All right, I have uh I have 2 p.m.

and so we'll uh I'll uh introduce uh Diane Shercliffe, our lead chaplain for Eskenazi Health to lead us in an opening prayer.

Thank you.

Good afternoon.

Often when a chaplain spends time with a patient, there isn't much said about the illness or injury that actually brought them to the hospital.

Most long conversations and ongoing relationships with patients deal with their responses or their beliefs about their current situation, how they can cope with this new reality, the uncertainties, the anxieties, the fears about the unknown.

Everyone has them.

We listen beyond the words.

We help patients remember their strengths and where they have found support in the past.

We walk alongside them as they discover biases that no longer serve them.

We encourage explorer, we encourage exploration and expression even while they remain uncertain.

And we hope that our interactions help them discover how they can create just a little more of what they need to thrive.

Now none of us here is a patient, but we all are for intents and purposes in the hospital.

And as a board, you are definitely facing a new reality as the result of something you had no control over.

I imagine there is anxiety and fear about the unknown, but beyond the words and the fears, there is a strength in your experiences, in your knowledge, in your compassion, in your desire to make a difference, and in your sense of community, in your skills, and in your diversity.

All this adds up to what is needed to help this organization thrive, even just a little more.

So if you would indulge me.

Take a big deep breath.

And as you continue to breathe deeply and slowly, let us approach the divine of our understanding and reflect on all you know, who you are together, how you can continue to learn from each other, so that as you move forward, you continually seek wisdom from within, from each other, and from the divine, and tap into that collective wisdom and discernment for the good of all we serve.

Amen.

Thank you, Diane.

I'll uh do the roll call.

Um I know our vice chairman uh trustee drummer isn't uh is not present today.

Uh trustee uh Du Set.

Trustee Dr.

Fish.

Present.

Trustee.

Present.

Trustee Horn.

Present.

Trustee uh O'Brien.

Present.

And uh Bob Lazard, the chair is here.

So the consent agenda consists of the board minutes from August 12th, 2025, the Treasurer and CFO report of the July 2025 cash disbursements, the appointments, reappointments, and changes to privileges, uh, medical staff policies 700-21 admission and transfer criteria to and from nurseries, uh number 700-44, emergency authority uh for infection prevention and control, and uh number 700-95, pathology surgical specimens, and uh lastly number 700-158 overlapping surgeries, as well as privilege forms, uh, allied health uh professional, uh, advanced practice registered nurse and allied a allied health professional physical assistant.

Policies 700-21 admission and transfer criteria to and from nurseries number 700-44 emergency authority for infection prevention and control and number 700-95 pathology surgical specimens and uh lastly number 700-158 overlapping surgeries as well as privilege forms uh allied health uh professional uh advanced practice registered nurse and allied a allied health professional physical assistant is there a motion to approve the consent agenda motion to approve the consent agenda motion by trustee Hannafee is there a second second uh we'll take second by uh trustee uh uh O'Brien and uh again do a roll call vote uh uh chairperson vice chairperson drummer is absent uh trustee Du Set Yes Trustee Dr.

Fish Yes Trustee Hannafee Yes Trustee Horn Yes Trustee O'Brien Yes Trustee Lazard votes yes uh 601 19 um that brings us to the um general ordinance adoption number three-2025A the 2026 uh budget was introduced and read by title for the first time at the July 29 2025 board meeting and read by title uh for the second time and presented for public hearing at the August 12 2025 board meeting the ordinance will now be read for the third time by Health and Hospital Corporations General Counsel Ann O'Connor Ordinance number three-2025A 2026 budget next we will hear an update on the ordinance presented by James Simpson, the interim CFO and Assistant Treasurer of Health and Hospital Corporation.

Thank you, Chairman Chairman Lazard.

Uh just a few updates uh to this the general ordinance three-2025A um jove yeah so we just have two slides here uh after the the budget hearing on August 12th, the Marion County Assessor did publish the certified net assessed values for Marion County, and so with the assessed values going up, we did want to reflect that in this budget ordinance.

So what I've done is I've highlighted in this advertisement summary what change was made with the assessed value, and then with that change, assessed values increased with our tax levies remaining the same, the tax levy slightly decreased on the fund.

So I've highlighted the assessed value going up from 25 to 26, and then also the the new tax rates that are lower than what they were originally on the original ordinance.

Um next slide, please.

Then the one other change that we did or that we have proposed in this ordinance, this updated ordinance, is we I worked with our decision support and strategy team to see if we could tighten up the general fund 2026 budget, and we were able to find $8 million that we can reduce the expenditure asked on the general fund.

So what what we're showing here is the original proposed budget, which was uh 414 million, and we've lowered that ask to 406.3 million, so it's an eight million dollar decrease in expenditures, and so that that does reduce the deficit on this fund from just under 33 million to just below 25 million.

And so I wanted to show this is our commitment to continuing to get this budget back to balance.

Um, if this budget is adopted statutory budget, we'll keep working to see if we can tighten this up even more as we work through the operational budget.

Uh, we'll do that in the the fourth quarter of uh 2025.

And what this doesn't reflect, I did want to just make a point after sitting on the Eskenazi Health Committee this morning.

Um, Dr.

Harris did give an update that the Eskenazi team is actively working through the 35 million dollar improvements that we budget for them.

So this doesn't show a change.

You know, it was the update this morning is you know they are making strong progress to achieve that that run rate improvement in 2026.

I did want to acknowledge that um as part of this update as well.

So if there's if there's no questions, um I thank the board for considering this ordinance.

Um also uh since no person from the public has signed up to speak to the ordinance today, we'll go ahead and proceed.

Uh uh are there any comments uh from the board at this time hearing none?

Uh we are we are now ready to consider the ordinance for adoption, and this is and is there a motion to approve the ordinance.

So it's been moved by uh trustee uh O'Brien.

Is there a second?

Second.

It's been seconded by trustee horn.

Um and I will do a roll call vote uh on uh uh general ordinance adoption uh three-2025a, the 2026 budget.

Uh Vice Chairperson Drummer is not with us today.

Uh Trustee Dorset.

Yes.

Trustee Dr.

Fish.

Yes.

Trustee Hannafee.

Yes.

Trustee uh Horn.

Yes.

Trustee O'Brien.

Yes.

Trustee Lazard votes yes, and voted six zero one absent.

Thank you.

Uh with that, uh, we'll move to the uh the report portion of our board meeting.

Uh first on the agenda is Health and Hospital Corporation and uh uh our CEO and uh uh President uh Paul Babcock.

Uh thank you, Mr.

Chairman.

Um, want to thank the board for approving the budget.

It's been a um a really intensive process from all divisions to really tighten up what we're asking the board to allow us to spend um because obviously the changing environment, the impacts we've had from the state.

Um so I just also want to thank not only the board for approving it, but for all the teams across the divisions for working um to really you know pencil a tight budget and we'll continue to monitor and update the board.

With that said, from a process standpoint, we're now going to have our budget introduced to the city county council on September 8th.

Um, and then we will be presenting to the municipal corporations committee on September 17th.

That meeting starts at 5 30.

We are second on the agenda after um indigo.

So I would assume that if you're watching at home on channel 16, it'd be about 6.15 or so in the evening when it'll we'll be up and presenting.

Uh we're working with uh all the leaders to put together what our format and presentation looks like.

Uh we're debating back and forth about how technical um because we don't know what kind of questions we're gonna get based on what the budget does and how it's impacting other taxing units.

Um so we do anticipate a number of questions about that, um, and we're preparing to be able to answer them as we started doing this work in December, knowing that there might be changes to our uh levy as well as our fiscal impact.

Uh second, I'd like to um just let the board know that the BABS bonds have passed through all of the final processes now.

The bond bank approved it uh last month or last week, and so now we'll be pricing the refunding of those bonds uh in September.

We haven't set an exact date for pricing, just trying to determine what the market looks like on the day we do it.

Obviously, we're not um we don't have a crystal ball, so we don't know necessarily what day will be the best day from the market standpoint, but we're looking sometime in mid-September.

And as a reminder, this um refunding will hope will allow us to cash flow approximately two million dollars a year over the rest of the life of the bonds in 2040.

Um so that'll be a positive impact to our finances uh going forward, as well as taking us out from under the uncertainty of the federal government and the subsidies that we receive currently from uh the feds for the BATS bonds.

Additionally, uh we are wrapping up the strategic financial financial strategic planning process with four of us, and we hope to be able to present um information as well as you know recommendations to the board sometime in October or November.

Um as we put together what that looks like.

Obviously, we'll provide more information on what we're asking uh the board to do and act on, as well as just explaining where we have come from and where we would like to go.

I want to thank everybody across the organization for the continued um support of this project as well as participation, it's been critical to helping us as a corporation um prepare for the next five to ten years of uh of what we anticipate to be a very interesting and challenging environment from a financial standpoint.

And then finally, just as a side note, if you are driving down 38th Street uh and you you'll see the public health lab is now all um internal construction, we've got the shell.

So if you know you're a construction guru, you know that means that we're working on the inside now and everything's good on the outside, but you'll also see that the demolition has begun on the old Chase Bank building, which is 3905 Meadows, and so we'll be able to have our security dispatch in there hopefully by sometime next year, as well as providing Dr.

Dan and Medic 10 a new place to run out of besides the the back of Forrest Manor.

So if Dan ever says that the corporation doesn't do anything for him, uh you've heard it now in a public meeting that that's not true.

Uh and so with that, I will turn it back over to you, Mr.

Chair, if there are any questions.

Are there any chest questions for our uh president and CEO from the board?

Hearing none, we'll move on with uh our uh uh uh with our uh assistant treasurer in room and CFO assistant treasurer uh James Simpson.

Thank you, Chairman Lazard.

Um my comments will be brief.

I'm gonna cover the the revenue expenditure report through July 31st, uh 2025.

Uh Paul hit all the highlights on the both the budgets of ABS.

I thank him for giving giving those updates to the board.

Uh through the end of July, revenues they're trending uh at or better than budget for all revenues except for the portion of taxes which relates to the HCI, which we we have covered that, and we're continuing to recognize that with the nine and a half million we received in the first quarter.

So throughout the rest of the year, we're gonna see that 28 and a half million dollar um below budget position for taxes.

And then also grant revenues, they're trending below budget.

Um this isn't as concerning.

It's it's always it's a it's a tough guess to know how many grants we're gonna get before the year starts, so we usually are a little optimistic there.

But the one thing they're being um below budget is expenditures would also be below budget.

So if we don't get the revenue, we're not we're not spending the grant funds there.

Um expenditure categories are better than budget and transfers are all at budget throughout through the end of July, and then our actual plus open uh through the end of July were very similar to the June report.

We're showing a deficit of 13.3 million, and that is related to that that loss in HCI funding.

And then for the year-end projections, the deficit actually improved slightly from uh June 2025.

It's down to just under 30 million, and if you calculate the HCI impact, it's 28 and a half million.

So that accounts for nearly all of it.

Then we see a little bit of um revenues or below budget and other categories, but the expenditures being better than budget more than equally offset those.

So that would conclude my report unless there's any questions.

Are there any questions from the board for uh James?

Let you off easy.

All right.

Uh that thank you, James.

That takes us to the uh Marion County Public Health Department, and uh I'll introduce uh uh our director and chief medical officer, uh Dr.

Virginia King.

Thank you so much.

Appreciate it.

Well, good afternoon, everyone.

Um the uh Marion County Public Health Return Um Department Laboratory completed the validation of a very new instrument called the Metrum IC instrument that's used for analysis of anirons, cat irons, and herbicides in our water.

So we do a lot of testing for water in our streams for any chemicals, so we're very excited about that.

We also hosted a summer intern, uh Maggie Mann from the Gregory Fairbot Center, who provided a paid internship program for college students with physical disabilities at Aschanazi Health, and uh she was just a delight, and we'd enjoy having her uh at our um our site.

Um we are happy to say that when we look at our immunizations, looking back at our 24-25 influenza season, Marion County saw 75 deaths last year from the flu.

If we looked at the total Indiana deaths last year, we went up to 658 deaths.

So 658 people died of the food in the state of Indiana, eight of them were pediatric cases.

So we're also continuing to investigate three potential cases of West now virus in humans.

We have plenty of positive mosquito pools with West Now in our community, and so we sent those results to CEC for confirmation.

We completed eight out of our nine back to school clinics.

We vaccinated over 404 kids, but we still have our work um cut out for us.

Lastly, in environmental health, we're continuing to work with the city on the ongoing issues of overuse and drinking at Fall Creek and Emerson.

It's being used as a beach by many with residents in the area very concerned with the trash and other unsanitary debris that's being left behind.

We did test the water for contamination, none was found.

Um thank you, and the city has since erected barriers and science prohibiting use, despite the fact people continue to enjoy their beach activities.

Um we lastly um attended the Marion County Senior Summit held August the 14th, and this is an opportunity for service providers to come together and share what they're doing in older adult care services.

About 20 of our providers were present.

Your staff was there.

Presentations were given with a welcome by Paul Batcock, myself, but we had Dr.

Kathy Schubert from the VA gives a keynote.

Diane and Patrick Healy were some of the speakers, and we had our own Dr.

Holt from CEO of Ashkenazi's health clinics, also be a presenter.

So the attendees are really engaged.

One interesting note that popped out of the discussion though was there was a lot of talk about food and meal deliveries with a high agreement that maybe we should find an app for meal deliveries needed for older adults.

And one of the things they were hoping to accomplish from the summit will be a director of the providers that attended it, the services that they provide contact information.

There's no one place that's a database that shows all of the providers in adult care services where you know what services they're offering and how to reach out in contact with them.

So we're looking to see about that process.

Thank you.

That's all I have.

Thank you, Dr.

Kane.

Are there any questions for uh Dr.

King on the board?

Um I know you said you have more vaccines to give.

Is there a number you're trying to reach for the kiddos?

Oh, for the children?

As many as we can get.

Uh we we sort of uh lost ground when we had the um uh COVID-19, you know, a lot of people not having access to get to their primary care.

But I do want to give you an update.

We're now for the measles outbreak.

We're now at 41 estates, and we're over, we're about 1,000 nearly 400 cases of the measles across the country.

Remember, it was eradicated in the year 2000.

So now, because of the low uh immunizations in regard to measles in a lot of these communities, uh, we're seeing this outbreak.

And I'll remind people before the vaccine was developed, we were experiencing 500,000 cases of measles per year in the country.

And so for us to get to eradicate it in 2000, meaning that we have probably less than 200 cases, you know, in the United States, it is now making a comeback, so it's really critical that we try to get our children up to date uh in terms of their vaccines.

But adults, we need you just as well and healthy too.

So please um encourage you to get your protective immunizations.

Thank you.

Thank you, Dr.

Kane.

Uh we'll move on to Eskenazi Health, and uh Dr.

Lisa Harris, our CEO of the Eskenazi Health has uh has a number of things to report for us.

Seven reports.

I will start uh by giving a summary of our quality committee report uh from this morning.

There were several elements uh in that report.

Uh first first of all, Chrissy Lowe, who is our chief of risk regulatory and patient safety provided uh our comprehensive performance improvement and patient safety plan for the board's approval.

This works its way up through uh the clinical services with approval by the medical executive committee, the medical staff, and then ultimately the uh board's approval, and this is done on a triennial basis.

Uh she also uh presented for the board's approval our patient safety plan and scope of services, and these were discussed in some detail in the uh quality committee.

Second Jen Weatherspoon, a director of quality for Eskenazi Health, uh gave uh a report with with several um elements, one of which being our pain assessment, I'm sorry, pain reassessment project.

And this is being conducted as an activity of our Regan Street Center uh for health equity research, and this project emanated from an opportunity that we identified in our 2023 joint commission survey where we saw that uh we had opportunity to improve our reassessment of pain.

So after intervening uh with the patient with pain, the idea being following up to make sure the pain was addressed adequately, and we found that that we were not doing that as well as as we needed to.

And we learned that English-speaking patients were more likely to be reassessed.

And we can understand how that might be the case, that in the you know, crush of a busy clinical service, that the things that are not necessarily the most critical, you know, life and death matters could be things that are easier to do when it's easy, easier to communicate as opposed to having to get an interpreter or work with our our language line.

And so there's no question that these disparities exist here and elsewhere.

And the important thing though is first of all acknowledging that they exist, secondly, identifying really quantifying it and then addressing.

So that's what we're doing, and in doing that, we are following the process that we put in place when we identified similar disparities on the outpatient side in terms of our screening for food insecurity, where we when we looked by language, we found that there was a disparity of 16% in terms of screening for food insecurity among patients who were English speaking versus those who were not, for probably the very same reasons.

And we reduced from 2022 to 2025, we reduced the disparity from 16% to 1.4%, and it's continuing to go down.

And so we're using the same approach, and really given our culture and our commitment to health equity, it's really just a matter of pointing this out to caregivers that that's really pretty much the intervention that's needed for us to uh highlight uh the problem here and then to continue to give people feedback.

But but we expect that that we will reduce that disparity just as we uh for pain reassessment, just as we did for food insecurity.

Again, about transparency, uh awareness, making sure that we are always measuring not just the blunt measure but also by language that will that will largely uh we expect that to uh reduce uh this unacceptable uh situation.

Uh uh Jen Weatherspoon also gave an ambulatory quality update uh describing our work toward transitioning to uh value-based care, uh anticipating contracts transitioning from feed fee for service to uh value-based uh payment arrangements, and uh with you know with quality measures assessing and emphasizing preventive services and chronic care management.

Um then finally uh uh Ms.

Weatherspoon also gave an update on our CMS age-friendly hospital measure, and this is a measure that was introduced by CMS for this coming year, uh recognizing that we have an aging population, and this measure is geared toward improving patients' uh care for patients 65 and older across all of the areas of the inpatient setting with with the focus on listening patients' health care goals, uh being responsible in terms of medication management, polypharmacy becomes a real challenge and uh aging individuals with multiple chronic diseases, uh screening for frailty and intervening is necessary, and then uh finally age-friendly leadership.

So we're tracking well uh to be able to be responsive to that uh requirement, that new requirement on the part of CMS.

So that uh summarizes our quality committee meeting.

There are any questions.

Um Dr.

Harrison.

So I'll go on to continue.

Yeah, I'll go on to uh the update from the Eskenazi Health Committee.

We had two uh presentations here.

First was an update of where Eskenazi Health stands in addressing uh the financial challenges that Mr.

Simpson uh described in our in this session related to our budget.

We in doing that set the context uh again reviewing our strengths, entering into this uh challenging time, the the most important of those strengths being our high value model of care, which plays into the things we were talking about with uh value-based purchasing.

Um this really is a model that rests on a very solid foundation of primary care mental health care and care reaching out in the community, putting resources, uh investing resources upstream to both improve health and longevity and reduce the ultimate cost of care and the uh burden to patients and the cost of treating for end-stage uh disease down the line.

At this at that at the same time, the FQHCs across Indiana have increased by 30%.

So that shows uh the I think the value and the need uh for our services in the community.

We uh noted also among the strengths that we are seeing more individuals who are commercially insured up to 18%, where for the longest part of our history was actually below 5%, and uh never more than 10% uh before our transition to this campus and uh uh conversion to Eskenazi Health.

Uh we noted uh that that a lot of that growth has come from our own employees, which is obviously a good sign.

We also noted that over 20 years we've had a uh an increase from six to fifty-two percent of randomly selected individuals across our community rating us as best or one of the best uh health systems in the indie market, and that we had emerged as a leader in safety net health systems nationally in terms of patient uh trust.

So that all those those are all things going for us in addition to a track record of achieving financial improvements over the past eight years, rolling up to a cumulative improvement of 175 million over that period of time.

So all of this puts us in good stead to meet the current challenges.

The the most important thing here is that though the headwinds are uh strong, you know, the the cut in HCI funding, additional cuts at the federal level, um, and our anticipated uh loss of individuals who are uh changes in Medicaid eligibility, which will create more uncompensated care uh for that will be our responsibility.

None of this is unfamiliar territory.

We have never been in a position in which we have received adequate funding for the services that we provide.

So we are well poised to address these challenges.

We are advocating aggressively at both the federal and state level.

Uh again, I want to thank Senator Young for the uh getting the state director payment program provision into federal legislation.

We know that FSSA is capitalizing on that opportunity, and the uh what we've heard so far is very promising in terms of enhanced Medicaid rates, and we're looking forward to get to seeing that that is finalized.

We as James also mentioned, we are tracking well toward our goal of improving financial operations by by 35 million for 2026 compared to 2025.

In doing that, we are going to uh be focusing on preserving uh valuable umpatient services and our model of care, and we are we're we're feeling good about how we're going to achieve that.

One big element of this will be increasing access to specialty care, and this is important uh in part because uh we have seen growth, but not to the same extent as we have in primary care and mental health care.

And that is one of the barriers to more of our own uh employees receiving care from Eskenazi Health, just having that having access to that services.

It's also uh has is something we need to improve specialty care to be competitive for employ direct-to-employer contracts, for which we are uh a um we're sought after because of our low cost model of care.

So we have these we have opportunities, but we have to be able to provide the full rate of specialty care services to be able to capitalize on those opportunities.

And so that is going to be one of uh uh uh a flow cycle moving forward.

And as we do that, we're going to be following what we've already done in primary care.

And importantly, as we've increased visits by 153% over the past eight years in primary care, we have also reduced the cost per visit by 41%.

So that is the definition of value in health care, more care, lower cost per visit.

And and that was recognized just last week.

Uh HERSA that is the regulatory agency responsible for FQHCs across the country, uh established a new recognition in terms of high value care, and we we received that recognition, and that puts us in the in the company of 10.74% of other FQHs across the U.S.

And so that was the first part.

The second was uh an update on our social determinants of health programs at Eskenazi Health.

Uh, Dr.

Chris Callahan uh conducted this discussion.

He described why we we focus on uh the social drivers of health uh because U.S.

spending on more spending on health care in the US is not driving more health.

We are we are spending more and more than other developed countries and getting poorer outcomes.

And everything we do in health care in the traditional biomedical biomedical model applied to treating disease counts for only about 20% of what really drives health and longevity.

So that's why we have to get upstream out into the community.

These concerns are not limited to urban communities, they're also present in rural areas.

They affect everybody.

And so we are addressed this by integrating social care with medical care in everything that we do, again, focusing upstream in the communities, the free health engagement zones that we have along the 38th Street Corridor and three of our surrounding three of our health centers where we're working with community partners with the health department and others to really get up front and address these factors that contribute primarily the social, socioeconomic, environmental factors, and you know, enabling lifestyles that promote health.

And so that that is a big focus of what we're doing.

We have moved, we've piloted these concepts, we've proved uh we've proved the concept, we have uh started to scale, and now we're working on demonstrating sustainability, and the Eskemasi Health Foundation has been instrumental in helping support this work so that we can keep this really critical work front-end work going while we address some of the challenges of the of our current environment.

Um and then we thanks to the uh Region Street Foundation for the funding that has allowed us to stand up in evaluation arm, the Regens Rief Center for Health Equity Research that will tell us the exact impact and allow us to not only make sure that we're putting our resources to the most effective interventions but also informing this kind of work across the country.

Then finally, just a couple of announcements.

Um importantly, we are moving to two-factor authentication for my chart.

That's our patient portal that starts today, and this is just to further protect private information, make it much harder for unauthorized individuals to access patient records.

Uh, and so that there's a lot of information going out to our patients, and any if anyone has any questions about this, they can call 317-880-2273.

We also are again offering a free legal aid clinic uh to offer uh wills and advanced care planning for Eskenazi Health patients.

This is this will be from 10 to 2 on Thursday, September 18th, and we are uh thankful to uh lawyers from Fagary Drinker who are helping make making this resource available to our patients.

Uh we approve we prefer appointments, but walk-ins will be uh accommodated as as available, and individuals with questions uh may call Eskenazi Health Legal Affairs at 317-880-4814.

And then finally, uh we're happy to announce that uh Christopher Scott, um, who is our chief clinical operations officer has been elected to serve on the American Society of Health System Pharmacists Board of Directors.

This is the largest organization of pharmacy professionals in the U.S.

It represents 60,000 pharmacists, student pharmacists, pharmacy technicians, and all patient care settings.

Dr.

Scott has been a very active member of this organization for a number of years.

Um we are uh really pleased that he is uh has been uh elected to this position.

It will be good uh for uh the uh for pharmacy writ large across the country and also for us.

So congratulations uh to Dr.

Scott for achieving this important role.

So that concludes my report.

Thank you.

Do any of the board members have any questions for Dr.

Harris?

Thank you for the very comprehensive report.

Uh so I'll turn it over now to Dr.

Ashley Overly, the CEO of Sandra Eskenazi Mental Health Center.

Thank you, Chairman.

I have two events I would like to highlight for you today.

Um the first is that tomorrow, um, when on Wednesday, August 27th, the Marion County Community Mental Health Centers will be presenting our annual update to the City County Council's public safety committee.

This is tomorrow at 5:30 in the City County Council building in the public assembly room.

It is a public meeting, so anyone is welcome to attend.

It will also be streamed online.

The presentation will provide an overview of the impact of the community mental health centers in Marion County.

We are third on the agenda behind the Office of Public Health and Safety and the Marion County Clerk's Office.

The second event I would like to remind you of.

I announced last month as well.

It might be a little bit more exciting than a city county council meeting.

Is our recovery and remembrance event?

This event will be held next Friday, September 5th.

So this is next Friday from 11 a.m.

to 3 p.m.

here in this conference center.

We'll have several different activities within this event.

From 11 to 11 30, we will have a celebration of life with a reflection from Bishop Rob as an opportunity for us to remember lives lost over the previous year.

From 11 30 to 12 15, we'll celebrate journeys of recovery that we are privileged to be a part of with our patients.

We'll be debuting new videos that are featuring recovery stories from our patients.

And we'll also have several patients present who are in the videos to also offer their comments on the videos and share some additional thoughts about their recovery.

And then finally, from 12 to 3, we'll have an open house featuring artwork from the Sandra Ascanazzi Mental Health Center Expressive Arts Program.

And some of the art as well as greeting cards will be available for purchase.

And so this is just a drop-in open house that you're welcome to visit at any time during those hours.

So thank you.

We would love to see you there.

Are there any questions for Dr.

Overly from the board?

None appearing.

I'll uh turn it over to our chief of Indianapolis Emergency Management Services, Dr.

Dan O'Connell O'Donnell, who's already been uh mentioned by our CEO today.

So I won't make any further comments.

We'll just let that one go, I think.

Good afternoon, everyone.

Thanks for having it.

Um we did have another successful year at the Indiana State Fair, specifically supporting the medical needs at the Indiana State Fair.

Our response numbers were as followed.

We had 776 total patients evaluated during the three weeks that had 398 EMS cart runs within the fairgrounds itself.

And we actually transported 74 patients to various hospitals.

So again, it was a busy year to the fair.

Uh the weather was a little bit better than it has been in years past, but no doubt the fair always uh is a busy time for us, so we are very glad that it is done.

We can turn our attention to fall activities.

Our traditional EMT class held its practical exams this past weekend, and I'm excited to report that we had 18 successful completions, which means we now have 18 newly nationally registered EMTs, uh, which goes a long way to continue to build the workforce in EMS in Indiana and Indianapolis.

Our mobile health integrated team participated in the Week Hair Community Festival back to school bash.

We were happy to be there with our uh EM50, that is our large command trailer, um, which is also using our homeless outreach program with Dr.

Howe and any large-scale events.

So, again, just because you see our large mobile command trailer does not necessarily mean something bad is happening.

Actually, more likely than not, something good is generally happening when you see that thing rolling.

Uh the crosswalk to care program continues to move forward as we work through the through its growth and the challenges that come with a new program like this.

Uh last month, uh they averaged seven calls per day that were transferred from 911 to the nurse management program.

Uh and speaking with their leadership, this is normal uh for a rollout of this uh of this nature, but again, these are all uh calls that have been successfully managed by the crosswalk nurse navigation line have been sent to resources other than emergency departments and have helped keep our aims ready for the next emergency.

So, again, continue to look for growth there, and we'll certainly report uh next month with how that's going.

Our blood activation, our mobile integration integrated health programs were recently featured on WRTV.

Uh, we're able to showcase our capabilities have grown in both the terms of getting the necessary resources to patients faster as well as our growth in identifying and addressing individual health needs that may not require ambulance dispatch dispatches.

And then finally, uh IMS is excited to bring back an employee engagement event that hasn't happened since before COVID.

We are holding our um uh well now will become our annual employee award banquet for the first time since 2019.

There'll be two events at the RAS Keller in September where we'll be celebrating the service and recognizing EMTs, paramedics, and educator educator of the year as voted on by our service.

So, with that, that ends my report.

Thank you.

Are there any uh questions for Dr.

O'Donnell?

Hearing hearing none, uh, we'll uh uh move on to uh our uh vice president of long-term care uh Julie White.

Thank you, Chairman Lazard and trustees of the board.

During our long-term care committee meeting, Brian Jarvis, Vice President of Finance and Accounting, presented quarter two financial results and year-to-year comparison.

Gross operating income remains favorable with an overall trending positive.

Mindy Shapiro, ASC Chief Compliance Officer, presented ASC's quarter two compliance report, sharing case data, and Laura Bonades, ASC VP of Compliance and Privacy Officer presented implementation of an annual photo consent process.

HHC long-term care division quarter two highlights presented include a total of 57 quality review visits were completed, 24 administrative and clinical, and 33 environmental emergency preparedness and life safety code.

Areas of excellence and opportunities were also shared.

HHC facilities had 78 deficiency free Indiana Department of Health Surveys in quarter two, four annual, two life safety code, 15 of 15 emergency preparedness surveys, and 57 complaint surveys.

The progression of our CMS overall five-star score was also shared.

In 2009, HHC had 34 facilities with an average overall five-star score of 1.6.

State average at that time was 2.66 and national average of 2.83.

Our recent June CMS overall five-star average has improved to 3.54 with a state average of 3.07 and a national average of 2.92.

Lastly, American Health Care Association will recognize 20 HHC facilities with seven bronze and 13 silver silver national quality award recipients in June at the in October, sorry, at the AHCA conference.

Steve Van Camp, ASC Chief Executive Officer, shared Indiana is the number one state in the nation with 37 AUCA Silver Quality Award winners and staffing retention at ASC has approved over the past 12 months.

Paul Babcock, President and CEO, shared long-term care will be a critical part of HHC moving forward, and continued quality will help drive admissions.

July updates include our average daily census was close to 6,000 at 76% occupancy.

The quality review team conducted 10 administrative and clinical visits and seven additional environmental emergency preparedness and life safety code audits.

CMS 855A reval revalidation deadline was extended from August 1st to January 1st of 2026, and CMS announced a new data validation process to launch in the fall of 2025.

Lastly, Bet's nursing home will transition to Henry County as the new operator on September 1st.

This concludes my report.

Any questions?

For our Vice President of Long-Term Care, Julie White.

Hearing none, uh that would bring us to our Eskenazi Health Foundation report report by our executive vice president Angela Angela White.

Thank you.

Thank you, Chairman Lazard.

Just a few things today.

One, we're continuing in our strategic planning process, chaired by our board vice chair, Deborah Daniels.

And as I mentioned in our last meeting, we're doing this work in alignment with the work that's been done at HHC with Forbus and with the work that's being done at Eskenazi Health so that we're in alignment moving forward and as I said at the ready to help in these interesting times.

Also, we just have begun our governance process for next year.

Deborah Daniels is our incoming board chair for next year, serving this year as vice chair.

So she's leading the process of seating a slate of officers for next year and committee chairs, and Mark Howell is leading the governance committee that looks at recruiting our new board members.

So I'll have more to update you on as that process moves forward, and then those officers and new board members will be elected in our December meeting, so I can share that full slate and those board members then.

As Dr.

Harris mentioned, we're continuing to raise funds for the social drivers of health for the mental health for our community health centers for the Ferrybock match and for unrestricted dollars to support immediate needs.

We've raised uh just shy five of five million dollars as of uh this week.

So we anticipate being between 6.5 maybe and 7 million on the year, which is is pretty um on point for us in a non-campaign year.

So that's where our focus is right now.

And one other piece, we have created a new curated program called Behind the Scenes of Healing, working with our providers here at Eskenazi Health on campus and also in the community to engage interested persons in what happens here at Eskenazi Health and to see it through the eyes of a provider.

So that might be everything from an arts and gardens tour here to an afternoon in the emergency department to experiencing the teaching kitchen at Grandy.

And so we've been working together with our providers to offer these opportunities.

We do them in a one-on-one curated environment.

So if board members you would know anyone you'd like to invite to be a part of that to come to know Eskenazi Health better, please just see me and we'd be happy to arrange that.

Any questions for Angela White?

So uh are there is there any unfinished business to come before the board from board members?

Any new business to come before the board from board members?

With that, the date of the uh next meeting is Tuesday, September 16th, 2025.

And I'll ask for a motion to adjourn.

It's been moved and we are adjourned.