FOUNDE 1030 Austin City Council MINUTES For SPECIAL CALLED MEETING - MCBETH RECREATION CENTER Council Chambers, 307 West Becond Street, Austin, Texas May 02, 1989 - - 3:00 Ρ.Μ. 2502 COLUMBUS DRIVE Mayor Pro Tem Shipman called to order the special called meeting of the Council, noting the absence of Mayor Cooke, Councilmembers Urdy and Barnstone, at 3:24 Ρ.Μ. EXECUTIVE SESSION Mayor Pro Ten Shipman announced Council would go into executive session pursuant to Article 6252-17, Texas Revised Civil Statutes Annotated, to discuss matters of land acquisition, litigation and for personnel matters. No final action, decision or vote by the City Council will be taken on any subject or matter unless specifically listed on the agenda for the meeting. Pending Litigation - Section 2, Paragraph e (a) Reyna vs. AYCO Development Corporation and the City of Austin RECESS Council recessed for executive session from 3:25 to 3:31 Ρ.Μ. FUNDING FOR LEGAL SETTLEMENT The Council, on Councilmember Carl-Mitchell's motion, Councilmember Nofziger's second, passed through FIRST READING of an ordinance amending Ordinance No. 880915-V by appropriating $2,300,000 from the Liability Reserve Fund to the Law Department for funding the settlement of Reyna V. AYCO Development and The City of Austin. (4-0 Vote, Mayor Cooke, Councilmembers Barnstone and Urdy absent) HEALTH DELIVERY SYSTEM SUMMIT Worksession was held on Health Delivery System Summit. Libby Watson, Assistant City Manager, introduced the discussion. Presentations were given by Mr. Tom Young, Brackenridge Hospital Administrator, and Dr. Solbritt Murphy, Director, Austin/Travis County Health Department. Many phases of health care were discussed. Mr. Young told Council that a hospital district is recommended. Members of the Hospital Board who were present joined Councilmembers in the disucssion. A Summary of Policy Questions had been presented to Councilmembers (COPY ON FILE IN CITY CLERK'S OFFICE) and Mayor Pro Tem Shipman referred to Question 11: Does the Council favor developing a hospital-district? She said this should be referred to the Hospital Board to vote either up or down whether they want 2 Council Memo 2 5/2/89 to study the question of a hospital district. When the Hospital Board comes returns to Council with their recommendation then the Council can take appropriate action if the Board's decision is in the affirmative. Council then discussed questions 1 through 10 and made the following motions. Motion (Question 1) The Council on Councilmember Carl-Mitchell's motion, Councilmember Nofziger's second, voted to aggressively support the expansion of the Texas Medicaid program, specifically H.B. 1345 in the short term; and increasing per capita spending to the national average as a long term goal. (4-0 Vote, Mayor Cooke, Councilmembers Urdy and Barnstone absent) Motion (Question 2) The Council, on Councilmember Carl-Mitchell's motion, Mayor Pro Tem Shipman's second, voted to maintain the competitive, enterprise nature of Brackenridge Hospital.(4-0 Vote, Mayor Cooke, Councilmembers Urdy and Barnstone absent) Question 3, Does tthe Council favor developing a separate cost center structure for MAP to insulate other A-TCHD programs from disproportionate cost containment impact, will be decided upon when more information is presented during budget discussions. Motion (Question 4) The Council, on Councilmember Carl-Mitchell's motion, Councilmember Nofziger's second, voted to support use of MAP moneys to supplement physician services for hospitalized non-MAP patients. (4-0 Vote, Mayor Cooke, Councilmembers Urdy and Barnstone absent) Question 5, Does the Council favor maintaining market-based salaries for health care personnel at both A-TCHD and Brackenridge Hospital, will be considered later. City Manager Barnett stated, "Council will be considering the pay and benefit package for the entire City work force the first week of June and I would suggest we bring this back to you at that time. We've presented the issues today and we can present specific recommendations to you at that time." Motion (Question 6) The Council, on Councilmember Carl-Mitchell's motion, Councilmember Nofziger's second, supports increase of availablesresources for enhancing the Medicaid application process. (4-0 Vote, Mayor Cooke, Councilmembers Urdy and Barnstone absent) Question 7, Should MAP eligibility determination subsequent to Brackenridge hospitalization be abolished and the funds redirected as a straight subsidy for indigent care, will have further study. Council Memo 3 5/2/89 Motion - Questions 8, 9, 10 The Council, on Councilmember Carl-Mitchell's motion, Councilnenber Humphrey's second, voted to defer Questions 8, 9 and 10 to the MAP Board and Hospital Boards for developing with the City Manager's direction. (4-0 Vote, Mayor Cooke, CCouncilnenbers Barnstone and Urdy absent) 8- 9 10 - - Does the Council favor changing gateways to the health care system by establishing triage programs in the Emergencyykoon to redirect nonurgent MAP patients to the MAP clinics; and improving A-TCHD MAP clinic sites to include mini-ER capability and increasing available service hours? Should MAP be changed in such a way that it operates as an HMO type insurance? Does the Council favor implementing MAP cost containment strategies if they negatively impact Hospital operations? ADJOURNMENT Council adjourned its meeting at 5:50 Ρ.Μ.