Minutes May 25, 2006

ALAMEDA ALLIANCE FOR HEALTH
BOARD OF GOVERNORS MEETING
Thursday, May 25, 2006
6:00 p.m.

1240 South Loop Road, Alameda, CA 94502

Present:	Excused:	Unexcused:
Ingrid Lamirault Michael Mahoney (Chair) Jane Garcia (Vice-Chair) Gail Steele Pamela Gumbs Damita Davis-Howard Linda Price, MD John Norton, MD Charlie Ridgell	Ray Davis, Jr. MD Marty Lynch	None

1. Call to Order:
Meeting was called to order at 6:10 p.m. by the Chair, Michael Mahoney. A quorum of the members was present

2. Approval of Agenda & Minutes:
Motion: J. Garcia
Second: D. Davis-Howard
Results: The May 25, 2006 agenda and the March 23, 2006 minutes were approved unanimously.

AGENDA ITEM	SPEAKER	DISCUSSION HIGHLIGHTS	ACTION	FOLLOW UP
3. CHAIRS'S REPORT
Report March 23, 2006 Closed Session	M. Mahoney	Mr. Mahoney presented the report on the March 23, 2006 Closed Session: Dr. Chen provided the Board with an overview of the recommendations of the Peer Review and Credentialing Committee (PRCC) from the February 21 and March 21 PRCC meetings for the Board's approval. The motions to approve the recommendations of the PRCC were approved unanimously. Mr. Mahoney announced that he was stepping down as Chair of the Finance Committee and that Jane Garcia had volunteered to Chair, as it is usual for the Vice Chair to also chair a committee. Mr. Mahoney requested a motion to appoint Ms. Garcia Chair of the Finance Committee. As the Board was informed at the March 23 meeting, Frank Tiedemann resigned from the Board. The Alliance received two nominations from the Hospital Council for candidates to fill the vacant hospital seat. The Alliance set up meetings with the two candidates: Wright Lassiter, CEO of Alameda County Medical Center and Colleen McKeown, Sr. VP/Area Manager of the Greater Southern Alameda Area for Kaiser Permanente. The Ad Hoc Nominating Committee will meet with each candidate and present a recommendation to the Board by the July Board meeting.	Motion: D. Davis Howard Second: G. Steele Result: The motion to appoint Jane Garcia as Chair of the Finance Committee was approved unanimously.	None
4. CEO'S REPORT
ATTACHMENT A: 1.CEO's Report 05.25.06.pdf	I. Lamirault	Ingrid Lamirault, CEO, presented the attached report which includes updates on the following: Restoration of the 1.8% Medi-Cal Managed Care Provider Rate Reduction New Children's Health Initiative (CHI) Funds New CMS Rules About Medicaid Payment to Non-Contracted Providers Potential Loss of Members Due to New CMS Rules for Medicaid Eligibility Ms. Lamirault informed the Board that the Governor's budget included rate increases for six health plans, one of which was Contra Costa Health Plan, a Local Initiative. Contra Costa Health Plan had sent a notice of termination to the state for its Medi-Cal contract. Ms. Lamirault responded to a request for an update on the Medi-Cal managed care Seniors and Persons with Disabilities (SPD) pilot. She stated that the Alliance has hosted Community Planning Meetings for advocates and caregivers of this population. The meeting for provider stakeholders had to be postponed due to a schedule conflict.
5. CHIEF MEDICAL OFFICER'S REPORT
Chief Medical Officer's Report HANDOUT: 2.HANDOUT. CMO's Report.pdf	A. Chen, MD	Dr. Chen, Chief Medical Officer, presented the attached report on community-based quality improvement projects addressing asthma treatment. He described the current asthma projects and the Alliance's Asthma Database. Dr. Chen described the drug diversion program that staff and the Health Care Quality Committee (HCQC) are currently developing.	None	None
6. CFO'S REPORT
Financial Reports for the Month & Year-to-Date Ended March 31, 2006 and April 30, 2006 ATTACHMENT B-1: 3.Montly Financial Statement Package (March).pdf ATTACHMENT B-2: 4.AAH Finacial Statements April 2006.pdf Net Equity Target ATTACHMENT B-3: 5.Net Equity Target Memo.pdf HANDOUT: Resolution 06-05 6.BOG Res 06-05 TNE Level 07.27.06. approved.pdf	J. Volkober	John Volkober, CFO, presented the attached Financial Reports for the Month & Year-to-Date Ended March 31, 2006 and April 30, 2006: Financial Results Narrative Income Statement Reports Administrative Expense Detail Report Balance Sheet Cash Flow Statements TNE Calculations Mr. Volkober presented the attached memorandum regarding a net equity target for the Alliance. Ms. Davis-Howard asked what measures the Alliance will take to reach the target. How will the plan to reach the target affect the programs, employees, etc. Ms. Garcia asked what the timing is for the plan to reach the target. Mr. Mahoney stated that the goal is to reach the target at some point in the future, in order to ensure financial stability. The plan for reaching the target will be addressed in the budget. Ms. Davis-Howard stated that she prefers to review the plan (with measurable goals and a timeline) to reach the target before voting on the resolution. Mr. Mahoney agreed that the matter should be addressed again as part of the budget package. The Board agreed to postpone a vote on the attached resolution. The word "surplus" is to be removed and the target will be addressed in the budget for FY 06-07.	Motion: C. Ridgell Second: J. Norton, MD Result: The motion to approve the Financial Reports for the Month & Year-to-Date Ended March 31, 2006 and April 30, 2006 was approved unanimously.	CFO: Present as part of the budget for FY 06-07 the "Resolution to Set the Target Net Equity to be Achieved and Maintained by Alameda Alliance for Health at the Sum of Forty Million Dollars."
7. OTHER BUSINESS
None	None	None	None	None
8. PUBLIC COMMENTS
None	None	None	None	None

9. Next Meeting Date
The next meeting date was set for Thursday, July 27, 2006.

10. Adjournment to Closed Session
Motion: D. Davis-Howard
Second: J. Garcia
The Alameda Alliance for Health Board of Governors meeting was adjourned at 7:02 p.m.

Respectfully Submitted By
Ingrid Lamirault, Secretary/Treasurer of the Board and CEO