws but presentlyy it was not addressed in the statutes for removal of members, Mr. Allison stated that he took the entire by-laws for the • board of directors and where they did not comply with 'the statutes he added what was needed to comply, For regimanding• for non attendance Mr, Allsion suggested they leave that to the board, Mr. Asion suggested that,, they are not a community oneter yet and will not be until they accept this order and1 suggest that if they accept this then the board with the court could propose anything you may want, Motion by Comp, Walker second by Come Tansey to adopt the resolution and order to name Denton County Mental Health Centers as the comnunity center for Denton County Mental Health/Mental Retardation Services. Motion carried with all present votingg 'aye', Cam, Switzer absent, Comm, Jacobs stated that she would like the record to reflect that'she is hesitant not having a rouvai clause and hopes that the board will in the future address At more specifically. ITCH If 7 - DENTON COUNTY HEALTH DEPT. (7 as c', d, b respectively) Comm, Tanta y opened discussion stating that she, her staff and the Health Department had worked on this project taking the concensus of,the court to move in the direction of a Health Department versus a Health District, Comm, Tansey stated she would like to discuss this in the order of leagl aspect, staff and t will talks about the proposed reorganization and Or. Cripe will discuss the budget portion and Atty Allison will speak to the $001 and the changing of benefits for indigents and declaration of intent, Mr. Allison stated that he had spoken with the court about the Health Department pre- viously and that the state call for a reorganization of the Health Depaptments and no longer provides for a Health Department in the name the County previously had, He had done research on the contractual structure of the Health Department and find that it is very ambiguous. He said that he found a Copy of the first contract entered into and we know that since then there have been changes and negotiations for changes in the contract in the past. In 1981 there was a great deal of discussions about the Health Department the services to be rendered and the compensation to the governments) units, It ap egars from the minutes that sane action was approved as a result of the suudy In 1981 ut~li2ing City and County staff along with outside help from citizens, We have not been able to find any signed copy of any contract from this study; the city has found a drift singed by the Mayor of Denton but nothing from the County. This was the time the so called Jamison formula was developed for funding,. The contractual status with other entities is very vague and ambiguous and needs to be cleared also. He stated he had reviewed the proposed reorganization in terms of services and compensation for the various services and find it to be in compliance with the ,tats and if the other entities approve it as well as this court there will.be no problem reducing it to in Interlocal agreement for your approval, The proposal presented was based on a per capita for-both envlronantal and clinical services, Cities can choose the enviromental package, clinical package or both, Motion % Comm Tansey second by Comm, Walker to adopt the proposal and send to the Mayors the letter and entire packet along with a statemont of resoonding by June 23, 1986. Motion carried with all present voting 'aye', Comm, Jacobs was not present for the discussion or vote, Conn. Switzer was absent, 7d--The court moved next to the discussion of the Health Department's budget, Or;Cripe stated that no employees were requested and it would depend upon what happens with this proposal as to whether or not he will need to keep all, the staff he presently has, He action was taken, 7b--The Court moved to the discussion of SB11 with their Atty, Jim Allison, Nei Allison stated that this subject was very complex but felt he had some answers for the court, Mr, Allison stated he would reduce this report to writing for the Court. He stated that he tried to analyze the court's responsibility under S811 in relation to negotiations with Flow 4nd the City and whether you can make changes in that responsibility, your responsibility in relation to the Health Department and if you can make changes in that responsibility, meanii~ iervites and peopple served, He steAttgd that as he read the stets vage 2 of 7- Kay 19, 1986 to a county served by a Public hospital on Jan, \ the eligibility standards Por services at a publfc~hosp8talsoDee~on Co my sot forth in the stets or those set by the hospital POr the o eror y was, 1485, whichever Was more lenient was standards So be us pp not be changed by the Conmfssichers Court one peed, The eleg_16111tycocannQ the act (SBfI}, This section goes on to Say that elegg(billtypcansOC changed only to make them more stringent and it must be done by loldt:„ CourtyAnnQ notice of tl:e hearing, Then after the hearing, lfpublicoom ring ens Court and n ty Council or other governin body find there to ba no detrimental effect then they may adopt the chap e, 9 n.his o infon (Allison) this section takes the court out aP this process (eie91bf11ty~, He said that the reason he says re nay oauthori is because the department of Human Services has decided that Ofethe law andutheyfhavetnotddonersoaendndornotlintend to doiSO,Un esslthealaw is the l ave apyerulesotoCguideethem0only thetst,t,teay regardless of how ambi the law re beA Y Public hos pals do Y Corm, Jacobs stated that there 1s a question iP ehegibiligu ston• lords were ever made. The problem end concern she hat fa that we would be peyyoSta a minimum of 4 times the amount of indigent Care if we continue on the Permute ' we now have, This would depend on the n pA weber of people. The roblem she is having is that aha was told the court and the hospital never set n etroble i because they took federaldfunds, Jfm1A11isonhStatedithatwthisbwashbeingl oundnalloot around the state fn counties the had public hospitals, They took those that Choy could.and wrote off the unpalds as indigents. Me Said that the hospital should proceed to set eligibility standards iscS akingdto he retisnhospitals Only. Foh thelHeation0 as sueh, yWh billty standards that you think is appropriate, but there are provislonsMin thelson stets relating to a Health Department stating that you must not de n$ sot elegi• anyone unable to pay, It is unclear if you had eiegibfllty standards at the hospi• tai and the board at Flow should address this and adopt sane tanda d$ at the hoc as Ait fJ went on to say that'if there iS no docue+entation or proof of what there bes as of Jan, 1, 1986 then .in essence there were none., You n Sort, • because you are required to su y Pport the hospital(public) and.whan ou no, longer have the public hospital then you are required to provide the saeryiOu n,lo to this can not provide the service here then they will 9o elsewhere and the will bill you for those serviCOS upon eleglbitft end { If You standards then you Will a Y~ ! you do not have e yy a certain time we. p Y at medicare rate, Come, Tans nY eteging a ft y eY asked aatumfng after btlit standards, no ion er have a public hospital who then would set the elevf• Mr. Allison stated that heithoughEtthathwhentyou nooIongdorohave th'etpublicthospl- tat but had one Jan, 1, 1986 then the entities responsible for supportin the hospital would Set•the slegibilitY- Mr. A111aan also said he felt it would be more advantageous to set those standards before the transfer of the hospital takes place, If the board does not, you would loose that board as an entity and it would five back on the City and County, Judge Cole stated that once transfer Is offec- ~,'n~ rive then it would Just be the Count , 11 mental entlty° With a responslbfiit y lir, Allison stated the law so s °an atin s o A bntler tated 'h is how has the funding of the hos 1ta1 been determined? Comm, Tena stated ha we h d a 19yy11 cantractrn- son ra t a letter anaend lt~. on S00% See. 1401 and in conjunction and simuit neo sly sendnA lOtte,.to theipro. J sent FLOW Board asking for their detailed description of fndlgont policy and pro- cedure asking for immediate 'response and once we receive the responses take the next stop necessary, Hoiton carried with 1n\ voting 'aye' And•Com. Tansey voting 'no' 4tetingethat~sheCfaitathatuInotColletter to the Flow Board we Should inform tMM whet Is .going On s uat asking and net ett P1afning would be unfair to the Flow Board M&*O"A ITEM / 9.8 • TEXAS NEW MEXICO P04ER • CROSS ROAD New' Mexico Powers to Tlaceyanoaerialycabble Jacobs of grant the request of' Texas Road in COMA pot. ip Motion unanimous, 9 Y on Cross ITEM / 9•C • BLACK ROCK WATER y Y , Jacobs to grant permission to obtain unanimous, waterefrom thaCBBlackTRook WAternCorporaE on o,~fMssey Road in Com, Pct. 1, lio ITEM f 9•E • REPUBLICAN PARTY Lion lican~Partybto0uu3o'thenLewleville aoverhnbnto0eneergcaurtPsrmmifromn6to0thenAatub- 8:00 PIMA Saturday, June 1, 1988 for the run off election. Motion unanimous, ITEM f 9•F , REPUBLICAN PARTY o Motion by Come, TanSOY secooangdaby Coomlmo MWaalkerr t19g6ant the republican party 33 Y , 9 permission to use the central Jury room on Tuesday; June 10, 1986 at 7130 p.m. to canvass the run off election. Motion-unanimous. ITEM / 8:F - EQUIPPING NEW JAIL Items MandJthatnaemeetingfhaadbeensscheduledawith Me,sRominestandQthescourt askedthim to work closely with Mr. Aomines now that he was on staff, ITEM / B-M - SPECS DIESEL TRUCK s and authority tobadvertiseaforronec ond by didsei truck InnCam.tPet, 3.VeMotion unanimous.tna ITEM 18-P E Q - SPECS CARPET OIST,.CLERK 3 CC12 Motion by Comm, Walker second by Comm. Tansey to table this until June 2nd and give this to the new purchasing agent for review and opportunity to get the correct speco together, Motion unanimous, ITEM 1 8-9 - NEW POLLING PLACES Motion by Como, Jacobs second by Comm, Walker to table the,dlscussion on new polling place until June 16, 1986. Notion unanimous. ITEM 0 8-L - POLLING PLACE HANDICAP SIGNS Motion by Coma. Jacobs second byy Came, Walker to table discussion of handicap signs for County polling Places unt11'June 16, 1986. Notion unanimous. ITEM 1 8-T - JP 4 LOCAL OPTION to acceptotheyreturrnsTfat thesJPadlocal optionlalection9ontSaturday, Mayn24,19yClerk Motion unanimous. 86 ITEM 18-N - TRANSPORTATION STEERING COMMITTyTEE be $6,776 per persontplus 1666% gratuity Nanddthatnwasnthe cheapesttplaceasherhad found at this time, No action. ITEM 1 8-$ - SPECS/ADVERTISE TAX STATEMENT Motion by Coam, Jacobs second by Comm, Tansay to approve specs and grant the author- ity to advertise as long as the specs have the changes made in court and a proof is received before printing begins of the statements, Motion unanimous. ITEM 18.4 - 910 AWARD - PCT. 2 tructNfor precincctntwo too Frontier Truckkas inTthe7Yamoountwofd$11,662,347being theklowest and best bid that meets or exceeds specs, Motion unanimous, ITEM 1 28 - RESOLUTION ABSENTEE BOARD Motion by Comm. Walker second by Come, Tansay to adoppt the resolution appointing absentee ballot board for the local option election for JA14, Notion unanimous. ITEM 1 19 - NEW FORM ORDERS APPTO. ENPL, new foM7►mtiforborderrss.appointing7now emplo eesTuntily Junea9,e198d.aMotion unen mous, the ITEM 1 24 - EXECUTIVE SESSION Notion by Come, Tansey second by ~eaim, Jacobs to adjourn to Executive Session pursuant to Article 6262.17, Sec. 2 g V,A,C,S, regarding litigation, Motion unanimous, Upon reconvening it was announced that the court spoke with one or more attorneys on-litigation and took no action, ITEM 1 BE - DENTON COUNTY JAIL Mr. Allison, Attorney for the court, stated that the court previously requested that we determine if there were available consultants to handle the transition into the now Jail. He said that he had conferred with gob.Viterna at, the jai.) standards commission and received comments from him on people that had done jobs in this area, He said he had followed up on these leads and came up with Cox and Associates, Mr. Norm Cox heads up this firm with 26 years of correctional institution experience, Two others In this firm have together n excess of-20 years expert nce, What they propose to do is have two men come up Me, Dickerson a Me, Oufaceos and do a survey and make a report to the court explaid ng what needs to be done and how they can help speed up the transition, S told them there was an ad hoc conmittea in place and they said they would be hera, their fee would be $90 per hour, complation would be In 2 3 days estimated and they guarantee that it will not exceed $8000, This would in- clude two people for two to three days with the gue0tee not to exceed $6000400, report given his "b aieinemso tonspeak, He with heewould expect from this firm Vitarra ha ntifying all the things necessary to complete the transition, establish where we are in cam- Page 4 4 7- May 19, 1~A6 i w plating those items and what would be required to complete them in the shortest time possible and what they could do, if ratainad to expedite those things. Corm, Jacobs Second by Come. Tansey to hire box and Asociates as the consultant firm to handle the jail transition report which would establish what we have done what r we need to do and what they Can do for us in the future if we continue to-utilize their expertise the fee is to be $90 per hour guaranteed not to exceed $6000 and they are to begin May 20, 1986 at 9 a.ai. Motion unanimous. ITEM 1 8-1 - BID EXTERIOR WOODEN WINDOWS CHOS Ward Bogard, Architect for the Courthouse on the Square recom anded'the court award the bid for the exterior wooden windows to the low biddger, Paul Pogue, Inc. In the amount of 316404, He Stated they had checked out the references and all was satisfactory. He did request that the court waive the requirement that they be a member of the wood working institute, Motion by Come, Walker second by Coma. Switzer to award the contract to Paul Pogue, Inc. in the amount of 3164,664.00 and to waive the requirement to be a member of the wood working institute and it is within the budget on what has been projected, Motion unanimous. ITEM 1 8-H - ADDENDUM 70 ARCHITECT CONTRACT Motion by Cow, Walker second by tow. Jacobs to approve the addendum to the I contract with Ward Bogard and Assoc., Inc, to include services of acoustic consul. tant. Motion unanimous. ' ITEM 1 16 • JUVENILE/ADULT PROBATION Mr, Fletcher, Architect informed the court that he had furnished the Juvenile Board with everything that has taken place At this point. Mr. Fletcher then moved to discusgion of insurance requirements relating to this project. He stated that it was a rare exception to take more than the minimum insurance required, The Juvenile Board did not take a stand on this one way or the other, that the court i is to do what they feel is economically feasible. The Auditor stated that he felt it was adequate to his knowledge. Motion by Coma. Jacobs second by Comm. Tanseyy to approve the level of insurance as-por.mhat is included in the letter from SHWC to Barbara 6awman which includes insurance on all statutoryy areas which would Inanl- mouse Treat of workers comps empla toa colors ortdesign of facilit chosen by staff, maul, The Jug. Board had no objections y Relating to the~ltems not included, in the contract originally, the letter was given to the court and the Juvenile Board did approve the relocation of the sewer line, drive parking lots fire extinguisher, Phis would increase th by chommeCt's fee by $13 ib24.22 if the court accepts all additional items. motion second by Llotm. Welker to accept the additional items that were originally excluded being those of sewer 321,000, service drive 367,000; parking lot 3126 0001 firo extinguisher $2600,00 changing the construction budget to $2,204q 709.b0 with the understanding that it will change the fee of'the architect by Sti,624.22, Motion carried with Corms. Walker, TanseyI Switzer,voting 'aye' and Come. Jacobs voted 'no'. ITEM 1 16 - 144y EST, OF PAYMENT SHWC 14 foMSHWts INCCoand approves thenclaimCa d,account.toMotionvunani~mous,of estimate ITEM 1 17 • WATERS, TRE00 AND DAVIS Mr. Hagman stated that packets for the elected officials were ready. How role into new system? Our suggestion is to move employees that fell betweoo steps to the next step then increase them the number of steps s a result of the appraisals, Mr. Hagman informed the court that Waters, Two and uavis's contract had once again expired and asked if the court wished to continue on with the contract. Motion by Comm. Jacobs second by Coma. Welker to continue the contract with Waterss•Trego, 6 Davis on a day to day basis at the same rate in option 11 of contract. Motion unani- mous, ITEM 1 18 - TRANSPORTATION PUBLIC HEARINO The firm of PAWA Ninklemao and Associates Inc,s consultants for the Denton County Transportation 8 Thoroughfare Plan, a geared bafore the court to discuss the andldistributig onnofethebplansa courtosuggested alleetsponses from thepcities~on agencies, etc, be in writing, chairman of ta committee, Me, Jim Jenne be the mod- erator at the public hearing and have him do a brief introductions have the meeting recorded, allow 6 minute prese,tationes no action is to be taken at the public hearings set June 9 at 6 p,m, cs the deadline to raeeive responses and after the and lad ustrthe ptnncif nece saryl ndtprepareha-recsoemendation fopithe courts than s establish a schedule for the court't final decision and notifyY 411 entities, agencies, otc, when this will be done in court at which time the committal will Mpresent the recranded plan to the court for their final approval, lotion by ~c= I Jacobs second by Comes Walker to have Barbara Bowman put together the information cheat to be given out at the public hearing Ag oto7hive so ove1heBad pretentation along Pa, - May 1) with the maps on the U911, Motion unanimous, ITEM I 1 - AMENDING ORDER OCCSCMERflEHCY ITEM Attorney Jim Allison came before the court to discuss amending an order of the Commissioners Court dated November 12, 1986 creating the Oentor County Civil Service Commission and amending an order of'the Commissioners Court dates March there is Service the attent ontofgthto the e Court that Canton confusion He stated the it ad roles a as it responsibilities of the Civil Service Conmission and the Commissioners Court Allisonwentsonoto saiynthatstheordercprovidesnspecifigc referenceatorthe county budget act, that requires that the court conisder and adopt a budget vyend that no vidingiforebudgetcount amendmentsbduring,the yearsas necedit ssary, Thiseisuofecourse the responsibility of the court. In the process of creating the Civil Service Comni- consenthd creesand providedojurisdiction 120 issiontIntthe area of Complaints and grievances for promotions, demotions,suspensions, terminations. Somewhere in the process additional language was added to that jyrisdictianal para- graVp a dtn,; complaints,and grievances relating to pay increases, decreases and workie,l ^onairions, Theoretically hearing a grievance or complaint in those areas could l~yatve .he requirement of the expenditure of additional funds and that of count is a power that the court can not delegate to the commission. They can hiLy complaints about promotions because it would not require action on their part for expending funds, The solution this order would achieve to remedy that conflict is to Change the jurisdiction of the commission by amending the orders of Nov, 12, it8toaIncludehplro 1986 employyimnt. rYouaare in the process of workingg out your Civil Service Commission and this wi11 not be the first or last time you wi11 have to define the role,of the Civil Service grievance Board as it is now known as and from time to time you will have to Change the system as you find what works and what does not. The Civil Service Grievance Bcard has e problem with this because of.the conflict of taw. Motion by Comm, Jacobs second by Comm, Tensey to act as the preslding offlcer of the The court due to the absence of the Judge, Motion unanimous. Motion by court lanceY,Ybsecond by~C", Walkerototadoptvthe order amendingcthe0Denton County civil Service orievanto Board. Motion unanimous. ITEM 13 - BILLS Per the Auditor on page 80 of the bill report the bill to Allison 8 White is from the Jail Construction fund to general Fund, Pa go 12 the bill to Firestone for 58,00 to be deleted add bill to Willo Product which is payment I,9 in the amount 131,366.90 from Ja1{ Construction Fund add bill which is to come from the Jail con- struction fund to First State Bank 13,186.10 which is a 10% retaina a fee, Motion by Conn, Jacobs second by Cow. Tansey to, pay the bills as corrected, Notion unanimous, ITEM ! 8-N - TRANSPORTATION LUNCHEON Motion by Conn, Jacobs second by Coam, Switzer to table this item,- Motion unani- mous. ITEM M 8-U - LEWISVILLE BLDG, CONTRACT cost up or, down tom thewcontract i and aapproveotheOContractdwith0thatxchange t ationn unanimous, ITEM 110 • SPACE Motion by Comn. Jacobs second by Conn. Tansey to table until June to 1986. Motion unanimous, ITEM 111 • LAW ENFORCEMENT INTALOCALS amending existingCOinterlocai agreemenyy tsCforotheCprovisionbof lawionforcement9services " to reflect actual costs.to Denton County. Motion unanimous. ITEM f 20 - LAW ENFORCEMENT 111TERLOCALS eussionoofrecongideringgallnterlocel agreommeentu forylw onforeAment servicesland any appropriate action, Motlan unanimous, ITEM 18-C - JAIL PROGRESS REPORT Motion by Comm, Tansey.second by Conn. Jacobs to accept the report, Motlad unanimous, PAGE 6 of 7 - MAY 19, 1986 ir. vP?y , ,sq ITEM f 8.0 - JAIL•CHANOE ORDERS HOME ITEM 0 14 - ACTION FROM EXECUTIVE SESSIONS i NO ACTION ITEM 1 20 - COMPREHENSIVE LIAR. INS. Motion by Comm, Tansey second by Coma. Jacobs to table until June 20 1986. Motion unanimous. ITEM 121 - FUTURE AGENDA ITEMS ' The cond by Coma ~Tanseyotodreview theslisting ofpfutureritemsoand get with,Barbara sa for final approval on the items. Motion unanimous. ITEM 122 - 9UDOET NO ACTION OR DISCUSSION Motion 1130 Pam#atbtheeDenton CiviceCanteryfoi~eTPu6 ictHearingsforttheMTransportation Plan. Motion unanimous. PAGE? of 1, - MAY 19, 1964 I I j 1 STATEMENT OF CORPORATE QUALIFICATIONS MEDICAL CONSULTANT ASSOCIATES i I l J I I "It takes nearly as much ability to know how to profit by good advice as to know haw to act for oneself." Francois de Is Rochefocauld - French Epigrammatist - 1613.1680 i "They that will not be counseled cannot be helped, If you do not hear reason, she will rep you on the knuckles," BenJamin Franklin - American Philosopher and Statesman - 1706.1780 "He gains wisdom In a happy way, who gains it by another's experience." Titus Macclus Plautus - Roman Dramatist - 254.184 B.C. i i i I i i ti {i`1 i { I t f i I I, p c i i Medical Consultant Associates was formed In 1978 by a group of principals well experienced In the management consulting field, The THE FIRM objective of the firm was, and remains, the provision of management consulting services to health care related organizations. The firm Is owned by Its employees and has no ties to other organizations, thereby fostering complete objectivity. The Company is dedicated to the health care Industry and performs services In every part of the country. Each client Is assigned to a partner who is responsible for the overall project, as well as other consultants who are retained, if necessary, for the assignment. As an organization, we are committed to pragmatlc, results-orlented solutions, Our staff Is sensitive to the singularity of each client and recommendations must fall within the capabillties of the client for Implementation. Analysis and subsequent recommendations which cannot be Implemented are a sterile exercise in report preparation, We stress the practical and flexible application of sound management practices. Project continuity Is nurtured by participation in the Implementation as well as the planning phase, The health care industry Is a dynamic field, Now, and In the foreseeable D an atm here of unrest cha futureenviro, pullspan organization Jo hi eral di ect onsat PH I IOSaPHY once, The industry must constantly implement new ways to achieve desired results and sometimes action must be based on sketchy and Incomplete knowledge, For this reason, our staff has been chosen for line experience and creativity as well as consulting expertise, Our recommendations must be able to work in the real world. The members of our firm are accustomed to functioning as a team and have a wide range s of an tra and experience In g the functional relationships of health care organizations, Medlcal Consultant Associates offers support and continuity as the project moves through these phases, which are tailored to the individual client; 6 Data Gathering Analysis r' j • Recommendation • Implementation k 0 Maintenance 1 The members of our staff are actlve In industry organizations and t participate In professional and Industry programs and meetings. The 'y needs of each client receive the personal attention of a principal In the firm, s E~ Most client organizations find that management consulting services US r n offer several advantages; • Objectivity - Impartial and fresh viewpoint, free of CONSULTANTS personal interest, Internal loyalties, organizational tradition or preconcepflon. • Analytical Skills - Ob)ectlve analysis of the situation resulting In the Isolation of the real problem{s) and Its underlying causes. • Broad Experience - While no two organizations are exactly allke, few situations are entirely without precedent Our staff has learned what to anticipate, which action to take, reactions to expect and what ingredients are necessary for success. • Concentrated Attentlon - The external consultant is free from distracting day-to-day responsibilities. The client organization may neglect situations because of Insufficient time. The consultant's expertise may only be needed for a short period to help In translating recommendations Into positlya action wlthout adding to permanent overhead, i • Innovation - The consultant Introduces new concepts and helps point out new directions. He often acts as a catalyst drawing out and articulating worthy Ideas which may have been lying dormant within the organization, Our staff has been chosen for their abilities in Innovation and teamwork STAFF as well as competency and experience, Other prerequisites Include; • Theoretical and practical background in consulting • Personal commitment to management consulting as a career • Familiarity with the lines of communication In the industry • Experience in fine management • Technical expertise In ancillary fields The academic disciplines represented by our associates are listed below. When coupled with perception and experience these disciplines constitute a powerful tool in the resolution of complex and diverse problems. Organizational Management • Personnel Management I Information Services • Industrial Engineering ! • Economics • • Mathematics • systems Accounting Finance • Psychology • Marketing 0 Auditing and Accounting 4 Data Processing The staff of Medical Consultant Associates has completed over eighty ENGAGEMENT consulting engagements on behalf of our Industry clients. This experience has contributed to the'reservoir of knowledge' available for other pro)octs• The staff has also completed related engagements at EXPERIENCE over 200 sites In thirty-seven slates, 7 • Economic and financlal analysis • Organization development 6 Evaluation of programs, policles and projects • Delinltlon of functions • Development of economic and financial models f a Manpower planning/recruitment Management and support services • Systems/procedures/methods development • Management Information systems, design-and evafuatlon • Leadership development • Management operations and organizational analysis • Health care administration • Regulatory analysis • New ventures • Staffing and facility utilization • Management Information systems vendor selectlon • Management Information systems-implementatlon • Documentation support/retrleval • Cost/benefit analysis • Personnel training • Evaluation of competiflon • Performance appralsal > • Planninra assistance • Commu fications Implementation assistance • Economic stablizatlon All of the clients of Medical Consultant Associates are in the healthcare Industry and fall Into the followfng groupings; CLIENT • Private Single-Speclalty Modlcai Groups AREAS • Private Multl-Speclalty Medical Groups 'i • Hospitals • Hospital Management Companies • Medicdl Sohools • Computer Service Bureaus specializing Jn Health Care • Computer Firms offering Turnkey Systems In Health Care • Third Party Carriers and Intermediaries j • Public Agencies • Other Consulting Firms, t f' 6 i'.:', 4r1y4 j; In response to the increasing demands of our client Industry, Medical Consultant Associates offers the following range of sophisticated, SERVICE Inter-related services. Our approach Is results-oriented and cost- AREAS effective working with and through the client staff developing ; proficiency, self reliance, qualitative and quantitative improvements, I • Program planning and evaluation • Goal setting and priorities • Management services • Health care information systems • Financial management • Technical assistance • long range planning and forecasting • Organizational planning and development • Multi-institutlonal operations c • Marketing studies • Ambulatory care administration • Project feasibility studies • Functional planning • Operational and productivity analysis • Organizational structure • Compensation programs • Economfc stabllzatlon j • Leadership development ! • Thlyd-party relations • Job evaluation • Work measurement t • Supervisory and management development • Professional scheduling • Accounts receivable analysis ; • Staffing studies • Work flow analysls • Credit and collection • Cost containment • Fee analysis • Reasonable charge analysis for Medicare profiles • Management audit a F 4 i Medical Consultant Associates will be pleased to furnish detailed SUMMARY Information regarding its services while working closely with clients to tallor a specific approach to fit the client's needs. Upon Inquiry a complete disclosure of personnel resources and areas of particular expertise will be furnished to the prospective client, Medical Consultant Associates will be happy to provide references who can give you an account of our performance In client settings that are l similar to your own. 9i t ! 1 ti W"i:II r5 r i f i I 1 t y y t ( r TO DISCUSS YOUR NEEDS WITH ONE. OF OUR PARTNERS, WE MAY 8E CONTACTED AT OUR e CORPORATE HEADQUARTERS: } i I MEDICAL. CONSULTANT ASSOCIATES 725 SOUTH CENTRAL EXPRESSWAY SUITE A-12 RICHARDSON, TEXAS 75081 (214) 236.1365 I' d r l SAANCH OFFICE 5545 FREDCRICKSBURG ROAD, SUITE 200 ( SAN ANTONIO, TEXAS 78229 } (512) 340.2228 t r ~ i981 t